Sofia Bianchi MD , Maria Gloria Angeretti MD , Valeria Molinelli MD , Filippo Piacentino MD , Massimo Venturini MD
{"title":"Undiagnosed congenital adrenal hyperplasia in a young woman: MRI insights into complex genital malformations","authors":"Sofia Bianchi MD , Maria Gloria Angeretti MD , Valeria Molinelli MD , Filippo Piacentino MD , Massimo Venturini MD","doi":"10.1016/j.radcr.2025.04.031","DOIUrl":"10.1016/j.radcr.2025.04.031","url":null,"abstract":"<div><div>A 23-year-old female patient was referred to the radiology department for evaluation of sexual dysfunction. A previous gynecological examination revealed clitoral hypertrophy and a vagina explorable to a depth of only 2 cm. Hormonal testing showed reduced cortisol levels, along with elevated ACTH and testosterone. Cytogenetic analysis confirmed a 46, XX karyotype; FISH testing was negative for the SRY gene. Pelvic MRI revealed clitoromegaly with evidence of corpora cavernosa forming a penis, a small prostate in the periurethral region, and a vagina that converged with the urethra, forming a common urogenital sinus. No structures suggestive of a scrotum or soft tissue indicative of testicles were observed. The uterus and ovaries appeared normal. Abdominal MRI demonstrated right adrenal hyperplasia.</div><div>Congenital adrenal hyperplasia (CAH) is a group of autosomal recessive disorders resulting from defects in adrenal steroidogenesis, with affected individuals displaying various genital malformations. MRI plays a key role in diagnosing and evaluating these complex genital malformations, both of internal and external genitalia. It aids in addressing symptoms of affected individuals, such as recurrent urinary infections, urinary retention, and sexual dysfunction, and provides preoperative imaging prior to surgical correction. MRI also enables the detection of a prostate gland in patients with CAH, serving as a valuable tool for prostate cancer screening when combined with PSA monitoring.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3521-3525"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898420","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}
Valeria Del Castillo MD , Laura Manuela Olarte Bermúdez MD , Arash Stephen Jalisi MD , Angela Moreno Sarmiento MD , Bibiana Pinzón MD
{"title":"Typical endobronchial carcinoid tumor in a 15-year-old female: A case report","authors":"Valeria Del Castillo MD , Laura Manuela Olarte Bermúdez MD , Arash Stephen Jalisi MD , Angela Moreno Sarmiento MD , Bibiana Pinzón MD","doi":"10.1016/j.radcr.2025.03.071","DOIUrl":"10.1016/j.radcr.2025.03.071","url":null,"abstract":"<div><div>Neuroendocrine neoplasms (NENs) are rare pathological entities arising from neuroendocrine cells, predominantly found in the lungs, pancreas, and gastrointestinal tract. Although their prevalence in children and adolescents is low (approximately 0.5 cases per million population), pulmonary carcinoid tumors represent the most common primary lung neoplasms in the pediatric population in the United States. We present the case of a 15-year-old female with hemoptysis, right hypochondrial pain, and chronic cough. Chest radiography revealed a well-defined hilar mass, prompting further evaluation with computed tomography (CT), demonstrating a hyperattenuating lesion in the right intermediate bronchus, causing partial bronchial obstruction. Diagnosis of a typical carcinoid tumor was confirmed following bilobectomy, necessitated by intermediate bronchus involvement.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3505-3509"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894753","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}
Anduamlak B. Tiruneh , Marlon F. Machado , Thaddee Ngoy , Julian Forero-Millan
{"title":"Case report on appendicitis with intraluminal ascariasis","authors":"Anduamlak B. Tiruneh , Marlon F. Machado , Thaddee Ngoy , Julian Forero-Millan","doi":"10.1016/j.radcr.2025.03.087","DOIUrl":"10.1016/j.radcr.2025.03.087","url":null,"abstract":"<div><div>Appendicitis commonly causes abdominal surgical emergencies, occurring with an incidence of 7%-14%. In tropical regions where it is endemic, ascariasis ranks as the most prevalent helminth infection. Intestinal helminths move through the digestive system and can block the appendix lumen, resulting in appendicitis due to luminal obstruction. In this case, we present an 8-year-old female who experienced periumbilical pain that shifted to the right lower abdomen over 3 days. She also vomited and lost her appetite. An abdominal ultrasound confirmed appendicitis, but the ultrasound did not visualize the cause of the obstruction. During surgery, doctors discovered intraluminal ascariasis as the cause of the obstruction and associated inflammation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3497-3500"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894754","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":"Unmasking hidden culprits: The pivotal role of 4D CT in diagnosing parathyroid adenoma presenting as acute pancreatitis","authors":"Soham Naik FRCR (UK), Kaushar Vora MBBS, Vipul Solanki MBBS, MD, Manik Kaur FRCR (UK)","doi":"10.1016/j.radcr.2025.02.086","DOIUrl":"10.1016/j.radcr.2025.02.086","url":null,"abstract":"<div><div>Primary hyperparathyroidism (PHPT) is an endocrine disorder that can rarely present with acute pancreatitis, a significant yet infrequent complication. We describe 2 patients—a 38-year-old male with a eutopic parathyroid adenoma and a 20-year-old male with an ectopic adenoma—both presenting with elevated parathyroid hormone levels, hypercalcemia, and recurrent acute pancreatitis. In each case, 4D Computed Tomography precisely localized the adenoma, enabling successful surgical resection and immediate normalization of biochemical abnormalities. These cases underscore the importance of considering PHPT in patients with hypercalcemia and pancreatitis and highlight the pivotal role of 4D CT for accurate adenoma localization and optimal surgical management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3476-3483"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890523","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}
María Fernanda Laverde-Reyes , Santiago Quiceno-Ramírez , Nathalia Sofia Coral-Rivera , Andrés Hernando Tascón-Barona , Ana María Granados , Juan Camilo Márquez
{"title":"Unusual case: Late diagnosis of tuberous sclerosis complex in a 59-year-old woman associated with extended fibrous dysplasia in craniofacial bones and spine","authors":"María Fernanda Laverde-Reyes , Santiago Quiceno-Ramírez , Nathalia Sofia Coral-Rivera , Andrés Hernando Tascón-Barona , Ana María Granados , Juan Camilo Márquez","doi":"10.1016/j.radcr.2025.04.013","DOIUrl":"10.1016/j.radcr.2025.04.013","url":null,"abstract":"<div><div>Tuberous sclerosis complex (TSC) is a neurocutaneous disorder characterized by multiple tumors originating from the embryonic ectoderm, commonly affecting the brain, kidneys, and heart. We report the case of a 59-year-old woman with a lifelong history of epilepsy and cognitive decline, who was diagnosed with TSC and fibrous dysplasia (FD) after presenting with headache, dizziness, and balance disturbances. Imaging studies revealed a subependymal giant cell astrocytoma (SEGA) and craniofacial FD, leading to ventriculoperitoneal shunting and tumor resection. This case highlights the rare coexistence of TSC and FD, suggesting the need to consider FD as a potential skeletal manifestation of TSC, especially in atypical presentations or late diagnoses.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3459-3464"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890524","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}
Quang Huy Huynh MD, PhD , Hong Duc Pham MD, PhD , Quynh Oanh Truong MD, PhD , Minh Tuan Luong MD, PhD , Thi Thu Hang Ho MD, PhD , Xuan Tuan Ho MD, PhD
{"title":"Postpartum ovarian vein thrombosis: Report of 2 cases and review of diagnosis","authors":"Quang Huy Huynh MD, PhD , Hong Duc Pham MD, PhD , Quynh Oanh Truong MD, PhD , Minh Tuan Luong MD, PhD , Thi Thu Hang Ho MD, PhD , Xuan Tuan Ho MD, PhD","doi":"10.1016/j.radcr.2025.04.002","DOIUrl":"10.1016/j.radcr.2025.04.002","url":null,"abstract":"<div><div>Postpartum ovarian vein thrombosis (POVT) is a rare but serious complication that can occur after childbirth, particularly after caesarean section. It is characterized by the formation of a blood clot in the ovarian vein, which can lead to significant morbidity and mortality. The clinical presentation of POVT is often nonspecific with symptoms that can mimic other acute abdominal conditions, making its diagnosis challenging. Early and accurate diagnosis using noninvasive imaging techniques is crucial for the timely treatment and prevention of severe complications. The primary treatments for POVT include anticoagulation therapy and intravenous antibiotics. This article reviews the aetiology, clinical presentation, diagnostic approaches, and management of POVT, with particular emphasis on the importance of recognizing this condition to avoid unnecessary surgical interventions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3447-3453"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891366","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":"Calcific myonecrosis: Report of 4 cases and review","authors":"Avi Fishbein MD , David Nikomarov MD , Semyon Chulsky MD , Natalia Puchkov MD , Daniela Militianu MD , Rostislav Novak MD, PhD","doi":"10.1016/j.radcr.2025.04.004","DOIUrl":"10.1016/j.radcr.2025.04.004","url":null,"abstract":"<div><div>Calcific myonecrosis presents as a rare, late complication stemming from trauma or a neurovascular injury, predominantly affecting the lower limb. It manifests as a progressively enlarging, painful, dystrophic calcified mass, often following compartment syndrome and vascular or neurological compromise, leading to necrosis and fibrosis. While its radiological appearance is typically distinctive, biopsy is commonly pursued due to concerns of malignancy (as calcific myonecrosis may resemble soft tissue sarcoma), often resulting in superimposed infections. We describe 4 cases, all of which were males. 