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AORTITIS

Case 3483369
Vascular/Lymphatic › Inflammatory
41 year old male
26 images (CT, MR)
Aortitis CT: Enhancing, hyperattenuating intramural process affecting the ascending aorta, and descending thoracic aorta segmentally; retrosternal goiter, calcified mass in the aorto-caval region that may represent a lymph node or an extra-adrenal pheochromocytoma or paraganglionoma. … [view case]
02/19/2007.
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ATROPHIC RIGHT KIDNEY IDENTIFIED BY THE PRES…

Case 3483612
GU › Vascular
76 year old male
8 CT images
Atrophic right kidney Right adrenal adenoma Atrophic small kidney with its renal vein and renal artery Abdominal aortic aneurysm Bilateral common iliac artery aneurysms Identification of renal vein is crucial in deciding whether the kidney is atrophic or congenitally absent.
02/19/2007.
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SPONTANEOUS RENAL ARTERY AND CAROTID ARTERY …

Case 3483725
Vascular/Lymphatic › Vascular
49 year old female
20 CT images
Fibromuscular dysplasia of the carotid and renal arteries with spontaneous dissection Dissection of the left renal artery Dissection of the left internal carotid artery
02/19/2007.
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SPONTANEOUS BILATERAL RENAL ARTERY DISSECTIO…

Case 3483896
Vascular/Lymphatic › Vascular
50 year old male
16 images (MR, Angio, US)
Fibromuscular dysplasia with spontaneous dissection affecting the renal arteries bilaterally Fibromuscular dysplasia with spontaneous dissection affecting both the renal arteries
02/19/2007.
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INTRAMURAL HEMATOMA EVOLUTION IN TO A DISSEC…

Case 3484003
Vascular/Lymphatic › Vascular
54 year old male
24 CT images
Intramural hematoma that evolved in to a dissection Intramural hematoma progressing in to a dissection
02/19/2007.
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TEST MIRC DUMP

Case 4327918
Vascular/Lymphatic › Hematological
34 year old male
diagnosis here findings discuss
02/19/2007.
Not yet rated

FETAL MYELOMENINGOCELE

Case 5305991
GU › Congenital
27 year old female
2 US images
fetal myelomeningocele DDx: Spina bifida with myelomeningocele or meningocele Spina bifida with sacular protrusion in cervico-thoracic region. SPINA BIFIDA • Failed closure of neural tube • Majority are sporadic and multifactoral in origin • Screening maternal serum AFP … [view case]
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MOBILE CECUM WITH MESENTERIC TORSION DUE TO …

Case 4959181
GI › Trauma
24 year old female
4 CT images
Surgical diagnosis of mobile cecum with mesenteric torsion due to Ladd's band.
By Lucio Luzzatto, Radiologist
02/19/2007.
Not yet rated

FOO

Case 3661605
Neuro › Congenital
52 year old
3 CT images
02/19/2007.
Not yet rated

ACUTE EPIPLOIC APPENDAGITIS

Case 6215614
GI › Inflammatory
62 year old female
7 CT images
Acute Epiploic Appendagitis Fig. 1 thru 7: Contiguous slices from CE-CT demonstrate a focal area of mild inflammatory response within the fat adjacent to the descending colon.  This represents an inflamed epiploic appendage with a hyperattenuating rim abutting the descending colon. … [view case]
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ERDHEIM-CHESTER DISEASE AND MESENTERIC PANNI…

Case 2659581
Neuro › Inflammatory
56 year old female
Erdheim-Chester disease, with bone and brain involvment, facial xanthomas and mesenteric panniculitis. Abdominal MRI shows unchanged appearance of the mesenteric panniculitis (image 1). PET scan with FDG shows two foci of hypermetabolic activity in the mesenteric lesion (image 2). Bra … [view case]
By Marc Lemort, Radiologist
02/19/2007.
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MULTIPLE SCHWANNOMA

Case 2699571
Spine › Neoplasm
62 year old female
6 images
multiple schwannoma Masses expand the neural foramina at C7-T1 rt and C6-C7 lt. High signal intensity on T2 weighted images suggest nerve sheath tumor.
1.5
2 ratings

