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TALUS

Case 62608489
Other › Other
39 year old female
6 images
Talus Image 1: One sees the body of the talus in its relatively normal position within the ankle mortise. There is a bony density just lateral to it which appears to be the calcaneus and the rest of the foot. No fracture is noted on this view. Image 2: On the lateral view the first i … [view case]
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TALUS

Case 62608442
Other › Other
20 year old female
6 images
Talus Image 1+2: Image 1 does not show any clear abnormality. There is a suggestion on Image 2 of a non-displaced fracture through the body of the talus, but it is difficult to be sure. Image 3+4: The CT scan clearly shows the essentially nondisplaced talar body fracture. Image 5+6: … [view case]
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TALUS

Case 62608367
Other › Other
42 year old male
12 images
Talus Image 1-3: Lateral and oblique views of the ankle reveal a displaced fracture through the body of the talus. Image 4-6: CT scan which shows the fracture of the talus involving the joint above (ankle) and the joint below (subtalar). In addition, we see a fracture of the lateral … [view case]
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TALUS

Case 62608301
Other › Other
54 year old male
12 images
Talus Image 1-3: AP and lateral views show a fracture through the neck of the talus, which appears nondisplaced on these plain X-rays. Image 4-7: CT views which show that the fracture is displaced with some comminution laterally. Image 8-9: Intraoperative views, status post ORIF with … [view case]
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TALUS

Case 62608261
Other › Other
22 year old male
9 images
Talus Image 1-4: AP and lateral views show an open fracture through the neck of the talus with the body extruded out the front of the ankle joint. This is classified as a Hawkins Type IV talar neck fracture. Image 5-7: Photographs of the open wound. In fact, one can see the body of t … [view case]
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TALUS

Case 62608211
Other › Other
40 year old male
8 images
Talus Image 1: The talar body remains in place beneath the articular surface of the tibia, but the distal one-half is displaced due to a fracture through the neck of the talus. This is classified as a Hawkins II talar neck fracture. Image 3: CT scan showing the fracture through the n … [view case]
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SCHISTOSOMIASIS MANSONI

Case 62584663
Other › Infection
old
31 images (CT, CR, GI, MR, US)
SCHISTOSOMIASIS MANSONI This material constitutes the study of patients diagnosed with schistosomiasis mansoni. Changes were observed in all patients studied in one or more of the following regions: lung, esophagus, liver, spleen, intestine and medulla. Figure 01 (patient 01): radi … [view case]
By antonio aguiar, Radiologist
09/30/2012.
5.0
2 ratings

Fluid Filled Mass in Upper Abdomen

Case 62509211
GI › Congenital
2 month old female
Right colon duplication cyst Cyst extended from cecum to the distal right colon, clear mucous was aspirated. M.R.C.P. without contrastCT with oral and IV contrast at 9 weeks of age There is a large cystic mass in the right upper quadrant between the liver, gallbladder, right kidn … [view case]
By Sam Engle, Resident
09/27/2012.
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Hair braid over chest (pseudolesion)

Case 62526665
Chest › Other
27 year old female
2 CR images
Hair braid over chest
By Christopher Malcom, Resident
09/27/2012.
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Hirshprung disease

Case 62526425
GI › Congenital
6 day old male
3 GI images
Hirschsprung disease.  Reversal of rectosigmoid ratio with distention of the proximal colon. Fasciculations or sawtooth appearance of mucosa of involved colon: Spasm
By Christopher Malcom, Resident
09/27/2012.
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Acute appendicitis in pregnancy (MRI)

Case 62526158
GI › Infection
21 year old female
5 MR images
Acute appendicitis
By Christopher Malcom, Resident
09/27/2012.
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de Quervain's tenosynovitis

Case 62525957
MSK › Trauma
49 year old male
4 MR images
Tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons (de Quervain's tenosynovitis).
By Christopher Malcom, Resident
09/27/2012.
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Sports hernia, athletic pubalgia

Case 62525824
MSK › Trauma
20 year old female
3 MR images
Subtle injury of the left rectus abdominis-adductor longus aponeurosis (also known as sports hernia or athletic pubalgia) with reactive osteitis pubis. T2 hyperintense signal between the pubic bone and the left rectus abdominis-adductor longus aponeurosis (cleft  sign) Increased T2 … [view case]
By Christopher Malcom, Resident
09/27/2012.
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Calcific tendinitis of the longus colli musc…

