Pub Date : 2025-02-01DOI: 10.1016/j.radcr.2025.01.061
Charles K. Crawford BS, Mohammad Yasrab MD, Linda C. Chu MD, Elliot K. Fishman MD
Ganglioneuromas of the retroperitoneum are rare cases of benign retroperitoneal tumors that arise from autonomic nerve fibers. Typically remaining asymptomatic even after growing very large, retroperitoneal ganglioneuromas are often discovered incidentally. Given the rather nonspecific, well-defined, smooth, or lobulated characteristics similar to most neurogenic tumors, retroperitoneal ganglioneuromas are sometimes difficult to diagnose. Surgical resection is the preferred treatment option intended to limit the chance of recurrence or malignant transformation; however, surgery can be restricted by local extension, such as encasement of blood vessels. In this article, we report the case of a 49-year-old female diagnosed with a retroperitoneal ganglioneuroma presenting as abdominal pain and fullness. We focus on the use of radiological imaging modalities to coordinate with surgical pathology for an optimized diagnosis and treatment plan.
{"title":"Retroperitoneal ganglioneuroma simulating lymphoma: An unusual case presentation","authors":"Charles K. Crawford BS, Mohammad Yasrab MD, Linda C. Chu MD, Elliot K. Fishman MD","doi":"10.1016/j.radcr.2025.01.061","DOIUrl":"10.1016/j.radcr.2025.01.061","url":null,"abstract":"<div><div>Ganglioneuromas of the retroperitoneum are rare cases of benign retroperitoneal tumors that arise from autonomic nerve fibers. Typically remaining asymptomatic even after growing very large, retroperitoneal ganglioneuromas are often discovered incidentally. Given the rather nonspecific, well-defined, smooth, or lobulated characteristics similar to most neurogenic tumors, retroperitoneal ganglioneuromas are sometimes difficult to diagnose. Surgical resection is the preferred treatment option intended to limit the chance of recurrence or malignant transformation; however, surgery can be restricted by local extension, such as encasement of blood vessels. In this article, we report the case of a 49-year-old female diagnosed with a retroperitoneal ganglioneuroma presenting as abdominal pain and fullness. We focus on the use of radiological imaging modalities to coordinate with surgical pathology for an optimized diagnosis and treatment plan.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2163-2166"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This case report presents a clinical case of management of a patient with concomitant ischemic stroke and acute arterial ischemia of the right upper limb. Emergency thrombaspiration from the middle cerebral artery improved the patient's neurological status. A hybrid intervention was carried out to restore blood flow in the right upper limb: brachial artery arteriotomy with thrombectomy through an open approach combined with endovascular recanalisation and balloon angioplasty of the forearm arteries. The comprehensive approach, incorporating endovascular and traditional vascular surgery techniques, resulted in a successful clinical outcome and avoided serious complications. This case highlights the importance of a multidisciplinary approach and timely intervention in treating complex cardiovascular pathologies.
{"title":"Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report","authors":"M.A. Sedgaryan MD, PhD , A.V. Kudrinskiy MD, PhD , A.V. Snitsar MD , M.V. Patlachuk MD , P.A. Talyzin MD , V.A. Shibitov MD, DMSc , I.S. Ishutkin MD","doi":"10.1016/j.radcr.2024.11.008","DOIUrl":"10.1016/j.radcr.2024.11.008","url":null,"abstract":"<div><div>This case report presents a clinical case of management of a patient with concomitant ischemic stroke and acute arterial ischemia of the right upper limb. Emergency thrombaspiration from the middle cerebral artery improved the patient's neurological status. A hybrid intervention was carried out to restore blood flow in the right upper limb: brachial artery arteriotomy with thrombectomy through an open approach combined with endovascular recanalisation and balloon angioplasty of the forearm arteries. The comprehensive approach, incorporating endovascular and traditional vascular surgery techniques, resulted in a successful clinical outcome and avoided serious complications. This case highlights the importance of a multidisciplinary approach and timely intervention in treating complex cardiovascular pathologies.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1215-1221"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.radcr.2025.01.065
Nikita Grieder MD , Marcella Pucci MD , Claudio De Vito MD, PhD , Yan Monnier MD, PhD , Nicolas Dulguerov MD , Maxime Mermod MD, PhD
Head and neck tumors in adults present a broad differential diagnosis, particularly when considering malignant neoplasms that require prompt diagnosis and intervention. We report the case of a 66-year-old woman with a progressively enlarging mass in the left parotid region. Initial assessments, including fine needle aspiration biopsy and imaging studies from outside institutions, suggested a diagnosis of squamous cell carcinoma. However, final histopathological analysis revealed that the mass was consistent with a pilomatrixoma. This case highlights the critical importance of meticulous radiological interpretation and the role of fine needle aspiration cytology (FNA) in accurately distinguishing between these 2 entities before initiating treatment.
