The occurrence of isolated bilateral hippocampus infarct is extremely rare and is thought to be associated with a number of etiologies, including ischemia, infection, paraneoplastic syndromes, seizures, drug addiction, etc. The presented manuscript depicts a case of a 28-year-old male patient who has been a chronic alcoholic for the past 4 years and, on imaging, was found to have a bilateral hippocampal infarct in isolation. Also, the manuscript presents the appearance of the magnetic resonance imaging (MRI) of Bochdalek's flower basket, which is an anatomical variant of the choroid plexus in the fourth ventricle.
{"title":"MRI appearance of Bochdalek's flower basket in a patient with bilateral hippocampus infarct","authors":"Anshul Sood MBBS , Gaurav Vedprakash Mishra MBBS, MD , Shreya Khandelwal MBBS , Nishtha Manuja MBBS , Suhit Naseri MBBS","doi":"10.1016/j.radcr.2024.11.024","DOIUrl":"10.1016/j.radcr.2024.11.024","url":null,"abstract":"<div><div>The occurrence of isolated bilateral hippocampus infarct is extremely rare and is thought to be associated with a number of etiologies, including ischemia, infection, paraneoplastic syndromes, seizures, drug addiction, etc. The presented manuscript depicts a case of a 28-year-old male patient who has been a chronic alcoholic for the past 4 years and, on imaging, was found to have a bilateral hippocampal infarct in isolation. Also, the manuscript presents the appearance of the magnetic resonance imaging (MRI) of Bochdalek's flower basket, which is an anatomical variant of the choroid plexus in the fourth ventricle.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1277-1279"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886283","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.2025.01.042
Nathalia Sofia Coral- Rivera MD , Andrés Hernando Tascón-Barona MD
Leriche syndrome, or aortoiliac occlusive disease, is a condition caused by atherosclerosis, affecting the distal abdominal aorta and iliac arteries, and potentially extending to the femoropopliteal vessels. Clinically, it presents with symptoms such as bilateral intermittent claudication, ischemic pain, and absence of femoral pulses. However, some patients may remain asymptomatic due to the development of collateral networks, complicating early diagnosis and increasing the risk of severe complications. This case involves an 86-year-old patient with aortoiliac occlusive disease and acute thrombosis, diagnosed using computed tomography angiography. This imaging technique allowed for the identification of the extent of occlusion, assessment of collateral circulation, and evaluation of distal patency, thus guiding surgical intervention.
{"title":"Leriche syndrome: Importance of diagnostic imaging for early detection and management","authors":"Nathalia Sofia Coral- Rivera MD , Andrés Hernando Tascón-Barona MD","doi":"10.1016/j.radcr.2025.01.042","DOIUrl":"10.1016/j.radcr.2025.01.042","url":null,"abstract":"<div><div>Leriche syndrome, or aortoiliac occlusive disease, is a condition caused by atherosclerosis, affecting the distal abdominal aorta and iliac arteries, and potentially extending to the femoropopliteal vessels. Clinically, it presents with symptoms such as bilateral intermittent claudication, ischemic pain, and absence of femoral pulses. However, some patients may remain asymptomatic due to the development of collateral networks, complicating early diagnosis and increasing the risk of severe complications. This case involves an 86-year-old patient with aortoiliac occlusive disease and acute thrombosis, diagnosed using computed tomography angiography. This imaging technique allowed for the identification of the extent of occlusion, assessment of collateral circulation, and evaluation of distal patency, thus guiding surgical intervention.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2070-2074"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133807","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}
Mycobacterium Tuberculosis (M. TB) and Mycobacterium Bovis (M. Bovis), constituents of the Mycobacterium Tuberculosis complex (MTBC), pose diagnostic challenges due to shared extrapulmonary manifestations. This case portrays a patient initially treated for a fungal infection after presenting with weight loss, anorexia, and positive fecal occult blood. Subsequent hospitalization for continuous fever, limb edema, and strawberry tongue led to a diagnosis of Kawasaki disease. Despite treatment, symptoms persisted, prompting further investigation culminating in a Crohn's disease diagnosis and subsequent treatment initiation. However, symptom resolution remained elusive, prompting an urgent laparotomy where TB was confirmed via biopsies, despite earlier negative TB tests. This case underscores the diagnostic intricacies between Intestinal TB and Crohn's disease, emphasizing the necessity for heightened TB suspicion despite initial negative tests. The clinical overlap mandates meticulous diagnostic evaluations to avoid delayed or missed diagnoses.
