Pub Date : 2026-01-21DOI: 10.1016/j.radcr.2025.12.028
Mutasem Sayyed Ahmad , Taha Mahmoud AlBaik , Hossam Salameh , Nasim Abukaresh , Masa Al-shareef , Mosaikah Anati
Prune belly syndrome (PBS), or Eagle–Barrett syndrome, is a rare congenital disorder defined by a triad of abdominal wall hypoplasia, urinary tract anomalies, and bilateral cryptorchidism. It is associated with high perinatal morbidity and mortality. A male infant born at 37 weeks via vaginal delivery presented with abdominal distension, thin wrinkled abdominal skin, urine discharge from the umbilicus, and bilateral cryptorchidism. Imaging revealed severe bilateral hydronephrosis and a patent urachus, confirming Prune Belly Syndrome. The urachus was surgically closed without complications, and the patient remains stable, with planned further interventions including orchidopexy, abdominal wall reconstruction, and renal functional assessment. Prune Belly Syndrome a rare congenital disorder, presents diagnostic and management challenges particularly with patent urachus requiring early recognition, timely surgery, and multidisciplinary follow-up to optimize renal function and long-term outcomes.
{"title":"A case of prune belly syndrome with patent urachus: Pediatric surgical aspects of a rare case report","authors":"Mutasem Sayyed Ahmad , Taha Mahmoud AlBaik , Hossam Salameh , Nasim Abukaresh , Masa Al-shareef , Mosaikah Anati","doi":"10.1016/j.radcr.2025.12.028","DOIUrl":"10.1016/j.radcr.2025.12.028","url":null,"abstract":"<div><div>Prune belly syndrome (PBS), or Eagle–Barrett syndrome, is a rare congenital disorder defined by a triad of abdominal wall hypoplasia, urinary tract anomalies, and bilateral cryptorchidism. It is associated with high perinatal morbidity and mortality. A male infant born at 37 weeks via vaginal delivery presented with abdominal distension, thin wrinkled abdominal skin, urine discharge from the umbilicus, and bilateral cryptorchidism. Imaging revealed severe bilateral hydronephrosis and a patent urachus, confirming Prune Belly Syndrome. The urachus was surgically closed without complications, and the patient remains stable, with planned further interventions including orchidopexy, abdominal wall reconstruction, and renal functional assessment. Prune Belly Syndrome a rare congenital disorder, presents diagnostic and management challenges particularly with patent urachus requiring early recognition, timely surgery, and multidisciplinary follow-up to optimize renal function and long-term outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1530-1533"},"PeriodicalIF":0.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A mural solid component (SC) within an endometrioma (ovarian endometriotic cyst), demonstrating internal vascularity or increased fluorodeoxyglucose (FDG) uptake on positron emission tomography (PET), is considered a characteristic finding suggestive of malignant transformation. We report a rare case of an endometrioma containing a solid component with intense FDG uptake that was pathologically diagnosed as a cholesterol granuloma. A 68-year-old woman was incidentally found to have bilateral ovarian cysts on transvaginal ultrasonography. MRI revealed the left ovary contained a cyst measuring 46 × 36 × 30 mm, showing high signal intensity (SI) on T1-weighted images (T1WIs), which was not suppressed on fat-suppressed T1WIs, and low SI on T2-weighted images (T2WIs) suggesting an endometrioma. Inside this cyst, SC was noted, showing low SI on both T1WIs and T2WIs and partial high signal on diffusion-weighted images. FDG-PET/CT demonstrated intense FDG uptake in the SC (standardized uptake value max = 13.0), with no evidence of distant metastasis. Based on these findings, a malignant tumor arising from left ovarian endometrioma was suspected. However, postoperative histopathological examination revealed that the SC within the background of the endometrioma consisted of granulomatous tissue with hemosiderin deposition surrounding cholesterol crystals, leading to a diagnosis of an endometrioma with a cholesterol granuloma. Characteristic SIs of SC on MRI may be caused by hemosiderin deposition inside it and the resulting susceptibility artifacts. These findings may aid in distinguishing cholesterol granuloma from malignant tumors, although further case accumulation is needed.
