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A rare case of tuberculous cystitis and pulmonary tuberculosis in a 60-year-old smoker: A case report
Radiology Case Reports Pub Date : 2025-03-18 DOI: 10.1016/j.radcr.2025.01.086
Hafsi Azer, Imen Ganzoui
{"title":"A rare case of tuberculous cystitis and pulmonary tuberculosis in a 60-year-old smoker: A case report","authors":"Hafsi Azer,&nbsp;Imen Ganzoui","doi":"10.1016/j.radcr.2025.01.086","DOIUrl":"10.1016/j.radcr.2025.01.086","url":null,"abstract":"<div><div>Tuberculous cystitis is a rare manifestation of genito urinary tuberculosis (TB), often presenting with nonspecific urinary symptoms and mimicking bladder cancer. This report presents a case of a 60-year-old male with concurrent pulmonary tuberculosis and tuberculous cystitis. The patient underwent imaging and biopsy for evaluation of hematuria and systemic symptoms. Diagnostic modalities included ultrasound, computed tomography (CT) scan, and polymerase chain reaction (PCR) for Mycobacterium tuberculosis.Imaging revealed a sessile bladder mass with associated hydroureteronephrosis and peri‑vesical fat densification. Additional findings included a left apico-dorsal pulmonary lesion. Biopsy confirmed granulomatous inflammation with caseating necrosis in the bladder. PCR for tuberculosis was positive despite negatives putums mears. Tuberculous cystitis is a diagnostic challenge due to its mimicry of malignancy. This case emphasizes the importance of biopsy and PCR in confirming TB. The coexistence of pulmonary tuberculosis underscores the systemic nature of the disease. This case highlights the diagnostic complexities of extrapulmonary TB and underscores the necessity of thorough investigation in patients with hematuria and atypical imaging findings.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2833-2835"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143644066","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}
引用次数: 0
An atypical multiple autoimmune syndrome: A case report including myocarditis
Radiology Case Reports Pub Date : 2025-03-18 DOI: 10.1016/j.radcr.2025.02.067
Ikram Tahani MD , Fadoua Achour MD , Noha El Ouafi Phd , Nabila Ismaili Phd
{"title":"An atypical multiple autoimmune syndrome: A case report including myocarditis","authors":"Ikram Tahani MD ,&nbsp;Fadoua Achour MD ,&nbsp;Noha El Ouafi Phd ,&nbsp;Nabila Ismaili Phd","doi":"10.1016/j.radcr.2025.02.067","DOIUrl":"10.1016/j.radcr.2025.02.067","url":null,"abstract":"<div><div>The co-occurrence of autoimmune diseases has been epidemiologically studied and has contributed to our understanding of autoimmunity. The underlying mechanisms of this syndrome remain elusive; however, its prevalence may be higher than currently documented. The co-occurrence of at least 3 autoimmune diseases in a single patient has been defined as multiple autoimmune syndrome (MAS). This syndrome can be classified into 3 categories based on the prevalence of their associations with one another: type 1, type 2, and type 3. Myocarditis is classified as type 3, and typically does not present with connective tissue involvement. This report presents the case of a young female with known autoimmune disorders: rheumatoid arthritis (RA)and secondary Sjögren's syndrome (GSJ). The patient presented with MRI-confirmed myocarditis, likely of autoimmune origin, combining the 3 conditions in an atypical presentation. An additional noteworthy aspect of this case is the uncommon occurrence of myocarditis in rheumatoid arthritis, and even more so in Sjögren's syndromes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2806-2812"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143644067","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}
引用次数: 0
Rare case of aberrant course of facial nerve traversing above oval window
Radiology Case Reports Pub Date : 2025-03-17 DOI: 10.1016/j.radcr.2024.09.101
Yash Heda MD Radio-diagnosis, Sarfaraz Shaikh MD, FRCR
