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Radiology cases from every day practice. All content is original. instagram: @radiant_education_
Cystic lesion in the body of the pancreas.
Bilateral large renal cysts.
Large calcified structure. Echinococcus liver cyst? Kidney structure?
Hiatal hernia.
Correspondingly to a unilateral palpable neck mass, is visualised a strongly hypoechoic, inhomogeneous, lobulated lymph node, without significant vascularity and without visible hilum. Clinical correlation and further investigation is adviced.
Subcutaneous sebaceous cyst in the lumbar region.
Scalp Lipoma.
Extensive infiltrate of right upper lobe in a patient with known lung cancer.
Right parietal calcified soft tissue mass with defined borders.
Patient presenting with acute unilateral lumbar and lower abdominal pain indicative of renal colic.
The renal U/S examination shows mild hydronephrosis; oedematous kidney with mild dilatation of renal pelvis and upper third of ureter.
Bilateral emphysematous changes of upper lobes.
Emphysema develops over time and involves the gradual damage of lung tissue, specifically the destruction of the alveoli (tiny air sacs). Gradually, this damage causes the air sacs to rupture and create one big air pocket instead of many small ones.
Happy New Year to everyone!! 🎉🎉🎉
Renal cyst that was an incidental finding on this CT examination.
Cholecystitis; thickened gallbladder wall and sludge.
Radiology Greece is being renamed to RADiant Education.
Maxillary Sinus Polyp.
Septic patient with extensive consolidations and atelectatic lesions. Few atypical mediastinal lymph nodes.
Azygos lobe; it is a normal variant that develops when a laterally displaced azygos vein creates a deep pleural fissure into the apical segment of the right upper lobe during embryological development.
Pancreatic head mass; this CT examination was the next step of investigation for the same patient whose U/S examination was presented yesterday.
A solid pancreatic mass is malignant 88%–95% of the time. The remaining cases include a variety of inflammatory masses that may mimic malignancy.
Patient presenting with jaundice and elevated aminotransferases.
Ultrasound of RUQ shows markedly enlarged gallbladder and dilated intra- and extrahepatic bile ducts.
Courvoisier sign states that in a patient with painless jaundice and an enlarged gallbladder (or right upper quadrant mass), the cause is unlikely to be gallstones and therefore presumes the cause to be an obstructing pancreatic or biliary neoplasm until proven otherwise.
--See the CT examination result tommorow--
Large air-fluid level of the right hemithorax, mediastinal shift towards the right and surgical clips.
This patient had undergone pneumonectomy recently and this is an expected stage of post-pneumonectomy situation.
Parahilar mass of the left lung is shown on this xray. Further investigation was done with CT scan which confirmed primary lung malignancy.
Simple parapelvic renal cyst.
Renal cysts are sacs of fluid that form in the kidneys. They are usually characterized as "simple" cysts, meaning they have a thin wall and contain water-like fluid. Renal cysts become fairly common as people age and usually do not cause symptoms or harm.
Small bowel obstruction; when obstruction occurs, both fluid and gas collect in the intestine. They produce a characteristic pattern called "air-fluid levels". The air rises above the fluid and there is a flat surface at the "air-fluid" interface.
Chilaiditi sign is a rare anomaly defined as the interposition of the small or large intestine between the liver and the right diaphragm.1 This radiological finding was first described in the literature in 1910 by Demetrius Chilaiditi.2 It is generally asymptomatic and incidentally found on chest or abdominal radiographs with a reported incidence ranging from 0.025% to 0.28%.
In this x ray we also see peribronchial infiltrates at both lung bases.
Midgut volvulus.
Without prompt treatment, there is a real and significant risk of small bowel ischaemia, significant associated morbidity and even death.
Here we can also see the thickened wall of the bowel affected.
Steeple or pencil-point sign on a child with acute dyspnea: a radiologic sign found on a frontal neck radiograph where subglottic tracheal narrowing produces the shape of a church steeple within the trachea itself. The presence of the steeple sign supports a diagnosis of croup, usually caused by paramyxoviruses. It can also be defined as the replacement of the usual squared-shoulder appearance of the subglottic area by cone-shaped narrowing just distal to the vocal cords.
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