Case 62525705
Face/Neck › Inflammatory
29 year old female
4 CT images
Calcific tendinitis of the longus colli muscle (longus colli syndrome) Retropharyngeal fluid collection Calcification below the anterior arch of C1 Interval resorption of calcification and resolution of fluid collection
By Christopher Malcom, Resident
09/27/2012.
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Partial molar pregnancy

Case 62525089
Other › Other
23 year old female
4 US images
Partial molar pregnancy, fetal demise
By Christopher Malcom, Resident
09/27/2012.
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Acute appendicitis on ultrasound

Case 62524847
GI › Infection
4 year old male
2 US images
Acute appendicitis with appendicolith Dilated, fluid-filled appendix Free fluid Appendicolith at base of appendix
By Christopher Malcom, Resident
09/27/2012.
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Case 62517279

Other › Other
14 year old female
2 CR images
By Elizabeth Riedesel, Radiologist
09/26/2012.
Not yet rated

Case 62512532

Other › Other
4 year old female
4 CR images
By Elizabeth Riedesel, Radiologist
09/26/2012.
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Case 62512444

Other › Other
10 year old female
2 CR images
By Elizabeth Riedesel, Radiologist
09/26/2012.
1.0
1 rating

Case 62512335

Other › Other
2 month old female
2 CR images
By Elizabeth Riedesel, Radiologist
09/26/2012.
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Case 62512232

Other › Other
3 year old male
2 CR images
By Elizabeth Riedesel, Radiologist
09/26/2012.
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Case 62512307

Other › Other
1 year old female
4 CR images
By Elizabeth Riedesel, Radiologist
09/26/2012.
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Internal Small Bowel Hernia

Case 62515050
GI › Other
old male
4 images (CT, CR)
Transomental Internal Hernia of the Ileum
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SLOW DRAINING PNEUMOTHORAX IN A 36YO FEMALE

Case 54050726
Chest › Other
36 year old female
6 CR images
Spontaneous total pneumothorax Total left sided pneuothorax with subsequent insertion of small bore chest drain - tip lying in left upper zone in good position. Recurrence of complete pneumothorax with chest drain tip now lying in subcutaneous tissues and overlying artefact from cl … [view case]
By Peter Douglas, Resident
09/26/2012.
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DELAYED PRESENTATION OF SUPRACONDYLAR FRACTU…

Case 57876502
MSK › Trauma
12 year old male
3 CR images
delayed presentation of posteriorly displaced supracondylar fracture with ORIF 1. posteriorly displaced supracondylar fracture 2. repeat radiograph after failed closed reduction 3. after open reduction and internal fixation (ORIF) with two drainage tubes visible The fami … [view case]
By Peter Douglas, Resident
09/26/2012.
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FRONTAL BONE OSTEOMYELITIS IN 47Y.O. MAN - P…

Case 53267705
Neuro › Infection
47 year old
5 CT images
Osteomyelitis secondary to sinusitis with acute sub-periosteal reaction and abscess formation - Pott's puffy tumour There is complete occlusion of the maxillary sinuses and thickening of the mucosa of the nasal turbinates. There is a large soft tissue mass with cystic features overl … [view case]
By Peter Douglas, Resident
09/26/2012.
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Hypertrophic Pyloric Stenosis

Case 62502362
GI › Other
7 week old male
5 US images
Pyloric stenosis The hypertrophied muscle is hypoechoic, and the central mucosa is hyperechoic. Increased pyloric length and thickness. Definition Pyloric thickness >3mm Pyloric length >15mm   Clinical Presentation Vomiting after feeds 4-8 weeks of life Male:fem … [view case]
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8yo male with diabetes insipidus

Case 62492040
Neuro › Neoplasm
8 year old male
2 MR images
Germinoma Thickened infundibulum, which is isointense on T1 and shows partial enhancement. CNS Germinomas Demographics: Most commonly present in adolescence, with a peak at ages 10-12. More common in Asia. Male predominance with pineal and thalamic location, slight female p … [view case]
09/25/2012.
4.0
1 rating

