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CADASIL

Case 1805601
Neuro › Other
old
CADASIL 1. acronym for cerebral autosomal dominant arteriopathy with subcortical infarct and leukoencephalopathy 2. a white matter disease; locus of the disease locates on chromosome 19q12 3. starts in mid adulthood 4. clinical symptoms a. headache b. recurrent stroke- … [view case]
By Hung-Wen Kao, Resident
06/29/2005.
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MESIAL TEMPORAL SCLEROSIS

Case 1805604
Neuro › Other
old
Mesial temporal sclerosis 1. a seizure-associated neuronal loss with gliosis in hippocampus and adjacent structures 2. Pathology: a. acquired or developmental b. cortical dysplasia is most common dual pathology 3. Imaging findings: a. T2 hyperintensity and atrophy o … [view case]
By Hung-Wen Kao, Resident
06/29/2005.
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EWINGS SARCOMA

Case 1455003
MSK › Congenital
old
7 Path images
Pediatric Tumor Board 11/6/02 6 year old girl - left hip pain and limp starting in February, 2002 X-ray in April showed lesion in proximal femur Biopsy in early May - inconclusive Repeat biopsy early June - Ewings Sarcoma Womer RB, Daller, RT, Fenton, JG, Miser, JS: Granul … [view case]
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CROHNS DISEASE

Case 1800995
GI › Inflammatory
36 year old male
3 images (CT, 3D)
Crohns disease. Thickened terminal ileum with mucosal enhancement and submucosal edema. Some surrounding inflamatory stranding. Cecum also involved. Crohns disease is a recurrent inflamatory disease of the bowel. Evidence is mounting that it is related to defects in cell sur … [view case]
06/28/2005.
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SQUAMOUS CELL LUNG CANCER

Case 1798688
Chest › Neoplasm
47 year old male
3 images (CT, 3D)
Squamous cell carcinomain the left lung Infiltrating soft tissue mass is surrounding segmental bronchi to the left lower lobe causing post obstructive atelectasis. The tumor is also encasing arteries to the left lower lobe. There is extrinsic narrowing of the airway on the virtual b … [view case]
06/28/2005.
1 comment
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VARÓN DE 58 AÑOS . RADIOGRAFÍA PREOPERATORIA

Case 1792886
Chest › Other
old male
2 CR images
By Radiologia Basurto, Resident
06/27/2005.
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VARÓN DE 38 AÑOS CON DOLOR LUMBAR

Case 1792914
MSK › Other
old male
2 CR images
By Radiologia Basurto, Resident
06/27/2005.
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MILIARY TUBERCULOSIS

Case 1794251
Chest › Infection
9 year 1 month 25 day old female
1 CR image
miliary tuberculosis Clinical Finding: Mild pale, Slighly dyspnea with RR= 40/mn and crackle in both lungs. Investigation: PA chest x-ray showed: the multiple miliary or micronodules in both lungs. Despite the children had BCG immunized, they still have tuberculosis infection. It is very very common in Cambodia.
By Luy Lyda, Radiologist
06/27/2005.
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SAPHO SYNDROME

Case 1790870
MSK › Other
old
1 image
SAPHO syndrome is a chronic disorder that involves the skin, bone, and joints. SAPHO is an eponym for the combination of synovitis, acne, pustulosis, hyperostosis, and osteitis.
By Hung-Wen Kao, Resident
06/26/2005.
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MAZABRAUD'S SYNDROME

Case 1790974
MSK › Congenital
old
4 images
Mazabraud's syndrome Mazabraud's syndrome is a rare entity represented by the association of fibrous dysplasia and intramuscular myxomas.
By Hung-Wen Kao, Resident
06/26/2005.
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METHYLMANONIC ACIDEMIA

Case 1791035
Neuro › Metabolic
old
1 image
Methylmanonic acidemia
By Hung-Wen Kao, Resident
06/26/2005.
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SCHEUERMANN'S DISEASE

Case 1791048
Spine › Congenital
old
1 image
A disorder of the spine discovered in adolescents. Formerly thought to be secondary to osteonecrosis, now felt to be secondary to (familial) congenital weakness in endplates. For diagnosis, three adjacent vertebral bodies must be involved with 5 degrees or more of wedging. … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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MOLAR PEGNANCY

