Journal

From Diagnosis to Treatment

Full Article

MK Yuen

Hong Kong J Radiol 2016;19:81-3

Primary Adrenal Tuberculosis Causing Adrenal Insufficiency

Full Article

VV Maller, MO Afzal, S Shankar

Hong Kong J Radiol 2016;19:e6-9

DOI: 10.12809/hkjr1615361

Addison’s disease with bilateral adrenal enlargement can be due to infectious or non-infectious causes. The

Acute / Subacute Development of Diffuse Left Ventricular Myocardial Calcification in Sepsis Associated with High Mortality

Full Article

WCS Chan, JPK Tsang, YW Hon, YC Wong

Hong Kong J Radiol 2016;19:e1-5

DOI: 10.12809/hkjr1615347

Diffuse myocardial calcification is very rare and can be either dystrophic or metastatic. Acute / subacute

Magnetic Resonance Imaging of Prostate Cancer

Full Article

KYK Wong, CYH Chan, KY Kwok, WK Wong, KW Tang

Hong Kong J Radiol 2016;19:64-73

DOI: 10.12809/hkjr1615299

Prostate cancer is a common entity in elderly men. Diagnosis is based on histology obtained from transrectal

Mueller-Weiss Syndrome: an Important but Under-recognised Cause of Foot Pain and Deformity

Full Article

CH Chan, KK Cheng, NY Pan, KC Wong, HY Lai, HF Chan, HL Chow

Hong Kong J Radiol 2016;19:57-62

DOI: 10.12809/hkjr1615337

Mueller-Weiss syndrome, or spontaneous osteonecrosis of the tarsal navicular bone in adults, is an important

Tuberculous Epididymo-orchitis Demonstrating a Sonographic Miliary Pattern

Full Article

KYA Au, KHB Lee, KFY Cho, LSJ Khoo

Hong Kong J Radiol 2016;19:52-6

DOI: 10.12809/hkjr1615335

Tuberculosis is an infectious disease that continues to be a significant public health concern in Hong Kong.

A Case of Seminal Vesicle / Prostatic Reflux Causing Intense Focal Fluorodeoxyglucose Uptake in the Prostate Gland

Full Article

WH Ma, EYP Lee, ASH Lai, PL Khong

Hong Kong J Radiol 2016;19:49-51

DOI: 10.12809/hkjr1615333

We report an interesting case of benign persistent intense focal fluorodeoxyglucose (FDG) activity in the

Recurrent Pigmented Villonodular Synovitis with Distant Metastases: Case Report and Review of the Literature on the Efficacy of Targeted Therapies

Full Article

TY Lee, ACL Chan, RKC Ngan

Hong Kong J Radiol 2016;19:43-8

DOI: 10.12809/hkjr1615343

Pigmented villonodular synovitis (PVNS), also known as tenosynovial giant cell tumour, diffuse type, is an

Metal Artefact Reduction by Dual-energy Computed Tomography Using Monoenergetic Extrapolation: In-vitro Determination of Optimal Monoenergetic Level with Different Metallic Implants Using a Phantom Body

Full Article

WCS Chan, JPK Tsang, WY Wong, PY Chu, VYK To, CY Lee, TW Yeung, OC Leung, NY Sin, OC Li, MK Yuen

Hong Kong J Radiol 2016;19:35-42

DOI: 10.12809/hkjr1615356

Objective: To identify the optimal monoenergetic level, balancing metal artefacts, and the amount of noise present

Occult Intertrochanteric Extension in Isolated Greater Trochanteric Fracture on Plain Radiographs

Full Article

WY Wong, PY Chu, WCS Chan, TW Yeung, MK Yuen

Hong Kong J Radiol 2016;19:28-34

DOI: 10.12809/hkjr1615331

Objectives: To review the prevalence of occult intertrochanteric extension and fracture pattern in patients with

Synovial Sarcoma: Epidemiology, Prognosis, and Imaging in a Tertiary Referral Centre

Full Article

KH Tsang, WSW Chan, MK Chan, KC Lai, ACL Chan

Hong Kong J Radiol 2016;19:19-27

DOI: 10.12809/hkjr1615298

Objectives: To review the disease pattern of synovial sarcoma in a tertiary sarcoma centre in Hong Kong.

