Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.
1,053 results found
Article
Pseudocirrhosis
Pseudocirrhosis is a radiological term used to convey the imaging findings of cirrhosis, but emphasize that it occurs in the setting of hepatic metastases. It is most commonly reported following chemotherapeutic treatment of breast cancer metastases, although has also been reported before treatm...
Article
Prostate Imaging-Reporting and Data System (PI-RADS)
PI-RADS (Prostate Imaging–Reporting and Data System) is a structured reporting scheme for multiparametric prostate MRI in the evaluation of suspected prostate cancer in treatment naive prostate glands. This article reflects version 2.1 (v2.1), published in 2019 and developed by an internationall...
Article
Intracranial tumors with calcification
A variety of intracranial tumors exhibit different forms of calcification. Some lesions commonly show calcification while in some tumors, calcification is seen only in few number of cases. In this article these tumors are classified on the basis of frequency of calcification.
Commonly calcified...
Article
Solitary ill-defined osteolytic lesion (differential)
Ill-defined solitary osteolytic lesions can be caused by following entities 1:
intraosseous hemangioma
chondroblastoma
osteoblastoma
giant cell tumor
fibrosarcoma of bone
malignant fibrous histiocytoma
chondrosarcoma
osteosarcoma
Ewing sarcoma
angiosarcoma
multiple myeloma
bone metas...
Article
Duodenal adenocarcinoma
Duodenal adenocarcinoma is the most common primary malignancy of the duodenum.
Epidemiology
Adenocarcinoma is the most common primary malignant neoplasm of the duodenum. It represents 0.3% of all gastrointestinal malignancies and accounts for 50-70% of small bowel adenocarcinomas occurring eit...
Article
Desmoplastic small round cell tumor (peritoneal)
Desmoplastic small round cell tumors of the peritoneum are a rare and highly aggressive primary peritoneal malignancy.
Epidemiology
Desmoplastic small round cell tumor is usually seen in young adolescents and have a male predominance with a mean survival of 2-3 years.
Clinical presentation
A...
Article
Lipoblastoma
Lipoblastomas are rare, benign, encapsulated tumors arising from embryonic white fat.
Epidemiology
Lipoblastomas occur primarily in infancy and early childhood (more than 90% before age 3 years).
Clinical presentation
May present as a rapidly enlarging mass 4. It most often occurs in the ext...
Article
Cookie bite bone metastases
Cookie bite bone metastases are characterized by small focal eccentric lytic external cortical destruction in long tubular bones. This type of destruction is typically described for metastases from lung cancer, however, they can also occur with other tumors.
Article
Angiosarcoma - bone
Angiosarcoma of bone is a malignant vascular tumor of bone. These are rare and account for less than 1% of malignant bone tumors. The majority of these tumors arising in bone are primary; however, a tiny percentage are either radiation-induced or associated with bone infarction
Epidemiology
Mo...
Article
Pulmonary mesenchymal cystic hamartoma
Pulmonary mesenchymal cystic hamartomas (PMHCs) are a rare subtype of pulmonary hamartomas.
Pathology
They usually comprise multiple bilateral cysts and nodules. The cyst walls are lined with normal respiratory epithelium and the nodules are permeated by scattered airways that are also lined w...
Article
Adrenal metastasis
Adrenal metastases are the most common malignant lesions involving the adrenal gland. Metastases are usually bilateral but may also be unilateral. Unilateral involvement is more prevalent on the left side (ratio of 1.5:1).
Epidemiology
They are present at autopsy in up to 27% of patients with ...
Article
Raindrop skull
The raindrop skull appearance of calvarial multiple myeloma is the presence of multiple, well-defined lytic lesions (punched out lesions) of various size scattered throughout the skull. This term is applied as an analogy to rain hitting a surface and splashing, where it leaves a random pattern o...
Article
Adenoid cystic carcinoma of the tracheobronchial tree
Adenoid cystic carcinomas of the tracheobronchial tree are a type of low-grade tracheal tumor. They are considered to be the second most common primary tumor of the trachea.
Epidemiology
They are usually first recognized in patients in their 4th and 5th decades. There is no recognized gender p...
Article
Thyroid malignancies
Thyroid malignancies are most commonly primary thyroid cancers but can rarely be metastatic deposits.
