MRI - Shoulder Anatomy
Bilateral Pulmonary Emboli
Ascending Aortic Aneurysm
Notice muscle fibers of pectoralis major muscles indicating air outside of the pleura
This finding is highly suggestive of pneumothorax (although not obviously seen on this plain film)
Follow-up CT was obtained
Pneumothorax noted to right lung along with significant subcutaneous emphysema
Also note fracture of rib on the right
Incarcerated Inguinal Hernia
Superior Mesenteric Artery Aneurysm
Rectus Abdominis Hematoma
Renal Artery Stenosis
Small Bowel Obstruction
Multiple air-fluid levels
No gas in rectum
Dilated loops of small bowel
Plicae circulares seen across entire diameter of small bowel.
Note the renal mass. Since it is not cystic in appearance it is malignancy until proven otherwise.
Urethral Trauma (Male)
Low density mass with ill-defined borders in left kidney
Due to infection from vesicoureteric reflux
DDx - Abscess
Tx - IV antibiotics
Superior Gluteal Artery Coil Embolization Pos-Pelvic Trauma
The above still image, taken from the angiography movie below, demonstrates contrast material extravasating from the superior gluteal artery. This artery was lacerated during the traumatic event, an automobile accident, that produced the fractures of the pelvic bones seen in the above CT images. The movie then shows the coil device within the lacerated vessel, and injection of contrast material allows visualization of the successful embolization of the superior gluteal artery.
- This photo shows the deployment of the inferior vena cava filter this patient received.
70 yo woman with history of cancer in the right breast presents for screening mammography as shown below.
- There is a suspicious density noted in the mid-portion of the right breast.
- Surgical clips are noted from prior intervention in the right breast.
- BSGI is performed and shows a hot nodule just deep to the nipple of the right breast. Note that the lesion seen on mammo does not enhance on BSGI. The nodule found on BSGI was not seen on the standard screening mammo.
- The patient was taken for mammographic-guided needle placement for surgical removal. The color enhancement of the next following image is an overlay of the BSGI data on the mammographic data done post needle insertion to assure correct placement of the needle for surgical intervention.
- Breast tissue s/p surgical removal. Pathologic exam found this to me a second primary breast cancer in this 70 yo.
Anterior Shoulder Dislocation
Chronic AC Joint Separation
Ischemic Stroke With Hemorrhagic Conversion
Epidural Hematoma (Pediatric)
These images were taken of a patient who had become unresponsive approximately 10 hours after falling from a deck. These coronal and axial CT images (above) show an obvious epidural bleed demonstrating the classic lentiform shape and mass-effect with a shift in the midline structures. However, there is no apparent temporal fracture as would be expected with such a finding. A craniotomy was preformed for decompression and a subsequent CT (below) shows resolution of the mass effect.
This is a frontal chest radiograph (above) taken of a newborn with shortness of breath. The density in the left upper thorax is actually a normal thymic shadow. In the right lower lung field there is what appears to be a pneumothorax, which, with respiratory treatment, has resolved on the subsequent radiograph taken the next morning (below).
The video link above demonstrates a series of still images obtained during a voiding cystourethrogram. The still images below display marked dilatation of the ureter and calyces suggesting grade 4 reflux.
- < 3mm single muscle thickness
- < 7mm pyloric width
- < 15mm pyloric length
- Cancer most likely source of lead point
- Meckel's Diverticulum
Pediatric Signs & Symptoms
- 3mo to 6yo (most common 7-8mo)
- Colicky abdominal pain
- Currant jelly stool
- Palpable sausage-like mass
Air or contrast enema is both diagnostic and therapeutic.
Axial CT with IV Contrast