Institutional Experience of Magnetic Resonance Imaging–directed Targeted Transrectal Ultrasound–guided Prostate Biopsy

Full Article

YHA Tsang, CHS Lam, PP Iu, HY Cho

Hong Kong J Radiol 2016;19:10-8

DOI: 10.12809/hkjr1615312

Objective: To evaluate the efficacy of magnetic resonance imaging (MRI)–directed targeted transrectal ultrasound

Testicular Lymphoma: Clinical and Imaging Features

Full Article

N Pattamapaspong, K Khomarwut, C Ya-In, B Lojanapiwat, M Muttarak

Hong Kong J Radiol 2016;19:4-9

DOI: 10.12809/hkjr1615350

Objective: To review the clinical presentation and imaging features of testicular lymphoma.

Rare Breast Epidermal Cyst with Radiological-pathological Correlation

Full Article

SS Cheng, KM Chu, JLF Chiu

Hong Kong J Radiol 2015;18:e18-21

DOI: 10.12809/hkjr1515313

Epidermal inclusion cyst is a common cutaneous condition. However, epidermal cyst deep in the breast parenchyma is rare. Diagnosis can be difficult if there is no suspicious clinical history. An onion-ring

Immunoglobulin G4–related Systemic Disease: Pictorial Review of the Pancreatic and Extrapancreatic Manifestations

Full Article

LWY Chan, JHY Leung, CC Chan

Hong Kong J Radiol 2015;18:316-25

DOI: 10.12809/hkjr1414238

Immunoglobulin G4–related systemic disease (IgG4-RSD) is a newly recognised and emergent condition, which was initially thought to manifest only as autoimmune pancreatitis. As the knowledge about this disease

Coexistence of Two Epstein-Barr Virus–associated Malignancies: Lymphoepithelioma-like Cholangiocarcinoma in a Patient with a History of Undifferentiated Nasopharyngeal Carcinoma

Full Article

YP Tai, RKC Ngan, SH Ting

Hong Kong J Radiol 2015;18:311-5

DOI: 10.12809/hkjr1514280

Undifferentiated nasopharyngeal carcinoma is particularly common in Southern China and is consistently associated with Epstein-Barr virus. In contrast, lymphoepithelioma-like carcinoma of the bile duct is a rare

Imaging Features of Isolated Extranodal Rosai-Dorfman Disease in Iliac Bone

Full Article

KC Lam, HYL Sinn, P Tsui, JSW Wong

Hong Kong J Radiol 2015;18:307-10

DOI: 10.12809/hkjr1515305

We report a case of isolated extranodal Rosai-Dorfman disease occurring in iliac bone. Magnetic resonance imaging, computed tomography, and pathological features of Rosai-Dorfman disease are discussed.

Lipoblastoma: Different Features on Magnetic Resonance Imaging

Full Article

KW Shek, SS Cheng, KS Tse, KC Lai, MK Chan

Hong Kong J Radiol 2015;18:302-6

DOI: 10.12809/hkjr1515332

Lipoblastoma is a rare benign adipocytic tumour that usually occurs in children younger than 3 years, with male predominance. Lipoblastoma usually presents as a slowly enlarging soft tissue mass in the extremities

Hydatid Cyst: Enteric Fistula in a Patient with Disseminated Abdominal Hydatidosis

Full Article

R Das, S Chakraborty, M Karmakar, N Panda

Hong Kong J Radiol 2015;18:297-301

DOI: 10.12809/hkjr1515325

Disseminated peritoneal hydatidosis is rare. Infrequently hydatid cysts can rupture into adjacent organs. We report a case of secondarily disseminated peritoneal hydatidosis with rupture into the gut presenting

Mild Encephalitis / Encephalopathy with Reversible Splenial and Cerebellar Lesions (MERS Type II) in a Patient with Diabetic Ketoacidosis and Hypernatraemia

Full Article

KH Tse, SS Lo

Hong Kong J Radiol 2015;18:293-6

DOI: 10.12809/hkjr1515304

Mild encephalitis / encephalopathy with a reversible splenial lesion is an uncommon condition that mainly affects young patients and children. Epilepsy and the use of antiepileptic medications are considered to be

Imaging Appearance of Renal Epithelioid Angiomyolipoma: a Rare Variant of Renal Angiomyolipoma with Diverse Clinical Behaviours

Full Article

PY Chu, WY Wong, WCS Chan, KL Siu

Hong Kong J Radiol 2015;18:287-92

DOI: 10.12809/hkjr1514288

Renal epithelioid angiomyolipoma is a rare variant of renal angiomyolipoma. The condition occurs in patients with or without tuberous sclerosis. Clinical behaviour of renal epithelioid angiomyolipoma varies widely,

Is There a Correlation between Computed Tomography Scanning of the Acute Abdomen and Associated Surgical Outcomes?

