Case Reports in Radiology http://www.hindawi.com The latest articles from Hindawi Publishing Corporation © 2014 , Hindawi Publishing Corporation . All rights reserved. Imaging of Hidradenitis Suppurativa and Its Complications Thu, 21 Aug 2014 07:31:10 +0000 http://www.hindawi.com/journals/crira/2014/294753/ We present a 56-year-old man with known diabetes mellitus and a 10-year history of hidradenitis suppurativa (HS) and highlight, through MR imaging findings, the relentless natural progression of the disease, characterized by recurrent exacerbations of abscesses and fistulae and complications of perianal fistulae and sacral osteomyelitis. We also demonstrate the appearance of this condition on PET-CT with F-18 FDG, which was performed for staging after postexcision tissue specimen revealed well-differentiated squamous cell carcinoma. The association of arthritis and possible dactylitis was also manifested in our patient. Discussion of HS in the radiology literature is limited and, to our knowledge, there has been no case report describing these imaging findings in the same patient. Feng Poh and Siew Kune Wong Copyright © 2014 Feng Poh and Siew Kune Wong. All rights reserved. CT, MRI and DWI Features of a Solid Organizing Hepatic Abscess Wed, 13 Aug 2014 13:31:36 +0000 http://www.hindawi.com/journals/crira/2014/930569/ Solid organizing hepatic abscess is a rare form of focal infection, which needs differentiation from benign and malignant solid masses. We report a case of a 30-year-old man with a solid organizing hepatic abscess, diagnosed by imaging and ex juvantibus criteria. CT and MRI findings are presented and role of DWI is outlined. Noninvasive diagnosis of a solid organizing hepatic abscess is possible in the appropriate clinical setting; percutaneous or surgical biopsy may be indicated in equivocal cases. Sergio Savastano, Giampiero Pellizzer, Lorenzo Di Grazia, Dario Giacomini, and Mario Beghetto Copyright © 2014 Sergio Savastano et al. All rights reserved. Pleuroperitoneal Leak: An Unusual Cause of Acute Shortness of Breath in a Peritoneal Dialysis Patient Mon, 04 Aug 2014 13:24:18 +0000 http://www.hindawi.com/journals/crira/2014/614846/ Introduction. Pleuroperitoneal leak is an uncommon complication of continuous ambulatory peritoneal dialysis (CAPD), with an estimated incidence of 1.6%. It should be suspected in these patients when they present with recurrent unilateral pleural effusions and/or acute shortness of breath following dialysate infusion. Case Presentation. We present the case of a 25-year-old female patient who had acute hydrothorax as a result of pleuroperitoneal leak complicating continuous ambulatory peritoneal dialysis (CAPD), which was confirmed on peritoneal scintigraphy. Conclusion. Continuous ambulatory peritoneal dialysis patients presenting with acute shortness of breath and/or recurrent unilateral pleural effusion should be investigated with peritoneal scintigraphy to exclude pleuroperitoneal leak. D. P. Ramaema and P. Mpikashe Copyright © 2014 D. P. Ramaema and P. Mpikashe. All rights reserved. Peritoneal Inclusion Cysts in Female Children: Pathogenesis, Treatment, and Multimodality Imaging Review Mon, 21 Jul 2014 00:00:00 +0000 http://www.hindawi.com/journals/crira/2014/427427/ We report the multimodality imaging findings of peritoneal inclusion cysts in two adolescent females each with a prior history of abdominal surgery. The few reports of peritoneal inclusion cysts in the pediatric population have largely focused on the clinical and pathological features of this entity. We wish to emphasize the imaging findings of peritoneal inclusion cysts on multiple modalities, the advantage of MRI in confirming the diagnosis, and the need to keep considering this diagnosis in patients who present with a pelvic cystic mass, with a history of surgery, even if remote. Additionally, we review the pathology, pathophysiology, differential