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, Raisa Mahmudah, 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}
{"title":"Ultrasound-guided percutaneous screw fixation of sternal metastasis","authors":"Thibaud Morcet-Delattre MD, Thibaut Affole MD","doi":"10.1016/j.radcr.2025.02.056","DOIUrl":"10.1016/j.radcr.2025.02.056","url":null,"abstract":"<div><div>Sternal metastasis often result in disabling pain, significant functional limitations, with potential consequences for the thoracic spine. This case report suggests a new approach combining ultrasound for initial guidance and fluoroscopy with cone-beam CT (CBCT) for screw fixation. The patient experienced immediate pain relief, a better mobility, and improved quality of life. This approach demonstrates a minimally invasive, radiation-sparing and time saving strategy for sternal screwing.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2685-2689"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628396","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}
Hasan N Al-Haidari MD , Raad Y Altahat MD , Khaled Abu Jamous MD , Mohammad F Hamidi MD , Ibrahim K Alhmaisat MD , Amira H Alquati MD
{"title":"Rare case of left epididymo-orchitis complicated by pampiniform plexus thrombosis: A case report","authors":"Hasan N Al-Haidari MD , Raad Y Altahat MD , Khaled Abu Jamous MD , Mohammad F Hamidi MD , Ibrahim K Alhmaisat MD , Amira H Alquati MD","doi":"10.1016/j.radcr.2025.02.074","DOIUrl":"10.1016/j.radcr.2025.02.074","url":null,"abstract":"<div><div>Acute scrotal pain includes urgent conditions in urology, such as testicular torsion, testicular rupture, epididymo-orchitis, and abscess. However, varicocele (pampiniform plexus) thrombosis is considered to be a rare cause of such pain. We herein report a case of a 27-year-old male patient with a history of epididymo-orchitis, who complained of painful scrotal swelling. Ultrasonography showed left-side pampiniform plexus thrombosis. This case highlights a rare condition, which should be included in the differential diagnosis of acute scrotal pain, indicating the need for further studies to elucidate its pathophysiology and provide proper treatment for such cases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2751-2753"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628217","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}
Charles K. Crawford BS, Hajra Arshad MD, Elliot K. Fishman MD
{"title":"Salmonella-induced mycotic pseudoaneurysm of the right common iliac artery","authors":"Charles K. Crawford BS, Hajra Arshad MD, Elliot K. Fishman MD","doi":"10.1016/j.radcr.2025.02.096","DOIUrl":"10.1016/j.radcr.2025.02.096","url":null,"abstract":"<div><div>Mycotic pseudoaneurysms are rare vascular abnormalities caused by infections, often leading to high rates of morbidity and mortality. Mycotic pseudoaneurysms are most commonly present in the aorta and femoral arteries, but a small number are observed in the common iliac artery. Here, we report the unusual instance of a <em>Salmonella</em>-induced mycotic pseudoaneurysm in the right common iliac artery of a 73-year-old male. Traditional imaging modalities supplemented with novel postprocessing techniques like 3D cinematic rendering enabled more confidence in differentiating between true aneurysms and pseudoaneurysms while providing a better anatomical view for preoperative planning. This case underscores the rarity of <em>Salmonella</em>-induced mycotic pseudoaneurysms and emphasizes the importance of early diagnosis using advanced imaging (CT, CTA with 3D cinematic rendering) and a multidisciplinary approach to treatment, which includes both infection management and surgical repair.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2715-2718"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628300","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":"Unveiling the ``vessel-inside-vessel'' phenomenon: A rare case of extensive portal vein tumor thrombosis in hepatocellular carcinoma","authors":"Mohamed Fadil, Hatim Essaber, Asaad El Bakkari, Hounayda Jerguigue, Sanae Amalik, Youssef Omor, Rachida Latib","doi":"10.1016/j.radcr.2025.02.068","DOIUrl":"10.1016/j.radcr.2025.02.068","url":null,"abstract":"<div><div>Carcinomas often metastasize to distant organs by detaching from the primary tumor and entering the bloodstream. These circulating tumor cells are transported to sites such as lung capillaries and subsequently disseminated through systemic circulation. However, hepatocellular carcinoma (HCC) rarely metastasizes to distant organs, even in advanced stages. Instead, HCC frequently leads to intravascular and intrahepatic parenchymal metastases. Portal vein thrombosis (PVT), present in 10%-40% of HCC patients at diagnosis and 35%-44% at death or liver transplant, is a significant prognostic marker, associated with worse outcomes and reduced survival. Patients with PVT demonstrate markedly shorter overall survival compared to those without PVT, with main portal vein thrombosis indicating the poorest prognosis. Here, we report an unusual case of an enormous portal metastasis from liver HCC, characterized by a ``vessel-inside-vessel'' appearance.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2768-2771"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629173","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":"Persistence of the hypoglossal artery: A rare case report","authors":"Badr Kabila MD, Khaoula Boumeriem MD, Oumaima Mesbah MD, Najwa Ech-cherif el Kettani PhD, Meriem Fikri PhD, Mohamed Jiddane PhD, Touarsa Firdaous PhD","doi":"10.1016/j.radcr.2025.02.046","DOIUrl":"10.1016/j.radcr.2025.02.046","url":null,"abstract":"<div><div>The persistence of the hypoglossal artery is a rare embryonic vascular variant in which a transient connection between the carotid and vertebrobasilar systems fails to regress. Typically asymptomatic and incidentally discovered on imaging, this condition can alter cerebral blood flow and increase the risk of vascular complications such as aneurysms, strokes, and arteriovenous malformations. We present the case of a 70-year-old female with no prior medical history who was admitted to the emergency department with right-sided hemiparesis. A cerebral CT angiography, performed to evaluate for acute ischemic stroke and potential thrombolysis, revealed a persistent hypoglossal artery arising from the internal carotid artery at the C1-C2 level and connecting to the basilar artery through the hypoglossal canal. This case highlights the importance of recognizing this rare anatomical variant on imaging to prevent misinterpretation and avoid complications during surgical or endovascular interventions at the skull base.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2657-2661"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628282","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}