Full Article

SY Tan, BP Waxman

Hong Kong J Radiol 2015;18:282-6

DOI: 10.12809/hkjr1515301

Objectives: To determine the correlation between computed tomography (CT) scanning in evaluating the acute abdomen and the associated surgical outcome.

Methods: This was a retrospective observational study of 362 patients (198 females, 164 males) admitted

Effect of Transarterial Chemoembolisation in Unresectable Hepatocellular Carcinoma with Portal Vein Tumour Thrombosis: Single-centre Study

Full Article

KL Siu, PY Chu, HW Lau, CX Chan, SK Ip

Hong Kong J Radiol 2015;18:277-81

DOI: 10.12809/hkjr1515316

Objectives: To determine the effect of transarterial chemoembolisation (TACE) on liver function and procedure-related mortality in patients with unresectable hepatocellular carcinoma (HCC) and portal vein tumour thrombosis (PVTT).

Appendicitis Computed Tomography Score: a Useful Tool for Predicting Perforation and Surgical Course of Acute Appendicitis

Full Article

BMH Lai, CY Chu, BST Leung, VKP Fung, DTF Lee, THT Sung, JLS Khoo

Hong Kong J Radiol 2015;18:267-76

DOI: 10.12809/hkjr1515310

Objective: To investigate the utility of the Appendicitis Computed Tomography (ACT) scoring system in the diagnosis of perforated appendicitis and prediction of surgical outcome.

Methods: A retrospective study was conducted

Modification of Management Algorithm of Radiologically Suspected Pancreatic and Biliary Malignancy by Incorporation of Local Experience of Autoimmune Pancreatitis

Full Article

CYH Chan, DHS Fung, VWT Chan, OK Wong, SKY Kwok, WK Wong, KW Tang

Hong Kong J Radiol 2015;18:260-6

DOI: 10.12809/hkjr1515308

Objectives: To review the clinical and pathological features of autoimmune pancreatitis (AIP) in a tertiary referral centre in Hong Kong, and to determine preoperative factors that facilitate diagnosis of AIP in order to

Primary Pericardial Osteosarcoma in an Elderly Patient

Full Article

KH Tsang, TY Cheung, WSW Chan, MK Chan

Hong Kong J Radiol 2015;18:e12-7

Concomitant Unilateral Hirayama Disease and Contralateral Disc Protrusion of the Cervical Spine

Full Article

WCS Chan, JPK Tsang, MK Yuen

Hong Kong J Radiol 2015;18:e7-11

DOI: 10.12809/hkjr1514285

Hirayama disease is a type of cervical myelopathy affecting young men and causing wasting of the small muscles of the hand. The underlying pathophysiology is thought to be due to disproportionate growth of the vertebral column and the spinal canal resulting in a tight dural sac. The presentation of Hirayama disease is

Magnetic Resonance Imaging of Fistula-in-ano

Full Article

CYH Chan, KYK Wong, SKY Kwok, WK Wong, KW Tang

Hong Kong J Radiol 2015;18:243-52

DOI: 10.12809/hkjr1515300

Fistula-in-ano is a highly devastating disease due to its high morbidity. In order to achieve excellent surgical outcome, preoperative evaluations are essential. Magnetic resonance imaging (MRI) allows high spatial resolution images and is highly accurate in delineating the type and extent of a perianal fistula.

Extensive Soft Tissue Necrosis Due to Extravasation of Computed Tomography Contrast Medium

Full Article

JH Kwon, JS Kim, SR Eo

Hong Kong J Radiol 2015;18:240-2

DOI: 10.12809/hkjr1515315

Extravasation of contrast medium is a complication of contrast-enhanced computed tomography studies. Clinical presentations include minimal swelling, erythema and, when the extravasated volume is large, ulceration, compartment syndrome, and skin necrosis. Here we present an 80-year-old woman with