European Journal of Radiology Extra RSS feed: Current Issue. The European Journal of Radiology Extra has been discontinued. For previous issues of this companion title please see http://www.europeanjrnlradiologyextra.com/ . http://www.europeanjrnlradiologyextra.com/?rss=yesElsevier Inc.en © 2011 Elsevier Ireland Ltd. All rights reserved. European Journal of Radiology Extra1571-4675792August 2011 © 2011 Elsevier Ireland Ltd. All rights reserved. healthpermissions@elsevier.comhttp://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000538/abstract?rss=yesAbstract: Association of venous thromboembolic events (TEs) with malignancy is well known. Ewing's sarcoma usually presents as swelling at the primary site, however presenting as unilateral lower limb edema due to tumoral thrombosis of right iliac vein and IVC is a rare event. A 30-year-old male patient with extensive right lower limb swelling was admitted and imaging studies (plain film, ultrasonography, Doppler, computed tomography) revealed a mass arising from right iliac bone, adjoining sacrum and tumoral thrombosis of right iliac veins extending into inferior vena cava. Histopathological diagnosis was Ewing's sarcoma. Patient was treated successfully with chemotherapy and surgical embolectomy. So a young patient presenting with deep vein thrombosis should be investigated not only to establish any thrombophilic pre-disposition, but also let the clinician to suspect for any local malignancy. Treatment depends upon the proximal extent of tumoral thrombus. With advances in imaging and chemotherapeutic regimens early diagnosis is possible and appropriate treatment planning improves the prognosis. To our knowledge skeletal Ewing's sarcoma with bland thrombosis is a known entity however no such case with direct invasion of tumor into veins leading to tumoral venous thrombosis has been reported in medical literature.Tumoral thrombosis of inferior vena cava and iliac veins resulting in unilateral lower limb edema in a young adult: A rare presentation of skeletal Ewing's sarcomaPraveen Kumar, Bhoopendra P. Singh, Shailendra Mohan Shukla, Lubna Khan, Ojaswi Pathak10.1016/j.ejrex.2011.04.004European Journal of Radiology Extra 79, 2 (2011)2011-07-04European Journal of Radiology Extra2011-07-04792S1571-4675(11)X0009-3e41e44http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000599/abstract?rss=yesAbstract: It is presented an impressive image of a cholangio-Magnetic Resonance Imaging in a bilateral Caroli disease. The innovative technique of 3D imaging elaboration allowed to perfectly build up the anomalies of the biliary tract.3D cholangio-Magnetic Resonance Imaging in Caroli diseaseSilvia Gaia, Andrea Marengo, Anna Morgando, Francesca Barisone, Jochen Maass, Franco Brunello, Mario Rizzetto10.1016/j.ejrex.2011.04.010European Journal of Radiology Extra 79, 2 (2011)2011-05-10European Journal of Radiology Extra2011-05-10792S1571-4675(11)X0009-3e45e46http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000605/abstract?rss=yesAbstract: The demand for minimally invasive cosmetic procedures is increasing. Injectable hyaluronic acid is an effective and well tolerated procedure that can be used for breast augmentation and provides predictable long-lasting results if administered appropriately in the correct tissue plane. Concerns already exist regarding the effect of Macrolane™ on breast cancer screening, and we raise a new concern about the need for imaging for its safe administration. We present three cases referred to our centre in the last 2 years with complications associated with Macrolane™ injection, possibly from injection into an incorrect tissue plane. Complications included breast pain, haematoma, cellulitis and abscess formation. We suggest that such aesthetic procedures should be carried out under ultrasound guidance to ensure administration into the correct site, potentially avoiding such complications.The role of breast imaging in macrolane injection—A review and report of three casesMohamed Rubnawaz Hanief, Benjamin William Lamb, Ilayaraj Rajendran, Lucy Wilding, Rajiv Vashisht, Farhad Aref10.1016/j.ejrex.2011.04.011European Journal of Radiology Extra 79, 2 (2011)2011-05-09European Journal of Radiology Extra2011-05-09792S1571-4675(11)X0009-3e47e49http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000629/abstract?rss=yesAbstract: The purpose of this case report is to illustrate and discuss the importance of cone beam computed tomography (CBCT) for accurate diagnose of mandibula fracture. A case of maxillofacial trauma was used for this report. A 17-year-old male patient was referred to Oral Diagnosis and Radiology Department with a history of maxillofacial trauma. The