Radiology Case Reports最新文献_第3页

Syringohydromyelia, syringobulbia and syringocephaly associated with Chiari – I malformation: A case report 与Chiari - 1型畸形相关的脊髓积水、脊髓畸形和脊髓畸形1例报告

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.068

Nebil A. Shukralla , Etsehiwot Demeke , Fitsum A. Gemechu , Michael A. Negussie , Abebe Mekonnen , Mersha A. Woldemariam , Kibruyisfaw Z. Shumbash

{"title":"Syringohydromyelia, syringobulbia and syringocephaly associated with Chiari – I malformation: A case report","authors":"Nebil A. Shukralla , Etsehiwot Demeke , Fitsum A. Gemechu , Michael A. Negussie , Abebe Mekonnen , Mersha A. Woldemariam , Kibruyisfaw Z. Shumbash","doi":"10.1016/j.radcr.2025.04.068","DOIUrl":"10.1016/j.radcr.2025.04.068","url":null,"abstract":"<div><div>Syringohydromyelia, syringobulbia, and syringocephaly are rare manifestations of Chiari-I malformation (CM-I), each resulting from disrupted cerebrospinal fluid dynamics. While syringomyelia is commonly associated with CM-I, the rostral extension of syrinx cavities into the brainstem (syringobulbia) and cerebral parenchyma (syringocephaly) is very rare, with limited cases reported globally. This case report describes a 40-year-old woman presenting with progressive neurological deficits, including hemiparesis, sensory disturbances, and bulbar symptoms. Magnetic resonance imaging revealed CM-I with a syringohydromyelic cavity extending from the cervicomedullary junction to the thoracic spinal cord, syringobulbia involving the brainstem, and syringocephaly affecting the left cerebral hemisphere, internal capsule, and basal ganglia. Following posterior fossa decompression, the patient experienced significant neurological improvement, including restored motor function and resolution of intracranial edema, although the cervical syrinx cavity remained stable. This case demonstrates the importance of early diagnosis and surgical intervention in managing these rare yet debilitating complications of CM-I, highlighting the potential for improved outcomes despite the complex and extensive nature of these lesions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3793-3797"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The bloomy rind sign: A key imaging clue in early leptomeningeal carcinomatosis from lung cancer—A case report 黄络征象：肺癌早期轻脑膜癌的重要影像学线索——1例报告

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.072

Karim Haddar , Wadia Baddou , Leila Haddar , Aicha Laabadi , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker

{"title":"The bloomy rind sign: A key imaging clue in early leptomeningeal carcinomatosis from lung cancer—A case report","authors":"Karim Haddar , Wadia Baddou , Leila Haddar , Aicha Laabadi , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker","doi":"10.1016/j.radcr.2025.04.072","DOIUrl":"10.1016/j.radcr.2025.04.072","url":null,"abstract":"<div><div>Leptomeningeal carcinomatosis (LMC) is a rare but serious complication of advanced cancer, occurring in approximately 5% of patients with metastatic disease. It results from the dissemination of malignant cells into the cerebrospinal fluid and leptomeninges, often presenting with nonspecific neurological symptoms. We report a case of a 46-year-old male with no prior cancer history who presented with progressive headaches, vomiting, and cranial nerve deficits. MRI revealed the “bloomy rind sign”—a curvilinear T2-FLAIR hyperintensity surrounding the brainstem—suggestive of early LMC. Further imaging identified a hilar pulmonary mass consistent with lung cancer. Despite treatment with intrathecal chemotherapy and corticosteroids, the patient's condition deteriorated rapidly. This case underscores the diagnostic importance of the bloomy rind sign in early-stage LMC and highlights the need for heightened clinical suspicion and timely neuroimaging in patients with atypical neurological symptoms.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3784-3788"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.028

Ning Xia , Wei Wang , Wei Zhang , Yan Li , Xiu-Hong Nie

{"title":"IgG4-related lung disease with pulmonary lesions and recurrent pleural effusion: A case of report","authors":"Ning Xia , Wei Wang , Wei Zhang , Yan Li , Xiu-Hong Nie","doi":"10.1016/j.radcr.2025.04.028","DOIUrl":"10.1016/j.radcr.2025.04.028","url":null,"abstract":"<div><div>We report a rare case of IgG4-related lung disease (RLD) with pulmonary lesions and recurrent pleural effusion to improve the diagnosis and treatment of this disease. A 60-year-old man was admitted to hospital for cough and dyspnea. CT scan showed a right lower lobe intrapulmonary mass with unilateral right-sided pleural effusion. Histology revealed no malignant findings. After 1 year, the patient re-admitted to our hospital with high serum level of IgG4 and IgE concentrations. CT scan demonstrated partial resolution of intrapulmonary mass and right-sided pleural effusion, while concurrently revealing interval development of substantial left-sided pleural effusion. The patient was diagnosed with IgG4-RLD by biopsy finally. This is a first case report of IgG4-RLD with intrapulmonary lesions accompanied by asynchronous, rapidly accumulating bilateral pleural effusions. Clinicians should consider the possibility of IgG4-RLD with intrapulmonary lesions accompanied by asynchronous, rapidly growing bilateral pleural effusion, particularly after rigorously excluding common diseases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3820-3825"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hemodynamics of a right ventricular outflow tract aneurysm assessed with 4D flow MRI before and after unilateral pulmonary artery balloon angioplasty: A case report 单侧肺动脉球囊成形术前后4D血流MRI评价右心室流出道动脉瘤血流动力学1例

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.083

Hideharu Oka MD, PhD , Kouichi Nakau MD , Keita Ito MD , Rina Imanishi MD , Kazunori Fukao RT , Sadahiro Nakagawa RT, PhD , Tatsuya Suzuki RT , Satoru Takahashi MD, PhD

