European Journal of Radiology Extra最新文献

Pulmonary sclerosing hemangiomas are generally regarded as benign lung lesions arising from type II pneumocytes and bronchial epithelium. In some cases malignant features may be present. There are several case reports describing the radiographic, computed tomography (CT), and magnetic resonance imaging (MRI) characteristics of pulmonary sclerosing hemangiomas. Given the potential for low-grade malignancy 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) imaging may be useful in the diagnostic work up and therapeutic planning in these patients, however the FDG–PET imaging features of pulmonary sclerosing hemangiomas are not well defined. We report a case of histopathologically diagnosed sclerosing hemangioma of the lung which demonstrated intermediate uptake of FDG on the preoperative PET/CT evaluation.

Leukoencephalopathy with brain stem and spinal cord involvement and high lactate (LBSL) is a recently identified leukoencephalopathy, first described by Van der Knaap in 2003. To date 24 cases have been described. Distinctive features were as follows. First, brain MRI showed white matter abnormalities and involvement of brain stem structures. Second, sparing of the u-fibers was an invariant, distinctive feature of the syndrome. Third, whenever evaluated, spinal cord was always involved. Fourth, brain [¹H]-MR spectroscopy failed to show a lactate peak in all cases. In our little child, the diagnosis was confirmed by genetic analysis but unlike previous report both the u-fibers and globus pallidus were involved; spectroscopic data were more consistent with hypomyelination than demyelination. Our findings add to the phenotype variability of this novel disease.

We report an unusual association between Ebstein anomaly of the tricuspid valve and a stenotic double orifice mitral valve diagnosed later in life.

Isolated granulomatous orchitis is a rare chronic testicular inflammation, which should be differentiated from testicular malignancies on scrotal imaging. We present a case of a 33-year-old man, with a diffuse pattern of granulomatous orchitis, confirmed by means of testicular biopsy. MR imaging of the scrotum revealed the presence of two small-sized intratesticular lesions, hypointense on T2-weighted images, not enhancing after gadolinium administration suggesting the diagnosis of benignity.

Association of venous thromboembolic events (TEs) with malignancy is well known. Ewing's sarcoma usually presents as swelling at the primary site, however presenting as unilateral lower limb edema due to tumoral thrombosis of right iliac vein and IVC is a rare event. A 30-year-old male patient with extensive right lower limb swelling was admitted and imaging studies (plain film, ultrasonography, Doppler, computed tomography) revealed a mass arising from right iliac bone, adjoining sacrum and tumoral thrombosis of right iliac veins extending into inferior vena cava. Histopathological diagnosis was Ewing's sarcoma. Patient was treated successfully with chemotherapy and surgical embolectomy. So a young patient presenting with deep vein thrombosis should be investigated not only to establish any thrombophilic pre-disposition, but also let the clinician to suspect for any local malignancy. Treatment depends upon the proximal extent of tumoral thrombus. With advances in imaging and chemotherapeutic regimens early diagnosis is possible and appropriate treatment planning improves the prognosis. To our knowledge skeletal Ewing's sarcoma with bland thrombosis is a known entity however no such case with direct invasion of tumor into veins leading to tumoral venous thrombosis has been reported in medical literature.

It is presented an impressive image of a cholangio-Magnetic Resonance Imaging in a bilateral Caroli disease. The innovative technique of 3D imaging elaboration allowed to perfectly build up the anomalies of the biliary tract.

Leukoencephalopathy with cerebral calcifications and cysts (LCC) is a recently described and extremely rare entity of unknown origin characterized radiologically by white matter abnormalities, calcifications and cysts. The onset of this disorder occurs from early infancy to adolescence and there is no specific clinical feature suggestive of this disorder. We report a new case of this rare entity and emphasize CT and MRI findings that permit to assess diagnosis.

Torsion of the greater omentum is a rare condition of acute abdomen. We, herein, report a case of omentum torsion in a 31-year-old man with occlusive syndrome and abdominal pain. The preoperative diagnosis was accurately accomplished using computerized tomography (CT). Operative management was adopted with rapid and uneventful recovery. Knowledge of this pathology is important to the surgeon because it mimics the common causes of acute surgical abdomen.

Although a lot of types of tumor may develop in the liver, liver amyloidoma is the rare lesion. Here we report the first case of amyloidoma occurring in liver. Similar to other types of liver tumor, CT image is fundamental to the diagnosis of liver amyloidoma.

The purpose of this case report is to illustrate and discuss the importance of cone beam computed tomography (CBCT) for accurate diagnose of mandibula fracture. A case of maxillofacial trauma was used for this report. A 17-year-old male patient was referred to Oral Diagnosis and Radiology Department with a history of maxillofacial trauma. The history of patient revealed a traumatic injury on his face because of ball stroke. The patient as initially examined in emergency department and it was diagnosed a mandible fracture in emergency department by a 2D lateral skull projection. His clinical examination was unremarkable. We had not encountered any fracture in maxillofacial region with either panoramic view or CBCT. This case report accentuates that two dimensional plain radiography techniques may be misleading for accurate diagnosis of mandible fracture.