Radiology Case Reports最新文献_第8页

Mesencephalic neuroepithelial cyst: A rare location in an adult 中脑神经上皮囊肿：在成人中罕见的位置。

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-02-02 DOI: 10.1016/j.radcr.2025.10.059

Siham Oukassem MD, Jabbari Chaimaa MD, Ech-cherif El Kettani Najoua PhD, Fikri Meriem PhD, Jiddane Mohamed PhD, Touarsa Firdaous PhD

引用次数: 0

Recurrent pneumonia unmasks congenital lobar emphysema in a 2-month-old infant: Radiological insights from a rare ICU case report 复发性肺炎暴露了2个月婴儿的先天性肺气肿：来自罕见ICU病例报告的放射学见解

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-12 DOI: 10.1016/j.radcr.2025.12.023

Marwane El Arabi MD , Mohammed Maarad MD , Ikram Markaoui MD , Meryem Chatar MD , Mahmoud Aberkane MD , Samia Berrichi MD , Houssam Bkiyar MD, PhD

{"title":"Recurrent pneumonia unmasks congenital lobar emphysema in a 2-month-old infant: Radiological insights from a rare ICU case report","authors":"Marwane El Arabi MD , Mohammed Maarad MD , Ikram Markaoui MD , Meryem Chatar MD , Mahmoud Aberkane MD , Samia Berrichi MD , Houssam Bkiyar MD, PhD","doi":"10.1016/j.radcr.2025.12.023","DOIUrl":"10.1016/j.radcr.2025.12.023","url":null,"abstract":"<div><div>Congenital lobar emphysema (CLE) is a rare pulmonary malformation characterized by hyperinflation of 1 or more lobes due to bronchial cartilage or connective tissue abnormalities. Although typically presenting in neonates and young infants with respiratory distress, CLE may mimic more common conditions such as pneumothorax or recurrent pneumonia leading to diagnostic delays or inappropriate management. We report the case of a 2-month-old female infant admitted for recurrent respiratory infections and acute respiratory distress. The initial chest radiograph suggested a pneumothorax; however, chest CT demonstrated a giant emphysematous bulla involving the right upper lobe, causing significant mediastinal compression, consistent with CLE. The patient underwent right upper lobectomy, and histopathology confirmed emphysematous changes with chronic nonspecific inflammation and hemorrhagic remodeling. Postoperative evolution was favorable. This case illustrates the diagnostic challenges associated with CLE, particularly its potential to mimic pneumothorax and prompt inappropriate invasive procedures. Radiological evaluation—especially CT imaging—plays a pivotal role in establishing a definitive diagnosis and guiding appropriate management. Early recognition of CLE is essential to avoid misdiagnosis and ensure optimal treatment. This case underscores the importance of integrating clinical and imaging findings when evaluating infants with recurrent or unexplained respiratory symptoms.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1412-1417"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947944","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

Spontaneous duodenal perforation in a neonate: A case report 新生儿自发性十二指肠穿孔1例

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI: 10.1016/j.radcr.2025.12.052

Zelalem Assefa Semegn MD, Chibahew Lante Kebede MD, MPH

{"title":"Spontaneous duodenal perforation in a neonate: A case report","authors":"Zelalem Assefa Semegn MD, Chibahew Lante Kebede MD, MPH","doi":"10.1016/j.radcr.2025.12.052","DOIUrl":"10.1016/j.radcr.2025.12.052","url":null,"abstract":"<div><div>Neonatal duodenal perforation is an extremely rare but life-threatening surgical emergency. Reported etiologies include prematurity, necrotizing enterocolitis, distal obstruction, trauma, and sepsis; however, in rare instances, no identifiable cause is found and the condition is described as <em>spontaneous</em>. Early diagnosis relies heavily on <em>radiologic imaging</em>, particularly plain abdominal radiographs demonstrating <em>pneumoperitoneum</em>. We report a 2-day-old full-term female neonate who presented with progressive abdominal distension, nonbilious vomiting, and low-grade fever of one day duration. Laboratory evaluation showed leukocytosis with a high absolute neutrophil count and mildly elevated C-reactive protein; blood culture grew <em>Klebsiella pneumoniae</em>, for which appropriate antibiotic therapy was initiated. <em>Supine abdominal radiography revealed massive pneumoperitoneum with classic radiologic signs</em>, including the <em>football sign and Rigler’s (double-wall) sign</em>, consistent with gastrointestinal perforation. Exploratory laparotomy identified a solitary perforation on the anterior wall of the first part of the duodenum, with no evidence of distal obstruction, necrotizing enterocolitis, ischemia, or traumatic injury. The perforation was repaired by primary closure reinforced with a pedicled omental patch. Despite the presence of bacteremia, no intraoperative findings supported sepsis-related bowel necrosis, and the perforation was therefore classified as spontaneous. The neonate had an uneventful postoperative recovery. Although exceedingly rare, neonatal duodenal perforation carries significant morbidity and mortality. <em>Prompt radiologic recognition of pneumoperitoneum and early surgical intervention</em> are critical for favorable outcomes. This case highlights the diagnostic value of imaging and underscores the importance of carefully excluding infectious and secondary causes before labeling a duodenal perforation as spontaneous.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1626-1628"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079153","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

