Case report. Extreme hydronephrosis versus echinococcal cyst of the liver: computed tomography evaluation.
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Biomedical subjects
Publications and source records attributed to G Candardjis.
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2 cases of intrathoracic stomach, 1 of them associated with hernia of the splenic flexure of the colon and a right-situated thoracic descending aorta, are evaluated by computed tomography.
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A 25-year-old man with a seminoma is irradiated several times until the age of 33 for multiple and relapsing metastases. The recovery is maintained for 20 years. The very high total irradiation doses have caused osteonecrotic lesions of the lumbar spine and some functional, but discreet renal problems.
Radiology has a permanent role to play in the diagnosis of tumors of the small bowel. The barium meal remains the examination of choice, arteriography of the celiac and superior mesenteric arteries being an important complementary procedure. The experience and clinical sense of the examiner play a predominant part in the differential diagnosis of a tumoral lesion of the small bowel, but a precise radiological technique retains its value.
The radiological study of the traumatic cervical spine must often be undertaken in two different ways depending on the time of examination. In patients severely involved, no manipulations can be undertaken during the acute state. Later on in these patients, as well as in those not so deeply involved, a thorough radiological investigation may be performed, e.g. in sitting position. The characteristics of both types are reviewed. Various syndromes are then considered following the different mechanisms of production.
Only special neuroradiological procedures allow a clear demonstration or exclusion of a traumatic lesion involving or threatening the intraspinal structures. The myelographies are of particular interest. The functional sagittal pneumostratigraphy is the most informative technique, except for the visualization of an avulsion of the plexus. For better selecting the patients for a gas myelography, a scintigraphy of the spinal leptomeningeal bag is very helpful. But the neurological problem may be suspected on the standard X-ray picture. The lateral walls - articular apophyses and the arcus - are well defined. The vascular conditions of the nedk are best appreciated by an arch aortography. A selective study of the carotids and vertebral arteries in functional positions of the head and neck may then proceed.
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