Radiology Case Reports最新文献_第5页

Diffuse cranial nerve infiltration in acute lymphoblastic leukemia: MRI diagnosis 急性淋巴细胞白血病弥漫性脑神经浸润的MRI诊断

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.09.019

Meqor Ali M.D , Moudafia Zineb M.D , Chetoui Ayoub M.D , El kidari Jalal M.D , Alouazen Oula M.D , Choukri El Mahdi M.D , Oulad Amar Asmae M.D , Alaoui Rachidi Siham M.D

{"title":"Diffuse cranial nerve infiltration in acute lymphoblastic leukemia: MRI diagnosis","authors":"Meqor Ali M.D , Moudafia Zineb M.D , Chetoui Ayoub M.D , El kidari Jalal M.D , Alouazen Oula M.D , Choukri El Mahdi M.D , Oulad Amar Asmae M.D , Alaoui Rachidi Siham M.D","doi":"10.1016/j.radcr.2025.09.019","DOIUrl":"10.1016/j.radcr.2025.09.019","url":null,"abstract":"<div><div>Cranial nerve involvement in acute lymphoblastic leukemia (ALL) is a rare manifestation of central nervous system infiltration and may present diagnostic challenges, particularly when cerebrospinal fluid (CSF) cytology is negative. We report the case of a 21-year-old male with known acute T-lymphoblastic leukemia undergoing chemotherapy, who presented with acute bilateral facial weakness consistent with seventh cranial nerve palsy and dysphagia suggestive of glossopharyngeal nerve involvement. Initial laboratory studies were unremarkable. Brain MRI revealed diffuse thickening and intense enhancement of multiple cranial nerves, including the facial and glossopharyngeal nerves, consistent with leukemic infiltration. CSF cytologic analysis did not demonstrate malignant cells, but further immunophenotypic assessment (flow cytometry) was not available. Given the clinical and radiologic findings, intrathecal chemotherapy was initiated, resulting in progressive improvement of neurologic symptoms. This case illustrates the critical role of MRI in diagnosing leukemic cranial nerve infiltration, particularly when CSF analysis is inconclusive. Early recognition is essential to guide prompt treatment and improve neurologic outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6196-6202"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158733","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

Popliteal artery cystic adventitial disease: An uncommon cause of claudication 腘动脉囊性外膜病：一种少见的跛行原因

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.09.026

Farah Farooq Shakir MD, Surenth Nalliah MD, Muhanad Al-Hashimi MD, Idris Abdulrahman Abdullah Akreyi MD

{"title":"Popliteal artery cystic adventitial disease: An uncommon cause of claudication","authors":"Farah Farooq Shakir MD, Surenth Nalliah MD, Muhanad Al-Hashimi MD, Idris Abdulrahman Abdullah Akreyi MD","doi":"10.1016/j.radcr.2025.09.026","DOIUrl":"10.1016/j.radcr.2025.09.026","url":null,"abstract":"<div><div>Cystic adventitial disease of the popliteal artery is an uncommon vascular condition that can manifest as intermittent claudication, particularly in active individuals without typical atherosclerotic risk factors. We report the case of a 50-year-old male presenting with a 2-year history of progressive right leg pain, triggered by prolonged walking and knee flexion, yet notably absent during cycling activities. Clinical examination revealed diminished distal pulses in the right leg. A Doppler-based treadmill test indicated a significant post-exercise drop in ankle pressures on the right side. Ultrasound and MRI confirmed a cystic lesion encasing the right popliteal artery, ruling out other potential diagnoses. Surgical excision of the cyst and reconstruction of the affected arterial segment with a reversed small saphenous vein graft led to complete resolution of the symptoms. Six-month follow-up showed graft patency and no recurrence. This case underscores the importance of considering cystic adventitial disease in differential diagnoses of exertional leg pain in patients without typical vascular risk factors, and it highlights the effectiveness of surgical intervention in achieving favorable outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6183-6188"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159502","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

Tension gastrothorax in late diagnosis of congenital diaphragmatic hernia 张力性胃胸在先天性膈疝的晚期诊断

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.08.094

Yasmine Houas MD , Hela Oueslati MD , Nada Sghairoun MD , Asma Guitouni MD , Riadh Jouini MD

