Pub Date : 2024-11-15DOI: 10.1016/j.radcr.2024.10.070
Huynh Thi Minh Thuy , Pham Thuc Minh Thuy , Ho Hoang Phuong , Pham Nguyen Vinh , Vu Nang Phuc
Pulmonary sinus aneurysm (PSA) is an abnormal dilatation of the sinus of the pulmonary valve. This condition is exceedingly rare. A few reports of pulmonary artery aneurysms and just 2 reports of pulmonary sinus aneurysms have been reported in the literature. Various factors contribute to pulmonary artery aneurysms, including pulmonary valve stenosis, pulmonary hypertension, and other diseases that induce arterial wall debilitation, such as connective tissue disorders, vasculitis, rheumatologic maladies, and infections. It can present with some symptoms linked with other congenital anomalies or remain asymptomatic. Recently, we encountered a case of asymptomatic pulmonary sinus aneurysm in neonatal. Echocardiography showed that the aneurysm of the anterior and right cusps of the pulmonary valve mimicked tumors at the pulmonary root.
{"title":"Asymptomatic pulmonary cusps aneurysm in newborn","authors":"Huynh Thi Minh Thuy , Pham Thuc Minh Thuy , Ho Hoang Phuong , Pham Nguyen Vinh , Vu Nang Phuc","doi":"10.1016/j.radcr.2024.10.070","DOIUrl":"10.1016/j.radcr.2024.10.070","url":null,"abstract":"<div><div>Pulmonary sinus aneurysm (PSA) is an abnormal dilatation of the sinus of the pulmonary valve. This condition is exceedingly rare. A few reports of pulmonary artery aneurysms and just 2 reports of pulmonary sinus aneurysms have been reported in the literature. Various factors contribute to pulmonary artery aneurysms, including pulmonary valve stenosis, pulmonary hypertension, and other diseases that induce arterial wall debilitation, such as connective tissue disorders, vasculitis, rheumatologic maladies, and infections. It can present with some symptoms linked with other congenital anomalies or remain asymptomatic. Recently, we encountered a case of asymptomatic pulmonary sinus aneurysm in neonatal. Echocardiography showed that the aneurysm of the anterior and right cusps of the pulmonary valve mimicked tumors at the pulmonary root.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 752-755"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650634","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 : 2024-11-15DOI: 10.1016/j.radcr.2024.10.094
Yaseen Osama Mubarak Shamseldin MBBS , Mohamed Saaid Mohamed Ibrahim MBBS , Lubna AlAni , Ahmed Mansour Alani MBCHB, CABS , Sabir A. Alsharani MD , Amro Abdelrahman MBBS
Paratesticular inflammatory pseudotumor is a rare entity that poses significant challenges in diagnosis and treatment due to its clinical and radiological appearance, which can mimic malignancy. We report the case of a 52-year-old male who presented with a painful mass in the left testicle. A few weeks later, the patient developed backache and leg stiffness. A left radical orchiectomy was performed, and postoperative biopsy results were obtained. Histopathological examination is crucial for definitive diagnosis, and early recognition along with appropriate surgical intervention is essential for effectively managing these benign tumors. This case contributes to the expanding literature on the unique disease entity.
