Radiology Case Reports最新文献

{"title":"Neonatal demise from a complex abdominal wall defect in a low-resource setting: A case study on the consequences of a fractured perinatal care cascade","authors":"Abdirahman Adan Osman MBBS ,&nbsp;Hoda Mohamed Deria MBBS ,&nbsp;Abdirahman Mohamed Jama MD ,&nbsp;Abdirizak Osman Hersi MBBS ,&nbsp;Abdiasis Esse Ahmed MBBS ,&nbsp;Hassan Elmi Moumin MD ,&nbsp;Abdirahman Omer Ali MD","doi":"10.1016/j.radcr.2025.08.098","DOIUrl":"10.1016/j.radcr.2025.08.098","url":null,"abstract":"<div><div>Survival for neonates with abdominal wall defects (AWDs) exceeds 90% in high-income countries, yet mortality remains devastatingly high in many low-resource settings. This profound survival disparity reflects systemic deficiencies in the perinatal care cascade. We present a case of a preterm neonate with a complex AWD to exemplify the catastrophic consequences when this continuum of care is fragmented. A 32-year-old multiparous woman presented at 28 weeks gestation. Prenatal ultrasound identified a live fetus with a large, complex AWD; findings were ambiguous, with features suggestive of both gastroschisis (free-floating bowel) and a ruptured omphalocele (significant liver herniation, suggestion of a partial membrane). After counseling, she was referred for tertiary care, but transfer was not feasible due to systemic barriers. Two weeks later, at 30 weeks gestation, she presented in advanced preterm labor and delivered vaginally. The 1.5 kg male neonate was born without spontaneous cardiorespiratory activity (Apgar scores of 0 at 1 and 5 minutes) and had a large paraumbilical defect with massive evisceration of the liver and intestines. Resuscitation was unsuccessful. This case demonstrates that neonatal mortality from complex congenital anomalies in resource-limited environments is often a consequence of health system failures rather than an inevitability of the pathology itself. The diagnostic ambiguity of the defect was clinically secondary to the critical, sequential breakdowns in the care cascade: the inability to enact a timely transfer to a tertiary center for planned delivery and immediate access to pediatric surgical and neonatal intensive care. This outcome underscores the imperative to strengthen referral pathways, build capacity for specialized perinatal services, and invest in regionalized care to address the stark global inequities in survival for treatable congenital conditions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6117-6120"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109580","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":"Rasmussen aneurysm presenting with massive hemoptysis in a tuberculosis survivor: Diagnosis with CT pulmonary angiography","authors":"Le Van Lam MD,&nbsp;Truong Minh Thuong MD,&nbsp;Tran Quyet Thang MD,&nbsp;Nguyen Nhut Linh MD,&nbsp;Nguyen Duc Trong MD,&nbsp;Phung Thi Thuy Ha MD,&nbsp;Trinh Thi Thu Hang MD,&nbsp;Dang Thi Tra My MD","doi":"10.1016/j.radcr.2025.08.093","DOIUrl":"10.1016/j.radcr.2025.08.093","url":null,"abstract":"<div><div>Pulmonary artery pseudoaneurysm (PAP) is a rare but potentially fatal cause of hemoptysis, most commonly associated with tuberculosis or chronic cavitary lung disease. Prompt recognition through imaging is critical to enable timely intervention and improve survival. We report the case of a 57-year-old male with a history of poorly controlled type 2 diabetes mellitus and hypertension who presented with massive hemoptysis. Computed tomography pulmonary angiography (CTPA) revealed a pseudoaneurysm arising from a segmental branch of the left lower pulmonary artery, located within a residual post-tuberculous cavity containing heterogeneous hyperdense fluid suggestive of recent hemorrhage. Digital subtraction angiography (DSA) confirmed the diagnosis, although images were not archived, and the patient underwent successful endovascular embolization. However, he later developed septic shock, hyperosmolar hyperglycemic state, and ultimately suffered cardiac arrest despite supportive care. This case highlights the importance of early diagnosis of PAP using CTPA in patients presenting with hemoptysis, especially those with a history of pulmonary tuberculosis. Despite appropriate endovascular treatment, systemic complications may lead to poor outcomes. Early recognition, aggressive management, and interdisciplinary care are critical to improve prognosis, particularly in patients with comorbidities.