{"title":"Case report: A case of mycobacterium bovis, in a previously healthy 10-year-old girl in Lebanon","authors":"Amal Naous MD , Zeina Naja MD , Aref Ramadan MD , Batoul Ahmad-Kassem MD , Walaa Saba Tayon MD , Mahmoud Abdelnabi MD , Lynn Mansour , Zenah Delbani , Elissa El-judri , Ali Zeidan , Mariam Rajab MD","doi":"10.1016/j.radcr.2025.01.059","DOIUrl":"10.1016/j.radcr.2025.01.059","url":null,"abstract":"<div><div>Mycobacterium Tuberculosis (M. TB) and Mycobacterium Bovis (M. Bovis), constituents of the Mycobacterium Tuberculosis complex (MTBC), pose diagnostic challenges due to shared extrapulmonary manifestations. This case portrays a patient initially treated for a fungal infection after presenting with weight loss, anorexia, and positive fecal occult blood. Subsequent hospitalization for continuous fever, limb edema, and strawberry tongue led to a diagnosis of Kawasaki disease. Despite treatment, symptoms persisted, prompting further investigation culminating in a Crohn's disease diagnosis and subsequent treatment initiation. However, symptom resolution remained elusive, prompting an urgent laparotomy where TB was confirmed via biopsies, despite earlier negative TB tests. This case underscores the diagnostic intricacies between Intestinal TB and Crohn's disease, emphasizing the necessity for heightened TB suspicion despite initial negative tests. The clinical overlap mandates meticulous diagnostic evaluations to avoid delayed or missed diagnoses.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2167-2174"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133724","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.2024.11.030
Kaoutar Maslouhi, Eric Michel Charlemagne Kessi Junior, Safae Lanjeri, Kaouthar Sfar, Salma Malak Ridah, Youssef Omor, Rachida Latib, Sanae Amalik
Pleomorphic adenoma (PA) is the most common benign histological form of salivary gland tumors, particularly in the parotid gland, primarily affecting women between the ages of 40 and 60. However, its occurrence in the trachea is very rare. This article reports the case of a 48-year-old woman presenting with progressive dyspnea and weight loss, initially suspected of having a pulmonary embolism. A chest CT scan revealed a nearly circumferential tracheal lesion with 2 nodules partially obstructing the tracheal lumen. Histological analysis confirmed the presence of a pleomorphic adenoma of the “salivary gland” type. Although rare, tracheal pleomorphic adenoma should be considered in the differential diagnosis of tracheal tumors. MRI is the preferred examination for detecting tumors in the parotid gland region, offering excellent tissue differentiation. Surgery remains the treatment of choice to prevent recurrence.
{"title":"Unexpected cause of dyspnea: A case of pleomorphic adenoma in the trachea","authors":"Kaoutar Maslouhi, Eric Michel Charlemagne Kessi Junior, Safae Lanjeri, Kaouthar Sfar, Salma Malak Ridah, Youssef Omor, Rachida Latib, Sanae Amalik","doi":"10.1016/j.radcr.2024.11.030","DOIUrl":"10.1016/j.radcr.2024.11.030","url":null,"abstract":"<div><div>Pleomorphic adenoma (PA) is the most common benign histological form of salivary gland tumors, particularly in the parotid gland, primarily affecting women between the ages of 40 and 60. However, its occurrence in the trachea is very rare. This article reports the case of a 48-year-old woman presenting with progressive dyspnea and weight loss, initially suspected of having a pulmonary embolism. A chest CT scan revealed a nearly circumferential tracheal lesion with 2 nodules partially obstructing the tracheal lumen. Histological analysis confirmed the presence of a pleomorphic adenoma of the “salivary gland” type. Although rare, tracheal pleomorphic adenoma should be considered in the differential diagnosis of tracheal tumors. MRI is the preferred examination for detecting tumors in the parotid gland region, offering excellent tissue differentiation. Surgery remains the treatment of choice to prevent recurrence.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1229-1232"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883622","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.2024.10.149
Asma Jdar , Mehdi Lekehal , Jean Pierre Favre , Brahim Lekehal
Venous aneurysms of the lower limbs are rare, and those located in the popliteal area are the most described. Congenital anatomical variations have been reported but are also exceptional. They can affect both superficial and deep veins. The risk of thromboembolism is present in deep locations, particularly in the popliteal area or in venous drainage malformations. We report the case of a pulmonary embolism revealing a venous aneurysm involving an atypical drainage vein. The contribution of Doppler ultrasound, CT scan, MRI, and venous Doppler was crucial for establishing the diagnosis. Surgery is the treatment of choice, combining in our case aneurysmorrhaphy and anticoagulation, with good patency observed in follow-up controls.
