multidetector computed tomography

多探测器计算机断层扫描
  • 文章类型: Case Reports
    急性长钙化性肌腱炎是颈部疼痛的鉴别诊断。典型的表现包括一系列症状,包括急性发作的颈部疼痛,颈部僵硬和吞咽困难。计算机断层扫描(CT)是急性钙化性长骨肌腱炎诊断的金标准,主要放射学发现包括椎前软组织肿胀和无定形钙化的存在。该病例涉及一名39岁的女性,她因急性单侧颈椎疼痛而出现在急诊科,导致急性钙化性长肌腱炎。
    Acute calcific longus colli tendinitis is a differential diagnosis of neck pain. Typical presentation consists in a triad of symptoms including acute onset neck pain, neck stiffness and odynophagia. Computed tomography (CT) is the gold standard for acute calcific longus colli tendinitis diagnosis and the main radiological findings include prevertebral soft tissue swelling and the presence of amorphous calcifications. The case involves a 39-year-old female who presented to the emergency department with acute unilateral cervical pain that resulted in acute calcific longus colli tendinitis.
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  • 文章类型: Case Reports
    来自骨内感染病变的成分可以通过下颌骨的各种通道传播,特别是通过精神孔。放射学上,感染的传播通常是非特异性的,难以表征;然而,多层螺旋CT(MSCT)可以有效检测软组织和骨髓间隙的病理变化。本报告描述了一名55岁妇女的病例,该妇女因右下颌第二前磨牙的根尖周感染而出现精神神经感觉异常。MSCT成像显示,根尖周病变周围的衰减增加,延伸到下颌管,并丢失了近孔间孔脂肪垫。在对怀疑是感染源的牙齿进行牙髓治疗后,病人的症状得到缓解,以前的MSCT成像结果不再存在。精神孔颊侧的骨髓衰减和脂肪平面消失的增加可以作为炎症从骨髓间隙扩散的放射学指标。
    Components derived from an infected lesion within the bone can spread through various passages in the mandible, particularly via the mental foramen. Radiologically, the spread of infection is typically nonspecific and challenging to characterize; however, multislice computed tomography (MSCT) can effectively detect pathological changes in soft tissues and the bone marrow space. This report describes the case of a 55-year-old woman who experienced mental nerve paresthesia due to a periapical infection of the right mandibular second premolar. MSCT imaging revealed increased attenuation around the periapical lesion extending into the mandibular canal and loss of the juxtamental foraminal fat pad. Following endodontic treatment of the tooth suspected to be the source of the infection, the patient\'s symptoms resolved, and the previous MSCT imaging findings were no longer present. Increased bone marrow attenuation and obliteration of the fat plane in the buccal aspect of the mental foramen may serve as radiologic indicators of inflammation spreading from the bone marrow space.
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  • 文章类型: Case Reports
    我们介绍了一个14岁的青春期男孩,其哮喘控制不佳,最终诊断为与左肺动脉吊带相关的桥支气管。关于案件报告,我们描述了胸部计算机断层扫描多探测器的特征发现,其分类,以及这个畸形的相关信息.在无症状或有症状的呼吸道患者的情况下,可能会发生气管支气管树的先天性畸形。这些畸形可能与其他血管有关,气管,和多器官受累综合征。尽管大多数患者无症状,他们中的一些会有非特异性症状,但没有明确的病因,或者会在其他病理的诊断评估中被偶然诊断出来。重要的是要了解和认识正常的解剖结构及其变化,由于放射学无疑在这些畸形的诊断和术前评估中起着至关重要的作用,尽管它们的发病率很低,必须由专家及时识别诊断图像。
    We present the case of a 14-year-old adolescent boy with a history of poorly controlled asthma and a final diagnosis of a bridge bronchus associated with sling of the left pulmonary artery. Regarding the case report, we describe the characteristic findings in computerized tomography multidetector of the thorax, its classification, and the most relevant information about this malformation. Congenital malformations of the tracheobronchial tree may occur in the context of asymptomatic or symptomatic respiratory patients. These malformations may be associated with other vascular, tracheal, and syndromes with multiorgan involvement. Although most patients are asymptomatic, some of them will have nonspecific symptoms without a clear etiology or will be diagnosed incidentally during the diagnostic evaluation of other pathologies. It is important to know and recognize the normal anatomy and its variations, since radiology undoubtedly plays a fundamental role in the diagnosis and preoperative assessment of these malformations, which although they have low incidence, must be identified in a timely manner by the specialist in diagnostic images.
