Radiology Case Reports最新文献_第9页

Infection of Peptoniphilus harei with abscess formation followed by lumbar vertebroplasty 野兔胃杆菌感染并发脓肿形成后腰椎成形术

Radiology Case Reports Pub Date : 2025-04-29 DOI: 10.1016/j.radcr.2025.04.005

Ye Yang , Qi Liu , Jinglei Li

引用次数: 0

The role of MRI in the management of patients with a histological diagnosis of B3 breast lesion after vacuum-assisted biopsy: A case report and a brief review of the literature MRI在真空辅助活检后B3乳腺病变组织学诊断中的作用：1例报告和文献综述

Radiology Case Reports Pub Date : 2025-04-29 DOI: 10.1016/j.radcr.2025.03.036

Valeria Liberto MD , Francesca Di Giuliano PhD , Eleni Chatelou MD , Paola Elda Gigliotti MD , Maria Volpe MD , Maria Pitaro MD , Glenda Antonelli MD , Ludovica Mancini MD , Chiara Adriana Pistolese PhD

{"title":"The role of MRI in the management of patients with a histological diagnosis of B3 breast lesion after vacuum-assisted biopsy: A case report and a brief review of the literature","authors":"Valeria Liberto MD , Francesca Di Giuliano PhD , Eleni Chatelou MD , Paola Elda Gigliotti MD , Maria Volpe MD , Maria Pitaro MD , Glenda Antonelli MD , Ludovica Mancini MD , Chiara Adriana Pistolese PhD","doi":"10.1016/j.radcr.2025.03.036","DOIUrl":"10.1016/j.radcr.2025.03.036","url":null,"abstract":"<div><div>This case report and literature review examine the role of dynamic contrast enhanced magnetic resonance imaging (DCE-MRI) in managing of breast lesions diagnosed as B3 after vacuum-assisted biopsy (VAB). A 48-year-old female patient with first-degree family history of breast cancer, whose mammography, ultrasound, and magnetic resonance imaging (MRI) showed an area of parenchymal distortion in the left upper outer quadrant (UOQ), underwent a VAB, which revealed a B3 lesion (radial scar with atypia). She subsequently underwent a vacuum-assisted excision (VAE), and a 4-month follow-up MRI showed residual enhancement in the treated area; after a multidisciplinary discussion, she underwent surgery, which confirmed the complex sclerosing lesion (CLS) with atypia. The authors highlight the importance of MRI's high negative predictive value in excluding malignancy, especially in conjunction with VAE, which allows for more comprehensive tissue sampling and reduces the need for surgical excision in B3 cases. The multidisciplinary approach and correlation of radiological and pathological findings are emphasized as crucial for optimal patient management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3436-3441"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882150","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

Multidisciplinary approach to the accurate diagnosis of parosteal osteosarcoma 多学科方法对骨旁骨肉瘤的准确诊断

Radiology Case Reports Pub Date : 2025-04-29 DOI: 10.1016/j.radcr.2025.04.010

Miroslav Kilian , Radovan Vanatka , Radka Tomasova , Iveta Meciarova , Peter Hlavcak , Radoslav Zamborsky , Silvia Vajczikova , Miroslav Tomka

