RESUMEN
Neurofibromatosis is a rare genetic disorder that typically affects the nerves and causes benign tumors. It also affects different parts of the body, including the bone, skin, and genitourinary system. We report a case of a 6-year-old girl medically free who was referred to our institute with clitoromegaly and multiple café au lait spots on the skin. Clitoral mass excision was performed, and histopathology confirmed the diagnosis of clitoral plexiform neurofibroma as a primary presentation of Neurofibromatosis type I.
RESUMEN
This is a case report of a 13-year-old male, presented to the Emergency Department complaining of a sudden onset left-sided pleuritic chest pain for 1 day. He was found to have a mass in the left Epipericardial fat with fat stranding and pleural effusion supporting the diagnosis of Epipericardial Fat Necrosis. The findings were established by Computed tomography and Ultrasound, and the final diagnosis was confirmed by Magnetic resonance imaging. Subsequently, the patient was discharged on analgesia; reassessment one-month later showed clinical improvement with no symptom recurrence. Repeated Ultrasound demonstrated a marked decrease in size and echogenicity of the mass. In this paper we review the clinical and radiological manifestations of Epipericardial fat necrosis and the different management approaches taken over the years.
Asunto(s)
Necrosis Grasa , Pericardio , Adolescente , Dolor en el Pecho , Diagnóstico Diferencial , Servicio de Urgencia en Hospital , Necrosis Grasa/diagnóstico , Humanos , Imagen por Resonancia Magnética , Masculino , Imagen Multimodal , Manejo del Dolor , Pericardio/diagnóstico por imagen , Pericardio/patología , Derrame Pleural , Recurrencia , Tomografía Computarizada por Rayos X/métodos , UltrasonografíaRESUMEN
This case involved a 36-year-old adult male who presented with an unusual inguinal hernia in which the uterus and fallopian tubes were identified as contents of the inguinal hernia sac. These findings reflected a rare autosomal recessive developmental syndrome known as PMDS (persistent Müllerian duct syndrome). The diagnosis was established and confirmed via radiological-mainly MRI-investigation.
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Trastorno del Desarrollo Sexual 46,XY/diagnóstico por imagen , Imagen por Resonancia Magnética , Adulto , Diagnóstico Diferencial , Trastorno del Desarrollo Sexual 46,XY/cirugía , Humanos , Masculino , Tomografía Computarizada por Rayos XRESUMEN
UNLABELLED: Focal and diffuse thyroid abnormalities are commonly encountered during the interpretation of computed tomography (CT) exams performed for various clinical purposes. These findings can often lead to a diagnostic dilemma, as the CT reflects the nonspecific appearances. Ultrasound (US) examination has a superior spatial resolution and is considered the modality of choice for thyroid evaluation. Nevertheless, CT detects incidental thyroid nodules (ITNs) and plays an important role in the evaluation of thyroid cancer. In this pictorial review, we cover a wide spectrum of common and uncommon, incidental and non-incidental thyroid findings from CT scans. We also discuss the most common incidental thyroid findings, best practices for their evaluation, and recommendations for their management. In addition, we explore the role of imaging in the assessment of thyroid carcinoma (before and after treatment) and preoperative thyroid goiter, as well as localization of ectopic and congenital thyroid tissue. TEACHING POINTS: ⢠Thyroid disorders tend to have non-specific CT appearances. ⢠ITNs are common on neck CT. ⢠ITN management depends on nodule size, age, health status, lymphadenopathy, and invasion. ⢠CT is used in assessment of cancer extension, mass effect, invasion, and recurrence. ⢠CT plays a role in preoperative planning in patients with symptomatic goiter.