{"title":"Radiological diagnosis of calcified intra- and extra-ventricular ganglioglioma involving the lateral ventricle: A case-based review of a challenging and uncommon presentation","authors":"Mehdi Borni , Brahim Kammoun , Hatem Daoud , Saadia Makni , Houda Belmabrouk , Mohamed Zaher Boudawara","doi":"10.1016/j.radcr.2025.08.051","DOIUrl":"10.1016/j.radcr.2025.08.051","url":null,"abstract":"<div><div>Originally described by Perkins in 1926, gangliogliomas are typically low-grade, slow-growing tumors (WHO Grade I or II) composed of dysplastic neuronal and glial cells. They most commonly affect children and young adults under 30 and are usually found within brain tissue (parenchymal locations). Involvement of the ventricular system is exceptionally rare, with cases in the lateral ventricles being even scarcer. This report presents an unusual case of an intra- and extra-ventricular ganglioglioma in a 61-year-old male patient, who presented with acute and progressive symptoms of increased intracranial pressure. His medical history included hypertension and diabetes. The diagnosis was confirmed via stereotactic CT-guided brain biopsy. This case report also includes a comprehensive review of the current literature to shed light on this rare and diagnostically challenging tumor.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5961-5967"},"PeriodicalIF":0.0,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046708","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}
Amir Hassan Matini MD , Sam Mirfendereski MD , Akram Tajoddini MD
{"title":"Follicular carcinoma of the thyroid with a single metastatic lesion in the skull: A case report","authors":"Amir Hassan Matini MD , Sam Mirfendereski MD , Akram Tajoddini MD","doi":"10.1016/j.radcr.2025.08.037","DOIUrl":"10.1016/j.radcr.2025.08.037","url":null,"abstract":"<div><div>Follicular thyroid carcinoma (FTC) represents a significant subset of thyroid malignancies following papillary thyroid cancer (PTC), constituting approximately 10% of all thyroid cancers. Surgical excision of metastatic lesions remains the cornerstone of treatment due to its potential for cure, symptom relief, and favorable response to radioactive iodine therapy. We present an exceedingly rare case involving a 79-year-old woman with a history of thyroidectomy 18 years prior, who presented to our hospital, Kashan Shahid Beheshti Hospital, with metastatic follicular thyroid carcinoma to the skull. FTC is characterized by early hematogenous spread, with the bone representing a typical site of metastasis. In patients diagnosed with FTC, large tumor size and presence of bone metastases are indicative of poor prognostic factors. However, the presence of a solitary bone metastasis should not preclude aggressive therapeutic interventions. Appropriate management strategies can lead to improved outcomes and enhanced quality of life for affected individuals.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5925-5928"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046696","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}
Saber Abdellah Bassel, Mohamed Soufiane Kaddouri, Soufiane El Fathi, Ouijdane Zamani, Jamal El Fenni, Hassan Ennouali
{"title":"Multifocal extrathoracic lymphadenopathy mimicking lymphoma: an atypical presentation of sarcoidosis without thoracic involvement","authors":"Saber Abdellah Bassel, Mohamed Soufiane Kaddouri, Soufiane El Fathi, Ouijdane Zamani, Jamal El Fenni, Hassan Ennouali","doi":"10.1016/j.radcr.2025.08.061","DOIUrl":"10.1016/j.radcr.2025.08.061","url":null,"abstract":"<div><div>Sarcoidosis is a systemic granulomatous disease of unknown etiology, typically affecting the lungs and bilateral hilar or mediastinal lymph nodes. We present a rare case of sarcoidosis in a 42-year-old woman with extensive lymphadenopathy involving cervical, axillary, retrocrural, peritoneal, retroperitoneal, and iliac regions, without pulmonary or mediastinal involvement, thereby radiologically simulating lymphoma. Histopathological evaluation revealed noncaseating granulomatous inflammation without evidence of malignancy or infection. This case highlights the diagnostic challenge posed by extrapulmonary sarcoidosis and underscores the critical role of biopsy in differentiating it from lymphoproliferative disorders. A high index of suspicion is essential when sarcoidosis presents without its classic thoracic features.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5942-5945"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046702","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}
Mohammad Rida MD , Maryam Mansour MD , Yorgho Maalouf MD , Sami Slaba MD , Ismat Ghanem MD , Antoine Haddad MD
