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October 2020 Issue

 




Other Radiology articles from the Neuroradiology section Neuroradiology

A Rare Cause of Acute Back Pain in a Young Adult: Case Report and Discussion of Calcific Discitis by Paul Schulze et al.

Published: 2020 Oct
Issue: 14(10) :: Pages: 1-9


Free full text article: A Rare Cause of Acute Back Pain in a Young Adult: Case Report and Discussion of Calcific Discitis

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Abstract: Calcific discitis in the adult population is very rare, with fewer than 40 cases reported in the literature. Most cases thus far have involved patients presenting with mid to upper back pain of acute to subacute onset. As it is a condition that is self-resolving with rare exception, the true incidence is likely underestimated. Another factor contributing to the underestimation of individuals with back pain in general is that many patients will treat themselves before presenting for care. Back pain is one of the most common presenting symptoms to primary care physician offices and represents an economic burden of billions of dollars annually. The utilization of MRI imaging and other diagnostic work-up amount to an important component of this cost and one that could possibly be reduced with early radiological identification of this condition. We present a case in which an adult patient presented with subacute lumbar back pain, eventually diagnosed as calcific discitis.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Spontaneous bronchobiliary fistula: Case report by Marzia Acquasanta et al.

Published: 2020 Oct
Issue: 14(10) :: Pages: 10-15


Free full text article: Spontaneous bronchobiliary fistula: Case report

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Abstract: Bronchobiliary fistula (BBF) is a rare condition that results from the communication between the bile ducts and the bronchial tree. It is characterized by the presence of bile in the sputum as pathognomonic symptom, and it is often associated with suspicious pneumonia. The most common causes include infections (e.g. echinococcosis), hepatobiliary surgery, blunt torso traumas, tumors and percutaneous transhepatic procedures. Opinions about BBF treatment are still controversial as it can be treated by both conservative and surgical procedures, while pharmacological treatments are only rarely used. This case report presents a patient who had been diagnosed with chronic BBF of unknown cause, underwent several ineffective conservative procedures and was at last surgically treated.


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Computed Tomography, Angiography, Interventional, Table





Other Radiology articles from the Cardiac Imaging section Cardiac Imaging

Co-existent Epicardial Paraganglioma and Anterior Mediastinal Thymoma by Matthew G Dudgeon et al.

Published: 2020 Oct
Issue: 14(10) :: Pages: 16-30


Free full text article: Co-existent Epicardial Paraganglioma and  Anterior Mediastinal Thymoma

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Abstract: Thymoma and paraganglioma are known causes of mediastinal masses, the latter being extremely rare. Thymomas arise from remnant thymic tissue in the anterior mediastinum; whereas, thoracic paragangliomas arise from para-aortic or para-vertebral sympathetic chain ganglion (derivatives of embryonic neural crest) in the middle or posterior mediastinum. We report a case of a middle-aged woman with two mediastinal masses, originally believed to be a single tumor or primary malignancy with adjacent metastasis on Computed Tomography (CT) that were further delineated with Magnetic Resonance Imaging (MRI) and [68Ga]-DOTA-(Tyr3)-octreotate (DOTA-TATE) Positron Emission Tomography-Computed Tomography (PET-CT) and surgical pathology as two distinct entities: left epicardial paraganglioma and anterior mediastinal thymoma. A comprehensive discussion of both entities is included.


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Angiography, Interventional, Computed Tomography, Ultrasound, Magnetic Resonance Imaging, Nuclear Medicine, Macroscopic pathology, Microscopic pathology, Table





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