diagnosis, and treatment options of peritoneal inclusion cysts. Rachelle Goldfisher, Divya Awal, and John Amodio Copyright © 2014 Rachelle Goldfisher et al. All rights reserved. Isolated Asymptomatic Short Sternum in a Healthy Young Girl Sun, 20 Jul 2014 07:11:43 +0000 http://www.hindawi.com/journals/crira/2014/761582/ Congenital sternal defects are rare deformities frequently associated with other anomalies of the chest wall and other organ systems. Although pectus excavatum, pectus carinatum, and cleft sternum can present as isolated deformity, in most cases they are associated with heart and inner organs anomalies and described as symptoms of syndromes like Marfan syndrome, Noonan syndrome, Poland anomaly, and Cantrell pentalogy. In contrast, the etiology of an isolated defect is not well understood. We observed a short sternum (dysmorphic manubrium, hypoplastic body, and complete absence of the xiphoid process) in a completely asymptomatic 13-year-old woman. A comprehensive instrumental exams panel was performed to exclude associated anomalies of the heart and of the other organ systems. The patient was completely asymptomatic and she did not need any medical or surgical treatment. To our knowledge, this is the first case of isolated short sternum reported in literature. Francesco Turturro, Cosma Calderaro, Antonello Montanaro, Luca Labianca, Giuseppe Argento, and Andrea Ferretti Copyright © 2014 Francesco Turturro et al. All rights reserved. Subcutaneous Emphysema, Pneumomediastinum, Pneumoretroperitoneum, and Pneumoscrotum: Unusual Complications of Acute Perforated Diverticulitis Thu, 17 Jul 2014 09:29:23 +0000 http://www.hindawi.com/journals/crira/2014/431563/ Pneumomediastinum, and subcutaneous emphysema usually result from spontaneous alveolar wall rupture and, far less commonly, from disruption of the upper airways or gastrointestinal tract. Subcutaneous neck emphysema, pneumomediastinum, and retropneumoperitoneum caused by nontraumatic perforations of the colon have been infrequently reported. The main symptoms of spontaneous subcutaneous emphysema are swelling and crepitus over the involved site; further clinical findings in case of subcutaneous cervical and mediastinal emphysema can be neck and chest pain and dyspnea. Radiological imaging plays an important role to achieve the correct diagnosis and extension of the disease. We present a quite rare case of spontaneous subcutaneous cervical emphysema, pneumomediastinum, and pneumoretroperitoneum due to perforation of an occult sigmoid diverticulum. Abdomen ultrasound, chest X-rays, and computer tomography (CT) were performed to evaluate the free gas extension and to identify potential sources of extravasating gas. Radiological diagnosis was confirmed by the subsequent surgical exploration. S. Fosi, V. Giuricin, V. Girardi, E. Di Caprera, E. Costanzo, R. Di Trapano, and G. Simonetti Copyright © 2014 S. Fosi et al. All rights reserved. MRI in Diagnosis of a Giant Prostatic Utricle Tue, 15 Jul 2014 12:13:12 +0000 http://www.hindawi.com/journals/crira/2014/217563/ A prostatic utricle cyst is an epithelial lined diverticulum arising from the prostatic urethra and usually asymptomatic when small. When enlarged, it may be symptomatic and is typically accompanied by hypospadias. We present a case of a markedly enlarged prostatic utricle in a neonate without hypospadias, demonstrated on voiding cystourethrography (VCUG), ultrasound, and 1.5 Tesla MRI. Dustin Johnson, Kushal Parikh, William Schey, and Winnie Mar Copyright © 2014 Dustin Johnson et al. All rights reserved. Isolated Nasopharyngeal Castleman Disease: An Uncommon Diagnosis in an Unusual Location Mon, 14 Jul 2014 09:59:45 +0000 http://www.hindawi.com/journals/crira/2014/475690/ Localised nasopharyngeal Castleman disease has rarely been reported. We present a case involving a 23-year-old female, describe the clinical, imaging, and histopathologic