Lumbosacral dysgenesis

Case 62482528
MSK › Congenital
old
4 images
Caudal Regression Syndrome Spine U/S: probable sacral deficiency and unusual appearance of distal thecal sac with a prominent cystic appearing area below the conus. Lateral Spine radiograph: incomplete number of sacral elements present MRI: High riding, blunted conus that terminat … [view case]
09/25/2012.
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14yo male, no history provided

Case 62490963
Spine › Neoplasm
14 year old male
3 MR images
Myxopapillary ependymoma 3.2cm by 1.6cm mass within the distal thecal sac which appears intradural and extramedullary. The mass is iso- to hypointense on T1, hyperintense on T2, and shows intense enhancement. No soft tissue or osseus involvement. No other masses. No extension into … [view case]
09/25/2012.
4.0
2 ratings

Atlantoaxial instability

Case 62480390
Spine › Congenital
old
8 images
Os Odontoideum Radiographs: Marked widening of the predental space c/w cervical instability. CT: Prominent os odontoideum which is translated forward with the anterior arch of C1. MRI: Os odontoideum with anterior displacement relative to hypoplastic odontoid process and posterior … [view case]
09/25/2012.
1 comment
5.0
2 ratings

ASVD

Case 62476214
Vascular/Lymphatic › Other
old
4 images
By Christopher Malcom, Resident
09/24/2012.
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Sigmoid Volvulus in a 12 year old male

Case 62005757
GI › Other
12 year old male
2 images (CT, CR)
Sigmoid volvulus Sigmoid volvulus causing large bowel obstruction is rare and uncommonly seen in children; however it should be considered in any child presenting with blood per rectum and constipation.  In the majority of cases, sigmoid volvulus has been diagnosed by barium … [view case]
By Sanaa Qamar, Resident
09/21/2012.
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Enchondromatosis

Case 62405103
MSK › Neoplasm
11 year old female
2 CR images
Enchondramotosis (Ollier's Disease) Multiple expansile lucent and sclerotic lesions throughout the right lower (and upper) extremity, mostly metaphyseal.  Popcorn like calcific densities seen within the lesions. Ollier disease: Dysplasia involving predominantly metaphyses, c … [view case]
09/20/2012.
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Legg-Calve-Perthes

Case 62404812
MSK › Other
7 year old male
2 CR images
Legg-Calve-Perthes Flattened left femoral epiphyseal ossification center, with irregular contour and cystic changes. Legg-Calvé-Perthes disease is the idiopathic avascular necrosis of the growing femoral epiphysis, which results in deformity and decreased containment of the … [view case]
09/20/2012.
5.0
2 ratings

Thyroid Mass

Case 62041886
Face/Neck › Neoplasm
19 year old female
5 US images
Biopsy demonstrated benign follicular nodule with cystic degeneration. 3.7 x 3.2 x 2.2 cm heterogenous nodule hypoechoic foci thick septations several peripheral linear calcifications internal color flow Most cases of thyroid cancer are papillary carcinoma (75-90%). M … [view case]
By Dustin Simpson, Resident
09/20/2012.
5.0
1 rating

Hydrocephalus secondary to aqueductal stenos…

Case 62389148
Neuro › Congenital
8 month old
5 MR images
Hydrocephalus secondary to aqueductal stenosis Hydrocephalus of the third and lateral ventricles.  Dilation of the proximal Sylvian aqueduct with abrupt tapering and occlusion distally.  Fourth ventricle normal.  No mass lesion is seen.  Periventricular T2/FLAIR white matter hyperint … [view case]
09/20/2012.
5.0
1 rating

Hemimegencephaly

Case 62372357
Neuro › Congenital
8 year 11 month old male
6 MR images
Hemimegencephaly Left hemispheric and ventricular enlargement.  Abnormal gyri in left frontal and parietal lobes, some small and others broad/flattened.  Abnormal foci of T2/FLAIR signal in left periventricular and subcortical white matter. General: Hamartomatous overgrowt … [view case]
09/20/2012.
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Testicular Microlithiasis

