Articles

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749 results found
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Cerebral cortical restricted diffusion

Cerebral cortical restricted diffusion, also known as gyriform restricted diffusion, cortical ribboning or cortical ribbon sign, refers to curvilinear hyperintense signal involving the cerebral cortex on DWI images with a corresponding low signal on ADC images. Causes include the following diso...
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Bowel wall calcification

Bowel wall calcification is not common and can occur secondary to various mechanisms due to benign, premalignant, or malignant lesions. The differential diagnoses include:  mucinous adenocarcinoma gastrointestinal stromal tumor (GIST) metastatic calcification - due to renal failure hemangio...
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Bowel wall fat deposition

Bowel wall fat deposition refers to the infiltration of the submucosa with fat and usually occurs in chronic processes such as inflammatory bowel disease, causing characteristic fat halo sign on CT images.  Other differential diagnoses include: normal variant - particularly in obese patients w...
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Central scar in hepatic lesions

The central scar in hepatic lesions most frequently has been described in focal nodular hyperplasia which the scar is T2 hyperintense and usually non-calcified, and fibrolamellar hepatocellular carcinoma, where the scar is T2 hypointense and often calcified. Scars do not have to be exactly centr...
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Decreased duodenal folds

Decreased duodenal folds may be seen on imaging modalities, particularly MR enterography, and differential diagnoses include: scleroderma - usually with duodenal dilatation celiac disease - particularly involves the distal duodenum and jejunum Crohn disease  cystic fibrosis amyloidosis
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Vulval neoplasms

Vulval neoplasms are rare and mostly seen in elderly female patients. Squamous cell carcinoma (SCC) is the most common malignancy of the vulva and only 30% of them are associated with oncogenic human papillomaviruses (HPVs). Pathology Squamous neoplastic lesions  Premalignant  classic vulvar...
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Discrete colonic ulceration

Discrete colonic ulcerations are nonspecific findings, and can be due to: Crohn disease infective colitis Yersinia entercolitis shigellosis tuberculosis cytomegalovirus (CMV) amoebic colitis vasculitic colitis Behcet disease
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Calcified pulmonary nodules

Calcified pulmonary nodules are a subset of hyperdense pulmonary nodules and a group of nodules with a relatively narrow differential. Pathology Etiology The most common cause of nodule calcification is granuloma formation, usually in the response to healed infection.   healed infection cal...
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Foot pain

Foot pain is a very common symptom. The differential diagnosis depends mainly on age, weight, level of physical activity, and the exact location of the pain. As neoplastic lesions are ubiquitary, they will not be added to the sections below. Hindfoot pain inferior heel pain trauma and bone b...
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Polyostotic bone lesions in adults

Common causes of polyostotic bone lesions in adults include: inflammatory arthritic or synovial-based lesions neoplastic benign non-ossifying fibromas (fibroxanthomas) polyostotic fibrous dysplasia (McCune-Albright syndrome) malignant multiple myeloma metastases metabolic primary hype...
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Cartilaginous lesions

The differential for cartilaginous lesions includes: osteochondroma enchondroma juxtacortical chondroma chondromyxoid fibroma chondroblastoma chondrosarcoma See also fibrous lesions osteoid lesions
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Twin pregnancy

Twin pregnancies are the most common multifetal pregnancies.  Epidemiology Multifetal pregnancies account for ~1% of all pregnancies but are seen in much higher numbers in populations where in vitro fertilisation (IVF) is a common practice. Classification A twin pregnancy can be broadly cate...
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Pediatric bone metastases (differential)

There are a wide range of primary malignancies that result in pediatric bone metastases 1: neuroblastoma leukemia: although not truly metastases lymphoma clear cell sarcoma: Wilms’ variant rhabdomyosarcoma retinoblastoma Ewing sarcoma: lung metastases much more common osteosarcoma: lung ...
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Pancreatic neoplasms

There are numerous primary pancreatic neoplasms, in part due to the mixed endocrine and exocrine components. Classification Classification based on function exocrine: ~99% of all primary pancreatic neoplasms pancreatic ductal adenocarcinoma (commonly known as pancreatic cancer) 90-95%  acin...
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Resorptive (obstructive) atelectasis

Resorptive or obstructive atelectasis is a form of lung collapse that is due to obstruction of the airways supplying a lung segment or lobe. It is a term used to distinguish atelectasis identified on imaging based on the underlying pathophysiology to guide diagnosis. Clinical presentation The ...
Article

Syndactyly

Syndactyly (plural: syndactylies) refers to a congenital fusion of two or more digits. It may be confined to soft tissue (soft tissue syndactyly / simple syndactyly) or may involve bone (bony syndactyly / complex syndactyly). Epidemiology The overall estimated incidence is at ~1 per 2500 to 50...
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Leave alone lesions - paranasal sinuses

Leave alone lesions are findings that are usually discovered incidentally and do not require any specific treatment or follow-up if the patient is asymptomatic. This article includes findings from paranasal sinus CT and MRI studies. physiological process nasal cycle anatomical variants conc...
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Complications of cranial radiotherapy

Complications of cranial radiation therapy are fairly common, particularly in long-term survivors, and especially in pediatric patients. Cranial radiotherapy is used for a variety of brain tumors, either in isolation or in combination with concurrent chemotherapy. Complications from irradiation...
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Small lung volume (differential diagnosis)

The following differential diagnoses can be considered when small lung volumes are seen: pulmonary fibrosis prior surgery, e.g. lobectomy, lung volume reduction surgery pleural disease, e.g. pleural thickening skeletal deformities, e.g. kyphosis, scoliosis systemic lupus erythematosus (SLE)...
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Intra-abdominal calcification (neonatal)

Intra-abdominal calcification in a neonate can be caused by a number of pathologies that cause calcification within the peritoneal space or within organs. Pathology Etiology Meconium peritonitis The commonest cause is meconium peritonitis which is the result of aseptic peritonitis secondary ...

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