Articles

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746 results found
Article

Ulnar variance

Ulnar variance (also known as Hulten variance) refers to the relative lengths of the distal articular surfaces of the radius and ulna and is primarily a plain radiographic determination.  Ulnar variance may be: neutral (both the ulnar and radial articular surfaces at the same level) positive ...
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Chronic bilateral airspace opacification (differential)

Chronic bilateral airspace opacification is a subset of the differential diagnosis for airspace opacification. An exhaustive list of all possible causes of chronic bilateral airspace opacities is long, but a useful framework is as follows: inflammatory sarcoidosis granulomatosis with polyangi...
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Diffuse pulmonary nodules

Diffuse pulmonary nodules are usually seen as multiple pulmonary nodular opacifications on a HRCT chest scan. They can signify disease processes affecting either the interstitium or the airspace. They can range from a few millimeters to up to 1 cm and when very small and numerous there can be so...
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Bat wing opacities (lungs)

Bat wing opacities, also known as butterfly opacities, refer to a pattern of bilateral perihilar lung shadowing. It is classically described on a frontal chest radiograph but can also refer to appearances on chest CT 3,4. Differential diagnosis Bat wing pulmonary opacities can be caused by: p...
Article

Consolidation

Consolidation describes increased lung attenuation sufficient to obscure bronchial walls and blood vessels (on non-enhanced CT). Patent airways can be identified by the endoluminal gas as an air bronchogram. Consolidation can be caused by any process that evacuates alveolar air such as pneumonia...
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Cardiovascular shunts

Cardiovascular (cardiac) shunts are abnormal connections between the pulmonary and systemic circulations. Most commonly they are the result of congenital heart disease. Pathology Blood can either be shunted from the systemic circulation to pulmonary circulation (i.e. 'left-to-right shunt') or ...
Article

Acute unilateral airspace opacification (differential)

Acute unilateral airspace opacification is a subset of the differential diagnosis for airspace opacification.   Differential diagnosis The exhaustive list of all possible causes would be huge, but a useful framework includes: pus (i.e. pulmonary infection) bacterial pneumonia fungal pneumon...
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Medical devices in the abdomen and pelvis

Medical devices in the abdomen and pelvis are important to be recognized, just like medical devices of the chest. We often ignore these devices, considering them to be incidental and non-pathological, however it is essential to be aware of potential complications. Gastrointestinal devices tube...
Article

Upper lobe bronchiectasis

Distribution of bronchiectasis can help in narrowing the differential diagnosis. Upper lobe bronchiectasis is typically seen in: cystic fibrosis tuberculosis Rarely it may be seen with non-tuberculous mycobacterial infection (e.g. MAC infection 2). Traction bronchiectasis in the upper lobes c...
Article

Cyst-like lesions around the knee

There is broad differential for cyst-like lesions around the knee.  Differential diagnosis Cysts synovial cyst popliteal synovial cyst - Baker cyst ganglion cyst intra-articular ganglion cyst ACL ganglion cyst PCL ganglion cyst Hoffa fat pad ganglion cyst extra-articular ganglion cyst ...
Article

Viral encephalitides

Viral encephalitides are the result of brain parenchymal infection by a number of different viruses, many of which have similar presentations and imaging features. Specific diagnosis often requires PCR.  For viral infection of the meninges, please refer to the general article on viral meningiti...
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Malignant esophageal neoplasms

Malignant esophageal neoplasms are much more common than benign esophageal neoplasms, especially if the patient is symptomatic.  Pathology esophageal carcinoma (90%) esophageal squamous cell carcinoma (SCC) esophageal spindle cell carcinoma esophageal adenocarcinoma esophageal neuroendocri...
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Complications following gastric banding

There are many complications that can occur following gastric banding. It is helpful to divide these into early and late post-surgical complications. Clinical presentation Although the exact mode of presentation can vary depending on the underlying complication common modes of presentation tha...
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Sacroiliitis (differential)

Sacroiliitis (rare plural: sacroiliitides), an inflammation of the sacroiliac joint, can be a manifestation of a wide range of disease processes. The pattern of involvement is helpful for narrowing down the differential diagnosis. Usually bilateral and symmetrical  enteropathic arthritis Croh...
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Multifocal breast cancer

Multifocal breast cancer refers to two or more individual breast cancers diagnosed at the same time within the same quadrant of the same breast 1.  There is however some heterogeneity in the way the term (as well as the term multicentric breast cancer) is used 4. NB: When staging such breast c...
Article

Pulmonary nodule

Pulmonary nodules are small, rounded opacities within the pulmonary interstitium. Pulmonary nodules are common and, as the spatial resolution of CT scanners has increased, detection of smaller and smaller nodules has occurred, which are more often an incidental finding. Classification Pulmonar...
Article

T1 hyperintense renal lesions

T1 hyperintense renal lesions are a group of lesions that show high signal characteristics on T1-weighted MRI compared to the adjacent normal renal parenchyma. The differential diagnoses for this group include: hemorrhagic and/or highly proteinaceous renal cyst papillary renal cell carcinoma ...
Article

Pediatric calcific discopathy

Pediatric idiopathic intervertebral disc calcification is a rare condition affecting intervertebral discs, adjacent vertebral bodies, and musculo-ligamentous structures, typically resulting in local pain or sensorimotor disturbances. First described by Baron in 1924 1, the underlying etiology is...
Article

Tonsillar herniation

Tonsillar herniation is a type of brain herniation characterized by the inferior descent of the cerebellar tonsils below the foramen magnum 5. Clinically, the presence of tonsillar herniation is often called coning. The terminology of caudally displaced tonsils is discussed in the article on ce...
Article

Basilar invagination

Basilar invagination, also called basilar impression, is a congenital or acquired craniocervical junction abnormality where the tip of the odontoid process projects above the foramen magnum.  Terminology The following terms are often used interchangeably because they describe upwards migration...

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