Journal

Chronic Expanding Haematoma of the Adrenal Gland Mimicking Malignancy

Full Article

T Chu, KF Ma, CS Wong, LF Cheng, WT Yung, KW Chan

Hong Kong J Radiol 2008;11:89-91

Computed tomography and magnetic resonance imaging scans are often required to characterise an adrenal lesion according to its size, heterogeneity, content, and enhancement pattern. This report is of a diagnostic dilemma, in which a chronic expanding haematoma of

Spongiform Leukoencephalopathy after Intravenous Heroin Use: Evaluation by Diffusion-weighted Imaging

JCW Siu, EYK Tsui

Hong Kong J Radiol 2004;7:84-7

Spongiform leukoencephalopathy is a distinct pathological entity usually following inhalation of heroin, while spongiform leukoencephalopathy resulting from intravenous injection of heroin is very rare. The magnetic resonance imaging findings are non-specific with widespread symmetrical high-signal lesions in white matter. This

Gunshot Injury in Hong Kong: Report of 2 Cases

Full Article

HS Fung, S Lau, AMW Wai, AKH Lai, MK Chan, WK Wong, SCH Chan

Hong Kong J Radiol 2008;11:85-8

Gunshot injury is a serious but uncommon type of trauma in Hong Kong. This report describes 2 cases of gunshot injury, 1 by a handgun and 1 by a shotgun. The literature is reviewed, with emphasis on important imaging features and associated forensic

Primary Epiploic Appendagitis

A Li, S Lau, TKL Loke, JCS Chan

Hong Kong J Radiol 2004;7:81-3

Primary epiploic appendagitis is a benign self-limiting condition, which is not as rare as presumed. Computed tomography demonstrates characteristic features that enable correct diagnosis, thereby avoiding unnecessary treatment.

Clinical Evaluation of Radiation Dose Benefit and Image Quality of the Step-and-Shoot Technique Electrocardiogram-gated Coronary Computed Tomography Angiography

Full Article

GG Lo, JKF Chan, SK Yu, CW Lau, YF Leung

Hong Kong J Radiol 2008;11:81-4

Objective: To evaluate the radiation dose reduction benefit and image quality performance of SnapShot Pulse in step-and-shoot mode for helical coronary computed tomography angiography.

Methods: Twenty coronary computed tomography angiography

Magnetic Resonance Imaging Findings of Japanese Encephalitis

JCW Siu, CY Chan, YC Wong, MK Yuen

Hong Kong J Radiol 2004;7:76-80

The initial clinical presentation of Japanese encephalitis is usually non-specific and can be similar to other causes of encephalitis or encephalopathy. Early and accurate diagnosis requires a high index of suspicion by both physician and radiologist. This report describes the

Cherubism as a Rare Cause of Bilateral Expansion of the Mandible: Radiological Manifestations

Full Article

MH Atalar, E Albayrak, P Erdinc, S Bulut

Hong Kong J Radiol 2008;11:76-80

Objective: To describe the radiological findings of the rare osseous disorder cherubism.

Methods: Five patients with cherubism underwent clinical, radiological, and histopathological evaluation. The patients’ sex, age, and

Reactivation of Hepatitis B after Irinotecan

LCY Lui, RTT Chan, CCH Kwok, WM Wong, CC Yau, GKH Au, CL Lai

Hong Kong J Radiol 2004;7:72-5

Objective: To analyse the incidence of hepatitis B reactivation following treatment with irinotecan-based combined chemotherapy and the outcomes of patients with hepatitis B reactivation.

Patients and Methods: A prospective phase II study investigating the response to irinotecan, leucovorin, and 5-fluorouracil

Thoracocentesis for Potential Malignancy: Does Volume Matter?

Full Article

O Buckley, W Benfayed, T Geoghegan, T Persaud, M Jeffers, F Khosa, WC Torreggiani

Hong Kong J Radiol 2008;11:72-5

Objective: To determine whether the volume of fluid aspirated during ultrasound-guided thoracocentesis influences the histological diagnosis.

Methods: Fifty patients with unilateral pleural effusion of unknown cause,

External Beam Radiotherapy for Hurthle Cell Carcinoma of the Thyroid

JG Brabham, CG Morris, RJ Amdur, WM Mendenhall

Hong Kong J Radiol 2004;7:70-1

Objective: To analyse the efficacy of external beam radiotherapy in patients with Hürthle cell carcinoma of the thyroid treated with curative intent.