{"title":"Pilomatrixoma of the parotid region: A benign tumor mimicking metastatic cutaneous squamous cell carcinoma","authors":"Nikita Grieder MD , Marcella Pucci MD , Claudio De Vito MD, PhD , Yan Monnier MD, PhD , Nicolas Dulguerov MD , Maxime Mermod MD, PhD","doi":"10.1016/j.radcr.2025.01.065","DOIUrl":"10.1016/j.radcr.2025.01.065","url":null,"abstract":"<div><div>Head and neck tumors in adults present a broad differential diagnosis, particularly when considering malignant neoplasms that require prompt diagnosis and intervention. We report the case of a 66-year-old woman with a progressively enlarging mass in the left parotid region. Initial assessments, including fine needle aspiration biopsy and imaging studies from outside institutions, suggested a diagnosis of squamous cell carcinoma. However, final histopathological analysis revealed that the mass was consistent with a pilomatrixoma. This case highlights the critical importance of meticulous radiological interpretation and the role of fine needle aspiration cytology (FNA) in accurately distinguishing between these 2 entities before initiating treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2159-2162"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Myxomas are cardiac neoplasms that are most commonly located in the left atrium, usually arising from the vicinity of the fossa ovalis. However, there have been cases, although very rarely, of valvular myxoma. A cardiac mass found incidentally on echocardiography can present a challenge in particular if asymptomatic or found in an unusual location. We present the case of a 58-year-old male with kidney disease treated with chronic dialysis, referred to the cardiology clinic because of an incidental finding of a mitral valvular mass on routine transthoracic echocardiography. Although this lesion was initially misdiagnosed as native valvular endocarditis with vegetation, a series of clinical and radiological investigations led to the preoperative diagnosis of possible papillary fibroelastoma or calcified thrombotic mass. Given the increased risk of embolization due to the mass being mobile and greater than 1 cm in size, the patient was referred to cardiac surgery. Excision of the mass without mitral valve replacement was performed. Histopathological findings of the mass revealed the existence of a cardiac myxoma. In such cases of a mitral valve mass, multimodality imaging should have of high priority to achieve an accurate diagnosis. Although a definitive diagnosis can only be established after surgical excision of the mass and histopathological confirmation, it is very important to consider a differential diagnosis of mitral valve myxoma in any patient with an unexplained mitral valve mass.
{"title":"Finding of a mass on the mitral valve in a patient on chronic dialysis","authors":"Vasil Papestiev MD, PhD , Marjan Shokarovski MD , Nikola Lazovski MD , Nadica Mehmedovic MD , Valentina Andova MD, PhD , Gordana Petrushevska MD, PhD , Ljubica Georgievska-Ismail MD, PhD","doi":"10.1016/j.radcr.2025.01.020","DOIUrl":"10.1016/j.radcr.2025.01.020","url":null,"abstract":"<div><div>Myxomas are cardiac neoplasms that are most commonly located in the left atrium, usually arising from the vicinity of the fossa ovalis. However, there have been cases, although very rarely, of valvular myxoma. A cardiac mass found incidentally on echocardiography can present a challenge in particular if asymptomatic or found in an unusual location. We present the case of a 58-year-old male with kidney disease treated with chronic dialysis, referred to the cardiology clinic because of an incidental finding of a mitral valvular mass on routine transthoracic echocardiography. Although this lesion was initially misdiagnosed as native valvular endocarditis with vegetation, a series of clinical and radiological investigations led to the preoperative diagnosis of possible papillary fibroelastoma or calcified thrombotic mass. Given the increased risk of embolization due to the mass being mobile and greater than 1 cm in size, the patient was referred to cardiac surgery. Excision of the mass without mitral valve replacement was performed. Histopathological findings of the mass revealed the existence of a cardiac myxoma. In such cases of a mitral valve mass, multimodality imaging should have of high priority to achieve an accurate diagnosis. Although a definitive diagnosis can only be established after surgical excision of the mass and histopathological confirmation, it is very important to consider a differential diagnosis of mitral valve myxoma in any patient with an unexplained mitral valve mass.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2075-2079"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pilocytic astrocytoma (PA) is a rare, low-grade glioma predominantly affecting children and young adults, with a favorable prognosis and a high survival rate. Despite its’ slow growth, PA often presents with significant symptoms at diagnosis due to its tendency to reach a large size, especially in pediatric patients, where compensatory mechanisms can delay detection. This case report describes a 7-year-old girl with progressive vision loss, headache, and balance disturbance. The imaging result revealed a right cerebellar mass that was in accordance with pilocytic astrocytoma and obstructive hydrocephalus. Histopathologic analysis confirmed the diagnosis with the typical features of PA such as Rosenthal fibers and eosinophilic granular bodies. This case report highlights the critical role of radiologic and histopathologic evaluations for PA diagnosis and management; also the unique presentation and challenges in managing PA, emphasizing the importance of timely intervention to optimize neurological outcomes.
