• Title/Summary/Keyword: X-Ray computed tomography

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Overlooked and Challenging Encounters-Inflammatory Pseudotumors in the Abdomen and Pelvis: A Pictorial Essay (놓치기 쉽고 진단이 어려운 복부골반강의 염증성 가성 종양: 임상화보)

  • Min Ha Kwag;Jin Young Park;Hae Woong Jeong;Ji Yeon Han;Jong Heon Lim;Young Seon Kim;Jung Won Park
    • Journal of the Korean Society of Radiology
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    • v.81 no.5
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    • pp.1121-1133
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    • 2020
  • Inflammatory pseudotumors (IPTs) are uncommon, mass-forming lesions, predominantly involving the lung and orbit. Although the incidence of IPTs is rare in the abdomen and pelvis, they can be encountered as enhancing, soft-tissue lesions, mimicking malignancy or fibrosclerosing disease. Generally, they exhibit a wide range of nonspecific imaging features in various organs. Preoperative imaging diagnosis of IPTs in appropriate clinical settings may help determine proper patient management. In this article, we review radiologic findings of IPTs in the abdominopelvic cavity, including the liver, spleen, kidney, gastrointestinal tract, mesentery, pelvis, and retroperitoneum.

CT and MRI Features of Localized Peritumoral Amyloidosis in a Patient with Head and Neck Mucosa-Associated Lymphoid Tissue Lymphoma: A Case Report (두경부 MALT 림프종 환자에서 나타난 국소적 종괴 주위 아밀로이증의 전산화단층촬영 및 자기공명영상 소견: 증례 보고)

  • Han Joon Kim;Hyun Sook Hong;Ji Yoon Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1334-1340
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    • 2021
  • Amyloidosis has been reported to be associated with non-Hodgkin lymphoma. Amyloidosis and lymphoma can be related in two ways: lymphoma-associated systemic amyloidosis and peritumoral amyloidosis with lymphoma. We report a rare case of peritumoral amyloidosis in a patient with head and neck mucosa-associated lymphoid tissue lymphoma. On CT, the oropharyngeal mass showed an irregularly shaped soft-tissue density with multifocal amorphous calcifications and heterogeneous enhancement. On MRI, the mass showed heterogeneous low signal intensity on both T1- and T2-weighted images. On contrast-enhanced MR images, the mass showed good enhancement with several inner non-enhancing foci. Concurrent pathologies, such as peritumoral amyloidosis, should be considered when calcifications are noted in patients with pre-treatment lymphoma.

Apparent Sparganosis Presenting as a Palpable Neck Mass: A Case Report and Review of Literature (만져지는 경부 종괴로 나타난 현성 스파르가눔증: 증례 보고 및 문헌고찰)

  • Minhee Hwang;Hye Jin Baek;Sang Min Lee
    • Journal of the Korean Society of Radiology
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    • v.81 no.5
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    • pp.1210-1215
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    • 2020
  • Sparganosis is an uncommon human parasitic infection caused by plerocercoid cysts of the genus Spirometra. Sparganosis of the neck is a rare condition, thus making it difficult to diagnose. It is often initially misdiagnosed as a lymphadenopathy or a soft tissue tumor. Herein, we describe a rare case of apparent sparganosis presenting as a palpable mass in the left neck of a 53-year-old female patient. Imaging studies played a key role in the diagnosis. In this case report, we emphasize that sparganosis should be considered in the differential diagnosis of a palpable superficial mass. We also stress the importance of meticulous radiological review in the context of appropriate clinical suspicion.

Extremely Rare CT and MRI Findings of Peritoneal Leiomyoma Mimicking Hepatic Mass: A Case Report (매우 드문 간종괴로 오인된 복막 평활근종의 CT 및 MRI 소견: 증례 보고)

  • Jonghun Woo;Seo-Youn Choi;Hee Kyung Kim;Ji Eun Lee;Min Hee Lee;Sanghyeok Lim
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.946-951
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    • 2023
  • Leiomyoma is a common benign tumor from smooth muscle cells, mostly in the uterus. Peritoneal leiomyomas (PLs) are extremely rare and mostly reported as disseminated peritoneal leiomyomatosis. However, to the best of out knowledge, radiologic findings of isolated PL are not reported in English literature. Herein, we introduce the radiologic findings of PL mimicking hepatic mass in a 34-year-old female. CT showed a mass with curvilinear heterogeneous enhancement at the liver's peripheral area. On MRI, the mass showed gradual and heterogeneous enhancement on gadoxetic acid-enhanced MRI and diffusion restriction. The radiologic diagnosis was a benign hepatic tumor, such as degenerated hemangioma, adenoma, and inflammatory myofibroblastic tumor; however, the mass was diagnosed as PL pathologically.

Immunoglobulin G4-Related Lung Disease with Waxing and Waning Pulmonary Infiltrates: A Case Report (호전과 악화를 반복하는 폐 병변을 가진 면역글로불린 G4 관련 폐 질환: 증례 보고)

  • John Baek;Jongmin Park;Byunggeon Park;Jae-Kwang Lim;Chun Geun Lim;An Na Seo
    • Journal of the Korean Society of Radiology
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    • v.84 no.6
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    • pp.1373-1377
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    • 2023
  • Immunoglobulin G4 (IgG4)-related lung disease can have various clinical courses. To our knowledge, reports of IgG4-related lung disease with waxing and waning pulmonary infiltrates only are very rare. A few lung nodules and ground glass opacities were incidentally found in a pre-operative evaluation in a 36-year-old female. The lung lesions showed waxing and waning in the follow-up chest CT. She underwent a surgical biopsy, and IgG4-related lung disease was confirmed.