Patients and Methods: Five patients received postoperative radiotherapy for suspected subclinical (3 patients) or gross residual (2 patients)

Imaging of Metastatic Melanoma

DM King

Hong Kong J Radiol 2004;7:66-9

Cutaneous melanoma is a widely metastasising neoplastic disease with an unpredictable pattern of spread. Imaging has an important role to play in the management of this disease, particularly in the delineation of metastases. This article discusses the use of ultrasound,

Imaging Islet Cell Tumours

A McLean

Hong Kong J Radiol 2004;7:61-5

Islet cell tumours are rare lesions. The majority (85%) are functioning hormone-producing tumours, insulinomas and gastrinomas being the most common. Approximately 15% of islet cell tumours are non-functioning. These are usually larger lesions, often presenting at an advanced stage as

Image-guided Drainage Using the Trocar Technique

Full Article

WC Fan, CC Chan, JCS Chan

Hong Kong J Radiol 2008;11:69-71

Objective: To investigate the safety profile of image-guided drainage using the trocar technique.

Methods: The medical records of 93 patients undergoing image-guided drainage procedures using the trocar technique at a local

Biomarker Discovery in Nasopharyngeal Carcinoma Using Proteinchip Profiling

Full Article

WCS Cho, RKC Ngan

Hong Kong J Radiol 2008;11:63-8

After the accomplishment of the Human Genome Project, there has been intense interest in applying differential proteomic analysis to discover biomarkers for cancer diagnosis, treatment, and prognosis. Nasopharyngeal carcinoma is one of the most common cancers in

High-resolution Sonography for Paediatric Scrotal Pathology

Full Article

AWH Ng, WCW Chu, ASC Ching, EKW Chan, YH Tam, MY Au

Hong Kong J Radiol 2008;11:47-55

High-resolution sonography is widely accepted as the method of choice for screening and diagnosis of scrotal pathology in childhood. High-resolution sonography enables rapid evaluation of the paediatric scrotum, with virtually no risk. There is a wide spectrum of

Bilateral Pyogenic Psoas Abscesses with Inferior Vena Cava Thrombosis

Full Article

S Ab Hamid, BJJ Abdullah

Hong Kong J Radiol 2008;11:44-6

Psoas abscess is a rare clinical entity. Rarely, it is associated with thrombosis of the inferior vena cava. This report is of a 36-year-old woman with bilateral pyogenic psoas abscesses with spondylodiscitis complicated by thrombosis of the inferior vena cava. The

Lupus Panniculitis of the Breast - Mammographic and Sonographic Features of a Rare Manifestation of Systemic Lupus

Full Article

CCM Cho, WCW Chu, APY Tang

Hong Kong J Radiol 2008;11:41-3

This report is of a 48-year-old woman with systemic lupus erythematosus, who presented with a lump in the left breast and was subsequently diagnosed with lupus mastitis. This is a rare presentation, and only 15 patients have been reported in the literature.

Foramen Magnum Papillary Meningioma: Review of Imaging and Histopathological Features

Full Article

J Hunjan, MYS Soo, T Ng, M Dexter

Hong Kong J Radiol 2008;11:35-40

This report is of a patient with foramen magnum papillary meningioma. The condition is rare and this report highlights its unusual 10-year clinical course. Angiographic features underestimated the extreme vascularity at the initial surgery when the diagnosis was

Maxillary Ameloblastic Carcinoma

Full Article

R Koul, A Binahmed, A Dubey, R Nason, AL Cooke

Hong Kong J Radiol 2008;11:32-4

Odontogenic carcinomas of the maxilla are classified as malignant ameloblastoma, ameloblastic carcinoma, or primary intraosseous carcinoma. The term ameloblastic carcinoma is used to describe those ameloblastomas in which there is histological evidence of

The Application of Proton Magnetic Resonance Spectroscopy and Cerebral Perfusion Single Photon Emission Computed Tomography for the Diagnosis of Frontotemporal Dementia in Brothers

Full Article

W Ki, YYP Lee, DLK Dai

Hong Kong J Radiol 2008;11:28-31

Extensive data have shown that magnetic resonance spectroscopy is valuable for the diagnosis of common dementias. Cerebral perfusion single photon emission computed tomography has proven characteristic perfusion defect patterns in patients with Alzheimer's

Unilateral Germinoma in the Basal Ganglia: Computed Tomography and Magnetic Resonance Imaging Findings

Full Article

KM Auyeung, PL Khong, HKF Mak, GCF Chan

Hong Kong J Radiol 2008;11:24-7

This report describes the clinical presentation and imaging findings of a young boy with an uncommon brain tumour, basal ganglia germinoma. The evolution of the tumour on magnetic resonance imaging is illustrated.