{"title":"Embolic popliteal venous aneurysm revealing a congenital venous anatomical variation: A case report and literature review","authors":"Asma Jdar , Mehdi Lekehal , Jean Pierre Favre , Brahim Lekehal","doi":"10.1016/j.radcr.2024.10.149","DOIUrl":"10.1016/j.radcr.2024.10.149","url":null,"abstract":"<div><div>Venous aneurysms of the lower limbs are rare, and those located in the popliteal area are the most described. Congenital anatomical variations have been reported but are also exceptional. They can affect both superficial and deep veins. The risk of thromboembolism is present in deep locations, particularly in the popliteal area or in venous drainage malformations. We report the case of a pulmonary embolism revealing a venous aneurysm involving an atypical drainage vein. The contribution of Doppler ultrasound, CT scan, MRI, and venous Doppler was crucial for establishing the diagnosis. Surgery is the treatment of choice, combining in our case aneurysmorrhaphy and anticoagulation, with good patency observed in follow-up controls.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1233-1235"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900375","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.2024.11.013
Pramod V MD, MICR , Sanjay S C MD , Dheepika R MD , Mohan C V MD
Here, we discuss a rare and to our knowledge, the first case of an atypical Van der Knaap's disease in a 6-year-old boy who presented with motor difficulties, developmental delay, cognitive impairment, seizures. The objective of this report is to highlight its unusual findings on MRI including internal capsule, brainstem, cerebellum involvement; subependymal nodular heterotopia, subependymal cysts, cortical laminar necrosis along with typical findings of megalencephalic leukoencephalopathy and subcortical cysts. The study also underscores the clinical implications of this complex pathology, with emphasis on comprehensive neuroradiological evaluation for atypical presentations to guide better diagnostic and management outcomes.
{"title":"Imaging in atypical van der knaap disease with subependymal nodular heterotopia: A case report","authors":"Pramod V MD, MICR , Sanjay S C MD , Dheepika R MD , Mohan C V MD","doi":"10.1016/j.radcr.2024.11.013","DOIUrl":"10.1016/j.radcr.2024.11.013","url":null,"abstract":"<div><div>Here, we discuss a rare and to our knowledge, the first case of an atypical Van der Knaap's disease in a 6-year-old boy who presented with motor difficulties, developmental delay, cognitive impairment, seizures. The objective of this report is to highlight its unusual findings on MRI including internal capsule, brainstem, cerebellum involvement; subependymal nodular heterotopia, subependymal cysts, cortical laminar necrosis along with typical findings of megalencephalic leukoencephalopathy and subcortical cysts. The study also underscores the clinical implications of this complex pathology, with emphasis on comprehensive neuroradiological evaluation for atypical presentations to guide better diagnostic and management outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1222-1228"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900378","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 is a case report of a 54-year-old patient with hepatocellular cancer under palliative chemotherapy who admitted with dyspnea on minimal exertion and peripheral oedema over the past 5 days. Echocardiogram revealed a large echogenic mass in the right atrial cavity which did not enhance with intravenous echo contrast agent, and a distended inferior vena cava (IVC) which was occluded by echogenic material with no signs of flow. To distinguish with accuracy if the thrombus was a bland or tumor thrombus, contrast-enhanced Computed Tomography (CT) was performed. CT Pulmonary Angiography and abdominal contrast-enhanced CT showed a distended and occluded IVC by a mass that extended to the right atrium and enhanced with intravenous contrast agent, and thus the mass was considered as a tumor thrombus. Due to the impaired performance status and liver function of the patient, supportive treatment was preferred instead of a surgical or radiological intervention. Large tumor thrombus extending into the right atrium through the inferior vena cava due to hepatocellular carcinoma has a rare incidence and is associated with a poor prognosis.
