A 76 year old male presented with sudden increase of dyspnoea on 15 November 2014, following a biopsy. A previous CXR was reviewed.

Size: px
Start display at page:

Download "A 76 year old male presented with sudden increase of dyspnoea on 15 November 2014, following a biopsy. A previous CXR was reviewed."

Transcription

1 Question 1 A 76 year old male presented with sudden increase of dyspnoea on 15 November 2014, following a biopsy. A previous CXR was reviewed. Imaging A CXR was performed on 28 May A CT of the chest was performed on 15 November Modality 1 (CXR) Interstitial lung disease, predominantly in both lower lobes or Fibrosis Honeycombing Hiatus hernia (incidental) Shoulder degeneration (incidental) Modality 2 (CT) Subpleural and basal honeycombing Pneumomediastinum Surgical emphysema Right anterior pneumothorax (inferiorly) Usual interstitial pneumonitis (or alternatively interstitial pulmonary fibrosis) Complicated by pneumomediastinum and small pneumothorax Level 9, 51 Druitt Street, Sydney NSW 2000, Australia Ph: Fax: Web: ranzcr@ranzcr.edu.au ABN

2 Question 2 A 32 year old female with G3 P0 presents with no screening and dates confirmed with early scan. A growth scan at 20 weeks is performed after concerns raised at morphology scan. Imaging An US was performed on 12 February Modality 1 (US) Globally small baby. Growing along the curve, i.e. at normal rate since previous scan. Abdominal calcifications. Absent end diastolic flow in umbilical artery Doppler. Normal uterine artery Doppler. Normal foetal MCA Doppler. Thickened placenta. Liquor volume looks normal. Early Intrauterine Growth Restriction. Foetal Infection. Aneuploidy. Obstetric referral. TORCH infection screen. Consider amniocentesis.

3 Question 3 A 32 year old male presents with headache. Imaging A MRI was performed on 13 June Modality 1 (MRI) Right subdural fluid collection. High T2, intermediate T1 consistent with blood products or protein. Tonsillar / brainstem herniation. Sagging splenium or flattened tentorium. Flattened anterior pons. Diffused thickening and enhancement of the pachymeninges. Intracranial hypotension. Look for causes of CSF leak. Consider spine MRI. Consider blood patch.

4 Question 4 Imaging A 62 year old female presents with a history of hot tender left breast. Possible mastitis. A bilateral mammogram was performed on 28 June 2012 A bilateral breast ultrasound was performed on 28 June 2012 Modality 1 (Mammography) Diffuse Increase in density both breasts. Enlarged abnormal lymph node right axilla. Modality 2 (US) 15 mm ill-defined mass right breast. 2mm nodule right breast Diffuse large ill-defined mass left breast. Bilateral abnormal axillary nodes, Abnormal supraclavicular nodes right. Primary diagnosis: Bilateral breast cancer with probable inflammatory cancer on left. Associated diagnosis: Bilateral nodal metastases. There is no viable differential, does not look like infection. Next clinical recommendation: Full US of both breasts and left axilla Biopsy is indicated bilaterally. Other clinical recommendation: MRI may be of value to determine extent. CT staging.

5 Question 5 Imaging An 11 month old male child presents with a 2 week history of non-weight bearing. The child is afebrile with slight tenderness and swelling over the proximal left tibia. An X-ray was performed on 19 April 2011 An MRI was performed on 20 April 2011 Purpose of this case The trainee needs to identify that this is: An aggressive bone pathology As such needs urgent workup. The diagnostic possibilities should ALL be aggressive and age appropriate (ewings sarcoma and osteosrcaoma are NOT age appropriate). Osteomyelitis if mentioned should be low in the differential. CONSIDER FAIL IF is a benign lesion including osteomyelitis OR Don t recommend specialist referral (because this is an aggressive lesion) Modality 1 (X-ray) lytic proximal tibial metaphyseal lesion wide zone of transition distally/poorly defined margin or similar aggressive periosteal reaction pathologic fracture Modality 2 (MRI) doesn t involve epiphysis features indicating this is a cellular(solid) NOT cystic lesion e.g. enhances Aggressive features mentioned: cortical destruction pathologic fracture Important Negatives NO subperiosteal collection (so less likely osteomyelitis) NO soft tissue mass NO skip lesion Langerhans Cell Histiocytosis (Eosinophilic granuloma is acceptable) Neuroblastoma metastasis Leukaemia/Lymphoma Urgent Specialist Paediatric Orthopaedic/Oncologic Assessment

6 Question 6 A 42 year old male presents with a 6 month history of shoulder weakness following recurrent shoulder dislocations referred by Orthopaedic surgeon. Imaging A MRI Arthrogram Shoulder was performed on 2 July 2010 Modality (MRI) Large paralabral cyst Cyst in spinoglenoid notch Large Labral tear Inferior glenohumeral ligament avulsion on ABER view Abnormal signal in infraspinatus muscle belly = denervation edema Mention of suprascapular nerve No rotator cuff tear Hill-Sachs lesion Extensive labral tearing with associated paralabral cyst and secondary compression of the infraspinatus branch of the suprascapular nerve and subsequent denervation atrophy.

7 Question 7 Imaging A 45 year old female presents with intermittent claudication and foot numbness. No vascular risk factors. A CTA of aorta, iliac and lower limb arteries was performed on 18 February Modality 1 (CT) Multilevel stenotic disease, infra inguinal. Wall thickening of affected vessels. Absence of calcified plaques. No disease in aorta or iliac vessels. Calf vessels all affected. Large vessel vasculitis (this may include Giant Cell, but not Takayasu s). Features are not those of atheromatous disease. Correlation with inflammatory markers. Biopsy if indicated.

