{"title":"Imaging cherubism: Radiologic hallmarks of a rare jaw anomaly","authors":"Paschyanti Kasat , Shivali Kashikar , Pratapsingh Parihar , Pratiksha Sachani , Utkarsh Pradeep","doi":"10.1016/j.radcr.2025.03.042","DOIUrl":"10.1016/j.radcr.2025.03.042","url":null,"abstract":"<div><div>Cherubism is an autosomal-dominant disorder that commonly affects young patients. Our patient a 17-year-old male presented with bilateral nontender swelling over the mandibular area and maxillary area which was insidious in onset and progressive. The diagnosis was made based on clinical and radiological features. Computed tomography of the head in bone window shows multiple lytic sclerotic expansile lesions with coarsened bony trabecular pattern giving the soap bubble appearance of bilateral mandible and maxilla. Surgical intervention was done and upon follow up patient showed drastic improvement. Based on the radiological features grading systems have been developed that help decide the management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3271-3276"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824662","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}
{"title":"MRI findings in human rabies: A case report on the importance of neuroimaging when biological tests are inconclusive","authors":"Zakaria Chahbi MD, Said Adnor MD, Soufiane Bigi MD, Mounir Salek MD, Soukaina Wakrim PhD","doi":"10.1016/j.radcr.2025.03.056","DOIUrl":"10.1016/j.radcr.2025.03.056","url":null,"abstract":"<div><div>Rabies is a rare but fatal viral infection affecting the central nervous system, often presenting with nonspecific symptoms that can delay diagnosis. We report the case of a 14-year-old boy who presented with fever, headache, neck stiffness, photophobia, and convulsions, initially mimicking other central nervous system infections. Brain and spine MRI revealed hyperintense signals in the bilateral basal ganglia, thalami, limbic cortex and brainstem on T2-weighted and FLAIR images, without restricted diffusion on diffusion-weighted imaging and an MR spectroscopy consistent with rabies encephalitis. Spinal cord MRI showed an hyperintense signal that resolved on follow-up imaging after one month. This case highlights the role of MRI in detecting early neuroimaging changes in rabies encephalitis and underscores the need for clinical correlation for timely diagnosis and management. Further studies are needed to better define the utility of MRI in rabies encephalitis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3281-3286"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824666","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}
{"title":"A rare case of median arcuate ligament syndrome presenting with chronic abdominal pain managed surgically: A case report","authors":"Md. Deluwar Hussen MBBS , Zareen Tabassum MBBS , Anawara Afroz Jenny MBBS , Kashfia Naharin MBBS , Farjana khanam MBBS","doi":"10.1016/j.radcr.2025.03.021","DOIUrl":"10.1016/j.radcr.2025.03.021","url":null,"abstract":"<div><div>The disorder median arcuate ligament syndrome (MALS) develops when the median arcuate ligament compresses the celiac artery and accompanying nerve fibers leading to postprandial abdominal pain, nausea and bloating symptoms that are commonly mistaken for other gastrointestinal or vascular conditions. A 29-year-old female patient experienced right hypochondrium pain after eating combined with burning stomach pain and debilitating bloating episodes for 5 months. Computed tomography (CT) angiography scan and Doppler ultrasonography revealed celiac artery stenosis due to pressure from the median arcuate ligament along with cholelithiasis. The patient's vague symptoms illustrate the diagnostic difficulty of MALS patients who also have cholelithiasis and demonstrates how CT and Doppler ultrasonography serve crucially to validate MALS diagnosis. Surgical treatment of the median arcuate ligament by physical release has proved successful in treating symptoms despite patients also having cholelithiasis. Early detection and surgical treatment can increase favorable outcomes for patients with such rare conditions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3261-3266"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824154","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}
Oumaima Mesbah, Ola Messaoud, Badr Kabila, Omar EL aoufir, Laila Jroundi, Zaynab Iraqi Houssaini
