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MENETRIER'S DISEASE

Case 2854724
GI › Inflammatory
old
menetrier's Disease Thickened gastric folds - also known as giant hypertrophic gastritis - massive enlargement of rugal folds due to hyperplasia and hypertrophy of gastric glands - part. prom. along greater curvature (classically seen in fundus and body) - Lose protein from excessive secretion of gastric mucus (hypoproteinemia)
1.0
1 rating

MENETRIER'S DISEASE

Case 2854725
GI › Inflammatory
old
2 images
menetrier's Disease Thickened gastric folds - also known as giant hypertrophic gastritis - massive enlargement of rugal folds due to hyperplasia and hypertrophy of gastric glands - part. prom. along greater curvature (classically seen in fundus and body) - Lose protein from excessive secretion of gastric mucus (hypoproteinemia)
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DUODENAL AND JEJUNAL STRONGYLOIDES

Case 2854763
GI › Infection
old
3 images
duodenal AND JEJUNAL STRONGYLOIDES Narrowing of gasrtic antrum, mild dilatation and loss of mucosal detail in the duodenum particularly the 2nd and 3rd portions and mild mucosal thickening of the proximal jejunum is seen. Widening of the C-loop is present, but not related to the diagnosis.
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CROHN'S DISEASE

Case 2854840
GI › Inflammatory
37 year old female
1 image
crohn's disease You are presented with two views of the ileocolic region. There are tiny lucencies in the terminal ileum. The lucencies are not entirely regular with some coalescing to suggest linear ulcerations. Peristalsis of the terminal ileum was normal and there was no fixed s … [view case]
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FELINE ESOPHAGUS (TRANSVERSE ESOPHAGEAL FOLD…

Case 2854827
GI › Other
32 year old female
1 image
FELINE ESOPHAGUS (TRANSVERSE ESOPHAGEAL FOLDS) Transient, fine, regular transverse folds seen along the mid- esophagus during a barium swallow Feline esophagus was originally described as a normal variant on double contrast studies but is now considered a transient motility ph … [view case]
1 comment
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ILEAL ATRESIA

Case 2865183
GI › Congenital
old
2 images
ileal atresia Multiple dilated loops of bowel or colon predominately on the left. BE shows small calibre of the colon associated with disuse ("microcolon"). ILEAL ATRESIA - atresia more common than stenosis - distal SB obstruction twice as common as duodenal atr … [view case]
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PNEUMATOSIS INTESTINALIS

Case 2865224
GI › Other
old
1 image
pneumatosis intestinalis Massively distended loops of small bowel suggesting SBO. The are diffuse collections of air in the wall of the R and transverse colon. This abnormality consists of multiple gas containing cysts of various sizes in the subserosa of the bowel, large int … [view case]
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CROHN'S DISEASE

Case 2865854
GI › Inflammatory
20 year old male
4 images
crohn's disease CT of abdomen - thickened and fluid filled loops of jejunum and ileum; without dilatation; diffuse mesenteric inflammation; stomach, large bowel and appendix appear normal; no fluid collections; stomach appears normal; no apparent vascular abnormality; fluid around liv … [view case]
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RECTUS SHEATH HEMATOMA

Case 2944300
GI › Trauma
87 year old male
4 images
rectus sheath hematoma CT abd(1) - fluid attenuation mass of L anterior abdominal wall; no associated intraabdominal abnormalities CT abd(2) - soft tissue mass of R anterior abdominal wall
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INGUINAL HERNIA

Case 2944704
GI › Other
84 year old male
1 image
inguinal hernia Barium enema with reflux into right inguinal hernia, also can see gas in small bowel in the same region.
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SACRALIZATION OF L5

Case 2999390
Spine › Normal/Variants
old
2 images
sacralization of l5 AP pelvis - sclerotic horizontal line through sacral wings bilaterally Bone scan - normal activity of pelvis
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PSEUDOMEMBRANOUS COLITIS

Case 3005613
GI › Inflammatory
70 year old male
4 images
pseudomembranous colitis Ascites with marked inflammatory changes involving the entire colon. Colon wall thickening and edema of the mesentery is seen. PSEUDOMEMBRANEOUS COLITIS - cytotoxin produced by C. difficile Predisposed a) complication of any antibiotic therap … [view case]
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ACQUIRED CYSTIC RENAL DISEASE