Epidemiology
Risk factors
head and neck irradiation (see radiation-induced thyroid cancer)
family history of thyroid cancer
age <30 or >60 years
male
>2 cm
Pathology
Class...
Article
Minor salivary gland tumors
Minor salivary gland tumors are a subtype of salivary gland tumors originating from the minor salivary glands, which are found in the lips, tongue, hard palate, and the mucosa of the oropharynx and larynx, among other locations.
Epidemiology
MSGTs account for ~15% of all salivary gland tumors....
Article
Thymic carcinoma
Thymic carcinoma is a part of the malignant spectrum of thymic epithelial tumors, along with malignant thymomas and neuroendocrine carcinomas.
Epidemiology
Patients are typically 50 to 70 years of age at presentation 9.
Pathology
The incidence of paraneoplastic syndromes is thought to be low...
Article
Calcifying fibrous pseudotumor of the lung
Calcifying fibrous pseudotumors (CFPT) of the lung are very rare, benign lesions of the lung.
Pathology
They are composed of hyalinised collagen with psammomatous-dystrophic calcification and a typical pattern of lymphocytic inflammation.
CFPTs usually occur within soft tissues but have bee...
Article
Protoplasmic astrocytoma (historical)
Protoplasmic astrocytoma is a historical term previously applied to an uncommon variant of diffuse adult-type astrocytomas.
Terminology
The term was removed in the updated 4th edition (2016) of the WHO classification of CNS tumors, with these tumors folded into what is now referred to as astro...
Article
Low-grade appendiceal mucinous neoplasm
Low-grade appendiceal mucinous neoplasms (LAMN), previously known as appendiceal mucinous cystadenomas, are rare mucinous tumors of the appendix showing low-grade cytologic atypia, cf. high-grade appendiceal mucinous neoplasms.
Terminology
Considerable controversy still exists on mucinous neo...
Article
ECOG performance status
The ECOG performance status is a scale used to assess how a patient's disease is progressing, assess how the disease affects the daily living abilities of the patient, and determine appropriate treatment and prognosis (it is one of the three components that form the BCLC HCC staging).
grade 0: ...
Article
Pleural metastases
Pleural metastases account for the vast majority of malignant lesions of the pleura and are more common than malignant mesothelioma.
Clinical presentation
The infiltration of the pleura usually manifests as pleural effusion, which is the first manifestation of pleural metastasis. In addition t...
Article
Hypervascular metastases
There are several tumors that are noted to cause hypervascular metastases. The list of differential diagnoses includes:
renal cell carcinoma (RCC)
breast cancer: homogeneously hypervascular liver metastases from the breast are considered rare 3
lung cancer
neuroendocrine tumors
carcinoid tu...
Article
Epithelial-myoepithelial carcinoma of lung
Epithelial-myoepithelial carcinoma of lung is a very rare type of lung carcinomas of the salivary gland type.
Pathology
Diagnosis is based on the identification of myoepithelial cells, with spindle cells, clear cells, or plasmacytoid differentiation or a mixture of phenotypes, along with a var...
Article
Preinvasive lesions of the lung
Preinvasive lesions of the lung are those pulmonary lesions that have not yet progressed to malignancy but have the potential to do so. This category includes:
squamous dysplasia (SD) of lungs: squamous cell carcinoma in situ (CIS) of lung
preinvasive adenocarcinoma of the lung 5,6
atypical a...
Article
Mucoepidermoid carcinoma of lung
Mucoepidermoid carcinoma (MEC) of the lung is a type of non small cell lung cancer (NSCLC). It is classified under the group of lung carcinomas of the salivary gland type.
Epidemiology
Mucoepidermoid carcinoma (MEC) is the most common of the salivary gland–type tumors of the lung (SGTTLs) 9. T...
Article
Adenoid cystic carcinoma of the lung
Adenoid cystic carcinoma (ACC) of the lung is a type of non-small cell lung cancer.
Pathology
They are classified under lung carcinomas of the salivary gland type. Primary occurrence in the lung parenchyma is rare, while in the thorax they occur more commonly as adenoid cystic carcinoma of the...
Article
Lung carcinomas of the salivary gland type
Lung carcinomas of the salivary gland type are also known as salivary gland–type tumors of the lung (SGTTLs) or bronchial gland neoplasms.
