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November 2020 Issue

 




Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Appendicitis mimicking the CT appearance of an appendiceal mucinous neoplasm by Jia Qi Jeremy Soon et al.

Published: 2020 Nov
Issue: 14(11) :: Pages: 26-38


Free full text article: Appendicitis mimicking the CT appearance of an appendiceal mucinous neoplasm

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Abstract: Occasionally, radiologically diagnosed acute appendicitis is found to harbour underlying appendiceal neoplasm on post-surgical histopathology. Conversely, a situation in which radiologically, the appendix demonstrates features consistent with an underlying tumour but post-operative pathology finds no evidence of neoplastic change is rare. We describe a case of a 50-year-old man who presented with a markedly dilated "mass-like" appendix with minimal inflammatory changes on a computed tomography scan. Radiological findings were suspicious for an appendiceal neoplasm/mucocele (i.e. low-grade mucinous neoplasm). However, the post-surgical histopathological diagnosis did not concur with the radiological diagnosis and instead demonstrated findings compatible with acute appendicitis without neoplastic change. In this case report we provide a histopathological correlation and an explanation as to how this may have happened with the hope of helping radiologists avoid this pitfall in the future.


Available image modalities: (click on modality to browse for other articles)
Computed Tomography, Macroscopic pathology, Graph, Table





Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Involvement of the Mediastinal Subpleural Pulmonary Parenchyma on Chest CT in COVID-19 patients: A Case Series by Luigi Urciuoli et al.

Published: 2020 Nov
Issue: 14(11) :: Pages: 1-15


Free full text article: Involvement of the Mediastinal Subpleural Pulmonary Parenchyma on Chest CT in COVID-19 patients:  A Case Series

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Abstract: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). First identified in December 2019 in Wuhan, China, it has since become a global pandemic. Although the reference standard for SARS-CoV-2 diagnosis is real-time reverse transcription polymerase chain reaction (RT-PCR), computed tomography (CT) is recommended for both initial evaluation and follow-up. The CT findings in COVID-19 are varied, but typical ground-glass opacities are usually reported to occupy a peripheral costal subpleural distribution. Here we report eight confirmed COVID-19 cases who underwent clinical evaluation, laboratory testing, and unenhanced chest CT. In all patients, chest CT showed the presence of ground-glass opacities in the mediastinal subpleural parenchyma. While these cases also showed the typical CT features of COVID-19, involvement of the mediastinal subpleural parenchyma should not lower the index of suspicion for COVID-19.


Available image modalities: (click on modality to browse for other articles)
Computed Tomography, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Adenoid cystic carcinoma of the breast: a study of five cases by Lixian Liu et al.

Published: 2020 Nov
Issue: 14(11) :: Pages: 16-25


Free full text article: Adenoid cystic carcinoma of the breast: a study of five cases

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Abstract: Adenoid cystic carcinoma of the breast is a rare type of breast cancer. Most patients present with a bilateral palpable mass. Ultrasound and mammography are non-specific and can sometimes lead to misdiagnosis because of their variable imaging features. Pathological examination is the standard reference. Surgery is the mainstay of treatment for patients. Although adenoid cystic carcinoma has an excellent prognosis, metastatic cases have been reported. This report aims to discuss the clinical and imaging features of one case of adenoid cystic carcinoma with a poor prognosis and four cases with a good prognosis at our center.


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





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