{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T15:50:29Z","timestamp":1774972229701,"version":"3.50.1"},"reference-count":0,"publisher":"Radiological Society of North America (RSNA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Radiology"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:p>History<\/jats:p>\n                  <jats:p>\n                    A 6-year-old boy with sickle cell disease and a recent episode of acute chest syndrome presented to the emergency department with chest tightness and a 4-day history of progressive right eye swelling, along with pain in the left hand and left leg. Initial laboratory tests showed a hemoglobin level of 6.1 g\/dL (61 g\/L) (low), hematocrit level of 19.5% (low), white blood cell count of 16\u2009000\/\u00b5L (16\u2009\u00d7\u200910\n                    <jats:sup>9<\/jats:sup>\n                    \/L) (high), red blood cell count of 3.03 million\/\u00b5L (3.03\u2009\u00d7\u200910\n                    <jats:sup>12<\/jats:sup>\n                    \/L) (low), platelet count of 338 \u00d7 10\n                    <jats:sup>3<\/jats:sup>\n                    \/\u00b5L (338\u2009\u00d7\u200910\n                    <jats:sup>9<\/jats:sup>\n                    \/L) (normal), reticulocyte count of 4.79% (high), total bilirubin level of 2.3 mg\/dL (39 \u00b5mol\/L) (high), aspartate aminotransferase level of 62 U\/L (1.0 \u00b5kat\/L) (high), alanine aminotransferase level of 16 U\/L (0.27 \u00b5kat\/L) (normal), and alkaline phosphatase level of 660 U\/L (11 \u00b5kat\/L) (high). The differential count was as follows: neutrophils, 69.1% (high); lymphocytes, 22.7% (low); monocytes, 7.2% (normal); basophils, 0.3% (normal); and immature granulocytes, 0.7% (high). Physical examination demonstrated swelling and erythema of the right eye but no significant discomfort or tenderness with eye movement. There was no eye discharge or conjunctival redness. Contrast-enhanced CT of the face was performed ( Fig 1 ), followed by MRI of the brain ( Fig 2 ) and orbits ( Fig 3 ) with and without intravenous contrast agent.\n                  <\/jats:p>","DOI":"10.1148\/radiol.252091","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T13:52:34Z","timestamp":1774965154000},"source":"Crossref","is-referenced-by-count":0,"title":["Case 348"],"prefix":"10.1148","volume":"318","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0527-1593","authenticated-orcid":false,"given":"Noushin","family":"Yahyavi-Firouz-Abadi","sequence":"first","affiliation":[{"name":"Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1577","container-title":["Radiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/pubs.rsna.org\/doi\/pdf\/10.1148\/radiol.252091","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T13:52:55Z","timestamp":1774965175000},"score":1,"resource":{"primary":{"URL":"http:\/\/pubs.rsna.org\/doi\/10.1148\/radiol.252091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,1]]}},"alternative-id":["10.1148\/radiol.252091"],"URL":"https:\/\/doi.org\/10.1148\/radiol.252091","relation":{},"ISSN":["0033-8419","1527-1315"],"issn-type":[{"value":"0033-8419","type":"print"},{"value":"1527-1315","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,1]]},"article-number":"e252091"}}