Journal of Radiology Case Reports (J Radiol Case Rep)

Publications in this journal

• Article: Isolated pancreatic tuberculosis: A case report and radiological comparison with cystic pancreatic lesions.

  Anna L Falkowski, Judith Graber, Horst G Haack, Philip E Tarr, Helmut Rasch
  [show abstract] [hide abstract]
  ABSTRACT: Pancreatic tuberculosis is rare and can occur in the absence of evidence of tuberculosis elsewhere in the body. Here we review the radiological appearance of pancreatic tuberculosis and compare it with other cystic pancreatic lesions, including common lesions (pseudocysts, serous or mucinous cystadenomas, intraductal papillary mucinous neoplasm) and rare lesions such as solid pseudopapillary tumors, etc. Their typical localizations within the pancreas and their malignant potential are presented. Knowledge of these can assist radiologists and clinicians in selecting the best approach towards making the correct diagnosis.
  Journal of Radiology Case Reports 01/2013; 7(1):1-11.
• Article: A Case of Colorectal Cancer with Metastasis to the Chest Wall and Subsequent Hematoma Formation.

  Joseph N Stember, Charu Thakral, Maria C Shiau
  [show abstract] [hide abstract]
  ABSTRACT: We report a rare case of a patient with colorectal cancer with chest wall metastases. The development of bleeding at the site of the metastasis ultimately resulted in the development of a hematoma, necessitating resection of the tumor along with part of the chest wall. Literature on chest wall metastases of colonic adenocarcinoma is reviewed and discussed. The teaching point is that a chest wall mass seen on imaging should prompt consideration of metastatic cancer in the differential diagnosis. The colon is a rare though reported primary site.
  Journal of Radiology Case Reports 01/2013; 7(1):18-24.
• Article: Iatrogenic uterine perforation with abdominal extrusion of fetal parts: A rare radiological diagnosis.

  Narvir Singh Chauhan, Amit Gupta, Pawan Kumar Soni, Mukesh Surya, Som Raj Mahajan
  [show abstract] [hide abstract]
  ABSTRACT: BACKGROUND: Failure to detect uterine perforation during surgical abortion may result in adverse patient outcome besides having medicolegal implications. This rare case of uterine perforation was diagnosed seven days after abortion and underscores the importance of remaining vigilant for this complication during and after the procedure. CASE: A female underwent surgical abortion at sixteen weeks gestation and was discharged after the procedure, assuming no complication. She presented with abdominal pain seven days after the event. Ultrasound and CT revealed uterine perforation with abdominal expulsion of fetal parts. CONCLUSION: A patient complaining of abdominal pain following recent abortion related instrumentation should alert the clinician regarding possibility of perforation. Secondary signs on ultrasound may reveal the diagnosis even if rent is not identified. CT is valuable in emergent situations.
  Journal of Radiology Case Reports 01/2013; 7(1):41-47.
• Article: Myxoma of the Vomer Bone.

  David Besachio, Edward Quigley, Richard Orlandi, Hugh Harnsberger, Richard Wiggins
  [show abstract] [hide abstract]
  ABSTRACT: Myxomas of bone in the head and neck are rare tumors. We present a 68 year old female with pain and epistaxis who was found to have the first reported case of a myxoma arising within the vomer bone. Some atypical magnetic resonance imaging features are described, however, myxoma imaging features are often non-specific and typically evoke a benign differential diagnosis. Surgical excision is the treatment of choice.
  Journal of Radiology Case Reports 01/2013; 7(1):12-17.
• Article: Ureteral rupture from aberrant Foley catheter placement: A case report.

  Kevin S Baker, Bari Dane, Yudell Edelstein, Ajay Malhotra, Elaine Gould
  [show abstract] [hide abstract]
  ABSTRACT: We present the case of a 59 year old female with history of severe neurologic dysfunction from advanced multiple sclerosis who presented with lethargy and oliguria several hours after urethral Foley catheterization. A contrast-enhanced CT scan of the abdomen/pelvis showed an aberrantly placed Foley catheter with its balloon inflated in the proximal left ureter, a rare complication of Foley catheterization with only 5 other cases reported. Incomplete ureteral rupture was demonstrated and confirmed by a followup CT scan in the urographic phase. One of our institution's Interventional Radiologists then placed a nephroureteral stent across the injured ureter to facilitate healing. The patient expired 9 days after the procedure from unrelated sepsis from a chronic stage IV decubitus ulcer, so long term monitoring could not be performed. Following description of our case, we conduct a literature review of presentations, imaging characteristics, and treatment of ureteral Foley catheter placement.
  Journal of Radiology Case Reports 01/2013; 7(1):33-40.
• Article: Bile leak after elective laparoscopic cholecystectomy: Role of MR imaging.