{"title":"Rare case of aberrant course of facial nerve traversing above oval window","authors":"Yash Heda MD Radio-diagnosis,&nbsp;Sarfaraz Shaikh MD, FRCR","doi":"10.1016/j.radcr.2024.09.101","DOIUrl":"10.1016/j.radcr.2024.09.101","url":null,"abstract":"<div><div>This research presents a unique observation of congenital conductive hearing loss linked to an atypical pathway of the facial nerve covering the oval window—a condition first reported by Henner. We explore the case of a 13-year-old boy suffering from lifelong bilateral hearing loss and tinnitus. Diagnostic imaging via high-resolution computed tomography of the temporal bone disclosed the unusual positioning of the facial nerves bilaterally, emphasizing the role of precise imaging in identifying uncommon anatomical deviations that impact clinical decisions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2794-2796"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637376","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}
引用次数: 0
Unusual case of staphylococcus epidermidis-induced spinal epidural abscess in an adolescent: Clinical insights and diagnostic considerations 表皮葡萄球菌诱发青少年脊髓硬膜外脓肿的罕见病例：临床见解和诊断注意事项
Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.051
Saja Karaja , Ayham Qatza , Mulham Alkassem , Ahmed Aldolly , Ahmed Sheikh Sobeh , Mai Halloum , Amer Al Tawekji , Wardan Almir Tamer MD
{"title":"Unusual case of staphylococcus epidermidis-induced spinal epidural abscess in an adolescent: Clinical insights and diagnostic considerations","authors":"Saja Karaja ,&nbsp;Ayham Qatza ,&nbsp;Mulham Alkassem ,&nbsp;Ahmed Aldolly ,&nbsp;Ahmed Sheikh Sobeh ,&nbsp;Mai Halloum ,&nbsp;Amer Al Tawekji ,&nbsp;Wardan Almir Tamer MD","doi":"10.1016/j.radcr.2025.02.051","DOIUrl":"10.1016/j.radcr.2025.02.051","url":null,"abstract":"<div><div>Spinal epidural abscess (SEA) is an uncommon infection typically caused by Staphylococcus aureus, predominantly affecting older adults with risk factors such as advanced age, comorbidities, and prior surgical interventions. This report details a case involving a 14-year-old male presenting with acute lumbar pain, lower limb weakness, urinary retention, and skin pustules. The patient had no history of immunologic diseases, diabetes, or drug use. Contrast-enhanced magnetic resonance imaging (MRI) with gadolinium demonstrated a peripheral fluid signal surrounding the thoracic spinal cord, consistent with an epidural abscess from T9-T12 to L1, causing spinal cord compression. Cultures from the abscess and skin pustules identified Staphylococcus epidermidis (S. epidermidis). The patient underwent surgical drainage and remained stable postoperatively. This case highlights an unusual SEA presentation in an adolescent without typical risk factors, emphasizing the importance of considering atypical pathogens and further investigation into infection sources.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2699-2703"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628285","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}
引用次数: 0
Radiologic evaluation of a giant aneurysmal left circumflex coronary artery presenting with palpitation: A Cas of successful diagnosis 对伴有心悸的左冠状动脉巨大动脉瘤的放射学评估：成功诊断的案例
Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.087
Mohammad Nasser Khattab MD, Karam Alkounsol MD, Anas Alrefai MD, Alaa Haj Ali MD, Fawzi Nabhani MD, Ahmad Alayed MD, FESC
{"title":"Radiologic evaluation of a giant aneurysmal left circumflex coronary artery presenting with palpitation: A Cas of successful diagnosis","authors":"Mohammad Nasser Khattab MD,&nbsp;Karam Alkounsol MD,&nbsp;Anas Alrefai MD,&nbsp;Alaa Haj Ali MD,&nbsp;Fawzi Nabhani MD,&nbsp;Ahmad Alayed MD, FESC","doi":"10.1016/j.radcr.2025.02.087","DOIUrl":"10.1016/j.radcr.2025.02.087","url":null,"abstract":"<div><div>Coronary artery aneurysms (CAAs) are rare cardiovascular abnormalities often associated with conditions like atherosclerosis, connective tissue disorders, or vasculitis. We report a case of a 39-year-old woman presenting with palpitations and dysphagia, ultimately diagnosed with a giant aneurysmal left circumflex coronary artery using a multimodal imaging approach. Initial echocardiography identified a cystic lesion within the left atrium, prompting further evaluation with cardiac magnetic resonance (CMR), computed tomography (CT), and coronary catheterization. These modalities confirmed a large LCX aneurysm measuring 6.3 × 7.9 cm with left main coronary artery dilation. While surgical intervention was recommended, the patient opted for medical management. This case underscores the critical role of advanced imaging in diagnosing and managing complex cardiac conditions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2754-2757"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628292","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}
