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October 2014 Issue

 




Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Bronchopulmonary sequestration in a 60 year old man by Lena Naffaa et al.

Published: 2014 Oct
Issue: 8(10) :: Pages: 32-39


Free full text article: Bronchopulmonary sequestration in a 60 year old man

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Abstract: We report a case of bronchopulmonary sequestration (BPS) in a 60 year old man with recurrent cough. After failed antibiotic therapy for presumed left lower lobe (LLL) pneumonia seen on chest radiographs, bronchoscopy was performed revealing cryptogenic organizing pneumonia. Further work-up with thoracic imaging demonstrates a feeding artery from the thoracic aorta to the LLL consolidation indicating the presence of BPS. A brief review of the clinical and radiological features and management options of BPS are listed, with particular emphasis on the various imaging modalities and techniques in the diagnosis and pre-surgical planning of intralobar sequestration.


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Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Duplicated Pelvic Floor Musculature and Diastematomyelia in a Cloacal Exstrophy Patient by Brian M Inouye et al.

Published: 2014 Oct
Issue: 8(10) :: Pages: 8-14


Free full text article: Duplicated Pelvic Floor Musculature and Diastematomyelia in a Cloacal Exstrophy Patient

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Abstract: Cloacal exstrophy is the most severe and rare form of the exstrophy-epispadias complex, presenting with exposed bladder halves extruding through an abdominal wall defect and variable genitourinary, gastrointestinal, musculoskeletal, and neurological defects. The authors report magnetic resonance imaging findings of a neurologically-intact, 24-month-old female with cloacal exstrophy who presented with anterior spinal dysraphism and diastematomyelia and duplicate pelvic floor musculature. The constellation of defects suggests a common genetic, biochemical, and embryological origin for duplication of the bladder, spinal cord, and pelvic floor muscles occurring in the fourth week of gestation.


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Clinical image, Conventional Radiography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Dynamic MRI in the Diagnosis and Post Surgical Evaluation of Wandering Spleen by James K. Clark et al.

Published: 2014 Oct
Issue: 8(10) :: Pages: 15-22


Free full text article: Dynamic MRI in the Diagnosis and  Post Surgical Evaluation of Wandering Spleen

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Abstract: Wandering spleen is a rare but potentially clinically significant entity, and may be a cause for a patient presenting with acute abdomen. Because wandering spleen may present with non-specific symptoms and presentation, it can be a difficult diagnosis to make clinically. This paper describes a case report of the use of dynamic Magnetic Resonance Imaging (MRI) in a young woman to confirm the diagnosis of wandering spleen pre-operatively. The patient underwent a splenopexy and a post-operative MRI confirmed the successful surgical fixation of the patient`s spleen.


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Computed Tomography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the Cardiac Imaging section Cardiac Imaging

Pericardioesophageal Fistula Following Left Atrial Ablation Procedure by Christopher W. Bailey et al.

Published: 2014 Oct
Issue: 8(10) :: Pages: 23-31


Free full text article: Pericardioesophageal Fistula  Following Left Atrial Ablation Procedure

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Abstract: We present a case of pericardioesophageal fistula formation in a 40 year old male who 23 days after undergoing a repeat ablation procedure for atrial fibrillation developed chest pressure, chills and diaphoresis. After initial labs and tests that demonstrated no evidence for acute myocardial ischemia, the patient underwent CT angiography of the chest. The study revealed pneumopericardium and a pericardial effusion. Suspicion was raised of perforation of the posterior left atrial myocardial wall with injury to adjacent esophagus. Water soluble contrast with transition to barium sulfate esophagram subsequently performed identified a perforation further affirming the postulate of a fistulous communication between the esophagus and pericardium. Transthoracic echocardiogram confirmed pericardial effusion but did not demonstrate myocardial defect. Endoscopic management was preferred and an esophageal stent was placed. Follow up esophagram showed an intact esophageal stent without evidence of extravasation.


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Conventional Radiography, Computed Tomography, Fluoroscopy, Ultrasound, Clinical image, Table

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Other Radiology articles from the General Radiology section General Radiology

Neuroimaging and renal ultrasound manifestations of Oculocerebrorenal syndrome of Lowe by Andrew Mark Allmendinger et al.

Published: 2014 Oct
Issue: 8(10) :: Pages: 1-7


Free full text article: Neuroimaging and renal ultrasound manifestations of Oculocerebrorenal syndrome of Lowe

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Abstract: Oculocerebrorenal syndrome of Lowe (OCRL) is a multisystem disorder characterized by congenital cataracts, hypotonia, and cognitive developmental delay with renal complications developing in the first few months of life. Clinical and laboratory findings of Lowe syndrome are well documented. Though a small number of case reports describe the neuroimaging features and the renal ultrasound manifestations of this disease, a comprehensive review of all the imaging manifestations has not been reported. The authors present a case of OCRL and review the neuroimaging and renal ultrasound manifestations of this multisystem disease.


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Ultrasound, Magnetic Resonance Imaging, Table

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