CERVICAL CANCER

Case 2699781
GU › Neoplasm
71 year old female
2 CT images
cervical cancer • hypodense area present centrally within uterus • uterus demostrates generalized enlargement for patient's age HYDRO/HEMATOMETROCOLPOS • accumulation of fluid(hydro)/blood (hemato)/pus(pyo) • types: 1) Acquired -> see DDx 2) Congenital • 1: … [view case]
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CERVICAL SPINAL CORD GLIOMA

Case 2699902
Spine › Neoplasm
44 year old male
cervical spinal cord glioma - cord enlargement C5-6 level on myelogram - plain films SPINAL CORD GLIOMA 1. Ependymoma (60-70%) Location: lower cord, conus medullaris, filum terminale; extends over several vertebral segments X-Ray: - well demarcated / diffusely infilt … [view case]
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THYMOMA (LYMPHOCYTIC)

Case 2703512
Chest › Neoplasm
65 year old female
2 images
thymoma (lymphocytic) 1. Thymoma or solid thymus lesions a. Benign thymoma - 70% b. Malignant thymoma c. Thymolipoma (fatty elements), Benign d. Lymphoma of thymus 2. Teratoid Lesi … [view case]
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NORMAL CENTRAL CANAL VS. BENIGN SYRINX

Case 2705992
Spine › Normal/Variants
56 year old male
2 images
normal central canal vs. benign syrinx A prominent fluid collection centrally within the cord extending from the 4th ventricle inferiorly to the distal thoracic cord. No focal areas of abnormal enhancement is seen. Most likely represent normal central canal because of its long lengt … [view case]
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APPENDICITIS WITH ABSCESS

Case 2854562
GI › Inflammatory
76 year old male
5 images
appendicitis with abscess Spot film of TI - coned cecum Small bowel series - displacement of loops from R->L CT abd - mesenteric fluid and air filled mass
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COLON INTUSSUSCEPTION 2° TO CECAL CARCINOMA

Case 2944268
GI › Other
73 year old female
5 images
colon intussusception 2° to cecal carcinoma Flat decibitus abdominal films show multiple dilated small bowel loops with air fluid levels. Questionably air in sigmoid colon or rectum. Hypaque enema demonstrates intraluminal filling defect (convex mass) causing complete obstruction in … [view case]
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HEPATIC LACERATION

Case 2944326
GI › Trauma
52 year old female
3 images
hepatic laceration CT abd - linear areas of decreased attenuation in inferior segment of liver; perihepatic fluid; R flank soft tissue fullness and stranding
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PSEUDOMEMBRANOUS COLITIS

Case 2944395
GI › Inflammatory
64 year old male
4 images
Pseudomembranous colitis CT abd - extensive thickened, endemetous (splenic wall); ascites Pseudomembranous Colitis Etiologic agent: Clostridium difficile Predisposed: a) antibiotic therapy b) surgery/renal transplantation/irradiation; intestinal vascular insuff … [view case]
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STAGHORN CALCULUS

Case 3005678
GU › Other
old female
1 image
staghorn calculus Retrograde pyelogram: large filling defect in renal pelvis Staghorn calculus: Staghorn calculi are usually composed of magnesium ammonium phosphate, also known as struvite. Urinary tract infection with Proteus or other urea-splitting organisms and an alkaline environment predispose to staghorn calculi.
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EXTRADURAL SPINAL LESION - PROBABLE HNP

Case 3006095
Spine › Other
69 year old female
2 images
extradural spinal lesion - probable hnp MRI - extradural mass on left, occupying the neuroforamen at the L4-5 level. The nerve root at this level (L4) is partially separated from this mass. Mass is low signal T1 and higher signal on T2. Diagnostic Possibilities: Tumor Beni … [view case]
1 comment
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EPENDYMOMA OF CONUS MEDULLARIS

