Journal

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,

Adjuvant Chemotherapy Using Cyclophosphamide, Methotrexate, and Fluorouracil for Breast Cancer: the Tuen Mun Hospital Experience

KC Lee, CMM Lui, TY Ng, SH Lo, KK Yuen, FCS Wong, WK Sze, TW Leung, SY Tung, SK O

Hong Kong J Radiol 2004;7:14-23

Objective: This report is of the experience with combination cyclophosphamide, methotrexate, and fluorouracil as adjuvant treatment for breast cancer at Tuen Mun Hospital.

Patients and Methods: Records of patients who received combination cyclophosphamide, methotrexate, and fluorouracil chemotherapy during 1990 to 2000

Contrast-enhanced Sonography for Liver Tumours

BI Choi

Hong Kong J Radiol 2004;7:8-13

Detection and characterisation of focal hepatic lesions are important for accurate treatment planning. Although ultrasound is considered a powerful technique for identifying focal liver lesions, its capability for lesion characterisation is suboptimal. Recently, new ultrasound contrast agents have been developed,

Investigation of Small Bowel Obstruction

A McLean

Hong Kong J Radiol 2004;7:3-7

Intestinal obstruction accounts for up to 20% of acute surgical hospital admissions and suspected small bowel obstruction accounts for most of these admissions. Adhesions due to previous surgery are often the underlying cause. While the clinical history may

Contrast Material Extravasation: Appearances on Helical Computed Tomography

Full Article

VV Marwah, S Govil, A Kalyanpur

Hong Kong J Radiol 2007;10:88-94

Contrast material extravasation on a computed tomography image invariably indicates disruption of vascular structures, bowel, or the urinary tract. The pattern of contrast material extravasation often allows exact anatomic localisation of the site of haemorrhage or

Fluoroscopic-guided Biopsy for Pathological Fracture of C2: Transoral Approach

Full Article

AKP Wu, Y Wong, YW Wong

Hong Kong J Radiol 2007;10:85-7

Biopsy of the cervical spine poses special problems because of the proximity to many vital organs with the potential for bleeding and damage to nerves and spinal structures. Although the transoral approach to the atlanto-axial region is generally an open surgical

Fibrolipomatous Hamartoma of the Median Nerve

Full Article

CK So, KF Tam, CY Lui, CM Lee

Hong Kong J Radiol 2007;10:81-4

This report is of a 64-year-old woman with a fibrolipomatous hamartoma of the median nerve who presented with recent enlargement of a right palm mass that had been present for more than 30 years. Magnetic resonance imaging demonstrated pathognomonic

Superior Mesenteric Arteriovenous Fistula: an Unusual Cause of Ascites

Full Article

KK Wong, JSW Wong, WK Tso, KS Tai

Hong Kong J Radiol 2007;10:77-80

Superior mesenteric arteriovenous fistulae are rare. They are usually associated with previous penetrating abdominal trauma or surgery. Patients may present with ascites or gastrointestinal bleeding. This report is of a patient with postoperative refractory ascites.

Myocardial Infarction with Ruptured Left Ventricle

Full Article

KY Kwok, KS Tse, SSM Lo, TK Tsang, AMW Wai, HS Fung, SCH Chan

Hong Kong J Radiol 2007;10:74-6

Myocardial rupture is one of the major complications of myocardial infarction. This report is of a patient with myocardial rupture complicating myocardial infarction. As well as reviewing the clinical details of myocardial rupture, the ability of contrast computed

Pyogenic Infection of the Sacroiliac Joint Complicated by Iliacus Abscess in a Paediatric Patient

Full Article

SK Kei, CC Chan, MK Yuen, JCS Chan

Hong Kong J Radiol 2007;10:70-3

Pyogenic sacroiliitis is a rare disease entity, comprising only 1% to 2% of cases of osteomyelitis and septic arthritis. Clinical symptoms and signs are usually non-specific and may result in delayed diagnosis. This report is of a 15-year-old girl with pyogenic sacroiliitis and

Peripheral Neuropathy: Clinical Diagnosis of POEMS Syndrome and Treatment with Radiotherapy

Full Article

AWY Ng, KK Yuen, SY Tung, SK O

Hong Kong J Radiol 2007;10:66-9

POEMS syndrome is a rare paraneoplastic syndrome of plasma cell dyscrasia. Since this is a potentially fatal and devastating disease, prompt diagnosis and appropriate treatment is essential. This report is of a young woman who presented with peripheral

Endoluminal Stent Placement in the Management of Recurrent Carotid Blowout Syndrome

Full Article

JJ Kasthoori, O Nawawi

Hong Kong J Radiol 2007;10:62-5

This report is of a patient with acute carotid blowout syndrome that was managed successfully with emergency placement of a covered stent. A 68-year-old man with carcinoma of the tongue had been treated surgically and underwent repeated radiotherapy for

Suture Granuloma following Inguinal Herniorrhaphy Mimicking Urachal Tumour

Full Article

GC Gan, ML Wastie

Hong Kong J Radiol 2007;10:59-61

A suture or stitch granuloma is a recognised complication of surgical procedures. This entity needs to be considered in a patient with a previous history of surgery presenting with a mass, as it may simulate a soft-tissue tumour. Although inguinal hernias and their repair

Analysis of Cervical Cancer in Chinese Patients Treated with Chemoradiation or Radiotherapy Alone

Full Article

CY Choi, WT Ng, ATY Chang, IS Soong, AWM Lee

Hong Kong J Radiol 2007;10:51-8

Aim: A retrospective review was performed to compare chemoradiation and radiotherapy alone for the treatment of carcinoma of the cervix in a Hong Kong Chinese population.

Patients and Methods: 208 Chinese patients with carcinoma of the cervix stage I to IVA

Multiple Lentigines Syndrome Complex (LEOPARD Syndrome) with Chiari I Malformation

Full Article

EYL Kan, IYC Wong, SPC Lau, WC Lee

Hong Kong J Radiol 2007;10:31-3

This report is of a patient with multiple lentigines syndrome complex (LEOPARD syndrome), a complex dysmorphogenetic disorder, with Chiari I malformation and hydrocephalus. In this patient, the cerebellar tonsillar descent was mild but craniovertebral dysplasia

Foetus-in-foetu: Imaging Diagnosis by the Presence of Organogenetic Differentiation

Full Article

AKP Wu, WWM Lam, KL Chan

Hong Kong J Radiol 2007;10:34-7

Foetus-in-foetu is a rare condition in which a vertebrate foetus is enclosed within the abdomen of a normally developing foetus. This report is of a foetus-in-foetu in a newborn boy, in which no vertebral column was identified radiologically or pathologically. The