{"title":"Pilocytic astrocytoma: A rare case report","authors":"Harry Galuh Nugraha PhD , Elsa Yoasta MD , Mirna Sobana MD , Hermin Aminah Usman MD","doi":"10.1016/j.radcr.2025.01.025","DOIUrl":"10.1016/j.radcr.2025.01.025","url":null,"abstract":"<div><div>Pilocytic astrocytoma (PA) is a rare, low-grade glioma predominantly affecting children and young adults, with a favorable prognosis and a high survival rate. Despite its’ slow growth, PA often presents with significant symptoms at diagnosis due to its tendency to reach a large size, especially in pediatric patients, where compensatory mechanisms can delay detection. This case report describes a 7-year-old girl with progressive vision loss, headache, and balance disturbance. The imaging result revealed a right cerebellar mass that was in accordance with pilocytic astrocytoma and obstructive hydrocephalus. Histopathologic analysis confirmed the diagnosis with the typical features of PA such as Rosenthal fibers and eosinophilic granular bodies. This case report highlights the critical role of radiologic and histopathologic evaluations for PA diagnosis and management; also the unique presentation and challenges in managing PA, emphasizing the importance of timely intervention to optimize neurological outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2175-2179"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.radcr.2024.07.153
Wassim Beladel MD , Wafa Id El Mouden MD , Mehdi Abdelali MD , Oussama Cheikhna MD , Karim Hasni MD , Mohamed EL Minaoui MD
An anomalous origin of the right coronary artery from the opposite sinus (R- ACAOS) with interarterial course is a very rare congenital anomaly with an increased risk of sudden cardiac death. A 29-year-old woman was admitted for exertional angina pectoris. A coronary computed tomography angiography with 3D multiplanar reconstruction revealed an R-ACAOS running between the aorta and pulmonary artery with high anatomical features and no ischemia-induced at the stress test. The heart team staff decided to manage the patient surgically. Coronary arteries are characterized by their origin, course, and boundaries with intracardiac structures and large vessels. Computed tomography angiography is the gold standard exam to confirm the diagnosis and identify high-risk anatomic features that guide the management. It is important to consider treatment options for these patients whether by medical treatment, coronary angioplasty, or surgical repair, because of the increased risk of SCD. We hereby present an R-ACAOS with interarterial course and high anatomic features, which is an uncommon finding and can be fatal if it remains undiscovered.
{"title":"Anomalous origin of the right coronary artery from the opposite sinus with interarterial course: A case report","authors":"Wassim Beladel MD , Wafa Id El Mouden MD , Mehdi Abdelali MD , Oussama Cheikhna MD , Karim Hasni MD , Mohamed EL Minaoui MD","doi":"10.1016/j.radcr.2024.07.153","DOIUrl":"10.1016/j.radcr.2024.07.153","url":null,"abstract":"<div><div>An anomalous origin of the right coronary artery from the opposite sinus (R- ACAOS) with interarterial course is a very rare congenital anomaly with an increased risk of sudden cardiac death. A 29-year-old woman was admitted for exertional angina pectoris. A coronary computed tomography angiography with 3D multiplanar reconstruction revealed an R-ACAOS running between the aorta and pulmonary artery with high anatomical features and no ischemia-induced at the stress test. The heart team staff decided to manage the patient surgically. Coronary arteries are characterized by their origin, course, and boundaries with intracardiac structures and large vessels. Computed tomography angiography is the gold standard exam to confirm the diagnosis and identify high-risk anatomic features that guide the management. It is important to consider treatment options for these patients whether by medical treatment, coronary angioplasty, or surgical repair, because of the increased risk of SCD. We hereby present an R-ACAOS with interarterial course and high anatomic features, which is an uncommon finding and can be fatal if it remains undiscovered.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1263-1267"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.radcr.2024.11.010
J. Bastidas , L. López-Nuñez , R. Faré , Javier G. Moríñigo , I. Ros , A. Juan Mas
Osseous sarcoidosis is a rare manifestation of sarcoidosis, often mimicking other conditions like metastatic disease. Skeletal involvement occurs in only 3%-13% of cases (1), making diagnosis challenging. We present the case of a 63-year-old female with a 1-month history of inflammatory bone pain and multiple lytic and blastic lesions.