{"title":"When infection meets malignancy: A case report of a rare collision lesion of leiomyosarcoma and amebic cyst in the gluteal region","authors":"Mohammad Rida MD , Maryam Mansour MD , Yorgho Maalouf MD , Sami Slaba MD , Ismat Ghanem MD , Antoine Haddad MD","doi":"10.1016/j.radcr.2025.08.047","DOIUrl":"10.1016/j.radcr.2025.08.047","url":null,"abstract":"<div><div>We report on a 61-year-old male patient who presented with a chronic left buttock mass and pain. Initial MRI revealed a multiloculated mass in the gluteal region. The mass was percutaneously drained after initial microbiology analysis identified it as an isolated amebic cyst. However, the patient showed only partial improvement after 1 month of drainage and conservative management. Subsequently, surgical resection of the mass was performed. Histological examination of the resected tissue revealed an exceptionally rare diagnosis: a collision lesion of a leiomyosarcoma and an amebic cyst.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5934-5941"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046703","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":"Progressive spinal cord involvement in Leigh syndrome due to an NDUFV1 variant","authors":"Josef Finsterer MD, PhD","doi":"10.1016/j.radcr.2025.08.031","DOIUrl":"10.1016/j.radcr.2025.08.031","url":null,"abstract":"<div><div>Spinal cord involvement in Leigh syndrome (LS) due to an <em>NDUFV1</em> variant has rarely been reported. The patient is a 4-month-old girl who developed generalized weakness, decreased vigilance, lethargy, cyanosis and unresponsiveness. Investigation revealed lactic acidosis, mild hyponatremia, normocytic anemia, elevated troponin, elevated pro-brain natriuretic peptide, Mobitz II block, systolic dysfunction, and pulmonary hypertension. Cerebral MRI showed symmetrical T2 hyperintensities in the brainstem and supra-tentorial, suggestive of LS, as well as T2 and STIR hyperintensities of the fasciculus gracilis and posterior and lateral gray matter horns, which were hypointense at T1. Seventeen days later, these lesions were more pronounced on T2 and STIR than before. Genetic testing revealed the compound heterozygous variants c.1162+4A>C and c.1138G>C in <em>NDUFV1</em>. In summary, mutations in <em>NDUFV1</em> can also manifest phenotypically in the spinal cord and present clinically with sensory disturbances, spasticity and spinal ataxia. In patients with LS due to <em>NDUFV1</em> variants, not only imaging of the brain but also of the spinal cord should be performed.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5929-5933"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046705","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":"Asymptomatic traumatic ruptured intracranial dermoid cyst: a case report","authors":"Prajwol Paneru MBBS , Amrit Bhusal MBBS , Bishesh Lamichhane MD , Sabin Acharya MBBS , Prashanta Paneru MBBS , Alina Chapagain MBBS , Rahul Shrestha MD","doi":"10.1016/j.radcr.2025.08.035","DOIUrl":"10.1016/j.radcr.2025.08.035","url":null,"abstract":"<div><div>Intracranial dermoid cysts are rare congenital cystic lesions accounting for less than 0.5% of all primary intracranial tumors. They are often asymptomatic but can present with severe complications upon rupture, either spontaneously or traumatically. This report describes a unique case of a 38-year-old female with a traumatic rupture of an intracranial dermoid cyst following mild head injury. The patient was asymptomatic, with no neurological deficits on presentation or follow-up. Imaging revealed a welldefined, fat-attenuating lesion in the right cerebral hemisphere and fat droplets disseminated into the ventricular system and adjacent brain parenchyma. The patient was managed conservatively with close clinical and radiologic monitoring, avoiding surgical intervention due to the absence of symptoms. This case highlights the importance of recognizing traumatic rupture of intracranial dermoid cysts as a potential consequence of head trauma and underscores the need for individualized management to balance surgical risks against potential long-term complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5886-5890"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046704","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":"Unusual site, familiar pathology: A case of fibroadenoma in ectopic breast tissue","authors":"Richard B. Schonour BS , Margaret H. Mowry MD","doi":"10.1016/j.radcr.2025.08.057","DOIUrl":"10.1016/j.radcr.2025.08.057","url":null,"abstract":"<div><div>Fibroadenomas are among the most common benign breast tumors, typically occurring within the breast parenchyma. However, their occurrence in the axilla is rare and often originates from ectopic breast tissue (EBT), which develops due to incomplete regression of the embryologic mammary ridge. Although EBT is present in up to 6% of women, it is usually asymptomatic. When a mass is detected in the axilla, particularly in younger women, it often raises concern for lymphadenopathy or malignancy. This overlap in clinical presentation creates a diagnostic challenge. A 35-year-old woman presented with a 6-month history of a painless, palpable mass in the right axilla. Physical examination revealed a soft, mobile nodule. Mammography and ultrasound classified the lesion as BI-RADS-4A. An additional retro-areolar mass in the left breast showed similar BI-RADS-4A features. Core needle biopsies from both sites confirmed fibroadenomas. Due to patient preference, the axillary mass was surgically excised, and recovery was uneventful. This case illustrates a rare presentation of fibroadenoma arising in axillary EBT, underscoring the importance of considering ectopic breast tissue in the differential diagnosis of axillary masses. Careful imaging evaluation is essential to