• Title/Summary/Keyword: 병원 의학

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Metastatic Renal Cell Carcinoma Manifesting as a Gastric Polyp on CT: A Case Report and Literature Review (CT상 고혈관성 위용종으로 보이는 전이성 신세포암: 증례 보고 및 문헌 고찰)

  • Hyun Jin Kim;Beom Jin Park;Deuk Jae Sung;Min Ju Kim;Na Yeon Han;Ki Choon Sim;Yoo Jin Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.425-431
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    • 2022
  • Gastric metastasis from renal cell carcinoma (RCC) is extremely rare, occurring in 0.2% of all RCC cases. Owing to its low prevalence, metachronous gastric metastasis from RCC may be underdiagnosed, and the imaging findings have not been well-established. Herein we present a case of metastatic RCC manifesting as a gastric polyp in a 70-year-old female along with a literature review on the imaging findings of gastric metastases from RCC. In patients presenting with gastric hyper-enhancing polypoid masses, metastasis from RCC should be considered as a differential diagnosis.

Sporadic Intradural Extramedullary Hemangioblastoma Not Associated with von Hippel-Lindau Syndrome: A Case Report and Literature Review (폰 히펠린다우 증후군과 관련 없는 특발성 경막 내 수외 혈관모세포종: 증례 보고와 문헌 고찰)

  • Mi-Kyung Um;Eugene Lee;Joon Woo Lee;Kyu Sang Lee;Yusuhn Kang;Joong Mo Ahn;Heung Sik Kang
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.700-707
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    • 2021
  • Hemangioblastomas are low-grade, highly vascular tumors that are usually associated with von Hippel-Lindau syndrome. Hemangioblastomas most commonly occur in the cerebellum, and intradural extramedullary hemangioblastoma of the cauda equina is very rare, especially in patients without von Hippel-Lindau syndrome. Herein, we report a case of intradural extramedullary hemangioblastoma of the cauda equina that was not associated with von Hippel-Lindau syndrome, with a focus on its imaging characteristics and differential diagnoses. We compared the clinical presentation and imaging features of our case with those of previously reported cases in the review of the literature.

Spinal Intraosseous Hibernoma: A Case Report and Review of Literature (척추에서 발생한 골 내 동면종: 증례 보고와 문헌 고찰)

  • Mi-Kyung Um;Eugene Lee;Joon Woo Lee;Kyu Sang Lee;Yusuhn Kang;Joong Mo Ahn;Heung Sik Kang
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.965-971
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    • 2020
  • Hibernoma is a rare benign tumor that arises from vestiges of brown fat. Spinal intraosseous hibernoma has only recently been described in the literature, and only 12 cases have been reported to date due to its extreme rarity. Here, we report the case of a patient who was incidentally diagnosed with an intraosseous hibernoma in the thoracic spine, following a diverse imaging work-up and pathologic confirmation. We correlate the clinical presentation and imaging features of our case with those of previously reported cases during our review of the literature.

Systemic Manifestations of Immunoglobulin G4-Related Disease: A Pictorial Essay (다양한 인체 장기에서 보일 수 있는 면역글로불린 G4 관련 질환: 임상화보)

  • Kyungri Park;Yo Won Choi;Bo-Kyeong Kang;Ji Young Lee;Jeong Seon Park;Su-Jin Shin;Hye Ryoung Koo
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.575-588
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    • 2021
  • Immunoglobulin G4 (IgG4)-related disease is a systemic fibro-inflammatory disease characterized by pathologic findings in various organs. Imaging is critical for the diagnosis and treatment assessment of patients with IgG4-related disease. In this pictorial essay, we review the key features of multiple imaging modalities, typical pathologic findings, and differential diagnosis of IgG4-related disease. This systematic pictorial review can further our understanding of the broad-spectrum manifestations of this disease.

Tuberculous Pericarditis Mimicking a Malignant Pericardial Tumor: A Case Report (악성 심막 종양으로 오인한 결핵성 심막염: 증례 보고)

  • Ji Young Park;Ji-Yeon Han;Jinyoung Park;Gi Won Shin;Su Young Yun;Mi Seon Kang;Da Som Kim
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.197-203
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    • 2024
  • Tuberculous pericarditis is an extrapulmonary manifestation of tuberculosis that is most commonly associated with pericardial thickening, effusion, and calcification. We present a case of tuberculous pericarditis mimicking a malignant pericardial tumor in a 77-year-old male. CT revealed an irregular and nodular pericardial thickening. MRI revealed high signal intensity on T1-weighted fat-suppressed images and peripheral rim enhancement after gadolinium administration. MRI can be helpful in determining the differential diagnoses in cases of tuberculous pericarditis with nonspecific imaging findings.