The usual consignation to the group of non-small cell lung cancer (NSCLC) may be unfortunate because the clinical behavior of SGTTLs can be quite different...
Article
Adenosquamous carcinoma of lung
Adenosquamous carcinoma of the lung is a rare type of non-small cell lung cancer containing both components of lung adenocarcinoma and lung squamous cell carcinoma (SCC).
Epidemiology
It is thought to constituting 0.4-4% of cases non-small cell lung cancer.
Risk factors
cigarette smoking 8
...
Article
Cannonball metastases (lungs)
Cannonball metastases refer to multiple large, well-circumscribed, round pulmonary metastases that appear not unsurprisingly like cannonballs. The French terms "envolée de ballons" and "lâcher de ballons", which translate to "balloons release", are also used to describe this same appearance.
M...
Article
Pleomorphic carcinoma of lung
Pleomorphic carcinomas of the lung are a rare type of non-small cell lung carcinomas (NSCLC) classified under sarcomatoid carcinomas of the lungs.
Epidemiology
These tumors are thought to account for 0.1-0.4% of all lung malignancies.
Associations
There is a recognized association with smoki...
Article
Spindle cell carcinoma of lung
Spindle cell carcinomas of the lung correspond to a very rare type of non-small cell lung carcinomas (NSCLC) classified under sarcomatoid carcinomas of the lungs.
Terminology
Although, in the past, some authors also used the term synonymously with pleomorphic carcinoma of the lung, since the ...
Article
Primary sarcomatoid carcinoma of the lung
Primary sarcomatoid carcinomas of the lung refer to a heterogeneous group of rare and poorly differentiated types of non-small cell lung carcinomas (NSCLC).
Epidemiology
They are thought to account for 0.2 to 1% of all lung cancers 1. Sarcomatoid histology may be present in 0.1-0.4% of non-sma...
Article
Carcinoid tumors of the lung
Carcinoid tumors of the lung are a subgroup of neuroendocrine tumors of the lung, of lower grade than small cell carcinoma of the lung and large cell neuroendocrine carcinoma of the lung.
For a general discussion, please refer to the article on carcinoid tumors.
Pathology
Classification
Car...
Article
Pulmonary neuroendocrine tumors
Pulmonary neuroendocrine tumors are a group of lung tumors which are of neuroendocrine cell lineage. These are thought to arise from Kulchitzky cells and range from being low to high grade.
These include:
carcinoid tumors of the lung
bronchial carcinoid tumors
typical bronchial carcinoids
a...
Article
Large cell neuroendocrine carcinoma of the lung
Large cell neuroendocrine carcinoma (LCNEC) of the lung is classified as a subtype of large cell carcinoma of the lung. It is also classified as a pulmonary neuroendocrine tumor.
Epidemiology
The incidence peaks around the 6th decade 6. There is an increased male predilection 7. They are rare ...
Article
Large-cell lung cancer
Large-cell lung cancer is one of the histological types of non-small-cell carcinomas of the lung diagnosed only on resection, after exclusion of adenocarcinomatous or squamous differentiation.
Epidemiology
It is thought to account for approximately 10% of bronchogenic carcinoma 1.
Clinical p...
Article
Squamous cell carcinoma of the lung
Squamous cell carcinoma (SCC) is one of the non-small cell carcinomas of the lung, second only to adenocarcinoma of the lung as the most commonly encountered lung cancer.
Epidemiology
Squamous cell carcinoma accounts for ~30-35% of all lung cancers and in most instances is due to heavy smokin...
Article
Pericardial mesothelioma
Pericardial mesothelioma refers to mesothelioma arising primarily from the pericardium.
Epidemiology
They are rare and are only thought to account for ~0.7% of all malignant mesotheliomas. There is male to female predominance of approximately 3:1.
Clinical presentation
The presentation of p...
Article
Diffuse bony sclerosis (mnemonic)
A mnemonic for remembering the causes of diffuse bony sclerosis is:
3 M's PROOF
Mnemonic
3 M's PROOF
M: malignancy
metastases (osteoblastic metastases)
lymphoma
leukemia
M: myelofibrosis
M: mastocytosis
S: sickle cell disease
P: Paget disease of the bone/pyknodysostosis
R: renal oste...
Article
Multiple myeloma (extraosseous manifestations)
Extraosseous myeloma refers to any manifestation of multiple myeloma where there is plasma cell proliferation outside the skeleton.
