Radiology MOC

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European Heart Journal

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A 42-year-old woman presents with a right-sided, gradual-onset headache that is constant, with repetitive vomiting and a reduction in her "thinking power" for the past 3-4 months. What's the diagnosis?
Medscape

Researchers at New York University have developed a way to use MRI to examine (more)

Abstract  We present the first report of a patient with angiomatoid fibrous histiocytoma of bone in the radiology literature. This tumor initially eluded diagnosis due to its similarities with chronic hematoma and aneurysmal bone cyst. Only two cases of angiomatoid fibrous histiocytoma have been reported in the radiology literature and both of these lesions were in the soft tissues. The fairly distinctive findings in our patient of multiple large cystic chambers with fluid-fluid levels are similar to the findings in the two soft tissue case reports, suggesting that imaging may be used to suggest this specific diagnosis regardless of location, especially in the clinical setting of unexplained hematoma or anemia. Mention of this diagnosis in the radiology report may aid in the final diagnosis at pathology, because special techniques, including fluorescent in situ hybridization, must be applied in order to fully evaluate for the diagnosis.

• Content Type Journal Article
• DOI 10.1007/s00256-010-1023-0
• Authors
  • W. Banks Petrey, Department of Radiology, UVA Health System, Box 800170, Charlottesville, VA 22908, USA
  • Robin D. LeGallo, Department of Pathology, UVA Health System, 1215 Lee St., Charlottesville, VA 22908, USA
  • Michael G. Fox, Department of Radiology, UVA Health System, Box 800170, Charlottesville, VA 22908, USA
  • Cree M. Gaskin, Department of Radiology, UVA Health System, Box 800170, Charlottesville, VA 22908, USA

• Journal Skeletal Radiology
• Online ISSN 1432-2161
• Print ISSN 0364-2348