49, 76, 42, and 66 years old accordingly, 3 patients had a history of trauma, and one had a history of vascular injury. All patients were diagnosed with calcific myonecrosis years after initial trauma or injury. The diagnosis was based on clinical and imaging assessments. In cases of leg swelling associated with a calcified mass, particularly in the presence of prior trauma, consideration of calcific myonecrosis is crucial. Timely recognition can help avoid potential complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3465-3470"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890525","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":"Bronchogenic carcinoma metastasis to first metacarpal bone: A rare case report","authors":"Yenewub Muluken , Bement Taye , Hiwot Gezehegne , Dagmawit Fikre , Mesay Tilahun , Sineshawu Muluken , Daniel Fikre , Yonas Shumiye , Henock Solomon , Suleman Essa","doi":"10.1016/j.radcr.2025.04.022","DOIUrl":"10.1016/j.radcr.2025.04.022","url":null,"abstract":"<div><div>Metastasis accounts for the majority of malignant bone tumors in adults. The commonly involved bones are pelvis, spine and proximal long bone. Metastasis below elbow and knee joint is rare. Metastasis to the hand is very rare, when they occur the commonest sites are distal phalanges. Lung cancer is the commonest primary to metastasize to the hand. Here we present a 51-year-old male known lung cancer (adenocarcinoma of the lung) patient for whom lobectomy was done and put on adjuvant chemotherapy latter presented with long standing left thumb pain and swelling, initially treated with antipain with a diagnostic impression of tenosynovitis. Ultrasound guided core needle biopsy was taken and metastatic adenocarcinoma infiltration confirmed. Hand metastasis is usually mistaken for inflammatory or infectious conditions, so what we wanted to highlight in this case report is although hand metastasis is very rare it should be considered in patients with long standing pain and swelling especially if there is any primary tumor even if its remote. In few cases it can also be an initial presentation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3471-3475"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890526","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":"Huge schwannoma arising from the renal sinus: A case report with imaging and literature review","authors":"Takahiro Yamamoto MD, PhD , Akiko Narita MD, PhD , Toshinobu Saga MD , Hiroaki Okada MD, PhD , Nozomu Matsunaga MD , Hisashi Kawai MD, PhD , Taiki Masumori MD, PhD , Keishi Kajikawa MD, PhD , Taishi Takahara MD, PhD , Kojiro Suzuki MD, PhD","doi":"10.1016/j.radcr.2025.04.007","DOIUrl":"10.1016/j.radcr.2025.04.007","url":null,"abstract":"<div><div>Renal sinus schwannomas are extremely rare. In this study, we inform a case of a large schwannoma that was suspected to have originated in the renal sinus based on preoperative imaging. A male in his 40s was referred to our hospital due to the incidental detection of a large tumor in his right kidney was during an abdominal CT scan performed to discover the underlying cause of decreased renal function. The tumor was a well-circumscribed mass, 17 cm in diameter, and contained large cystic degeneration. The contrast-enhanced CT revealed that the tumor was pressing on the normal structures of the renal parenchyma, renal pelvis, and renal artery. MRI was taken. The solid part of the tumor showed a uniform slightly high signal on T2-weighted image. Consequently, nephrectomy was performed. On pathological examination, the tumor was schwannoma originated in the renal sinus. If a huge well-circumscribed tumor is found in the renal sinus, a schwannoma should be listed in the differential.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3454-3458"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891440","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}
Yasmine Elsherif , Nouman Aziz , Waseem Nabi , Adnan Bhat , Ahmad Basharat , Fromer Nelli
{"title":"Pigmented Peril: A fatal case of Primary intracranial melanoma in a paediatric patient","authors":"Yasmine Elsherif , Nouman Aziz , Waseem Nabi , Adnan Bhat , Ahmad Basharat , Fromer Nelli","doi":"10.1016/j.radcr.2025.03.070","DOIUrl":"10.1016/j.radcr.2025.03.070","url":null,"abstract":"<div><div>Primary CNS melanoma is an extremely rare and aggressive malignancy, especially in pediatric patients. We present the case of a 12-year-old girl who initially presented with sudden-onset severe headache and neurological deficits, and imaging revealed a left frontotemporal mass, suspected to be an arteriovenous malformation. After developing spontaneous intracerebral hemorrhage, she underwent emergency craniectomy and partial resection, with pathology confirming primary CNS melanoma. Despite treatment with immunotherapy, her condition deteriorated, leading to progressive hydrocephalus and leptomeningeal metastasis, ultimately resulting in her death. This case highlights the diagnostic and therapeutic challenges of primary CNS melanoma in children, emphasizing its rapid progression, limited treatment efficacy, and the need for early recognition, multidisciplinary management, and further research for definitive treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3484-3496"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894756","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}