{"title":"Benign paratesticular inflammatory pseudotumor: A rare case report","authors":"Yaseen Osama Mubarak Shamseldin MBBS , Mohamed Saaid Mohamed Ibrahim MBBS , Lubna AlAni , Ahmed Mansour Alani MBCHB, CABS , Sabir A. Alsharani MD , Amro Abdelrahman MBBS","doi":"10.1016/j.radcr.2024.10.094","DOIUrl":"10.1016/j.radcr.2024.10.094","url":null,"abstract":"<div><div>Paratesticular inflammatory pseudotumor is a rare entity that poses significant challenges in diagnosis and treatment due to its clinical and radiological appearance, which can mimic malignancy. We report the case of a 52-year-old male who presented with a painful mass in the left testicle. A few weeks later, the patient developed backache and leg stiffness. A left radical orchiectomy was performed, and postoperative biopsy results were obtained. Histopathological examination is crucial for definitive diagnosis, and early recognition along with appropriate surgical intervention is essential for effectively managing these benign tumors. This case contributes to the expanding literature on the unique disease entity.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 823-828"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650699","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}
Pott Puffy Tumor (PPT) is extremely rare, yet potentially severe condition characterized by osteomyelitis of the frontal bone associated with one or multiple subperiosteal abscesses, primarily from nasosinusitis. It is characterized by localized frontal swelling accompanied by a subperiosteal abscess. Clinicians and radiologists do not widely recognize this complication of frontal sinusitis and, hence it is likely to be overlooked in clinical practice.
We describe, through this article, a unique case of frontal osteomyelitis in an immunocompromised patient, complicated by a subperiosteal orbital abscess, subdural empyema, intracerebral abscesses, superior sagittal sinus thrombosis, and pulmonary septic emboli, which also resulted in septic pulmonary infarcts, aligning with Lemierre's syndrome. Treatment included a combination of antibiotics and surgery, with careful monitoring for orbital and intracranial complications.
{"title":"A rare case report: Pott's Puffy tumor and Lemierre's syndrome with intracranial complications in an adult male","authors":"Ines Azouz , Marwa Moussaoui , Dhia Dahech , Rihab Jdidi , Amene Aissa","doi":"10.1016/j.radcr.2024.10.128","DOIUrl":"10.1016/j.radcr.2024.10.128","url":null,"abstract":"<div><div>Pott Puffy Tumor (PPT) is extremely rare, yet potentially severe condition characterized by osteomyelitis of the frontal bone associated with one or multiple subperiosteal abscesses, primarily from nasosinusitis. It is characterized by localized frontal swelling accompanied by a subperiosteal abscess. Clinicians and radiologists do not widely recognize this complication of frontal sinusitis and, hence it is likely to be overlooked in clinical practice.</div><div>We describe, through this article, a unique case of frontal osteomyelitis in an immunocompromised patient, complicated by a subperiosteal orbital abscess, subdural empyema, intracerebral abscesses, superior sagittal sinus thrombosis, and pulmonary septic emboli, which also resulted in septic pulmonary infarcts, aligning with Lemierre's syndrome. Treatment included a combination of antibiotics and surgery, with careful monitoring for orbital and intracranial complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 851-855"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650866","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}
Hypogenetic lung syndrome, commonly known as Scimitar syndrome, is a rare cardiopulmonary anomaly characterized primarily by anomalous pulmonary venous return and lung hypoplasia. While it is most frequently diagnosed in infancy or early childhood, cases in adulthood are exceedingly rare. We present a case of a middle-aged female who was diagnosed with Scimitar syndrome.