{"title":"Cholesterol granuloma forming the solid components within an endometrioma showing intense FDG uptake, mimicking malignancy: A case report","authors":"Go Nakai MD, PhD , Hiroki Matsutani MD, PhD , Takashi Yamada MD, PhD , Tomohito Tanaka MD, PhD , Kazuhiro Yamamoto MD, PhD , Keigo Osuga MD, PhD","doi":"10.1016/j.radcr.2025.12.055","DOIUrl":"10.1016/j.radcr.2025.12.055","url":null,"abstract":"<div><div>A mural solid component (SC) within an endometrioma (ovarian endometriotic cyst), demonstrating internal vascularity or increased fluorodeoxyglucose (FDG) uptake on positron emission tomography (PET), is considered a characteristic finding suggestive of malignant transformation. We report a rare case of an endometrioma containing a solid component with intense FDG uptake that was pathologically diagnosed as a cholesterol granuloma. A 68-year-old woman was incidentally found to have bilateral ovarian cysts on transvaginal ultrasonography. MRI revealed the left ovary contained a cyst measuring 46 × 36 × 30 mm, showing high signal intensity (SI) on T1-weighted images (T1WIs), which was not suppressed on fat-suppressed T1WIs, and low SI on T2-weighted images (T2WIs) suggesting an endometrioma. Inside this cyst, SC was noted, showing low SI on both T1WIs and T2WIs and partial high signal on diffusion-weighted images. FDG-PET/CT demonstrated intense FDG uptake in the SC (standardized uptake value max = 13.0), with no evidence of distant metastasis. Based on these findings, a malignant tumor arising from left ovarian endometrioma was suspected. However, postoperative histopathological examination revealed that the SC within the background of the endometrioma consisted of granulomatous tissue with hemosiderin deposition surrounding cholesterol crystals, leading to a diagnosis of an endometrioma with a cholesterol granuloma. Characteristic SIs of SC on MRI may be caused by hemosiderin deposition inside it and the resulting susceptibility artifacts. These findings may aid in distinguishing cholesterol granuloma from malignant tumors, although further case accumulation is needed.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1495-1499"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Parasitic fibroids are an uncommon subtype of leiomyomas that can implant on peritoneal surfaces such as the omentum or bowel serosa and may mimic malignancy on imaging. While typically asymptomatic, they can occasionally present with acute abdominal complications. We describe the case of a 37-year-old woman who presented with abdominal pain and a palpable mass. Imaging revealed a large, heterogeneously enhancing lesion with central necrosis, raising concern for malignancy. Surgical exploration identified a 17.5 × 15 cm parasitic leiomyoma adherent to the bowel and appendix, resulting in acute appendicitis and bowel injury, both of which required surgical management. Histopathological analysis confirmed a benign leiomyoma with myxoid degeneration and acute suppurative appendicitis. This case highlights the importance of considering parasitic fibroids in the differential diagnosis of abdominopelvic masses and acute abdomen, particularly in women with a history of pelvic surgery. Given their potential to mimic malignancy and cause secondary inflammatory complications, close collaboration between radiologists and surgeons is essential for accurate diagnosis and effective treatment.
{"title":"Giant parasitic leiomyoma: A rare cause of acute appendicitis and bowel injury","authors":"Ali Ghaffar MBBS , Hafiz Danish Ali Khan MBBS , Yasir Mehmood MBBS , Hafiz Mirza Talha Omer MBBS , Hammad Asghar MBBS , Fahad Irshaad Siddiqui MBBS , Shahroze Ahmed MBBS","doi":"10.1016/j.radcr.2025.12.037","DOIUrl":"10.1016/j.radcr.2025.12.037","url":null,"abstract":"<div><div>Parasitic fibroids are an uncommon subtype of leiomyomas that can implant on peritoneal surfaces such as the omentum or bowel serosa and may mimic malignancy on imaging. While typically asymptomatic, they can occasionally present with acute abdominal complications. We describe the case of a 37-year-old woman who presented with abdominal pain and a palpable mass. Imaging revealed a large, heterogeneously enhancing lesion with central necrosis, raising concern for malignancy. Surgical exploration identified a 17.5 × 15 cm parasitic leiomyoma adherent to the bowel and appendix, resulting in acute appendicitis and bowel injury, both of which required surgical management. Histopathological analysis confirmed a benign leiomyoma with myxoid degeneration and acute suppurative appendicitis. This case highlights the importance of considering parasitic fibroids in the differential diagnosis of abdominopelvic masses and acute abdomen, particularly in women with a history of pelvic surgery. Given their potential to mimic malignancy and cause secondary inflammatory complications, close collaboration between radiologists and surgeons is essential for accurate diagnosis and effective treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1509-1514"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-19DOI: 10.1016/j.radcr.2025.12.027
Saber Abdellah Bassel MD , Aymane El Farouki MD , Ouijdane Zamani MD , Meriem Edderai MD , Hassan Ennouali MD , Jamal El Fenni MD , Rachida Saouab MD
Disseminated tuberculosis (TB) is an important opportunistic infection in patients with Crohn’s disease receiving immunosuppressive therapy, where its manifestations may mimic inflammatory or infectious Crohn’s complications. Case: We describe a 40-year-old man with Crohn’s disease on azathioprine who presented with a recurrent perianal abscess unresponsive to antibiotics. CT revealed multiple hepatic and splenic micronodules with mild rim enhancement, in addition to randomly distributed pulmonary micronodules and small nodules, raising suspicion for disseminated TB. CT-guided aspiration of the perianal collection confirmed Mycobacterium tuberculosis on GeneXpert MTB/RIF. This case emphasizes that disseminated TB should be considered in immunosuppressed Crohn’s patients presenting with atypical or refractory perianal collections, and highlights key radiologic features that help differentiate TB from Crohn’s-related complications.