8 Question 8 A 65 year old male presents with RLQ pain and raised WCC. Imaging A CT was performed on 28 June Modality 1 (CT) Right colon Mass with thickened mucosa. Surrounding inflammation. Ileocolic lymph nodes. Diverticulum. Liver Liver lesion with peripheral puddling. Segment VI Ascending colon adenocarcinoma. Hepatic cavernous haemangioma. Diverticulitis / Colitis. MRI of liver.

Question 1 History. Likely Diagnosis Differential. Further Investigation or Management. Requires Paediatric Surgical referral for laparotomy

Question 1 History. Likely Diagnosis Differential. Further Investigation or Management. Requires Paediatric Surgical referral for laparotomy Question 1 Male newborn spilling green tinged vomit day 1 of life Imaging Abdominal X-Rays performed on 03/05/2012 Upper and lower gastrointestinal contrast studies performed on 03/05/2012 Abdominal X-Rays

More information

MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging

MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging MRI of the Shoulder Benefits of Ultrasound: * Dynamic * Interactive real time

More information

Anatomy Paper 2 Exam

Anatomy Paper 2 Exam Anatomy Paper 2 Exam Monday, 4 Head Office: Level 9, 51 Druitt Street, Sydney NSW 2000, Australia Ph: +61 2 9268 9777 Fax: +61 2 9268 9799 Email: ranzcr@ranzcr.edu.au New Zealand Office: Floor 6, 142 Lambton

More information

The Radiology Assistant : Bone tumor - ill defined osteolytic tumors and tumor-like lesions

The Radiology Assistant : Bone tumor - ill defined osteolytic tumors and tumor-like lesions Bone tumor - ill defined osteolytic tumors and tumor-like lesions Henk Jan van der Woude and Robin Smithuis Radiology department of the Onze Lieve Vrouwe Gasthuis, Amsterdam and the Rijnland hospital,

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Magn Reson Imaging Clin N Am 12 (2004) 185 189 Index Note: Page numbers of article titles are in boldface type. A Acromioclavicular joint, MR imaging findings concerning, 161 Acromion, types of, 77 79

More information

Long Case Set 02. Dr Raviraj Uppoor. Dr Sameer Shamshuddin. Consultant Radiologist Cumberland Infirmary, Carlisle, UK

Long Case Set 02.  Dr Raviraj Uppoor. Dr Sameer Shamshuddin. Consultant Radiologist Cumberland Infirmary, Carlisle, UK Long Case Set 02 www.frcrtutorials.com Dr Raviraj Uppoor MBBS, DMRD, DNB, FRCR Consultant Radiologist Cumberland Infirmary, Carlisle, UK Dr Sameer Shamshuddin MBBS, DMRD, FRCR Consultant Radiologist Royal

More information

Brain Atrophy. Brain Atrophy

Brain Atrophy. Brain Atrophy Aging Central Nervous System Processes Age related brain atrophy Non-age related brain atrophy Cerebrovascular disease Cerebral infarction Hypertensive hemorrhage Carotid artery stenosis and occlusion

More information

Anatomy Paper 2 Exam

Anatomy Paper 2 Exam Anatomy Paper 2 Exam Monday, 26 Head Office: Level 9, 51 Druitt Street, Sydney NSW 2000, Australia Ph: +61 2 9268 9777 Fax: +61 2 9268 9799 Email: ranzcr@ranzcr.edu.au New Zealand Office: Floor 6, 142

More information

Web Chapter 3. Image Gallery: Lesion detection on low dose chest CT

Web Chapter 3. Image Gallery: Lesion detection on low dose chest CT Web Chapter 3 Image Gallery: Lesion detection on low dose chest CT Sarabjeet Singh, MD Mannudeep K. Kalra, MD *Eugene J. Mark, MD *James Stone, MD James H. Thrall, MD Department of Radiology and *Department

More information

Radiology Pathology Conference

Radiology Pathology Conference Radiology Pathology Conference Sharlin Johnykutty,, MD, Cytopathology Fellow Sara Majewski, MD, Radiology Resident Friday, August 28, 2009 Presentation material is for education purposes only. All rights

More information

MRI XR, CT, NM. Principal Modality (2): Case Report # 2. Date accepted: 15 March 2013

MRI XR, CT, NM. Principal Modality (2): Case Report # 2. Date accepted: 15 March 2013 Radiological Category: Musculoskeletal Principal Modality (1): Principal Modality (2): MRI XR, CT, NM Case Report # 2 Submitted by: Hannah Safia Elamir, D.O. Faculty reviewer: Naga R. Chinapuvvula, M.D.

