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Case 328: Brown Tumor in Hyperparathyroidism Due to Parathyroid Adenoma.

Radiology

August 2024

From the Department of Neuroradiology (C.A.) and Rheumatology Unit (E.L.), ASST Papa Giovanni XXIII Hospital, Piazza OMS 1, 24124 Bergamo, Italy.

Article Synopsis
  • A 45-year-old woman with a long history of diffuse osteoarticular pain, especially in her lower back, was referred for a new imaging evaluation by a rheumatologist after having been diagnosed with spondyloarthritis 11 years prior.
  • She had been effectively treated for 3 years with a medication (adalimumab) before being lost to follow-up for 8 years and now shows worsening symptoms, including low back pain and fatigue.
  • Imaging studies including MRI and CT scans were ordered to investigate the underlying causes of her worsening pain, amidst complications like nonobstructing kidney stones and abnormal vitamin D levels.
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F-FDG PET/CT image of NK/T cell lymphoma in the sacroiliac joint.

Hell J Nucl Med

August 2024

Department of Nuclear Medicine, West China Hospital of Sichuan University, No. 37. Guoxue Alley, 610041 Chengdu, Sichuan province, P.R. China,

NK/T cell lymphoma in the sacroiliac joint is very rare. We reportfluorine-18-fluorodeoxyglucose (F-FDG) positron emission tomography/computed tomography (PET/CT) findings of NK/T cell lymphoma in the sacroiliac joint in a 48-year-old man. On F-FDG PET/CT image, it manifested a soft tissue mass with adjacent bone destruction in the sacroiliac joint, which had intense F-FDG uptake.

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Objective: Single-photon emission computed tomography/computed tomography (SPECT/CT) is an emerging imaging modality that identifies sites of heightened bone metabolism in response to increased stresses. The relationship between sacroiliac (SI) joint radiotracer uptake and anatomic biomechanical parameters is poorly understood.

Methods: Adult patients with SPECT/CT scans performed at our institution between 2021 and 2023 for the workup of low back pain were included.

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Case 328.

Radiology

April 2024

From the Department of Neuroradiology (C.A.) and Rheumatology Unit (E.L.), ASST Papa Giovanni XXIII Hospital, Piazza OMS 1, 24124 Bergamo, Italy.

Article Synopsis
  • A 45-year-old woman with chronic low back pain, previously diagnosed with spondyloarthritis, underwent new imaging tests after years of treatment and being lost to follow-up.
  • After initially responding well to a medication for her condition, she returned with intensified symptoms and additional issues like kidney stones.
  • Recent blood tests showed some abnormalities, and various imaging studies were conducted to investigate the worsening of her pain.
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Sacroiliac dysfunction (SID) is a condition seen in horses associated with poor performance that affects hind limb gait and impulsion. The condition comprises pain and dysfunction but there lacks clarity around the aetiopathogenesis and whether SID encompasses abnormal joint pathology, abnormal joint movement, abnormal regional biomechanical function, joint laxity and pain, or various combinations of these that may vary over time. Clinical assessment remains challenging for equine clinicians due to the deep location of the sacroiliac joint (SIJ) and surrounding structures which limits access for palpation, diagnostic imaging and joint-specific injection.

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