{"title":"Unveiling the anomaly: Scimitar syndrome in a middle-aged female patient","authors":"Kapil Dawadi MD , Prajwal Dahal MD , Rudra Prasad Upadhyaya MD , Binuda Poudyal MD","doi":"10.1016/j.radcr.2024.10.078","DOIUrl":"10.1016/j.radcr.2024.10.078","url":null,"abstract":"<div><div>Hypogenetic lung syndrome, commonly known as Scimitar syndrome, is a rare cardiopulmonary anomaly characterized primarily by anomalous pulmonary venous return and lung hypoplasia. While it is most frequently diagnosed in infancy or early childhood, cases in adulthood are exceedingly rare. We present a case of a middle-aged female who was diagnosed with Scimitar syndrome.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 777-780"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650703","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 : 2024-11-14DOI: 10.1016/j.radcr.2024.10.112
Jinlu Yu
Endovascular treatment (EVT) is the first-line treatment for petrous ridge dural arteriovenous fistulas (DAVFs). However, EVT is associated with complications. Among these complications, delayed venous hemorrhage is fatal. Here, we report such a case in a 59-year-old male with a 1-month history of dizziness. Previously, the patient was healthy. Physical examination showed no abnormalities. Computed tomography (CT) angiography revealed a petrous ridge DAVF that was draining via the superior petrosal venous complex and superior petrosal sinus, venous drainage involving the venous system of the brainstem, and 2 aneurysmal dilatations on the brainstem vein. EVT was performed via the ascending pharyngeal artery to cast Onyx-18, and the DAVF was obliterated. During EVT, the venous system of the brainstem was impaired by the occlusion of the aneurysmal dilatation. Postoperatively, the patient awoke. Twenty hours after EVT, he experienced left hemiplegia, and CT revealed no hemorrhage. However, thirty hours after EVT, the patient fell into a deep coma, and CT revealed hemorrhage of the brainstem and cerebellum into the ventricle system. Delayed venous hemorrhage was considered. After receiving conservative treatment for 10 hours, the patient died. This case demonstrates that excessive occlusion of the draining vein of a DAVF may result in fatal delayed venous hemorrhage. To decrease this risk, staged embolization may be useful after occluding the high-risk draining vein or reducing the DAVF blood flow. In conclusion, during EVT for petrous ridge DAVFs, care should be taken not to impair the venous system of the brainstem, to prevent venous hemorrhage.
{"title":"Delayed venous hemorrhage after endovascular treatment for a petrous ridge dural arteriovenous fistula","authors":"Jinlu Yu","doi":"10.1016/j.radcr.2024.10.112","DOIUrl":"10.1016/j.radcr.2024.10.112","url":null,"abstract":"<div><div>Endovascular treatment (EVT) is the first-line treatment for petrous ridge dural arteriovenous fistulas (DAVFs). However, EVT is associated with complications. Among these complications, delayed venous hemorrhage is fatal. Here, we report such a case in a 59-year-old male with a 1-month history of dizziness. Previously, the patient was healthy. Physical examination showed no abnormalities. Computed tomography (CT) angiography revealed a petrous ridge DAVF that was draining via the superior petrosal venous complex and superior petrosal sinus, venous drainage involving the venous system of the brainstem, and 2 aneurysmal dilatations on the brainstem vein. EVT was performed via the ascending pharyngeal artery to cast Onyx-18, and the DAVF was obliterated. During EVT, the venous system of the brainstem was impaired by the occlusion of the aneurysmal dilatation. Postoperatively, the patient awoke. Twenty hours after EVT, he experienced left hemiplegia, and CT revealed no hemorrhage. However, thirty hours after EVT, the patient fell into a deep coma, and CT revealed hemorrhage of the brainstem and cerebellum into the ventricle system. Delayed venous hemorrhage was considered. After receiving conservative treatment for 10 hours, the patient died. This case demonstrates that excessive occlusion of the draining vein of a DAVF may result in fatal delayed venous hemorrhage. To decrease this risk, staged embolization may be useful after occluding the high-risk draining vein or reducing the DAVF blood flow. In conclusion, during EVT for petrous ridge DAVFs, care should be taken not to impair the venous system of the brainstem, to prevent venous hemorrhage.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 781-790"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650712","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 : 2024-11-14DOI: 10.1016/j.radcr.2024.10.048
Ana Álvarez Vázquez MD , Julia López Alcolea MD , Javier Urmeneta Ulloa MD, PhD , Alberto Forteza Gil MD , Jorge Rivas Oyarzabal MD , José Ángel Cabrera Rodríguez MD, PhD , Manuel Recio Rodríguez MD, PhD , Gonzalo Pizarro Sánchez MD , Vicente Martinez de Vega MD
Takayasu's Arteritis (TA) is a rare, chronic large-vessel vasculitis that can lead to severe cardiac complications and life-threatening outcomes. Early diagnosis is essential for improving patient prognosis, but its nonspecific clinical presentation and laboratory findings often cause delays. We present a 34-year-old woman with a history of heart murmur who presented with chest pain but no additional symptoms. Imaging revealed aortic regurgitation, ventricular septal defect, myocardial ischemia, pericarditis, aortic wall thickening, and multivessel stenoses, leading to a diagnosis of Takayasu's Arteritis, treated with coronary bypass and aortic tube graft surgery. Takayasu's Arteritis should be included in the differential diagnosis of patients presenting with atypical clinical features and cardiac involvement, particularly in cases with valvular disease. This case highlights the essential role of multimodal imaging in the detection and management of TA.