Case 3005643
GU › Neoplasm
47 year old male
2 images
acquired cystic renal disease The kidneys are nonenhancing and demonstrate innumerable bilateral cysts and dystrophic calcification. The kidneys measure 7 and 8 cm longitudinally. These are smaller than normal but are larger than atrophic kidneys without cystic disease. Also prese … [view case]
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NORMAL PHASED ARRAY SPINAL FILMS

Case 3005701
Spine › Normal/Variants
old
4 images
normal phased array spinal films
1.0
1 rating

EPIDURAL ABSCESS CERVICAL SPINE

Case 2999427
Spine › Inflammatory
61 year old female
3 images
epidural abscess cervical spine Epidural collection with enhancing rim. Mass effect on cord. Acute epidural abscesses usually develop as a result of hematogenous seeding from pulmonary, urinary, or cutaneous infections. Diabetes mellitus and immunosuppression are risk factor … [view case]
1.5
2 ratings

ZENKER'S DIVERTICULUM

Case 5232836
GI › Inflammatory
old male
2 CR images
Zenker's Diverticulum esophogram - posterior diverticulum of posterior esophagus at 6-7 Zenker Diverticulum  =pulsion diverticulum with herniation of mucosa + submucosa through muscle bundles(pseudo diverticulum) of the cricopharyngeal muscle Etiology:  cricopharyngeal dysfun … [view case]
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LATERAL EPICONDYLITIS "TENNIS ELBOW"

Case 5233738
MSK › Trauma
35 year old male
4 MR images
Lateral Epicondylitis  "Tennis Elbow" Edema and thickening of the common extensor tendon. "Tennis Elbow"      Pain elicited with forearm supination and active dorsiflexion of the wrist.      Etiology:  tearing of extensor tendon fibers at  the lateral epico … [view case]
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RUPTURE LONG HEAD BICEPS TENDON

Case 5233829
MSK › Trauma
43 year old male
3 MR images
rupture long head biceps tendon Left Shoulder MRI: Absent signal void of tendon in fluid filled sheath in bicipetal groove seen best on T2 weighted axial images. Mechanism of injury - forced flexion against strong resistance. Origins of biceps tendon Long head-supra … [view case]
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GI CASE

Case 5231477
GI › Other
45 year old male
3 images
ileocolic intussusception BE - filling defect of cecum Intussusception =invagination or prolapse of a segment of intestinal tract (=intussesceptum) into the lumen of adjacent intestine (=intussuscipiens) A.  In children(94%)  Etiology:   1)idiopathic(over 95%)   2)lead point( … [view case]
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STEINSTRASSE

Case 1529974
GU › Other
45 year old male
2 images
steinstrasse Left ureteral "double-J" stent in good position. Small renal calculi overlying lower pole collecting system. Small punctate calcification in upper pole of left kidney. Amorphous calcification in distal ureter adjacent to stent. Earlier study, prior to stent … [view case]
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FIBROEPITHELIAL POLYP URETER

Case 1530018
GU › Neoplasm
40 year old female
1 image
Fibroepithelial Polyp Ureter IVU shows left hydronephrosis with and intraluminal filling defect. Careful analysis suggests attachment to the mucosa but a portion is pedunculated. Fibroepithelial polyp- Mesodermal tumor with fibrovascular stroma and normal transitional mucosa … [view case]
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BILATERAL RENAL CELL CARCINOMAS

Case 1530797
GU › Neoplasm
63 year old male
3 images
bilateral renal cell carcinomas CT of the abdomen and pelvis reveals bilateral enhancing solid renal masses. There is thrombosis visualized in the left renal vein, making this Stage III A. 1. Malignant Tumors: 1) Malignant Lymphoma/Hodkin's disease, 2) Metastases, 3) Renal Ce … [view case]
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SECRETORY CALCIFICATIONS

Case 1530805
GU › Other
70 year old female
2 images
secretory calcifications Bilateral mammogram demonstrating multiple "rod-like" calcifications in both breasts of the same density. In addition there are lobular calcifications which appear benign. SECRETORY CALCIFICATIONS - due to prolonged inspissation of secreti … [view case]
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URETERAL METASTASES