Fatty falciform ligament appendage torsion (F-FLAT): A rare cause of acute epigastric pain 脂肪镰状韧带附属物扭转（F-FLAT）：急性胃脘痛的罕见原因

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI: 10.1016/j.radcr.2026.01.017

Hoang Minh Hieu Nguyen, Thi Hien Nguyen, Thi Song Huong Tran, Ngoc Thanh Hoang, Trong Binh Le, Thanh Thao Nguyen

引用次数: 0

Pneumosinus dilatans, an uncommon clinical condition: A case report 肺窦扩张，一罕见的临床状况：1例报告

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-12 DOI: 10.1016/j.radcr.2025.12.038

VK Sundeep Nalamolu M.B.B.S, M.D , Srilatha Kavarthapu MS ENT

{"title":"Pneumosinus dilatans, an uncommon clinical condition: A case report","authors":"VK Sundeep Nalamolu M.B.B.S, M.D , Srilatha Kavarthapu MS ENT","doi":"10.1016/j.radcr.2025.12.038","DOIUrl":"10.1016/j.radcr.2025.12.038","url":null,"abstract":"<div><div>Pneumosinus dilatans (PSD) is an abnormal expansion of the paranasal sinus beyond the normal anatomical boundaries of the sinus and the associated bone, with normal thickness of the sinus wall. It is a rare clinical condition, with a relatively small number of cases documented in the literature. Numerous theories have been proposed to explain the etiology of PSD, of which only the ball valve mechanism and Genetic predisposition with hormonal trigger have some scientific evidence. Usually detected incidentally by imaging, however, it may present with symptoms such as swelling of the forehead (with involvement of the frontal sinus), headache, nasal block, and symptoms related to mass effect on adjacent structures. Imaging plays a major role in diagnosis, differential diagnosis, and identification of associated conditions, which is described in detail in this case report. The differential diagnosis includes hypersinus, pneumosinus, mucolcele, and benign sinus tumors. Conservative management by endoscopy is considered in asymptomatic patients, and surgical management is considered in patients with aesthetic concerns. We present a case of PSD in a 35-year-old female patient who presented with right-sided nasal obstruction and intermittent dull, nonradiating frontal headache for 3 years.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1397-1400"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981675","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

MRI as a key tool in presumptive antemortem diagnosis of rabies: A case report MRI作为狂犬病推定死前诊断的关键工具：1例报告

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1016/j.radcr.2025.12.005

Ephrem Fekadu Tuji MD , Bethelhem Belachew MD , Biniyam Beyene Tabor MD , Marta Desta Woldetsadick MD , Alemayehu Bedane Worke MD

引用次数: 0

Primary pulmonary adenoid cystic carcinoma presenting with ground-glass opacity nodules coexisting with male breast adenoid cystic carcinoma: A case report 原发性肺腺样囊性癌以磨玻璃样结节伴男性乳腺腺样囊性癌1例