{"title":"Multidisciplinary approach to the accurate diagnosis of parosteal osteosarcoma","authors":"Miroslav Kilian , Radovan Vanatka , Radka Tomasova , Iveta Meciarova , Peter Hlavcak , Radoslav Zamborsky , Silvia Vajczikova , Miroslav Tomka","doi":"10.1016/j.radcr.2025.04.010","DOIUrl":"10.1016/j.radcr.2025.04.010","url":null,"abstract":"<div><div>The successful treatment of any disease depends on early and correct diagnosis. A failure to establish an accurate diagnosis can lead to ineffective, often expensive treatment and risky progression of the disease with all the negative consequences, including incurability and death. The parosteal osteosarcoma is an illustrative example of how determining the correct diagnosis can be a challenging task. Parosteal osteosarcoma is a rare malignant bone tumor, mainly affected metaphysis of long bones. It arises from cortical surface of bone and it is usually slowly growing, low-grade, and well-differentiated tumor with good prognosis. Unfortunately, parosteal osteosarcoma is often misdiagnosed as a benign osteochondroma or myositis ossificans what leads to ineffective treatment, disease progression and systemic spreading with later treatment complications. In this article, we discuss a case of 48-years-old male with prolonged diagnosis of parosteal osteosarcoma, initially misdiagnosed as myositis ossificans. The diagnosis was revised and corrected based on results obtained by various approaches, including radiography, ultrasound-guided biopsy, histology, conventional cytology, and molecular biology. On this example, we demonstrate the importance of interdisciplinary collaboration between experts from different areas of health care.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3425-3435"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882764","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

Urothelial carcinoma mimicking Bosniak IV cystic mass: A case report 尿路上皮癌样波士尼亚克IV型囊性肿块1例

Radiology Case Reports Pub Date : 2025-04-26 DOI: 10.1016/j.radcr.2025.04.029

Jinho Jung , Chang Shu , Parvaneh Hassani , Michael Phillipi , Vincent Lee , Roozbeh Houshyar , James Shi

{"title":"Urothelial carcinoma mimicking Bosniak IV cystic mass: A case report","authors":"Jinho Jung , Chang Shu , Parvaneh Hassani , Michael Phillipi , Vincent Lee , Roozbeh Houshyar , James Shi","doi":"10.1016/j.radcr.2025.04.029","DOIUrl":"10.1016/j.radcr.2025.04.029","url":null,"abstract":"<div><div>Urothelial carcinoma is the primary malignancy of the urothelium that has varying radiographic features based on the location of the tumor. Differentiating urothelial carcinoma from renal cell carcinoma is critical as interventions and management methods differ. We present a case of urothelial carcinoma within the calyceal diverticula that was initially suspected to represent Bosniak IV cyst due to cystic renal cell carcinoma. A 71-year-old male with a history of gross hematuria and a previously identified Bosniak II renal cyst underwent further imaging, revealing a Bosniak IV cystic mass with enhancing nodules. Subsequent nephrectomy unveiled noninvasive low-grade papillary urothelial carcinoma within a calyceal diverticulum. This case highlights the complexity of diagnosing urothelial carcinoma within the calyceal diverticula, emphasizing the need for a high index of suspicion. The study contributes to understanding the limitations of imaging modalities, especially in cases involving calcification or stone evaluation. The coexistence of urothelial carcinoma and calyceal diverticula is rare but crucial for accurate diagnosis and treatment. Documenting cases like these is vital for recognizing urothelial carcinoma mimics and ensuring appropriate patient management. The study underscores the significance of distinguishing features of calyceal diverticula and advocates for comprehensive imaging approaches in renal cystic lesions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3403-3408"},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874881","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

The mystery behind recurrent pericardial effusions: A hidden case of arrhythmogenic right ventricular cardiomyopathy 反复心包积液背后的奥秘：一例隐藏的致心律失常性右室心肌病

Radiology Case Reports Pub Date : 2025-04-26 DOI: 10.1016/j.radcr.2025.03.085

Salma Bouyaddid , Yasmine Ouaddouh , Nabila Ismaili , Noha El ouafi , Zakaria Bazid

