Radiology Case Reports最新文献_第8页

Stress fractures of the lower extremity in methotrexate-induced osteopathy: A case report 甲氨蝶呤诱发的下肢应力性骨折一例报告

Radiology Case Reports Pub Date : 2025-09-15 DOI: 10.1016/j.radcr.2025.08.080

Shuji Nagata MD, PhD , Miyuki Sawano MD , Yuki Shouji MD , Takuma Koga MD, PhD , Shuichi Tanoue MD, PhD

{"title":"Stress fractures of the lower extremity in methotrexate-induced osteopathy: A case report","authors":"Shuji Nagata MD, PhD , Miyuki Sawano MD , Yuki Shouji MD , Takuma Koga MD, PhD , Shuichi Tanoue MD, PhD","doi":"10.1016/j.radcr.2025.08.080","DOIUrl":"10.1016/j.radcr.2025.08.080","url":null,"abstract":"<div><div>We report a case of metachronous stress fractures in the bilateral lower extremities associated with methotrexate (MTX)-induced osteopathy in a 61-year-old woman. She had been treated with low-dose MTX for 4 years for rheumatoid arthritis (RA) and acute lymphoblastic leukemia (ALL). She presented with a 2-month history of right ankle pain and swelling without trauma. Magnetic resonance imaging revealed stress fractures in the distal tibial metaphysis, calcaneus, and talus. The tibial lesion appeared meander-shaped along the growth plates, hypointense on T1-weighted images, with surrounding bone marrow edema hyperintense on fat-suppressed T2-weighted images. The patient received nonweight bearing therapy while continuing low-dose MTX for maintenance of remission in ALL. Twelve months later, pain developed in the contralateral ankle, and MRI demonstrated a stress fracture in the left distal tibial metaphysis. We diagnosed metachronous stress fractures due to MTX-induced osteopathy. Although rare, clinicians and radiologists should be aware of the potential for stress fractures in the lower extremities, particularly the distal tibial metaphysis, in patients receiving low-dose MTX who present with ankle pain.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5984-5988"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061157","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}

引用次数: 0

Pulmonary calcinosis in renal failure 肾衰伴肺钙质沉着

Radiology Case Reports Pub Date : 2025-09-15 DOI: 10.1016/j.radcr.2025.08.019

Anas Douami, Mohamed Labied, Chorouk Mountassir, Ghizlane Lembarki, Mouna Sabiri, Samira Lezar

引用次数: 0

Intravascular lithotripsy-assisted carotid artery stenting in heavily calcified lesions: A case series 血管内碎石辅助颈动脉支架植入术治疗重度钙化病变：一个病例系列

Radiology Case Reports Pub Date : 2025-09-15 DOI: 10.1016/j.radcr.2025.08.087

Orlando Diaz MD , Jochen Gerstner Saucedo MD , Isabel Carmona MD , Alan B. Lumsden MD , Balazs C. Lengyel MD

{"title":"Intravascular lithotripsy-assisted carotid artery stenting in heavily calcified lesions: A case series","authors":"Orlando Diaz MD , Jochen Gerstner Saucedo MD , Isabel Carmona MD , Alan B. Lumsden MD , Balazs C. Lengyel MD","doi":"10.1016/j.radcr.2025.08.087","DOIUrl":"10.1016/j.radcr.2025.08.087","url":null,"abstract":"<div><div>Intravascular lithotripsy (IVL), although considered off-label for carotid interventions, has proven to be beneficial for the treatment of heavily calcified lesions and may improve outcomes in select patients unsuitable for open repair. We present 3 consecutive cases of IVL-assisted carotid artery stenting (CAS) performed via transfemoral and transradial approaches in patients with severe internal carotid artery calcification. All patients were considered poor candidates for carotid endarterectomy (CEA). Technical success was achieved in all cases, with no neurological complications noted during the perioperative period, 30-day follow-up (with 6-month follow-up in 2 patients since 1 was lost to follow-up). All procedures were performed using distal filter protection alone without flow reversal, in contrast to most published series. IVL may broaden CAS applicability for patients with circumferential calcification and combined high anatomic/physiologic surgical risk who are not candidates for CEA. Further studies are warranted to evaluate long-term outcomes and optimal patient selection.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5977-5983"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061158","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}

