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MEDICAL CASES & LEARNING RADIOLOGY FOR MEDICAL STUDENTS

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Female with diffuse pustulous skin lesions and polyarthralgias
2011-09-24 19:39:52
A 41-year-old Caucasian female patient presented with diffuse pustulous skin lesions and polyarthralgias. The patient had no other relevant past medical history. The histological study of the skin lesions revealed a polymorphonuclear infiltrate in the dermis. Other laboratory tests were unremarkable.  CT AXIAL PELVIS CT AXIAL CLAVICLE CT CORONAL LOWER LUMBAR Tc-99m methylene... READ MORE!!
Boy with acute paraplegia and local tenderness in the back
2011-09-19 19:42:44
An 11-year-old boy was referred with acute paraplegia and local tenderness over the left costovertebral angle. He had also history of left side insidious back pain, low grade fever and malaise. Chest X-ray also showed a calcified focus probably a calcified lymph node at the left hilar region however no evidence of parenchymal infiltration was found.Helical abdominal CT was performed after taking... READ MORE!!
Female with Hypostenia and hypoestesia localized at lower limbs
2011-08-27 19:59:40
28 year old femal patient. Hypostenia and hypoestesia localized at lower limbs and loss of sphincterial control. Sagittal T2, PD and T1 weighted images pre- and post- paramagnetic contrast medium i.v. administration, and axial T1 and T2 weighted images in the area of the suspected lesion were performed.These Images are given below. axial T1-weighted post-Gadolinium image sagittal image... READ MORE!!
Man with severe dysphagia, halitosis, paroxysms of coughing and regurgitation
2011-08-19 19:25:43
A 50-year-old man, who was previously healthy, presented with symptoms that included progressive intermittent but severe dysphagia, halitosis, paroxysms of coughing and regurgitation of food and liquids. He also had an unintentional weight loss of 20 kg. These symptoms developed during a 15-month period. He had no history of tobacco or alcohol use. Results of the physical examination done were... READ MORE!!
Boy with fever, vomiting and pain in the right hip
2011-08-12 07:02:39
An 11-year-old boy who lived on a farm presented with a 2-week history of fever, vomiting and pain in the right hip that extended into the right buttock. The patient was non-weight bearing on the right leg, with restricted movement of the right hip. CRP was elevated. The pelvic radiograph at presentation was normal. Clinical examination had revealed tenderness on deep palpation of the right... READ MORE!!
Old man with sudden severe thoracic pain, tachycardia and hypotension
2011-08-05 06:35:31
A 76-year-old man, with a long story of hypertension, arrived at the emergency room with sudden severe tearing thoracic pain, tachycardia and progressive hypotension. Few minutes after his arrival he lost consciousness. CT images taken. What is the diagnosis? ANSWERAcute aortic dissectionCT imaging reveals a dissection involving the ascending aorta. Acute aortic dissection is the most... READ MORE!!
Male Patient with Acute Abdomen
2011-07-30 19:25:33
A 60-year-old male who was being treated for acute-on-chronic pancreatitis with a large pancreatic-pseudocyst presented with acute abdomen to the emergency department. On presentation he was hypotensive. Laboratory parameters confirmed low haemoglobin (8.6 gm/dl) and mildly elevated serum amylase levels (180IU). Serum electrolytes revealed a low sodium and pottasium.Contrast CT abdomen was... READ MORE!!
Man with Leg weakness and lower back pain
2011-07-26 19:23:38
T1 MRI T2 MRI A 21-year-old man was admitted with bilateral lower extremity weakness and low-back pain.Plain radiograph was performed prior to MRI.Sagittal T1-weighted and T2- weighted Magnetic resonance imaging (MRI) study was performed after taking plain radiograph. What are the abnormalities in these images and what... READ MORE!!
Neck pain and dizziness after a swimming accident
2011-07-16 06:17:42
A 25-year-old healthy young woman twisted her neck while being turned over by a big wave on a summer holiday in Spain. Returning home, she went to see a doctor for diffuse right-sided neck pain and dizziness, that had started with the accident. She was referred for an MRI of the cervical spine. Routine sagittal and transverse, T1-weighted MRI were done.Contrast-enhanced MR-angiography of the... READ MORE!!
Girl with Hemi hypertrophy,venous varicosities and pinkish discoloration
2011-07-13 19:37:34
A 9-month-old girl was brought by her parents because of swelling of the right leg since birth. On examination there was hemi-hypertrophy, venous varicosities and pinkish discoloration. Plain radiographs showed marked soft tissue enlargement and mild bone enlargement. Colour Doppler showed absent deep venous system and few varicose venous channels.... READ MORE!!