“An Unusual Pattern of Metastasis” Metastatic Malignant Thymoma Presented with Breast Lump: A Case Report and Literature Review by Kah-Seng Khoo, Kavinya Diana T. Nadesalingam, Diana Bee-Lan Ong, Li-Ying Teoh, Mei-Sze Teh, Suniza Jamaris, Mee-Hoong See

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Unusual presence of atlantic sharpnose shark (Rhizoprionodon terraenovae) neonates in a coastal lagoon in southeast Gulf of Mexico by Armando T. Wakida-Kusunoki, Vicente Anislado-Tolentino, Luis Fernando Del Moral-Flores

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An Unusual Presentation of COVID-19 Associated Multisystem Inflammatory Syndrome in Adults (MIS-A) in a Pregnant Woman by Mohamed Rishard, Suren Perera, Kushan Jayasinghe, Amila Rubasinghe, Sanjaya Athapaththu, Malindu Edirisinghe, Prabhodana Ranaweera, Tushani Ranawaka, Athula Kaluarachchi, Priyankara Jayawardana, Zacky Haniffa

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The high-density lipoprotein binding protein HDLBP is an unusual RNA-binding protein with multiple roles in cancer and disease by Jonathan Feicht, Ralf-Peter Jansen

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Unusual Presentations of Focal Periphyseal Edema Zones: A Report of Bilateral Symmetric Presentation and Partial Physeal Closure by Nicholas Beckmann, Susanna Spence

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En Bloc Transplantation of Horseshoe Kidney from Deceased Donor: An Unusual Transplantation Utilizing Kidneys with Congenital Fusion Abnormality by Bodhisatwa Sengupta, Iftikhar Khan, Akram Saiaghi, Ethar A. Gaw, Mansour Tawfeeq, Mohammed S. AlQahtani, Mahmoud Obeid

“…Transplanting horseshoe kidneys is challenging and has higher complication rates due to the unusual anatomy of the vascular and urinary collecting systems. …”
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Unusual Case of Malignant Struma Ovarii and Cervical Thyroid Cancer Preceded by Ovarian Teratoma: Case Report and Review of the Literature by Elias G. Tzelepis, Elena Barengolts, Steven Garzon, Joseph Shulan, Yuval Eisenberg

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An Indwelling Urethral Catheter Knotted Around a Double-J Ureteral Stent: An Unusual Complication after Kidney Transplantation by E. G. Warmerdam, R. J. Toorop, A. C. Abrahams, P. Berger

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An Unusually Broad Behavioral Repertory for a Major Worker in a Dimorphic Ant Species: Pheidole Morrisi (Hymenoptera, Formicidae) by Aniruddh D. Patel

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Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature by Surjit Lidder, Nima Heidari, Florian Amerstorfer, Stephan Grechenig, Annelie M. Weinberg

“…Complications of Monteggia fractures-dislocations include persistent radial head dislocation, forearm deformity, elbow stiffness, and nerve palsies at the time of presentation. An unusual case of median nerve palsy following elastic stable intramedullary nailing of a type I Monteggia lesion in a 6-year-old girl is presented, and we highlight that, although most nerve palsies associated with a Monteggia fracture-dislocations are treated expectantly in children, early intervention here probably provided the best outcome.…”
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Unusual Case of Anaplastic Large Cell Lymphoma Presenting as a Breast Mass in a Patient with no History of Breast Implants by Yana Ivashkevich, Yaroslav Chernov, Denis Chinenov, Evgeniy Shpot, Alexander A. Bessonov, Arthy Yoga, Kirill A. Lyapichev, Sergej Konoplev

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Unusual and persistent easterlies restrained the 2023/24 El Niño development after a triple-dip La Niña by Ji-Won Kim, Baijun Tian, Jin-Yi Yu

“…Here, we show through observational analyses that unusual easterly anomalies over the tropical western-central Pacific, persisting after the end of the preceding La Niña, significantly contributed to this slowdown. …”
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Intra-oral approach for excision of an unusual cystic mass in a 12-year-Old girl: A case report by Nasem Jamal Yousef, Issa Saad, Marwan Al-Raeei, Chadi Azmeh, Maya Saad, Zeina Darwich

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Unusual Vasospastic Angina: A Documented Asymptomatic Spasm with Normal ECG—A Case Report and a Review of the Literature by Ghassan Nakad, Hamid Bayeh

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An adenosine analog shows high antiviral potency against coronavirus and arenavirus mainly through an unusual base pairing mode by Xiaoying Jia, Xuping Jing, Ming Li, Minli Gao, Yao Zhong, Entao Li, Yang Liu, Rui Li, Guoqiang Yao, Qiaojie Liu, Minmin Zhou, Yuxia Hou, Linfeng An, Yibao Hong, Shanshan Li, Jiancun Zhang, Wei Wang, Kaiming Zhang, Peng Gong, Sandra Chiu

“…The cryo-EM structures of HNC-1664-bound RdRP-RNA complexes from both SARS-CoV-2 and LASV reveal an unusual base pairing mode of HNC-1664 in part due to its base modification, thus revealing its great potency in binding but not catalysis. …”
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Delayed Development of Coronary Ostial Stenosis following Surgical Aortic Valve Replacement: A Case Report of Unusual Presentation by Doosup Shin, Kevin Huang, Igor Sunjic, Michael Berlowitz, Xavier Prida

“…Symptoms typically appear within the first 6 months and almost always within a year after SAVR. We report an unusually delayed presentation of non-ST segment elevation myocardial infarction due to coronary ostial stenosis 22 months after SAVR. …”
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An Unusual Case of Gastrointestinal Bleeding from Isolated Gallbladder Varices in a Patient with Pancreatic Cancer Complicated by Portal Biliopathy by Mahir Gachabayov, Kubach Kubachev, Elbrus Abdullaev, Nonna Zarkua, Abakar Abdullaev, Artur Fokin

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Case report: an unusual long-term evolution of a diffuse midline glioma, H3K27 altered by Michael Griessmair, Michael Griessmair, Claire Delbridge, Claus Zimmer, Eva Mayr, Arthur Wagner, Julian Canisius, Marie-Christin Metz, Benedikt Wiestler, Benedikt Wiestler

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Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report by Alan Lucerna, James Espinosa, Taimur Zaman, Risha Hertz, Douglas Stranges

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Sinus of Valsalva Aneurysm Rupture: An Unusual Presentation of Chromosome 22q11.2 Deletion: A Case Report by Eda-Cristina Abuchaibe, Nancy Dobrolet, Katherine Peicher, Roque Ventura, Elizabeth Welch

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