Journal of the Belgian Society of Radiology最新文献

Giuseppe Carlo Antonio Vicentini (1860-1944), professor of experimental physics at the University of Padova, Italy, presented on January 26, 1896, the X‑rays he made during a brief pioneering study period. Among those was the first roentgenograph of an opacified gastro‑intestinal tract, obtained of an animal model.

Teaching point: The role of magnetic resonance imaging (MRI) in diagnosing endometriosis is growing, requiring radiologists to become familiar with both typical and atypical presentations of deep infiltrating endometriosis.

Teaching point: Cemento‑ossifying fibroma is a benign tumor of the jaws with a mixed radiolucent-radiopaque appearance and causes root resorption and bone expansion.

Aorto‑esophageal fistulas (AEF) are rare, often fatal connections between the thoracic aorta and esophagus, arising from aortic disease, esophageal conditions, or iatrogenic causes. Case: A 76‑year‑old woman, treated for esophageal nutcracker syndrome with endoscopic injection of botox, developed chest pain and esophageal hemorrhage. Computed tomography (CT) confirmed an AEF from an aortic pseudoaneurysm. She succumbed to circulatory collapse before treatment. Discussion: Endoscopic botox injections are a rare cause of AEF. The diagnosis relies on imaging and endoscopy, with surgery often required. Teaching point: Aorto‑esophageal fistulas are rare, life‑threatening complications, particularly after iatrogenic procedures. Early diagnosis is crucial, but prognosis remains poor.

Teaching point: Denervation pseudohypertrophy of the medial gastrocnemius muscle is an uncommon cause of calf swelling that may be secondary to chronic radiculopathy.

Teaching point: Kaposi sarcoma is a rare disease most commonly occurring in patients with human immunodeficiency virus (HIV), in patients receiving immunosuppressants or in African patients. Radiological imaging has a role in facilitating the diagnosis and follow‑up, currently primarily with positron emission tomography-computed tomography (PET‑CT) (1).

A case is presented of Boerhaave syndrome in a 70‑year‑old female patient complaining of dysphagia with solids for a long time. She consulted for abdominal pain for 24 hours, accompanied by nausea and fecal vomiting. The patient had tachypnea, tachycardia, hypoxia, abdominal guarding, and absence of bowel sounds. Thoracoabdominal computed tomography revealed significant pyloric wall thickening with secondary gastric distension, cervical subcutaneous emphysema, bilateral pleural effusion, and pneumomediastinum.

Objectives: This study investigates the relationship between lumbar disc degeneration and sociodemographic factors in a Malaysian cohort, focusing on the diagnostic potential of the disc-cerebrospinal fluid signal ratio (DCFR). With lumbar disc degeneration being a significant cause of low back pain, there is a need for simple yet effective diagnostic measures that are adaptable to diverse imaging conditions. Materials and methods: A retrospective analysis was conducted on 182 patients presenting with low back pain. Magnetic resonance imaging (MRI) was used to assess disc degeneration using the Pfirrmann grading system, while the DCFR was calculated to quantify the severity of disc degeneration. Sociodemographic factors such as age, gender, and race were analyzed for their correlation with degeneration severity and DCFR. Results: The DCFR showed a strong negative correlation with Pfirrmann grades, with older patients and males exhibiting more severe degeneration. Sociodemographic factors significantly influenced degeneration patterns, particularly in the older age groups, with Malays showing a higher prevalence of moderate to severe degeneration. Conclusion: The DCFR provides a consistent and practical quantitative assessment of lumbar disc degeneration. It correlates well with traditional qualitative grading systems and is effective across various age group, making it a valuable tool for clinical and diagnostic applications in diverse populations.

Teaching point: Creating awareness of self‑limiting sternal tumour of childhood (SELSTOC) in infants with rapidly growing sternal swelling with normal blood results and without trauma and systemic inflammatory diseases.