  Francesco Mungai, Valentina Berti, Stefano Colagrande
  [show abstract] [hide abstract]
  ABSTRACT: Increasing hepatobiliary laparoscopic surgeries have lead to a rise in injury to the biliary tree and other complications like bile leak. Ultrasonography (US) and computed tomography (CT) cannot reliably distinguish bile from other postoperative fluid collections. Magnetic resonance (MR) imaging with hepatobiliary agents and MR cholangiopancreatography provide anatomic and functional information that allows for prompt diagnosis and excludes any other concomitant complications. We report a case of post-cholecystectomy bile leak in a 42-year-old female who presented with persistent dull abdominal pain after the intervention; we emphasize the role of MR imaging in achieving the correct diagnosis.
  Journal of Radiology Case Reports 01/2013; 7(1):25-32.
• Article: Serial MR Findings and Comprehensive Review of Bilateral Lupus Mastitis with an Additional Case Report.

  Andrew D Mosier, Brian Boldt, Joren Keylock, Donald V Smith, James Graham
  [show abstract] [hide abstract]
  ABSTRACT: Lupus Mastitis (LM) is a rare presentation of lupus panniculitis involving the breast. Because it often presents as a tender palpable mass, a workup for malignancy usually ensues. It is well documented that surgery may worsen the condition; therefore, it is important to consider LM in the differential of a palpable breast mass in patients with systemic lupus erythematosus (SLE). Currently, management of LM remains primarily medical. We discuss the multi-disciplinary work-up of LM, and further describe its appearance on serial Magnetic Resonance (MR) exams.
  Journal of Radiology Case Reports 01/2013; 7(1):48-58.
• Article: Bladder schwannoma - a case presentation.

  Andrew D Mosier, David A Leitman, Joren Keylock, David Nguyen, David Grant
  [show abstract] [hide abstract]
  ABSTRACT: Bladder schwannomas are exceedingly rare, benign or malignant, nerve sheath tumors that are most often discovered in patients with a known diagnosis of Neurofibromatosis type 1 (NF1). A few sporadic case reports of bladder schwannoma have been published in urologic, obstetric/gynecologic, and pathologic journals. However, this is the first case report in the radiologic literature where computed tomography imaging and radiology-specific descriptions are discussed. Furthermore, the patient presented in this case is only the fifth published patient without NF1 to be diagnosed with a bladder schwannoma, to the best of our knowledge.
  Journal of Radiology Case Reports 12/2012; 6(12):26-31.
• Article: A Complex Pulmonary Vein Varix - Diagnosis with ECG gated MDCT, MRI and Invasive Pulmonary Angiography.

  Zuzana Berecova, Vladimír Neuschl, Peter Boruta, Jozef Masura, Eduard Ghersin
  [show abstract] [hide abstract]
  ABSTRACT: A case of an asymptomatic 32-year-old male with a complex congenital pulmonary vein varix is reported herein. Chest X-ray incidentally revealed a tubular opacity passing from the periphery of the left lingula to the mediastinum. ECG gated multidetector computed tomography showed the opacity to be a vessel emptying into the left atrium via the left superior pulmonary vein. In addition, a second vascular structure was noted within the posterior mediastinum that was emptying into the same pulmonary vein. These findings were also confirmed by magnetic resonance imaging, 4D magnetic resonance angiography and invasive arterial angiography. Based on multimodality imaging findings the diagnosis of complex congenital pulmonary venous varix with posterior mediastinal extension was established.
  Journal of Radiology Case Reports 12/2012; 6(12):9-16.
• Article: Dermoid cyst of the pancreas: A case report with literature review.

