Mucormycosis creeping along the nerves in an immunocompetent individual
We report an unusual case of rhinocerebral mucormycosis in an immunocompetent patient. A 23-year-old male presented with headache, speech disturbance and hearing difficulty for 4 weeks. Magnetic resonance imaging (MRI) revealed right cerebellar abscess and enhancing soft tissue in the nasal cavity, extending to cranial and infratemporal fossae. Computed tomography (CT) revealed the widening of foramen rotundum and sclerosis involving the sphenoid and ethmoid sinuses. MR Spectroscopy revealed multiple peaks between 3.6 and 3.8 parts per million (ppm) which could represent trehalose. Nasal mucosa scrapings confirmed mucormyc...
Source: Journal of Radiology Case Reports - October 31, 2019 Category: Radiology Source Type: research
Breast Microcalcifications as the Only Imaging Manifestation of Metastatic Serous Peritoneal Adenocarcinoma in the Breast
We present a case of a 65 year old female with newly diagnosed primary peritoneal serous carcinoma who was found to have indeterminate segmental microcalcifications in the right upper outer quadrant with a mildly enlarged right axillary node on mammogram. There was no associated breast mass on ultrasound. Core biopsy of the right axillary lymph node and right upper outer quadrant breast microcalcifications confirmed the presence of breast metastases at both sites from primary peritoneal serous carcinoma. This case highlights the importance of histopathological correlation of any breast and axillary abnormalities in patient...
Source: Journal of Radiology Case Reports - October 25, 2019 Category: Radiology Source Type: research
Neuroimaging findings in Emanuel Syndrome
We present classic neuroimaging findings of Emanuel syndrome consistent with prior literature including microcephaly, microretrognathia, external auditory canal stenosis, and cleft palate; and also introduce the additional maxillofacial anomaly of dysplastic middle ear ossicles, to our knowledge not previously described in the literature. Recognition of findings leading to earlier diagnosis of Emanuel syndrome may improve outcomes and quality of life for patients and their families. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - October 25, 2019 Category: Radiology Source Type: research
Metronidazole induced encephalopathy: case report and discussion on the differential diagnoses, in particular, Wernicke's encephalopathy
We present a case of metronidazole induced encephalopathy in a 59-year-old man with a history of Whipple ' s procedure for pancreatic neuroendocrine tumour. The characteristic magnetic resonance imaging features of metronidazole induced encephalopathy and its main differential diagnosis, Wernicke ' s encephalopathy, are discussed. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - September 30, 2019 Category: Radiology Source Type: research
Aortoenteric fistula secondary to an Inflammatory Abdominal Aortic Aneurysm
Primary aortoenteric fistulas are rare, with the annual incidence of such fistulas estimated to be 0.007 per million. The most common predisposing conditions for primary aortoenteric fistulas are atherosclerotic abdominal aortic aneurysms or penetrating atherosclerotic ulcers. We illustrate a rare case of an inflammatory aortic aneurysm causing a primary aortic fistula, with a direct fistulous jet from the aorta to the bowel with resultant catastrophic bleeding. In contrast to atherosclerotic aneurysms, most inflammatory aneurysms are symptomatic and show dense perianeurysmal fibrosis and periaortic wall thickening. A dire...
Source: Journal of Radiology Case Reports - September 20, 2019 Category: Radiology Source Type: research
A unique variant of a right persistent hypoglossal artery arising from the common carotid artery with complex cardiovascular anomalies in a female neonatal patient
We describe a unique case of a female infant patient with this anomaly that has an unusually low origin from the distal common carotid artery just below the bifurcation at the level of roughly C5 and supplies the entire vertebrobasilar system. Additional cardiovascular anatomical variations were present: Tetralogy of Fallot and a right-sided aortic arch with mirror image branching. These singular variations are rare in the general population, but even rarer when combined. Awareness of these unusual vascular variants is clinically significant, as they may predispose the patients to early ischemic injury, hemorrhage, aneurys...
