Thoracic Radiology
Isolated thoracic duct injury from blunt force trauma by Shelby Champion et al. |
Published: 2020 Sep
Issue: 14(9) :: Pages: 18-29
| Abstract: Isolated thoracic duct injury is an uncommon clinical event and is rare in the setting of trauma. We describe a case of an isolated thoracic duct injury resulting in the development of bilateral chylothorax following a motor vehicle collision in the absence of any other definable injury. We outline the initial patient presentation and diagnosis. After failing a trial of conservative management the patient underwent lymphangiography followed by thoracic duct ligation with pleurodesis. This case highlights the importance of recognizing thoracic duct injury following trauma.
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Conventional Radiography, Computed Tomography, Fluoroscopy, Table
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Musculoskeletal Imaging
Atypical Unilateral Sacroiliitis Secondary to Mechanical Stress Injury by Tonine Younan-Farah et al. |
Published: 2020 Sep
Issue: 14(9) :: Pages: 10-17
| Abstract: We report for the first time a case of atypical unilateral sacroiliitis secondary to mechanical stress injury. Unilateral sacroiliitis can be caused by a variety of etiologies. The first diagnosis to rule out is infection since it requires urgent treatment to avoid its serious consequences. Spondyloarthritis can be manifested by unilateral sacroiliitis in its early stage. Sacral fractures should always be looked for on the imaging modalities performed. In our case, no signs of infection or systemic disease were found. No fracture was seen on the imaging examinations and we had negative cultures on the computed tomography-guided biopsy realized. A history of mechanical stress was the only clue found suggesting the diagnosis of a probable stress related sacroiliitis. A thorough review of the literature will be provided stating the different causes of sacroiliitis described till now, with discussion of this new reported entity.
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Magnetic Resonance Imaging, Computed Tomography, Table
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Neuroradiology
An aortic wall to vertebral body fistula presenting as a lytic lesion by Paul Farnsworth et al. |
Published: 2020 Sep
Issue: 14(9) :: Pages: 1-9
| Abstract: There have been multiple reported cases of aortic fistulas but few cases of aorta to vertebral body fistulas and no aortic wall to vertebral body fistulas have been reported. Here we present a case of a patient who is status post thoracic aortic aneurysm (TAA) repair and found to have a lytic vertebral body lesion. Biopsy of the mass revealed blood products without evidence of malignancy and further investigation revealed a fistulous tract between the aortic wall and the vertebral body causing a vertebral body hematoma.
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Computed Tomography, Magnetic Resonance Imaging, Macroscopic pathology, Microscopic pathology, Table
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