  Jason Lane, Ansar Vance, Daniel Finelli, Gary Williams, Pars Ravichandran
  [show abstract] [hide abstract]
  ABSTRACT: Pancreatic dermoid cysts represent a rare entity with 35 cases described in the world literature, including the present one. Pre-operative diagnosis is difficult, with definitive diagnosis usually taking place intra-operatively. We report the case of a 63 year old male with a symptomatic, 6 cm cystic mass in the body of the pancreas. The pre-operative evaluation suggested a cystic neoplasm, but was indeterminate as to whether the lesion was benign or malignant. The diagnosis of dermoid cyst was made intra-operatively with frozen section. Although the diagnosis could not be made pre-operatively this retrospective report highlights the difficulty in evaluating cystic pancreatic lesions by imaging and summarizes the current body of knowledge on this rare entity.
  Journal of Radiology Case Reports 12/2012; 6(12):17-25.
• Article: Rare lymphoid malignancies of the breast: report of two cases illustrating potential diagnostic techniques.

  Orazio Schillaci, Laura Travascio, Annamaria Lacanfora, Sara Ceccarelli, Giovanni Simonetti
  [show abstract] [hide abstract]
  ABSTRACT: Two cases of lymphoid malignancy involving the breast are herein presented. Both patients were admitted with a palpable breast mass. Ultrasound demonstrated hypoechoic, ill-defined lesions of the breast in both patients; mammogram also showed spiculated breast densities. Both patients underwent core biopsy, which revealed lymphomatous cells. Total-body evaluation was also performed by computed tomography and positron emission tomography/computed tomography revealing no other fluorodeoxyglucose-avid foci in the first case and supra and subdiaphragmatic disease in the second one.
  Journal of Radiology Case Reports 12/2012; 6(12):43-50.
• Article: Chondrosarcoma in childhood: the radiologic and clinical conundrum.

  Susan M Mosier, Tanvi Patel, Karen Strenge, Andrew D Mosier
  [show abstract] [hide abstract]
  ABSTRACT: Less than 10% of chondrosarcomas occur in children. In addition, as little as 0.5% of low-grade chondrosarcomas arise secondarily from benign chondroid lesions. The presence of focal pain is often used to crudely distinguish a chondrosarcoma (which is usually managed with wide surgical excision), from a benign chondroid lesion (which can be followed by clinical exams and imaging surveillance). Given the difficulty of localizing pain in the pediatric population, initial radiology findings and short-interval follow-up, both imaging and clinical, are critical to accurately differentiate a chondrosarcoma from a benign chondroid lesion. To our knowledge, no case in the literature discusses a chondrosarcoma possibly arising secondarily from an enchondroma in a pediatric patient. We present a clinicopathologic and radiology review of conventional chondrosarcomas. We also attempt to further the understanding of how to manage a chondroid lesion in the pediatric patient with only vague or bilateral complaints of pain.
  Journal of Radiology Case Reports 12/2012; 6(12):32-42.
• Article: Honoring our helpers.

  Roland Talanow, Frederik Giesel
  [show abstract] [hide abstract]
  ABSTRACT: This special issue of the Journal of Radiology Case Reports honors the reviewers who donated their time and expertise throughout the year 2012 to the high quality and success of this journal.
  Journal of Radiology Case Reports 12/2012; 6(12):53-5.
• Article: A rare cause of neural foraminal widening.

  Jonathan C L Rodrigues, Alex M Mortimer, Seth Love, Shelley A Renowden
  [show abstract] [hide abstract]
  ABSTRACT: The differential diagnosis for lesions causing neural foraminal widening is vast. The majority are solitary benign peripheral nerve sheath tumours, such as neurofibromas or schwannomas. We present a case of a rare cause of neural foraminal expansion secondary to a posterior thoracic extradural angiolipoma. We describe the presence of chemical shift artefact on post gadolinium T1-weighted imaging as indirect evidence of a fatty component. This potentially important diagnostic sign may raise the suspicion of angiolipoma, especially in an isointense or hypointense dumbbell lesion on T1-weighted imaging, and has not been described previously in this context. Accurate radiological diagnosis of an angiolipoma is important to reduce unexpected haemorrhagic complications from biopsy or resection of the lesion.
  Journal of Radiology Case Reports 12/2012; 6(12):1-8.
• Article: JRCR - updated author guidelines for 2013.

  Roland Talanow
  [show abstract] [hide abstract]
  ABSTRACT: This article describes updates on author guidelines for manuscripts submitted on or after January 1, 2013 to the interactive Journal of Radiology Case Reports.
  Journal of Radiology Case Reports 12/2012; 6(12):51-2.
• Article: "BCGitis": A rare case of tuberculous epididymo-orchitis following intravesical Bacillus Calmette-Guérin therapy.

