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December 2020 Issue

 




Other Radiology articles from the Breast Imaging section Breast Imaging

Extramedullary Plasmacytoma of the breast in a patient with Multiple Myeloma by Stephen Vong et al.

Published: 2020 Dec
Issue: 14(12) :: Pages: 14-23


Free full text article: Extramedullary Plasmacytoma of the breast in a patient with Multiple Myeloma

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Abstract: Extramedullary plasmacytoma of the breast is rare. It is important to recognize the imaging findings and include it as a differential consideration in multiple myeloma patients with a breast mass. A 74-year-old woman undergoing chemotherapy for relapsed multiple myeloma presented with a palpable mass in her right breast. A screening mammogram four months prior was unremarkable. She underwent a diagnostic right mammogram which showed two well-circumscribed hyperdense masses. An ultrasound of the right breast showed mixed echogenic masses with indistinct margins and increased vascularity. Ultrasound guided biopsy confirmed the presence of an extramedullary plasmacytoma. A follow-up whole body PET/CT demonstrated an FDG-avid right breast mass with extensive osseous metastases.


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





Other Radiology articles from the Genitourinary Radiology section Genitourinary Radiology

Penile Mondor`s disease: Imaging in two cases by Michele Foresti et al.

Published: 2020 Dec
Issue: 14(12) :: Pages: 24-30


Free full text article: Penile Mondor`s disease: Imaging in two cases

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Abstract: Penile Mondor`s disease is a rare and under-recognized benign genital condition consisting of an isolated thrombosis of the dorsal superficial vein of the penis. Symptoms do not show distinctive features and there are asymptomatic cases. The patients usually present with a cord-like induration at dorsum of the penis. Diagnosis is usually made based on history and physical examination. The role of imaging in Mondor`s disease is to identify the intravascular thrombus. In case of diagnostic uncertainty, Grey scale and Doppler ultrasound can be useful to detect the extent of thrombosis demonstrating echogenic material within venous lumen, vessel incompressibility and absence of flow, as well as painful selective pressure. The use of Magnetic Resonance imaging is controversial and not used routinely. Usually treatment is conservative: sexual rest, local anesthetics, anti-inflammatories, antibiotics in case of infection and anticoagulants. Sclerosing lymphangitis and Peyronie`s disease have been described as possible differential diagnosis.


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Ultrasound, Computed Tomography, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Malignant transformation in a sciatic plexiform neurofibroma in Neurofibromatosis Type 1 - imaging features that aid diagnosis by Dorinda Chee Yee Chew et al.

Published: 2020 Dec
Issue: 14(12) :: Pages: 1-13


Free full text article: Malignant transformation in a sciatic plexiform neurofibroma in Neurofibromatosis Type 1  - imaging features that aid diagnosis

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Abstract: A 41-year-old Asian male with NF1 and bilateral sciatic plexiform neurofibromas, presented with unintentional weight loss, increasing size of a left thigh mass associated with increasing pain and radiculopathy. MRI of the left thigh demonstrated imaging features suspicious of malignant transformation. The patient had a new left lung mass, demonstrating avid FDG uptake, raising suspicion for metastasis. Surgical resection of the left thigh mass confirms malignant transformation in a preexisting sciatic plexiform neurofibroma. Diagnosis of malignant transformation in a nerve sheath tumour can be challenging. MRI remains the main preferred imaging modality in the evaluation of these tumours. Imaging features that raise suspicion for malignant transformation are discussed. Although none of these are specific for malignant transformation, studies suggest that the presence of two to four of these features should prompt further investigations.


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





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