Pediatric Radiology
Diagnosis of Epipericardial Fat Necrosis on multimodality imaging in a pediatric patient: a case report and review of the literature by Lama Alomari et al. |
Published: 2020 May Issue: 14(5) :: Pages: 16-24
| Abstract: This is a case report of a 13-year-old male, presented to the Emergency Department complaining of a sudden onset left-sided pleuritic chest pain for 1 day. He was found to have a mass in the left Epipericardial fat with fat stranding and pleural effusion supporting the diagnosis of Epipericardial Fat Necrosis. The findings were established by Computed tomography and Ultrasound, and the final diagnosis was confirmed by Magnetic resonance imaging. Subsequently, the patient was discharged on analgesia; re-assessment one-month later showed clinical improvement with no symptom recurrence. Repeated Ultrasound demonstrated a marked decrease in size and echogenicity of the mass. In this paper we review the clinical and radiological manifestations of Epipericardial fat necrosis and the different management approaches taken over the years.
Available image modalities: (click on modality to browse for other articles) Conventional Radiography, Computed Tomography, Ultrasound, Magnetic Resonance Imaging, Table
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Gastrointestinal Radiology
Hemosuccus pancreatitis due to a ruptured splenic artery pseudoaneurysm - diagnosis and endovascular management by Sharandran Chandra Mohan et al. |
Published: 2020 May Issue: 14(5) :: Pages: 7-15
| Abstract: Hemosuccus pancreatitis is a rare and potentially fatal cause of upper gastrointestinal bleeding characterized by hemorrhage from the ampulla of Vater via the pancreatic duct. In this case, a patient with chronic pancreatitis on a background of chronic alcoholism is found to have a splenic artery pseudoaneurysm that was bleeding into the pancreatic duct. This was identified on contrast-enhanced computed tomography imaging and successfully managed via microcoil embolization.
Available image modalities: (click on modality to browse for other articles) Computed Tomography, Angiography, Interventional, Table
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Neuroradiology
Labyrinthitis and Labyrinthitis Ossificans - A case report and review of the literature by Pritee Taxak et al. |
Published: 2020 May Issue: 14(5) :: Pages: 1-6
| Abstract: Labyrinthitis most commonly results from an infectious and less commonly from an inflammatory process of the inner ear, but it can be associated with temporal bone trauma, hemorrhage, or tumor. This inflammation (regardless of the etiology) disrupts the transmission of sensory information from the ear to the brain. Labyrinthitis ossificans is the pathological ossification of the membranous labyrinthine spaces in response to an insult to the inner ear involving membranous labyrinth or the endosteum of the otic capsule. Herein, we present a case of a 67-year-old female with progressive bilateral sensorineural hearing loss and positional vertigo.
Available image modalities: (click on modality to browse for other articles) Computed Tomography, Magnetic Resonance Imaging, Table
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