features of this challenging diagnosis, and review the literature. O. McDonnell, Melinda Morris, and Z. Khaleel Copyright © 2014 O. McDonnell et al. All rights reserved. Antenatal Diagnosis of Alobar Holoprosencephaly Mon, 14 Jul 2014 07:36:42 +0000 http://www.hindawi.com/journals/crira/2014/724671/ A twenty-year-old second gravida presented to the department of radiodiagnosis for routine obstetric ultrasound examination. Ultrasonography revealed a live fetus of 17 weeks with absent falx, fused thalami, monoventricle, proboscis, and cyclopia. Fetal MRI was performed and the findings were confirmed. Even though ultrasonography is diagnostic in the detection of fetal anomalies, MRI plays a vital role due to its multiplanar capability and excellent soft tissue resolution. The importance of presenting this classical case of alobar holoprosencephaly is to sensitize the clinicians and radiologists to the imaging manifestations of holoprosencephaly and to stress the importance of early diagnosis. If diagnosed in utero at an early stage of pregnancy, termination can be performed and maternal psychological trauma of bearing a deformed fetus can be avoided. Rajesh Raman and Geetha Mukunda Jagadesh Copyright © 2014 Rajesh Raman and Geetha Mukunda Jagadesh. All rights reserved. Tuber Cinereum Diverticula in a 28-Month-Old with Xq21 Deletion Syndrome Sun, 13 Jul 2014 12:01:59 +0000 http://www.hindawi.com/journals/crira/2014/413574/ A developmentally delayed 28-month-old male toddler was referred to us for brain MRI. Imaging revealed corpus callosum dysgenesis, forniceal hypoplasia, vermian hypoplasia, and hypothalamic dysmorphism characterized by tuber cinereum diverticula. Subsequent chromosomal microarray showed an Xq21 deletion. We present a case of Xq21 deletion syndrome with midline brain anomalies and a novel hypothalamic malformation. Matthew T. Whitehead and Gilbert Vezina Copyright © 2014 Matthew T. Whitehead and Gilbert Vezina. All rights reserved. An Important Clue in the Sonographic Diagnosis of Internal Carotid Artery Agenesis: Ipsilateral Common Carotid Artery Hypoplasia Wed, 02 Jul 2014 00:00:00 +0000 http://www.hindawi.com/journals/crira/2014/516456/ A 42-year-old female patient, who had been diagnosed with an occlusion of her left internal carotid artery (ICA) following Doppler ultrasonographic (US) and digitally-subtracted angiographic (DSA) examinations performed in an outer healthcare center in order to eliminate the underlying cause of her complaint of amorosis fugax, later applied to our hospital with the same complaint. At Doppler US performed in our hospital’s radiology department, her right common carotid artery (CCA) was normal, but her left CCA was hypoplastic. The right internal artery (ICA) was validated as normal. At the left side, however, the ICA was apparent only as a stump and it did not demonstrate a continuity. The diagnosis of ICA agenesis was confirmed by the utilization of Doppler US, CT, and DSA imaging, and it was concluded also that ipsilateral CCA hypoplasia could be evaluated as an important clue to the diagnosis of ICA agenesis. Omer Kaya, Cengiz Yilmaz, Bozkurt Gulek, Gokhan Soker, Gokalp Cikman, Ibrahim Inan, and Selahaddin Demirduzen Copyright © 2014 Omer Kaya et al. All rights reserved. Diffuse Large B-Cell Lymphoma in an Adolescent Male Presenting as Ureteral Stricture Sun, 29 Jun 2014 10:56:31 +0000 http://www.hindawi.com/journals/crira/2014/239345/ Lymphoma may affect the ureter in cases of retroperitoneal involvement. We present a case of an adolescent male found to have non-Hodgkin lymphoma initially presenting as ureteral stricture evident on imaging. He was treated and responded to multiagent chemotherapy with resolution of both the lymphoma and the ureteral stricture. Although rare, non-Hodgkin lymphoma should be included in the differential diagnosis of pediatric patients with noncalculous, idiopathic ureteral