Epidemiology
The overall incidence is thought to be ~10% (range 5-16%) of those diagnosed with myeloma 3,7,8. It is considered to be more common in younger patie...
Article
Esophageal mass (mnemonic)
A mnemonic to remember the causes of an esophageal mass is:
CALL the MVP
Mnemonic
C: carcinoma
A: adenoma
L: lymphoma
L: leiomyoma
M: metastasis
V: varices
P: papilloma/polyp
Article
Bronchovascular spread (mnemonic)
A mnemonic to remember diseases that undergo bronchovascular spread is:
SKILL
Mnemonic
S: sarcoidosis
K: Kaposi sarcoma
I: infection (e.g. pneumocystis pneumonia, tuberculosis)
L: lymphoma
L: lymphangitis carcinomatosis
Article
Soft tissue calcification (mnemonic)
Mnemonics to remember the causes of soft tissue calcification include:
My GHOSTS 1
TIC MTV 2
Mnemonics
My GHOSTS
My: myositis ossificans
G: gout
H: hyperparathyroidism
O: ochronosis
S: scleroderma/connective tissue diseases
T: tumoral calcinosis
S: sarcoma (synovial cell)
TIC MTV
T:...
Article
Permeative process in bone (mnemonic)
A mnemonic for permeative processes in bone is:
FIRE MD
Mnemonic
F: fibrosarcoma
I: infection
R: round cell tumors (Ewing sarcoma)
E: eosinophilic granuloma
M: metastases/myeloma/malignant fibrous histiocytoma
D: desmoid tumor
See also
permeative process in bone
pseudopermeative proce...
Article
Adenocarcinoma of the lung
Adenocarcinoma of the lung is the most common histologic type of lung cancer. Grouped under the non-small cell carcinomas of the lung, it is a malignant tumor with glandular differentiation or mucin production expressing in different patterns and degrees of differentiation.
This article brings...
Article
Adenocarcinoma in situ of the lung
Adenocarcinomas in situ (AIS) of the lung refer to a relatively new entity which falls under the spectrum of pre-invasive lesions of the lungs. This entity partly replaces the noninvasive end of the previous term bronchoalveolar carcinoma. Adenocarcinoma in situ is defined as a localized adenoca...
Article
Non-small cell lung cancer
Non-small cell lung cancer (NSCLC) represents a heterogeneous group of lung cancers that do not have "small cells" on histology. They are thus separated, as small cell carcinoma of the lung has distinctive management implications. The major histological types include:
adenocarcinoma of lung
sq...
Article
Apple core sign (colon)
The apple core sign, also known as the napkin ring sign (bowel), is most frequently associated with constriction of the lumen of the colon by a stenosing annular colorectal carcinoma.
Differential diagnosis
The appearance of the apple-core lesion of the colon also can be caused by other diseas...
Article
Waldenström macroglobulinemia
Waldenström macroglobulinemia is a subtype of lymphoplasmacytic lymphoma (LPL), a form of B-cell lymphoma.
Terminology
Recent publications classify Waldenström macroglobulinemia as a subtype of lymphoplasmacytic lymphoma with any level of an IgM paraprotein; these two conditions are not synony...
Article
Primary cutaneous melanoma
Primary cutaneous melanoma is the most common subtype of malignant melanoma, a malignant neoplasm that arises from melanocytes. Melanocytes predominantly occur in the basal layer of the epidermis but do occur elsewhere in the body. Primary cutaneous melanoma is by far the most common type of pri...
Article
Cystic pulmonary metastases
Cystic pulmonary metastases are an atypical morphological form of pulmonary metastases where lesions manifest as distinct cystic lesions. It is slightly different from the term cavitating pulmonary metastases in that the lesions are extremely thin walled.
Pathology
It has been reported with ma...
Article
Curtain sign (vertebral body mass)
The curtain sign, also known as the draped curtain sign, in neuroimaging refers to the appearance of a vertebral body mass that extends posteriorly towards the anterior epidural space.
The posterior longitudinal ligament is strongly attached to the posterior vertebral body cortex in the midline...
Article
Rhabdomyosarcomas (biliary tract)
Rhabdomyosarcomas of the biliary tract are rare tumors, usually identified in children, with a very poor prognosis. They are usually grouped under botryoid rhabdomyosarcomas.
