{"title":"A rare incidental finding of splenogonadal fusion in a trauma patient: A case report and review of the literature","authors":"Mosleh Shammout , Somaya Al Kiswani , Zaid Sawaftah , Mhd Osama Rahhal , Sondos Baradia , Reem Abuhamdah , Abdallah Hussein","doi":"10.1016/j.radcr.2025.01.007","DOIUrl":"10.1016/j.radcr.2025.01.007","url":null,"abstract":"<div><div>The unusual fusion of splenic tissue with gonadal or mesonephric tissue remains is the hallmark of a rare congenital condition known as splenogonadal fusion (SGF). It arises during embryological development due to the proximity between the splenic anlage and gonadal mesoderm, typically between the 5th and 8th weeks of gestation. Even though SGF is typically asymptomatic, it is most commonly discovered by accident during imaging, surgery, or autopsy. Here, we present the case of a 17-year-old male who sustained pelvic fractures after a fall from height. Hemoperitoneum, right sacral ala and left iliac fractures, bilateral pubic rami fractures, and an incidental finding of continuous SGF were also discovered during imaging. Multidisciplinary review and imaging confirmed the congenital abnormality.</div><div>Conservative treatment of pelvic fractures and follow-up assessment of SGF, including genetic counseling, were the main goals of management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2059-2062"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oliver Barachini MD , Jakob Slavicek MD , Klaus Hergan MD , Shahin Zandieh MD, MSc
{"title":"Comprehensive case reports on cardiac manifestations in Erdheim-Chester disease: Imaging and clinical insights","authors":"Oliver Barachini MD , Jakob Slavicek MD , Klaus Hergan MD , Shahin Zandieh MD, MSc","doi":"10.1016/j.radcr.2025.01.023","DOIUrl":"10.1016/j.radcr.2025.01.023","url":null,"abstract":"<div><div>Cardiac magnetic resonance imaging (cardiac MRI) is an essential tool in the diagnosis and managing cardiac pathology. This pictorial essay discusses 3 patient case examples used in clinical practice. The cases are representative of very rarely cardiac involvement in Erdheim-Chester disease, where advanced imaging techniques play a crucial role in identifying and evaluating sporadic manifestations in the heart. Cardiac MRI is invaluable in providing detailed structural and functional information. Essential for comprehensive cardiac assessment, it is crucial in guiding effective treatment strategies and improving the patient's outcome with some of the most complex and rare cardiac conditions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2035-2042"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two cases of myeloid sarcoma of the mediastinum","authors":"Sayo Irie MD, Akihiro Inoue MD, Taisuke Nakamura MD, Yusuke Kobayashi MD, Tadashi Yamaguchi MD, Ryo Aoki MD, Hiroyuki Kamide MD, Toshiaki Nishii MD, Zenjiro Sekikawa MD","doi":"10.1016/j.radcr.2025.01.035","DOIUrl":"10.1016/j.radcr.2025.01.035","url":null,"abstract":"<div><div>Myeloid sarcoma is a malignancy characterized by the excessive proliferation of immature myeloid cells or myeloblasts, leading to tumor formation outside the bone marrow. This condition often manifests before or after the onset of acute myeloid leukemia or during a relapse following initial remission. Myeloid sarcoma develops in any organs or parts of the body, but its occurrence in the mediastinum is rare. We report 2 cases of myeloid sarcoma in the mediastinum. The first case was a 63-year-old woman who experienced exertional dyspnea and was found to have a mediastinal mass along with a left pleural effusion on computed tomography (CT). Blood tests revealed abnormal cells, and a diagnosis of acute myeloid leukemia was confirmed by a bone marrow examination. A CT-guided biopsy of the mediastinal mass confirmed myeloid sarcoma. The second case was a 43-year-old man who presented with dyspnea on exertion and was discovered to have a mediastinal mass compressing the trachea and bronchus on CT. Additionally, a soft tissue lesion with bone destruction in his left maxillary sinus was found on CT. His blood tests showed no abnormalities. Since the CT-guided biopsy of the mediastinal mass did not yield a definitive diagnosis, the second biopsy of the maxillary sinus lesion led to the diagnosis of myeloid sarcoma. It is crucial to consider myeloid sarcoma in the differential diagnosis of mediastinal tumors to facilitate early detection and treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2063-2069"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Krukenberg tumor secondary to gallbladder adenocarcinoma: A case report","authors":"Imane Bazi , Soufiane Bigi , Zakaria Chahbi , Said Adnor , Abderrahmane Ibenyahya , Abir Saalaoui , Hajar Elagouri , Soukaina Wakrim","doi":"10.1016/j.radcr.2025.01.034","DOIUrl":"10.1016/j.radcr.2025.01.034","url":null,"abstract":"<div><div>Krukenberg tumour is defined by the development of metastasis in both ovaries, characterised by the presence of mucine secreting cells, hence the name carcinoma mucocellular; However, the term “Krukenberg” has often been broadly applied to any metastases to the ovaries, irrespective of the site of origin. It is uncommon representing