Journal

Segmental Pulmonary Artery Dissection in Systemic Lupus Erythematosus

Full Article

DD Rasalkar, BK Paunipagar, WCW Chu

Hong Kong J Radiol 2010;13:29-31

We report a unique case of segmental pulmonary artery dissection in a 48-year-old female, with confirmed systemic lupus erythematosus and pulmonary hypertension. Several cardiopulmonary manifestations of systemic lupus erythematosus have been

The Focal Hepatic ‘Hot Spot’ Sign of Superior Vena Cava Obstruction in Contrast-enhanced Computed Tomography

Full Article

J Joseph, H Narayanan, H Babu, A Praveen

Hong Kong J Radiol 2010;13:26-8

In patients with superior vena caval obstruction, computed tomography of the liver in its arterial or early portal phase may show abnormal hyperattenuation in segment IV of the left hepatic lobe. This abnormal enhancement is due to porto-systemic venous

Retroperitoneal Intramuscular Haemangioma: Imaging Features

Full Article

HA Hassan, SA Hamid

Hong Kong J Radiol 2010;13:23-5

Retroperitoneal intramuscular haemangiomas are quite rare. Interruption of the muscle layer by intramuscular cavernous haemangioma raised the suspicion of a soft tissue sarcoma. We discuss the radiological characteristics of a haemangioma compared to soft tissue

Retrospective Clinico-pathological Study of Germ Cell Tumours Managed in a Single Institution

Full Article

AKC Leung, KH Au, HY Yiu, YL Kwok, VC Sin, WL Leung, KC Ngan

Hong Kong J Radiol 2010;13:12-22

Objective: To study the clinico-pathological characteristics and outcome of germ cell tumours treated in the Department of Clinical Oncology, Queen Elizabeth Hospital, Hong Kong.

Pre-procedure Prognostic Factors to Predict Survival of Patients after Radiofrequency Ablation of Hepatocellular Carcinoma

Full Article

WSW Chan, SS Chiu, DHY Cho, SK Kei, WL Poon, SH Luk, CC Cheung

Hong Kong J Radiol 2010;13:3-11

Objective: This study evaluated the clinical, biochemical, and imaging characteristics to identify pre-ablative prognostic factors for the survival of patients undergoing radiofrequency ablation of hepatocellular carcinoma. Radiofrequency ablation has now been

Institutional Experience of Magnetic Resonance Urography in Children: a Pictorial Essay with Literature Review

Full Article

DD Rasalkar, WCW Chu

Hong Kong J Radiol 2010;13:161-70

Conventional imaging studies such as ultrasonography, intravenous urography, micturating cystourethrography, and radionuclide scintigraphy are the basic investigations used in daily clinical practice for the diagnosis and monitoring of obstructive uropathy in

Pancreatic Neoplasm in a Patient with Situs Inversus Totalis

Full Article

BK Paunipagar, DD Rasalkar, P Lonikar, WCW Chu

Hong Kong J Radiol 2010;13:158-60

We reported on a patient with a cystic neoplasm of the pancreas with situs inversus totalis that showed the typical imaging features of serous cystadenoma in an anatomically inverted pancreas. The possible coexistence of malformations of transposed organs and

Left-sided Torsion of the Greater Omentum

Full Article

EMF Wong, SYJ Ka, WK Chau, P Tsui

Hong Kong J Radiol 2010;13:154-7

Torsion of the greater omentum is rare and is known to occur more often on the right side. We present an even rarer case of left-sided omental torsion, which was proven surgically and pathologically. Computed tomography showed the characteristic Whirl sign, which

Imaging Characteristics of Reversible Cerebral Vasoconstriction Syndrome: an Under-recognised Cause of Severe Headache

Full Article

RKL Lee, DYW Siu, AT Ahuja

Hong Kong J Radiol 2010;13:149-53

Reversible cerebral vasoconstriction syndrome is an under-diagnosed disease that every radiologist should know about. This report demonstrates two female patients who presented with severe headache with subsequent angiographic findings of ‘bead and string’

Mycotic Aneurysm of an Intercostal Artery: a Rare Cause of Haemothorax

Full Article

WP Chu, LF Cheng

Hong Kong J Radiol 2010;13:144-8

Causes of haemothorax include trauma, pulmonary or pleural neoplasm, pulmonary infarction and coagulopathy. Mycotic aneurysm of an intercostal artery is a rare cause of haemothorax. We report on a 60-year-old man who had a mycotic aneurysm of the right 12th

Brachial Artery Transection Following Closed Elbow Dislocation Without Accompanying Fracture

Full Article

YY Cheuk, KWM Yang

Hong Kong J Radiol 2010;13:140-3

Simple elbow dislocation is one of the most common joint dislocations and has a good prognosis. Complete transection of the brachial artery rarely ensues without an associated fracture. This case report describes this rare complication and its imaging findings in a

Immunoglobulin G4–related Sclerosing Disease of the Breast

Full Article

KY Kwok, HS Fung, LF Chiu, KM Chu, JCW Siu, KH Lai, TS To, SCH Chan

Hong Kong J Radiol 2010;13:137-9

Immunoglobulin G4–related sclerosing disease is a recently advocated disease entity. Though initially described as giving rise to autoimmune pancreatitis, this condition was subsequently found to involve extra-pancreatic tissues as well. In this report, we present a

Two Children with Pancreatoblastomas

Full Article

DD Rasalkar, BK Paunipagar, WCW Chu

Hong Kong J Radiol 2010;13:133-6

Pancreatoblastoma is a rare primary pancreatic neoplasm occurring in children. This report describes two paediatric patients with pancreatoblastomas with characteristic sonographic and computed tomographic features. Characteristic clinical and imaging features,

Comparison of RapidArc and Static Gantry Intensity-modulated Radiotherapy for Nasopharyngeal Carcinoma

Full Article

WK Cheung, KH Lee, HC Cheng, CH Cheung, CL Chan, KC Ngan

Hong Kong J Radiol 2010;13:125-32

Objective: RapidArc (Varian Medical Systems, Palo Alto, CA) is a new volumetric-modulated arc radiotherapy technique with continuous modulation of gantry speed, dose rate, and multileaf collimator shape. Taking advantages of dose painting capabilities

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