Source: Journal of Radiology Case Reports - September 20, 2019 Category: Radiology Source Type: research
Intracranial calcifications on CT: an updated review
Intracranial calcifications are frequently encountered in non-contrast computed tomography scan in both adult and pediatric age groups. They refer to calcifications within the brain parenchyma or vasculature and can be classified into several major categories: physiologic/age-related, dystrophic, congenital disorders/phakomatoses, infectious, vascular, neoplastic, metabolic/endocrine, inflammatory and toxic diseases. In this updated review, we present a wide spectrum of intracranial calcifications from both pediatric and adult populations focusing on their pattern, size and location. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - August 31, 2019 Category: Radiology Source Type: research
Pigmented villonodular synovitis of the temporomandibular joint: case report and the literature review for postoperative radiotherapy
Pigmented villonodular synovitis (PVNS) is a benign proliferative disorder of the synovium that usually involves joints, tendon sheaths, and bursae. It presents rarely, however, in the temporomandibular joints (TMJs). This paper reports a 59-year-old female patient with PVNS of the TMJ and its clinico-pathologic features are discussed. The patient was treated with surgery and postoperative radiotherapy (PORT). Follow-up was conducted, and there were no recurrences, metastases, skin changes or joint stiffness noted. The main treatment of PVNS is surgical resection. However, postoperative radiotherapy is important for local ...
Source: Journal of Radiology Case Reports - August 9, 2019 Category: Radiology Source Type: research
Carotid body tumor: a case report and literature review
We report a case of carotid body tumor in a 42-year-old female, who presented with painless, pulsatile, gradually progressive lateral neck swelling. The diagnosis is suspected on the basis of history, clinical and radiological examination findings and a successful surgical excision of the tumor is performed. Histopathological examination confirms the diagnosis of carotid body tumor. We also present brief literature about carotid body tumors in terms of its clinical and imaging presentation, evaluation, and management. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - August 9, 2019 Category: Radiology Source Type: research
Multidisciplinary approach in the management of uterine intravenous leiomyomatosis with intracardiac extension: case report and review of literature
We report the case of a massive pelvic recurrence of uterine leiomyomatosis with intracardiac extension and pulmonary embolism, analyzing management and surgical outcomes, highlighting the role of interventional radiology during the therapeutic pathway. Nonetheless, there are currently very few data available concerning the use of interventional radiology procedures in the therapeutic strategy of uterine intravenous leiomyomatosis with intracardiac extension. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - July 31, 2019 Category: Radiology Source Type: research
An intramedullary " flame " recognized as being an intramedullary spinal cord metastasis from esophageal cancer
We report the first case of intramedullary metastasis affecting the thoracic spinal cord from esophageal squamous cell carcinoma in a 35-year-old patient. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - July 26, 2019 Category: Radiology Source Type: research
Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review
This article summarizes the imaging approach to pediatric patients with acute abdominal pathologies presenting to the emergency department, and how imaging is instrumental in guiding diagnosis and treatment, with emphasis on radiation safety, in the context of providing typical imaging findings of each pathology in this pictorial review. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - July 26, 2019 Category: Radiology Source Type: research
A Case of Hoarseness with Acute Back Pain - Cardiovocal Syndrome Revisited
A previously well 81-year-old Chinese male presented with hoarseness and low back pain for one month. Chest radiography at presentation revealed widening of the mediastinal silhouette. Nasopharyngoscopy detected left vocal cord paralysis. CT aortogram revealed a large saccular aortic arch aneurysm with a dissection flap extending distally down to the aortic bifurcation. The combination of clinical and imaging findings was consistent with cardiovocal syndrome. In view of good premorbid function, surgical repair was offered, and the patient underwent surgical repair and recovered well with no further back pain. A review of c...
Source: Journal of Radiology Case Reports - July 26, 2019 Category: Radiology Source Type: research
Adrenal Adenoma-Hemangioma Collision Tumor: Description of Two Cases
We report two cases of a 63-year-old male and a 76-year-old female patient with a presumable exceedingly rare adrenal hemangioma-adenoma collision tumor. To our knowledge, only two reports of a collision tumor comprising an adrenal hemangioma and an adenoma have been described in literature. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - June 27, 2019 Category: Radiology Source Type: research
Influenza Vaccine-related Subacromial/Subdeltoid Bursitis: A Case Report
We present a case of one such uncommon side effect, influenza vaccine-related subacromial/subdeltoid bursitis. A 72-year-old female presented with severe shoulder pain following influenza vaccination. The pain persisted for up to two months despite conservative measures, and MRI demonstrated moderate subacromial/subdeltoid bursitis. Vaccine-related shoulder dysfunction includes a range of pathology, from osteonecrosis to bursitis, which will be reviewed in this report. Recognition of infrequent vaccine-related musculoskeletal pathology is important to prevent delay of diagnosis. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - June 20, 2019 Category: Radiology Source Type: research