strictures. Christopher D. Jaeger, Kelly L. McAlvany, Shannon N. Zingula, Stephen A. Kramer, and Candace F. Granberg Copyright © 2014 Christopher D. Jaeger et al. All rights reserved. Cystic Meningioma Simulating Arachnoid Cyst: Report of an Unusual Case Thu, 26 Jun 2014 13:55:12 +0000 http://www.hindawi.com/journals/crira/2014/371969/ The purpose of this paper is to show an unusual case of meningioma simulating arachnoid cyst on CT scan and MRI, diagnosed in a 63-year-old woman evaluated for headache and vision disorders. The meningioma shown is predominantly cystic with a small mural nodule enhancing after gadolinium and exhibiting diffusion restriction. Cystic portion of the tumor is hypodense on CT, and evidences fluid signal intensity on T1- and T2-weighted MR imaging. Docampo Jorge, Gonzalez Nadia, Vazquez Claudio, Morales Carlos, and Gonzalez-Toledo Eduardo Copyright © 2014 Docampo Jorge et al. All rights reserved. A Rare Case of Hypertrophic Cardiomyopathy with Subendocardial Late Gadolinium Enhancement in an Apical Aneurysm with Thrombus Wed, 25 Jun 2014 08:02:35 +0000 http://www.hindawi.com/journals/crira/2014/780840/ The mechanisms responsible for the development of apical aneurysms in cases of hypertrophic cardiomyopathy (HCM) are currently unclear but likely involve multiple factors. Here, we present a case of HCM with marked subendocardial fibrosis involving the apical and proximal portions of the left ventricle. A 71-year-old man with left ventricular hypertrophy presented with signs and symptoms of heart failure. The presence of asymmetrical left ventricular hypertrophy and bilateral, thickened ventricular walls with an apical aneurysm on transthoracic echocardiography suggested a diagnosis of HCM with ventricular dysfunction. No intraventricular pressure gradients with obstruction were identified. Late gadolinium enhancement (LGE) with cardiac magnetic resonance imaging and endomyocardial biopsies showed subendocardial fibrosis involving the apical aneurysm and proximal portion. Whereas LGE in a transmural pattern is commonly observed in HCM apical aneurysms, subendocardial LGE, as noted in the present case, is a relatively rare occurrence. Thus, the present case may provide unique insights into the adverse remodeling process and formation of apical aneurysms in cases of HCM. Yusuke Morita, Takao Kato, Mitsumasa Okano, Kanae Su, Masahiro Kimura, Eri Minamino, Eisaku Nakane, Toshiaki Izumi, Shoichi Miyamoto, Tetsuya Haruna, and Moriaki Inoko Copyright © 2014 Yusuke Morita et al. All rights reserved. Adult Intramedullary Ewing Sarcoma of the Proximal Hip Thu, 12 Jun 2014 09:19:07 +0000 http://www.hindawi.com/journals/crira/2014/916935/ Ewing sarcoma of bone is classically a permeative lesion in the diaphysis of long bones in children. While they occur primarily in children and adolescents, they can be seen in young adults in their 20s, but these are typically seen in flat bones. The permeative nature of the lesion can elicit new bone formation creating a partially sclerotic appearance, cortical expansion presenting as a “Codman triangle,” or have an “onion-skin” type of aggressive periosteal reaction/periostitis. Ewing sarcoma is rarely seen without an associated soft-tissue mass and is even rarer to just have benign-appearing periostitis (e.g., thick, uniform, or wavy cortex). We present such a case of Ewing sarcoma in a young adult confined to just the medullary metadiaphysis without cortical erosion or soft-tissue mass. To the best of our knowledge, this is the first case to be reported in the radiology literature. Preetam Gongidi, Siva Jasti, William Rafferty, Veniamin Barshay, and Richard Lackman Copyright © 2014 Preetam Gongidi et al. All rights reserved. A Case of Emphysematous Osteomyelitis of the Midfoot: Imaging Findings and Review of the Literature Mon, 09 Jun 2014 09:20:23 +0000 http://www.hindawi.com/journals/crira/2014/616184/ Emphysematous