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October 2019 Issue

 




Other Radiology articles from the Breast Imaging section Breast Imaging

Breast Microcalcifications as the Only Imaging Manifestation of Metastatic Serous Peritoneal Adenocarcinoma in the Breast by Mary Moon-Sun Liang et al.

Published: 2019 Oct
Issue: 13(10) :: Pages: 11-20


Free full text article: Breast Microcalcifications as the Only Imaging Manifestation of Metastatic Serous Peritoneal Adenocarcinoma in the Breast

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Abstract: We present a case of a 65 year old female with newly diagnosed primary peritoneal serous carcinoma who was found to have indeterminate segmental microcalcifications in the right upper outer quadrant with a mildly enlarged right axillary node on mammogram. There was no associated breast mass on ultrasound. Core biopsy of the right axillary lymph node and right upper outer quadrant breast microcalcifications confirmed the presence of breast metastases at both sites from primary peritoneal serous carcinoma. This case highlights the importance of histopathological correlation of any breast and axillary abnormalities in patient with primary extramammary malignancy. Imaging features of metastatic lesions to the breast are also reviewed.


Available image modalities: (click on modality to browse for other articles)
Computed Tomography, Microscopic pathology, Conventional Radiography, Ultrasound, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Mucormycosis creeping along the nerves in an immunocompetent individual by Sagar Maheshwari et al.

Published: 2019 Oct
Issue: 13(10) :: Pages: 1-10


Free full text article: Mucormycosis creeping along the nerves in an immunocompetent individual

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Abstract: Mucormycosis is a rare opportunistic fungal infection, often life-threatening. We report an unusual case of rhinocerebral mucormycosis in an immunocompetent patient. A 23-year-old male presented with headache, speech disturbance and hearing difficulty for 4 weeks. Magnetic resonance imaging (MRI) revealed right cerebellar abscess and enhancing soft tissue in the nasal cavity, extending to cranial and infratemporal fossae. Computed tomography (CT) revealed the widening of foramen rotundum and sclerosis involving the sphenoid and ethmoid sinuses. MR Spectroscopy revealed multiple peaks between 3.6 and 3.8 parts per million (ppm) which could represent trehalose. Nasal mucosa scrapings confirmed mucormycosis. Suspicion of a fungal infection needs to be considered even in the absence of immunocompromised status.


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Magnetic Resonance Imaging, Computed Tomography, Microscopic pathology, Table





Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Neuroimaging findings in Emanuel Syndrome by Charlies L Xie et al.

Published: 2019 Oct
Issue: 13(10) :: Pages: 21-25


Free full text article: Neuroimaging findings in Emanuel Syndrome

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Abstract: Emanuel syndrome is a rare inherited chromosomal abnormality caused by an unbalanced translocation of chromosomes 11 and 22. Clinically, Emanuel syndrome is characterized by a wide spectrum of congenital anomalies, dysmorphisms, and developmental disability often confused with other similar syndromes. Outside of genetic testing, diagnosis remains challenging and current literature on typical radiologic findings is limited. We present classic neuroimaging findings of Emanuel syndrome consistent with prior literature including microcephaly, microretrognathia, external auditory canal stenosis, and cleft palate; and also introduce the additional maxillofacial anomaly of dysplastic middle ear ossicles, to our knowledge not previously described in the literature. Recognition of findings leading to earlier diagnosis of Emanuel syndrome may improve outcomes and quality of life for patients and their families.


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Computed Tomography, Table





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