Today’s cases: March 12, 2016

54 yo female, mamoplasty, check for problems Below: CT image showing collapsed ruptured right-sided silicon prosthesis with ”Linguine sign” which are folded in wavy multidirectional lines within the silicon gel. Note the normal prosthesis on left side.   2. 81 yo male, atherosclerosis, PCA, FLAIR image, old infarction, gliosis shown high intensity is white (gliosis), old cerebral vascular disorder, infarction/hemorrhage leads to gliosis, low intensity FLAIR = same as CSF, defect or cerebral gliosis disappears and only CSF remains, shrunk brain b/c SULCUS enlarges, lateral ventricle enlarged (3rd ventricle) Gliosis is a nonspecific reactive change of glial cells in response to damage … Continue reading Today’s cases: March 12, 2016

Today’s cases: March 5th, 2016

55 yo female, wrist pain, synovium thickening for all bones in wrist, indicative of Rheumatoid Arthritis, RS (3Pe Remitting seronegative symmetrical synovitis with pitting edema)below: Well-defined bony erosions in the carpal bones and metacarpal bases in a patient with rheumatoid arthritis of the hands.   2. 56 yo male, no other information given, ENT doc referring so we looked at that region, all looked ok, but saw reticular shadow in the chest – but almost normal  A reticulonodular interstitial pattern is produced by either, overlap of reticular shadows, or by the presence of reticular shadowing and pulmonary nodules. While this is … Continue reading Today’s cases: March 5th, 2016

Today’s cases: January 27th, 2016

67 yo male, Dx prostate cancer, staging required, CT visualizing, find metastasis, he had bladder cancer before, might have had operation before   2. 72 yo female, head injury – she hit her teeth, calcification of internal carotid artery, normal atherosclerosis can cause infarction, frontal bone benign lesion   Red circles indicate ICAC on CT scan. ICAC –  intracranial carotid artery calcification Below: Dermoid Cyst of the Skull. Top. Well-demarcated, lytic lesion of the diploic space (white arrows) expanding the outer table adjacent to the midline. Lower. Same lesion as seen on the scout image of the CT (yellow arrow) is … Continue reading Today’s cases: January 27th, 2016

Today’s cases: January 23rd, 2016

1. Emergency case: 74 yo male, vomiting, low sat O2, lacunar infacrtion – ischemic change, sometimes asymptomatic or can lead to Hemiparesthesia Hemiparesthesia means numbness or other abnormal or impaired sensation that is experienced on only one side of the body. Lacunar stroke or lacunar infarct (LACI) is a type of stroke that results from occlusion of one of the penetrating arteries that provides blood to the brain’s deep structures. A lacunar infarct is a type of silent stroke, which means it may not produce any outside symptoms. In many cases, patients are unaware when they suffer a lacunar stroke. … Continue reading Today’s cases: January 23rd, 2016

Today’s cases: January 9th, 2016

Billiary duct cancer, after PPPD, drainage tube in pancreatic duct, check for metastasis, no lung metastasis, mass in descending colon benign, dissection of thoracic aorta Pylorus-Preserving Pancreaticoduodenectomy (Whipple Procedure) – The Whipple procedure (pancreatoduodenectomy) is a complex operation to remove part of the pancreas, part of the small intestine and the gallbladder. The Whipple procedure is most often used to treat pancreatic cancer that’s confined to the head of the pancreas. But it may also be used to treat tumors and other abnormalities of the pancreas, small intestine and bile duct. Below: Common bile duct cancer MIP coronary section showed a … Continue reading Today’s cases: January 9th, 2016