Case 1792113
GU › Neoplasm
31 year old female
5 images (CT, US)
Complete Molar prgnancy. Ultrasound & CT: enlarged ovaries with cysts and a heterogeneous uterus with cystic spaces. The CT demonstrates how enlarged and displaced the theca lutean cysts were. The CT suggested invasion of the uterus which later was shown not to be true. … [view case]
06/26/2005.
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FABELLA

Case 1790885
MSK › Normal/Variants
old
1 image
fabella Sesamoid bone of lateral gastrocnemius
By Hung-Wen Kao, Resident
06/26/2005.
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CHOREA-BALLISMUS

Case 1790958
Neuro › Metabolic
old
3 MR images
By Hung-Wen Kao, Resident
06/26/2005.
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CERVICAL TRAUMA

Case 1791003
Face/Neck › Trauma
old
Prevertebral soft tissue - 3mm from C1-C4, smooth contour Anterior vertebral bodies - interuption indicates serious inj Spinolaminal line - disruption could indicate cord injury C1 ant arch should be no more than 2.5mm from dens (5mm kids) Nerve Root Avulsion - most common i … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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LUMBAR SPINE TRAUMA

Case 1791007
Spine › Trauma
old
Seat belt injury - ant compression of L1 or L2 Smith's fx - fx of post body Chance fx - results from flexion, 10% assoc w bowel damage failure of the post & middle spinal columns ant failure also poss Spondylolysis - fx of the pars interarticularis of lamina fx in ne … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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HAND TRAUMA

Case 1791009
MSK › Trauma
old
Bennett's fx - fx at base of 1st metacarpal into carpomet joi thumb adductors cause sliding, must be surgically fixed psuedo-bennett's fx - no involvement of the joint Rolando's fx - com fx at base of 1st met w joint involed Mallet Finger or Baseball Finger - avul at dorsa … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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WRIST TRAUMA

Case 1791011
MSK › Trauma
old
60% due to scaphoid fx, 10% due to triquetral fx (dorsal chip seen) ligament inj such as rotary sublux of scaphoid or perilunate disloc also AP film - often shows widening of scapholunate joint Lat Film - key to diagnosis of dorsiflexion instability shows volar angulation of … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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FOREARM TRAUMA

Case 1791013
MSK › Trauma
old
Colle's fx - dorsal ang of dist radius/ulnar styloid fx Smith's fx - volar ang of dist radius/ulna fx Plastic bowing deformity - bend but no break must be surgicaly broken & reset or lose sup & pronation Monteggia's Fx - ulna fx, (90% proximal) & prox radius … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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ELBOW TRAUMA

Case 1791015
MSK › Trauma
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Capitulum, Radius, Internal epicondyle (med),Trochlea Olecranon & External epicondyle (lat) All but lat epi fuse by 16yrs, 18 - lat fused Come Rub My Tree Of Love - Erin Masada's pneumonic Ligamentous Injuries Ulnar Collateral Lig - most important, resists valgus stress … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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SHOULDER TRAUMA

Case 1791017
MSK › Trauma
old
Neer Classifications for Fx's - based on # & angulation of frags One Part - 80%, surgical neck fx w no displacement Two Part - Fx of surgical neck w displacement >45deg angulation or >1cm apart, ORIF required Three Part - greater or lesser tuberosity avulsed & displaced Four Part - both … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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PELVIS TRAUMA

Case 1791021
MSK › Trauma
old
Acetabulum - CT needed to show free frags and subtle fx Sacrum - fx 50% of time w pelvis fx, dificult to see look for interruption of the arcuate lines stress fx can appear sclerotic in osteopenic pt, CT Malaigne Fx - SI diastasis assoc w pelvic ring Fx 60% chance of significant injury elsewhere in the body
By Hung-Wen Kao, Resident
06/26/2005.
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FEMUR TRAUMA

Case 1791023
MSK › Trauma
old
Femoral Head Dysplasia - abn fem head & acetabular relationship Etiology - Familial or anatomic variance, crowding or breech 90% effect females Laxity of capsule allows head Sublux & compress posst labrum eventually may dislocate causeing labrum to flip down II' acet … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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KNEE TRAUMA