about 1%-2% of all ovarian tumours. It is in general secondary to a gastric adenocarcinoma but other sites have been found to be responsible of krukenberg's tumour, notably large bowels adenocarcinoma, pancreas, breast cancer, lung adenocarcinoma and biliary tract cholangiocarcinoma. In this article we will report the case of a 29 years old patient presenting with metachronous krukenberg tumour and peritoneal carcinosis with a history of surgery for a gallbladder adenocarcinoma 9 month prior. This case study sheds light on this pathology, familiarizing us with its clinical and radiological picture, as well as its prognosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2048-2053"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nguyen Lan Hieu PhD , Le Hoan PhD , Nguyen Ngoc Cuong PhD , Le Van Tu MD , Nguyen Thi Giang MD , Thieu Thi Tra My MD , Bui Thi Phuong Thao MD , Tran Quoc Hoa PhD
{"title":"Life-threatening massive hemoptysis due to pulmonary arteriovenous malformation: An uncommon case","authors":"Nguyen Lan Hieu PhD , Le Hoan PhD , Nguyen Ngoc Cuong PhD , Le Van Tu MD , Nguyen Thi Giang MD , Thieu Thi Tra My MD , Bui Thi Phuong Thao MD , Tran Quoc Hoa PhD","doi":"10.1016/j.radcr.2025.01.032","DOIUrl":"10.1016/j.radcr.2025.01.032","url":null,"abstract":"<div><div>We present the case of a 42-year-old woman with no past medical history who was admitted to the emergency department because of massive hemoptysis estimated to be greater than 250ml of fresh blood. Physical examination revealed that her vital signs were initially fluctuating on admission with decreased arterial oxygen saturation, tachypnea, mildly elevated blood pressure and heart rate, and no fever. The head and neck exams were notable for the presence of blood in the oropharynx. No active bleeding site was found during nasopharyngoscopy. Chest X-ray shows a well-defined homogeneous mass-like opacity with lobulated shapes of the right lung. Contrast-enhanced computed tomography demonstrates a single 1.2 × 1 cm pulmonary arteriovenous malformation (PAVM) in the right upper lobe fed by an anterior segment pulmonary artery measuring 3.5mm in diameter. The final diagnosis was concluded as massive hemoptysis due to right pulmonary arteriovenous malformation. In this report, we present a rare clinical case with a silent developmental PAVM that did not cause symptoms until massive hemoptysis which can be life-threatening.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2054-2058"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lobar holoprosencephaly with associated meningocele: A rare case report of a 25-year-old patient with multiple seizures","authors":"Parishmita Barman MBBS , Gaurav Vedprakash Mishra MBBS, MD , G Murugan MBBS, MD , Piyoosh Priyadarshee MBBS , Mayur Wanjari MSc , Anshul Sood MBBS","doi":"10.1016/j.radcr.2025.01.029","DOIUrl":"10.1016/j.radcr.2025.01.029","url":null,"abstract":"<div><div>Lobar holoprosencephaly (HPE) represents the mildest form of HPE, featuring an interhemispheric fissure extending along most of the entire midline, with the thalami remaining unfused. Lobar HPE is usually diagnosed in the prenatal stage or infancy; however, cases of adult-onset are exceedingly rare. Here, we present a 25-year-old patient who was presented with multiple episodes of seizures and was subsequently diagnosed with lobar HPE accompanied by a meningocele. By shedding light on this rare brain malformation, we hope to raise awareness among healthcare professionals and stimulate further research into the pathogenesis, clinical course, and management of adult-onset HPE.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2004-2008"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rodrigo P. Azevedo MD, Ralph R.F.M. Tavares MD, Cinthia D. Ortega PhD, Manoel S. Rocha PhD
{"title":"Hepatocellular adenomas associated with antiepileptic drugs: A case report","authors":"Rodrigo P. Azevedo MD, Ralph R.F.M. Tavares MD, Cinthia D. Ortega PhD, Manoel S. Rocha PhD","doi":"10.1016/j.radcr.2025.01.015","DOIUrl":"10.1016/j.radcr.2025.01.015","url":null,"abstract":"<div><div>Hepatocellular adenoma (HCA) represents a rare benign liver tumor occurring predominantly in females of reproductive age and taking oral contraceptives. They are associated with various conditions. We report the case of a male patient with hepatic adenomas who has an association with long-term antiepileptic drugs in treatment for seizures of Rasmussen's encephalitis without a history of anabolic steroid use or any underlying hyperestrogenism. MRI findings show multiple hepatic nodules with mainly intermediate signal on T2, intratumoral fat content without diffusion restriction, and intense enhancement in the arterial phase with and without washout in portal and equilibrium phases. The imaging characteristics of these adenomas are indicative of the HNF1 alpha-inactivated subtype. No therapeutic interventions have been performed so far. This association is rare, and few cases have been reported in the literature. This case aims to reaffirm and remind people of the association of hepatic adenomas with antiepileptic drug use and make an additional analysis of the new molecular subtypes of hepatic adenoma, described recently in the literature. Exhaustive literature research reveals few case reports.