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Biomedical subjects

E Himmelfarb

Publications and source records attributed to E Himmelfarb.

9 recordsLinked to original sources

Knee arthrography.

Knee arthrography done with the double contrast and spot film technique is a highly accurate method of evaluating the knee of a patient suspected of having an internal derangement. Its greatest value is in the evaluation of the menisci. The modern radiologist is frequently capable and interested in performing the examination. The modern radiologist is frequently capable and interested in performing the examination. The technique is safe and has a high degree of reliability. It should prove useful to the referring surgeon.

Evaluation Studies as Topic

Radiographic evaluation of treatment of advanced carcinoma of the prostate.

Radiographic evaluation of 65 patients with disseminated carcinoma of the prostate shows that 8% demonstrated resolution of metastatic deposits after palliative transurethral resection and/or estrogen or castration therapy. The increased effectiveness of therapy and the improved management of patients are reflected in longer survival. Roentgenographic evidence of increasing sclerosis of osteoblastic metastases of carcinoma of the prostate indicates that the rate of bone repair exceeds the rate of bone destruction, and is not necessarily an indication of progression of the disease. Increasing prominence of blastic bony lesions is not a poor prognostic sign; several patients showing it were symptom-free and survived for long periods. Sclerotization of lytic deposits is definitely a good prognostic sign of treatment and represents "healing change" within involved bone.

Aged

The radiologic spectrum of cardiopulmonary amyloidosis.

Amyloidosis, either primary or related to other pathologic states, may mimic a variety of disorders and produce a multitude of appearances demonstrable on radiographic examinations of the chest. All intrathoracic tissues and organs may be affected, but the major abnormalities most commonly involve the heart and lungs. The radiographic appearances in ten patients are described and correlated with the underlying gross and microscopic pathologic findings. No specific pattern of pulmonary involvement could be determined, aside from tracheobronchial amyloidosis. The final diagnosis is dependent upon the awareness of the clinical and radiologic spectrum and the final microscopic examination of involved tissue.

Amyloidosis

Right colonic adhesions.

Adhesive bands may cause narrowing of the colon. The radiographic appearance may show evidence of a sharp, localized narrowing and smooth mucosal contour. Adhesions involving the ascending colon may also precipitate acute colonic obstruction due to formation of a cecal bascule. The nature of the adhesive bands and their relationship to prior surgery, to anomalies of mesenteric fixation, and to appendices epiploicae are discussed.

Adult

The Ask-Upmark kidney. Roentgenographic and pathological features.

The Ask-Upmark kidney represents an unusual manifestation of a segmental hypoplastic kidney in which the lesion may be local or diffuse, and may involve one or both kidneys. It is almost always associated with hypertension and is, therefore, potentially curable when localized to a single kidney. It is imperative to recognize this disease in order to distinguish it from other entities that cause hypertension.

Biopsy

New thoughts concerning xanthogranulomatous pyelonephritis (X-P).

A clinical and roentgenographic analysis of 13 patients with pathologically proved xanthogranulomatous pyelonephritis (X-P) has demonstrated that many previously accepted truisms associated with this disease may not be valid. As a result of this study it is suggested that X-P: 1. Does have a prominant female distribution. 2. May arise relatively acutely. 3. Can be associated with a well-functioning kidney. 4. May destroy the kidney and collecting system. 5. Does not demonstrate neovascularity. 6. Can be distinguished angiographically from hypernephroma. 7. May be associated with diabetes. Other important facts were again observed: 1. X-P is still often associated with staghorn calculi and urinary tract obstruction. 2. Proteus mirabilis is the main offending organism.

Adenocarcinoma

Myelographic appearance of meningo-vascular lymphoma involving cauda equina.

The myelographic pattern of diffuse meningo-vascular infiltration of the cauda equina is presented as characterized by marked enlargement of the nerve root shadows and occasional nodulation. This appearance, when coupled with appropriate clinical and laboratory findings, allows a specific diagnosis to be made.

Adult