引用次数: 0

Multiseptate gallbladder with gallstones in a pediatric patient 小儿多隔胆囊合并胆结石1例

Radiology Case Reports Pub Date : 2025-09-15 DOI: 10.1016/j.radcr.2025.08.079

Taku Yamamichi MD, PhD , Ryo Tsukada MD, PhD , Shun Iwasaki MD, PhD , Rika Omote MD, PhD , Ryuta Saka MD, PhD

引用次数: 0

Parosteal lipoma of the proximal humerus mimicking atypical lipomatous tumor: A diagnostic challenge 肱骨近端骨旁脂肪瘤与非典型脂肪瘤相似：诊断上的挑战

Radiology Case Reports Pub Date : 2025-09-15 DOI: 10.1016/j.radcr.2025.08.083

Cameron Nosrat BS, Kevin Sweetwood MD, Daria Motamedi MD

{"title":"Parosteal lipoma of the proximal humerus mimicking atypical lipomatous tumor: A diagnostic challenge","authors":"Cameron Nosrat BS, Kevin Sweetwood MD, Daria Motamedi MD","doi":"10.1016/j.radcr.2025.08.083","DOIUrl":"10.1016/j.radcr.2025.08.083","url":null,"abstract":"<div><div>Parosteal lipomas are a rare benign fat-containing neoplasm that originates from mature adipose tissue near the bone periosteum that can often be difficult to differentiate from malignant tumors. We present the case of a 75-year-old female presenting with several months of a growing, uncomfortable right shoulder mass without neurological or motor deficits. Computerized tomography (CT) demonstrated a well-defined mass located deep to the deltoid along the proximal humerus with peripheral fat attenuation while follow-up magnetic resonance imaging (MRI) demonstrated internal central enhancement and thin fibrous septae. Such findings were most consistent with a parosteal lipoma, and given the indolent nature of the mass, absence of aggressive features, and stable size over a 5-month period, conservative management with observation and interval imaging was recommended. This case emphasizes that while histological confirmation remains the gold standard, magnetic resonance imaging (MRI) is currently the most valuable tool in differentiating parosteal lipoma from atypical lipomatous tumors and other fat-containing lesions and guiding management decisions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5974-5976"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061166","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}

引用次数: 0

Beyond bladder clots: Unmasking nutcracker syndrome in refractory hematuria: A case report 超越膀胱血栓：揭露难治性血尿中的胡桃夹子综合征：1例报告

Radiology Case Reports Pub Date : 2025-09-15 DOI: 10.1016/j.radcr.2025.08.074

Asem Afana MD, Mostafa Amro MD, Yasmin Dahabreh MD, Mohammed AbuBaha MD, Hossam Salameh MD, Leena Amer Owaisi MD, Nour Aldeen Imad Abdeen MD, Nour Amjad Hamad MD, Rahaf Fares MD

引用次数: 0

Conventional chondrosarcoma of the sternum presenting as a chest wall mass with multilobulated intra- and extra-thoracic extension 传统的胸骨软骨肉瘤表现为胸壁肿块，呈多分叶状胸内和胸外延伸

Radiology Case Reports Pub Date : 2025-09-15 DOI: 10.1016/j.radcr.2025.08.043

Charles K. Crawford BS , Hajra Arshad MD , John M. Gross MD , Elliot K. Fishman MD