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6106-6111"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109579","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":"Relapsing polychondritis with isolated tracheal involvement: Imaging findings on CT, MRI, and PET-CT: A case report and literature review","authors":"Yurong Jiang MS ,&nbsp;Qian Su PhD ,&nbsp;Yu Zhao MS ,&nbsp;Fengyu Sun MS ,&nbsp;Piaoran Wang MS ,&nbsp;Xiangzheng Wu MS ,&nbsp;Jiongyue Yun MS ,&nbsp;Huaigui Liu MD","doi":"10.1016/j.radcr.2025.08.092","DOIUrl":"10.1016/j.radcr.2025.08.092","url":null,"abstract":"<div><div>Relapsing polychondritis (RP) is a rare autoimmune disorder characterized by recurrent inflammation and progressive destruction of cartilage-rich tissues. While auricular and nasal cartilage are commonly affected, isolated involvement of the trachea and main bronchi is exceedingly rare. We present the case of a 53-year-old female with low-grade fever, sore throat, and nonproductive cough. Laboratory results showed elevated inflammatory markers, including C-reactive protein (CRP), rheumatoid factor, and interleukin-6 (IL-6). Imaging studies CT, MRI, and PET-CT revealed irregular thickening and stenosis of the tracheal and bronchial cartilage rings. The patient responded favorably to glucocorticoids and immunosuppressive therapy, with significant improvement noted on follow-up imaging. This case emphasizes the importance of a thorough diagnostic approach in recognizing RP with atypical respiratory involvement.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6075-6082"},"PeriodicalIF":0.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097090","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":"Symptomatic nodular sarcoid myopathy: A rare extrapulmonary manifestation","authors":"Siu Fung Mak MBBS, FRCR ,&nbsp;Wing Ho Chong MBChB, FRCR, FHKCR, FHKAM ,&nbsp;On Chee Angela Li MBBS, FRCR, FHKCR, FHKAM","doi":"10.1016/j.radcr.2025.08.088","DOIUrl":"10.1016/j.radcr.2025.08.088","url":null,"abstract":"<div><div>Sarcoidosis is a multisystem disorder with noncaseating granulomatous inflammation. Symptomatic sarcoid myopathy is rare and its clinical manifestation is commonly nonspecific. We present a case that illustrates how magnetic resonance imaging can help with the diagnosis of sarcoid myopathy and determine its extent of involvement.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6087-6092"},"PeriodicalIF":0.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097100","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":"Pancreas in the chest: Diaphragmatic hernia with obstruction","authors":"Jawdat M. Alali MD ,&nbsp;Ahmad L.F. Yasin MD ,&nbsp;Mohammad Odeh MD ,&nbsp;Mahmoud Tabouni MD ,&nbsp;Nissar M. Shaikh MD","doi":"10.1016/j.radcr.2025.09.006","DOIUrl":"10.1016/j.radcr.2025.09.006","url":null,"abstract":"<div><div>Diaphragmatic hernias involving abdominal viscera are uncommon in adults and rarely involve the pancreas. While congenital diaphragmatic hernias (CDH) typically present in infancy, late presentations may occur with non-specific gastrointestinal or respiratory symptoms, often leading to delayed diagnosis. Cross-sectional imaging plays a pivotal role in identifying the extent and contents of herniation, especially in complex or atypical cases.</div><div>We present a case of A 91-year-old woman with known rectosigmoid adenocarcinoma who presented with abdominal pain, constipation, nausea, and persistent cough. Chest X-ray revealed cystic lucencies within the right hemithorax, associated with blurring of the right hemidiaphragm and relative paucity of bowel gas in the upper abdomen. These findings were concerning for an underlying structural abnormality of the diaphragm. Thoraco-abdominal CT demonstrated a large right diaphragmatic hernia containing the stomach, colonic loops, the body and tail of the pancreas, and mesenteric fat and vessels. Additional findings included colonic dilation and peritoneal free fluid, consistent with large bowel obstruction secondary to malignancy. No history of trauma was reported, favoring a congenital etiology.</div><div>This case highlights an unusual radiological finding of pancreatic herniation into the thorax through a right-sided diaphragmatic defect. It emphasizes the importance of cross-sectional imaging in diagnosing complex hernias, particularly in elderly patients with overlapping thoracoabdominal symptoms.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6083-6086"},"PeriodicalIF":0.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097093","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":"Veiled in Gynecomastia: A B3 breast lesion in a male patient with subsequent “upgrade” to invasive malignancy","authors":"Isobel Hatrick MBBCh ,&nbsp;Kirsten Stafford FRCR ,&nbsp;Ritu Chhikara FRCPath","doi":"10.1016/j.radcr.2025.08.072","DOIUrl":"10.1016/j.radcr.2025.08.072","url":null,"abstract":"<div><div>B3 breast lesions are a heterogeneous group with uncertain malignant potential. While female-specific guidelines often recommend vacuum-assisted excision (VAE) followed by surveillance, these strategies are less applicable in male patients. This case report highlights a male patient initially diagnosed with a B3 lesion—specifically atypical intraductal epithelial proliferation (AIDEP)—that was later “upgraded” to invasive carcinoma and ductal carcinoma in situ (DCIS) following surgical excision. The case illustrates the limitations of current protocols when applied to men and supports considering surgical excision as a first-line management strategy in high-risk B3 lesions. It also highlights the potential diagnostic value of mammography in high-risk males, particularly when ultrasound findings are inconclusive. Overall, this report emphasizes the need for male-specific, evidence-based guidelines to ensure timely and accurate diagnosis and treatment of B3 breast lesions in men.