引用次数: 0
Massive arachnoid granulation in the transverse sinuses on CT myelogram
Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.061
Beatriz A. de Macedo MD , Dong Kun Kim MD , Brian J. Burkett MD, MPH , Michael P. Oien MD , Paul J. Farnsworth DO , Benjamin A. Johnson-Tesch MD , Ajay A. Madhavan MD , Ian T. Mark MD, MSM
{"title":"Massive arachnoid granulation in the transverse sinuses on CT myelogram","authors":"Beatriz A. de Macedo MD ,&nbsp;Dong Kun Kim MD ,&nbsp;Brian J. Burkett MD, MPH ,&nbsp;Michael P. Oien MD ,&nbsp;Paul J. Farnsworth DO ,&nbsp;Benjamin A. Johnson-Tesch MD ,&nbsp;Ajay A. Madhavan MD ,&nbsp;Ian T. Mark MD, MSM","doi":"10.1016/j.radcr.2025.02.061","DOIUrl":"10.1016/j.radcr.2025.02.061","url":null,"abstract":"<div><div>Giant arachnoid granulations have been previously reported in the literature, with the largest documented measuring 6 cm and usually associated with significant clinical symptoms. Herein, we present a patient with a massive, irregular-shaped arachnoid granulation occupying both transverse sinuses, a finding that has not yet been reported. The patient, who had a history of transvenous CSF-venous fistula (CVF) embolization, presented with persistent left occipital headaches. Digital subtraction myelography (DSM) to investigate a residual or recurrent CVF yielded negative results. Contrast enhanced brain MRI showed a nonenhancing lobulated lesion in the expected location of, but distinct from the transverse sinuses. The patient was later started on indomethacin, which completely resolved his headaches, consistent with the diagnosis of hemicrania continua. This indicated that the arachnoid granulation was an incidental finding despite its unusual size.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2682-2684"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628283","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}
引用次数: 0
Pathologies in a preterm infant exposed to methamphetamine in utero: Case report and literature review
Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.032
Zehra Yazı MD , Omar Alomari MBBS , Emine Çalışkan MD , Tuba Kasapbaşı Gök MD , Emel Altuncu MD
{"title":"Pathologies in a preterm infant exposed to methamphetamine in utero: Case report and literature review","authors":"Zehra Yazı MD ,&nbsp;Omar Alomari MBBS ,&nbsp;Emine Çalışkan MD ,&nbsp;Tuba Kasapbaşı Gök MD ,&nbsp;Emel Altuncu MD","doi":"10.1016/j.radcr.2025.02.032","DOIUrl":"10.1016/j.radcr.2025.02.032","url":null,"abstract":"<div><div>Methamphetamine (M-AMP) use among women of childbearing age is a growing global concern Herein we present an unusual clinical presentation in a preterm infant born to a mother who used M-AMP during pregnancy. A 26-year-old woman, with no prenatal care, presented to the emergency department with aggressive behavior and visible skin wounds led to suspicion of substance abuse. Urine analysis confirmed high levels of amphetamines (2000 ng/mL). The infant was delivered by cesarean section at 30 + 5/7 weeks, with a birth weight of 1580 grams. The infant, admitted to the NICU due to respiratory distress and prematurity, initially required nasal CPAP and exhibited transient tachypnea. Enteral feeding was initiated at 24 hours of life but was halted due to feeding intolerance. Once the baby's symptoms subsided, enteral feeding was gradually reintroduced and slowly increased. The infant successfully transitioned to full enteral feeding by the 15th postnatal day. Cranial ultrasound revealed hyperechoic areas in the right parietal lobe, and subsequent MRI showed millimetric T1 hyperintense areas, indicative of parenchymal microischemia. Preterm infants exposed to methamphetamine in utero may not show typical withdrawal symptoms. Diagnostic challenges arise from prematurity, with significant impacts on brain development and potential neurocognitive deficits.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2742-2750"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628289","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}
引用次数: 0
Tri-orchidism: A rare case report
Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.069
Abdul Malik Hayat , Mahjabeen Masood , Saman Chaudhry , Awais Ahmed , Rashid Rasheed , Mehwish Nizam , Adnan Arshad
