computed tomography scan

计算机断层扫描
  • 文章类型: Case Reports
    颅内表皮样囊肿是良性的,外胚层起源的缓慢生长的先天性肿瘤。它们是罕见的胚胎性良性囊性肿块,发生率约为颅内肿瘤的0.04%-0.6%。计算机断层扫描(CT)和磁共振成像(MRI)是基本的诊断工具,为手术管理提供有价值的信息。我们报告了一名59岁的男性患者,在入院前12小时患有右肢体无力,含糊不清的讲话,和面神经麻痹.根据历史,体检,和放射学检查,我们的结论是诊断为由于右小脑轴内肿瘤,并怀疑是低级别神经胶质瘤(尿囊性星形细胞瘤)所致的非交通性脑积水.颅内表皮样囊肿的CT和MRI是诊断和获得手术计划有用信息的基本诊断工具。颅内表皮样囊肿表现为分叶病变填充和扩大脑脊液空间,并逐渐产生肿块效应。暗示结构之间并包裹相邻的神经和血管。在这种情况下,我们注意到在右小脑区测量6.15×5.47×5.7cm的低密度病变伴有不规则钙化,并且轮廓清晰。周围是低密度图像,提示怀疑有低度神经胶质瘤的轴内肿块,并有脑脓肿的鉴别诊断。在MRI检查中发现的T1WI序列上的低信号性病变,在DWI上没有明显的对比度增强和限制扩散区域,是表皮样囊肿中描述的显著特点之一。颅内表皮样囊肿很少发生在颅内,在这种情况下导致许多症状,应及时诊断和治疗。成像有助于正确诊断,并为进一步治疗提供更有价值的信息。
    Intracranial epidermoid cysts are benign, slow-growing congenital tumors of ectodermal origin. They are rare embryonal benign cystic masses with an incidence rate of approximately 0.04%-0.6% of intracranial tumors. Computed tomography (CT) and magnetic resonance imaging (MRI) are fundamental diagnostic tools providing valuable information for surgical management. We reported a 59-year-old male patient with right limb weakness twelve hours prior to admission, slurred speech, and paresis of the facial nerve. Based on history taking, physical examination, and radiology examinations, we concluded a diagnosis of non-communicated hydrocephalus due to a right cerebellar intra-axial tumor with a suspicion of low-grade glioma (Pylocitic Astrocytoma). CT and MRI in intracranial epidermoid cysts are fundamental diagnostic tools for diagnosing and obtaining helpful information for surgical planning. Intracranial epidermoid cysts appear as lobulated lesions filling and expanding CSF spaces and exerting a gradual mass effect, insinuating between structures and encasing adjacent nerves and vessels. In this case, we noted a hypodense lesion with irregular calcifications and well-defined on the right cerebellar region measuring 6.15 × 5.47 × 5.7 cm, surrounded by a hypodense image suggesting an intra-axial mass suspected of low-grade glioma with a differential diagnosis of brain abscess. The hypointense lesion on the T1WI sequence found in the MRI examination, with no significant contrast enhancement and restricted diffusion area on DWI, was one of the notable features described in the epidermoid cyst. Intracranial epidermoid cyst rarely occurs in the intracranial, resulting in many symptoms in this case, which should be diagnosed and treated promptly. Imaging aids in proper diagnosis and provides more valuable information for further treatment.
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  • 文章类型: Case Reports
    颅内皮样囊肿,神经管闭合过程中源自外胚层元素的罕见先天性病变,在一名45岁女性突然出现严重头痛的背景下进行了探索,恶心,和呕吐。彻底的神经系统检查显示没有局灶性缺陷,提示计算机断层扫描,确定多个轴外颅内脂肪密度病变,表明皮样囊肿。实验室和脑脊液分析证实了炎症变化,以白细胞计数增加为特征。成功的手术干预后,导致囊肿的完全去除和患者的完全恢复与症状的解决。此病例突出了颅内皮样囊肿的复杂性,并强调了迅速识别在有效减轻潜在并发症方面的至关重要性。
    Intracranial dermoid cysts, rare congenital lesions originating from ectodermal elements during neural tube closure, are explored in the context of a 45-year-old female presenting with a sudden-onset severe headache, nausea, and vomiting. A thorough neurological examination revealed no focal deficits, prompting a computed tomography scan that identified multiple extra-axial intracranial fat density lesions indicative of dermoid cysts. Laboratory and cerebrospinal fluid analysis confirmed inflammatory changes, characterized by an increased white blood cell count. Successful surgical intervention followed, resulting in the complete removal of the cyst and the patient\'s subsequent full recovery with the resolution of symptoms. This case highlights the intricate nature of intracranial dermoid cysts and underscores the critical importance of prompt recognition in effectively mitigating potential complications.