{"title":"Disseminated tuberculosis presenting as a refractory perianal abscess in a Crohn’s disease patient: A case report","authors":"Saber Abdellah Bassel MD , Aymane El Farouki MD , Ouijdane Zamani MD , Meriem Edderai MD , Hassan Ennouali MD , Jamal El Fenni MD , Rachida Saouab MD","doi":"10.1016/j.radcr.2025.12.027","DOIUrl":"10.1016/j.radcr.2025.12.027","url":null,"abstract":"<div><div>Disseminated tuberculosis (TB) is an important opportunistic infection in patients with Crohn’s disease receiving immunosuppressive therapy, where its manifestations may mimic inflammatory or infectious Crohn’s complications. Case: We describe a 40-year-old man with Crohn’s disease on azathioprine who presented with a recurrent perianal abscess unresponsive to antibiotics. CT revealed multiple <em>hepatic and splenic micronodules with mild rim enhancement</em>, in addition to <em>randomly distributed pulmonary micronodules and small nodules</em>, raising suspicion for disseminated TB. CT-guided aspiration of the perianal collection confirmed <em>Mycobacterium tuberculosis</em> on GeneXpert MTB/RIF. This case emphasizes that disseminated TB should be considered in immunosuppressed Crohn’s patients presenting with atypical or refractory perianal collections, and highlights key radiologic features that help differentiate TB from Crohn’s-related complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1500-1504"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adult hemorrhage from a previously treated vein of Galen aneurysmal malformation (VGAM) is exceedingly rare, and rupture of a flow-related feeder aneurysm has only been documented once in the adult case. We report a 20-year-old man with subarachnoid hemorrhage who presented with sudden headache. He had undergone palliative transarterial embolization (TAE) for choroidal-type VGAM during infancy for several times and had been followed annually with MRI at another institution. Digital subtraction angiography demonstrated two small feeder aneurysms, one presumed to have ruptured; additional embolization achieved complete occlusion of both aneurysms and a marked reduction in shunt flow. Retrospective review of serial MRIs showed progressive stenosis and eventual occlusion of the left transverse sinus, with first visualization of a feeder aneurysm one year prior to the rupture. This case represents only the second adult VGAM hemorrhage clearly attributed to a feeder artery aneurysm. Progressive venous sinus changes on follow-up MRI should prompt early angiographic re-evaluation and consideration of prophylactic treatment based on individual hemodynamic risk.
{"title":"Adult subarachnoid hemorrhage from vein of Galen aneurysmal malformation due to ruptured feeder aneurysm: A case report with long-term MRI review","authors":"Kotaro Ueda MD , Shimpei Tsuboki MD , Takafumi Mitsutake MD, PhD , Keisuke Kadooka MD, PhD , Michihiro Tanaka MD, PhD","doi":"10.1016/j.radcr.2025.12.039","DOIUrl":"10.1016/j.radcr.2025.12.039","url":null,"abstract":"<div><div>Adult hemorrhage from a previously treated vein of Galen aneurysmal malformation (VGAM) is exceedingly rare, and rupture of a flow-related feeder aneurysm has only been documented once in the adult case. We report a 20-year-old man with subarachnoid hemorrhage who presented with sudden headache. He had undergone palliative transarterial embolization (TAE) for choroidal-type VGAM during infancy for several times and had been followed annually with MRI at another institution. Digital subtraction angiography demonstrated two small feeder aneurysms, one presumed to have ruptured; additional embolization achieved complete occlusion of both aneurysms and a marked reduction in shunt flow. Retrospective review of serial MRIs showed progressive stenosis and eventual occlusion of the left transverse sinus, with first visualization of a feeder aneurysm one year prior to the rupture. This case represents only the second adult VGAM hemorrhage clearly attributed to a feeder artery aneurysm. Progressive venous sinus changes on follow-up MRI should prompt early angiographic re-evaluation and consideration of prophylactic treatment based on individual hemodynamic risk.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1489-1494"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This case report details the diagnostic workup, therapeutic interventions, and clinical decision-making in the management of a 23‐year-old engineering student diagnosed with Budd‐Chiari syndrome (BCS). This report highlights the use of advanced imaging studies and laboratory investigations, outlines the interventional approach, including an unsuccessful attempt at hepatic venoplasty, and discusses the patient’s subsequent refusal of liver transplantation. The patient remained clinically stable for 2 years under anticoagulant therapy. Such refractory cases underscore the need for personalized and multidisciplinary treatment strategies for BCS management.