osteomyelitis is a rare but potentially fatal condition that must be considered whenever intraosseous gas is identified on imaging. The organisms implicated in most cases of emphysematous osteomyelitis are anaerobes or members of the Enterobacteriaceae family. Significant comorbidities, such as malignancy and diabetes mellitus, frequently predispose to this condition, and high mortality rates have been reported. The radiologist must be aware of the implications of identifying intraosseous gas in order to facilitate early diagnosis and expedite management. We report a unique case of a 58-year-old male with diabetes mellitus who presented with emphysematous osteomyelitis of the midfoot and necrotising fasciitis of the ipsilateral distal lower limb. Specimen cultures in this case revealed a pure growth of Group G Streptococcus. Marcela Mautone, Jessica Gray, and Parm Naidoo Copyright © 2014 Marcela Mautone et al. All rights reserved. A Rare Anomaly of Biliary System: MRCP Evidence of a Cystic Duct Cyst Mon, 02 Jun 2014 09:06:19 +0000 http://www.hindawi.com/journals/crira/2014/291071/ Cystic duct cysts are a rare congenital anomaly. While the other bile duct cysts (choledochus and the intrahepatic bile ducts) are classified according to the classification described by Tadoni, there is no classification method described by the cystic duct cysts, although it is claimed that the cystic duct cysts may constitute a new “Type 6” category. Only a limited number of patients with cystic duct cysts have been reported in the literature. The diagnosis is usually made in the neonatal period or during childhood. The clinical symptoms are nonspecific and usually include pain in the right upper quadrant and jaundice. The condition may also present with biliary colic, cholangitis, cholelithiasis, or pancreatitis. In our case, the abdominal ultrasonography (US) performed on a 6-year-old female patient who presented with pain in the right upper quadrant pointed out an anechoic cyst at the neck of the gall bladder. Based on the magnetic resonance cholangiopancreatography (MRCP) results, a cystic dilatation was diagnosed in the cystic duct. The aim of this case-report presentation was to discuss the US and MRCP findings of the cystic dilatation of cystic duct, which is an extremely rare condition, in the light of the literature information. Cemil Goya, Mehmet Serif Arslan, Alpaslan Yavuz, Cihad Hamidi, Suzan Kuday, Mehmet Hanifi Okur, and Bahattin Aydogdu Copyright © 2014 Cemil Goya et al. All rights reserved. Imaging of a Renal Artery Aneurysm Detected Incidentally on Ultrasonography Thu, 22 May 2014 09:16:34 +0000 http://www.hindawi.com/journals/crira/2014/375805/ Renal artery aneurysms occur with a frequency of less than 1% of the general population. Even if they are usually asymptomatic and incidentally found, they can be complicated with life-threatening conditions like rupture, thrombosis, embolism, or hypertension. Thus, once diagnosed, they should be fully evaluated with further imaging and treated when indicated. We present the case of a patient who was referred for ultrasonography for an unrelated reason. The examination demonstrated a hyperechoic focus near the right kidney. Further imaging workup with MDCT established the diagnosis of a right renal artery aneurysm which was saccular in shape and peripherally calcified. This ring-like calcification was also visible in a KUB radiography which was also performed. After presenting the case, various aspects of this rare entity are discussed. Vasileios Rafailidis, Anna Gavriilidou, Christos Liouliakis, Maria Poultsaki, Triantafyllos Theodoridis, and Vasileios Charalampidis Copyright © 2014 Vasileios Rafailidis et al. All rights reserved. An Unusual Case of Ascending Pancreatitis with Mediastinal Involvement: A Case Report with CT and MRI Findings Wed, 14 May 2014 11:23:35 +0000 http://www.hindawi.com/journals/crira/2014/925105/ Fluid collections are common findings of pancreatitis and spread, more often, along preferential drainage pathways in the abdomen. In some rare cases, fluid collections may spread towards extra-abdominal sites like the mediastinum leading to the formation of mediastinal collections. We present the case of a 52-years-old man with pain in the right upper quadrant of the abdomen and mid-epigastrium lasting for some hours. Laboratory tests suggested a diagnosis of pancreatitis. CT and subsequent MRI revealed changes consistent with acute exacerbation on chronic pancreatitis spreading to the mediastinum and to the greater omentum. The patient received medical treatment and reported gradual improvement in his laboratory results and CT findings. Ernesto Di Cesare, Alessandra Di Sibio, Antonio Gennarelli, Valentina Felli, Valentina Vellucci, Ines Casazza, and Carlo Masciocchi Copyright © 2014 Ernesto Di Cesare et al. All rights reserved. Bihemispheric Posterior Inferior Cerebellar Artery Occurring with an Azygos Anterior Cerebral Artery: Case Study Tue, 13 May 2014 08:46:52 +0000 http://www.hindawi.com/journals/crira/2014/541081/ Variations in intracranial vasculature are well known. We report a rare anatomic variation in a patient who underwent cerebral angiography for suspected intracranial aneurysm. Digital subtraction angiography revealed a bihemispheric posterior inferior cerebellar artery (PICA) and an azygous anterior cerebral artery (ACA). There was no evidence of any aneurysm or vascular abnormality. To our knowledge, this is the first reported case of a patient with a common PICA supplying both the cerebellar hemispheres and a common ACA supplying ACA territory bilaterally. It is important for the physician to be aware of these anatomical variations in order to differentiate a normal variant from a pathological condition. Jamie Toms, Rishi Wadhwa, Sudheer Ambekar, and Hugo Cuellar Copyright © 2014 Jamie Toms et al. All rights reserved. A Rare and Unusual Case of Burkitt’s Lymphoma Presenting with a Prostate Mass in a 12-Year-Old Boy Tue, 13 May 2014 08:27:30 +0000 http://www.hindawi.com/journals/crira/2014/106176/ Burkitt’s lymphoma is the most frequent subtype of non-Hodgkin’s lymphoma in childhood. Radiographic findings are protean and can often overlap with other neoplastic and nonneoplastic processes. We present an unusual case of Burkitt’s lymphoma in a 12-year-old boy presenting with a one-week history of urinary retention, dysuria, and “tailbone pain,” as well as a 4-week history of jaw pain, initially treated as a dental abscess. On dental radiography, the patient was found to have resorption of alveolar bone adjacent to the lower first molars bilaterally, in keeping with “floating teeth,” classically associated with Langerhans cell histiocytosis. Additionally, a large, eccentric, prostatic mass was noted, prompting the inclusion of rhabdomyosarcoma on the differential diagnosis, with subsequent definitive diagnosis of Burkitt’s lymphoma on tissue and bone marrow biopsy. This case highlights the imaging overlap of these childhood neoplasms with an unusual lymphomatous prostate mass. It is important that the radiologists and pediatricians be aware of this potential overlap and the unusual presentation of Burkitt’s lymphoma. N. Sinclair, P. Babyn, M. Kinloch, and R. Sinha Copyright © 2014 N. Sinclair et al. All rights reserved. Regional Cerebral Blood-Flow with 99mTc-ECD Brain Perfusion SPECT in Landau-Kleffner Syndrome: Report of Two Cases Tue, 29 Apr 2014 12:38:30 +0000 http://www.hindawi.com/journals/crira/2014/617343/ Landau-Kleffner syndrome (LKS) is a rare childhood disorder characterized by acquired aphasia and epilepsy. 