history of patient revealed a traumatic injury on his face because of ball stroke. The patient as initially examined in emergency department and it was diagnosed a mandible fracture in emergency department by a 2D lateral skull projection. His clinical examination was unremarkable. We had not encountered any fracture in maxillofacial region with either panoramic view or CBCT. This case report accentuates that two dimensional plain radiography techniques may be misleading for accurate diagnosis of mandible fracture.Cone beam computed tomography for accurate diagnosis of suspected fracture of the mandibleFatma Çağlayan, Ümmühan Tozoğlu10.1016/j.ejrex.2011.04.013European Journal of Radiology Extra 79, 2 (2011)2011-05-25European Journal of Radiology Extra2011-05-25792S1571-4675(11)X0009-3e51e53http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000642/abstract?rss=yesAbstract: Torsion of the greater omentum is a rare condition of acute abdomen. We, herein, report a case of omentum torsion in a 31-year-old man with occlusive syndrome and abdominal pain. The preoperative diagnosis was accurately accomplished using computerized tomography (CT). Operative management was adopted with rapid and uneventful recovery. Knowledge of this pathology is important to the surgeon because it mimics the common causes of acute surgical abdomen.Acute abdomen for omental torsionFadi Benaghmouch, El Mehdi Aalala, Abdelmalek Hrora, Abdeslam Benamer, Farid Sabbah, Mohamed Ahallat, Mohamed Raiss10.1016/j.ejrex.2011.04.015European Journal of Radiology Extra 79, 2 (2011)2011-06-16European Journal of Radiology Extra2011-06-16792S1571-4675(11)X0009-3e55e57http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000654/abstract?rss=yesAbstract: Introduction: Intracranial germ cell tumors (GCT) are extremely rare brain neoplasms, with imaging characteristics being often non-specific. Considering such imaging limitation in establishing their exact histology, the aim of this paper is to integrate conventional, physiologic and metabolic magnetic resonance imaging (MRI) with histology of these tumors, with the goal of proposing some new insights that could aid in their diagnosis.Materials and methods: We have retrospectively analyzed preoperative imaging findings in 9 patients with histology proven intracranial germ cell tumors. In all patients conventional magnetic resonance imaging in conjunction with diffusion-weighted imaging (DWI) and proton magnetic resonance spectroscopy (MRS) was performed.Results: Based on imaging characteristics on conventional sequences germinoma cannot be differentiated from nongerminoma. DWI offered the potential for differentiation of germinomas from non-germinomas since solid part of germinomas demonstrated restricted diffusion with ADC values under 1.0×10−3mm2/s, whereas nongerminoma showed elevated diffusion with ADC values above 1.3×10−3mm2/s. Short echo MRS demonstrated characteristic spectra in germinomas: increased Cho, decreased NAA and prominent broad lipid resonances.Conclusion: DWI and MRS imaging findings provide additional information that can facilitate evaluation of intracranial germ cell tumors.Proton MR spectroscopy and diffusion-weighted imaging of intracranial germ cell tumors: Implications for differentiation from other lesionsSvetlana Gavrilovic, Slobodan Lavrnic, Majda Thurnher, Marija Macvanski, Danica Grujicic, Tatjana Stosic-Opincal10.1016/j.ejrex.2011.05.001European Journal of Radiology Extra 79, 2 (2011)2011-06-06European Journal of Radiology Extra2011-06-06792S1571-4675(11)X0009-3e59e64http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000678/abstract?rss=yesAbstract: Pulmonary sclerosing hemangiomas are generally regarded as benign lung lesions arising from type II pneumocytes and bronchial epithelium. In some cases malignant features may be present. There are several case reports describing the radiographic, computed tomography (CT), and magnetic resonance imaging (MRI) characteristics of pulmonary sclerosing hemangiomas. Given the potential for low-grade malignancy 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) imaging may be useful in the diagnostic work up and therapeutic planning in these patients, however the FDG–PET imaging features of pulmonary sclerosing hemangiomas are not well defined. We report a case of histopathologically diagnosed sclerosing hemangioma of the lung which demonstrated intermediate uptake of FDG on the preoperative PET/CT evaluation.FDG–PET imaging findings of a pulmonary sclerosing hemangiomaVincent Timpone, Daren Danielson, Alyn Woods, Beth Clark10.1016/j.ejrex.2011.05.003European Journal of Radiology Extra 79, 2 (2011)2011-06-23European Journal of