More information

www.fisiokinesiterapia.biz Shoulder Problems Fractures Instability Impingement Miscellaneous Anatomy Bones Joints / Ligaments Muscles Neurovascular Anatomy Anatomy Supraspinatus Anterior Posterior Anatomy

More information

e-anatomy Paper 2 Exam Monday, 4 April 2016

e-anatomy Paper 2 Exam Monday, 4 April 2016 e-anatomy Paper 2 Exam Monday, 4 Level 9, 51 Druitt Street, Sydney NSW 2000, Australia Ph: +61 2 9268 9777 Fax: +61 2 9268 9799 Web: www.ranzcr.edu.au Email: ranzcr@ranzcr.edu.au ABN 37 000 029 863 CASE

More information

Shadow because the air

Shadow because the air Thyroid Ultrasound Thyroid US examination needs: 1. high frequency transducer 2. extended patient's neck 3. check all the neck area because the swelling could be in areas other than the thyroid such as

More information

Imaging in breast cancer. Mammography and Ultrasound Donya Farrokh.MD Radiologist Mashhad University of Medical Since

Imaging in breast cancer. Mammography and Ultrasound Donya Farrokh.MD Radiologist Mashhad University of Medical Since Imaging in breast cancer Mammography and Ultrasound Donya Farrokh.MD Radiologist Mashhad University of Medical Since A mammogram report is a key component of the breast cancer diagnostic process. A mammogram

More information

Pediatric TB Intensive Houston, Texas

Pediatric TB Intensive Houston, Texas Pediatric TB Intensive Houston, Texas November 13, 2009 Radiographic Manifestations of Pediatric TB Susan D. John, MD, FACR November 13, 2009 Radiologic Presentation of Childhood TB Susan D. John, MD,

More information

2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California

2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California 2015 OPSC Annual Convention syllabus February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California THURSDAY, FEBRUARY 5, 2015: 3:30pm - 4:30pm The Shoulder: 2 View or Not 2 View * Presented by Alexandra

More information

MRI evaluation of the shoulder: Beyond rotator cuff

MRI evaluation of the shoulder: Beyond rotator cuff MRI evaluation of the shoulder: Beyond rotator cuff Poster No.: C-2447 Congress: ECR 2015 Type: Educational Exhibit Authors: C. Rumie, A. Vasquez, J. A. Abreu, A. P. Guarnizo, O. Rivero, 1 1 2 3 1 1 1

More information

performed to help sway the clinician in what the appropriate diagnosis is, which can substantially alter the treatment of management.

performed to help sway the clinician in what the appropriate diagnosis is, which can substantially alter the treatment of management. Hello, I am Maura Polansky at the University of Texas MD Anderson Cancer Center. I am a Physician Assistant in the Department of Gastrointestinal Medical Oncology and the Program Director for Physician

More information

Lung. 10/24/13 Chest X-ray: 2.9 cm mass like density in the inferior lingular segment worrisome for neoplasm. Malignancy cannot be excluded.

Lung. 10/24/13 Chest X-ray: 2.9 cm mass like density in the inferior lingular segment worrisome for neoplasm. Malignancy cannot be excluded. Lung Case Scenario 1 A 54 year white male presents with a recent abnormal CT of the chest. The patient has a history of melanoma, kidney, and prostate cancers. 10/24/13 Chest X-ray: 2.9 cm mass like density

More information

Pediatric TB Intensive Houston, Texas October 14, 2013

Pediatric TB Intensive Houston, Texas October 14, 2013 Pediatric TB Intensive Houston, Texas October 14, 2013 Radiologic Presentation of Childhood TB Susan D. John, MD, FACR October 14, 2013 Disclosures I have no disclosures or conflicts of interest to report

More information

Looking Outside the Box: Incidental Extracardiac Finding in Echo

Looking Outside the Box: Incidental Extracardiac Finding in Echo Looking Outside the Box: Incidental Extracardiac Finding in Echo Dr. Aijaz Shah Head of Division, Adult Echocardiography Laboratory Prince Sultan Cardiac Centre Riyadh Case 1 17 year old boy presented

More information

Ultrasound Evaluation of Masses

Ultrasound Evaluation of Masses Ultrasound Evaluation of Masses Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Disclosures: Consultant: Bioclinica Advisory Panel: GE,

More information

Ultrasound of Shoulder Pathology and Intervention 서울대학교병원재활의학과 김기원

Ultrasound of Shoulder Pathology and Intervention 서울대학교병원재활의학과 김기원 Ultrasound of Shoulder Pathology and Intervention 서울대학교병원재활의학과 김기원 Ultrasound for Shoulder Disorder Advantage Dynamic evaluation Immediate clinical correlation + Intervention Weakness Diagnostic accuracy?

More information

An Introduction to Radiology for TB Nurses

An Introduction to Radiology for TB Nurses An Introduction to Radiology for TB Nurses Garold O. Minns, MD September 14, 2017 TB Nurse Case Management September 12 14, 2017 EXCELLENCE EXPERTISE INNOVATION Garold O. Minns, MD has the following disclosures

More information

MEDIASTINAL STAGING surgical pro

MEDIASTINAL STAGING surgical pro MEDIASTINAL STAGING surgical pro Paul E. Van Schil, MD, PhD Department of Thoracic and Vascular Surgery University of Antwerp, Belgium Mediastinal staging Invasive techniques lymph node mapping cervical

More information

Do you want to be an excellent Radiologist? - Focus on the thoracic aorta on lateral chest image!!!

Do you want to be an excellent Radiologist? - Focus on the thoracic aorta on lateral chest image!!! The lateral chest radiograph: Challenging area around the thoracic aorta!!! Do you want to be an excellent Radiologist? - Focus on the thoracic aorta on lateral chest image!!! Dong Yoon Han 1, So Youn

More information

KNEE DISLOCATION. The most common injury will be an anterior dislocation, and this usually results from a hyperextension mechanism.