高安氏动脉炎（TA）是一种罕见的慢性大血管炎，可导致严重的心脏并发症和危及生命的后果。早期诊断对改善患者预后至关重要，但其非特异性的临床表现和实验室检查结果往往导致延误。我们为大家介绍一位 34 岁的女性患者，她有心脏杂音病史，曾出现胸痛，但无其他症状。影像学检查发现主动脉瓣反流、室间隔缺损、心肌缺血、心包炎、主动脉壁增厚和多血管狭窄，最终确诊为高安动脉炎，并接受了冠状动脉搭桥和主动脉管移植手术治疗。对于临床特征不典型、心脏受累的患者，尤其是伴有瓣膜病的病例，应将高安市动脉炎纳入鉴别诊断。本病例强调了多模态成像在检测和治疗 TA 中的重要作用。
{"title":"Takayasu's arteritis causing coronary stenosis with myocardial ischemia, severe aortic regurgitation, and pericarditis","authors":"Ana Álvarez Vázquez MD , Julia López Alcolea MD , Javier Urmeneta Ulloa MD, PhD , Alberto Forteza Gil MD , Jorge Rivas Oyarzabal MD , José Ángel Cabrera Rodríguez MD, PhD , Manuel Recio Rodríguez MD, PhD , Gonzalo Pizarro Sánchez MD , Vicente Martinez de Vega MD","doi":"10.1016/j.radcr.2024.10.048","DOIUrl":"10.1016/j.radcr.2024.10.048","url":null,"abstract":"<div><div>Takayasu's Arteritis (TA) is a rare, chronic large-vessel vasculitis that can lead to severe cardiac complications and life-threatening outcomes. Early diagnosis is essential for improving patient prognosis, but its nonspecific clinical presentation and laboratory findings often cause delays. We present a 34-year-old woman with a history of heart murmur who presented with chest pain but no additional symptoms. Imaging revealed aortic regurgitation, ventricular septal defect, myocardial ischemia, pericarditis, aortic wall thickening, and multivessel stenoses, leading to a diagnosis of Takayasu's Arteritis, treated with coronary bypass and aortic tube graft surgery. Takayasu's Arteritis should be included in the differential diagnosis of patients presenting with atypical clinical features and cardiac involvement, particularly in cases with valvular disease. This case highlights the essential role of multimodal imaging in the detection and management of TA.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 791-796"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650698","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}
Breast carcinomas are well known for expression of estrogen receptor (ER) however there are other malignancies that are also express ER, possibly confounding the diagnostic interpretation of 16α-[18F]fluoro-17β-estradiol (FES; Cerianna GE HealthCare) in patients with both ER+ breast carcinomas and other malignancies. We present a case of a woman with prior history of both ER+ breast carcinoma and pulmonary adenocarcinoma with subsequent identification of an FES pulmonary nodule that was proven on histopathology to be consistent with an ER expressing pulmonary adenocarcinoma metastasis
众所周知，乳腺癌会表达雌激素受体（ER），但其他恶性肿瘤也会表达ER，这可能会混淆16α-[18F]氟-17β-雌二醇（FES；Cerianna GE HealthCare）对ER+乳腺癌和其他恶性肿瘤患者的诊断解释。我们介绍了一例女性病例，该女性既有ER+乳腺癌病史，又有肺腺癌病史，随后发现了一个FES肺结节，组织病理学证实该结节与ER表达的肺腺癌转移一致。
{"title":"FES avid pulmonary adenocarcinoma and confounding ER+ breast carcinoma","authors":"Yousif M. Abdelmoneim MD , Yanyan Lou MD PhD , Pooja Advani MD , Andras Khoor MD PhD , Akash Sharma MD , Ephraim E. Parent MD PhD","doi":"10.1016/j.radcr.2024.10.114","DOIUrl":"10.1016/j.radcr.2024.10.114","url":null,"abstract":"<div><div>Breast carcinomas are well known for expression of estrogen receptor (ER) however there are other malignancies that are also express ER, possibly confounding the diagnostic interpretation of 16α-[<sup>18</sup>F]fluoro-17β-estradiol (FES; Cerianna GE HealthCare) in patients with both ER+ breast carcinomas and other malignancies. We present a case of a woman with prior history of both ER+ breast carcinoma and pulmonary adenocarcinoma with subsequent identification of an FES pulmonary nodule that was proven on histopathology to be consistent with an ER expressing pulmonary adenocarcinoma metastasis</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 801-804"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650713","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 : 2024-11-14DOI: 10.1016/j.radcr.2024.10.082