引用次数: 0

Giant 2,150-gram bladder stone in a 32-year-old male: A case report from the Peruvian Amazon 一名32岁男性膀胱结石重达2150克：秘鲁亚马逊地区病例报告

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.08.070

Cintya Chavez-Fernandez MD , Laury Juarez-Barco MD , Sebastian Coronel-Arias MD , Elmer Paz-More MD , Jorge Fernández-Rosado MD , Raúl Hernán Sandoval-Ato MD

{"title":"Giant 2,150-gram bladder stone in a 32-year-old male: A case report from the Peruvian Amazon","authors":"Cintya Chavez-Fernandez MD , Laury Juarez-Barco MD , Sebastian Coronel-Arias MD , Elmer Paz-More MD , Jorge Fernández-Rosado MD , Raúl Hernán Sandoval-Ato MD","doi":"10.1016/j.radcr.2025.08.070","DOIUrl":"10.1016/j.radcr.2025.08.070","url":null,"abstract":"<div><div>Giant bladder lithiasis is a rare clinical finding, particularly among young adults. We report the case of a 32-year-old male from the Peruvian Amazon who presented with progressive lower urinary tract symptoms, recurrent urinary tract infections, and weight loss over 2 years. Uroimaging revealed a solitary 15×15 cm hyperdense mass occupying the entire bladder cavity. Laboratory studies showed severe anemia, elevated creatinine, and urinary sediment with struvite crystals. Despite repeated evaluations, a timely diagnosis was delayed, leading to bilateral hydroureteronephrosis and renal impairment. The patient underwent open cystolithotomy, which extracted a 2150-gram stone in multiple fragments. Postoperative recovery was uneventful, and histopathology revealed bladder squamous metaplasia without malignancy. Follow-up imaging demonstrated residual bladder wall thickening and decreased renal dimensions. This case highlights the severe complications that can result from neglected bladder lithiasis in vulnerable populations and underscores the need for early urologic evaluation, especially in settings with limited access to healthcare.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6171-6177"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159514","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

Type II Abernethy malformation presenting with heart failure: A case report 以心力衰竭为表现的II型Abernethy畸形1例

Radiology Case Reports Pub Date : 2025-09-23 DOI: 10.1016/j.radcr.2025.09.024

Yanan Gu MD , Jianjun Luo MD, PhD , Yi Chen MD, PhD , Liangwen Wang MD, PhD , Jiaze Yu MD, PhD , Wei Chen MD, PhD , Yongshi Wang MD, PhD , Zhiping Yan MD, PhD , Xiaolin Wang MD, PhD

引用次数: 0

Calcified intracranial lipoma in the temporal lobe convexity - A report of unusual manifestations of a rare disease with a brief review of literature 颞叶凸部钙化性颅内脂肪瘤：一罕见疾病的异常表现，并附文献回顾

Radiology Case Reports Pub Date : 2025-09-23 DOI: 10.1016/j.radcr.2025.08.084

Shabnam Bhandari Grover MBBS, MD, DNB, MNAMS, FICR , Ajay Sahni MBBS , Parnit Kalra MBBS, MD , Nandisha Gupta MBBS, MD , Sayantan Patra MBBS, MD, DNB , Hemal Grover MD, ABR

{"title":"Calcified intracranial lipoma in the temporal lobe convexity - A report of unusual manifestations of a rare disease with a brief review of literature","authors":"Shabnam Bhandari Grover MBBS, MD, DNB, MNAMS, FICR , Ajay Sahni MBBS , Parnit Kalra MBBS, MD , Nandisha Gupta MBBS, MD , Sayantan Patra MBBS, MD, DNB , Hemal Grover MD, ABR","doi":"10.1016/j.radcr.2025.08.084","DOIUrl":"10.1016/j.radcr.2025.08.084","url":null,"abstract":"<div><div>Intracranial lipomas are rare congenital malformations that account for approximately 0.1 to 1.3 percent of all intracranial lesions/tumors. They are believed to develop due to an abnormal differentiation of “meninx primitiva,” the embryonic precursor of leptomeninges. Intracranial lipomas are usually located in the midline in the pericallosal location and lipomas away from the midline are unusual. We report a case of an 18-year-old male who had been on anti-epileptic therapy for 5 years for a seizure disorder, but denied having undergone any prior imaging evaluation. Imaging studies of brain using CT and MRI revealed an extensively calcified lipoma in the left temporal lobe convexity region. The published literature on temporal lobe lipomas and those with calcification are both infrequent, therefore our report adds to the existing literature on this extremely rare entity. We inform our readers about a novel “gene expression impairment” concept recently proposed to be the etiology in these patients. Further, we enumerate the rare but reported complication of rupture of this malformation, to increase awareness and alert physicians of its possibility, especially for patients who are managed solely by clinical and imaging surveillance. We also highlight the advancements of microsurgical dissection for better prognosis in such cases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6140-6146"},"PeriodicalIF":0.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121257","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