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6093-6098"},"PeriodicalIF":0.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097088","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":"Invasive pyogenic spondylitis with retropharyngeal and hepatic abscesses caused by hypermucoviscous klebsiella pneumoniae: A radiologic case report","authors":"Ikki Nokita MD,&nbsp;Yukihito Nakamura MD,&nbsp;Shuntaro Matsuda MD","doi":"10.1016/j.radcr.2025.08.085","DOIUrl":"10.1016/j.radcr.2025.08.085","url":null,"abstract":"<div><div>Hypermucoviscous Klebsiella pneumoniae (HmKP) is an emerging pathogen with strong invasive potential, particularly in immunocompromised patients. We present the case of an 84-year-old man with type 2 diabetes mellitus who developed systemic infection including liver abscess, retropharyngeal abscess, and cervical pyogenic spondylitis caused by HmKP. Despite clinical improvement with appropriate antibiotics, follow-up MRI demonstrated vertebral collapse. This case highlights the necessity of radiological follow-up in patients with HmKP infections.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6099-6101"},"PeriodicalIF":0.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097098","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":"Case report: neuroimaging in Cockayne syndrome","authors":"Shallini Mittal DMDR ,&nbsp;Krishan Kumar Jain MD ,&nbsp;Sameer Arora MD ,&nbsp;Nikita Jajodia MPTh","doi":"10.1016/j.radcr.2025.08.001","DOIUrl":"10.1016/j.radcr.2025.08.001","url":null,"abstract":"<div><div>We report the neuroimaging findings of an 11 year old female with Cockayne Syndrome (CS). It is important to address CS so as to help in evolution of neuroimaging.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6072-6074"},"PeriodicalIF":0.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097086","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":"Pubic symphysitis in the post-urological surgery setting: A case report and literature review","authors":"Asmae Guennouni PhD,&nbsp;Omar Ibelkouchen PhD,&nbsp;Soukaina Bahha PhD,&nbsp;Mohamed Fadil PhD,&nbsp;Laila Jroundi PhD,&nbsp;Omar El Aoufir PhD","doi":"10.1016/j.radcr.2025.08.062","DOIUrl":"10.1016/j.radcr.2025.08.062","url":null,"abstract":"<div><div>Abstract Infectious pubic symphysitis is a rare form of osteomyelitis, typically occurring after pelvic or urological surgery. We report the case of a 60-year-old man who developed acute pubic symphysitis following transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. He presented with severe pelvic pain, fever, and gait difficulty. MRI revealed bone marrow edema of the pubic symphysis, and urine culture identified Proteus mirabilis. The patient was treated successfully with a 6 week antibiotic course, including 2 weeks of intravenous ceftriaxone followed by oral therapy, resulting in complete clinical recovery. This case underscores the importance of considering infectious pubic symphysitis in patients with persistent pelvic pain after urological procedures. Early diagnosis using MRI and targeted antibiotic therapy are key to preventing complications and ensuring favorable outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6054-6057"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097092","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 a rare cause of trigeminal neuralgia: Arteriovenous malformation diagnosed via MRI","authors":"Salma EL Kadiri MD,&nbsp;Hajar Andour MD,&nbsp;Hind Qajia MD,&nbsp;Zyneb Izi MD,&nbsp;Mohammed Jiddane PhD,&nbsp;Firdaous Touarsa PhD","doi":"10.1016/j.radcr.2025.08.065","DOIUrl":"10.1016/j.radcr.2025.08.065","url":null,"abstract":"<div><div>Trigeminal neuralgia is a debilitating condition that often presents secondary to neurovascular compression of the trigeminal nerve. However, arteriovenous malformations (AVMs) involving the trigeminal nerve are exceedingly rare and represent a unique diagnostic challenge. This report describes the case of a 54-year-old man presenting with severe, paroxysmal facial pain consistent with trigeminal neuralgia as the first manifestation of a cranial nerve V AVM. Radiological evaluation, including advanced magnetic resonance imaging (MRI), was pivotal in identifying the AVM. This case highlights the importance of comprehensive imaging in patients with atypical neuralgia to exclude rare but significant causes like AVMs.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6062-6065"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097101","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}