KNEE DISLOCATION. The most common injury will be an anterior dislocation, and this usually results from a hyperextension mechanism. KNEE DISLOCATION Introduction Dislocation of the knee is a severe injury associated with major soft tissue injury and a high incidence of damage to the popliteal artery. There is displacement of the tibia

More information

APPROPRIATE USE GUIDELINES

APPROPRIATE USE GUIDELINES APPROPRIATE USE GUIDELINES Appropriateness of Advanced Imaging Procedures (MRI, CT, Bone Scan/PET) in Patients with Shoulder Pain CDI QUALITY INSTITUTE: PROVIDER LED ENTITY (PLE) Compiled by Rob Liddell,

More information

12 Interesting MSK Cases

12 Interesting MSK Cases 12 Interesting MSK Cases James F Griffith Department of Imaging and Interventional Radiology Prince of Wales Hospital Case 1: 12-year-old boy Slipped and fell. Anterior knee pain and swelling Knee pain

More information

What can Imaging tell us?

What can Imaging tell us? What can Imaging tell us? David Connell FRANZCR, FFSEM (UK) Assoc Professor Dept of Medicine, Nursing & Healthcare Monash University, Melbourne, Australia Assoc Professor Sport & Exercise Medicine Research

More information

RADPrimer Curriculum Breast Topics Covered Basic Intermediate 225

RADPrimer Curriculum Breast Topics Covered Basic Intermediate 225 Breast Anatomy & Normal Variants 11 Breast Imaging Modalities 13 BI RADS Lexicon 3 Mammography: Masses 9 Mammography: Calcifications 17 Mammography: Additional Findings 8 Ultrasound Features 10 Ultrasound

More information

Radiologic-pathologic correlation of pulmonary diseases

Radiologic-pathologic correlation of pulmonary diseases The 1578 th Chest Conference/ 3 rd Biennial Clinical- Radiologic-Pathologic Correlation Radiologic-pathologic correlation of pulmonary diseases Harumi Itoh, M.D. University of Fukui, Japan Centriacinar

More information

Osteomyelitis in infancy and childhood: A clinical and diagnostic overview M. Mearadji

Osteomyelitis in infancy and childhood: A clinical and diagnostic overview M. Mearadji Osteomyelitis in infancy and childhood: A clinical and diagnostic overview M. Mearadji International Foundation for Pediatric Imaging Aid Introduction Osteomyelitis is a relative common disease in infancy

More information

The Radiology Assistant : Bone tumor - well-defined osteolytic tumors and tumor-like lesions

The Radiology Assistant : Bone tumor - well-defined osteolytic tumors and tumor-like lesions Bone tumor - well-defined osteolytic tumors and tumor-like lesions Henk Jan van der Woude and Robin Smithuis Radiology department of the Onze Lieve Vrouwe Gasthuis, Amsterdam and the Rijnland hospital,

More information

ROTATOR CUFF DISORDERS/IMPINGEMENT

ROTATOR CUFF DISORDERS/IMPINGEMENT ROTATOR CUFF DISORDERS/IMPINGEMENT Dr.KN Subramanian M.Ch Orth., FRCS (Tr & Orth), CCT Orth(UK) Consultant Orthopaedic Surgeon, Special interest: Orthopaedic Sports Injury, Shoulder and Knee Surgery, SPARSH

More information

objectives Pitfalls and Pearls in PET/CT imaging Kevin Robinson, DO Assistant Professor Department of Radiology Michigan State University

objectives Pitfalls and Pearls in PET/CT imaging Kevin Robinson, DO Assistant Professor Department of Radiology Michigan State University objectives Pitfalls and Pearls in PET/CT imaging Kevin Robinson, DO Assistant Professor Department of Radiology Michigan State University To determine the regions of physiologic activity To understand

More information

Adam J. Hansen, MD UHC Thoracic Surgery

Adam J. Hansen, MD UHC Thoracic Surgery Adam J. Hansen, MD UHC Thoracic Surgery Sometimes seen on Chest X-ray (CXR) Common incidental findings on computed tomography (CT) chest and abdomen done for other reasons Most lung cancers discovered

More information

Learning Radiology: Recognizing the Basics. Text with Student Consult Online Access Code

Learning Radiology: Recognizing the Basics. Text with Student Consult Online Access Code Learning Radiology: Recognizing the Basics. Text with Student Consult Online Access Code Herring, W ISBN-13: 9780323074445 Table of Contents 1. Recognizing Anything The "colorful" world of radiology A

More information

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University. Systematic Anatomy

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University. Systematic Anatomy Systematic Anatomy Department of Anatomy,Histology & Embryology Shanghai Medical College,Fudan University Dr.Hongqi Zhang ( 张红旗 ) Email: Zhanghq58@126.com Office: Building 9,Room308, 54237151-9308 Mobile:13761809799

More information

Cutoff.Guru. Radiology Sample papers. 1.The following features are true for Tetralogy of Fallot, except: a. Ventricular septal defect

Cutoff.Guru. Radiology Sample papers. 1.The following features are true for Tetralogy of Fallot, except: a. Ventricular septal defect Radiology Sample papers 1.The following features are true for Tetralogy of Fallot, except: a. Ventricular septal defect b. Right ventricular hypertrophy c. Atrial septal defect d. Pulmonary stenosis. 2.