{"title":"Budd-Chiari syndrome in a young adult: Failed hepatic venoplasty and refusal of liver transplantation","authors":"Mujtaba Jamal Qureshi , Areeba Batool , Suleman Anser MBBS , Muhammad Afzal Chaudhry FCPS, MD , Mohammad Akram Randhawa PhD","doi":"10.1016/j.radcr.2025.12.034","DOIUrl":"10.1016/j.radcr.2025.12.034","url":null,"abstract":"<div><div>This case report details the diagnostic workup, therapeutic interventions, and clinical decision-making in the management of a 23‐year-old engineering student diagnosed with Budd‐Chiari syndrome (BCS). This report highlights the use of advanced imaging studies and laboratory investigations, outlines the interventional approach, including an unsuccessful attempt at hepatic venoplasty, and discusses the patient’s subsequent refusal of liver transplantation. The patient remained clinically stable for 2 years under anticoagulant therapy. Such refractory cases underscore the need for personalized and multidisciplinary treatment strategies for BCS management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1505-1508"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-17DOI: 10.1016/j.radcr.2025.12.021
Eppy Buchori AK MD, Ilham Ansari Marzuki Lubis MD, Radinda Amalia Nur Hayati MD
Plexiform neurofibroma is a rare benign peripheral nerve sheath tumor that occurs almost exclusively in patients with neurofibromatosis type I (NF1). This report presents a 10-year-old patient with multiple enlarging masses on the left and posterior neck for 4 years, accompanied by pain and restricted neck movement. Radiographic evaluation revealed a soft tissue mass without bony abnormalities, while Magnetic Resonance Imaging (MRI) demonstrated multiple confluent, ill-defined, infiltrative lesions involving bilateral cervical regions and extending into the anterior mediastinum. The lesions showed hypointense signals on T1-weighted and hyperintense target sign appearances on T2-weighted images, with encasement of neurovascular structures and spinal cord compression. Histopathological findings confirmed the diagnosis of plexiform neurofibroma without evidence of malignancy. This case emphasizes the diagnostic value of MRI in delineating lesion extent and neurogenic origin, as well as the importance of histopathology in confirming the benign nature of the tumor and excluding malignant transformation.