Case 62385719
GU › Other
42 year old male
7 US images
Testicular Microlithiasis The testes have a heterogenous echotexture with diffuse bilateral echogenic foci measuring 1- 3 mm in size. Testicular microlithiasis can be recognized on ultrasound by multiple, 1-mm to 3-mm echogenic foci distributed randomly throughout the testic … [view case]
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TEste

Case 62384739
Other › Other
old
1 image
By Emerson Leite, Radiology Technologist
09/19/2012.
Not yet rated

Aortic Dissection

Case 62381148
Vascular/Lymphatic › Vascular
old
5 CR images
By Thomas Jacob, Other Physician
09/19/2012.
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120724 Esophageal atresia with TE fistula an…

Case 62375732
GI › Congenital
1 day old male
5 images (CT, CR, GI, MR, 3D)
Esophageal atresia with TE fistula and annular pancreas (Surgery: gastrostomy, fistula ligation and end-to-end anastomosis of  esophagus and side to side anastomosis between jejunum [20cm from  Treiz's ligament]) and 1st portion of duodenum.) Figure 1 Left upper (plain film radio … [view case]
By pedrad CSH, Radiologist
09/18/2012.
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Orbital air

Case 62334543
Face/Neck › Trauma
21 year old male
4 CT images
Orbital air from medial blow out fracture Large amount of left anterior orbital air.  Small medial lamina papyracea blow out fx. Small "trap door" fracture fragment seen superiorly on coronal images. Classic case of large amount of orbital air as most visible sign of small medial orbital blow out fracture.
By Robert DeLaPaz, Radiologist
09/18/2012.
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Pneumothorax

Case 62370100
Chest › Other
5 year old
4 images
Hydropneumothorax Luceny in the apical right hemithorax. Left upper extremity PICC tip coiled back on self in left brachiocephlic vein. Pleural effusions. Pneumothorax imaging: In supine patients, air tracks anteromedially; well delineated cardiac and mediastinal borde … [view case]
09/18/2012.
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Askin tumor of the posterior mediastinum

Case 62301606
Chest › Neoplasm
11 year old male
5 images (CT, CR)
Askin Tumor On the initial radiograph, there is a large, posterior mediastinal mass without calcifications. CT findings show a large, heterogeneous posterior mediastinal mass arising from the posterior chest wall with involvement of the adjacent ribs.  No calcifications are seen wi … [view case]
09/18/2012.
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GIST

Case 62366379
GI › Neoplasm
15 year old
5 images (CT, NM)
Gastrointestinal Stromal Tumor 3 discrete eterogeneous masses present in the stomach - An approximately 3 x 4 cm lesion in the fundus. - A 3.5 x 5.6 cm in the stomach body, and a smaller lesion measuring 1.5 x 1.4 cm.  Also note was increased density of right lobe of liver   … [view case]
09/18/2012.
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Hepatic encephalopathy

Case 62357092
Neuro › Metabolic
32 year old male
Hepatic encephalopathy Increased signal in the basal ganglia (globus pallidus) Good example of high T1W signal in the basal ganglia with liver failure
By Robert DeLaPaz, Radiologist
09/17/2012.
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Degnerative disc, MR vs. CT

Case 62356914
Spine › Other
68 year old male
Severe degenerative lumbar disc changes on MR and CT.  CT better shows calcification in the discs in the neural foramina CT visualization of the disc calcification
By Robert DeLaPaz, Radiologist
09/17/2012.
Not yet rated

Syrinx?

Case 62356779
Spine › Normal/Variants
38 year old female
Focal linear high signal in anterior central spinal cord from T6-7 through T10. Recommended repeat MR with higher resolution (smaller FOV, higher matrix), the least invasive approach.  CT myelogram may show contrast in ventral medial sulcus but cannot demonstrate syrinx.
By Robert DeLaPaz, Radiologist
09/17/2012.
Not yet rated

Hyperdense salivary glands

Case 62356739
Face/Neck › Inflammatory
52 year old female
Mixied high and low density parotid and submandibular glands bilaterally.  Low densities are new compared to prior CT 2009 when glands were uniformly high density (=muscle).  No radiodense salivary gland stone.  Incidental bilateral calcification of the ear cartilage. Evolut … [view case]
By Robert DeLaPaz, Radiologist
09/17/2012.
Not yet rated