Tag Archives: Imaging

Not Your Typical Renal Cyst

A 32-year-old man with no significant past medical or family history presented to his primary care physician with lower back and abdominal pain. Renal function tests and urinalysis were unremarkable. Computed tomography scan demonstrated a mixed cystic solid renal lesion with focal wall thickening and contrast enhancement within the left portion of a horseshoe kidney. […]

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Non-Classic Cystic Fibrosis: The Value in Family History

To the Editor: Since the advent of the Human Genome Project, opening doors to an era of genomic medicine, the family history has become a relevant and critical tool in individualized disease prevention. The family history has lasted through the years as a key component of history-taking in medical education. Yet it continues to be […]

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Leptomeningeal Infiltration, the Hallmark of Neurosarcoidosis

A 22-year-old human immunodefiency virus–negative man was admitted to the intensive care unit for generalized seizures. The patient’s family reported a 1-month history of asthenia and intermittent confusion. Clinical examination revealed isolated inappropriateness of behavior related to a frontal lobe syndrome, without any neck stiffness or neurologic deficit. The patient’s temperature was 37°C. Results from […]

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Hemispheric Cerebral Edema

  A 67-year-old previously healthy man was admitted in November after a seizure. Examination showed normal vital signs, right hemiparesis and facial palsy, global aphasia, and right upper motor neuron signs but no meningeal irritation. Results from chest X-ray, electrocardiogram, and laboratory tests were normal. Neuromaging revealed left hemispheric cerebral edema without evidence of vascular […]

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Necrotizing Sarcoid Granulomatosis: Clinico-Radio-Pathologic Diagnosis

A 30-year-old man was referred to the rheumatology outpatient department and seen urgently after developing diplopia over a 4- to 8-hour period and an isolated left fourth cranial nerve palsy associated with a bifrontal and left temporal headache and episodic vertigo. Magnetic resonance imaging of the brain at that time was unremarkable. The following week […]

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