{"title":"Large tumor thrombus extending into the right atrium through the inferior vena cava due to hepatocellular carcinoma: A case report","authors":"Georgios Benetos MD , Angeliki Vakka MD , Eirini Solomou MD , Vasiliki Katsi MD , Konstantinos Tsioufis MD , Konstantinos Toutouzas MD","doi":"10.1016/j.radcr.2024.11.026","DOIUrl":"10.1016/j.radcr.2024.11.026","url":null,"abstract":"<div><div>This is a case report of a 54-year-old patient with hepatocellular cancer under palliative chemotherapy who admitted with dyspnea on minimal exertion and peripheral oedema over the past 5 days. Echocardiogram revealed a large echogenic mass in the right atrial cavity which did not enhance with intravenous echo contrast agent, and a distended inferior vena cava (IVC) which was occluded by echogenic material with no signs of flow. To distinguish with accuracy if the thrombus was a bland or tumor thrombus, contrast-enhanced Computed Tomography (CT) was performed. CT Pulmonary Angiography and abdominal contrast-enhanced CT showed a distended and occluded IVC by a mass that extended to the right atrium and enhanced with intravenous contrast agent, and thus the mass was considered as a tumor thrombus. Due to the impaired performance status and liver function of the patient, supportive treatment was preferred instead of a surgical or radiological intervention. Large tumor thrombus extending into the right atrium through the inferior vena cava due to hepatocellular carcinoma has a rare incidence and is associated with a poor prognosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1273-1276"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883604","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}
Fahr's disease is a rare neurological disorder which is characterized by the presence of abnormal, symmetrical, and bilateral calcifications within the basal ganglia and other cerebral areas. Seizures are 1 of the symptoms that may aid in its diagnosis. Fahr's disease is diagnosed in adults mostly. In this account, we describe the case of a male in his late 20s who was diagnosed with Fahr's disease. The patient experienced multiple seizures and severe headaches for the past 5 months. His medical history was not significant. Upon his admission to the emergency department, imaging studies (Computed Tomography and Magnetic Resonance Imaging) revealed the presence of bilateral and symmetrical calcifications situated within the bilateral corona radiata, bilateral centrum semiovale, bilateral gangliocapsular region, bilateral thalamus and bilateral dentate nucleus. Laboratory investigations ruled out alternative causes for secondary intracranial calcification. Moreover, the patient had no significant familial history. Considering the clinical, biological, and radiological evaluations, the diagnosis was concluded to align with a sporadic form of Fahr's disease.
Although seizures are less common symptoms associated with Fahr's disease, the identification of bilateral and symmetrical calcifications in the basal ganglia and other regions on radiological imaging in a patient presenting with seizures should warrant consideration of this neurologic disorder, following the exclusion of other potential causes of intracranial calcification.
{"title":"Navigating diagnostic uncertainty in fahr's disease: a case report with neuroimaging correlations","authors":"Devyansh Nimodia MBBS , Pratapsingh Hanuman Parihar MD Radiodiagnosis , Sakshi Dudhe MBBS , Ravishankar Patil MD Radiodiagnosis , Paritosh N. Bhangale MBBS , Rishitha Kotla MBBS","doi":"10.1016/j.radcr.2024.11.016","DOIUrl":"10.1016/j.radcr.2024.11.016","url":null,"abstract":"<div><div>Fahr's disease is a rare neurological disorder which is characterized by the presence of abnormal, symmetrical, and bilateral calcifications within the basal ganglia and other cerebral areas. Seizures are 1 of the symptoms that may aid in its diagnosis. Fahr's disease is diagnosed in adults mostly. In this account, we describe the case of a male in his late 20s who was diagnosed with Fahr's disease. The patient experienced multiple seizures and severe headaches for the past 5 months. His medical history was not significant. Upon his admission to the emergency department, imaging studies (Computed Tomography and Magnetic Resonance Imaging) revealed the presence of bilateral and symmetrical calcifications situated within the bilateral corona radiata, bilateral centrum semiovale, bilateral gangliocapsular region, bilateral thalamus and bilateral dentate nucleus. Laboratory investigations ruled out alternative causes for secondary intracranial calcification. Moreover, the patient had no significant familial history. Considering the clinical, biological, and radiological evaluations, the diagnosis was concluded to align with a sporadic form of Fahr's disease.</div><div>Although seizures are less common symptoms associated with Fahr's disease, the identification of bilateral and symmetrical calcifications in the basal ganglia and other regions on radiological imaging in a patient presenting with seizures should warrant consideration of this neurologic disorder, following the exclusion of other potential causes of intracranial calcification.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1252-1256"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883616","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.2024.11.032
Yunis Daralammouri MD , Murad Azamtta MD , Qutaiba Ja'far A. Mahmoud MD
Cor triatriatum is an uncommon cardiac defect that occurs in 0.1-0.4% of congenital heart disease patients. It is characterized by a fibromuscular membrane separating the left (sinister) or the right (Dexter) atriums in tow chambers. The disease is usually discovered accidently in late childhood, usually as a result of a moderate form of this condition type. We discuss the case of a 14-year-old girl who had been experiencing exertional dyspnea and palpitations for about a year. She was referred to our hospital for assessment after an initial echocardiogram at another hospital revealed a mass around the left atrium. Repeated echocardiography at our institution revealed dilated coronary sinus, confusing the diagnosis. The left atrium was dilated and divided into 2 chambers by a thin membrane with an elevated pressure gradient between the 2 chambers. Cardiac CT and MRI confirmed the diagnosis of cor triatriatum sinister (CTS) with concomitant persisting left superior vena cava. Because of her symptoms, she was started medical treatment and referred for surgical evaluation. Cor triatriatum sinister (CTS) is frequently accompanied with atrial septal abnormalities and enlarged coronary sinus caused by a persistent left superior vena cava, as demonstrated in our case. The management of cor triatriatum sinister (CTS) is determined by the severity of the symptoms. Asymptomatic individuals with no pressure gradient do not require therapy; however, significant membrane obstruction may require surgical removal, which typically leads to positive short- and long-term outcomes.