Case 1530888
GU › Neoplasm
old male
ureteral metastases Bilateral retrograde pyelogram reveals multiple diffuse strictures of the ureters bilaterally. TCC is by far the most common primary tumor of the ureter, with squamous cell carcinoma much less common and adenocarcinomas vanishingly rare. Carcinomas of the … [view case]
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MITRAL REGURGITATION

Case 1581895
Heart › Congenital
41 year old female
mitral regurgitation 1. Left atrial and left ventricular enlargement 2. Pulmonary Venous Hypertension Differential Diagnosis of Pulmonary Venous Hypertension (PCWP > 15mmHg) I. Left ventricular inflow tract obstruction - normal sized heart with RVH, prominent pulmonary tru … [view case]
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US IMAGES OF LIVER ABSCESS WITH GAS FORMATION

Case 819718
GI › Infection
72 year old female
11 images (CT, CR, US)
Liver abscess (pus culture: K.P.) with gas formation Chest X-ray: progressive abnormal air density in right subphrenic area. US: multipli hyperechoic foci within parenchyma of right lobe liver, suggesting liver abscess with gas formation. CT: necrtic mass with gas formation in right lobe liver. Abscess draining: as showed.
By Tsao D.F, Radiologist
02/19/2007.
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HEPATIC HEMATOMA

Case 1708079
GI › Trauma
56 year old female
7 images (CT, Angio, US)
hepatic hematoma Abdominal sonography showed a hyperechoic mass lesion about 7 x 5 Cm in size over S7-8 segment of liver with well defind margion and without blood flow under color-Doppler sonography. 3 phase abdominal CT showed a low attenuation mass about 9x 5 cm in size over S7-8 s … [view case]
By chaoyu shen, Resident
02/19/2007.
5.0
1 rating

INTUSSUSCEPTION

Case 1365691
GI › Infection
old female
3 images (GI, US)
Intussusception Abdominal USG demonstrating concentric rings of hypoechoic and hyperechoic layers C/W donut or bull's eye sign seen on transverse sections of SB. Longitudinal scan demonstrates the intusseptum invaginating into the intussuscipiens. Pylorus is normal. SB series confir … [view case]
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MRA - LOWER EXTREMITIES

Case 1825468
Vascular/Lymphatic › Congenital
56 year old male
2 images
MRA - lower extremities MRA - lower extremities - short segment occlusion of right common iliac artery
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AAA OF PSEUDOANEURYSM

Case 1825461
Vascular/Lymphatic › Vascular
old female
4 CR images
AAA of pseudoaneurysm CT abd - large AAA with pseudoaneurysm on right lateral side of aneurysm U/S - demonstrates the AAA
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LYMPHOMA

Case 1826221
GU › Neoplasm
old male
3 images
Lymphoma CT abd - infrarenal periaortic mass encasing aorta and proximal iliac arteries
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RENAL CELL CARCINOMA

Case 1826254
GU › Neoplasm
63 year old female
4 images
renal cell carcinoma CT abd - large inhomogeneous exophytic left renal mass with peripheral calcifications; left renal vein filling defect - thrombus RCC predisposed tobacco VHL acquired cysts from renal failure multiple - VHL (bilat 1-3% … [view case]
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ADRENAL MASS

Case 1826277
GU › Neoplasm
old male
adrenal mass CT abd - large heterogeneous nonenhancing right supra renal mass U/S - heterogeneous echogenic mass
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HYDATID CYST LIVER

Case 1828642
GI › Infection
27 year old male
2 images
hydatid cyst liver MR Abdomen: • T1W1 -> low intensity lesion left lobe liver, septations present •T2W1 -> high intensity lesion now with septations better seen coursing through cystic mass 1. Echinococcus granulosis • life cycle -> dogs are chill mediators w … [view case]
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OSTEOCHONDRITIS DISSECANS - TALUS

Case 1828724
MSK › Trauma
76 year old female
1 image
osteochondritis dissecans - talus • A-P tomogram left foot - subchondral lucent lesion of lateral talar dome - central area of increased density (bony fragment) 1) Transchondral fractures involving the talus • osteochondritis dissecans • usually involves the med … [view case]
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FOCAL FATTY INFILTRATION