{"title":"Unmasking the pituitary shadow 11 years postpartum: A case report of late-stage Sheehan's syndrome","authors":"Oumaima Mesbah, Ola Messaoud, Badr Kabila, Omar EL aoufir, Laila Jroundi, Zaynab Iraqi Houssaini","doi":"10.1016/j.radcr.2025.03.027","DOIUrl":"10.1016/j.radcr.2025.03.027","url":null,"abstract":"<div><div>Sheehan's syndrome (SS) is a rare but significant condition that occurs as a result of postpartum pituitary gland infarction, typically following severe blood loss or hypotension during or after childbirth. The syndrome is characterized by signs of anterior pituitary insufficiency, including deficiencies in hormones such as cortisol, thyroid hormones, and gonadotropins. The diagnosis of this rare but potentially fatal disease is often delayed due to the vague symptoms and the insidious nature of pituitary dysfunction. It is typically confirmed through hormonal assays and imaging, which reveal anatomical changes in the pituitary gland, such as atrophy or empty sella syndrome, supporting the diagnosis. Treatment of Sheehan's syndrome primarily involves hormone replacement therapy to correct the endocrine imbalances, to prevent adrenal crises and other complications. We present the case of a 40-year-old woman, 11 years postpartum, who was hospitalized for a severe infection, revealing a pituitary dysfunction due to a delayed revelation of Sheehan's syndrome.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3267-3270"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824663","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}
{"title":"Spontaneous lung herniation: A rare ultrasound diagnosis","authors":"Vikas L.B. Jadhav DMRD, FICR, FICMU, PhD , Pranav Ajmera MBBS, MD , Aryan Dwivedi , Snehal Rathi MBBS, MD , Parth Gulabani","doi":"10.1016/j.radcr.2025.03.047","DOIUrl":"10.1016/j.radcr.2025.03.047","url":null,"abstract":"<div><div>Protrusion of lung tissue, through the intercostal space and musculature but yet remaining covered by skin, is called lung herniation. As per the Morel-Lavellée classification, 2 etiologic herniation groups are recognized: congenital and acquired, with acquired further divided into traumatic, spontaneous, and pathological. Spontaneous lung hernias are mainly rarely diagnosed and may often be confused with other conditions or missed altogether. A case of acquired, atraumatic, spontaneous intercostal lung herniation of idiopathic etiology is presented, and diagnosed incidentally on ultrasonography while being evaluated for management of a mimicking pathology.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3191-3196"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820886","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}
{"title":"Unveiling hepatico-duodenal ligament lymphangioma in a sickle cell disease patient: A radiological and clinical case study","authors":"Viraj Gupta MBBS, Ravishankar Patil MD, Gaurav Mishra MD, Pratapsingh H. Parihar MD, Komal Mishra MBBS, Gahana Kataria MBBS, Rakshanda Agrawal MBBS","doi":"10.1016/j.radcr.2025.03.057","DOIUrl":"10.1016/j.radcr.2025.03.057","url":null,"abstract":"<div><div>The 34-year-old female patient with sickle cell anemia had splenomegaly and excruciating stomach discomfort. radiological examinations showed a nonenhancing cystic lesion along the common bile duct, splenic infarcts, and a severely enlarged spleen with subcapsular calcifications, indicative of hepatoduodenal ligament lymphangioma. Minor ascites, borderline hepatomegaly, and a slight left-sided pleural effusion were among the related findings. The example highlights the clinical significance of sophisticated imaging techniques and the value of interdisciplinary care and thorough imaging in identifying uncommon illnesses and directing the right therapies.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3249-3254"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824153","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}
{"title":"Magnetic resonance imaging findings of xanthogranulomatous salpingo-oophoritis: A case report","authors":"Koichi Ito MD , Kazuyuki Ohgi MD , Manabu Yamada MD , Akira Toyoshima MD , Toshio Kumasaka MD , Kensuke Suzuki MD , Yukari Namiiri MD , Akiyoshi Yamashita MD , Hiroyuki Yokote MD , Ko Matsushita MD , Yuko Naraoka MD , Tatsuki Ono MD , Naoki Kawakami MD","doi":"10.1016/j.radcr.2025.03.014","DOIUrl":"10.1016/j.radcr.2025.03.014","url":null,"abstract":"<div><div>Xanthogranulomatous salpingo-oophoritis is an extremely rare disease that can be confused with adnexal malignancy. Few reports have described the diffusion-weighted imaging features of this disease. A 56-year-old woman presented with abdominal pain and was referred to our hospital. Magnetic resonance imaging showed a left adnexal mass extending to the uterus and the rectum. The solid component of the mass showed intense contrast enhancement on contrast-enhanced fat-saturated T1-weighted image. The component showed hypointensity on diffusion-weighted image and did not show restricted diffusion on the apparent diffusion coefficient map. The possibility of a malignant adnexal tumor was considered preoperatively because the mass had extended to the surrounding organs. The patient underwent surgery, and the postoperative pathological diagnosis was xanthogranulomatous salpingo-oophoritis. Although xanthogranulomatous salpingo-oophoritis extending to the surrounding organs may be confused with adnexal malignancy, the contrast-enhanced component of the mass without restricted diffusion could aid in the correct preoperative diagnosis and lead to less radical surgery.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3243-3248"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820889","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}