Radiology Extra2011-06-23792S1571-4675(11)X0009-3e65e67http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000691/abstract?rss=yesHighlights: ► We report an unusual association between Ebstein anomaly and double orifice mitral valve. ► Echocardiography can demonstrate the two separate orifices in double orifice mitral valve. ► Cardiac MRI can also be used to provide anatomic and functional diagnosis of double orifice mitral valve.Abstract: We report an unusual association between Ebstein anomaly of the tricuspid valve and a stenotic double orifice mitral valve diagnosed later in life.Ebstein anomaly and double orifice mitral valve–An unusual associationRahul D. Renapurkar, Ruvin S. Gabriel, Allan Klein, Paul Schoenhagen, Janine Arruda10.1016/j.ejrex.2011.06.001European Journal of Radiology Extra 79, 2 (2011)2011-06-29European Journal of Radiology Extra2011-06-29792S1571-4675(11)X0009-3e69e71http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000708/abstract?rss=yesAbstract: Leukoencephalopathy with brain stem and spinal cord involvement and high lactate (LBSL) is a recently identified leukoencephalopathy, first described by Van der Knaap in 2003. To date 24 cases have been described. Distinctive features were as follows. First, brain MRI showed white matter abnormalities and involvement of brain stem structures. Second, sparing of the u-fibers was an invariant, distinctive feature of the syndrome. Third, whenever evaluated, spinal cord was always involved. Fourth, brain [1H]-MR spectroscopy failed to show a lactate peak in all cases. In our little child, the diagnosis was confirmed by genetic analysis but unlike previous report both the u-fibers and globus pallidus were involved; spectroscopic data were more consistent with hypomyelination than demyelination. Our findings add to the phenotype variability of this novel disease.LBSL (leukoencephalopathy with brain stem and spinal cord involvement and high lactate) without sparing of the u-fibers and globi pallidi: A case reportPaolo Galluzzi, Michele Sacchini, Gabriella Bartalini, Lucia Monti, Alfonso Cerase, Eleonora Lamantea, Federica Invernizzi, Massimo Zeviani, Paolo Balestri, Carlo Venturi10.1016/j.ejrex.2011.06.002European Journal of Radiology Extra 79, 2 (2011)2011-07-04European Journal of Radiology Extra2011-07-04792S1571-4675(11)X0009-3e73e76http://www.europeanjrnlradiologyextra.com/article/PIIS157146751100068X/abstract?rss=yesAbstract: Although a lot of types of tumor may develop in the liver, liver amyloidoma is the rare lesion. Here we report the first case of amyloidoma occurring in liver. Similar to other types of liver tumor, CT image is fundamental to the diagnosis of liver amyloidoma.Primary liver amyloidomaShenghua Hao, Xiangwu Yang, Deling Yu10.1016/j.ejrex.2011.05.004European Journal of Radiology Extra 79, 2 (2011)2011-07-28European Journal of Radiology Extra2011-07-28792S1571-4675(11)X0009-3e77e79http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000666/abstract?rss=yesAbstract: Isolated granulomatous orchitis is a rare chronic testicular inflammation, which should be differentiated from testicular malignancies on scrotal imaging. We present a case of a 33-year-old man, with a diffuse pattern of granulomatous orchitis, confirmed by means of testicular biopsy. MR imaging of the scrotum revealed the presence of two small-sized intratesticular lesions, hypointense on T2-weighted images, not enhancing after gadolinium administration suggesting the diagnosis of benignity.Isolated granulomatous orchitis: MR imaging findingsAthina C. Tsili, Maria I. Argyropoulou, Dimitrios Giannakis, Ekaterini Zioga, Sotirios Koukos, Nikolaos Sofikitis, Konstantinos Tsampoulas10.1016/j.ejrex.2011.05.002European Journal of Radiology Extra 79, 2 (2011)2011-06-10European Journal of Radiology Extra2011-06-10792S1571-4675(11)X0009-3e81e83http://www.europeanjrnlradiologyextra.com/article/PIIS1571467511000587/abstract?rss=yesAbstract: Leukoencephalopathy with cerebral calcifications and cysts (LCC) is a recently described and extremely rare entity of unknown origin characterized radiologically by white matter abnormalities, calcifications and cysts. The onset of this disorder occurs from early infancy to adolescence and there is no specific clinical feature suggestive of this disorder. We report a new case of this rare entity and emphasize CT and MRI findings that permit to assess diagnosis.Leukoencephalopathy with extensive brain calcifications and parenchymal cysts in a childSanaa El Mouhadi, Latifa Chat, Rachida Dafiri10.1016/j.ejrex.2011.04.009European Journal of Radiology Extra 79, 2 (2011)2011-08-01European Journal of Radiology Extra2011-08-01792S1571-4675(11)X0009-3e85e88