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  • 文章类型: Case Reports
    嗜酸性粒细胞性胃肠炎(EoGE)是一组罕见的疾病,由胃肠道(GI)中嗜酸性粒细胞的积累而没有任何继发的嗜酸性粒细胞增多引起。大多数EoGE病例显示胃肠道不同部位受累。在这里,我们报告一例EoGE仅累及空肠。一名57岁的男性患者到我们中心就诊,主诉急性腹痛。患者经历了数年的慢性腹痛和间歇性腹泻,但是他带着严重的急性侧腹疼痛出现在急诊科。患者首先被诊断为肾结石并进行相应治疗。然而,计算机断层扫描(CT)扫描还显示了几年前与他的慢性腹痛有关的其他偶然发现,包括肠系膜浸润,在某些区域显示液体外观,轻度壁增厚,以及十二指肠和空肠环的粘膜水肿,回肠外观正常。全血细胞计数(CBC)显示嗜酸性粒细胞增加(15.5%)和淋巴细胞减少(13.1%)。空肠镜检查样本的病理学检查显示,固有层中嗜酸性粒细胞的数量略有增加。未检测到寄生虫或肉芽肿。然而,在胃肠道的其他部分未发现此类变化.根据病理检查,患者被诊断为空肠嗜酸性粒细胞性肠炎.EoGE通常不涉及GI的特定部分,并且通常影响胃和肠两者。这项研究报告了EoGE的第一例,其中仅涉及肠的空肠部分,而胃肠道的其他部分则幸免。
    Eosinophilic gastroenteritis (EoGE) is a group of infrequent conditions that arise from the accumulation of eosinophils in the gastrointestinal (GI) tract without any secondary causes of eosinophilia. Most cases of EoGE cases show involvement of different parts of the GI tract. Herein, we report a case of EoGE with the sole involvement of Jejunum. A 57-year-old male patient presented to our center with a chief complaint of acute abdominal pain. The patient had experienced chronic abdominal pain and intermittent diarrhea for several years, but he presented to the emergency department with severe acute flank pain. The patient was first diagnosed with renal stone and treated accordingly. However, the computed tomography (CT) scan also showed other incidental findings related to his chronic abdominal pain from several years ago, including mesenteric infiltration which shows fluid appearance in some areas, mild wall thickening, and mucosal edema of the duodenum and jejunal loops with normal appearance of the ileum. Complete blood count (CBC) showed increased eosinophil (15.5%) and decreased lymphocytes (13.1%) percent. Pathological examination of enteroscopy samples of jejunum showed a mild increase in the number of eosinophils in lamina propria. Neither parasites nor granuloma was detected. However, no such changes were found in other parts of the GI tracts. Based on pathological examination, the patient was diagnosed with eosinophilic enteritis of the jejunum. EoGE does not typically involve a specific part of the GI and generally affects both the stomach and intestine. This study reported the first case of EoGE where only the jejunal part of the intestine was involved and other parts of the GI tract were spared.