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  • 文章类型: Case Reports
    一名74岁的女性植入了生理DDD起搏器,因房颤(AF)引起心悸而来我们部门就诊。已安排导管消融治疗房颤。术前多排计算机断层扫描显示下肺静脉(PV)是常见的主干,左、右上肺静脉从左心房顶部中心分支。此外,房颤消融术前对左心房的标测显示下肺静脉或公共干均无潜在可能。我们进行了左右上PV和后壁隔离。消融后,起搏器记录中未观察到房颤。
    A 74-year-old woman with an implanted physiological DDD pacemaker visited our department complaining of palpitations due to atrial fibrillation (AF). Catheter ablation therapy for AF was scheduled. Preoperative multidetector computed tomography showed that the inferior pulmonary vein (PV) was a common trunk, and the left and right superior PVs branched from the center of the left atrial roof. In addition, mapping of the left atrium before AF ablation revealed no potential in either the inferior PV or common trunk. We performed left and right superior PV and posterior wall isolation. After ablation, AF was not observed on pacemaker recordings.
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  • 文章类型: Case Reports
    Hemolymphangioma or hemangiolymphangioma is a rare venolymphatic vascular malformation composed of proliferations or networks of vascular spaces including the lymphatics, capillaries, veins, or arteries. The small bowel is a rare location for hemolymphangioma, and the small bowel mesentery is an even rarer site. Herein, we report a surgically confirmed large complex hemolymphangioma in the small bowel mesentery in a 55-year-old male.
    혈관림프종은 혈관종과 림프종 성분으로 구성된 드문 종양으로, 증식된 림프관, 모세혈관, 정맥 또는 동맥과 둘러싸는 결합조직 기질로 구성되어 있다. 소장 기원의 혈관림프종은 매우 드물고 그중 소장 장간막 기원은 극히 드물다. 본 증례 보고에서 수술과 면역 화학 염색을 통하여 확인된 55세 남자 환자의 소장 장간막의 혈관림프종 증례를 보고하고자 한다.
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  • 文章类型: Case Reports
    Solitary fibrous tumors (SFTs) commonly arise from the pleura and are mostly benign. However, they may develop anywhere in the body, and 10%-30% are malignant. Classically, SFTs appear as solitary enhancing masses, and bilateral presentation is extremely rare. In this case, an 88-year-old male presented with back pain and a history of chronic tuberculous empyema. Imaging studies revealed bilateral paravertebral masses with aggressive radiologic features, which were speculatively presumed as thoracic malignancies in association with chronic empyema. Herein, we report a unique case of bilateral paravertebral malignant SFTs that were accurately diagnosed with a CT-guided coaxial needle biopsy.
    고립성 섬유종은 흉막에서 흔히 발생하는 양성 종양으로 알려져 있으나, 신체 어느 곳에서나 발생할 수 있고 10%–30%에서는 악성이다. 전형적으로, 고립성 섬유종은 단일성의 조영증강되는 종괴로 나타나지만, 척추 주위의 양측성 종괴로 나타나는 경우는 보고되어 있지 않다. 이 증례에서는, 등 통증과 만성 농흉의 병력이 있던 88세 남자 환자의 영상 검사에서 침습적인 양측성 척추 주위 종괴가 발견되었고, 만성 농흉과 연관된 흉부 악성 종양을 먼저 의심하였다. CT 유도하 이중구조 바늘 생검을 통해 진단된 양측성의 척추 주위 악성 고립성 섬유종의 증례를 보고한다.
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  • 文章类型: Case Reports
    Renomedullary interstitial cell tumors are often incidentally identified either upon autopsy or kidney resection for other reasons. However, rare renomedullary interstitial cell tumor cases resulting in a clinical symptomatic mass have been reported. We present a case of renomedullary interstitial cell tumor that was manifested as an incidentally detected renal mass and mimicked renal cell carcinoma on the imaging features.