{"title":"Budd-Chiari syndrome in a 33-year-old woman with hypercoagulable state: A case report","authors":"Laleh Abbasi , Alireza Motamedi , Ali Kiaee , Fatemeh Abbasi , Ommolbanin Younesian , Nazgol Khodaie","doi":"10.1016/j.radcr.2025.03.023","DOIUrl":"10.1016/j.radcr.2025.03.023","url":null,"abstract":"<div><div>Budd-Chiari syndrome (BCS) is a rare disorder caused by hepatic venous outflow obstruction, often linked to underlying prothrombotic conditions. This case describes a 33-year-old woman who presented with abdominal pain and ascites and was diagnosed with BCS secondary to deficiencies in protein C, protein S, and antithrombin III. She also had a history of epilepsy, bipolar disorder, and poor medication adherence. Imaging studies, including Doppler ultrasound and contrast-enhanced CT, played a crucial role in confirming the diagnosis. Despite treatment with anticoagulation and diuretics, recurrent ascites and behavioral issues complicated management, leading to a poor prognosis. This case highlights the importance of early recognition, imaging in diagnosis, and evaluation of prothrombotic disorders in patients with BCS to improve outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3277-3280"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824155","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}
{"title":"Radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy: A case report and review of the literature","authors":"Serena Sheen, Volney Sheen","doi":"10.1016/j.radcr.2025.03.062","DOIUrl":"10.1016/j.radcr.2025.03.062","url":null,"abstract":"<div><div>White cord syndrome (WCS), also referred to as reperfusion injury of the spinal cord, is a rare condition involving sudden neurological deterioration following cervical spinal decompression. The syndrome is diagnosed in the absence of an iatrogenic cord injury or perioperative complications. Both loss of neurophysiological signaling during intraoperative monitoring and the appearance of hyper-intensity on T2-weighted magnetic resonance imaging are hallmarks of WCS. We present a report of a female patient who presented with the condition and followed her imaging studies longitudinally. Imaging studies showed prolonged and persistent contrast enhancement over a year and a half postsurgery. Such findings have not previously been reported with WCS. We provide a brief review of the literature, highlighting the main radiologic findings.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3231-3235"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824665","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}
{"title":"Management of malignant inferior vena cava syndrome (IVCS) by endovascular bridging stent placement","authors":"Manos Siderakis MD, BSc, MSc, Georgia Papavasileiou MD, MSc, Margarita Moutou MD, MSc, George Gkeneralis MD, MSc, PhD, Viktoria Kartsouni MD, MSc, PhD, Myrsini Gkeli MD, MSc","doi":"10.1016/j.radcr.2025.03.059","DOIUrl":"10.1016/j.radcr.2025.03.059","url":null,"abstract":"<div><div>A 73-year-old male patient was admitted to the emergency department with dyspnea and severe edema in the lower extremities. The patient had been diagnosed with extensive small-cell lung cancer 15 months previously. Contrast-enhanced CT revealed suprahepatic compression of the inferior vena cava (IVC) at the level of its entry into the right atrium, caused by a space-occupying, infiltrating right lung lesion. Inferior vena cava syndrome (IVCS) occurs after obstruction of venous flow through the IVC. Trunk and lower limb edema are the most common manifestations of this syndrome, whereas cardiac function may be compromised in more severe cases. Given the patient's performance status, disease stage, and symptom acuity, endovascular stenting of the IVC was preferred over surgery or radiotherapy. The superior vena cava (SVC)-to-IVC bridging stent approach was employed to address the severe mass effect and location of the IVC stenosis at its junction with the right atrium. Three uncovered self-expandable stents were deployed in tandem from the SVC to the IVC. Overlap between stents minimized the risk of collapse within the right atrium, possibly leading to cardiac conduction disorders or even perforation of the heart wall. The patient experienced alleviation of IVCS symptoms over the next 48 h but unfortunately passed away 8 days later from his primary disease. Although primarily palliative in oncologic cases, SVC-to-IVC stenting can offer rapid and safe relief of symptoms in patients with advanced oncologic disease by restoring venous return to the heart.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3211-3215"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820891","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}