引用次数: 0

Endovascular treatment of right subclavian artery occlusion after cervical rib removal 颈肋切除后右锁骨下动脉闭塞的血管内治疗

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.055

Túlio Fabiano de Oliveira Leite MD, PhD , Vivalde Faria Lobato Neto MD

引用次数: 0

Uncommon but intriguing: A pediatric primary histiocytic sarcoma case—Clinical insights and literature review 罕见但耐人寻味：一例小儿原发性组织细胞肉瘤病例——临床观察及文献复习

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.063

Sofia Elouaouch MD , Soufiane Berhili MD , Hanane Mansouri MD , Zahira El Youssi MD , Ahmed Bensghier MD , Mohammed Moukhlissi MD , Karim Bahhous PhD , Loubna Mezouar MD

{"title":"Uncommon but intriguing: A pediatric primary histiocytic sarcoma case—Clinical insights and literature review","authors":"Sofia Elouaouch MD , Soufiane Berhili MD , Hanane Mansouri MD , Zahira El Youssi MD , Ahmed Bensghier MD , Mohammed Moukhlissi MD , Karim Bahhous PhD , Loubna Mezouar MD","doi":"10.1016/j.radcr.2025.04.063","DOIUrl":"10.1016/j.radcr.2025.04.063","url":null,"abstract":"<div><div>Histiocytic sarcoma (HS) is a rare and aggressive malignancy derived from histiocytes, accounting for less than 1% of hematopoietic neoplasms. Pediatric soft tissue involvement is exceptionally rare, with limited data to guide management. We present the case of a 5-year-old girl with a painless mass on the right thigh. Imaging revealed a malignant intra-aponeurotic soft tissue lesion. Histopathological analysis confirmed HS with immunohistochemical positivity for CD68, CD31, LCA, and INI1, and a Ki-67 index of 40%. Staging PET-CT identified local lymph node involvement. Following R1 surgical resection, the patient received adjuvant radiotherapy (43 Gy to the tumor bed and 36.9 Gy to the inguinal region) and OEPAbased chemotherapy. At 20 months post-treatment, the patient remains in remission with excellent functional outcomes. This case highlights the rarity of soft tissue histiocytic sarcoma in pediatric patients and the importance of multimodal treatment to achieve long-term remission.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3748-3754"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Giant abdominal cerebrospinal fluid pseudo cyst: A case report 巨大腹腔脑脊液假性囊肿1例

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.064

Amal Mojahid, Nadia El Mahi, Hamid Ziani, Siham Nasri, Imane Kamaoui, Imane Skiker

引用次数: 0

Thoracic aorta aneurysm tracheal compression and anatomical variant of the right subclavian artery: A case report 胸主动脉动脉瘤气管压迫与右锁骨下动脉解剖变异1例

Radiology Case Reports Pub Date : 2025-05-14 DOI: 10.1016/j.radcr.2025.04.019

Francesca Cianfrone MD, PhD , Italo Cantore MD, PhD, FACS , Claudio Montuori MD , Pio Bevilacqua MD , Francesco Tauro MD , Raffaele Chiarelli MD , Roberto Marcello MD , Paolo Ruscito MD

引用次数: 0

Ileosigmoid knot: A case report of the lethal twist 回肠乙状结肠结：致死性扭转1例

Radiology Case Reports Pub Date : 2025-05-13 DOI: 10.1016/j.radcr.2025.04.069

Basma Dghoughi MD , Basma Beqqali MD , Kaoutar Maslouhi MD , Hamza Hamdani MD , Omar Sbiyaa MD , Sara Benammi MD , Hamid Mohammadine PhD , Abdellatif Settaf PhD , Zaynab Iraqi Houssaini PhD , Ola Messaoud PhD , Laila Jroundi PhD , Omar El Aoufir PhD

{"title":"Ileosigmoid knot: A case report of the lethal twist","authors":"Basma Dghoughi MD , Basma Beqqali MD , Kaoutar Maslouhi MD , Hamza Hamdani MD , Omar Sbiyaa MD , Sara Benammi MD , Hamid Mohammadine PhD , Abdellatif Settaf PhD , Zaynab Iraqi Houssaini PhD , Ola Messaoud PhD , Laila Jroundi PhD , Omar El Aoufir PhD","doi":"10.1016/j.radcr.2025.04.069","DOIUrl":"10.1016/j.radcr.2025.04.069","url":null,"abstract":"<div><div>Ileosigmoid knot (ISK) is a rare and rapidly fatal surgical emergency characterized by the twisting of the ileum around the sigmoid colon, leading to acute bowel obstruction, ischemia, and gangrene. Due to its nonspecific clinical presentation, ISK is often misdiagnosed causing a delay of definitive treatment. The condition is most frequently reported in regions with high-fiber diets and anatomical predispositions, but remains a globally uncommon entity. Radiological imaging, particularly CT scans, plays a crucial role in preoperative diagnosis, with the whirl sign including sigmoid and ileum being a key diagnostic clue. However, most cases are only confirmed intraoperatively, and outcomes depend on the extent of bowel necrosis and the timeliness of surgical intervention. Mortality rates remain high, particularly in cases complicated by sepsis and multiorgan failure. We present the case of a 49-year-old male who developed acute abdominal pain, with CT imaging and laparotomy confirming an ileosigmoid knot, ultimately resulting in a fatal outcome.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3724-3728"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PRES or ODS: An atypical presentation of osmotic demyelination syndrome? PRES还是ODS：渗透性脱髓鞘综合征的非典型表现？

Radiology Case Reports Pub Date : 2025-05-13 DOI: 10.1016/j.radcr.2025.04.082

Joshua Wiley DO , Mark Colantonio MD , Nisha Hollingsworth MD , Jonathan Shakesprere MD

引用次数: 0