{"title":"The mystery behind recurrent pericardial effusions: A hidden case of arrhythmogenic right ventricular cardiomyopathy","authors":"Salma Bouyaddid , Yasmine Ouaddouh , Nabila Ismaili , Noha El ouafi , Zakaria Bazid","doi":"10.1016/j.radcr.2025.03.085","DOIUrl":"10.1016/j.radcr.2025.03.085","url":null,"abstract":"<div><div>Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a rare but potentially life- threatening genetic disorder characterized by fibrofatty myocardial replacement, ventricular dysfunction, and arrhythmias. Presenting a significant diagnostic challenge due to its phenotypic heterogeneity. While the cardinal features of ARVC are electrical instability and an elevated risk of sudden cardiac death, pericardial effusion, an infrequent manifestation of ARVC, potentially arising from complex interactions between myocardial remodeling and local inflammatory processes, can obscure the underlying cardiac pathology, causing a delayed recognition of the disease.</div><div>We report a case of recurrent unexplained pericardial effusions in a young female patient presenting with dyspnea and chest pain. Clinical examination revealed muffled heart sounds. Despite initial management with colchicine, the effusion progressed, requiring pericardiocentesis, yielding sero-hematic transudate with negative infectious, cytological, and autoimmune workups. Transthoracic echocardiography revealed a dilated right ventricle with severe tricuspid regurgitation. Cardiac MRI confirmed right ventricular akinesia, an RVEF <40%, and prominent trabeculations. Based on the 2010 Task Force criteria, the diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC) was definitively established.</div><div>This case highlights the importance of considering ARVC in patients with unexplained recurrent pericardial effusions and right ventricular abnormalities, even in the absence of typical arrhythmic symptoms.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3414-3419"},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874879","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

Wrap-around LAD and the role of multimodal imaging 环绕LAD和多模态成像的作用

Radiology Case Reports Pub Date : 2025-04-26 DOI: 10.1016/j.radcr.2025.04.018

Maria Jose Santa-Ana-Bayona MD , Camila Ponce-Acosta MD , Gilberto H. Acosta-Gutiérrez MD , Miguel Ángel Pardiño-Vega MD , Mauricio Garcia-Cadernas MD , Enrique Ruiz-Mori MD , Natalia Martinez-Jimenez MD , Enrique C. Guerra MD , Nilda Espinola-Zavaleta MD

{"title":"Wrap-around LAD and the role of multimodal imaging","authors":"Maria Jose Santa-Ana-Bayona MD , Camila Ponce-Acosta MD , Gilberto H. Acosta-Gutiérrez MD , Miguel Ángel Pardiño-Vega MD , Mauricio Garcia-Cadernas MD , Enrique Ruiz-Mori MD , Natalia Martinez-Jimenez MD , Enrique C. Guerra MD , Nilda Espinola-Zavaleta MD","doi":"10.1016/j.radcr.2025.04.018","DOIUrl":"10.1016/j.radcr.2025.04.018","url":null,"abstract":"<div><div>Acute myocardial infarction remains a major cause of morbidity and mortality, with the left anterior descending artery being most commonly implicated. Anatomical variants, such as the “wrap-around” configuration, can significantly influence myocardial perfusion patterns, infarct size, and clinical outcomes, emphasizing the importance of accurate identification in acute coronary syndromes. We present the case of a 72-year-old male with ST-segment elevation myocardial infarction (STEMI), whose initial electrocardiogram indicated an anteroseptal infarction. Due to limited access to catheterization facilities, thrombolytic therapy was administered, achieving successful reperfusion. A subsequent multimodal imaging assessment revealed an atypical infarct distribution and identified a wrap-around left anterior descending artery with critical stenosis, highlighting the variant’s diagnostic and therapeutic relevance in STEMI management and the utility of multimodal imaging.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3420-3424"},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874880","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

A rare presentation of ovarian diffuse large B-cell lymphoma: A case report 卵巢弥漫性大b细胞淋巴瘤1例

Radiology Case Reports Pub Date : 2025-04-26 DOI: 10.1016/j.radcr.2025.04.009

Mark A. Colantonio MD, Christopher Dionne MD

引用次数: 0

Comprehensive radiological and clinical evaluation of coarctation of the aorta with bicuspid aortic valve and ascending aortic aneurysm: A case report 二尖瓣主动脉缩窄合并升主动脉瘤1例影像学及临床综合评价