Huyen Duy Mai Le MD , Duc Tan Vo MD, PhD , Hai Trong Do MD, PhD , Hy Nguyen Gia Le MD, MSc , Chien Cong Phan MD , Duy Thanh Nguyen MD , Quynh Nguyen Diem Le MD, Msc
{"title":"Hepatectomy in a young patient with advanced hepatocellular carcinoma and poor prognostic imaging features: A case of recurrence-free survival","authors":"Huyen Duy Mai Le MD , Duc Tan Vo MD, PhD , Hai Trong Do MD, PhD , Hy Nguyen Gia Le MD, MSc , Chien Cong Phan MD , Duy Thanh Nguyen MD , Quynh Nguyen Diem Le MD, Msc","doi":"10.1016/j.radcr.2025.02.085","DOIUrl":"10.1016/j.radcr.2025.02.085","url":null,"abstract":"<div><div>A 45-year-old male with chronic hepatitis B presented with an advanced hepatocellular carcinoma (HCC) occupying the entire left liver and invading the left portal vein. Despite multiple poor prognostic imaging features, including vascular invasion, corona enhancement, an incomplete capsule, intratumoral necrosis, intratumoral arteries, and irregular tumor borders, the patient elected to undergo a left hepatectomy. Although Barcelona Clinic Liver Cancer (BCLC) staging classified the case as stage C, a resection was successfully performed. Remarkably, 6 years postsurgery, the patient remains recurrence-free. This report highlights a rare, fortunate outcome in a high-risk HCC case and underscores the potential of surgical intervention even in advanced HCC.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2704-2709"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628299","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}
Basma Dghoughi MD, Basma Beqqali MD, Hajar Andour MD, Nazik Allali PhD, Latifa Chat PhD, Siham El Haddad PhD
{"title":"Spondylocostal dysostosis: A rare and remarkable syndrome","authors":"Basma Dghoughi MD, Basma Beqqali MD, Hajar Andour MD, Nazik Allali PhD, Latifa Chat PhD, Siham El Haddad PhD","doi":"10.1016/j.radcr.2025.02.062","DOIUrl":"10.1016/j.radcr.2025.02.062","url":null,"abstract":"<div><div>Spondylocostal dysostosis (SCD) is a rare autosomal recessive congenital disorder, characterized by a spectrum of clinical and radiographic abnormalities affecting the spine and chest. The key features of the syndrome include short stature, spinal abnormalities with vertebral malformations. These skeletal malformations result in a reduced thoracic cavity, leading to respiratory complications, often accompanied by frequent chest infections. Diagnosis is primarily made in newborn phase, based on characteristic physical appearance, symptoms of thoracic insufficiency, family history, skeletal surveys, and, when available, genetic testing for specific mutations. While the syndrome's severity varies, milder forms are compatible with life, while more severe cases present significant challenges in respiratory management. We report the case of a 9-year-old girl diagnosed with SCD based on clinical-radiological findings.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2772-2776"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629174","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}
Maryam Kazelka BS , Lei Shao MD , Marty McGraw MD , Jennifer Neville Kucera MD, MS
{"title":"A Rare TPM3-NTRK1 fusion in a fetal pelvic mass","authors":"Maryam Kazelka BS , Lei Shao MD , Marty McGraw MD , Jennifer Neville Kucera MD, MS","doi":"10.1016/j.radcr.2025.02.079","DOIUrl":"10.1016/j.radcr.2025.02.079","url":null,"abstract":"<div><div>Early recognition and characterization of soft tissue tumors is important for proper fetal and maternal care. Here, we present sonographic, fetal and postnatal MRI, and pathological findings of a rare case of congenital NTRK-rearranged malignant spindle cell sarcoma with TPM3-NTRK1 fusion in a male fetus.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2671-2675"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628286","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}
Abdulmalek Alzahrani , Mohammad Alsayed , Jalal A. Zahhar , Saga Ali , Samira Alturkistany
{"title":"Radiolucent gallstone ileus causing proximal small bowel obstruction: A case report","authors":"Abdulmalek Alzahrani , Mohammad Alsayed , Jalal A. Zahhar , Saga Ali , Samira Alturkistany","doi":"10.1016/j.radcr.2025.02.002","DOIUrl":"10.1016/j.radcr.2025.02.002","url":null,"abstract":"<div><div>Gallstone ileus occurs when gallbladder stones erode and become lodged in the small bowel, thereby causing obstruction. These stones usually impact the terminal ileum because of its narrow lumen; however, they can also be found in less common locations, as observed in our case. The presence of pneumobilia can indicate gallstone ileus even without visible radiopaque stones because not all gallstones are detectable on computed tomography (CT). A 74-year-old woman presented to the emergency department with severe right upper quadrant pain that started 1 week previously and became more aggressive associated with fever, leukocytosis, and vomiting. The pain was colicky, intermittent, and aggravated by movement but did not radiate. Further imaging was requested to investigate the cause of the pain, which revealed evidence of proximal small bowel obstruction due to radiolucent gallstone ileus. Radiolucent gallstone ileus is a rare but serious condition requiring prompt surgical intervention. The presence of pneumobilia can indicate gallstone ileus even when the stones are not visible on CT. Large stones can cause blockages in the proximal small bowel. The ability of radiological imaging to detect gallstones varies according to their composition.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2788-2793"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629169","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}