  Virginie Demers, Vincent Pelsser
  [show abstract] [hide abstract]
  ABSTRACT: Tuberculous epididymo-orchitis is a rare complication of intravesical Bacillus Calmette-Guérin (BCG) therapy for urothelial cancer of the bladder. We present such a case, describe its sonographic appearance and review the literature. The difficulties in diagnosing this condition based on imaging alone, given the extensive overlap with the appearance of bacterial epididymo-orchitis, malignant testicular disease and testicular torsion, are discussed. Adequate knowledge of tuberculous epididymo-orchitis is of capital importance in order to ensure a proper diagnosis and treatment.
  Journal of Radiology Case Reports 11/2012; 6(11):16-21.
• Article: Multisystemic Langerhans Cell Histiocytosis with advanced lung involvement.

  Ricardo Andrade Fernandes de Mello, Joana Waked Tanos, Melissa Bozzi Nonato Mello, Edson Marchiori
  [show abstract] [hide abstract]
  ABSTRACT: Langerhans cell histiocytosis is a rare disease of unknown cause, characterized by the proliferation of histiocytic cells (Langerhans cells), that can sometimes be especially difficult to diagnose due to its wide clinical spectrum, ranging from a single lesion to a multisystemic disorder. Appropriate disease staging is fundamental, since treatment depends upon the severity of the disease, and imaging methods play a fundamental role not only in diagnosing and assessing the extent of Langerhans cell histiocytosis, as well as guiding the appropriate treatment for the patient and their monitoring.
  Journal of Radiology Case Reports 11/2012; 6(11):22-28.
• Article: Daughter cyst sign.

  William Thoburn Randazzo, Arie Franco, Saudiqa Hoossainy, Kristopher Neal Lewis
  [show abstract] [hide abstract]
  ABSTRACT: The daughter cyst sign is a specific indicator of an uncomplicated ovarian cyst and pathologically represents a stimulated ovarian follicle. This finding must be differentiated from an ectopic pregnancy in a patient who has the potential to become pregnant. We report an uncomplicated ovarian cyst in a 3-year-old female with McCune-Albright syndrome and precocious puberty mimicking an ectopic pregnancy.
  Journal of Radiology Case Reports 11/2012; 6(11):43-47.
• Article: An Unusual Urinary Tract Presentation in a Case of Megacystis Microcolon Intestinal Hypoperistalsis Syndrome.

  Melkamu Adeb, Sudha Anupindi, Michael Carr, Kassa Darge
  [show abstract] [hide abstract]
  ABSTRACT: Megacystis microcolon intestinal hypoperistalsis syndrome is a rare congenital anomaly. Several pathogeneses have been described so far, but there is no single mechanism that can explain all the findings of the syndrome. Affected newborns usually present clinically in the first few days of life. The mainstay of diagnosis is a pre or a postnatal imaging evaluation using ultrasound or magnetic resonance imaging. We report an unusual urinary tract finding in a patient with the classic triads of the syndrome that was diagnosed with both pre and postnatal imaging evaluation.
  Journal of Radiology Case Reports 11/2012; 6(11):1-7.
• Article: Flare Response versus Disease Progression in Patients with Non-small Cell Lung Cancer.

  Khalsa Al-Nabhani, Rizwan Syed, Athar Haroon, Omar Almukhailed, Jamshed Bomanji
  [show abstract] [hide abstract]
  ABSTRACT: We present a case report of a patient with metastatic non-small cell lung cancer (NSCLC) who had a series of fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) scans for assessment of response to treatment. A restaging 18F-FDG PET/CT scan after six cycles showed increased FDG activity in the bone lesions with reduced activity in the lung and liver lesions. The increased bone activity was considered to be due to flare phenomenon rather than metastasis. A short interval follow up scan after 1 month was advised to confirm this interpretation but this repeat scan showed disease relapse. Although the flare phenomenon does exist, caution should be exercised in attributing increased tracer uptake in the lesions in patients with adenocarcinoma of lung and especially those who have received erlotinib during the course of their treatment. Distinguishing the 'flare phenomenon' and 'disease progression' is at times difficult but is important since misdiagnosis may result in an unnecessary delay in patient management.
  Journal of Radiology Case Reports 11/2012; 6(11):34-42.