Case Reports

Breast Schistosomiasis Presenting as Mammographic Calcifications

Full Article

HHL Chau, APY Tang, GM Tse, TKF Ma, SK Chan

Hong Kong J Radiol 2010;13:43-5

A case of mammary schistosomiasis revealed by breast microcalcifications detected by mammography is reported. Although schistosomiasis can involve almost any organ, involvement of the breast is very rare. This case was diagnosed by stereotactic-guided

Tuberculosis of the Prostate and Seminal Vesicles

Full Article

J Joseph, H Narayanan, H Babu, A Praveen

Hong Kong J Radiol 2010;13:40-2

We report a rare manifestation of tuberculosis of the prostate and seminal vesicles without involvement of the rest of the genito-urinary tract. A 27-year-old male initially presented with clinical and laboratory evidence of pulmonary tuberculosis. Two weeks later, the

Metastatic Thyroid Carcinoma Presenting with Spinal Cord Compression

Full Article

HA Hassan, SA Hamid

Hong Kong J Radiol 2010;13:36-9

Metastatic follicular thyroid carcinoma presenting with spinal cord compression is rare. We describe a 69-yearold woman who initially presented with gradual onset of bilateral lower limb weakness and numbness for 3 months. Her magnetic resonance image revealed

Melanocytic Hyperpigmentation of the Tongue from Low-dose Radiotherapy

Full Article

RJ Amdur, PR Sandow, A Yeung, WM Mendenhall

Hong Kong J Radiol 2010;13:32-5

Several of our patients developed patches of melanotic hyperpigmentation (black spots) in the mucosa of the tongue during radiotherapy for brain tumours. The purpose of this report was to describe a representative case with a literature review. A

Segmental Pulmonary Artery Dissection in Systemic Lupus Erythematosus

Full Article

DD Rasalkar, BK Paunipagar, WCW Chu

Hong Kong J Radiol 2010;13:29-31

We report a unique case of segmental pulmonary artery dissection in a 48-year-old female, with confirmed systemic lupus erythematosus and pulmonary hypertension. Several cardiopulmonary manifestations of systemic lupus erythematosus have been

The Focal Hepatic ‘Hot Spot’ Sign of Superior Vena Cava Obstruction in Contrast-enhanced Computed Tomography

Full Article

J Joseph, H Narayanan, H Babu, A Praveen

Hong Kong J Radiol 2010;13:26-8

In patients with superior vena caval obstruction, computed tomography of the liver in its arterial or early portal phase may show abnormal hyperattenuation in segment IV of the left hepatic lobe. This abnormal enhancement is due to porto-systemic venous

Retroperitoneal Intramuscular Haemangioma: Imaging Features

Full Article

HA Hassan, SA Hamid

Hong Kong J Radiol 2010;13:23-5

Retroperitoneal intramuscular haemangiomas are quite rare. Interruption of the muscle layer by intramuscular cavernous haemangioma raised the suspicion of a soft tissue sarcoma. We discuss the radiological characteristics of a haemangioma compared to soft tissue

Pancreatic Neoplasm in a Patient with Situs Inversus Totalis

Full Article

BK Paunipagar, DD Rasalkar, P Lonikar, WCW Chu

Hong Kong J Radiol 2010;13:158-60

We reported on a patient with a cystic neoplasm of the pancreas with situs inversus totalis that showed the typical imaging features of serous cystadenoma in an anatomically inverted pancreas. The possible coexistence of malformations of transposed organs and

Left-sided Torsion of the Greater Omentum

Full Article

EMF Wong, SYJ Ka, WK Chau, P Tsui

Hong Kong J Radiol 2010;13:154-7

Torsion of the greater omentum is rare and is known to occur more often on the right side. We present an even rarer case of left-sided omental torsion, which was proven surgically and pathologically. Computed tomography showed the characteristic Whirl sign, which

Imaging Characteristics of Reversible Cerebral Vasoconstriction Syndrome: an Under-recognised Cause of Severe Headache

Full Article

RKL Lee, DYW Siu, AT Ahuja

Hong Kong J Radiol 2010;13:149-53

Reversible cerebral vasoconstriction syndrome is an under-diagnosed disease that every radiologist should know about. This report demonstrates two female patients who presented with severe headache with subsequent angiographic findings of ‘bead and string’

Mycotic Aneurysm of an Intercostal Artery: a Rare Cause of Haemothorax

Full Article

WP Chu, LF Cheng

Hong Kong J Radiol 2010;13:144-8

Causes of haemothorax include trauma, pulmonary or pleural neoplasm, pulmonary infarction and coagulopathy. Mycotic aneurysm of an intercostal artery is a rare cause of haemothorax. We report on a 60-year-old man who had a mycotic aneurysm of the right 12th

Brachial Artery Transection Following Closed Elbow Dislocation Without Accompanying Fracture

Full Article

YY Cheuk, KWM Yang

Hong Kong J Radiol 2010;13:140-3

Simple elbow dislocation is one of the most common joint dislocations and has a good prognosis. Complete transection of the brachial artery rarely ensues without an associated fracture. This case report describes this rare complication and its imaging findings in a

Immunoglobulin G4–related Sclerosing Disease of the Breast

Full Article

KY Kwok, HS Fung, LF Chiu, KM Chu, JCW Siu, KH Lai, TS To, SCH Chan

Hong Kong J Radiol 2010;13:137-9

Immunoglobulin G4–related sclerosing disease is a recently advocated disease entity. Though initially described as giving rise to autoimmune pancreatitis, this condition was subsequently found to involve extra-pancreatic tissues as well. In this report, we present a

Two Children with Pancreatoblastomas

Full Article

DD Rasalkar, BK Paunipagar, WCW Chu

Hong Kong J Radiol 2010;13:133-6

Pancreatoblastoma is a rare primary pancreatic neoplasm occurring in children. This report describes two paediatric patients with pancreatoblastomas with characteristic sonographic and computed tomographic features. Characteristic clinical and imaging features,