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Other Radiology articles from the Neuroradiology section Neuroradiology

Remote cerebellar hemorrhage as a complication of lumbar spine surgery by Cheryl Hui Shan Lim et al.

Published: 2020 Feb
Issue: 14(2) :: Pages: 1-11


Free full text article: Remote cerebellar hemorrhage as a  complication of lumbar spine surgery

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Abstract: Remote cerebellar hemorrhage (RCH) is a rare yet potentially fatal complication of supratentorial and spinal surgery, where there has been either intentional or accidental breach of the dura. We present a case of RCH following a L4-5 decompression laminectomy complicated by an intra-operative dural tear which was detected and repaired at the time of surgery. Despite prompt intra-operative repair of the dura, there was persistent cerebrospinal fluid leak as evidenced by a high subfascial epidural drain output which resulted in bilateral intraparenchymal cerebellar hemorrhage. The patient was managed conservatively and recovered without neurological deficits.


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





Other Radiology articles from the Breast Imaging section Breast Imaging

Complex Solid and Cystic Breast Cancer: A Series of Six Case Reports by Nishi Mehta et al.

Published: 2020 Feb
Issue: 14(2) :: Pages: 21-44


Free full text article: Complex Solid and Cystic Breast Cancer:  A Series of Six Case Reports

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Abstract: A cyst in the breast containing a thick wall, internal septations, or a solid intracystic component is defined as a complex solid and cystic breast mass. These lesions carry a malignant potential between 23-31% and thus require further evaluation with biopsy [1]. We report six cases in which patients were found to have a complex solid and cystic mass, all of which were proven to be malignant breast cancers of varying etiologies. We also review the literature on malignant etiologies of complex solid and cystic breast masses, including their clinical presentation, work-up, histopathologic and immunochemistry findings, treatment, and prognosis.


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Ultrasound, Conventional Radiography, Microscopic pathology, Nuclear Medicine, Computed Tomography, Table





Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Adventitious bursitis in the plantar fat pad of forefoot presenting as a tumoral mass by Hichem Zidani et al.

Published: 2020 Feb
Issue: 14(2) :: Pages: 12-20


Free full text article: Adventitious bursitis in the plantar fat pad of forefoot presenting as a tumoral mass

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Abstract: Adventitious bursitis of the plantar fat pad is a common cause of forefoot pain. It may develop at sites where subcutaneous tissue is exposed to friction and high pressure. In the forefoot, adventitious bursitis is usually adjacent to bony prominences of the metatarsal heads. Diagnosis and management of adventitious bursitis usually do not require imaging studies. However, the condition occasionally presents as a solid pseudotumoral mass requiring imaging. Magnetic resonance imaging (MRI) may demonstrate a heterogeneous mass with a solid component exhibiting intermediate to high signal intensity on T2-weighted images and thick nodular enhancement suggesting a neoplastic lesion. We report three cases of adventitious bursitis in patients who complained of a painful palpable mass on the forefoot, with a partially solid and enhancing component seen on MRI. In the first case, a biopsy was performed for the diagnosis of adventitious bursitis. The two other cases exhibited a solid component on MRI. However, a diagnosis of adventitious bursitis was suspected, and it was felt that a biopsy could be postponed. The spontaneous regression of the mass with relative discharge of the forefoot pressure confirmed the diagnosis. With these three cases, we illustrate the MR findings that could suggest adventitious bursitis despite the presence of a solid component and that may obviate the need for pathologic proof.


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Magnetic Resonance Imaging, Table





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