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2024-2028"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Forearm arteriovenous malformation: A rare vascular puzzle","authors":"Fadwa Jaheddine, Kaoutar Imrani, Nabil Moatassim Billah, Ittimade Nassar","doi":"10.1016/j.radcr.2024.12.059","DOIUrl":"10.1016/j.radcr.2024.12.059","url":null,"abstract":"<div><div>Arteriovenous malformations (AVMs) are characterized by flat epithelial lining and have an estimated prevalence of 4.5% in the general population. They are typically present at birth and tend to enlarge in proportion to the child's growth. Nevertheless, swift growth may happen as a result of factors like infection, hormonal changes, or trauma. The upper limb is the second most common site for these malformations, following the head and neck. Imaging plays a crucial role in diagnosing and planning treatment for AVMs. We report the case of a 36-year-old male with no significant medical history, who presented with worsening pain in the left forearm, which had been tolerable since childhood. The patient underwent an ultrasound (US) with Doppler study and MRI, revealing findings consistent with a low-flow soft tissue arteriovenous malformation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2020-2023"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic headache and obstructive hydrocephalus: A case of pilocytic astrocytoma in the third ventricle with detailed radiological and histopathological findings","authors":"Paritosh Bhangale MBBS, Shivali Kashikar MD, Pratapsingh Hanuman Parihar MD, Dhananjay Shinde MBBS, Anjali Kumari MBBS, Devyansh Nimodia MBBS","doi":"10.1016/j.radcr.2024.12.058","DOIUrl":"10.1016/j.radcr.2024.12.058","url":null,"abstract":"<div><div>Pilocytic astrocytoma is a benign, slow-growing tumor classified as a WHO Grade I glioma, commonly affecting children and young adults. This case highlights the clinical, radiological, and histopathological features of a third-ventricle pilocytic astrocytoma and its management through endoscopic resection. An 18-year-old female presented with a one-year history of generalized headache, aggravated over the past month. Magnetic resonance imaging (MRI) revealed a mass lesion in the third ventricle, characterized by hypointensity on T1, hyperintensity on T2/FLAIR, no restriction on DWI, high signal intensity on ADC, and intense postcontrast enhancement. The lesion caused obstructive hydrocephalus in the bilateral lateral ventricles. The patient underwent successful endoscopic resection of the tumor. Histopathological examination confirmed pilocytic astrocytoma, showing biphasic patterns, Rosenthal fibers, and eosinophilic granular bodies. This case underscores the importance of multimodal diagnostic approaches and timely surgical intervention in managing pilocytic astrocytoma. Radiological imaging plays a pivotal role in preoperative planning, while histopathology confirms the diagnosis and guides further treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1993-1997"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment-resistant Cushing disease and acromegaly in a young woman: A case of functional pituitary macroadenoma","authors":"Ibrahim Khalil MBBS , Md. Imran Hossain MBBS","doi":"10.1016/j.radcr.2025.01.010","DOIUrl":"10.1016/j.radcr.2025.01.010","url":null,"abstract":"<div><div>Cushing disease and acromegaly are common endocrine disorders caused by excessive cortisol and growth hormone production, respectively. Both conditions can co-occur due to functioning pituitary adenomas, which are typically benign pituitary gland tumors. This report discusses a 30-year-old woman with hyperpituitarism leading to treatment-resistant Cushing disease and acromegaly caused by a functional pituitary macroadenoma. A 30-year-old woman presented with a history of excessive weight gain, facial puffiness, fatigue, persistent headaches, and visual disturbances. Clinical examination revealed features consistent with Cushing disease and acromegaly, including a moon face, central obesity, and large hands and feet—the ophthalmologic evaluation identified bitemporal hemianopia, suggesting optic chiasm compression. Laboratory results showed elevated ACTH, IGF-1, and prolactin levels, alongside confirmed hypercortisolism. The patient also had secondary diabetes mellitus and galactorrhea—initial treatment with octreotide provided limited benefit, with persistent hormone elevations and insufficient symptom control. The patient underwent endonasal endoscopic transsphenoidal resection of the pituitary macroadenoma, leading to marked symptomatic and hormonal improvements. This underscores the diagnostic challenge and treatment complexity of such cases. Early diagnosis is critical for optimizing outcomes in patients with hyperpituitarism and mitigating complications. This case highlights the importance of multidisciplinary management and the necessity of long-term follow-up to monitor for recurrence and ensure sustained remission.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2013-2019"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}