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Diagnostic ultrasound is an important adjunct to existing methods in the diagnosis of thoracic disease in the horse. This article discusses scanning techniques, anatomy of the thoracic cavity, and how diagnosis of pleural effusion, pulmonary abscessation, pneumothorax, and vegetative endocarditis may be facilitated by ultrasound.
Spiral CT represents a major advance in CT technology. While the patient is advanced through the scanner gantry, continuous data acquisition occurs during suspended respiration eliminating many of the limitations associated with conventional thoracic CT. By eliminating respiratory misregistration and by offering the ability to reconstruct overlapping images at small intervals, spiral CT is advantageous for pulmonary nodule detection. Airway pathology and lesions adjacent to the diaphragm are better visualized with spiral CT and can be displayed in multiplanar or three-dimensional formats. Vascular imaging, including pulmonary embolus detection, is improved by spiral CT because scanning occurs rapidly at the peak of vascular enhancement.
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Due to the close proximity of arteries and veins in the superior mediastinum and upper extremities, T2* shortening effects of the gadolinium within the central veins may cause artifactual vascular stenosis (susceptibility artifact) on arterial-phase MR angiographic images of the major branches of the aortic arch. We report a case of artifactual stenosis isolated to the origin of the left common carotid artery on arterial-phase MR angiography, secondary to susceptibility artifact from non-diluted gadolinium in the adjacent brachiocephalic vein. The cause of the artifact, its identification and prevention is reviewed.
This article describes the application of the helicoidal tomography for the study of mediastinal and pulmonal affections by small animals. The global presentation is completed by clinical cases that show the interest in this technic. A thymoma, a chronic pleuresia due to thorns and a mediastinal cranio-dorsal neoplasia provoking only lameness signs will be presentated in details.
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AIMS: This case illustrates the difficulties and pitfalls of diagnosis of alveolar rhabdomyosarcoma in its solid variant and in an unusual primary location, the mediastinum. CASE DETAILS: A 9-year-old boy presented with a primary thoracic tumour associated with metastasis in the left sacroiliac joint. Bronchial and mediastinal biopsies showed a malignant neoplasm with a solid sheet-like pattern of small round cells with a high nuclear to cytoplasmic ratio associated with little or no fibrosis usually evocative of a peripheral neuroectodermal tumour (PNET) at this age. Immunohistochemical positive staining with vimentin (80% of tumour cells), desmin (20%) and titin (30%) antibodies was suggestive of a rhabdomyosarcoma. In addition, all neural cell adhesion molecule (NCAM) markers tested were positive as well as MIC2, a marker for the Ewing family of sarcomas. There was no rhabdomyoid differentiation at ultrastructural examination. Molecular analysis with RT-PCR amplification of RNA isolated from the tumour demonstrated the presence of a PAX3/FKHR fusion transcript, product of a t(2;13) reciprocal translocation, a genetic marker specific for alveolar rhabdomyosarcoma. CONCLUSIONS: The diagnostic methodology of a small round cell tumour of the child must now include immunohistochemical study and molecular biology to confirm the diagnosis of alveolar rhabdomyosarcoma, in a solid and undifferentiated variant.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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In over 150 patients, comparative chest examinations were carried out using films and xerography. The following results were obtained: Using xerography, image quality depends significantly on the size and shape of the imaging structure and on its marginal sharpness. Using a sectional technique and xerography, pulmonary vessels, bronchi, hilar structures and various linear changes are more clearly demonstrated than with ordinary film. Xerography has no advantage in showing changes occupying a large area. Routine use of xerography for chest examinations is limited by the size of the selenium plates and the higher radiation dose required.