{"title":"Conventional chondrosarcoma of the sternum presenting as a chest wall mass with multilobulated intra- and extra-thoracic extension","authors":"Charles K. Crawford BS , Hajra Arshad MD , John M. Gross MD , Elliot K. Fishman MD","doi":"10.1016/j.radcr.2025.08.043","DOIUrl":"10.1016/j.radcr.2025.08.043","url":null,"abstract":"<div><div>Chondrosarcomas are rare malignant tumors, comprising 20% of all primary bone tumors. They are classified as primary or secondary based on their origin and as conventional or nonconventional based on histology. While conventional chondrosarcomas are the most common form, their occurrence in the chest, and more specifically in the sternocostal joints, is extremely infrequent. We present a case of a 61-year-old female with a longstanding history of a small stable-appearing anterior chest chondrosarcoma for well over a decade, which required surgical intervention after rapid and spontaneous growth. The unique growth pattern extending both extra-thoracically and intra-thoracically is a rare occurrence. Common radiological findings of chondrosarcomas that were appreciated in this case includes lytic lesions with matrix calcifications, endosteal scalloping, and soft tissue masses. Modern imaging techniques, like computed tomography (CT), are excellent for identifying and preoperative planning of chondrosarcomas, however, histology remains the gold standard for confirming the diagnosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6016-6020"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061156","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}

引用次数: 0

“Hard palate adenoid cystic carcinoma: surgical resection, radiotherapeutic strategy, and long-term surveillance” 硬腭腺样囊性癌：手术切除、放射治疗策略和长期监测

Radiology Case Reports Pub Date : 2025-09-13 DOI: 10.1016/j.radcr.2025.08.044

Saad Bouchlarhem MD , Mohammed Amine Rabhi MD , Charaf Eddine Mohammed Chatar MD , Achraf Amine Sbai MD , Drissia Benfadil MD , Azeddine Lachkar MD , Fahd El Ayoubi El Idrissi MD

{"title":"“Hard palate adenoid cystic carcinoma: surgical resection, radiotherapeutic strategy, and long-term surveillance”","authors":"Saad Bouchlarhem MD , Mohammed Amine Rabhi MD , Charaf Eddine Mohammed Chatar MD , Achraf Amine Sbai MD , Drissia Benfadil MD , Azeddine Lachkar MD , Fahd El Ayoubi El Idrissi MD","doi":"10.1016/j.radcr.2025.08.044","DOIUrl":"10.1016/j.radcr.2025.08.044","url":null,"abstract":"<div><div>Adenoid cystic carcinoma (ACC) of the palate is a rare malignant tumor arising from minor salivary glands, characterized by slow but infiltrative growth, frequent perineural invasion, and a high risk of late recurrence and metastasis. We report the case of a 42-year-old male who presented with a progressively enlarging hard–soft palate mass over 5 years, associated with dyspnea, dysphagia, and mild hemipalatal paresthesia. Magnetic resonance imaging revealed a large, well-circumscribed, heterogeneously enhancing mass with extension toward the oropharyngeal lumen and suspected perineural spread. Histopathological examination confirmed ACC, solid subtype, with a Ki-67 index of XX% and perineural invasion (Szanto grade III). The patient underwent complete transoral resection followed by reconstruction using a local palatal flap and adjuvant intensity-modulated radiotherapy (66 Gy/6 weeks). At 12 months, follow-up MRI demonstrated no recurrence or metastasis. This case underscores the crucial role of multimodal imaging in defining tumor extent, guiding surgical margins, and detecting perineural spread, which directly influence treatment planning and long-term surveillance. Early diagnosis and a multidisciplinary approach are essential to optimize outcomes in palatal ACC.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5954-5960"},"PeriodicalIF":0.0,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046701","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}

引用次数: 0

Benign or malignant: FDG-avid splenic lesion in a patient with melanoma 良性或恶性：黑色素瘤患者脾内fdg强烈病变

Radiology Case Reports Pub Date : 2025-09-13 DOI: 10.1016/j.radcr.2025.08.038

Aakanksha Sriwastwa MD , Sajel Dutt MD , Sandeep Sharma MD

引用次数: 0

Rare central-variant of posterior reversible encephalopathy syndrome: Pons and middle cerebellar peduncles involvement 罕见的后部可逆性脑病综合征中央变异体：脑桥和小脑中脚受累

Radiology Case Reports Pub Date : 2025-09-13 DOI: 10.1016/j.radcr.2025.08.060

David A. Lizarazo MD , Angela Guarnizo MD , Jairo Lizarazo MD

引用次数: 0