{"title":"Tri-orchidism: A rare case report","authors":"Abdul Malik Hayat ,&nbsp;Mahjabeen Masood ,&nbsp;Saman Chaudhry ,&nbsp;Awais Ahmed ,&nbsp;Rashid Rasheed ,&nbsp;Mehwish Nizam ,&nbsp;Adnan Arshad","doi":"10.1016/j.radcr.2025.02.069","DOIUrl":"10.1016/j.radcr.2025.02.069","url":null,"abstract":"<div><div>Tri-orchidism which means 3 testes in the scrotal cavity, is the most common type of the polyorchidism. It is the rarest anomaly of the urogenital tract, and occurs more commonly on the left side. Superanumerary testes shows scrotal and extra-scrotal presentation and is associated with several clinical features and complications. We report a case of triorchidism in a 29-year-old man who presented with left hemiscrotal pain, later on diagnosed on clinical and sonographic examinations. The management depends on different factors and include conservative treatment with follow up, orchidopexy and orchidectomy. Orchidectomy is advised in suspected case of malignancy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2738-2741"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628206","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}
引用次数: 0
Persistent finger discomfort: Glomus tumor—a case report
Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.052
Shahnoor Ruhulamin Saiyed , Daniel R. Mwanga , Abdel Ashir , Abid M. Sadiq , Adnan M. Sadiq , Rogers J Temu
{"title":"Persistent finger discomfort: Glomus tumor—a case report","authors":"Shahnoor Ruhulamin Saiyed ,&nbsp;Daniel R. Mwanga ,&nbsp;Abdel Ashir ,&nbsp;Abid M. Sadiq ,&nbsp;Adnan M. Sadiq ,&nbsp;Rogers J Temu","doi":"10.1016/j.radcr.2025.02.052","DOIUrl":"10.1016/j.radcr.2025.02.052","url":null,"abstract":"<div><div>Glomus tumors are rare benign hamartomas, primarily small growths, found in the dermis or subcutaneous tissue, arising from modified glomus cells, which are distributed throughout the body, with a particularly high concentration in the subungual area of the fingers. This case reports a middle-aged man with persistent pain in the tip of his left ring finger for the past 5 years. With ideal imaging, the tumor was identified and surgically excised, and the patient is currently asymptomatic. Despite its presentation as a faint bluish-purple papule with the classic triad of cold hypersensitivity, paroxysmal pain, and point tenderness, it is often missed by clinicians and diagnosed late. With magnetic resonance imaging being the gold standard, the only resolution to pain relief is the complete excision of the tumor. Glomus tumors have been defined and estimated to be a few but significant part of hand tumors; however, in Africa, the prevalence is minimal and clinicians may be unaware of the presentation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2666-2670"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628279","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}
引用次数: 0
Unilateral schizencephaly open lip with septo optic dysplasia in adult woman with glaucoma: A rare case
Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.065
Eppy Buchori Aristiady, Raisa Mahmudah, Adi Mulyono
{"title":"Unilateral schizencephaly open lip with septo optic dysplasia in adult woman with glaucoma: A rare case","authors":"Eppy Buchori Aristiady,&nbsp;Raisa Mahmudah,&nbsp;Adi Mulyono","doi":"10.1016/j.radcr.2025.02.065","DOIUrl":"10.1016/j.radcr.2025.02.065","url":null,"abstract":"<div><div>This case report presents a 38-year-old female with unilateral open-lip schizencephaly coexisting with septo-optic dysplasia. The patient lacked motor deficits, maintaining normal developmental milestones. schizencephaly is a rare cortical malformation characterized presence of abnormal cleft in the cerebral hemispheres of the brain. These clefts extend from the surface of the brain to the ventricles. Lissencephaly can be unilateral and bilateral and divided into open lips and closed lip. It is frequently associated with other anomaly such as septo-optic dysplasia, grey matter heterotopia, septum pellucidum, and dysgenesis of the corpus callosum. Schizencephaly has no known gender predilection, and estimated incidence of 1.5: 100,000 live birth. Radiological imaging is the cornerstone of diagnosis schizencephaly.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2690-2693"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628284","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}
引用次数: 0
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