99mTc-ECD SPECT imaging was performed in two right-handed children with LKS. A relative decrease in perfusion was found in the left frontal-temporal cortices of both patients as well as in the left and right parietal cortices of one patient with aphasia, without clinical epilepsy. The degree of regional cerebral perfusion impairment did not correlate with the severity of the clinical and EEG abnormalities, but the area of hypoperfusion was compatible with the speech area of the brain. Overall, although asymmetrical temporoparietal perfusion appears as a common finding in LKS, SPECT findings in LKS alone cannot elucidate the pathogenic features of the disorder in the brain. Here, we present two cases of LKS in which we investigated SPECT perfusion scans. Reza Nemati, Iraj Nabipour, Hamid Javadi, Negar Chabi, and Majid Assadi Copyright © 2014 Reza Nemati et al. All rights reserved. A Rare Presentation of Lymphoma of the Cervix with Cross-Sectional Imaging Correlation Thu, 17 Apr 2014 12:19:48 +0000 http://www.hindawi.com/journals/crira/2014/157268/ Non-Hodgkin’s lymphoma of the cervix is an extremely uncommon entity, with no standard established treatment protocol. A 43-year-old asymptomatic female with a history of dual hit blastic B-cell lymphoma/leukemia in complete remission presented with an incidental cervical mass, which was initially felt to represent a cervical fibroid on computed tomography (CT). It was further evaluated with ultrasound, biopsy, and positron emission tomography-computed tomography (PET-CT), which demonstrated a growing biopsy-proven lymphomatous mass and new humeral head lesion. The patient was started on chemotherapy to control the newly diagnosed humeral head lesion, which then regressed. She then underwent radiation to the cervix with significant improvement in the cervical lymphoma. A review of cross-sectional imaging findings of lymphoma of the cervix is provided, including how to differentiate it from other more common diseases of the cervix. Clinical awareness of rare cervical masses such as lymphoma is very important in order to achieve timely diagnosis and appropriate treatment. Brinda Rao Korivi, Corey T. Jensen, Madhavi Patnana, Keyur P. Patel, and Tharakeswara K. Bathala Copyright © 2014 Brinda Rao Korivi et al. All rights reserved. Congestive Heart Failure versus Inflammatory Carcinoma in Breast Mon, 07 Apr 2014 00:00:00 +0000 http://www.hindawi.com/journals/crira/2014/815896/ Inflammatory breast cancer is a rare highly malignant form of breast cancer. Clinical signs and symptoms with histologic examination usually confirm the diagnosis. There are rare reports of breast edema of congestive heart failure which were difficult to differentiate from inflammatory carcinoma. The differential becomes more difficult when congestive heart failure is associated with unilateral breast edema. We present a case of a 70-year-old woman with congestive heart failure associated with unilateral breast edema and skin thickening simulating inflammatory breast carcinoma on mammography. A. Alikhassi, R. Omranipour, and Z. Alikhassy Copyright © 2014 A. Alikhassi et al. All rights reserved. Mesenteric Lipoblastoma and Cervical Lipoblastomatosis: Ultrasound, Elastosonography, and Computed Tomography Findings in Two Children Thu, 27 Mar 2014 00:00:00 +0000 http://www.hindawi.com/journals/crira/2014/478252/ Lipoblastomas are benign tumors of the embryonic lipoid cells mainly occurring in infancy and early childhood. They are clinicopathologically distinguished in two forms: the well-circumscribed and localized type and the diffuse, irregularly confined type with infiltrative growth pattern, also called lipoblastomatosis. We report two pediatric cases of a mesentery localized and cervical diffuse lipoblastomas investigated both with ultrasound and computed tomography examinations. Raffaella Capasso, Eugenio Rossi, Luisa Castelli, Antonio Basilicata, Raffaele Zeccolini, Massimo Zeccolini, and Antonio Rotondo Copyright © 2014 Raffaella Capasso et al. All rights reserved. The Inguinal Herniation of the Ovary in the Newborn: Ultrasound and Color Doppler Ultrasound Findings Wed, 