{"title":"A rare case of plexiform neurofibroma","authors":"Eppy Buchori AK MD, Ilham Ansari Marzuki Lubis MD, Radinda Amalia Nur Hayati MD","doi":"10.1016/j.radcr.2025.12.021","DOIUrl":"10.1016/j.radcr.2025.12.021","url":null,"abstract":"<div><div>Plexiform neurofibroma is a rare benign peripheral nerve sheath tumor that occurs almost exclusively in patients with neurofibromatosis type I (NF1). This report presents a 10-year-old patient with multiple enlarging masses on the left and posterior neck for 4 years, accompanied by pain and restricted neck movement. Radiographic evaluation revealed a soft tissue mass without bony abnormalities, while Magnetic Resonance Imaging (MRI) demonstrated multiple confluent, ill-defined, infiltrative lesions involving bilateral cervical regions and extending into the anterior mediastinum. The lesions showed hypointense signals on T1-weighted and hyperintense target sign appearances on T2-weighted images, with encasement of neurovascular structures and spinal cord compression. Histopathological findings confirmed the diagnosis of plexiform neurofibroma without evidence of malignancy. This case emphasizes the diagnostic value of MRI in delineating lesion extent and neurogenic origin, as well as the importance of histopathology in confirming the benign nature of the tumor and excluding malignant transformation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1474-1477"},"PeriodicalIF":0.0,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-17DOI: 10.1016/j.radcr.2025.12.046
Lana R.A. Pshtiwan MD , Ari M. Abdullah MD , Abdulwahid M. Salih MD , Dana O. Karim MD , Karzan M. Salih MD , Bayar B. Ameen MBChB , Sakar O. Arif MD , Masty Karim Ahmed MBChB , Sara Nasir Ahmed MBChB , Ali D. Saadullah BDS , Fahmi H. Kakamad MD
Primary breast lymphoma (PBL) accounts for a small fraction of breast malignancies and is uncommon in young adults, yet it can lead to significant complications. This report describes a case of PBL in a young female patient. An 18-year-old female presented with a mass in the right breast with fever and sweating. Examination revealed a poorly defined right breast mass. Imaging showed a diffuse infiltrative process, and core biopsy with staining identified the lymphoid origin of the infiltrative disease. Chemotherapy was opted for, and follow-up for months has revealed no complications. Ten cases were reviewed. The mean age was (19.7). The most common symptom was a palpable breast mass(s) (60%). Imaging showed variable signal intensities of the breast masses. Immunohistochemistry and flow cytometry of tissue biopsies were the main methods of diagnosis. Large B-cell non-Hodgkin lymphoma was the most common diagnosis (60%). Chemotherapy was utilized in all of the cases with variations regarding regimens. Death and remission were seen in near equal proportions (40% vs 50%). Young women are not exempt from primary breast lymphoma, and chemotherapy might offer fruitful outcomes.
原发性乳腺淋巴瘤（PBL）占乳腺恶性肿瘤的一小部分，在年轻人中并不常见，但它可导致严重的并发症。本报告描述一例PBL在一个年轻的女性患者。一名18岁女性右乳肿块伴发热及出汗。检查发现右乳房一模糊肿块。影像学显示弥漫性浸润，核心活检染色确定浸润性疾病的淋巴起源。选择化疗，随访数月，未发现并发症。对10个案例进行了审查。平均年龄为19.7岁。最常见的症状是可触及的乳房肿块（60%）。影像学显示乳腺肿块信号强度变化。组织活检的免疫组织化学和流式细胞术是主要的诊断方法。大b细胞非霍奇金淋巴瘤是最常见的诊断（60%）。所有病例均采用化疗，但治疗方案有所不同。死亡和缓解的比例几乎相等（40% vs 50%）。年轻女性也不能幸免于原发性乳腺淋巴瘤，化疗可能会带来丰硕的成果。
{"title":"Primary breast lymphoma: Case report and literature review","authors":"Lana R.A. Pshtiwan MD , Ari M. Abdullah MD , Abdulwahid M. Salih MD , Dana O. Karim MD , Karzan M. Salih MD , Bayar B. Ameen MBChB , Sakar O. Arif MD , Masty Karim Ahmed MBChB , Sara Nasir Ahmed MBChB , Ali D. Saadullah BDS , Fahmi H. Kakamad MD","doi":"10.1016/j.radcr.2025.12.046","DOIUrl":"10.1016/j.radcr.2025.12.046","url":null,"abstract":"<div><div>Primary breast lymphoma (PBL) accounts for a small fraction of breast malignancies and is uncommon in young adults, yet it can lead to significant complications. This report describes a case of PBL in a young female patient. An 18-year-old female presented with a mass in the right breast with fever and sweating. Examination revealed a poorly defined right breast mass. Imaging showed a diffuse infiltrative process, and core biopsy with staining identified the lymphoid origin of the infiltrative disease. Chemotherapy was opted for, and follow-up for months has revealed no complications. Ten cases were reviewed. The mean age was (19.7). The most common symptom was a palpable breast mass(s) (60%). Imaging showed variable signal intensities of the breast masses. Immunohistochemistry and flow cytometry of tissue biopsies were the main methods of diagnosis. Large B-cell non-Hodgkin lymphoma was the most common diagnosis (60%). Chemotherapy was utilized in all of the cases with variations regarding regimens. Death and remission were seen in near equal proportions (40% vs 50%). Young women are not exempt from primary breast lymphoma, and chemotherapy might offer fruitful outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1482-1488"},"PeriodicalIF":0.0,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An asymptomatic patient was incidentally found to have a markedly dilated right pulmonary artery A7 (13 mm in diameter) on contrast-enhanced computed tomography (CT) of the chest. Intra-procedural CT aortography revealed that a right bronchial artery arising from the aorta and an ectopic right bronchial artery originating from the right thyrocervical trunk were dilated and tortuous, and communicated with right pulmonary artery A7. A bronchial artery aneurysm was also identified. A diagnosis of racemose hemangioma of the right bronchial artery was made, and coil embolization of the 2 bronchial arteries was performed. Follow-up contrast-enhanced CT at 2 years and 3 months after embolization showed that the dilated pulmonary artery had reduced to 7 mm in diameter. We believe that active therapeutic intervention is important to prevent potentially fatal complications such as aneurysm rupture.