More information

Acute Orthopaedic Injuries Developing a Diagnostic Approach to the Shoulder

Acute Orthopaedic Injuries Developing a Diagnostic Approach to the Shoulder Acute Orthopaedic Injuries Developing a Diagnostic Approach to the Shoulder WWW.FISIOKINESITERAPIA.BIZ Overview To be able to quickly categorize shoulder injuries To take appropriate history and conduct

More information

Radiology- Pathology Conference 4/29/2012. Lymph Nodes. John McGrath

Radiology- Pathology Conference 4/29/2012. Lymph Nodes. John McGrath Radiology- Pathology Conference 4/29/2012 Lymph Nodes John McGrath 1 Presentation material is for education purposes only. All rights reserved. 2012 URMC Radiology Page 1 of 24 Case 1: 51 year-old male

More information

EUROSON SCHOOL 2019 January 18-19, 2019, Athens-Greece Preliminary Programme

EUROSON SCHOOL 2019 January 18-19, 2019, Athens-Greece Preliminary Programme EUROSON SCHOOL 2019 January 18-19, 2019, Athens-Greece Preliminary Programme 08:00-09:00 Registration Friday, January 18 Theoretical Course / PHYSICS AND TECHNOLOGY 09:00-09:15 Basics in US Physics 09:15-09:30

More information

Radiology-Pathology Conference

Radiology-Pathology Conference July 31, 2009 Radiology-Pathology Conference Daniel T Ginat, M.D., M.S. Sharlin Johnykutty,, M.D. Presentation material is for education purposes only. All rights reserved. 2009 URMC Radiology Page 1 of

More information

General Data. 王 X 村 78 y/o 男性

General Data. 王 X 村 78 y/o 男性 General Data 王 X 村 78 y/o 男性 Chief Complaint Vomiting twice this early morning Fever up to 38.9ºC was noted Present Illness (1) Old CVA with left side weakness for more than 10 years and with bed ridden

More information

Radiological Manifestations of Metastatic Melanoma

Radiological Manifestations of Metastatic Melanoma Radiological Manifestations of Metastatic Melanoma Lia Hojman, Universidad de Chile Year VII Our patient: Clinical Presentation A 24 year old male. Former smoker. 8 months ago, he suffered a burn in his

More information

Bone Tumors Clues and Cues

Bone Tumors Clues and Cues William Herring, M.D. 2002 Bone Tumors Clues and Cues In Slide Show mode, advance the slides by pressing the spacebar All Photos Retain the Copyright of their Authors Clues by Appearance of Lesion Patterns

More information

Policy Library Clinical Advantages of Digital Breast Tomosynthesis in Symptomatic Patients

Policy Library Clinical Advantages of Digital Breast Tomosynthesis in Symptomatic Patients Policy Library Clinical Advantages of Digital Breast Tomosynthesis in Symptomatic Patients Version: 1 Approved by: Faculty of Clinical Radiology Council Date of approval: Click and type: day month and

More information

How to Analyse Difficult Chest CT

How to Analyse Difficult Chest CT How to Analyse Difficult Chest CT Complex diseases are:- - Large lesion - Unusual or atypical pattern - Multiple discordant findings Diffuse diseases are:- - Numerous findings in both sides 3 basic steps

More information

Pre-operative Ultrasound of Lymph Nodes in Thyroid Cancer

Pre-operative Ultrasound of Lymph Nodes in Thyroid Cancer Pre-operative Ultrasound of Lymph Nodes in Thyroid Cancer AACE - Advances in Medical and Surgical Management of Thyroid Cancer - 2018 Robert A. Levine, MD, FACE, ECNU Thyroid Center of New Hampshire Geisel

More information

Lecture 09. Popliteal Fossa. BY Dr Farooq Khan Aurakzai

Lecture 09. Popliteal Fossa. BY Dr Farooq Khan Aurakzai Lecture 09 Popliteal Fossa BY Dr Farooq Khan Aurakzai Dated: 14.02.2018 What is popliteus? Introduction Anything relating to, or near the part of the leg behind the knee. From New Latin popliteus the muscle

More information

Case Presentation VASCULITIS. Case Presentation. Case Presentation. Vasculitis

Case Presentation VASCULITIS. Case Presentation. Case Presentation. Vasculitis Case Presentation VASCULITIS The patient is a 24 year old woman who presented to the emergency room with left-sided weakness. She was confused and complained of a severe headache. She was noted to have

More information

STAGING, BIOPSY AND NATURAL HISTORY OF TUMORS SCOTT D WEINER MD

STAGING, BIOPSY AND NATURAL HISTORY OF TUMORS SCOTT D WEINER MD STAGING, BIOPSY AND NATURAL HISTORY OF TUMORS SCOTT D WEINER MD WHAT DO YOU DO WHEN THIS SHOWS UP IN YOUR OFFICE? besides panicking KEY PRINCIPLE!!! Reactive zone is the edema, neovascularity and inflammation

More information

4/28/2010. Fractures. Normal Bone and Normal Ossification Bone Terms. Epiphysis Epiphyseal Plate (physis) Metaphysis

4/28/2010. Fractures. Normal Bone and Normal Ossification Bone Terms. Epiphysis Epiphyseal Plate (physis) Metaphysis Fractures Normal Bone and Normal Ossification Bone Terms Epiphysis Epiphyseal Plate (physis) Metaphysis Diaphysis 1 Fracture Classifications A. Longitudinal B. Transverse C. Oblique D. Spiral E. Incomplete

More information

Contents. Basic Ultrasound Principles and Terminology. Ultrasound Nodule Characteristics

Contents. Basic Ultrasound Principles and Terminology. Ultrasound Nodule Characteristics Contents Basic Ultrasound Principles and Terminology Basic Ultrasound Principles... 1 Ultrasound System... 2 Linear Transducer for Superficial Images and Ultrasound-Guided FNA... 3 Scanning Planes... 4

More information

Malignant bone tumors. Incidence Myeloma 45% Osteosarcoma 24% Chondrosarcoma 12% Lyphoma 8% Ewing s Sarcoma 7%

