Pediatric Radiology
Neonatal neuroblastoma 4s with diffuse liver metastases (Pepper syndrome) without an adrenal/extraadrenal primary identified on imaging by Apeksha Chaturvedi et al. |
Published: 2018 Mar
Issue: 12(3) :: Pages: 18-27
| Abstract: We report the imaging appearances of a case of pathologically proven, neonatal neuroblastoma 4S with diffuse hepatic metastatic involvement at presentation. Patient had an abnormal appearing liver both by ultrasound and MR. There was no evidence for associated adrenal tumor by imaging. Lack of an associated adrenal mass led to initial misinterpretation of diffuse hepatic accumulation of MIBG seen with radionuclide scintigraphy. To the best our knowledge, this is the first report of metastatic neonatal 4S neuroblastoma without an adrenal (or extra-adrenal) primary identified either on pre- or post-natal imaging.
Available image modalities: (click on modality to browse for other articles)
Ultrasound, Magnetic Resonance Imaging, Nuclear Medicine, Microscopic pathology, Table
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Neuroradiology
Clival chordoma with drop metastases by Faimee Erwan Muhamat Nor et al. |
Published: 2018 Mar
Issue: 12(3) :: Pages: 1-9
| Abstract: Chordoma is a rare midline malignant tumor arising from embryonic remnants of the primitive notochord. The base of the skull is the second most common site of disease after the sacrococcygeal region. Intracranial chordoma constitutes about 30-35% of chordoma cases. Metastasis from chordoma is uncommon but if occurs, it tends to spread to the lungs. Cerebrospinal fluid seeding or drop metastasis is very rare. Here we describe a case of a clival chordoma with drop metastases.
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Magnetic Resonance Imaging, Computed Tomography, Microscopic pathology, Table
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General Radiology
Extensive Thrombus and Brain Microabscesses After Sleeve Gastrectomy by race Faith Chao et al. |
Published: 2018 Mar
Issue: 12(3) :: Pages: 10-17
| Abstract: Sleeve gastrectomy is a relatively newer bariatric surgical procedure and has become the most common of all bariatric surgeries performed. Complication rates reported with sleeve gastrectomies are relatively low and are generally due to staple line leaks, hemorrhage, or sleeve stricture. Portal vein thrombosis is an uncommon but potentially dangerous complication. We present a case of a 21-year-old woman who developed thrombosis of the portal, splenic, and right common iliac veins that then resulted in multifocal brain abscesses from presumed Fusobacterium septic emboli following an uncomplicated laparoscopic sleeve gastrectomy.
Available image modalities: (click on modality to browse for other articles)
Fluoroscopy, Ultrasound, Computed Tomography, Magnetic Resonance Imaging, Conventional Radiography, Graph, Table
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