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Appendiceal Intussusception Secondary to Endometriosis: A Rare Etiology of Right Lower Quadrant Abdominal Pain
Teaching Point: Appendiceal intussusception appears as a “sausage or target shaped” lesion in the caecal lumen and may be caused by a “lead point”. Published on 2022-05-04 11:45:00 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - May 4, 2022 Category: Radiology Source Type: research

Pedunculated Epipericardial Fat Torsion: A Subtle Clinical and Radiological Mimicker
Teaching Point: Epipericardial fat torsion is a little-known and uncommon condition with sometimes subtle findings making general awareness essential for detection and for confident diagnosis. Published on 2022-05-04 11:57:29 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - May 4, 2022 Category: Radiology Source Type: research

A Rare Complication of Appendicostomy
Teaching Point: The acute appendicitis in a context of Malone appendicostomy complication is very rare but can occur and may be challenging to diagnose due to its unusual position. Published on 2022-05-04 12:07:13 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - May 4, 2022 Category: Radiology Source Type: research

Cecal Volvulus
Teaching point: The coffee bean sign, the whirl sign, and the bird ’s beak sign are the key findings on abdominal CT of cecal volvulus. Published on 2022-05-04 12:16:15 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - May 4, 2022 Category: Radiology Source Type: research

Lemierre Syndrome
Teaching Point: Lemierre syndrome is a rare complication of bacterial pharyngitis with cervical thrombophlebitis leading to pulmonary abcesses; the radiologist may have a key role. Published on 2022-05-04 12:23:16 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - May 4, 2022 Category: Radiology Source Type: research

Hyperdense Basal Ganglia on Brain CT in Non-Ketotic Hyperglycemia Associated with Hemichorea
Teaching Point: Unilateral choreiform movements combined with contralateral hyperdense lentiform and/or caudate nucleus on computed tomography is suggestive for non-ketotic hyperglycemia, warranting further metabolic workup. Published on 2022-04-29 11:23:48 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - April 29, 2022 Category: Radiology Source Type: research

Neurocysticercosis: An Uncommon Cause of Acute Supratentorial Hydrocephalus
We report a 29-year-old woman with acute supratentorial hydrocephalus due to intraventricular neurocysticercosis (NC). Aqueductal stenosis due to web formation and a free floating intraventricular cyst with scolex were pathognomonic and led to the diagnosis of NC. Worldwide, NC is the most important parasitic infection of the central nervous system but is very uncommon in non-endemic regions. Intraventricular abnormalities occur in approximately 30% of the patients. Magnetic resonance imaging (MRI) plays a crucial role in the diagnostic work-up and in guiding intervention.Teaching Point: Brain magnetic resonance imaging in...
Source: Journal of the Belgian Society of Radiology - April 29, 2022 Category: Radiology Source Type: research

Median Arcuate Ligament Syndrome Revealed by Splenic Infarcts
Teaching Points: Splenic infarction is an extremely rare presentation of median arcuate ligament syndrome that requires a good analysis of celiac axis on computed tomography angiography in other to make a proper diagnosis and management. Published on 2022-04-29 11:50:27 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - April 29, 2022 Category: Radiology Source Type: research

Myriad Presentations of Intracranial Meningiomas: Pictoral Essay
Meningiomas are the most common non-glial tumor of the central nervous system (CNS). Seen in middle age with a female preponderance, most of the tumors are solitary and supratentorial with benign histology (WHO grade I). Atypical and anaplastic (malignant) meningiomas (WHO grade II and III), comprise 15 –20% of all intracranial meningiomas [1-5]. Magnetic resonance imaging (MRI) is the imaging modality of choice. Published on 2022-04-28 12:37:26 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - April 28, 2022 Category: Radiology Source Type: research

Acquired Peripheral Nerve Injury Findings in Critically Ill COVID-19 Patients
We retrospectively analyzed clinical, NCS/EMG, and NMRI aspects of five COVID-19 intensive care unit inpatients that received mechanical ventilation. After awakening from sedation, they experienced peripheral neuromyopathic symptoms.Teaching Point: Acquired peripheral nerve injury has been described in COVID-19 infection and knowledge of the clinical, nerve conduction studies/electromyography (NCS/EMG) and neurographic magnetic resonance imaging (NMRI) findings are crucial. Published on 2022-04-28 12:51:34 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - April 28, 2022 Category: Radiology Source Type: research

Pulmonary Artery Vasoconstriction Due to Bronchial Obstruction
Pulmonary artery (PA) vasoconstriction resulting from pulmonary ventilation/perfusion imbalance is infrequently detected with computed tomography (CT). An 85-year-old woman presented to the emergency room with dyspnea and desaturation, despite oxygen supply. A CT pulmonary angiography (CTPA) revealed massive central bronchial mucoid impaction in all but the right upper bronchus. Only the right upper pulmonary veins were opacified, which we speculate was linked to the central bronchial obstruction, with identical distributions, through vasoconstriction of the corresponding PAs.Teaching Point: This case demonstrates the unus...
Source: Journal of the Belgian Society of Radiology - April 28, 2022 Category: Radiology Source Type: research

Mirror-image Artifact of a Cephalhematoma Mimicking an Epidural Hematoma in a Newborn
Teaching Point: When performing ultrasound examination of a cephalhematoma, the occurrence of a mirror-image artifact can mimic the presence of an epidural hematoma. Published on 2022-04-28 13:05:35 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - April 28, 2022 Category: Radiology Source Type: research

Small Bowel Volvulus Complicated by Bowel Infarction
Teaching Point: Torsion of a segment of the small bowel and its mesentery, together with closed loop obstruction and absent enhancement of paper-thin small bowel walls, is an alarm sign for small bowel volvulus complicated by acute bowel infarction. Published on 2022-04-28 13:12:37 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - April 28, 2022 Category: Radiology Source Type: research

Diffuse Large B-Cell Lymphoma – Rare Presentation
Teaching Point: Subcutaneous nodules sparing the dermis and without extracutaneous involvement is a rare presentation of the diffuse large B-cell lymphoma. Published on 2022-04-27 12:21:22 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - April 27, 2022 Category: Radiology Source Type: research

Chronic Schistosomiasis Presenting with Migrating Pulmonary Manifestation after Recent COVID-19 Infection: HRCT Findings
Teaching Point: Chronic pulmonary schistosomiasis should be suspected in symptomatic patients with an endemic background presenting with migrating pulmonary lesions on high resolution computed tomography scan. Published on 2022-04-27 13:09:51 (Source: Journal of the Belgian Society of Radiology)
Source: Journal of the Belgian Society of Radiology - April 27, 2022 Category: Radiology Source Type: research