A deceptive magnetic resonance cholangiopancreatogram?
by Andrew N. Jordan, Shilpa Kodati and Sebastian Zeki
A case describing a curious MRCP appearance is presented, which, placed in the clinical context, suggested an unusual tropical cause for the patient’s presentation and generated great debate between physicians, surgeons and radiologists. (Specialties Gastroenterology; Radiology: 6 Apr 2010) More...
Radiation-induced periosteal osteosarcoma
by J. Dhaliwala, V.P. Sumathib and R.J. Grimer
Radiation-induced sarcomas are a well-recognized late complication of radiation therapy. We present a rare case of a periosteal osteosarcoma of the femur developing 10 years after radiation treatment for a soft tissue sarcoma to highlight the clinical and radiological features of this rare complication of therapy and to describe its management. (Specialties Othopaedics; Radiology: 16 Feb 2010) More...
Lung sequestration and foregut cyst misleading staging investigations for colonic cancer
by N. Tregay, R. Krishnadas, E. Toy and P. Froeschle
We report the diagnostic challenges raised by the uncommon synchronous finding of a lung sequestration and foregut cyst in a 76-year-old male scheduled for radical treatment of his colonic cancer. Following a computed tomography (CT) scan of the chest and a combined positron emission tomography (PET)-CT scan these lesions initially suggested a primary lung cancer with single-station mediastinal nodal disease. At the end of an inconclusive non-invasive diagnostic pathway, histopathologic diagnosis was obtained by video-assisted thoracoscopy, converted into a limited thoracotomy. Even though advanced imaging techniques are providing an overall improvement in diagnostic accuracy, invasive biopsy continues to represent an additional option in complex cases. (Specialties Radiology, Thoracic surgery: 7 Dec 2009) More...
Spontaneous resolution of an intramuscular supraspinatous cyst: a case report and literature review
by Jagwinder Dhaliwal and Butt Sohail
Intramuscular supraspinatous cysts are rare and usually related to partial supraspinatous tendon tears. Conventional magnetic resonance imaging (MRI) and MRI arthrography are the most commonly used modalities for imaging such rotator cuff pathology. Treatment and follow-up of such cysts is not well documented in the literature. We report the successful conservative management and follow-up of a patient with a supraspinatous cyst. A patient presented with a 2-month history of right shoulder pain following painting and decorating. An MRI scan showed a supraspinatous cyst and thinning of the supraspinatous tendon. The patient was treated conservatively and at 6 months follow-up was found to be asymptomatic. A repeat MRI scan confirmed complete resolution of the supraspinatous cyst. (Specialties Orthopaedic surgery, Radiology: 17 Nov 2009) More...
Large bowel obstruction secondary to gallstone impaction at a sigmoid diverticular stricture: the radiological features
by Saravanan Munusamy, Kumar Subramanian and Chris Loughran
Intestinal obstruction secondary to displacement of a stone from the gall bladder into the intestinal tract is relatively uncommon. The commonest site of calculus impaction is at the ilio-caecal valve. Occasionally, however, the gall stone may either pass through the valve into the colon or perforate directly into the transverse colon and impact in the distal colon. The extruded calculus is often only faintly calcified and may be difficult to identify on plain radiographs. We describe a case where multislice computed tomography of the abdomen enabled an accurate diagnosis to be made. Prompt surgical treatment was subsequently undertaken. We report the imaging findings with particular emphasis on the importance of computed tomography in establishing the diagnosis. (Specialties Radiology: 29 April 2009) More...
A case of rose thorn tenosynovitis
by Pamela Mangat and Ali S. M. Jawad
Penetrating injuries with retained foreign bodies are a frequent cause of synovitis affecting the extremities. The management of plant thorn synovitis raises a number of diagnostic and treatment challenges. (Rheumatology, Radiology; 20th February 2007) More...
Giant hemangioma or metastatic disease of malignant gastrointestinal tumor? Diagnoses through ‘new-line’ therapy
In a case of a malignant gastrointestinal stromal tumor (GIST) with a huge hepatic metastatic lesion of undetermined origin, the lesion shrank markedly during therapy with a highly selective tyrosine kinase inhibitor. (June 2003) More...
