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February 2019 Issue

 




Other Radiology articles from the Interventional Radiology section Interventional Radiology

Trans-Radial Embolization of Bleeding Renal Angiomyolipoma in Pregnant 30-Year-Old Female - A Case Report by Zachary Scharf et al.

Published: 2019 Feb
Issue: 13(2) :: Pages: 34-42


Free full text article: Trans-Radial Embolization of Bleeding Renal Angiomyolipoma in Pregnant 30-Year-Old Female -  A Case Report

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Abstract: Trans-radial access offers several unique advantages and is being used more frequently for interventional radiology procedures. We report the use of trans-radial arterial access to embolize a large bleeding angiomyolipoma in a 30-year-old pregnant patient presenting in the first trimester. Trans-radial approach was chosen to minimize the effects of radiation on the fetus. Subsequent postprocedural pregnancy course was uneventful with stability of the angiomyolipoma and no further hemorrhage. This case highlights the benefits of trans-radial embolotherapy in gravid patients to reduce the risk of radiation exposure to the fetus.


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Ultrasound, Computed Tomography, Angiography, Interventional, Table

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Other Radiology articles from the Cardiac Imaging section Cardiac Imaging

Complementary role of cardiac computed tomography angiography in the diagnosis of prosthetic aortic valve endocarditis and septic coronary embolism - a case report by Thomas van den Boogert et al.

Published: 2019 Feb
Issue: 13(2) :: Pages: 9-14


Free full text article: Complementary role of cardiac computed tomography angiography in the diagnosis of prosthetic aortic valve endocarditis and septic coronary embolism -  a case report

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Abstract: A 73-year old man presented with a posterolateral ST-elevated myocardial infarction 9 months after biological aortic valve replacement for aortic valve stenosis. Invasive coronary angiography showed a filling defect across the left main coronary artery bifurcation extending into the left anterior descending artery and the ramus circumflex. Transthoracic echocardiography revealed a thickened prosthesis leaflet with signs of slight stenosis. Cardiac computed tomography angiography showed a mass on the left coronary cusp of the valve prosthesis, suggestive for vegetation or thrombus. The scan also revealed central luminal filling defects, indicative for thrombus or septic emboli. Blood cultures proved positive for Propionibacterium acnes, therefore the patient was treated for prosthetic valve endocarditis. Computed tomography angiography offers high diagnostic accuracy for detecting infective endocarditis and renders complementary information about valvular anatomy, coronary artery disease and the extension of infections.


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Angiography, Interventional, Computed Tomography, Ultrasound, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Wisdom Tooth`s Revenge: Retropharyngeal Abscess and Mediastinitis after Molar Tooth Extraction by F Eymen Ucisik-Keser et al.

Published: 2019 Feb
Issue: 13(2) :: Pages: 1-8


Free full text article: Wisdom Tooth`s Revenge: Retropharyngeal Abscess and Mediastinitis after Molar Tooth Extraction

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Abstract: Retropharyngeal abscess is potentially associated with high morbidity and mortality as a result of its direct anatomical connection with the mediastinum. Therefore, knowledge of the relevant anatomy is essential for recognizing the presence and extent of disease in a timely manner. In this case report, we aim to review the pertinent anatomy and patterns of spread of infection from a full blown deep neck space infection to result in mediastinitis and empyema.


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Computed Tomography, Fluoroscopy, Graph, Table

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Other Radiology articles from the Breast Imaging section Breast Imaging

Primary Angiosarcoma Of the Breast: A Case Report by Beenu Varghese et al.

Published: 2019 Feb
Issue: 13(2) :: Pages: 15-25


Free full text article: Primary Angiosarcoma Of the Breast: A Case Report

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Abstract: Primary angiosarcoma of the breast is a rare (0.04% of all malignant breast tumors) and potentially life-threatening disease. Given its variable and non-specific clinical, radiological and pathological presentation, accurate diagnosis is a challenge. Primary angiosarcoma of the breast predominantly occurs in younger patients and it is often overlooked and misdiagnosed at radiology and pathology. To ensure that this aggressive malignancy is not overlooked, radiologists need to be aware of the fact that such tumors may present with non-specific imaging features. We report a case of a 32-year-old female with primary angiosarcoma of the breast presenting with non-specific imaging features. It was initially interpreted as a capillary cavernous hemangioma at histopathology following an ultrasound-guided biopsy. This eventually turned out to be angiosarcoma after a second histopathology opinion was sought in light of the radiology-pathology discordance.


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Ultrasound, Conventional Radiography, Magnetic Resonance Imaging, Microscopic pathology, Table

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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Unusual Presentation of Fibrous Dysplasia in an Elderly Patient by Ali Alkhaibary et al.

Published: 2019 Feb
Issue: 13(2) :: Pages: 26-33


Free full text article: Unusual Presentation of Fibrous Dysplasia in an Elderly Patient

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Abstract: Fibrous Dysplasia is a benign fibro-osseous lesion occurring throughout the skeletal system with a predilection for craniofacial bones, long bones, and ribs. Fibrous dysplasia develops during bone formation and growth with a variable natural evolution. It is considered a genetic nonheritable disease resulting from missense mutations that occur postzygotically in the GNAS1 gene. This mutation leads to a focal congenital failure of proper bone formation and arrest at the woven bone stage. In turn, this leads to a decreased mechanical strength, causing bone pain, pathological fractures, and skeletal deformities. Besides clinical examination, fibrous dysplasia is diagnosed based on the results of radiographic imaging and the microscopic histopathological findings. On CT scan, fibrous dysplasia shows the characteristic "Ground-glass" appearance with well-defined borders. On MRI, fibrous dysplasia has a low signal intensity on T1-weighted MRI and variable signal intensity on T2-weighted MRI. We hereby report a case of an unusual presentation of fibrous dysplasia in a 67-year-old female presenting to the emergency department with generalized malaise and lower limb pain. Fibrous dysplasia may present in the elderly population and can be difficult to differentiate from other malignant and benign lesions affecting the skeletal system.


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Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table

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