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September 2010 Issue

 




Other Radiology articles from the Interventional Radiology section Interventional Radiology

Transmural Coil Extrusion After Embolization for Colonic Hemorrhage by Richard Duszak et al.

Published: 2010 Sep
Issue: 4(9) :: Pages: 31-36


Free full text article: Transmural Coil Extrusion After Embolization for Colonic Hemorrhage

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Abstract: Transcatheter embolization is increasingly accepted as a safe and effective therapy for acute lower gastrointestinal hemorrhage, but the fate of the coils used for treatment is not entirely known. We report a patient with massive descending colonic bleeding, successfully treated with microcoil occlusion, in whom partially extruded coils were later visualized colonoscopically, but initially misidentified as ingested jewelry. The incidence of this endoscopically enigmatic (but in this case clinically inconsequential) finding is unknown.


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Angiography, Interventional, Clinical image, Table





Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Pulmonary Schistosomiasis Imaging Features by Niemann T et al.

Published: 2010 Sep
Issue: 4(9) :: Pages: 37-43


Free full text article: Pulmonary Schistosomiasis  Imaging Features

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Abstract: Schistosomiasis is a helminthic infection that is endemic in tropical and subtropical regions. Pulmonary involvement can be divided into two categories: acute or chronic compromise. Chronic and recurrent infection develops in persons living or travelling in endemic areas. In the lungs, granuloma formation and fibrosis around the schistosome eggs retained in the pulmonary vasculature may result in obliterative arteriolitis and pulmonary hypertension leading to cor pulmonale. Acute schistosomiasis is associated with primary exposure and is commonly seen in nonimmune travelers. The common CT findings in acute pulmonary schistosomiasis are small pulmonary nodules ranging from 2 to 15 mm and larger nodules with ground glass-opacity halo. Katayama fever is a severe clinical manifestation of acute involvement. We present a case of pulmonary involvement in schistosomiasis and provide a discussion about typical imaging findings in the acute and chronic form.


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Microscopic pathology, Conventional Radiography, Computed Tomography, Table

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Other Radiology articles from the Genitourinary Radiology section Genitourinary Radiology

Case report of a testicular epidermoid cyst and review of its typical sonographic features by Ryan James Hernandez et al.

Published: 2010 Sep
Issue: 4(9) :: Pages: 18-23


Free full text article: Case report of a testicular epidermoid cyst and review of its typical sonographic features

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Abstract: A case of testicular epidermoid cyst, demonstrating multiple characteristic sonographic patterns in a single lesion, is presented with a brief review of the distinctive ultrasound features. It is important to remember that the sonographic patterns describing testicular epidermoids represent the varied amounts and arrangements of keratin of a particular lesion. A given lesion may demonstrate subtle variability or more than one characteristic pattern at any given time. With this in mind, preoperative characterization of testicular epidermoids should allow for increasing utilization of testicular sparring surgery in the management of this benign lesion.


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Ultrasound, Computed Tomography, Microscopic pathology, Table

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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Metallosis and Metal-Induced Synovitis Following Total Knee Arthroplasty: Review of Radiographic and CT Findings by Jason W. Romesburg et al.

Published: 2010 Sep
Issue: 4(9) :: Pages: 7-17


Free full text article: Metallosis and Metal-Induced Synovitis Following Total Knee Arthroplasty: Review of Radiographic and CT Findings

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Abstract: Metallosis and metal-induced synovitis are well-recognized complications of metal-backed polyethylene joint prostheses and have been frequently described in the orthopedic surgery literature; however, relatively fewer articles discussing the radiologic aspects of this complication have been published. To illustrate the importance of radiologic findings in the diagnosis and management of these patients, we present a case of metallosis and metal-induced synovitis complicating two revisions of a total knee arthroplasty, caused by polyethylene liner wear and dissociation of the polyethylene liner from the metal-backed patellar prosthesis. Specific attention is given to reviewing signs that aid in diagnosis, such as the "bubble sign," "cloud sign," and "metal-line signs."


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Conventional Radiography, Computed Tomography, Microscopic pathology, Table

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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Acute Mesenteric Ischaemia on Unenhanced Computer-Tomography by Nidhi Gupta et al.

Published: 2010 Sep
Issue: 4(9) :: Pages: 24-30


Free full text article: Acute Mesenteric Ischaemia on Unenhanced Computer-Tomography

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Abstract: We present a 39-year old man with mesenteric ischaemia. The initial unenhanced images of the, non-oral contrast CT abdomen clearly demonstrated increased density in a significant length of the small bowel and in the veins of the adjacent mesentery. Mesenteric ischaemia is a difficult diagnosis both clinically and radiologically and we demonstrate the potential benefits of an unenhanced abdominal scan (often left out if a contrast enhanced scan is to be performed) and the omission of oral bowel contrast in emergency scans.


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Microscopic pathology, Computed Tomography, Table

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Other Radiology articles from the General Radiology section General Radiology

A Case of Craniofacial Polyostotic Fibrous Dysplasia by Justin Clark et al.

Published: 2010 Sep
Issue: 4(9) :: Pages: 1-6


Free full text article: A Case of Craniofacial Polyostotic Fibrous Dysplasia

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Abstract: We present the case of a patient with craniofacial polyostotic fibrous dysplasia. Polyostotic fibrous dysplasia is relatively rare and usually presents in late childhood/early adulthood. It is occasionally associated with endocrine disorders such as McCune-Albright syndrome. The benign pathology of this bone tumor belies its implications in the region of the skull base. Craniofacial polyostotic fibrous dysplasia can have devastating complications depending on which ostia are involved, including vision loss. Our patient was already beginning to experience visual field deficits from ischemic neuropathy. He was treated surgically with optic nerve decompression; however, the efficacy of this approach is currently being debated.


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Conventional Radiography, Computed Tomography, Nuclear Medicine, Table

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