Published: 2010 Aug
Issue: 4(8) :: Pages: 7-14

   

Abstract: A 31 years old female presented with swelling and pain above the right knee for three years. On examination, there was a tender swelling over the right knee more pronounced over the suprapatellar region. Plain X-ray, US, CT scan and MRI of the knee were suggestive of Primary synovial osteochondromatosis (PSC) of the suprapatellar pouch. Patient underwent total synovectomy and the diagnosis of synovial osteochondromatosis was confirmed histopathologically. Recognizing the imaging appearances of PSC is important to improve patient management.

Published: 2010 Aug
Issue: 4(8) :: Pages: 22-28

   

Abstract: Malignant plasma cells in multiple myeloma are predominantly confined to the medullary space of the skeletal system, therefore the disease course will be dominated by signs and symptoms related to bone marrow infiltration and destructive bone lesions with their consequences as well as abnormal protein production. Visceral extramedullary plasmacytoma involving the gastrointestinal system and particularly the duodenum is a rare manifestation of the disease. We report a case of duodenal extramedullary plasmacytoma presenting with gastric outlet obstruction and painless jaundice, in a patient treated for multiple myeloma. Diagnosis was first suggested on imaging, and proved by endoscopic biopsy. The duodenal mass resolved following chemotherapy.

Published: 2010 Aug
Issue: 4(8) :: Pages: 36-41

   

Abstract: Mammary duct ectasia is a rare finding in males. We report a case of mammary duct ectasia in a 58 year old male with liver failure and end stage renal failure. We discuss radiology findings of mammary duct ectasia as well as potential risk factors and management options for symptomatic male mammary duct ectasia.

Published: 2010 Aug
Issue: 4(8) :: Pages: 1-6

   

Abstract: ABSTRACT We report the case of a patient with pre-existing multiple sclerosis, who presented with horizontal diplopia, and a prior episode of progressive ataxia and dizziness lasting one week. While initially attributed to multiple sclerosis, subsequent imaging demonstrated a concurrent left cerebellar gangliocytoma, also known as Lhermitte-Duclos disease.

Published: 2010 Aug
Issue: 4(8) :: Pages: 29-35

   

Abstract: Granular cell tumors (GCTs) are benign neoplasms that are most commonly found in the head and neck region. We present a case of endobronchial granular cell tumor presenting as hemoptysis in a 22-year-old African American female. Patient subsequently underwent a right upper and middle lobectomy, and upon histologic analysis was found to have GCT with borders impinging upon cartilage and adjacent peribronchial lymph nodes.

Published: 2010 Aug
Issue: 4(8) :: Pages: 15-21

   

Abstract: Patients on long term lithium therapy for affective disorders may develop renal toxicity. It may manifest as nephrogenic diabetes insipidus with renal biopsy showing interstitial fibrosis, sclerotic glomeruli and cyst formation. Magnetic resonance imaging demonstrates the presence of microcysts in patients on long-term lithium therapy, suggesting a possible cause for their nephrotoxicity. We describe the typical magnetic resonance imaging appearance of renal microcysts in a 53 year old woman on chronic lithium therapy.