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  • 文章类型: Case Reports
    淋巴管瘤是血管起源的良性病变,伴有淋巴分化,最常见于头部和颈部。广泛性淋巴管瘤病在成人中是一种非常罕见的疾病,其特征是淋巴管的弥漫性增殖。淋巴管瘤由淋巴内皮衬里的囊性空间组成。这种情况可以在组织学上与其他血管疾病如海绵状或毛细血管瘤区分开来。然而,许多淋巴管瘤病例可能与其他血管疾病混淆,因为组织学发现重叠。放射学检查,如CT扫描和MR成像,可用于评估形态学特征以及疾病的程度,了解广泛性淋巴管瘤病的影像学表现很重要。在本文中,我们报道一例42岁男性广泛性淋巴管瘤病,表现为左侧腹疼痛和血尿。首次鉴别诊断是肾绞痛;因此他接受了腹盆腔计算机断层扫描(CT扫描)。在进行的CT扫描中,在肝脏和脾脏中看到了多个囊性病变。此外,溶解性病变可见于骨骼。进行了CT引导下的活检,结果与广泛性淋巴管瘤病相符,经细胞学证实。广泛性淋巴管瘤病是儿童和年轻人很少报道的疾病。由于其稀有性和非特异性临床表现,老年患者的延迟诊断或误诊很常见。不同的成像方式可以偶然诊断无症状患者的疾病。因此,放射科医生应该在成像模式中了解疾病的表现,以便更快地诊断疾病,并在需要时帮助临床医生开始治疗。
    Lymphangiomas are benign lesions of vascular origin with lymphatic differentiation, most commonly found in the head and neck. Generalized lymphangiomatosis is a very rare condition in adults, which is characterized by a diffuse proliferation of lymphatic vessels. The lymphangioma is composed of lymphatic endothelium-lined cystic spaces. This condition can be histologically differentiated from other vascular disorders such as cavernous or capillary hemangioma. However, many cases of lymphangioma can be confused with other vascular disorders, because of overlapping histologic findings. radiologic examinations, such as CT scan and MR imaging, are useful for assessing the morphologic feature and also the extent of disease, it is important to know the radiologic findings of generalized lymphangiomatosis. In this paper, we report a case of generalized lymphangiomatosis in a 42-year-old male who presented with left flank pain and hematuria. The first differential diagnosis was renal colic; hence he underwent an abdominopelvic computed tomography scan (CT scan). In the performed CT scan multiple cystic lesions were seen in the liver and spleen. Also, lytic lesions were seen in bones. CT-guided biopsy was performed and the result was compatible with generalized lymphangiomatosis, confirmed by cytology. Generalized lymphangiomatosis is a rarely reported disease in children and young adults. Delayed diagnosis in older patients or misdiagnosis is common due to its rarity and nonspecific clinical presentation. Different imaging modalities can incidentally diagnose the disease in asymptomatic patients. So radiologists should be aware of the disease manifestations in imaging modalities to diagnose the disease sooner and help the clinician start the therapy if needed.
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  • 文章类型: Case Reports
    骨外尤因肉瘤(EES)是一种罕见病例,占尤因肉瘤病例的20%。EES是仅次于外周原始神经外胚层肿瘤的第二常见儿科恶性肿瘤。EES主要来自软组织和骨骼外。计算机断层扫描(CT)和磁共振成像(MRI)是确定肿瘤位置的主要方式,特点,type,和肿瘤的程度。此外,对于术前管理,术前需要动脉栓塞的射频介入。
    我们介绍了一个15岁男孩诊断为EES的病例。他有一个“角状”肿瘤,在5个月的时间里,他的右耳逐渐长大。进行头部CT扫描和MRI以评估范围。手术前进行栓塞。进行手术以彻底切除肿瘤。组织学病理检查显示EES。
    EES很少发生在头部和颈部。这可能表现为固体肿块,出血成分破坏附近的骨骼,外生质量。影像学检查对于早期发现和检测EES的并发症很重要。
    UNASSIGNED: Extraosseous Ewing sarcoma (EES) is a rare case that accounts for 20% of Ewing sarcoma cases. EES is the second most prevalent pediatric malignancy after peripheral primitive neuroectodermal tumors. EES mostly arise from soft tissue and extra-skeletal. Computed tomography (CT) and magnetic resonance imaging (MRI) are primary modalities for determining tumor location, characteristics, type, and extent of tumors. In addition, for presurgical management, radio intervention with arterial embolization is needed as a preoperative.
    UNASSIGNED: We present a case of a 15-year-old boy diagnosed with EES. He had a \"horn-like\" tumor that grew progressively on his right ear over 5 months. Head CT scan and MRI were conducted to assess the extent. Embolization was performed before surgery. The surgery was conducted to excise the tumor radically. The histology pathology examination showed EES.
    UNASSIGNED: EES rarely occurs in the head and neck. This may manifest as a solid mass with bleeding components that destroy the nearby bones, with exophytic mass. Imaging is important for early finding and detecting complications of EES.