A 63-year-old female presented with a 1-month history of inflammatory pain in the left hip and lumbar spine. Radiological studies, including magnetic resonance imaging (MRI) and computed tomography (CT), revealed multiple bone lesions throughout the lumbar spine, sacrum and iliac bones, raising suspicion of metastatic disease a bone biopsy confirmed a diagnosis of sarcoidosis.
MRI and CT showed lytic and blastic lesions in the axial skeleton, with FDG-PET indicating diffuse uptake in the iliac bone and mediastinal adenopathy. Imaging was crucial in ruling out metastases and guiding the biopsy, which confirmed the diagnosis.
Osseous sarcoidosis is a rare entity that poses a significant diagnostic challenge, often resembling metastatic disease. Imaging techniques such as MRI and CT, combined with biopsy, are effective, noninvasive methods for evaluation and diagnosis. The patient was treated with corticosteroids in high doses and systemic methotrexate, showing improvement in inflammatory pain and stabilization of the bone lesions.
{"title":"Osseous sarcoidosis presenting as lytic and blastic bone lesions: A rare diagnostic challenge","authors":"J. Bastidas , L. López-Nuñez , R. Faré , Javier G. Moríñigo , I. Ros , A. Juan Mas","doi":"10.1016/j.radcr.2024.11.010","DOIUrl":"10.1016/j.radcr.2024.11.010","url":null,"abstract":"<div><div>Osseous sarcoidosis is a rare manifestation of sarcoidosis, often mimicking other conditions like metastatic disease. Skeletal involvement occurs in only 3%-13% of cases (1), making diagnosis challenging. We present the case of a 63-year-old female with a 1-month history of inflammatory bone pain and multiple lytic and blastic lesions.</div><div>A 63-year-old female presented with a 1-month history of inflammatory pain in the left hip and lumbar spine. Radiological studies, including magnetic resonance imaging (MRI) and computed tomography (CT), revealed multiple bone lesions throughout the lumbar spine, sacrum and iliac bones, raising suspicion of metastatic disease a bone biopsy confirmed a diagnosis of sarcoidosis.</div><div>MRI and CT showed lytic and blastic lesions in the axial skeleton, with FDG-PET indicating diffuse uptake in the iliac bone and mediastinal adenopathy. Imaging was crucial in ruling out metastases and guiding the biopsy, which confirmed the diagnosis.</div><div>Osseous sarcoidosis is a rare entity that poses a significant diagnostic challenge, often resembling metastatic disease. Imaging techniques such as MRI and CT, combined with biopsy, are effective, noninvasive methods for evaluation and diagnosis. The patient was treated with corticosteroids in high doses and systemic methotrexate, showing improvement in inflammatory pain and stabilization of the bone lesions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1247-1251"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.radcr.2024.11.034
Ashima Kundu BS, Liana Ysabel Almendras Bautista BS, Haley Clark BS, Usman Beg DO, Amirmasoud Negarestani MD, Emad Allam MD
Osteoid osteoma (OO), a benign bone-forming tumor estimated to account for 3% of all primary bone tumors, rarely occurs in the finger. This case report presents an unusual instance of osteoid osteoma in the finger of a 15-year-old male patient. The lesion was discovered following an initial patient visit for left middle finger pain and swelling for one year without any identifiable injuries.
