Generalised lymphangiomatosis in an 8-year-old girl who presented with cardiomegaly

2011 ◽  
Vol 21 (4) ◽  
pp. 465-467 ◽  
Author(s):  
Funda Öztunç ◽  
Bülent Koca ◽  
İbrahim Adaletli

AbstractGeneralised lymphangiomatosis is a rare disease that is characterized by widespread bony and soft tissue involvement of lymphangioma. Radiological evaluation is crucial because the site and extent of the lymphangioma are important prognostic factors. The computed tomography, ultrasonography and magnetic resonance images showed sharply defined, non-enhanced cystic lesions involving the mediastinum, bones, spleen, lung, and lower neck. We report here a case that was referred to us for investigation of marked cardiomegaly.

2021 ◽  
pp. 1-3
Author(s):  
J.Abdul Gafoor ◽  
B. Suresh ◽  
M. Padmalatha ◽  
P. Kavitha ◽  
Bandaru Mahesh Yadav

Evaluation of soft tissue tumours has undergone a dramatic change with the advent of ultrasonography(USG),magnetic resonance(MR)imaging and computed tomography (CT). Patients are referred for imaging to evaluate a soft tissue lesions in the trunk or extremities.These lesions range from non-neoplastic conditions to benign and malignant tumours. The primary goal for the imaging referral is to confirm the presence of a mass and to assess its extent. And also the study is an attempt to define the role of different imaging modalities in the evaluation of patients with soft tissue tumours in correlation with histopathology.


2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 300-301
Author(s):  
M Monachese ◽  
S Li ◽  
M Salim ◽  
L Guimaraes ◽  
P D James

Abstract Background Pancreatic cystic lesions are increasingly identified in persons undergoing abdominal imaging. Serous cystic neoplasms (SCNs) have a very low risk of malignant transformation. Resection of SCNs is not recommended in the absence of related symptoms. The accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) to identify SCNs is not known and may impact clinical care. Aims To evaluate the accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) for the diagnosis of SCN. To see how this can impact the decision to resect suspected SCNs. Methods Retrospective cohort study of patients from the University Health Network with suspected SCNs from 2017–2020 who underwent either a CT or MRI of the abdomen. Reports noting pancreatic cystic lesions were identified and reviewed. Only cases with suspected SCNs were included. Clinical (age, sex, symptoms, treatment) and radiographic (type of imaging, reported cyst characteristics) data was collected. Pathology was reviewed for all cases where the cysts was biopsied or resected during follow-up. The gold standard for the diagnosis for SCN was pathology of resected specimen or EUS-guided biopsy cytopathology showing no evidence of a mucinous lesion, CEA level below 10ug per L and amylase level below 50 U/L. Results 163 patients were included in the study. 99 (61%) were female and 98 (60%) underwent CT scan. EUS-guided biopsy was performed in 24 (15%) of patients and 8 (5%) had surgical resection. Multidisciplinary review was performed in 6 of the 8 cases that went to surgery. Of the resected specimens, 5 (63%) were SCN, 1 was a mucinous cystic lesion, 1 was a neuroendocrine tumor and 1 was a carcinoma. Two patients underwent EUS evaluation prior to surgical resection. In one case SCN was resected when EUS reported an undetermined cyst type. Reasons for surgical resection were: the diagnosis of serous cyst was not definitive (n=5), symptoms (n=2), and high-risk mucinous cystic neoplasm identified on EUS (n=1). Of 30 patients with pathology available, 15 (50%) were confirmed to have a SCN. CT and MRI had a sensitivity, specificity, positive predictive value and negative predictive value of 93%, 25%, 52% and 80%, respectively. Conclusions Surgical resection for SCN lesions is driven by diagnostic uncertainty after cross-sectional imaging. Multidisciplinary review and EUS evaluation may improve diagnostic accuracy and should be considered prior to surgical resection of possible SCN lesions. Funding Agencies None


2017 ◽  
Author(s):  
Emily Alanna Aherne ◽  
Sinchun Hwang

Medical imaging plays a pivotal role in the detection, diagnosis, and clinical management of primary soft tissue tumors. Various imaging modalities have been used, and each modality offers unique advantages in the workup of soft tissue tumors by localizing the lesions in different compartments of the body and characterizing macroscopic tissue composition of the lesions in a noninvasive and safe manner. We review the clinical role and technical aspects of the frequently used imaging modalities, including magnetic resonance imaging (MRI), computed tomography, ultrasonography, positron emission tomography, and plain radiography with an emphasis on MRI as a mainstay imaging modality and a brief discussion of advanced techniques. We also review imaging features of common soft tissue tumors that can be detected and characterized using current imaging techniques. This review contains 54 figures, 1 table and 37 references.   Key words: computed tomography, diffusion-weighted imaging, imaging, magnetic resonance imaging, positron emission tomography, soft tissue, technique, tumor, ultrasonography


1996 ◽  
Vol 6 (3) ◽  
pp. 119-123 ◽  
Author(s):  
D. Lazovic ◽  
J. Franke ◽  
C.J. Wirth

In treatment of congenital dislocation of the hip, a main aim is to achieve concentricity of reduction. Control by plain x-ray lacks accuracy in determining anteroposterior position. Arthrography and sonography cannot be used when a spica cast is in place. After April 1988, therefore, as an alternative in 16 hips, we have used computed tomography to determine femoral head position, acetabular angle, and extent and integrity of posterior rim. However, the presence of any metallic artefacts, unossified cartilage and the general poor-quality imaging of soft tissue associated with the technique reduce its usefulness. Since January 1990, we have instead used magnetic resonance imaging to control treatment. This technique, in 34 hips, proved accurate in determinating the femoral head position. MRI also gave better images than computed tomography of osseous and cartilaginous structures of the acetabulum and the surrounding soft tissue. Spica casting does not affect the quality of imaging. The effect of metal artefacts can be minimized by using, where necessary, implants of titanium alloy.


2019 ◽  
Vol 47 (3) ◽  
pp. 1210-1220 ◽  
Author(s):  
Pujun Guan ◽  
Zihang Chen ◽  
Lei Chu ◽  
Li Zhen ◽  
Li Zhang ◽  
...  

Objectives Extranodal NK/T-cell lymphoma is reportedly a rare but emerging type of lymphoma in adolescents. The present study was performed to specify its imaging characteristics. Methods Our hospital’s picture archiving and communication systems were searched from January 2009 to December 2016. We identified 13 patients aged <18 years with pathologically confirmed extranodal NK/T-cell lymphoma in the head and neck region. The computed tomography and magnetic resonance images were reviewed to summarize the imaging characteristics of extranodal NK/T-cell lymphoma in adolescents. Results The mean age at onset was 15.2 ± 1.46 years (range, 12–17 years) with a male:female ratio of 1.17:1.00. Most of the patients (n = 10) displayed nasal cavity and/or paranasal involvement. The tumor was homogeneous in both computed tomography and magnetic resonance images and showed slight enhancement. No calcification or liquefactive necrosis was observed. Adjacent structures were usually involved. Conclusion Suggestive imaging characteristics could acquaint specialists with extranodal NK/T-cell lymphoma in adolescents, facilitating improved early recognition of the diagnosis and helping to improve the patient’s outcome.


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