For a general discussion of this type of tumor, please refer to the article on rhabdomyosarcomas.
Epidemiology
Rhabdom...
Article
Screening for breast cancer
Screening for breast cancer includes activities which test members of asymptomatic populations for breast cancer. Many advanced countries have breast screening programs. The most widely adopted method for breast cancer screening is mammography.
There are few areas in imaging fraught with more c...
Article
Metastatic pulmonary calcification
Metastatic pulmonary calcification (MPC) is a form of pulmonary calcification where there is calcium deposition in normal lung parenchyma. It is most commonly due to chronic renal failure.
Terminology
Metastatic pulmonary calcification is an unfortunate term in that "metastatic" suggests a ma...
Article
Clear cell tumor of the lung
Clear cell tumors of the lung are rare benign pulmonary neoplasms that contain an abundant amount of glycogen. It is often classified under the spectrum of perivascular epithelioid cell tumors (PEComas).
Radiographic features
Usually seen as a rounded, smooth-walled, and peripheral parenchymal...
Article
Split bolus technique
The split bolus technique is a CT imaging investigation used in patients with hematuria aiming to put together, in a single image acquisition, both the nephrographic and renal excretory phases and thus reducing the radiation dose of the study. It is a CT protocol adopted for some institutions fo...
Article
Primary pulmonary lymphoma
Primary pulmonary lymphomas refer to clonal lymphoid proliferation affecting the lungs without any detectable extrapulmonary involvement. It is much rarer than secondary pulmonary lymphoma and is most frequently represented by lymphoma of B-cell lineage - often marginal zone B-cell lymphoma of m...
Article
Focal sclerotic bony lesions (mnemonic)
A popular mnemonic to help remember causes of focal sclerotic bony lesions is:
HOME LIFE
Mnemonic
H: healed non-ossifying fibroma (NOF)
O: osteoma
M: metastasis
E: Ewing sarcoma
L: lymphoma
I: infection or infarct
F: fibrous dysplasia
E: enchondroma
Article
Bony sequestrum (mnemonic)
Mnemonics to help remember common causes of bony sequestrum include:
E-FILM
LIFE
FILE
Mnemonics
E-FILM
E: eosinophilic granuloma
F: fibrosarcoma
I: infection (Brodie abscess)
L: lymphoma (skeletal)
M: malignant fibrous histiocytoma or metastasis (especially from breast carcinoma)
LI...
Article
Intraventricular masses (an approach)
The ventricular system of the brain plays host to a variety of unique tumors, as well as tumors that are more frequently seen elsewhere (e.g. meningiomas). Besides, some intra-axial (parenchymal) masses can be mostly exophytic and thus appear mostly intraventricular. A systematic approach taking...
Article
Metastases to the ovary
Metastases to the ovary are relatively common with a documented incidence of 5-30% of all malignant ovarian masses.
These may be incorrectly grouped under Krukenberg tumors, which are signet cell containing tumors that form only 30-40% of all ovarian metastases.
Clinical presentation
There ...
Article
Peripheral pulmonary carcinoid tumor
Peripheral pulmonary carcinoid tumor refers to a subtype of pulmonary carcinoid tumors that arise within the periphery of the lung. They are considered less common than the more centrally-located bronchial carcinoid tumors.
Clinical presentation
Many patients tend to be asymptomatic 2. Presen...
Article
Bronchial carcinoid tumor
Bronchial carcinoid tumors are carcinoid tumors primarily occurring in relation to a bronchus. They were previously incorrectly termed as bronchial adenomas. They usually occur in association with a segmental or larger bronchus.
Epidemiology
Typically affects patients from 3rd to 7th decades w...
Article
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH) is an extremely rare but under-diagnosed pulmonary disorder at the benign end of the neuroendocrine cell proliferation spectrum of preinvasive lesions of the lungs.
The diagnosis can be suggested when CT demonstrates charac...
Article
Finger clubbing
Finger clubbing, also called "drumstick fingers" or Hippocratic fingers, is a common clinical sign mainly seen in patients with heart or lung disease. The term is used to describe an enlargement of the distal phalanges of the fingers, giving them a drumstick or club-like appearance.
Clinical p...
Article
Neoplasms of the appendix
There are a number of neoplasms that can involve the vermiform appendix, some of which are peculiar to this site.