{"title":"Osteoid osteoma of the distal phalanx of the finger: Case report and review of literature","authors":"Ashima Kundu BS, Liana Ysabel Almendras Bautista BS, Haley Clark BS, Usman Beg DO, Amirmasoud Negarestani MD, Emad Allam MD","doi":"10.1016/j.radcr.2024.11.034","DOIUrl":"10.1016/j.radcr.2024.11.034","url":null,"abstract":"<div><div>Osteoid osteoma (OO), a benign bone-forming tumor estimated to account for 3% of all primary bone tumors, rarely occurs in the finger. This case report presents an unusual instance of osteoid osteoma in the finger of a 15-year-old male patient. The lesion was discovered following an initial patient visit for left middle finger pain and swelling for one year without any identifiable injuries.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1284-1287"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A rare type of localized gigantism known as macrodystrophia lipomatosa is characterized by a disproportionate increase in fibroadipose tissues and a gradual overgrowth of all mesenchymal elements. The distribution in the lower extremities’ plantar nerves and the upper extremity's median nerve is most commonly observed. This abnormality is congenital and typically manifests at birth or during the neonatal stage. This deformity begins to mechanically impair joint function, blood supply, and innervation as age advances. The findings from radiography include lucencies in the soft tissues and expansion of the digit's phalanges and soft tissue components, with predominantly distal component involvement. Herein, we present a case of a 20-year-old male from rural India who came to us with the complaint of abnormal asymmetrical swelling of bilateral hand fingers, which has been progressing since birth. Physical examination revealed a soft, non-fluctuant, non-pulsatile swelling with no associated trauma or injury. The clinical picture revealed disproportionate enlargement of phalanges in both hands.
{"title":"Macrodystrophia lipomatosa: Clinical and radiological insights into localized gigantism","authors":"Nishtha Manuja MBBS , Sandip Mohale MBBS, DNB Medicine , Shreya Khandelwal MBBS , Anshul Sood MBBS","doi":"10.1016/j.radcr.2024.11.029","DOIUrl":"10.1016/j.radcr.2024.11.029","url":null,"abstract":"<div><div>A rare type of localized gigantism known as macrodystrophia lipomatosa is characterized by a disproportionate increase in fibroadipose tissues and a gradual overgrowth of all mesenchymal elements. The distribution in the lower extremities’ plantar nerves and the upper extremity's median nerve is most commonly observed. This abnormality is congenital and typically manifests at birth or during the neonatal stage. This deformity begins to mechanically impair joint function, blood supply, and innervation as age advances. The findings from radiography include lucencies in the soft tissues and expansion of the digit's phalanges and soft tissue components, with predominantly distal component involvement. Herein, we present a case of a 20-year-old male from rural India who came to us with the complaint of abnormal asymmetrical swelling of bilateral hand fingers, which has been progressing since birth. Physical examination revealed a soft, non-fluctuant, non-pulsatile swelling with no associated trauma or injury. The clinical picture revealed disproportionate enlargement of phalanges in both hands.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1280-1283"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pulmonary venous developmental anomalies have historically been evaluated using echocardiography and catheter-based angiography. In recent years, however, multidetector CT angiography (MDCTA) and MR angiography have become increasingly important tools for detailed characterization of these anomalies. This case report provides an in-depth review of the radiologic findings in a 15-year-old patient diagnosed with the supracardiac type of Total Anomalous Pulmonary Venous Connection (TAPVC). The report emphasizes the imaging features that were instrumental in the diagnosis and underscores the crucial role of advanced imaging techniques in the management of this serious congenital heart defect.
{"title":"Supracardiac type of total anomalous pulmonary venous connection: Diagnosis and demonstration by multidetector CT angiography","authors":"Neha Singh MD , Guriya Kumari MD , Deepak Kumar Singh MCh","doi":"10.1016/j.radcr.2024.11.018","DOIUrl":"10.1016/j.radcr.2024.11.018","url":null,"abstract":"<div><div>Pulmonary venous developmental anomalies have historically been evaluated using echocardiography and catheter-based angiography. In recent years, however, multidetector CT angiography (MDCTA) and MR angiography have become increasingly important tools for detailed characterization of these anomalies. This case report provides an in-depth review of the radiologic findings in a 15-year-old patient diagnosed with the supracardiac type of Total Anomalous Pulmonary Venous Connection (TAPVC). The report emphasizes the imaging features that were instrumental in the diagnosis and underscores the crucial role of advanced imaging techniques in the management of this serious congenital heart defect.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1243-1246"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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