Journal

Cancer Risk of Focal Thyroid Incidentaloma in Patients Undergoing 18F-fluorodeoxyglucose Positron Emission Tomography–Computed Tomography Studies: Local Experience in a Single Centre

Full Article

BT Kung, CP Wong, KS Chu, TK AuYong, CM Tong

Hong Kong J Radiol 2010;13:120-4

Objectives: To determine the prevalence of focal thyroid fluorodeoxyglucose positron emission tomography– computed tomography incidentaloma in our locality and evaluate the rate of malignancy.

Urgent Magnetic Resonance Imaging for Malignant Spinal Cord Compression

Full Article

SSM Lo, KY Kwok, CW Siu, WK Wong, CM Chan, KW Tang, YL Cheung, SCH Chan

Hong Kong J Radiol 2010;13:111-9

Objectives: Malignant spinal cord compression is an uncommon complication in patients with cancer. It is frequently diagnosed late and causes irreversible damage to spinal cord. Malignant spinal cord compression is an oncological emergency, requiring a prompt

Imaging Features of Median Arcuate Ligament Syndrome

Full Article

SQH Chou, KY Kwok, LS Wong, DHS Fung, WK Wong

Hong Kong J Radiol 2010;13:101-3

Median arcuate ligament syndrome presents as abdominal pain. It usually occurs in young people, who presents with abdominal pain associated with eating. This pictorial review deals with 2 such patients who

Granulocytic Sarcoma with Severe Skin Involvement

Full Article

R Koul, HI Chalchal, A Dubey

Hong Kong J Radiol 2010;13:96-100

Acute myelogenous leukaemia typically involves intramedullary proliferation of myeloid precursor cells. Extramedullary manifestations of acute myelogenous leukaemia are rare. Granulocytic sarcoma, or chloroma,

Intrahepatic Cholangiocarcinoma Presenting with Spontaneous Rupture

Full Article

SYJ Ka, JLY Leung, CY Chu, AYH Wan, VWL Tang

Hong Kong J Radiol 2010;13:91-5

Spontaneous non-traumatic hepatic rupture is an uncommon condition and most often due to underlying hypervascular hepatic lesions. Cholangiocarcinomas are usually hypovascular and spontaneous rupture is

Vulval Gastrointestinal Stromal Tumours with Bone Metastases

Full Article

SQH Chou, KS Tse, WK Wong, SCH Chan

Hong Kong J Radiol 2010;13:88-90

Gastrointestinal stromal tumours are specifically diagnosed by the demonstration of a specific marker profile with the expression of c-kit and CD34. It is the most common mesenchymal tumour of the gastrointestinal

Ovarian Inguinal Hernia Complicated by Ovarian Torsion

Full Article

DD Rasalkar, BK Paunipagar, WCW Chu

Hong Kong J Radiol 2010;13:86-7

Inguinal swellings are not uncommon in infants. The differential diagnoses of inguinal masses in infants include inguinal hernia, which is one of the most frequently entertained differential diagnoses in both males

Infection in a Plexiform Neurofibroma

Full Article

N Chotai, MWC H’ng

Hong Kong J Radiol 2010;13:83-5

Plexiform neurofibroma is a typical sign of neurofibromatosis type 1, although the condition is not diagnostic. These large lesions are associated with neurological deficits, affect cosmesis, and have a predisposition for

Central Neurocytoma of the Fourth Ventricle: a Patho-radiological Correlation

Full Article

J Ho, MYS Soo, T Ng

Hong Kong J Radiol 2010;13:76-82

Central neurocytoma is an uncommon neuronal tumour that usually originates from the lateral ventricle or septum pellucidum. We present a rare case of central neurocytoma arising from the fourth ventricle and

Heterotopic Pancreas in the Jejunum

Full Article

DD Rasalkar, BK Paunipagar, ABW Chan

Hong Kong J Radiol 2010;13:73-5

Heterotopic pancreas is the presence of pancreatic tissue outside the normal location lacking ductal or vascular continuity with the main gland. There are case series describing the computed tomographic appearance

Audit of Computed Tomographic Angiograms for Pulmonary Embolism in a Regional Hospital in Hong Kong

Full Article

EMW Man, SY Luk, CS Cheng

Hong Kong J Radiol 2010;13:68-72

Objective: To audit requests for computed tomographic pulmonary angiograms, usage of pre-test pulmonary embolism probability scores, and D-dimer measurements in patients with suspected pulmonary embolism in aregional hospital in Hong Kong.

Parathyroid Scintigraphy in Primary and Secondary Hyperparathyroidism: Accuracy of Preoperative Localisation Using Combined Imaging Techniques

Full Article

HT Tam, YH Wong, SK Cheung, WT Ngai, PT Choi

Hong Kong J Radiol 2010;13:59-67

Objective: To evaluate the accuracy of preoperative parathyroid scintigraphy for lesion localisation in primary and secondary hyperparathyroidism.