{"title":"An uncommon cardiovascular abnormality: Case report of core triatriatum associated with persistent left superior vena cava and coronary sinus dilation","authors":"Yunis Daralammouri MD , Murad Azamtta MD , Qutaiba Ja'far A. Mahmoud MD","doi":"10.1016/j.radcr.2024.11.032","DOIUrl":"10.1016/j.radcr.2024.11.032","url":null,"abstract":"<div><div>Cor triatriatum is an uncommon cardiac defect that occurs in 0.1-0.4% of congenital heart disease patients. It is characterized by a fibromuscular membrane separating the left (sinister) or the right (Dexter) atriums in tow chambers. The disease is usually discovered accidently in late childhood, usually as a result of a moderate form of this condition type. We discuss the case of a 14-year-old girl who had been experiencing exertional dyspnea and palpitations for about a year. She was referred to our hospital for assessment after an initial echocardiogram at another hospital revealed a mass around the left atrium. Repeated echocardiography at our institution revealed dilated coronary sinus, confusing the diagnosis. The left atrium was dilated and divided into 2 chambers by a thin membrane with an elevated pressure gradient between the 2 chambers. Cardiac CT and MRI confirmed the diagnosis of cor triatriatum sinister (CTS) with concomitant persisting left superior vena cava. Because of her symptoms, she was started medical treatment and referred for surgical evaluation. Cor triatriatum sinister (CTS) is frequently accompanied with atrial septal abnormalities and enlarged coronary sinus caused by a persistent left superior vena cava, as demonstrated in our case. The management of cor triatriatum sinister (CTS) is determined by the severity of the symptoms. Asymptomatic individuals with no pressure gradient do not require therapy; however, significant membrane obstruction may require surgical removal, which typically leads to positive short- and long-term outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1236-1242"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883562","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}
Mounier-Kuhn syndrome, also known as tracheobronchomegaly, is a rare clinical and radiological condition characterized by tracheobronchial dilatation and recurrent respiratory infections. Patients may be asymptomatic or present with severe respiratory illnesses. A CT scan is sufficient to confirm the diagnosis. Treatment is symptomatic, and surgery is rarely indicated. We present the case of a 55-year-old patient with a 30-year history of chronic dyspnea, who presented with worsening shortness of breath, a productive cough, and episodes of bronchial superinfection. A chest CT scan, performed before and after contrast injection during both inspiratory and expiratory phases, confirmed the diagnosis of Mounier-Kuhn syndrome. This case aims to raise awareness of this rare condition and highlights a presentation where dyspnea is the primary symptom.
{"title":"A rare cause of dyspnea: Mounier Kuhn syndrome","authors":"Feryal El Oualladi MD, Mohamed Labied MD, Ismail Bouzid MD, Chorouk Mountassir MD, Ghizlane Lembarki MD, Mouna Sabiri PhD, Samira Lezar PhD.","doi":"10.1016/j.radcr.2024.11.015","DOIUrl":"10.1016/j.radcr.2024.11.015","url":null,"abstract":"<div><div>Mounier-Kuhn syndrome, also known as tracheobronchomegaly, is a rare clinical and radiological condition characterized by tracheobronchial dilatation and recurrent respiratory infections. Patients may be asymptomatic or present with severe respiratory illnesses. A CT scan is sufficient to confirm the diagnosis. Treatment is symptomatic, and surgery is rarely indicated. We present the case of a 55-year-old patient with a 30-year history of chronic dyspnea, who presented with worsening shortness of breath, a productive cough, and episodes of bronchial superinfection. A chest CT scan, performed before and after contrast injection during both inspiratory and expiratory phases, confirmed the diagnosis of Mounier-Kuhn syndrome. This case aims to raise awareness of this rare condition and highlights a presentation where dyspnea is the primary symptom.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1268-1272"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883560","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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