Case 1791025
MSK › Trauma
old
Collateral Ligaments - Medial attached to the meniscus, tears more freq Medial Collateral Ligament - tear assoc w segond & ACL injury Lateral has 3 parts - fibular collateral, iliotibial collateral & arcuate Meniscul Tears - horiz Tears degenerative, vert tears post … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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FOOT AND ANKLE TRAUMA

Case 1791027
MSK › Trauma
old
Cavus - elevation of the arch of the foot Plantus - flattening of the arch of the foot Maisonneuve Fx - proximal fibula Fx which is often associated w ankle fractures proximal films must always be obtained to rule this out Dr. Abrahams asked me this question during oral boa … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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PEDIATRIC TRAUMA

Case 1791029
Other › Trauma
old
Birth Trauma - Clavicle fx #1, femur & humerus poss usually spiral fx of diaphysis II' to breech Undetected metaphyseal & epiphyseal fx freq Good prognosis, pseudoarthrosis very rare Battered Child - Metaphyseal avul or "Corner Fx" pathog may see squaring … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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MRI OF BONE MARROW

Case 1791031
MSK › Other
old
MRI CHARACTERISTICS OF BONE MARROW LESIONS Gradient Recalled Echo Images - partial flip angle followed by 180 effective trans relaxation (T2*) instead of T2 Susceptibility differences cause irreversible dephaseing, shortening T2* Trabecula in marrow form inhomogeneous suscep … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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CERVICAL NEUROBLASTOMA

Case 1791056
Face/Neck › Neoplasm
old
1 CT image
Neuroblastoma: Cervical neuroblastoma usually appears as a large cervical tumor and may be associated with stridor, dysphagia, and sympathetic ganglia compression (Horner syndrome). It is the most common extracranial solid tumor, representing 8-10% of childhood cancers. The … [view case]
By Hung-Wen Kao, Resident
06/26/2005.
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TRIQUETRAL FRACTURE

Case 1791062
MSK › Trauma
old
1 image
triquetrum is the most doral carpal bone, the styloid process point to it.
By Hung-Wen Kao, Resident
06/26/2005.
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ENDOBRONCHIAL CARCINOID

Case 1789715
Chest › Neoplasm
14 year old male
4 images (CT, 3D)
Endobroncial Carcinoid 1 cm mass with near complete obstruction of the right mainstem bronchus is seen on conventional CT and virtual bronchoscopy. There was a severe obstructive pneumonia. This was necrotizing and becoming an abscess. (see air pockets on 3D oblique coronal.) … [view case]
06/25/2005.
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ANTERIOR KNEE ANATOMY

Case 1784092
MSK › Normal/Variants
old
18 Photo images
Anterior knee anatomy
By Dean Thornton, Radiologist
06/24/2005.
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SHOULDER PAIN AFTER INJURY

Case 1785776
MSK › Trauma
old
8 images (Arthro, MR)
HAGL (humeral avulsion of glenohumeral ligament)
By Dean Thornton, Radiologist
06/24/2005.
Not yet rated

KNEE PAIN

Case 1785665
MSK › Benign Mass, Cyst
old
4 MR images
ACL ganglion cyst (mucoid degeneration) with intraosseous extension
By Dean Thornton, Radiologist
06/24/2005.
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KNEE PAIN AFTER INJURY

Case 1785874
MSK › Trauma
old
4 MR images
Posterior root tear of the medial meniscus.
By Dean Thornton, Radiologist
06/24/2005.
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FOOT PAIN

Case 1785909
MSK › Trauma
old
4 MR images
Navicular stress fracture
By Dean Thornton, Radiologist
06/24/2005.
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NORMAL VARIANT

Case 1786086
MSK › Normal/Variants
old
1 image (Arthro, MR)
Type III superior labrum.
By Dean Thornton, Radiologist
06/24/2005.
Not yet rated

NECK PAIN

Case 1780166
Neuro › Benign Mass, Cyst
40 year old female
2 MR images
Rathke's pouch cyst
By UAB Radiology Residents, Radiologist
06/23/2005.
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KNEE PAIN, ANTERIOR AFTER INJURY

Case 1758464
MSK › Metabolic
old
5 images (CR, MR)
Patellar tendon tear. Bone infarcts. (History of SLE on steroids)
By Dean Thornton, Radiologist
06/23/2005.
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KNEE PAIN, ANTERIOR AFTER INJURY

Case 1781117
MSK › Trauma
old
2 MR images
Prepatellar bursitis, traumatic
By Dean Thornton, Radiologist
06/23/2005.
Not yet rated