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  • 文章类型: Case Reports
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  • 文章类型: Case Reports
    肠系膜上动脉综合征和胡桃夹现象是罕见的血管疾病,这是由于源自腹主动脉的肠系膜上动脉的异常发育,角度减小(<22°)并导致左肾静脉和十二指肠受压。由于缺乏特定的病理标志,这是一个被低估的实体。我们报道了一个59岁男子的病例,因急性胆汁性呕吐入院,他接受了胃镜检查和计算机断层扫描扫描,发现Wilkie综合征与扩张的左肾后静脉相关,与左腰升静脉相通,与下腔静脉无关,模仿胡桃夹现象。
    The superior mesenteric artery syndrome and nutcracker phenomenon are rare vascular disorders due to the abnormal development of the superior mesenteric artery stemming from the abdominal aorta with reduced angle (<22°) and resultant compression of the left renal vein and duodenum. It is an underreported entity due to the absence of specific pathognomonic signs. We report the case of a 59-year-old man, admitted for acute bilious vomiting, who underwent a gastroscopy and a computed tomography scan revealing a Wilkie\'s syndrome associated with a dilated posterior left renal vein communicating with the left ascending lumbar vein without connection with the inferior vena cava mimicking a nutcracker phenomenon.
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  • 文章类型: Case Reports
    外伤性腹壁疝(TAWH)也称为钝性腹部TAWH并不常见。临床诊断困难。作者提出了一例大腿能量腹部钝器伤导致TAWH的病例报告。
    36岁女性,过去的病史平淡无奇,在一辆高速的两辆汽车被困后被提交给急诊室。她是血液动力学的,呼吸,神经稳定。BMI为36kg/m²。腹部没有扩张,右侧有瘀斑。胸部腹部和骨盆计算机断层扫描(CT)扫描显示,外侧腹壁肌肉破裂,皮肤瘀斑位置有TAWH。无内脏病变或腹腔积液。需要保守治疗。后续行动顺利,伴有血肿吸收,无蜂窝织炎或脓肿。患者1周后出院。将使用网格计划进行腹部修复。
    TAWH是一种罕见的实体。诊断的最佳成像方式是CT扫描,可以对疝气进行分类并筛查其他损伤。孤立的TAWH的存在必须降低阈值以密切监测或操作探索,鉴于影像学特征的假阴性发现率高。
    TAWH应该被怀疑在任何高能量的钝性腹部创伤之后。CT扫描和超声检查有助于诊断,唯一的治疗方法是手术以避免并发症。
    Traumatic abdominal wall hernia (TAWH) also known as blunt abdominal TAWH is uncommon. The clinical diagnosis is difficult. The authors present a case report of posthigh-energy abdominal blunt trauma causing a TAWH.
    UNASSIGNED: A 36-year-women, with unremarkable past medical history, was presented to the Emergency Department after a stuck in high-speed two automobiles. She was hemodynamic, respiratory, and neurologically stable. The BMI was 36 kg/m². The abdomen was not distended with an ecchymotic lesion on the right flank. The thoracic abdominal and pelvic computed tomography (CT) scan revealed a rupture in the lateral abdominal wall muscles with a TAWH in the location of the skin ecchymoses. There was no visceral lesion or intraperitoneal fluid. A conservative treatment was indicated. The follow-up was uneventful, with hematoma resorption and no cellulitis or abscess. The patient was discharged after 1 week. An abdominal repair will be planned using a mesh.
    UNASSIGNED: TAWH is a rare entity. The best imaging modality for diagnosis is the CT scan allowing classification of the hernia and a screen for other injuries. The presence of an isolated TAWH must lower the threshold to closely monitor or to operatively explore, given the high rate of false-negative findings at imaging features.
    UNASSIGNED: TAWH should be suspected behind any blunt abdominal trauma with high energy. CT scan and ultrasound were helpful for diagnosis and the only curative treatment is surgery to avoid complications.
