Premature visualization of sagittal sinus in radionuclide angiography as a sign of arteriovenous malformation.
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Biomedical subjects
Publications and source records attributed to J H Shapiro.
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Over 24 months, 22 patients with intrahepatic abscesses were diagnosed by sonography. The sonographic appearance of the abscesses was nonspecific and varied from anechoic lesions to highly echogenic solid masses. Septations, fluid-fluid interfaces, and debris were also observed. In 19 of 22 patients, the diagnosis was confirmed by needle aspiration. Subsequently, 12 patients were treated with percutaneous catheter drainage; in 10 patients this therapy obviated the need for further surgery.
A patient is described who had coagulopathy and clinically intermittent gastrointestinal bleeding. The bleeding site was clearly shown on renal and bone imaging performed at a time when the patient was considered clinically to have stopped bleeding. A bleeding gastric ulcer was subsequently demonstrated by radionuclide and contrast angiography, and at surgery.
A huge pancreatic pseudocyst which nearly filled the entire abdomen ruptured into the sigmoid colon, and caused perplexing clinical and radiographic findings. Because of the thickness of its wall, the pseudocyst did not collapse but became filled with intestinal gas. The more common features of pseudocysts that rupture are discussed.
The conventional liver scan, using 99mTC-sulfur colloid, is very sensitive in detecting focal abnormalities, but it is nonspecific, since most lesions appear as "cold" defects. Liver scan can be much more specific if the right combination of the many available radiopharmaceuticals is used. This fact is exemmlified by our case report of hepatoma. All scans can be done noninvasively, with low radiation exposure to the patients.
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We report a case of tuberculosis which, although clinically unsuspected, was diagnosed on a 67Ga scan. It is well known that 67Ga scintigraphy may be used as an adjunct to radiography for assessing extent and localization of inflammatory activity and for follow-up and progression evaluation of diffuse granulomatous diseases such as sarcoid and tuberculosis.
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Ninety-nine adults with an enlarged retrorectal space on barium enema examination have been evaluated. Measurements were based on previously described methods using the lateral view of the barium filled rectum. In 38.4% of the cases there was no lesion (normal variations). The rest were classified as inflammatory conditions, tumours, and miscellaneous lesions. It is concluded that an increased width of the presacral space per se does not necessarily connote a lesion. Pathological widening of the space is usually associated with changes of the contour of the rectum, abnormalities of the sacrum, or other alterations of the presacral soft tissues.
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