Case 1829020
GI › Metabolic
old female
2 images
Focal Fatty Infiltration CASE A • multiple low density lesions within liver • nodular in shape • do not appear to distort hepatic vasculature CASE B • multiple fan-shaped areas of low attenuation within liver Asymptomatic two cases (please look at case A first) FOCAL … [view case]
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ACUTE APPENDICITIS

Case 1829242
GI › Infection
55 year old male
5 images
acute appendicitis • marked thickening of the cecum and possibly the terminal ileum • extraluminal fluid collection • thickening of anterior pararenal fascia
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UGI BLEED FROM LEFT GASTRIC ARTERY TREATED W…

Case 1836316
Vascular/Lymphatic › Vascular
70 year old male
4 Angio images
Upper GI bleed Left gastric artery injection shows active extravasation of contrast. Post pitressin, there is no more bleeding.
02/19/2007.
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HEMATOBILIA

Case 1836486
Vascular/Lymphatic › Vascular
old
3 Angio images
Hematobilia Active extravasation into CBD from hepatic artery injection successfully embolized
02/19/2007.
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UPPER GI BLEED DUE TO PEPTIC ULCER UNSUCCESS…

Case 1836684
Vascular/Lymphatic › Vascular
old
6 Angio images
02/19/2007.
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UGI BLEED DUE TO DUODENAL ULCER TREATED WITH…

Case 1837208
Vascular/Lymphatic › Vascular
old
5 images
02/19/2007.
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UGI BLEED DUE TO DUODENAL ULCER

Case 1837234
Vascular/Lymphatic › Vascular
old
5 Angio images
02/19/2007.
Not yet rated

OSTEOMYELITIS

Case 1553086
MSK › Infection
13 year old male
9 images (CT, CR, MR)
Osetomyelitis lower tibia
By Aileen Isaac, Other Health Care Professional
02/19/2007.
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PROBABLE LYMPHOMA

Case 1529962
Face/Neck › Neoplasm
63 year old female
probable lymphoma C.T. contrast reveals a 1.5 cm low attenuation mass with peripheral enhancement in the right submandibular triangle, just anteroinferior to the submandibular gland. The margins of this mass are ill defined suggesting inflammatory change or infiltration of the surrou … [view case]
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DORSAL PATELLA DEFECT

Case 1529978
MSK › Normal/Variants
old female
dorsal patella defect Well defined ovoid osteolytic lesion involving the postero- and superolateral aspect of the patella, extending to the subchondral bone plate. The lesion margin is somewhat sclerotic. Three lesions commonly affecting the patella include dorsal defect of t … [view case]
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ECHINOCOCCOSIS

Case 1530046
MSK › Infection
old
echinococcosis Multiloculated, bubbly, expansile lesion involving essentially the entire humerus. There is focal cortical disruption in the lower diaphysis. No soft tissue mass is identified. Echinococcosis is produced by the larval stage of E. granulosus (less commonly E. m … [view case]
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SPLENIC INFARCTION

Case 1530057
GI › Other
78 year old male
splenic infarction CT of the abdomen with contrast demonstrating a large low-attenuation lesion in the spleen. Incidentally noted are small bilateral pleural effusions. Splenic Infarctions - most common cause of splenic lesions Causes 1. Bacterial endocarditis (responsible i … [view case]
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DUODENAL ULCER PERFORATION WITH FREE AIR

Case 1530078
GI › Other
old
duodenal ulcer perforation with free air Supine radiograph demonstrating numerous dilated loops of small bowel with a double wall sign. CT of the abdomen shows free air anterior to stomach below the diaphragm. Signs of Free Intraperitoneal Air on Supine Radiographs 1. Double … [view case]
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CROHN'S DUODENITIS/ILEITIS

Case 1530795
GI › Infection
19 year old male
Crohn's duodenitis/ileitis UGI and SB series demmonstrating marked fold thickening in the proximal duodenum through to the second portion. There is associated marked narrowing of the duodenum with small ulcerativus. In addition there is fold thickening, narrowing and small ulceratio … [view case]
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ADULT POLYCYSTIC KIDNEY DISEASE

Case 1530837
GU › Neoplasm
old male
2 images
adult polycystic kidney disease CT of abdomen with and without contrast demonstrating multiple well-defined cysts with both the left and right kidneys with overall enlargement of both kidneys. In addition, there are small cysts visualized within the body and tail portions of the panc … [view case]
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