Methods: The archives of 3 regional Hong Kong hospitals extending over a 12-month period were

Assessment of Crohn’s Disease by Modified Computed Tomographic Enterography

SYJ Ka, EMF Wong, WK Chau, JSF Shum, CS Cheng

Hong Kong J Radiol 2010;13:226-30

Crohn's disease is a chronic inflammatory bowel disease that can affect any part of the gastrointestinal tract and may result in both intra- and extra-enteric complications. Evaluation of Crohn's disease and its complications has always be

Lymphangiomatosis: a Wide Spectrum of Disease

GC Gan, ML Wastie

Hong Kong J Radiol 2010;13:222-5

Lymphangiomatosis is a systemic disorder that can affect any organ system that contains lymphatics, including bones and soft tissues, resulting in a wide range of clinical and radiological manifestations. This report highlights

Mesenteric Fibromatosis: an Uncommon Cause of Abdominal Pain

SY Luk, KH Fung, SH Fung

Hong Kong J Radiol 2010;13:218-21

Mesenteric fibromatosis is a fibroblastic proliferation of the mesentery and is often called an intra-abdominal desmoid tumour. It is a rare condition with the potential to cause significant morbidity and death due to its

Inflammatory Myofibroblastic Tumour of the Neck

B Lo, CY Fong, HL Chow, WP Chu, WS Mak, KF Ma

Hong Kong J Radiol 2010;13:213-7

Inflammatory myofibroblastic tumour is a rare benign neoplasm that has clinical presentations which may mimic malignancy. Most occur in childhood or early adulthood involving the lungs or orbits, but may occur at

Lipoblastomatous Tumours, a Rare Entity: Report of Two Cases in Children

DD Rasalkar, WCW Chu

Hong Kong J Radiol 2010;13:209-12

Lipoblastomatous tumours are rare neoplasms derived from embryonic white adipose tissues. We report on two children with different types of lipoblastomatous tumours at rare sites. The first had a localised lipoblastoma within the peritoneal cavity, successfully

Parsonage-Turner Syndrome: an Uncommon Cause of Shoulder Pain Diagnosed by Magnetic Resonance Imaging

SG Jakhere, D Yadav, P Narekar

Hong Kong J Radiol 2010;13:205-8

The clinical presentation of Parsonage-Turner syndrome often entails acute-onset shoulder pain, which may be confused with other entities such as rotator cuff tear, acute calcific tendonitis, adhesive capsulitis, cervical spondylosis, peripheral compressive

Role of Magnetic Resonance Imaging in Popliteal Pterygium Syndrome

D Chinchure, A Littooij

Hong Kong J Radiol 2010;13:202-4

We describe magnetic resonance imaging in the preoperative evaluation of children with popliteal pterygium syndrome to identify the position of the popliteal artery and peroneal nerve. A nine-year-old boy, with known popliteal pterygium syndrome, had a problem

Epstein-Barr Virus Infection Mimics Malignancy in an Elderly Patient: Appearance on 18F-fluorodeoxyglucose Positron Emission Tomography–Computed Tomography

MML Tan, SJ Lu, ASW Goh

Hong Kong J Radiol 2010;13:199-201

Epstein-Barr virus infection commonly affects adolescents and young adults. We present such an infection in a 72-year-old woman, who presented with weight loss for investigation. 18F-fluorodeoxyglucose positron emission tomography-computed tomography demonstrated

Peri-tumoural Magnetic Resonance Spectroscopy to Differentiate Solitary Primary Intra-axial High-grade Glioma and Brain Metastasis: a Pilot Study

CS Wong, TYC Chu, JKF Ma

Hong Kong J Radiol 2010;13:195-8

Objective: To determine whether the peri-tumoural choline/N-acetyl-aspartate ratio can be used to differentiate solitary primary intra-axial brain tumour and metatasis.

Methods: In this retrospective study, 18 treatment-naïve adults presenting with a

Knowledge of Radiation Dose and Awareness of Risks: a Cross-sectional Survey of Junior Clinicians

SY Luk, JLY Leung, CS Cheng

Hong Kong J Radiol 2010;13:189-94

Objectives: To investigate among junior clinicians: (1) their level of knowledge and awareness of radiation dose of commonly performed radiological investigations and the associated risks of radiation exposure, and (2) their practice for obtaining informed

Improving Waiting Times for Radical Radiotherapy Treatment of Nasopharyngeal Cancer Based on Logistics Re-engineering

CCY Lee, ACK Cheng, NKH Lam, DCW Chan, LCY Lui, CC Yau

Hong Kong J Radiol 2010;13:181-8

Objectives: Waiting time for radiotherapy is an important quality indicator for oncology services, and particularly so in the radical treatment for head and neck cancers where timing impacts treatment outcome. Reducing the waiting time for treatment is therefore

Radiolabelled Somatostatin Analogues for Single-photon Emission Scintigraphy

E Nowosinska, JR Buscombe

Hong Kong J Radiol 2010;13:175-80

One of the areas where nuclear medicine has proved effective has been in the imaging of somatostatin receptor expressing tumours. These can be overexpressed in a number of tumours, but are most commonly seen in a family of

Preoperative Computed Tomography–guided Hook-wire Localisation of Pulmonary Nodules

G Ho, SHM Wong, LC Cheng

Hong Kong J Radiol 2011;14:56-61

Percutaneous preoperative localisation of breast tumours using a hook-wire needle is a standard radiological practice. The use of a hook-wire in preoperative localisation of pulmonary

Primitive Neuroectodermal Tumour and Extraskeletal Ewing’s Sarcoma around the Lumbosacral Spinal Column

CS Wong, YC Chu, KF Tam

Hong Kong J Radiol 2011;14:53-5

We report on a woman who presented with a history of lower limb weakness and numbness for a few months. Based on cross-sectional imaging, at first she was provisionally diagnosed to have an aggressive tumour around the spinal column.