{"title":"Successful bronchial artery embolization for racemose hemangioma of the right bronchial artery with pulmonary artery dilatation: A case report","authors":"Kodai Fukuda MD, PhD , Tetsuo Sonomura MD, PhD , Nobuyuki Higashino MD, PhD , Takaya Shintani MD , Ryosuke Mimura MD , Shota Ueda MD, PhD , Atsufumi Kamisako MD, PhD , Akira Ikoma MD, PhD , Yuya Funayama RT , Kazuhiro Murotani PhD, RT , Hiroki Minamiguchi MD, PhD","doi":"10.1016/j.radcr.2025.12.016","DOIUrl":"10.1016/j.radcr.2025.12.016","url":null,"abstract":"<div><div>An asymptomatic patient was incidentally found to have a markedly dilated right pulmonary artery A7 (13 mm in diameter) on contrast-enhanced computed tomography (CT) of the chest. Intra-procedural CT aortography revealed that a right bronchial artery arising from the aorta and an ectopic right bronchial artery originating from the right thyrocervical trunk were dilated and tortuous, and communicated with right pulmonary artery A7. A bronchial artery aneurysm was also identified. A diagnosis of racemose hemangioma of the right bronchial artery was made, and coil embolization of the 2 bronchial arteries was performed. Follow-up contrast-enhanced CT at 2 years and 3 months after embolization showed that the dilated pulmonary artery had reduced to 7 mm in diameter. We believe that active therapeutic intervention is important to prevent potentially fatal complications such as aneurysm rupture.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1478-1481"},"PeriodicalIF":0.0,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Spinal dural arteriovenous fistulas (AVFs) are uncommon vascular malformations that typically present with progressive myelopathy and are rarely associated with intracranial hemorrhage. We describe a 76-year-old male who initially had a normal noncontrast head CT, followed by rapid development of a large right cortical intraparenchymal hemorrhage with bilateral subarachnoid hemorrhage (SAH) on repeat CT performed three hours later. Subsequent spine MRI demonstrated extensive dilated perimedullary vessels and diffuse thoracic spinal cord T2 hyperintensity, raising concern for a spinal vascular malformation. Spinal angiography confirmed a spinal dural AVF arising from the right L2 segmental artery with early venous drainage into a congested spinal venous network, which was successfully treated with trans arterial embolization. This case uniquely captured the dynamic radiologic evolution of intracranial hemorrhage temporally associated with a spinal dural AVF and highlights the importance of considering spinal vascular etiologies when intracranial imaging findings do not explain the clinical presentation.
{"title":"Spinal dural arteriovenous fistula presenting with lower extremity weakness and intracranial hemorrhage: A case report","authors":"Fang Yu MD , Sangharsha Thapa MD , Ilya Frid MD , Gurmeen Kaur MD , Feliks Koyfman MD","doi":"10.1016/j.radcr.2025.12.036","DOIUrl":"10.1016/j.radcr.2025.12.036","url":null,"abstract":"<div><div>Spinal dural arteriovenous fistulas (AVFs) are uncommon vascular malformations that typically present with progressive myelopathy and are rarely associated with intracranial hemorrhage. We describe a 76-year-old male who initially had a normal noncontrast head CT, followed by rapid development of a large right cortical intraparenchymal hemorrhage with bilateral subarachnoid hemorrhage (SAH) on repeat CT performed three hours later. Subsequent spine MRI demonstrated extensive dilated perimedullary vessels and diffuse thoracic spinal cord T2 hyperintensity, raising concern for a spinal vascular malformation. Spinal angiography confirmed a spinal dural AVF arising from the right L2 segmental artery with early venous drainage into a congested spinal venous network, which was successfully treated with trans arterial embolization. This case uniquely captured the dynamic radiologic evolution of intracranial hemorrhage temporally associated with a spinal dural AVF and highlights the importance of considering spinal vascular etiologies when intracranial imaging findings do not explain the clinical presentation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1470-1473"},"PeriodicalIF":0.0,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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