Kendal L. Weger MD, Maani M. Archang MD, Ying-Chun Lo MD, Linda X. Yin MD, Michael F. Armstrong MD, Julie B. Guerin MD, Ian T. Mark MD, John C. Benson MD
Torus palatinus is an osseus exostosis found in the midline of the hard palate. It is a relatively common condition and is benign in nearly all cases. However, complications such as airway obstruction, sleep apnea, and swallowing difficulties do exist. One of the more serious complications is osteonecrosis. Osteonecrosis of tori has scantly been reported in the literature. Reported risk factors include bisphosphonate use, trauma, and anticoagulation. Here, we present a case of torus palatinus osteonecrosis in the setting of Denosumab use, a monoclonal antibody for the treatment of osteoporosis. This case brings awareness to a rare, but important, potential complication of long-term use of that medication.
{"title":"Torus palatinus osteonecrosis: A hitherto unreported complication of long-term Denosumab use","authors":"Kendal L. Weger MD, Maani M. Archang MD, Ying-Chun Lo MD, Linda X. Yin MD, Michael F. Armstrong MD, Julie B. Guerin MD, Ian T. Mark MD, John C. Benson MD","doi":"10.1016/j.radcr.2024.10.082","DOIUrl":"10.1016/j.radcr.2024.10.082","url":null,"abstract":"<div><div>Torus palatinus is an osseus exostosis found in the midline of the hard palate. It is a relatively common condition and is benign in nearly all cases. However, complications such as airway obstruction, sleep apnea, and swallowing difficulties do exist. One of the more serious complications is osteonecrosis. Osteonecrosis of tori has scantly been reported in the literature. Reported risk factors include bisphosphonate use, trauma, and anticoagulation. Here, we present a case of torus palatinus osteonecrosis in the setting of Denosumab use, a monoclonal antibody for the treatment of osteoporosis. This case brings awareness to a rare, but important, potential complication of long-term use of that medication.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 772-776"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650865","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 : 2024-11-14DOI: 10.1016/j.radcr.2024.10.071
Muhammad Ammar, Muhammad Salman Ullah, Rana Uzair Ahmad, Tabraiz Hassan Tanvir, Maria Rehmani
Mycobacterium avium complex, a commonly seen infection in individuals with a compromised immune system, can also affect people who are immunocompetent. One particularly important manifestation is in elderly females with a competent immune system, involving the middle lobe and lingula lobe of the lung. This is known as Lady Windermere syndrome (LWS). An 84-year-old female patient with certain nonpulmonary comorbidities initially got a diagnosis of MAC infection but refused to undergo any medication therapy, she presents after 5 years for a follow up visit and is found to have significant changes in her pulmonary parenchyma on investigation findings, concerning for this syndrome. LWS is a rather uncommon condition, rarely presents in clinical settings and described very less often in the literature. This report is aimed at increasing awareness of LWS as a possible diagnosis that should be considered in patients with a chronic MAC infection and a specific pattern of parenchymal changes discussed in this report in detail.