Epidemiology
Tumors involving the appendix have been found in only about 1% of all appendectomy specimens 9. Epithelial neoplasms and neuroendocrine tumors represent the vast major...
Article
Meningeal melanocytoma
Meningeal melanocytomas are rare benign primary melanocytic tumors of the CNS that are derived from leptomeningeal melanocytes. They can occur anywhere along the neuraxis but are most commonly found in the spinal canal near the foramen magnum, as well as the posterior cranial fossa, Meckel cave,...
Article
Adenoid cystic carcinoma of the salivary glands
Adenoid cystic carcinoma of the salivary glands is the second most common malignancy involving the minor salivary glands behind mucoepidermoid carcinoma and the second most common malignancy involving the parotid gland.
Pathology
Adenoid cystic carcinomas arise more commonly in the minor saliv...
Article
Superior vena cava obstruction
Superior vena cava obstruction (SVCO) can occur from extrinsic compression, intrinsic stenosis, or thrombosis of the superior vena cava. Malignancies are the main cause and are considered an oncologic emergency. Superior vena cava syndrome (SVCS) refers to the clinical syndrome with symptoms tha...
Article
RECIST 1.1: comparison with RECIST 1.0
Response Evaluation Criteria In Solid Tumors (RECIST) was updated to version 1.1 in 2009.
For both RECIST 1.0 and 1.1, the requirement for measurable disease at baseline depends on the endpoints of the clinical trial.
The fundamental concept common to both versions of RECIST is that measurable...
Article
Spinal pilocytic astrocytoma
Although rare, pilocytic astrocytomas are the most common spinal cord tumors in the pediatric population.
This article specifically relates to spinal pilocytic astrocytomas. For a discussion on intracranial pilocytic astrocytomas refer to pilocytic astrocytoma. For a general discussion on spina...
Article
Porocarcinoma
Porocarcinoma (or eccrine porocarcinoma) is a rare type of malignant eccrine sweat gland tumor, more frequently encountered in the lower extremities (feet and legs). It arises from the intraepidermal portion of eccrine sweat glands or acrosyringium.
It represents 0.005-0.01% of all cutaneous tu...
Article
Lymphoma of the spinal cord
Lymphoma of the spinal cord is an uncommon manifestation of lymphoma. Although lymphoma more commonly involves the vertebral body (vertebral body tumors) or epidural compartment, intramedullary lymphoma may rarely occur.
Apparent intramedullary spinal cord lymphoma may often, in fact, represe...
Article
Intramedullary spinal metastasis
Intramedullary spinal metastases are rare, occurring in ~1% of autopsied cancer patients, and are less common than leptomeningeal metastases.
Intramedullary lesions may result from:
growth along the Virchow-Robin spaces
hematogenous dissemination
direct extension from the leptomeninges
Epid...
Article
Spinal astrocytoma
Spinal astrocytomas are the second most common spinal cord tumor, representing 40% of intramedullary tumors 3. They account for 60% of pediatric intramedullary tumors, making them the most common spinal cord tumor in children 6.
This article specifically relates to spinal astrocytomas. For a di...
Article
Spinal ependymoma
Spinal ependymomas are the most common spinal cord tumor overall, seen both in adult and pediatric populations.
This article specifically relates to spinal cord ependymomas. For a discussion of posterior fossa ependymomas and for a general discussion of the pathology refer to the main article:...
Article
Intramedullary spinal tumors
Intramedullary spinal tumors are rare, representing 4-10% of all CNS tumors and <10% of all pediatric CNS neoplasms 5. They account for 20% of all intraspinal tumors in adults and 35% of all intraspinal tumors in children 8.
A long duration of symptoms prior to diagnosis is typical.
Pathology
...
Article
Spinal neuroendocrine tumor
Spinal or cauda equina neuroendocrine tumors are rare sporadic WHO grade 1 tumors, almost invariably found below the conus arising either from the filum terminal or less commonly from the cauda equina 5.
Terminology
These tumors were previously known as spinal paragangliomas however they are ...
Article
Intradural extramedullary metastases
Intradural extramedullary metastases are rare and only account for approximately 5% of spinal metastases.
Please review leptomeningeal metastases (brain) for a general discussion focussed on the brain's subarachnoid space involvement.
Epidemiology
The age at presentation depends on tumor type...