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  • 文章类型: Case Reports
    未经证实:Rosai-Dorfman-Destombes病(RDD)是一种病因不明的罕见组织增生性疾病。它通常发生在淋巴结中,并且可以影响结外组织和器官。肾RDD极为罕见,只有少数病例报告,其临床症状和影像学表现是非特异性的。迄今为止,在大量病例中没有文献总结其影像学表现。由于受累于不同的组织和器官,RDD没有标准治疗方法。据报道,肾脏受累的RDD患者预后不良。因此,对肾脏RDD的认识还需进一步深入。
    UASSIGNED:我们在一名无症状的67岁男性中介绍了一例罕见的肾RDD病例。超声检查结果表明,两个肾脏都被低回声软组织病变包围,左肾有一个巨大的肿块,与肾包膜有清晰的边界。超声造影(CEUS)结果显示双侧肾周病变和肿块增强不足。然而,计算机断层扫描尿路造影(CTU)结果显示无明显增强。然后病人接受了一系列的实验室检查,但没有找到相关信息。为了做出明确的诊断,然后泌尿科医生切除了左肾周肿块和一些肾周组织,最终病理诊断为结外RDD。病人仍然无症状,到目前为止还没有治疗。
    UNASSIGNED:该病例可能是第一例报告的行CEUS的病例,也是第二例无症状肾RDD的病例。根据以前的文献报道,我们发现肾RDD的一些特殊特征包括双侧肾周病变,表现为“毛状肾”。CEUS和/或CTU可用于帮助区分RDD的孤立肿块与常见肿瘤。避免误诊导致不必要的肾切除术。
    UNASSIGNED: Rosai-Dorfman-Destombes disease (RDD) is a rare histioproliferative disease with unknown etiology. It commonly occurs in lymph nodes and can affect extra-nodal tissues and organs. Renal RDD is extremely rare, only a few cases have been reported, and its clinical symptoms and imaging findings are non-specific. To date, no literature has summarized its imaging manifestations in a large number of cases. Due to the involvement of different tissues and organs, there is no standard treatment for RDD. It has been reported that RDD patients with kidney involvement have a poor prognosis. Thus, understanding of renal RDD need to be extended.
    UNASSIGNED: We present a rare case of renal RDD in an asymptomatic 67-year-old male. The results of an ultrasound examination indicated that both kidneys were surrounded by hypoechoic soft tissue lesions, and there was a huge mass in the left kidney, which had a clear boundary with the renal capsule. The results of contrast-enhanced ultrasound (CEUS) showed hypo-enhancement in the bilateral perinephric lesions and mass. However, the computed tomography urography (CTU) findings revealed no obvious enhancement. The patient then underwent a series of laboratory tests, but no relevant information was found. To make a clear diagnosis, the urologist then removed the left perirenal mass and some perirenal tissues, and the patient was finally pathologically diagnosed with extra-nodal RDD. The patient remains asymptomatic, and no treatment has been administered to date.
    UNASSIGNED: This case may be the first reported case in which CEUS was performed and the second reported case of asymptomatic renal RDD. Based on the previous literature reports, we found that some specific characteristics of renal RDD include bilateral perirenal lesions with a \"hairy kidney\" appearance. CEUS and/or CTU can be used to help differentiate a solitary mass of RDD from common tumors, to avoid misdiagnosis leading to unnecessary nephrectomy.
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  • 文章类型: Case Reports
    ParryRomberg综合征(PRS),也被称为进行性半颜面萎缩,是一种非常罕见的自限性疾病,影响皮肤和皮下组织,底层肌肉组织,软骨,和一半面部的骨结构,导致偏侧萎缩和斑秃。它存在于儿童和年轻人中,萎缩缓慢发展了几年,然后变得稳定。头颅的磁共振成像(MRI)或计算机断层扫描(CT)扫描非常清楚地显示了偏侧萎缩的放射学特征。我们报告了一个9岁女孩的PRS病例,该女孩具有根据病史诊断的特征性特征,临床体征,头颅CT扫描和MRI的放射学发现。
    Parry Romberg syndrome (PRS), also known as progressive hemifacial atrophy, is a very rare self-limiting disease, which affects the skin and subcutaneous tissues, underlying musculature, cartilage, and bony structures of one half of the face with a resultant hemiatrophy and alopecia areata. It presents in children and young adults, with a slow progression of the atrophy for several years, and then becomes stable. Magnetic resonance imaging (MRI) or computed tomography (CT) scan of the cranium demonstrates the radiological feature of hemiatrophy very clearly. We report a case of PRS in a nine-year-old girl with characteristic features which was diagnosed based on medical history, clinical signs, and radiological findings on cranial CT scan and MRI.
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