复合分枝杆菌是一种常见于免疫系统受损的人的感染病，但也会影响免疫功能正常的人。其中一个特别重要的表现是，免疫系统正常的老年女性会出现肺中叶和肺舌叶受累。这就是所谓的温德米尔夫人综合征（LWS）。一名 84 岁的女性患者患有某些非肺部合并症，最初被诊断为 MAC 感染，但她拒绝接受任何药物治疗，5 年后她来复诊，检查结果发现她的肺实质有明显变化，这与该综合征有关。LWS 是一种相当罕见的病症，很少出现在临床环境中，文献中的描述也非常少。本报告旨在提高人们对 LWS 的认识，将其作为慢性 MAC 感染患者应考虑的一种可能诊断，并在本报告中详细讨论肺实质变化的特定模式。
{"title":"The Subtle evolution of pulmonary parenchymal changes: A case of lady windermere syndrome emerging from chronic MAC infection in an immunocompetent patient with scoliosis","authors":"Muhammad Ammar, Muhammad Salman Ullah, Rana Uzair Ahmad, Tabraiz Hassan Tanvir, Maria Rehmani","doi":"10.1016/j.radcr.2024.10.071","DOIUrl":"10.1016/j.radcr.2024.10.071","url":null,"abstract":"<div><div>Mycobacterium avium complex, a commonly seen infection in individuals with a compromised immune system, can also affect people who are immunocompetent. One particularly important manifestation is in elderly females with a competent immune system, involving the middle lobe and lingula lobe of the lung. This is known as Lady Windermere syndrome (LWS). An 84-year-old female patient with certain nonpulmonary comorbidities initially got a diagnosis of MAC infection but refused to undergo any medication therapy, she presents after 5 years for a follow up visit and is found to have significant changes in her pulmonary parenchyma on investigation findings, concerning for this syndrome. LWS is a rather uncommon condition, rarely presents in clinical settings and described very less often in the literature<strong>.</strong> This report is aimed at increasing awareness of LWS as a possible diagnosis that should be considered in patients with a chronic MAC infection and a specific pattern of parenchymal changes discussed in this report in detail.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 747-751"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650867","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}
Actinomycosis is a suppurative granulomatous infection caused by the Gram-positive bacillus Actinomyces israelii. It rarely affects the pelvis, but its incidence appears to be increasing, possibly due to the frequent use of intrauterine devices (IUDs). We report the case of a patient with an IUD in place for over 10 years who presented with pelvic pain, general health deterioration, and imaging findings suggesting a neoplastic origin.
{"title":"Pelvic actinomycosis: A hidden threat mimicking pelvic tumors","authors":"Safae Lanjeri MD , Badr Kabila MD , Soumya El graini MD , Oumaima Mesbah MD , Mehdi Dhamnia MD , Hassouni Fatima PhD , Mounia El Yousfi PhD , Youssef Omor PhD , Rachida Latib PhD , Sanae Amalik PhD","doi":"10.1016/j.radcr.2024.10.080","DOIUrl":"10.1016/j.radcr.2024.10.080","url":null,"abstract":"<div><div>Actinomycosis is a suppurative granulomatous infection caused by the Gram-positive bacillus Actinomyces israelii. It rarely affects the pelvis, but its incidence appears to be increasing, possibly due to the frequent use of intrauterine devices (IUDs). We report the case of a patient with an IUD in place for over 10 years who presented with pelvic pain, general health deterioration, and imaging findings suggesting a neoplastic origin.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 717-721"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650863","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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