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Biomedical subjects

R M Gore

Publications and source records attributed to R M Gore.

At least 91 records · Page 5Linked to original sources
PubMed1982

Lesser sac fluid in predicting the etiology of ascites: CT findings.

The CT scan of 100 patients with ascites were reviewed to assess the relative distribution of fluid in the greater and lesser peritoneal sacs. Discordant fluid accumulations were found in most cases. Patients with benign, transudative ascites (e.g., peritoneal dialysis, cirrhosis, congestive heart failure) had large greater sac collections with little fluid in the lesser sac. Those patients with diseases of organs bordering the lesser sac (e.g., pancreatitis, posteriorly penetrating gastric ulcer) had larger lesser sac fluid collections with little in the greater sac. Cytologically positive carcinomatosis of the abdomen was associated with concordant fluid volumes in these two spaces. These findings suggest that fluid within the lesser sac is not a typical manifestation of generalized peritoneal ascites and that its presence should direct a search for pathology in neighboring organs and for peritoneal malignancy.

Abdominal Neoplasms↗
PubMed1981

Unilateral enlargement of the internal auditory canal: a developmental variant.

Marked asymmetry of the petrous pyramids as seen on plain skull roentgenograms is reported in 3 patients with no clinical findings related to the region of the cerebellopontine angle. Polytomograms of the enlarged internal auditory canal in these patients demonstrated in intact crista falciformis and absence of cortical destruction. These roentgenographic features suggest that the asymmetry represents a developmental variant. When contrast enchanced computed tomography fails to demonstrate an abnormality in asymptomatic patients with an enlarged internal auditory canal, it is unnecessary to proceed with further neuroradiological study.

Adult↗
PubMed1981

Rounded atelectasis and its association with asbestos-induced pleural disease.

Rounded atelectasis (RA) is an unusual form of peripheral lobar collapse which may present as a juxtapleural mass simulating a pulmonary neoplasm. Seven cases of RA were recently encountered in patients with asbestos-induced pleural disease. Since asbestos exposure is associated with mesothelioma, bronchogenic carcinoma, and other tumors, differentiation of RA from these neoplasms is essential in avoiding unnecessary thoracotomy. The radiographic features of RA are sufficiently characteristic, so that in the presence of chronic pleural thickening due to asbestos exposure, the diagnosis can be made with assurance and further work-up avoided.

Aged↗
PubMed1980

Acquired double pylorus due to gastroduodenal fistula complicating peptic ulceration.

Fistulous communication between the gastric antrum and the duodenal bulb had the roentgenographic appearance of a double-channel pylorus in five adult patents. A penetrating peptic ulcer was the underlying cause in each instance. Following conservative management, the fistula in two cases closed spontaneously and in two other cases became asymptomatic despite persistence of the accessory channel. The remaining patient underwent subtotal gastrectomy because of hemorrhage from nonhealing antral ulcer.

Adult↗
PubMed1980

Cavernous hepatic hemangioma simulating metastatic renal cell carcinoma.

A case of cavernous hemangioma of the liver resembling a metastatic deposit is reported in a patient with renal cell carcinoma. The clinical and angiographic features that distinguish hepatic hemangiomas from metastatic renal cell carcinoma are discussed. The importance of this distinction in patient management is emphasized.

Adenocarcinoma↗
PubMed1980

Osseous manifestations of elbow stress associated with sports activities.

The radiographic manifestations of musculoskeletal stress at the elbow associated with racket and throwing sports are reported in 29 symptomatic amateur, juvenile, and professional athletes. Five major categories of stress are identified: diffuse, humeral shaft, medial tension, lateral compression, and extension stress. The osseous changes produced by these stresses include bony hypertrophy, loose bodies, traction spur formation, osteochondral and humeral shaft fractures in the adult, and epiphyseal and apophyseal hypermaturity or avulsion in the youngster.

Adolescent↗
PubMed1980

Sphenoid sinus mucoceles presenting as intracranial masses on computed tomography.

Two cases of mucocele of the sphenoid sinus that presented as sellar and parasellar masses on computed tomography (CT) are presented. One mucocele was isodense while the other was hyperdense (100 Hounsfield units). Neither lesion demonstrated contrast enhancement. By delineating the total extent of the lesions, CT facilitated pre-operative diagnosis and surgical management.

Adult↗
PubMedDate not supplied

Intracranial complications of pediatric hematologic disorders: computed tomographic assessment.

Computed tomography (CT) findings in the intracranial complications of leukemia, hemophilia, and sickle cell anemia were reviewed in 19 children with these hematologic disorders. CT demonstrated intracranial hemorrhage, infarction, intracerebral mass, and post-therapeutic atrophy and leukoencephalopathy in leukemic children. Intracerebral, subarachnoid, subdural, and epidural hemorrhage was documented in patients with hemophilia. Bland and hemorrhagic infarctions were identified in children with sickle cell anemia. CT proved valuable in documenting the presence and extent of these abnormalities, titrating factor replacement in hemophiliac patients, and monitoring therapeutic toxicity in leukemic patients.

Adolescent↗