{"title":"Cerebellar Dural Arteriovenous Fistula Presenting with Hemorrhage: Diagnostic Imaging and Endovascular Management.","authors":"Christophe Sonck, Jef Huyskens","doi":"10.5334/jbsr.4035","DOIUrl":"10.5334/jbsr.4035","url":null,"abstract":"<p><p>We report the case of a 45-year-old man with a rare cerebellar dural arteriovenous fistula (dAVF) presenting with dizziness and gait imbalance. MRI revealed a hemorrhagic lesion compressing the fourth ventricle. Digital subtraction angiography confirmed a Borden Type III dAVF, which was successfully treated by balloon-assisted embolization using PHIL 25%. This case draws attention to the importance of early diagnosis and intervention in posterior fossa dAVFs. <i>Teaching point:</i> Cerebellar dAVFs, though rare, harbor a high risk of hemorrhage and require prompt imaging and endovascular treatment.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"43"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reversible Interlobular Septal 'Pearls' Associated with Takotsubo Cardiomyopathy and Heart Failure.","authors":"Maxence Van Belle, Stéphane B Van den Broeck","doi":"10.5334/jbsr.4081","DOIUrl":"10.5334/jbsr.4081","url":null,"abstract":"<p><p><i>Teaching point:</i> Transient interlobular septal nodules displaying a characteristic branched 'pearl-like' pattern may reflect acute pulmonary lymphatic overload and should not be mistaken for other common pathological processes.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"42"},"PeriodicalIF":1.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MRI Findings of Endogenous Endophthalmitis as a Complication of Pneumococcal Meningitis.","authors":"Charlotte Steinier, Pierre-Antoine Poncelet","doi":"10.5334/jbsr.4047","DOIUrl":"10.5334/jbsr.4047","url":null,"abstract":"<p><p><i>Teaching point:</i> Endophthalmitis is an uncommon but severe complication of meningitis that can be visualized on MRI.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"41"},"PeriodicalIF":1.3,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12466337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuroendocrine Small Bowel Tumor.","authors":"Labinot Alija, Adelard De Backer","doi":"10.5334/jbsr.4038","DOIUrl":"10.5334/jbsr.4038","url":null,"abstract":"<p><p><i>Teaching point:</i> CT <i>enterography/enteroclysis</i> allows adequate evaluation of neuroendocrine small bowel tumor and extra-enteric abnormalities.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"40"},"PeriodicalIF":1.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12447789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuroimaging in PRES: Isolated Brainstem and Spinal Cord Involvement Secondary to Aorto-Iliac Occlusive Disease-A Unique Case Report.","authors":"Lucas Dekesel, Laura Wuyts, Pieter Olivier","doi":"10.5334/jbsr.4015","DOIUrl":"10.5334/jbsr.4015","url":null,"abstract":"<p><p><i>Teaching point:</i> Consider atypical PRES and a vascular work-up in brainstem edema, especially in the setting of severe hypertension.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"39"},"PeriodicalIF":1.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12427622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gas-Forming Hepatic Metastases Due to <i>Clostridium septicum</i> Infection: A Rare Case Documented with Sequential CT Imaging.","authors":"Mattia's Loverde, Dan Truc Nguyen, Nasroola Damry","doi":"10.5334/jbsr.4079","DOIUrl":"10.5334/jbsr.4079","url":null,"abstract":"<p><p>A rare case of hepatic gas-forming metastases secondary to <i>Clostridium septicum</i> infection is described. A 78-year-old woman was admitted with right lower quadrant abdominal pain and deterioration. Initial imaging revealed a right-sided colonic malignancy with hepatic metastases. Follow-up scans showed gas within metastases and minimal pneumoperitoneum, suggesting bowel perforation. However, blood cultures isolated <i>C. septicum</i>, supporting infected necrotic metastases as the source of free gas. <i>Teaching point:</i> This case emphasizes the importance of distinguishing infectious intratumoral gas from perforation in oncological patients and provides one of the few reports with sequential imaging of this process.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"38"},"PeriodicalIF":1.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12428319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Laceration of the Left Hepatic Vein Following Cardiopulmonary Resuscitation.","authors":"Femke Vrijdag, Joke Meersschaert","doi":"10.5334/jbsr.4054","DOIUrl":"10.5334/jbsr.4054","url":null,"abstract":"<p><p><i>Teaching point:</i> Laceration of the left hepatic vein is a rare but potentially fatal complication of cardiopulmonary resuscitation (CPR) and should be considered in patients with unexplained hemodynamic instability following resuscitation.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"37"},"PeriodicalIF":1.3,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12428346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Osteofibrous Dysplasia Involving Both Tibia and Fibula: A Rare Campanacci‑Type Presentation.","authors":"Caroline Chabot, Daniel Janssens","doi":"10.5334/jbsr.4060","DOIUrl":"10.5334/jbsr.4060","url":null,"abstract":"<p><p><i>Teaching point:</i> Osteofibrous dysplasia (OFD) is a rare benign fibro‑osseous lesion primarily affecting the tibial cortex in children and adolescents; simultaneous involvement of the fibula is exceptional and may mimic more aggressive tumors such as adamantinoma.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"36"},"PeriodicalIF":1.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margaux Vlasselaer, Martina Pezzullo, Gabriel Liberale
{"title":"Gallbladder Volvulus: A Rare Entity with \"Beak Sign\" and \"Whirl Sign\".","authors":"Margaux Vlasselaer, Martina Pezzullo, Gabriel Liberale","doi":"10.5334/jbsr.4030","DOIUrl":"10.5334/jbsr.4030","url":null,"abstract":"<p><p><i>Teaching point:</i> Gallbladder volvulus is a rare but serious diagnosis that needs urgent surgical treatment to avoid morbidity and mortality related to gallbladder ischemia and should be suspected in elderly female patients with acute right upper quadrant pain with imaging features including enlarged, abnormally positioned gallbladder and specific key findings on CT including \"whirl sign\" representing twisting of the cystic pedicle and \"beak sign\" at the gallbladder neck.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"35"},"PeriodicalIF":1.3,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primary Central Nervous System B-Cell Lymphoma Presenting with Fluctuating Basal Ganglia and Cortical Lesions.","authors":"Christophe Sonck, Jef Huyskens","doi":"10.5334/jbsr.4044","DOIUrl":"10.5334/jbsr.4044","url":null,"abstract":"<p><p>A 68-year-old woman presented with progressive hemiparesis and dysphagia, initially presumed to have subacute stroke. Serial MRI revealed fluctuating FLAIR hyperintensities and enhancing lesions in the basal ganglia and cortex, ultimately leading to the diagnosis of high-grade primary CNS B-cell lymphoma. The case highlights the importance of integrating clinical evolution with imaging features in atypical neurological presentations. <i>Teaching point:</i> In cases of fluctuating FLAIR hyperintensity and contrast-enhancing brain lesions, primary CNS lymphoma should be considered, even in the absence of typical imaging features.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"33"},"PeriodicalIF":1.3,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}