Articles

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More than 200 results
Article

Assessment of thyroid lesions (general)

Assessment of thyroid lesions is commonly encountered in radiological practice. Thyroid mass hyperplastic/colloid nodule/nodular hyperplasia: 85% adenoma follicular: 5% others: rare primary thyroid cancer (carcinoma) papillary: 60-80% of carcinomas follicular: 10-20% medullary: 5% anap...
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Positron emission tomography

Positron emission tomography (PET) is a modern non-invasive imaging technique for quantification of radioactivity in vivo. It involves the intravenous injection of a positron-emitting radiopharmaceutical, waiting to allow for systemic distribution, and then scanning for detection and quantificat...
Article

Primary bone lymphoma

Primary bone (skeletal/osseous) lymphoma (PBL) is a less common manifestation of lymphoma than secondary involvement from disseminated lymphoma. It is rare, accounting for <5% of bone tumors and <1% of non-Hodgkin lymphoma. Terminology PBL is defined as the presence of lymphoma isolated to one...
Article

Immunosuppression

Immunosuppression is the impairment of the body's immune system which can alter the ability of the body's defense mechanisms to prevent diseases, particularly certain infections, including opportunistic infections, and cancers.  Terminology Patients with immunosuppression are said to be immuno...
Article

Leptomeningeal enhancement

Leptomeningeal enhancement refers to a diffuse or focal gyriform or serpentine enhancement that can be seen in the following conditions: Diffuse meningitis pyogenic meningitis viral meningitis tuberculous meningitis (can also be focal) CNS cryptococcal infection coccidioidal meningitis (c...
Article

Astroblastoma, MN1-altered

Astroblastomas are rare glial tumors usually found in the cerebral hemispheres of young adults and children.  Terminology The exact nature of astroblastomas remains to be fully elucidated. Tumors with compatible histological features have a variety of molecular characteristics and overlap with...
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

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

Complications of radiation therapy

Radiation therapy has the potential to cause complications in many organ systems, many of which, especially in the thorax, are important for radiologists to be aware of.  acute radiation syndrome complications of cranial radiation therapy radiation-induced cerebral vasculopathy radiation-ind...
Article

Parotid gland enlargement

Parotid gland enlargement (also known as parotidomegaly) has a wide differential given the significant breadth of pathology that can affect the parotid gland. These can be separated by a standard surgical sieve approach into infective, inflammatory, immune, neoplastic, infiltrative, and congenit...
Article

Alveolar soft part sarcoma

Alveolar soft part sarcoma (ASPS) is a rare, highly vascular, deep soft tissue mesenchymal malignancy that is classically seen in the lower extremities of young adults. They account for <1% of all soft tissue sarcomas. Epidemiology There is a slight female predilection in patients less than 30...
Article

Dysplastic cerebellar gangliocytoma

Dysplastic cerebellar gangliocytoma, perhaps better known as Lhermitte-Duclos disease, is a rare tumor of the cerebellum appearing as thickening and increase in T2 signal of the cerebellar folia giving this lesion a characteristic striated appearance.  Epidemiology Dysplastic cerebellar gangli...
Article

Liposclerosing myxofibrous tumor

Liposclerosing myxofibrous tumors (LSMFT), also known as polymorphic fibro-osseous lesions of bone, are rare benign fibro-osseous lesions that have a predilection for the intertrochanteric region of the femur. The histopathological origin of this lesion is unclear and under discussion 1-3. Ter...
Article

Bone metastases

Bone (skeletal) metastases are the third most frequent behind lung and liver metastases 6. They result in significant morbidity in patients with metastatic disease. Although the diagnosis is often straightforward, especially as in many cases there is a well-documented history of metastatic malig...
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

Inferior vena caval thrombosis

Inferior vena caval thrombosis is an essential diagnosis while evaluating any neoplastic lesion, or portal hypertension. It is also important to differentiate bland thrombus from tumor thrombus. Clinical features A patient can present with many features which include bilateral pedal edema Bu...
Article

Immune checkpoint inhibitor therapy related pneumonitis

Immune checkpoint inhibitor therapy-related pneumonitis is one of the complications that can occur in the setting of immune checkpoint inhibitor therapy. Epidemiology Immune checkpoint inhibitor therapy-related pneumonitis is considered a rare complication with a reported incidence of <5% in m...
Article

Mediastinal lymph node enlargement

Mediastinal lymph node enlargement can occur from a wide range of pathologies and can be isolated or associated with lung pathology. Historically, a size cut-off of 10 mm short-axis diameter was used.  Terminology The term mediastinal lymphadenopathy implies lymph node disease and is not synon...
Article

Pure ground glass nodules

Pure ground glass lung nodules (pGGN's) are a subtype of ground glass lung nodules where there is no associated solid component. Pathology Etiology Apart from inflammatory foci they have been shown to represent various pathologies such as 1,3 adenocarcinoma in situ of lung minimally-invasiv...
Article

Masaoka staging system of thymoma

The Masaoka staging system is commonly adopted for thymomas 1-3, and is the most important determinant of survival following surgical resection 4: stage I: intact thymic capsule stage II: capsular invasion into adjacent mediastinal fat or pleura stage III: macroscopic invasion into adjacent o...

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