Special imaging casebook. Infantile myofibromatosis: solitary and multifocal varieties.
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Biomedical subjects
Publications and source records attributed to T E Herman.
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OBJECTIVE: To assess CT findings of pyourachus. MATERIALS AND METHODS: Computed tomography of two patients with surgically proven pyourachus was reviewed. RESULTS: The CT characteristics of pyourachus include (a) midline location deep to the rectus abdominis muscle; (b) conical shape extending from a tip at the umbilicus to a base over the bladder dome; (c) peripheral inflammatory changes in subcutaneous tissues, rectus abdominis muscle, and mesenteric fat; and (d) intraperitoneal fluid or abscess (if perforation has occurred). CONCLUSION: Abdominal CT demonstrates characteristic findings in pyourachus that should allow differentiation from other abdominal-pelvic masses.
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Infantile cortical hyperostosis antenatal onset is an uncommon disease characterized by polyhydramnios, anasarca or hydrops, pulmonary hypoplasia, hepatomegaly, bowed hyperostotic long bones, and a poor prognosis. Sonographically the intrauterine manifestations may be similar to those of osteogenesis imperfecta, type II.
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