Malignant bone tumors. Incidence Myeloma 45% Osteosarcoma 24% Chondrosarcoma 12% Lyphoma 8% Ewing s Sarcoma 7% Malignant bone tumors Incidence Myeloma 45% Osteosarcoma 24% Chondrosarcoma 12% Lyphoma 8% Ewing s Sarcoma 7% Commonest primary bone sarcoma is osteosarcoma X ray Questions to ask 1. Solitary or Multiple

More information

GIANT CELL-RICH OSTEOSARCOMA: A CASE REPORT

GIANT CELL-RICH OSTEOSARCOMA: A CASE REPORT Nagoya J. Med. Sci. 59. 151-157, 1996 CASE REPORTS GIANT CELL-RICH OSTEOSARCOMA: A CASE REPORT KEIJI SATO!, SHIGEKI YAMAMURA!, HISASHI IWATA!, HIDESHI SUGIURA 2, NOBUO NAKASHIMA 3 and TETSURO NAGASAKA

More information

Disseminated Primary Non-Hodgkin s Lymphoma of Bone : A Case Re p o r t 1

Disseminated Primary Non-Hodgkin s Lymphoma of Bone : A Case Re p o r t 1 Disseminated Primary Non-Hodgkin s Lymphoma of Bone : A Case Re p o r t 1 Hee-Jin Park, M.D., Sung-Moon Lee, M.D., Hee-Jung Lee, M.D., Jung-Sik Kim, M.D., Hong Kim, M.D. Primary lymphoma of bone is uncommon

More information

MR imaging features of paralabral ganglion cyst of the shoulder

MR imaging features of paralabral ganglion cyst of the shoulder MR imaging features of paralabral ganglion cyst of the shoulder Poster No.: C-1482 Congress: ECR 2016 Type: Educational Exhibit Authors: M. Bartocci, C. Dell'atti, E. Federici, D. Beomonte Zobel, V. Martinelli,

More information

GUIDELINES FOR CANCER IMAGING Lung Cancer

GUIDELINES FOR CANCER IMAGING Lung Cancer GUIDELINES FOR CANCER IMAGING Lung Cancer Greater Manchester and Cheshire Cancer Network Cancer Imaging Cross-Cutting Group April 2010 1 INTRODUCTION This document is intended as a ready reference for

More information

US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기

US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기 US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기 Shoulder US Biceps tendon & Rotator Cuff Long Head of Biceps Tendon Subscapularis tendon Supraspinatus tendon Infraspinatus tendon Teres

More information

Appendix 5. EFSUMB Newsletter. Gastroenterological Ultrasound

Appendix 5. EFSUMB Newsletter. Gastroenterological Ultrasound EFSUMB Newsletter 87 Examinations should encompass the full range of pathological conditions listed below A log book listing the types of examinations undertaken should be kept Training should usually

More information

Stroke / CVA TIA Trauma Dizziness Headaches. Acoustic Neuroma Syrinx Visual Change Vascular Lesions (AVM) Elevated Prolactin Vertigo Bell s palsy

Stroke / CVA TIA Trauma Dizziness Headaches. Acoustic Neuroma Syrinx Visual Change Vascular Lesions (AVM) Elevated Prolactin Vertigo Bell s palsy Head Brain Alzheimer s Mental Status Change Confusion Dementia Memory Loss Dizziness Headaches MRI Brain w/o 70551 Tumor / Mass / Cancer Cranial Nerve Lesions HIV Infection Suspected MS Neurofibromatosis

More information

CT of Acute Thoracic Aortic Syndromes Stuart S. Sagel, M.D.

CT of Acute Thoracic Aortic Syndromes Stuart S. Sagel, M.D. CT of Acute Thoracic Aortic Syndromes Stuart S. Sagel, M.D. Thoracic Aortic Aneurysms Atherosclerotic Dissection Penetrating ulcer Mycotic Inflammatory (vasculitis) Traumatic Aortic Imaging Options Catheter

More information

VASCULITIS. Case Presentation. Case Presentation

VASCULITIS. Case Presentation. Case Presentation VASCULITIS Case Presentation The patient is a 24 year old woman who presented to the emergency room with left-sided weakness. She was confused and complained of a severe headache. She was noted to have

More information

TB Radiology for Nurses Garold O. Minns, MD

TB Radiology for Nurses Garold O. Minns, MD TB Nurse Case Management Salina, Kansas March 31-April 1, 2010 TB Radiology for Nurses Garold O. Minns, MD April 1, 2010 TB Radiology for Nurses Highway Patrol Training Center Salina, KS April 1, 2010

More information

Ultrasound for Pre-operative Evaluation of Well Differentiated Thyroid Cancer

Ultrasound for Pre-operative Evaluation of Well Differentiated Thyroid Cancer Ultrasound for Pre-operative Evaluation of Well Differentiated Thyroid Cancer Its Not Just About the Nodes AACE Advances in Medical and Surgical Management of Thyroid Cancer - 2017 Robert A. Levine, MD,

More information

SHOULDER IMPINGEMENT / ROTATOR CUFF TENDONITIS / SUBACROMIAL BURSITIS

SHOULDER IMPINGEMENT / ROTATOR CUFF TENDONITIS / SUBACROMIAL BURSITIS SHOULDER IMPINGEMENT / ROTATOR CUFF TENDONITIS / SUBACROMIAL BURSITIS The terms impingement, rotator cuff tendonitis, and subacromial bursitis, all refer to a spectrum of the same condition. Anatomy The

More information

Chest Radiology Interpretation: Findings of Tuberculosis

Chest Radiology Interpretation: Findings of Tuberculosis Chest Radiology Interpretation: Findings of Tuberculosis Get out your laptops, smart phones or other devices pollev.com/chestradiology Case #1 1 Plombage Pneumonia Cancer 2 Reading the TB CXR Be systematic!