Case 3006120
Spine › Neoplasm
51 year old female
4 images
ependymoma of conus medullaris Lumbar radiculopathy
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FRACTURE OF THE MIDSHAFT OF THE HUMERUS

Case 2051475
MSK › Trauma
old
1 CR image
By John Zachary, Radiologist
02/19/2007.
Not yet rated

41.4

Case 2051697
MSK › Trauma
old
1 CR image
By John Zachary, Radiologist
02/19/2007.
Not yet rated

METABOLIC & ENDOCRINE ON POWERPOINT

Case 2652432
MSK › Metabolic
old
1 image
By Christine Ferris, Educator
02/19/2007.
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OSTEOCHONDRITIS DISSECANS - TALUS

Case 2695916
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 medi … [view case]
1.0
2 ratings

ADRENAL MASS

Case 2696021
GU › Neoplasm
old male
2 images (CT, US)
adrenal mass CT abd - large heterogeneous nonenhancing right supra renal mass U/S - heterogeneous echogenic mass
1.0
1 rating

NEPHROBLASTOMA (CYSTIC WILMS)

Case 2699501
GU › Neoplasm
13 year old female
5 images
nephroblastoma (cystic wilms) • Large multicystic right renal mass • Thick septae WILM'S TUMOR • Incidence - most common malignant abdominal neoplasm in childhood - third most common renal mass (hydronephrosis/MDK) - third most common malignancy in childhood (leukemia … [view case]
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LATERAL MENISCUS TEAR POPLITEAL CYST

Case 2706135
MSK › Trauma
37 year old female
2 images
Lateral Meniscus Tear Popliteal Cyst vertical tear of lateral meniscus
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CONGENITAL MEGALOURETER

Case 2706159
GU › Other
48 year old male
2 images
congenital megaloureter IVU - extensive dilatation of renal collecting system bilaterally with no apparent obstruction Megaloureter =congenital primary megaureter =intrinsic congenital dilatation of lower juxtavesical orthotopic ureter Cause: aperistaltic juxtavesical segment … [view case]
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ADRENAL ADENOMA

Case 2706204
GU › Neoplasm
old
1 image
adrenal adenoma CT abd - small nonenhancing left renal mass mass < 3cm likely benign > 5cm likely malignant CT < OHU indicate nonhyperfunctioning adenomas Adenoma a) nonhyperfunctioning activity on NP-59 scan NL lab values b) … [view case]
1 comment
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SUBSCAPULAR HEMATOMA

Case 2706195
GU › Trauma
old male
1 image
Subscapular Hematoma CT abd - left subscapular renal hematoma; stranding of left perinephric space Subscapular mass with flattening of renal parenchyma. Angio- avascular mass Cx: Page kidney -> ischemia, release of renin, HTN
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TRANSITIONAL CELL CARCINOMA OF RENAL PELVIS

Case 2706228
GU › Neoplasm
66 year old female
3 images
transitional cell carcinoma of renal pelvis CT - soft tissue in right renal pelvis (non obstructive); left renal cyst IVP - filling defect superior aspect right renal pelvis Transitional Cell Carcinoma (TCC) INCIDENCE: 85% of all urothelial tumors; 7% all renal neoplasms; 85% … [view case]
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BONE ISLAND RIGHT SACRAL WING

Case 2706326
Spine › Normal/Variants
38 year old male
2 images
Bone island right sacral wing Plain films - sclerotic lesion in inferior right sacral ala with brush border margins CT - sclerotic lesion in right sacral wing Bone Island - enostosis Asymptomatic Any age Location - ilium, ribs, femur, humerus, phalanges, (met in skull) … [view case]
4.0
1 rating

AINHUM DISEASE

Case 2706381
MSK › Other
old
3 images
ainhum disease - osteolysis of distal aspect of 5th proximal phalanx - osteopenia, soft tissue calcifications, pes planus Ainhum Disease (Dactylolysis spontanea) unknown etiology Hyperkeratotic epidermis with fibrous thickening of underlying collagen; chronic lymph. infi … [view case]
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TRANSITIONAL CELL CARCINOMA - BERGMAN SIGN