Pleural Metastasis of Lung Cancer Combined with Pleuroparenchymal Fibroelastosis: A Case Report (흉막폐실질 탄력섬유증과 동반된 폐암의 흉막 전이: 증례 보고)

  • Sung Cheol Hong;Lucia Kim;Min Kyung Lee;Hong Lyeol Lee;Kyung Hee Lee
    • Journal of the Korean Society of Radiology
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    • v.85 no.3
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    • pp.631-636
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    • 2024
  • Pleural metastasis is the most common cause of malignant diseases involving the pleura, and characterized by pleural effusion, nodules, and thickening. Pleuroparenchymal fibroelastosis (PPFE) is a disease characterized by apical pleural thickening and subjacent parenchymal fibrosis. We report a case of a 60-year-old male with lung cancer in the left lower lobe and underlying PPFE combined with left apical pleural metastasis. Initially, asymmetric left apical pleural thickening due to pleural metastasis was mistaken for PPFE. Additionally, we describe the imaging and histopathological findings of PPFE, including MRI findings.

Pulmonary Artery Periadventitial Hematoma in a Patient with Aortic Intramural Hematoma: A Case Report (대동맥벽내 혈종 환자에서의 폐동맥 외막주위 혈종: 증례 보고)

  • Hoon Kwon;Yeon Joo Jeong;Geewon Lee;Minhee Hwang;Jin You Kim;Nam Kyung Lee;Ji Won Lee
    • Journal of the Korean Society of Radiology
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    • v.85 no.3
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    • pp.649-653
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    • 2024
  • A pulmonary artery periadventitial hematoma is a rare complication of a Stanford type A intramural hematoma. As the proximal ascending aorta and pulmonary artery share a common adventitial layer, extravasated blood from the intramural hematoma in the ascending thoracic aorta may extend to beneath the adventitia of the pulmonary artery. The authors describe a case involving a 66-year-old male with acute chest pain who presented with a pulmonary artery periadventitial hematoma associated with a Stanford type A intramural hematoma.

Radiologic Manifestations of Pulmonary Nuclear Protein in Testis Midline Carcinoma: A Case Report (폐에 발생한 고환 핵단백질 정중선 암의 영상의학적 소견: 증례 보고)

  • Jung A Kim;Mi-jin Kang;Jung Yeon Kim;Ji-Young Kim;Soung Hee Kim;Myeong Ja Jeong;Ji Hae Lee
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.498-503
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    • 2023
  • Nuclear portein in testis (NUT) midline carcinoma is a very rare and low-differentiating malignant epithelial tumor that differentiates very aggressively and has poor prognosis. NUT midline carcinoma occurring in the lungs in particular can be confused with other cancers because few cases have been reported in Korea to date and can show various histological forms. Reports of radiology findings are very rare worldwide. Here we report the imaging findings of pulmonary NUT midline carcinoma in a 25-year-old female along with pathological findings.

CT/MRI Liver Imaging Reporting and Data System (LI-RADS): Standardization, Evidence, and Future Direction (CT/MRI 간영상 판독과 자료체계: 표준화, 근거 및 발전방향)

  • Yeun-Yoon Kim;Jin-Young Choi
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.15-33
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    • 2023
  • The liver imaging reporting and data system (LI-RADS) has been developed with the support of the American College of Radiology to standardize the diagnosis and evaluation of treatment response of hepatocellular carcinoma (HCC). The CT/MRI LI-RADS version 2018 has been incorporated in the American Association for the Study of Liver Diseases guidance. This review examines the effect of CT/MRI LI-RADS on the standardized reporting of liver imaging, and the evidence in diagnosing HCC and evaluating treatment response after locoregional treatment using CT/MRI LI-RADS. The results are compared with other HCC diagnosis guidelines, and future directions are described.

Radiologic Findings of Mesonephric-Like Adenocarcinoma of the Uterine Corpus: A Case Report (자궁 체부에 발생한 중신 유사 선종의 영상 소견: 증례 보고)

  • Ha Jung Kim;Kyeong Ah Kim;Yikyeong Chun;Jeong Woo Kim;Jongmee Lee;Chang Hee Lee
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.698-704
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    • 2023
  • According to the 2020 World Health Organization classification, mesonephric-like adenocarcinoma (MLA) is newly categorized as a subtype of endometrial carcinoma and remains a relatively unknown disease owing to its rarity. To the best of our knowledge, radiological findings of MLA have not been reported in the English literature. The uterine MLAs show a worse clinical prognosis and a more aggressive biological behavior than the usual endometrial carcinoma. Herein, we present the imaging findings of a 65-year-old female with a MLA in the uterine corpus. The tumor was a solid endometrial mass with deep myometrial invasion, poor contrast enhancement, and moderate diffusion restriction.