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.radcr.2025.12.035

Han Wang, Hao Peng, Libin Zhang, Xiangyun Yan, Jiagui Lu

{"title":"Primary pulmonary adenoid cystic carcinoma presenting with ground-glass opacity nodules coexisting with male breast adenoid cystic carcinoma: A case report","authors":"Han Wang, Hao Peng, Libin Zhang, Xiangyun Yan, Jiagui Lu","doi":"10.1016/j.radcr.2025.12.035","DOIUrl":"10.1016/j.radcr.2025.12.035","url":null,"abstract":"<div><div>Adenoid cystic carcinoma (ACC) of the lung is a rare subtype of lung cancer characterized by tumor cells forming cystic or glandular structures. It predominantly arises in segmental or larger bronchi, typically presenting as solid nodules or masses on imaging. Previous studies describe it as a slow-growing, low-grade malignancy associated with favorable prognosis and low metastatic potential. A 29-year-old male underwent surgical resection for breast nodules, pathologically confirmed as ACC of the breast. During hospitalization, chest CT revealed multiple bilateral ground glass nodules (GGN), with the largest measuring 22 × 16 mm. Clinical diagnosis suggested multiple primary lung cancer (cT1cN0M0). Video-assisted thoracoscopic wedge resections were performed, and pathology confirmed ACC of the lung, though the origin (primary vs. metastatic) remained controversial. Postoperatively, the patient received 4 cycles of chemotherapy (cyclophosphamide + epirubicin + cisplatin). Follow-up imaging demonstrated progression of residual pulmonary nodules. ACC of the lung represents a rare pathological variant of lung cancer with insufficiently characterized clinical behavior. Further research is imperative to refine diagnostic strategies and therapeutic approaches.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1520-1524"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024607","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

From contraception to urolithiasis: Migration of a contraceptive device into the urinary bladder lumen 从避孕到尿石症：避孕装置在膀胱腔内的迁移

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-22 DOI: 10.1016/j.radcr.2025.12.025

Kamila Askarova MD , Darya Khristovski MD , Khafizakhon Isomiddinova MD , Mubina Negmatshayeva MD , Nurmukhammed Jumaniyazov MD , Bakhtiyor Rizayev MD , Shokhsanam Bektemirova MD , Shakhnoz Mamadjanova MD

引用次数: 0

Splenic infarct, atypical presentation of babesiosis: A case report 不典型巴贝斯虫病表现的脾梗死1例。

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-02-02 DOI: 10.1016/j.radcr.2026.01.016

Zinaida Perciuleac MD , Melissa R. George DO , Maya P. Fares MD , Rezhan Hussein MD

{"title":"Splenic infarct, atypical presentation of babesiosis: A case report","authors":"Zinaida Perciuleac MD , Melissa R. George DO , Maya P. Fares MD , Rezhan Hussein MD","doi":"10.1016/j.radcr.2026.01.016","DOIUrl":"10.1016/j.radcr.2026.01.016","url":null,"abstract":"<div><div>Babesiosis is a tick-borne protozoan infection marked by invasion of red blood cells and causing hemolytic anemia. When symptomatic, patients present with symptoms and signs secondary to hemolysis. We report a case of Babesiosis presenting with a rare manifestation of a splenic infarct, emphasizing the importance of early recognition and prompt treatment. A 41-year-old man with no significant past medical history presented to the hospital with fever, chills and sweats for 2 days. He also had left lower quadrant abdominal pain which started 10 days prior to the admission. Initial laboratory results showed mild anemia and thrombocytopenia with a platelet count of 79 K/uL (normal range 150-350), normal creatinine and transaminases. Computerized tomography (CT) of the abdomen showed moderate splenomegaly and 1.2 cm hyperdense focus reflecting an infarct. Peripheral blood smear demonstrated intracellular red cell inclusions suggestive of <em>Babesia spp</em>. Human Babesiosis is an emerging zoonosis with various clinical presentations varying from being asymptomatic to life-threatening conditions. Patients with immunocompromised status, splenectomy, or significant underlying health conditions are particularly susceptible to severe manifestations. Splenic infarcts are reported as a rare complication, found in younger and immunocompetent hosts, and they do not correlate with the level of parasitemia. Our patient was also a young immunocompetent host with a low level of parasitemia presented with abdominal pain; a high level of suspicion is needed to make an early diagnosis. This case is an important reminder of this atypical presentation of <em>Babesia microti</em> infection in an immunocompetent host.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1676-1681"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167751","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

Hepatic plexiform neurofibroma a rare manifestation of neurofibromatosis type 1: A case report and literature review 肝丛状神经纤维瘤是1型神经纤维瘤病的一种罕见表现：1例报告并文献复习

Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI: 10.1016/j.radcr.2025.12.011

Omar Y. Alkhaja MD, MBBS , Feras Shmeylan Alharbi MD, MBBS , Mohammed Salem Wadani MD, MBBS , Moayad Khalid Almaimani , Ahmed Aldraihem

引用次数: 0