Article
Response evaluation criteria in solid tumors
Response evaluation criteria in solid tumors or RECIST refers to a set of published rules used to assess tumor burden in order to provide an objective assessment of response to therapy. They were initially introduced in 2000 with revision in 2009 (RECIST 1.1).
For the evaluation of tumors treat...
Article
Fascicular sign
Fascicular sign is a finding on T2-weighted MRI images that suggests a lesion of neurogenic origin. It is characterized by multiple small ring-like structures with peripheral hyperintensity representing the fascicular bundles within the nerves.
It is found in various neurogenic tumors, includin...
Article
Plexiform neurofibroma
Plexiform neurofibroma is an uncommon variant of neurofibroma, a benign tumor of peripheral nerves (WHO grade I), arising from a proliferation of all neural elements. Plexiform neurofibromas are essentially pathognomonic of neurofibromatosis type 1 (NF1). Unlike small sporadic localized neurofib...
Article
Terminal ileitis (differential)
The differential diagnosis for a terminal ileitis is quite extensive, and includes:
inflammatory bowel disease
Crohn disease (most common)
backwash ileitis due to ulcerative colitis
infectious colitis
Yersinia spp.
Yersinia enterocolitica
Yersinia pseudotuberculosis
Salmonella spp.
Sa...
Article
Cardiophrenic angle lesions
The cardiophrenic space is usually filled with fat. However, lesions originating above or lower to the diaphragm can present as cardiophrenic angle lesions.
The more common lesions encountered include:
pericardial fat pad
pericardial cyst
pericardial fat necrosis
Morgagni's hernia
lymphade...
Article
Peritoneal metastases
Peritoneal metastases are a relatively common location for metastases, particularly from tumors of the abdomen and pelvis, that generally imply a poor prognosis, often with a significant impact on palliation 1.
Terminology
If peritoneal metastases are of an epithelial origin (as most are) and ...
Article
Soft tissue sarcoma
Soft tissue sarcomas are a heterogeneous group of malignant tumors of mesenchymal origin (sarcoma) that originate from the soft tissues rather than bone. They are classified on the basis of tissue seen on histology. The more common sarcomas in the adult and pediatric populations are listed below...
Article
Bunch of grapes sign (disambiguation)
Bunch of grapes sign refers to the imaging appearance of multiple cystic spaces or lesions and it has been described for multiple pathologies:
bunches of grapes sign (hepatic abscess) 8
bunch of grapes sign (botryoid rhabdomyosarcoma) 5
bunch of grapes sign (bronchiectasis) 3
...
Article
Hepatic epithelioid hemangioendothelioma
Hepatic epithelioid hemangioendothelioma (HEHE) is a rare, low- to intermediate-grade malignant hepatic vascular tumor.
Epidemiology
There may be a greater female incidence (with reported M:F = 2:3), with peak incidence thought to be around the age of 30-40 years.
Pathology
Microscopic appea...
Article
Pancreatic calcifications
Pancreatic calcifications can arise from many etiologies.
Punctate intraductal calcifications
chronic pancreatitis
alcoholic pancreatitis (20-40%) 2
intraductal, numerous, small, irregular
preponderant cause of diffuse pancreatic intraductal calcification
gallstone pancreatitis (2%) 2
m...
Article
Dysplastic liver nodules
Dysplastic liver nodules are focal nodular regions (≥1 mm) without definite evidence of malignancy.
Epidemiology
They have been found in cirrhotic patients with a prevalence of 14% (size >1.0 cm) to 37% (size >0.5 cm) 2.
Associations
cirrhosis
Pathology
Dysplasia indicates:
nuclear atypia...
Article
CA 19-9
CA 19-9 (carbohydrate antigen 19-9 or cancer antigen 19-9) is a serum antigen (monosialoganglioside) that has increased diagnostic use in the management of several malignancies, mainly of hepatopancreaticobiliary origin. It is non-specific, however, and can rise in both malignant and non-maligna...
Article
Adenosquamous carcinoma (cervix)
Adenosquamous cell carcinoma (ASC) of the cervix is a rare histological subtype of cervical carcinoma.
Pathology
It has components of both cervical adenocarcinoma and cervical squamous cell carcinoma.
Prognosis
An adenosquamous histology appears to be an independent predictor of poor outcome...