More information

Lesion Imaging Characteristics Mass, Favoring Benign Circumscribed Margins Intramammary Lymph Node

Lesion Imaging Characteristics Mass, Favoring Benign Circumscribed Margins Intramammary Lymph Node Lesion Imaging Characteristics Mass, Favoring Benign Circumscribed Margins Intramammary Lymph Node Oil Cyst Mass, Intermediate Concern Microlobulated Margins Obscured Margins Mass, Favoring Malignant Indistinct

More information

A 64 y.o. man presents to the hospital with persistent cough and hemoptysis. Fernando Mut Montevideo - Uruguay

A 64 y.o. man presents to the hospital with persistent cough and hemoptysis. Fernando Mut Montevideo - Uruguay A 64 y.o. man presents to the hospital with persistent cough and hemoptysis Fernando Mut Montevideo - Uruguay Teaching case Bone # 1 A 64 y.o. man presents to the hospital with persistent cough and hemoptysis.

More information

Diagnostic Imaging Exams

Diagnostic Imaging Exams Guide for Chiropractors Diagnostic Imaging Exams CREATED FOR OUR CHIROPRACTIC PARTNERS This document has been prepared by the specialized, board-certified radiologists who interpret patient exams for Center

More information

Shoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012

Shoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012 Shoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012 Multiaxial ball and socket Little Inherent Instability Glenohumeral

More information

I8 COMPLETION INSTRUCTIONS

I8 COMPLETION INSTRUCTIONS The I8 Form is completed for each screening exam at T0, T1, and T2. At T0 (baseline), the I8 Form documents comparison review of the baseline screen (DR Form) with any historical images available. At T1

More information

3 Mohammad Al-Mohtasib Areej Mosleh

3 Mohammad Al-Mohtasib Areej Mosleh 3 Mohammad Al-Mohtasib Areej Mosleh ***Muscles Connecting the Upper Limb to the Vertebral Column 1.Trapezius Muscle ***The first muscle on the back is trapezius muscle, it s called so according

More information

Shedding Light on Neonatal X-rays. Objectives. Indications for X-Rays 5/14/2018

Shedding Light on Neonatal X-rays. Objectives. Indications for X-Rays 5/14/2018 Shedding Light on Neonatal X-rays Barbara C. Mordue, MSN, NNP-BC Neonatal Nurse Practitioner LLUH Children s Hospital, NICU Objectives Utilize a systematic approach to neonatal x-ray interpretation Identify

More information

EFSUMB EUROPEAN FEDERATION OF SOCIETIES FOR ULTRASOUND IN MEDICINE AND BIOLOGY Building a European Ultrasound Community

EFSUMB EUROPEAN FEDERATION OF SOCIETIES FOR ULTRASOUND IN MEDICINE AND BIOLOGY Building a European Ultrasound Community MINIMUM TRAINING REQUIREMENTS FOR THE PRACTICE OF MEDICAL ULTRASOUND IN EUROPE Appendix 11: Thoracic Ultrasound This curriculum is intended for clinicians who perform diagnostic and therapeutic thoracic

More information

Types of shoulder Dislocation: Shoulder dislocation. 1. Anterior 2. Posterior 3. Luxatio erecta (inferior dislocation)

Types of shoulder Dislocation: Shoulder dislocation. 1. Anterior 2. Posterior 3. Luxatio erecta (inferior dislocation) Types of shoulder Dislocation: Shoulder dislocation 1. Anterior 2. Posterior 3. Luxatio erecta (inferior dislocation) Anterior Dislocation: head is dislocated anterior to the glenoid Most common among

More information

Venous drainage of the lower limb

Venous drainage of the lower limb Venous drainage of the lower limb INTRODUCTION It is of immense clinical and surgical importance. The venous blood against gravity. FACTORS HELPING THE VENOUS DRAINAGE OF THE LOWER LIMB The contraction

More information

MRI SHOULDER WHAT TO SEE

MRI SHOULDER WHAT TO SEE MRI SHOULDER WHAT TO SEE DR SHEKHAR SRIVASTAV Sr. Consultant- Knee & Shoulder Arthroscopy Sant Parmanand Hospital Normal Anatomy Normal Shoulder MRI Coronal Oblique Sagital Oblique Axial Cuts Normal Coronal

More information

Chest X-ray Interpretation

Chest X-ray Interpretation Chest X-ray Interpretation Introduction Routinely obtained Pulmonary specialist consultation Inherent physical exam limitations Chest x-ray limitations Physical exam and chest x-ray provide compliment

More information

Charles Mulligan, MD, FACS, FCCP 26 March 2015

Charles Mulligan, MD, FACS, FCCP 26 March 2015 Charles Mulligan, MD, FACS, FCCP 26 March 2015 Review lung cancer statistics Review the risk factors Discuss presentation and staging Discuss treatment options and outcomes Discuss the status of screening

More information

Case Report 1. CTA head. (c) Tele3D Advantage, LLC

Case Report 1. CTA head. (c) Tele3D Advantage, LLC Case Report 1 CTA head 1 History 82 YEAR OLD woman with signs and symptoms of increased intra cranial pressure in setting of SAH. CT Brain was performed followed by CT Angiography of head. 2 CT brain Extensive

More information

CT Evaluation of Bowel Wall Thickening. Dr: Adel El Badrawy; M.D. Lecturer of Radio Diagnosis Faculty of Medicine Mansoura University.