Radiology Case Reports Pub Date : 2025-04-24 DOI: 10.1016/j.radcr.2025.03.077

Hafsi Azer MD, Hafsi Fares MD, Ganzoui Imen MD

引用次数: 0

White epidermoid: A diagnostic dilemma 白色表皮样：诊断困境

Radiology Case Reports Pub Date : 2025-04-24 DOI: 10.1016/j.radcr.2025.03.081

Poornima Maravi MD, Vijay Kumar Verma MD, Rambharat Bairwa MD, Anita Uikey MD

{"title":"White epidermoid: A diagnostic dilemma","authors":"Poornima Maravi MD, Vijay Kumar Verma MD, Rambharat Bairwa MD, Anita Uikey MD","doi":"10.1016/j.radcr.2025.03.081","DOIUrl":"10.1016/j.radcr.2025.03.081","url":null,"abstract":"<div><div>A 27-year-old female patient presents with a chronic headache. Physical examination and laboratory tests show no remarkable abnormality. MRI brain with contrast was ordered for further evaluation of symptoms. MRI revealed a large extra-axial, posterior fossa base T1 hyperintense and T2 hypointense lesion. The Lesion showed FLAIR hypointensity with no significant diffusion restriction on DWI. Post contrast scans show no contrast enhancement. Based on the T1 hyperintensity, lesions with hyperintense contents were kept in differential diagnosis such as dermoid and proteinaceous cyst. However, the lesion demonstrated T2 and flair hypointensity suggesting a highly viscous contents within the lesion. The loss of diffusion restriction ruled out any possibility of classical epidermoid cyst.</div><div>The patients was kept on follow up with suggestion to remove the lesion surgically, although patient denied for surgical management and kept on symptomatic treatments with painkillers and multivitamins. This case report highlights the diagnostic dilemma in forming an MRI based diagnosis with dictation of a phenomenon where a lesion can exhibit a opposite character rather than exhibiting a classical intensity based on its contents. We can encounter a completely different imaging appearance of a lesion than what we thought to and should be kept in mind. This case report also highlights the fact that although the histopathology is main study of diagnosis and treatment in many cases it cannot be achieved in every case and management could rely purely on imaging findings.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3398-3402"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869879","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

A thyroid storm causing strokes and unmasking moyamoya 甲状腺风暴导致中风和烟雾症

Radiology Case Reports Pub Date : 2025-04-24 DOI: 10.1016/j.radcr.2025.03.050

Christian Burgos-Sanchez MD , Eudoxie Bataba MD , Justin Costello MD , Daniel Bess MD , Erik Dedekam MD

{"title":"A thyroid storm causing strokes and unmasking moyamoya","authors":"Christian Burgos-Sanchez MD , Eudoxie Bataba MD , Justin Costello MD , Daniel Bess MD , Erik Dedekam MD","doi":"10.1016/j.radcr.2025.03.050","DOIUrl":"10.1016/j.radcr.2025.03.050","url":null,"abstract":"<div><div>Moyamoya disease is a rare progressive cerebrovascular condition that affects the internal carotid arteries and their major branches. This leads to the formation of a networks of collateral moyamoya vessels and can cause ischemic or hemorrhagic complications. Moyamoya syndrome is a secondary condition that presents with moyamoya vessels and is associated with other underlying causes including Down syndrome, sickle cell anemia, intracranial atherosclerosis or thyroid disease. In this case report, we discuss a 29-year-old female with Grave's disease who presented with recurrent headaches, acute intermittent numbness and paresthesia. Radiologic evaluation showed multifocal intracranial infarcts and stenosis of the bilateral internal carotid arteries and decreased caliber of the distal anterior circulation. This case highlights the importance of considering MMD/MMS as a differential diagnosis in patients suffering from headaches and/or seizures, especially in the third or fourth decades of life. Prompt diagnosis and management leads to favorable outcomes in patients with moyamoya.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3388-3392"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870557","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