Case Reports

Lipoblastoma: Different Features on Magnetic Resonance Imaging

Full Article

KW Shek, SS Cheng, KS Tse, KC Lai, MK Chan

Hong Kong J Radiol 2015;18:302-6

DOI: 10.12809/hkjr1515332

Lipoblastoma is a rare benign adipocytic tumour that usually occurs in children younger than 3 years, with male predominance. Lipoblastoma usually presents as a slowly enlarging soft tissue mass in the extremities

Hydatid Cyst: Enteric Fistula in a Patient with Disseminated Abdominal Hydatidosis

Full Article

R Das, S Chakraborty, M Karmakar, N Panda

Hong Kong J Radiol 2015;18:297-301

DOI: 10.12809/hkjr1515325

Disseminated peritoneal hydatidosis is rare. Infrequently hydatid cysts can rupture into adjacent organs. We report a case of secondarily disseminated peritoneal hydatidosis with rupture into the gut presenting

Mild Encephalitis / Encephalopathy with Reversible Splenial and Cerebellar Lesions (MERS Type II) in a Patient with Diabetic Ketoacidosis and Hypernatraemia

Full Article

KH Tse, SS Lo

Hong Kong J Radiol 2015;18:293-6

DOI: 10.12809/hkjr1515304

Mild encephalitis / encephalopathy with a reversible splenial lesion is an uncommon condition that mainly affects young patients and children. Epilepsy and the use of antiepileptic medications are considered to be

Imaging Appearance of Renal Epithelioid Angiomyolipoma: a Rare Variant of Renal Angiomyolipoma with Diverse Clinical Behaviours

Full Article

PY Chu, WY Wong, WCS Chan, KL Siu

Hong Kong J Radiol 2015;18:287-92

DOI: 10.12809/hkjr1514288

Renal epithelioid angiomyolipoma is a rare variant of renal angiomyolipoma. The condition occurs in patients with or without tuberous sclerosis. Clinical behaviour of renal epithelioid angiomyolipoma varies widely,

Extensive Soft Tissue Necrosis Due to Extravasation of Computed Tomography Contrast Medium

Full Article

JH Kwon, JS Kim, SR Eo

Hong Kong J Radiol 2015;18:240-2

DOI: 10.12809/hkjr1515315

Extravasation of contrast medium is a complication of contrast-enhanced computed tomography studies. Clinical presentations include minimal swelling, erythema and, when the extravasated volume is large, ulceration, compartment syndrome, and skin necrosis. Here we present an 80-year-old woman with

Vertebrobasilar Dolichoectasia Complicated with Arterial Dissection and Acute Posterior Circulation Infarctions

Full Article

HHC Tsang, SSM Lo, WL Poon, KW Tang

Hong Kong J Radiol 2015;18:233-8

DOI: 10.12809/hkjr1514259

Vertebrobasilar dolichoectasia is defined as elongation, dilatation, and tortuosity of the basilar and vertebral arteries. We describe two patients with vertebrobasilar dolichoectasia, one who presented with acute posterior circulation infarct and

Spontaneous Oesophageal Intramural Haematoma: an Uncommon Condition in Two Patients

Full Article

KK Cheng, S Lau

Hong Kong J Radiol 2015;18:227-32

DOI: 10.12809/hkjr1514257

Oesophageal intramural haematoma is an uncommon form of oesophageal injury. Oesophageal intramural haematoma can occur spontaneously without any preceding events. This report is of two patients who presented with haemoptysis and

Transarterial Treatment of Traumatic Carotid Cavernous Sinus Fistula with Carotid Artery Dissection and Ruptured Pseudoaneurysm Using Flow Diverter and Detachable Coils

Full Article

JPK Chan, SMS Lo, CM Chan, WL Poon, YL Cheung, KW Shek, KW Tang, PH Wong

Hong Kong J Radiol 2015;18:221-6

DOI: 10.12809/hkjr1514263

Direct carotid cavernous sinus fistula is a common delayed complication of head trauma, particularly in patients with skull base fractures. When carotid cavernous sinus fistula occurs together with

Incarcerated Right Diaphragmatic Hernia: a Rare Sequela of Open Radiofrequency Ablation for Hepatocellular Carcinoma

Full Article

TF Lee, CY Chu, CS Cheng, JLS Khoo

Hong Kong J Radiol 2015;18:215-20

DOI: 10.12809/hkjr1514255

Hepatocellular carcinoma is a common malignancy in this locality due to the high prevalence of hepatitis B carriers. Radiofrequency ablation is frequently used for treatment of hepatocellular carcinoma. Thermal injury

Mimicker of Breast Cancer: Mammary Fibromatosis

Full Article

WL Yu, C Wu, HHL Chau

Hong Kong J Radiol 2015;18:156-9

DOI: 10.12809/hkjr1514281

Mammary fibromatosis is a rare benign lesion of the breast with clinical and radiological manifestations mimicking breast cancer. We present a woman with fibromatosis

Popcorn-like Calcification in the Breast: More Than Meets the Eye?

Full Article

N Abdullah, R Sridharan, A Saeid, IM Rose, ZM Annuar

Hong Kong J Radiol 2015;18:152-5

DOI: 10.12809/hkjr1514274

We present a case of a 56-year-old woman who had mammographic findings of coarse popcorn-like calcification in the right breast. In year 2000, the patient had benign lumps

Retroperitoneal Sclerosing Perivascular Epithelioid Cell Tumour

Full Article

VYK To, JPK Tsang, TW Yeung, MK Yuen

Hong Kong J Radiol 2015;18:51-6

DOI: 10.12809/hkjr1414242

Perivascular epithelioid cell tumour is a relatively new entity with rising incidence. This is a rare mesenchymal neoplasm that can occur in various organs and is characterised by proliferation of perivascular cells and expression of myomelanocytic markers. Here, we present

Evolution of Caseating Granuloma from Tuberculous Cerebritis in the Corpus Callosum

Full Article

SH Kim, SS Choi, MJ Kang

Hong Kong J Radiol 2015;18:46-50

DOI: 10.12809/hkjr1414270

Central nervous system tuberculosis usually presents as tuberculous meningitis, intracranial tuberculoma, tuberculous brain abscess, or tuberculous mass. Tuberculoma originates as a conglomerate of microgranulomata in an area of tuberculous cerebritis that joins to form a

Post-traumatic Postoperative Osteolysis: an Under-recognised Cause of Recrudescence of Osteolysis in Quiescent Osteoblastic Pagetic Bone

Full Article

WK Tsang, MK Yuen

Hong Kong J Radiol 2015;18:41-5

DOI: 10.12809/hkjr1414260

Post-traumatic postoperative osteolysis is a rare cause of recrudescence of osteolysis in previously quiescent sclerotic pagetic bone. This condition can develop rapidly following trauma and operation, and mimic sinister causes like malignancy. Awareness of this rare disease entity

Endoscopic Nasopharyngectomy for Recurrent Nasopharyngeal Carcinoma

Full Article

HM Chong, PY Lo, RKC Ngan

Hong Kong J Radiol 2015;18:37-40

DOI: 10.12809/hkjr1414247

Patients with early local recurrence of nasopharyngeal carcinoma with close proximity to the nearby carotid artery can be offered long-term control by endoscopic nasopharyngectomy which allows complete microscopic clearance of the recurrent tumour without damaging the