Shotgun-induced rupture leading to subcutaneous hydatidosis: A rare complication of hepatic echinococcosis 霰弹引起的破裂导致皮下包虫病：肝包虫病的罕见并发症

Radiology Case Reports Pub Date : 2025-09-22 DOI: 10.1016/j.radcr.2025.08.077

Reza jalli , Seyed Sina Dehghani , Seyedeh Nadia Tabatabaeifar , Sedighe hooshmandi MD

引用次数: 0

Hemorrhaged pineal arteriovenous malformation in an older adult patient: Case report and literature review 老年患者出血性松果体动静脉畸形1例：病例报告及文献复习

Radiology Case Reports Pub Date : 2025-09-22 DOI: 10.1016/j.radcr.2025.08.081

Shota Yoshimura MD , Kosuke Hirayama MD , Mitsuru Noda MD , Shiro Obata MD,PhD , Yoshiharu Tokunaga MD, PhD , Takayuki Matsuo MD, PhD

引用次数: 0

Grade IV hiatal hernia in a neonate: A radiologic mimic of congenital diaphragmatic hernia 新生儿IV级裂孔疝：先天性膈疝的影像学模拟

Radiology Case Reports Pub Date : 2025-09-22 DOI: 10.1016/j.radcr.2025.08.066

Raed Al Taher MD , Somaya Al Kiswani MD , Mohammad Al Na’seh MD , Haneen A. Banihani MD , Omar Sawafta MD , Ameer Awashra MD , Islam Rajab MD , Raneem Othman MD

{"title":"Grade IV hiatal hernia in a neonate: A radiologic mimic of congenital diaphragmatic hernia","authors":"Raed Al Taher MD , Somaya Al Kiswani MD , Mohammad Al Na’seh MD , Haneen A. Banihani MD , Omar Sawafta MD , Ameer Awashra MD , Islam Rajab MD , Raneem Othman MD","doi":"10.1016/j.radcr.2025.08.066","DOIUrl":"10.1016/j.radcr.2025.08.066","url":null,"abstract":"<div><div>Congenital hiatal hernia is a rare condition in neonates, often presenting with respiratory distress and mimicking other thoracic or diaphragmatic anomalies such as congenital diaphragmatic hernia. In this report, an 8-day-old female neonate was initially suspected of having congenital diaphragmatic hernia based on imaging studies but was ultimately diagnosed with a Grade IV congenital hiatal hernia. Surgical exploration revealed significant herniation of abdominal organs into the thoracic cavity without diaphragmatic defects, confirming the diagnosis. Multiple diagnostic modalities, including barium swallow radiography and computed tomography, were pivotal in identifying the condition, emphasizing their utility in distinguishing hiatal hernias from other mediastinal pathologies. Comprehensive surgical management, including reduction of herniated contents and Nissen fundoplication, effectively addressed the hernia and its complications. The case illustrates the variability in clinical presentation and diagnostic challenges associated with hiatal hernias, highlighting the importance of tailored approaches for diagnosis and treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6128-6133"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109584","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

Pediatric renal rhabdoid tumor: Imaging features and diagnostic challenges of a rare and aggressive neoplasm 小儿肾横纹肌瘤：一种罕见侵袭性肿瘤的影像学特征和诊断挑战

Radiology Case Reports Pub Date : 2025-09-22 DOI: 10.1016/j.radcr.2025.08.067

K. Elaitari , N. Boujida , S. Jabour , K. Maslouhi , N. Allali , L. Chat , M. Ochan , M. Kisra , M. EL Kababri , A. Kili , N. Lamalmi , S. EL Haddad

引用次数: 0