Susac’s Syndrome

We have read the interesting article by Raets and Gelin, entitled “Susac’s syndrome: a clinical and radiological challenge” which was published in the 95 (6) issue of the Journal in 2012 (1). The article included fairly important information which was very useful for us. However, we would like to make a few contributions

A migrated sewing needle to the liver.

A 52-year-old woman was investigated for right upper quadrant abdominal pain. Abdominal X-ray revealed a linear metallic object superposed to the liver (Fig. A, arrow). Patient’s history was irrelevant except for a breast biopsy 20 years previously. She did not report any blunt abdominal trauma. Unenhanced abdominal CT was performed for exact localization of the foreign body. A linear metallic opacity was observed in the medial segment of left liver lobe (Fig. B). At laparotomy, a needle was found in the parenchyma over the hilar plate of the liver. Its location was checked by intraoperative fluoroscopy then it was extracted with a clamp through a small incision in the liver parenchyma. High resolution X-ray graph revealed that the foreign body was a sewing needle (Fig. C). At eight months follow up, she is symptom free without any complication

Using diffusion weighted MR imaging in a lipomatous chest wall lesion.

Hibernoma is a rare benign soft tissue tumor derived from brown fat. The tumor is also known as “fetal lipoma, lipoma of embryogenic fat and lipoma of immature adipose tissue. Hibernomas are slow-growing, painless soft tissue tumors which do not recur after surgical resection. Preferred locations are brown fat containing sites as thigh, interscapular region, shoulder, axilla, and mediastinum. The tumor occurs most commonly in adults, with a mean age of 38 years (age range, 2-75 years). We present a rare case of hibernoma with radiological and pathological findings