    신수질 간질세포 종양은 거의 대부분의 경우에서 부검 혹은 다른 원인에 의해 신장을 절제했을때 우연히 발견된다. 하지만, 드물게 임상적인 증상을 보이는 신수질간질세포 종양의 경우도 보고되었다. 우연히 발견된 신장 종양으로 나타난 신수질 간질세포 종양이 영상 검사상 신세포종양을 모방하였던 증례를 보고한다.
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  • 文章类型: Case Reports
    Uterine cervical cancer is one of the most common malignancies of the female genital tract. Most recurrent cases of uterine cervical cancer are diagnosed within two years after primary treatment, and late recurrence after a disease-free interval of more than five years is rare. In addition, peritoneal metastases usually present as multifocal discrete nodules in the peritoneal cavity with nodular or diffuse peritoneal thickening. Herein, we report an extremely rare case of late recurrent cervical cancer peritoneal metastasis with an unusual manifestation of a large, solitary necrotic mass in the right subphrenic space on contrast-enhanced CT.
    자궁 경부암은 여성 비뇨 생식기계에서 가장 흔한 악성 종양이다. 대부분의 재발성 자궁 경부암은 초기 치료 후 2년 이내에 진단되고 무병 기간이 5년 이상인 후기 재발은 매우 드물다.또한 복막 전이는 보통 복강 내 뚜렷한 다발성 결절 그리고 결절성 또는 미만성 복막 비후의형태로 나타난다. 여기서 우리는 조영증강 컴퓨터단층촬영에서 우측 횡격막하 공간에 큰 단일 괴사성 종괴로 보인 후기 재발성 자궁 경부암의 비전형적인 복막 전이라는 매우 드문 증례를 보고하고자 한다.
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  • 文章类型: Case Reports
    Immunoglobulin G4 (IgG4) related disease (IgG4-RD) is currently considered an immune-mediated condition and is recognized as a disorder group with common pathological, hematological, and clinical characteristics. This disease may involve diverse organs of the head and neck, and include mainly the lacrimal gland, orbit, thyroid gland, pituitary gland, and the meninges. Here, we report a case of IgG4-RD in a 65-year-old female showing head- and neck-limited but synchronously and mainly manifesting as otalgia and facial neuritis.
    면역글로불린 G4 (immunoglobulin G4; 이하 IgG4) 관련 질병은 한때는 장기별 별개의 질환으로 진단되었던 질환들을 근래에 공통적인 병리학적, 혈액학적 및 임상적 특징을 가지는 면역 매개 질환을 일컫는다. 이 분류의 질환은 다양한 장기를 침범할 수 있으며, 두경부 역시 침범할 수 있다. 두경부를 침범하였을 경우, 주로 눈물샘, 안와, 갑상선, 뇌하수체 및 뇌수막 등을 주로 침범한다. 이에, 초기 급성중이염과 유양돌기염으로 증상으로 내원한 65세 여자 환자에서 안면신경, 뇌경막, 비인강과 경부임파절에 동시에 발생하여 자기공명영상과 조직 검사로 진단된 IgG4 연관 질환에 대하여 증례 보고를 하고자 한다.
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  • 文章类型: Case Reports
    Angiosarcoma of the breast is a rare malignant sarcoma of endovascular origin that presents with various radiological findings. We encountered a case of angiosarcoma of the breast presenting as an irregular indistinct hyperechoic mass on ultrasonography, with a large single angiosarcoma of the spleen in a previously healthy 36-year-old female. Herein, we report the imaging and pathologic findings and review the literature.
    유방의 혈관육종은 매우 드문 악성 육종으로, 영상 소견이 비특이적이며 지금까지의 보고가 제한적이다. 또한 진단 당시 유방 및 비장 각각에서 하나의 큰 병변으로 보인 혈관육종은 거의 보고되지 않았다. 이에 저자들은 과거력이 없는 건강한 젊은 여성의 유방 및 비장에서 함께 관찰된 혈관육종 증례를 영상 및 병리학적 소견과 함께 보고하고자 한다.
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