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April 2021 Issue

 




Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Unusual Presentation of Widely Metastatic Extraskeletal Osteosarcoma: Case Report by Jay Nelson et al.

Published: 2021 Apr
Issue: 15(4) :: Pages: 7-16


Free full text article: Unusual Presentation of Widely Metastatic Extraskeletal Osteosarcoma: Case Report

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Abstract: Extraskeletal osteosarcoma is a highly aggressive malignant osteoid forming mesenchymal neoplasm arising from soft tissues which accounts for 1% of all soft tissue sarcomas. We report the case of a 46-year-old female with no significant past medical history presenting to an emergency department with a right lateral thigh mass following minor trauma. She was eventually found to have high grade extraskeletal osteosarcoma with rapid progression of disease resulting in patient demise. Differentiation of these lesions from alternative processes relies on specific imaging and pathologic features. Differential diagnoses include both benign and malignant etiologies such as myositis ossificans, soft tissue hemangiomas, and other malignant soft tissue neoplasms such as epithelial and synovial sarcoma.


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





Other Radiology articles from the Interventional Radiology section Interventional Radiology

Prevention of Pulmonary Cement Embolism by Inferior Vena Cava Filter following Vertebroplasty-related Cement Intravasation by Stephanie Prater et al.

Published: 2021 Apr
Issue: 15(4) :: Pages: 17-27


Free full text article: Prevention of Pulmonary Cement Embolism  by Inferior Vena Cava Filter following  Vertebroplasty-related Cement Intravasation

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Abstract: A 77 year old woman with recent history of vertebroplasty for treatment of multiple osteoporotic lumbar vertebral body compression fractures presented for post-procedure care. A series of radiographs and cross-sectional imaging of the lumbar spine revealed an unexpected finding of cured bone cement within a small lumbar vertebral vein, the inferior vena cava and within the spokes of an inferior vena cava filter which had originally been placed two years earlier. Inferior vena cava filters have become the standard of care to prevent pulmonary embolism in the setting of deep venous thrombosis. However, cases of foreign materials becoming entrapped in filters are uncommon despite the documented frequency of intravasation of bone cement into the circulatory system following vertebroplasty procedures. This case is significant because it illustrates the rare occurrence of an inferior vena cava filter capturing intravasated bone cement and preventing its migration to the pulmonary circulation.


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





Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Acute soft head syndrome in a sickle cell disease patient by Catherina Zadeh et al.

Published: 2021 Apr
Issue: 15(4) :: Pages: 1-6


Free full text article: Acute soft head syndrome in a sickle cell disease patient

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Abstract: Acute soft head syndrome is an extremely rare complication in children with sickle cell anemia. We present a 16-year old male patient known to have sickle cell anemia who presented to our emergency department with low grade fever, headache, skull pain and swelling. Magnetic Resonance of the brain was done demonstrating subgaleal collections overlying calvarial signal abnormalities. The combination of clinical and radiological findings were indicative of acute soft head syndrome. Acute soft head syndrome is a rare complication in children with sickle cell anemia and the pathophysiology is related to osteonecrosis and bone infarcts of the calvarium as well as secondary reactive sub-galeal collections. Treatment includes conservative management with intravenous fluids and analgesics, in addition, our patient was treated with antibiotics since differentiation clinically and by imaging can be challenging. Acute soft head syndrome should be considered in the differential diagnosis of headache and skull swelling in children with sickle cell anemia.


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Magnetic Resonance Imaging, Table





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