Case 2721813
GU › Neoplasm
64 year old male
1 image
transitional cell carcinoma - Bergman sign Retrograde urogram demonstrates an irregular ureteral filling defect with complete obstruction and distal ureteral dilation, producing the chalice appearance described by Bergman. This appearance is virtually pathognomic for neoplasm. Obstructing stones generally lead to distal spasm, not dilation.
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SLIPPED CAPITAL FEMORAL EPIPHYSIS

Case 2721922
MSK › Trauma
12 year old male
2 images
Slipped capital femoral epiphysis Widened physis. Femoral neck displaced anteriorly and superolaterally. Subtle loss of epiphyseal height. - Type of Salter I fracture - Relatively common, seen in adolescents, boys, obese, black - both mechanical and endocrine factors … [view case]
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ADRENAL METASTASIS

Case 2721935
GU › Neoplasm
76 year old female
2 images
adrenal metastasis UNILATERAL ADRENAL MASS Small (< 4cm) 1. Adenoma 2. Metastasis 3. Pheochromocytoma 4. Hyperplasia Large (> 4cm) 1. Adrenal Carcinoma 2. Pheochromocytoma 3. Hematoma 4. Metastasis 5. Infection (histo / T … [view case]
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LEGG-PERTHES DISEASE

Case 2725513
MSK › Trauma
10 year old male
3 images
Legg-Perthes disease T1 and T2 weighted images - coronal and axial: - abnormal decreased signal within the capital femoral epiphysis of the left hip; associated deformity and flattening - moderate associated joint effusion Findings are compatible with the clinical diagnosis … [view case]
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CLOVER-LEAF DEFORMITY OF DUODENAL BULB

Case 2854354
GI › Inflammatory
24 year old female
1 image
clover-leaf deformity of duodenal bulb Typically clover-leaf deformity of duodenal bulb is associated with duodenal ulcer disease, usually, the healed stage.
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CLOVERLEAF DUODENAL BULB

Case 2854388
GI › Inflammatory
old male
1 image
cloverleaf duodenal bulb UGI - cloverleaf deformity of duodenal bulb cloverleaf deformity = hourglass stenosis represents healed stage of duodenal ulcer disease Predisposed to duodenal ulcer: cartisene Tx, severe cerebral injury, post surgery, COPD
1.0
1 rating

BRUNNER'S GLAND HYPERPLASIA

Case 2854410
GI › Inflammatory
65 year old male
4 images
Brunner's Gland hyperplasia Thickening of duodenal folds nodularity in 1st and 2nd portions of duodenum Diagnostic Possibilities Inflammatory Disorders PUD Brunner's Gland Hyperplasia Duodenitis Pancreatitis Cholecystitis Uremia Crohn's TB Parasite … [view case]
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INTUSSUSCEPTION 2° TO LIPOMA

Case 2854587
GI › Other
51 year old male
3 images
intussusception 2° to lipoma Obstruction in sigmoid colon with convexity to the barium column. Barium thickening "around" the obstruction. Coiled-spring appearance on post-evac film. INTUSSUSCEPTION - most occur in children (< 2 years); typically ileocolic - … [view case]
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CROHN'S DISEASE

Case 2854609
GI › Inflammatory
old male
3 images
crohn's disease Mucosal irregularity and narrowing of TI. "String sign" present,
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CROHN'S DISEASE INVOLVING THE DISTAL JEJUNUM

Case 2854659
GI › Inflammatory
old female
2 images
crohn's disease involving the distal jejunum Small bowel examination demonstrates an abnormal area in the right mid-abdomen with several narrowed segments of small bowel and some sacculation of the bowel. The bowel wall is thickened and irregular. No obstruction is present. This is … [view case]
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INVERTED APPENDIX

Case 2854710
GI › Trauma
48 year old male
1 image
inverted appendix Small < 2 cm polypoid filling defect in the cecum along its medial inferior margin at the typical location of the appendix.
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MENETRIER'S DISEASE

Case 2854722
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 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)
Not yet rated