MALIGNANT MELANOMA, RESTAGING

Case 1782631
Other › Neoplasm
85 year old male
1. FOUR HYPERMETABOLIC LEFT LUNG NODULES ARE SUSPICIOUS FOR MALIGNANCY. 2. HYPERMETABOLIC RIGHT HILAR LYMPHADENOPATHY IS COMPATIBLE WITH INFLAMMATION OR MALIGNANCY. 3. HYPERMETABOLIC PROXIMAL TO MID ESOPHAGUS IS COMPATIBLE WITH INFLAMMATION. CLINICAL CORRELATION IS ADVISED. 4. NEGATIVE FOR HYPERMET … [view case]
By Nuclear Medicine, Radiologist
06/23/2005.
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FALLEN FRAGMENT SIGN

Case 1772449
MSK › Benign Mass, Cyst
old
1 CR image
Unicameral Bone cyst with a fallen fragment sign, denoting a fracture of the cyst and bone fragment floating in the cyst. Expansile cystic replacement of the metadiaphysis of the proximal humerus. A small feck of bone is evident in the lower aspect of the cyst.
By Winthrop Radiology, Radiologist
06/21/2005.
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ABC OF RADIUS

Case 1772324
MSK › Neoplasm
old
1 CR image
Aneurysmal Bone Cyst of the Radius Expansile lesion in the distal/epiphysis of the radius.
By Winthrop Radiology, Radiologist
06/21/2005.
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ACROMEGALY

Case 1772334
MSK › Metabolic
old
1 CR image
Acromegaly Widened, spade shaped tufts of the distal phalanges. Hooks extending from the palmar aspect of the head/neck junction of the metacarpals.
By Winthrop Radiology, Radiologist
06/21/2005.
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TREVOR'S DISEASE

Case 1772370
MSK › Benign Mass, Cyst
old
2 CR images
Trevor's disease (dysplasia epiphysealis hemimelica) AKA- tarsoepiphyseal aclasis Asymetric cartilagenous overgrowth of one or moe epiphyses or tarsal or carpal bone. "osteochondroma of the epiphysis" Boys more than girls. Appears between 2 and 14 years old as a pain … [view case]
By Winthrop Radiology, Radiologist
06/21/2005.
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GAUCHER DISEASE

Case 1772349
MSK › Congenital
old
1 CR image
Gaucher Disease Erlenmeyer flask deformity of distal femur and proximal tibia. Autosomal recessive. Female more than male. Ashenazi Jews. Also leads to multiple bone infarctions.
By Winthrop Radiology, Radiologist
06/21/2005.
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PVNS OF THE HIP

Case 1772393
MSK › Inflammatory
old
1 CR image
Pigmented Villonodular Synovitis of the left hip. Well defined intraarticular sclerotic rimmed erosions of the medial femoral neck without joint space narrowing. Monoarticular subchondral pressure erosions without califications, osteoporosis or joint space narrowing (until late).
By Winthrop Radiology, Radiologist
06/21/2005.
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THALASSEMIA

Case 1772426
MSK › Hematological
old
2 images
Thalassemia Hair-on-end apperance of the skull. Widening of diploic space of skull. Erlenmeyer flask deformity of distal femur. Hair-on-end appearence of the skull (frontal bone and not inferior to occipital protuberance). There is also widening of the diploic space with coars … [view case]
By Winthrop Radiology, Radiologist
06/21/2005.
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PELLEGRINI-STIEDA SYNDROME

Case 1772458
MSK › Trauma
old
1 CR image
Pellegrini-Sieda Syndrome Ossification along the soft tissues adjacent to the medial femoral epicondyle. posttraumatic ossification about the medial collateral ligament.
By Winthrop Radiology, Radiologist
06/21/2005.
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UNSTABLE C-SPINE ON UPRIGHT FILMS

Case 1763997
Spine › Trauma
52 year old male
11 images (CT, CR)
C-spine fracture with flexion/distraction ligamentous injury CT C-spine: C3 spinous process fracture, C3 left transverse process fracture, no focal malalignment Upright C-spine: Acute kyphosis at C3-4 with widening of the facet joints. CT may only demonstrate fractures appa … [view case]
By Rahul Patel, Resident
06/20/2005.
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