CT Evaluation of Bowel Wall Thickening. Dr: Adel El Badrawy; M.D. Lecturer of Radio Diagnosis Faculty of Medicine Mansoura University. CT Evaluation of Bowel Wall Thickening By Dr: Adel El Badrawy; M.D. Lecturer of Radio Diagnosis Faculty of Medicine Mansoura University. The CT findings of bowel wall thickening includes 1 Degree of thickening.

More information

42 yr old male with h/o Graves disease and prior I 131 treatment presents with hyperthyroidism and undetectable TSH. 2 hr uptake 20%, 24 hr uptake 50%

42 yr old male with h/o Graves disease and prior I 131 treatment presents with hyperthyroidism and undetectable TSH. 2 hr uptake 20%, 24 hr uptake 50% Pinhole images of the neck are acquired in multiple projections, 24hrs after the oral administration of approximately 200 µci of I123. Usually, 24hr uptake value if also calculated (normal 24 hr uptake

More information

Approach to CXR. Terminology. 1.Identification. Greg Blecher SCH Respir Fellow. Correct patient Correct date and time Correct examination

Approach to CXR. Terminology. 1.Identification. Greg Blecher SCH Respir Fellow. Correct patient Correct date and time Correct examination Approach to CXR Greg Blecher SCH Respir Fellow From Rob Posteraro http://home.earthlink.net/~rhpos/cxr_interpret.txt.html ; http://home.earthlink.net/~rhpos/cxr_main.txt.html) Approach to viewing Chest

More information

Contrast Guidelines for Common CT/CTA & MRI/MRA

Contrast Guidelines for Common CT/CTA & MRI/MRA Contrast Guidelines for Common /A & /MRA Body Imaging Gastrointestinal CLINICAL GUIDELINES EXAM DESCRIPTION /A CPT CODES EXAM DESCRIPTION /MRA CPT CODES Abdominal mass Abdomen & Pelvis w 74177 Abdomen

More information

Ultrasound ICD-10-CM

Ultrasound ICD-10-CM Ultrasound ICD-10-CM Clinical Documentation Guides Brought to you by www.codingstrategies.com The Resource for Physician and Outpatient Coding, Compliance & ICD-10-CM OTHER CLINICAL DOCUMENTATION GUIDES

More information

Leonard M. Glassman MD

Leonard M. Glassman MD BI-RADS The New BI-RADS Leonard M. Glassman MD FACR Former Chief of Breast Imaging American Institute for Radiologic Pathology Washington Radiology Associates, PC Breast Imaging Reporting and Data System

More information

Case Report: Chondroid Syringoma of the Cheek

Case Report: Chondroid Syringoma of the Cheek Cronicon OPEN ACCESS Dina Amin 1 *, Abdullah Al-Gorashi 2 and Rahaf Y Al-Habbab 2 1 Assistant Consultant Al-Noor Specialist Hospital, Saudi Arabia, Clinical fellow University of Alabama, USA 2 Department

More information

Bone tumors. RMG: jan

Bone tumors. RMG: jan Bone tumors RMG: jan 217. @Kijohs KIZZA JOHN KIJOHS Diseases arising in bone Lipoma Fibrous cortical defects Non-ossifying fibroma Bone island Benign simple cysts Enchondroma Osteochondroma Osteoid osteoma

More information

CT & PET/CT Scheduling Guidelines LVHN (5846) Fax:

CT & PET/CT Scheduling Guidelines LVHN (5846) Fax: www.lvhn.org CHEST CT (x-ray is almost always required) 71250 Nodules Abnormal cxr, ancillary finding, f/u study WO No 71250 HRCT: Interstitial lung disease, i.e. asbestosis, sarcoidosis, TB SOBOE, dry

More information

Surveillance Guidelines Section 1. Surveillance Imaging Section 2. Lymphedema Section 3. Fatigue / Dyspnea Section 4. Weight Gain Section 5

Surveillance Guidelines Section 1. Surveillance Imaging Section 2. Lymphedema Section 3. Fatigue / Dyspnea Section 4. Weight Gain Section 5 Surveillance Guidelines Section 1 Surveillance Imaging Section 2 Lymphedema Section 3 Fatigue / Dyspnea Section 4 Weight Gain Section 5 Menopausal Symptoms Section 6 Peripheral Neuropathy / Arthralgia

More information

ACRIN 6666 IM Additional Evaluation: Additional Views/Targeted US

ACRIN 6666 IM Additional Evaluation: Additional Views/Targeted US Additional Evaluation: Additional Views/Targeted US For revised or corrected form check box and fax to 215-717-0936. Instructions: The form is completed based on recommendations (from ID form) for additional

More information

The CT and MRI scout views: don't forget to look!

The CT and MRI scout views: don't forget to look! The CT and MRI scout views: don't forget to look! Poster No.: C-2433 Congress: ECR 2017 Type: Educational Exhibit Authors: Y. Wu, C. N. Tentugal; Bury St Edmunds/UK Keywords: Professional issues, Thorax,

More information

2016 CPT Code Reference Guide. T F imaginghealthcare.com

2016 CPT Code Reference Guide. T F imaginghealthcare.com 2016 CPT Code Reference Guide T 866 558 4320 F 866 558 4329 imaginghealthcare.com HEAD/NECK & NEURO MRI brain - post fossa w/ & w/o contrast (IAC w/ & w/o) MRI brain (pituitary protocol) w/ & w/o contrast

More information