26 Mar 2014 11:18:12 +0000 http://www.hindawi.com/journals/crira/2014/281280/ Inguinal hernias in the newborn age group are seldom encountered. In the affected female patient, the ovaries, fallopian tubes, and the intestines may settle in the hernia sac. The early diagnosis of torsion in cases in which the ovary is herniated into the inguinal canal is of utmost importance in order to give surgery the chance of reduction and correction. In this paper, a case of an ovarian herniation into the inguinal canal without the presence of torsion is being presented, and the place of US and CDUS in the differential diagnosis of the situation is being discussed. Omer Kaya, Kaan Esen, Bozkurt Gulek, Cengiz Yilmaz, Gokhan Soker, and Onder Onem Copyright © 2014 Omer Kaya et al. All rights reserved. Diffuse Hepatic and Spleen Uptake of Tc-99m MDP on Bone Scintigraphy Resembling Liver-Spleen Scintigraphy in a Patient of Plasma Cell Tumor Tue, 25 Mar 2014 06:27:47 +0000 http://www.hindawi.com/journals/crira/2014/264904/ The present case demonstrates a diffuse intense hepatic and, to a lesser degree, spleen, Tc-99m MDP uptake on a routine bone scintigraphy resembling liver-spleen imaging. A 49-year-old female with a history of anaplastic plasma cell tumor and suffering from bone pain was referred for bone scintigraphy to evaluate possible bone metastases. The bone scintigraphy showed diffuse hepatic and spleen uptake of Tc-99m MDP resembling liver-spleen imaging. Furthermore, bone uptake of Tc-99m MDP was significantly diminished and there were no abnormal foci throughout the skeleton. The bone scintigraphy of the present case of an anaplastic plasma cell tumor suggests the possible presence of amyloidosis. Mohammad Reza Ravanbod, Reza Nemati, Hamid Javadi, Iraj Nabipour, and Majid Assadi Copyright © 2014 Mohammad Reza Ravanbod et al. All rights reserved. A Pilocytic Astrocytoma Mimicking a Clinoidal Meningioma Thu, 13 Mar 2014 07:07:00 +0000 http://www.hindawi.com/journals/crira/2014/524574/ Pilocytic astrocytomas and meningiomas are benign, primary brain tumors that may involve the optic tract. Classically, the presence of a dural “tail” sign may differentiate a meningioma from other intracranial lesions. In this report, we describe a mass with the typical appearance of a clinoidal meningioma on magnetic resonance imaging (MRI) but postoperatively diagnosed as a pilocytic astrocytoma. This case illustrates the rare occurrence of a pilocytic astrocytoma mimicking a meningioma on MRI. Christopher S. Hong, Norman L. Lehman, and Eric Sauvageau Copyright © 2014 Christopher S. Hong et al. All rights reserved. Erratum to “Abdominal Wall Abscess due to Acute Perforated Sigmoid Diverticulitis: A Case Report with MDCT and US Findings” Wed, 12 Mar 2014 07:47:15 +0000 http://www.hindawi.com/journals/crira/2014/493515/ Vasileios Rafailidis, Anna Gavriilidou, Christos Liouliakis, Asimina Tsimitri, Sofia Paschaloudi, and Vasiliki Karadimou Copyright © 2014 Vasileios Rafailidis et al. All rights reserved. Delivery Induced Intraperitoneal Rupture of a Cystic Ovarian Teratoma and Associated Chronic Chemical Peritonitis Wed, 12 Mar 2014 06:26:22 +0000 http://www.hindawi.com/journals/crira/2014/189409/ Intraperitoneal rupture of cystic ovarian teratoma is a rare complication. We report a case in a 29-year-old female, with increased abdominal circumference 2 months after vaginal delivery. MRI/CT raised this diagnosis associated to chemical peritonitis. A malignant ovarian mass with peritoneal carcinomatosis was excluded. Laparoscopic oophorectomy was performed and histologic analysis confirmed imaging findings. This case demonstrates the interest of imaging before surgery in pelvic masses to avoid misdiagnosing and to provide adequate treatment. Reine Nader, Thibault Thubert, Xavier Deffieux, Jocelyne de Laveaucoupet, and Guillaume Ssi-Yan-Kai Copyright © 2014 Reine Nader et al. All rights reserved.