distinguish benign lesions, which often appear as well-defined, oval, hypoechoic masses, from suspicious features like irregular margins or increased vascularity that may suggest malignancy. Increased awareness of this entity can reduce diagnostic uncertainty, prevent unnecessary interventions, and guide appropriate patient-centered management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5896-5901"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046695","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":"Pseudotumoral pancreatic tuberculosis revealed by obstructive jaundice","authors":"Amine Bentayeb MD , Rokia Faris MD , Mehdi Zouaoui MD , Yassine Chait MD , Mbarek Azouaoui MD , Youssef Hnach MD , Nourdin Aqodad MD","doi":"10.1016/j.radcr.2025.08.028","DOIUrl":"10.1016/j.radcr.2025.08.028","url":null,"abstract":"<div><div>Isolated pancreatic tuberculosis (TB) is extremely uncommon. The combination of its low incidence and nonspecific clinical presentation presents a real diagnostic challenge and complicates management. The diagnosis of pancreatic TB is based on a combination of clinical, biological, and radiological findings, and most importantly, on histological evidence. We report a case of pseudotumoral pancreatic TB revealed by obstructive jaundice in a 48-year-old immunocompetent woman. The diagnosis was confirmed by the presence of small epithelioid and multinucleated giant cell granulomas with central caseous necrosis on biopsies of peripancreatic adenopathy obtained via endoscopic ultrasound. The patient was successfully treated with quadruple anti-tuberculous therapy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5919-5924"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046698","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}
Ricky Cohen DO, Hector Gonzalez MD, James Walsh MD, Christopher Kelley MD
{"title":"Tumor recurrence in the inferior vena cava following radical nephrectomy for renal cell carcinoma: a case report and review","authors":"Ricky Cohen DO, Hector Gonzalez MD, James Walsh MD, Christopher Kelley MD","doi":"10.1016/j.radcr.2025.08.046","DOIUrl":"10.1016/j.radcr.2025.08.046","url":null,"abstract":"<div><div>Renal cell carcinoma is a relatively common malignancy in the United States with an estimated incidence of ∼80,000 cases, many of which are found incidentally. Renal cell carcinoma tends to invade vascular structures which can predispose to a host of complications. Although recurrence is common, isolated tumor thrombus recurrence is rare and surgically complex. We report the case of a 70-year-old male with a history of renal cell carcinoma status post nephrectomy 20 years ago who presented with generalized weakness and falls. Imaging revealed an inferior vena cava thrombus and intraluminal biopsy confirmed clear cell renal cell carcinoma. Frequent surveillance is critical for early detection and management of recurrent disease. This case highlights the importance of considering late vascular recurrence even decades after initial treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5891-5895"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046699","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":"A rare twist in ohvira syndrome: When menstrual blood takes an unusual route: A case report","authors":"Rudra Prasad Ghosh MBBS, Gaurav Raj MD, Kaustubh Gupta MD, Shubhlaxmi Srivastava MBBS, Shambhavi Bisht MBBS","doi":"10.1016/j.radcr.2025.08.034","DOIUrl":"10.1016/j.radcr.2025.08.034","url":null,"abstract":"<div><div>Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA) syndrome is a rare congenital Müllerian anomaly comprising uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. A 20-year-old female presented with cyclical perianal bleeding and severe dysmenorrhea. Initial ultrasound revealed a large tubular cystic pelvic lesion with internal echoes, initially misinterpreted as a dilated ectopic ureter or adnexal mass, especially in the context of absent left kidney. A separate normal uterus was also visualized. On repeat ultrasound during menstruation, the lesion had decompressed via a fistulous tract opening near the perianal region, allowing recognition of the structure as a second uterine horn. MRI confirmed uterus didelphys, obstructed left hemivagina with hematometra and hematosalpinx, and a fistulous tract extending from the obstructed horn to the left perianal skin. The fistula was presumed to be an acquired complication of prior undocumented pelvic surgery. Surgical excision of the obstructed horn and fistulous tract was recommended; however, the patient declined treatment and was subsequently lost to follow-up. This case highlights a rare and diagnostically challenging variant of OHVIRA syndrome complicated by a perianal fistula, likely acquired postoperatively. It underscores the importance of considering Müllerian anomalies in adolescent females with renal agenesis and pelvic pain, especially when imaging is inconclusive. Repeat imaging timed with menses and multidisciplinary input are essential for accurate diagnosis and management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5914-5918"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046700","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}