Conditions that Mimic Primary Breast Carcinoma on Mammography and Sonography

HHL Chan, TPW Lam, JHF Yuen, LLY Leong

Hong Kong J Radiol 2004;7:49-55

There are a number of benign conditions or non-mammary malignancies that share similar appearances to those seen in primary breast carcinoma, causing diagnostic confusion. This pictorial review aims to describe and illustrate the mammographic and sonographic appearance of these conditions,

Comparison of 1.5 Tesla and 3.0 Tesla for Skull Base Lesion Enhancement

Full Article

FJ Londy, S Rohrer, S Kumar, H Parmar, SK Mukherji

Hong Kong J Radiol 2008;11:19-23

Aim: To determine whether there are significant differences between 3.0 Tesla and 1.5 Tesla in the degree of contrast enhancement of skull base lesions.

Patients and Methods: Fifteen consecutive patients with lesions

The Cancer Patient: Too Many Scans and X-rays?

GJC Rees

Hong Kong J Radiol 2004;7:44-8

The title of this article is the same as that of a paper by Brewin published in the Lancet more than 20 years ago. There have been substantial advances in diagnostic radiology and in oncological treatments during the past 20

64-Slice Multi-detector Computed Tomography for Detection of Acute Gastrointestinal Bleeding

Full Article

HS Fung, PC Kwok, S Lau, WK Wong, SCH Chan

Hong Kong J Radiol 2008;11:13-8

Aim: To evaluate the usefulness of 64-slice multi-detector computed tomography for the detection of acute gastrointestinal bleeding.

Patients and Methods: In this retrospective study, 20 patients presenting with acute gastrointestinal bleeding from 1 October 2005 to

A Rare Benign Tumour—Intramuscular Myxoma

PN Chan, SF Lee, TC Chow, YL Chan

Hong Kong J Radiol 2004;7:40-3

This report is of a patient with intramuscular myxoma of the right subscapularis. The patient had a history of parotid lymphoma. The diagnosis was confirmed by computed tomography-guided biopsy. The biopsy was positive only when the enhanced solid component was

Sacrococcygeal Teratoma—Role of Ultrasound in Antenatal Diagnosis and Management

S Krishan, R Solanki, SK Sethi

Hong Kong J Radiol 2004;7:35-9

Sacrococcygeal teratomas are common congenital tumours that develop early in foetal life. Foetuses with this malformation are at risk for significant perinatal morbidity and mortality. This report demonstrates the role of foetal sonography in the diagnosis of sacrococcygeal teratoma

Adjuvant Treatment for Endometrial Carcinoma

Full Article

FCS Wong, JSY Wong, WK Sze, SY Tung

Hong Kong J Radiol 2008;11:3-12

The prognostic factors for patients with endometrial cancer include International Federation of Gynecology and Obstetrics stage, age, resection margin, lymphovascular invasion, and histology type. Patients with high-risk disease may develop local, regional, and/or

Balloon Angioplasty and Stent Placement for Atherosclerotic Renal Artery Stenosis: a Retrospective Efficacy Study

JCW Tsang, SCW Cheung, WK Tso, PS Yip, FL Chan

Hong Kong J Radiol 2004;7:31-4

Objective: To assess the effectiveness of angioplasty and/or stenting of atherosclerotic renal artery stenosis on renovascular hypertension and renal function.

Patients and Methods: Between March 2000 and June 2002, seventeen consecutive patients with atherosclerotic renal artery stenosis were referred

Primary Non-Hodgkin's Lymphoma of Bone: a Rare Cause of Lytic Bone Lesion

M Tong, TK Yau, WC Wu, JJ Lam, AWM Lee

Hong Kong J Radiol 2004;7:24-30

Objective: To review the clinical behaviour and treatment outcome of patients with localised primary lymphomas of bone.

Patients and Methods: The medical records of patients with primary lymphomas of bone managed at the Pamela Youde Nethersole Eastern Hospital, Hong Kong,