Sutured bolus application technique for homogeneous scalp irradiation (균일한 두피 방사선 치료를 위한 bolus 적용 방법: Sutured bolus)

  • Seo, Myung Ho;Lee, Sol Min;Kim, Gwi Eon;Choi, Jinhyun;Park, So Hyun;Kim, Young Suk
    • Journal of Medicine and Life Science
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    • v.16 no.1
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    • pp.23-26
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    • 2019
  • Total scalp irradiation is a challenging treatment because of unique concave target volume and difficulty with bolus applying. There are few reports about bolus applying methods to the entire scalp in detail. Application of conventional bolus (wax or superflab) is widely used, and it is considered effective. However, the curvature and irregularity of the scalp can produce significant air gap, resulting in inadequate radiation dose distribution. We describe a new method to applying the bolus to the entire scalp. We sutured 1 cm thickness superflab bolus on the thermoplastic mask using cotton string. This method can reduce the air gap between the bolus and scalp and be reproducible.

Breast Cancer after Radiation Therapy in a Patient with Li-Fraumeni Syndrome: A Case Report (Li-Fraumeni 증후군 환자에서 방사선 치료 후 발생한 유방암: 증례 보고)

  • In Na Yoon;Eun Suk Cha;Jeoung Hyun Kim;Jee Eun Lee;Jin Chung
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.246-251
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    • 2022
  • Li-Fraumeni syndrome (LFS) is an inherited autosomal-dominant tumor-predisposition disorder caused by germline mutations in the TP53 tumor suppressor gene. Since patients with LFS are likely to develop therapy-related cancers, radiation therapy should be avoided if breast cancer is found in these individuals. Herein, we present a case of secondary breast cancer in an LFS patient after radiation and chemotherapy for the first diagnosed breast sarcoma.

Insidious Onset Multifocal Chest Wall and Spinal Abscess Caused by Previous Candidemia: A Case Report (칸디다혈증 이후 잠행성으로 발생한 다발성 흉벽 및 척추 농양: 증례 보고)

  • Da Eun Kwon;Song Soo Kim;Shinhye Cheon;Jin Hwan Kim;Hyeyoung Kwon
    • Journal of the Korean Society of Radiology
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    • v.84 no.5
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    • pp.1163-1168
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    • 2023
  • Abscess formation due to Candida albicans infection is extremely rare. Radiological diagnosis of an atypical abscess at an uncommon site is challenging. In this study, we present a case of insidious onset multifocal chest wall and spinal abscess after candidemia in a young woman in the intensive care unit due to postpartum bleeding.

Clinical and Radiologic Findings of COVID-19 Pneumonia: South Korean Experience from Three Cases (코로나바이러스감염증-19의 임상적 소견 및 영상의학적 소견: 세 증례를 통한 한국의 경험)

  • Hyung Ju Lee;Jung Won Moon;Ji Young Woo;Yoo Na Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.3
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    • pp.583-590
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    • 2020
  • Coronavirus disease 2019 (COVID-19) is spreading rapidly around the world. Several articles have so far reported on radiological findings of COVID-19 pneumonia. Herein, we present three cases of COVID-19 pneumonia in South Korea, and provide clinical information as well as chest radiograph and chest CT findings.

Diagnostic Imaging for Physical Abuse in Children (신체적 학대를 받은 아동의 진단적 영상)

  • Tae Yeon Jeon;So-Young Yoo;Hong Eo;Ji Hye Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.832-851
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    • 2020
  • Physical abuse is a significant cause of morbidity and mortality in the pediatric population. Young children, particularly in the first year of life, are most vulnerable to physical abuse. To evaluate suspected physical abuse, radiologists play a vital role by detecting radiological findings suggestive of physical abuse and differentiating them from other pathologies. This review focuses on radiologic findings, including those for fractures, abusive head trauma, spinal injury, and thoracoabdominal injury, commonly discovered in physically abused children, with special emphasis on biomechanical forces that produce injuries.