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Bridging vein thrombosis

Bridging vein thrombosis describes thrombosis of the fragile bridging veins that cross the subarachnoid and subdural spaces. The presence of bridging vein thrombosis on imaging has a strong association with non-accidental injury and can hint towards a traumatic etiology behind subdural hematoma ...

International Classification of Diseases

The International Classification of Diseases (ICD) or International Statistical Classification of Diseases and Related Health Problems constitutes a diagnostic classification standard and tool for all health disorders including epidemiological, clinical, research and health management issues. It...

Postmortem changes - musculoskeletal and soft tissue

Musculoskeletal and soft tissue postmortem changes refer to the expected appearances of the musculoskeletal system and soft tissues on postmortem imaging. Radiographic features CT livor mortis can be seen in the dependent soft tissues 1 hypostasis of the dependent muscles increased attenuat...

Normal respiratory postmortem changes

Normal respiratory postmortem changes refers to the expected changes seen in the respiratory system and tract with postmortem imaging. Radiographic features CT hypostasis occurs in the lung postmortem and is visible as a hyperdense gradient dependent with gravity which is bilateral and symmet...

Labeled imaging anatomy cases

This article lists a series of labeled imaging anatomy cases by body region and modality. Brain CT head: non-contrast axial CT head: non-contrast coronal CT head: non-contrast sagittal CT head: non-contrast axial with clinical questions CT head: angiogram axial CT head: angiogram coronal ...

Decomposition

Decomposition of the human body occurs soon after death and is of relevance to radiology in the fields of postmortem and forensic radiology. Pathology Decomposition occurs due to two main processes 1,2: autolysis: degradation by destructive enzymes released by dying cells in the body putrefa...

Normal postmortem changes in the central nervous system

Normal central nervous system postmortem changes refers to the expected changes seen in the central nervous system with postmortem imaging. Radiographic features CT loss of grey-white matter differentiation 1,2 intracranial and intravascular gas (due to putrefaction) 1,2 hyperdensity of the...

Postmortem changes - cardiovascular

Cardiovascular postmortem changes refer to the normal appearances of the cardiovascular system on postmortem imaging. Radiographic features CT hyperdensity of the aortic wall 1,2 hypostasis of blood intravascularly 3 dilatation of the right atrium of the heart 1 dilatation of the superior...

Hypostasis

Hypostasis (also called livor mortis) refers to the purplish discolouration of the superficial layers of dependent areas of the skin occurring soon after death. In reality the mechanisms causing hypostasis cause changes in every organ in the body. Epidemiology In one study imaging evidence of ...

Hanging and strangulation (trauma)

Hanging and strangulation are injuries involving constricting pressure applied to the neck. The vast majority are sustained as a result of attempted suicide. Epidemiology In America, hangings are the second most common form of suicide after firearm use. In other parts of the world due to the r...

Stab wound (overview)

Stab wounds are a form of penetrating trauma that may be self-inflicted or inflicted by another person either accidentally or intentionally. They may be caused from a variety of objects and may occur anywhere in the body. Terminology Although commonly caused by a knife as well, slash injuries ...

Hypothermia-related death

Hypothermia-related death refers to the endpoint of behavioral and physiological changes caused by a reduction in body temperature. Epidemiology Hypothermia can affect anyone in extreme cold, but in the presence of helplessness promoting factors also occurs in temperate climates, indoors and i...

Organophosphate poisoning

Organophosphate poisoning is an important cause of acute neurological dysfunction and respiratory distress. Epidemiology Organophosphate poisoning is common, often as a result of suicidal ingestion (acute high-level exposure) or occupational exposure to pesticides (chronic low-level exposure) ...

Cyanide poisoning

Cyanide poisoning is a cause of an acute anoxic-ischemic encephalopathy that also has eventual chronic sequelae. Epidemiology Acute cyanide poisoning is rare and often occurs after suicidal oral ingestion of cyanide-containing compounds, however there are other sources such as after smoke inh...

Basilar fractures of the skull

Basilar fractures of the skull, also known as base of skull fractures, are a common form of skull fracture, particularly in the setting of severe traumatic head injury, and involve the base of the skull. They may occur in isolation or often in continuity with skull vault (calvarial) fractures or...

Battle sign (base of skull fracture)

Battle sign is an eponymous term given to mastoid ecchymosis (bruising of the scalp overlying the mastoid process) and is strongly suggestive of a base of skull fracture, most commonly a petrous temporal bone fracture. History and etymology Mr William Henry Battle (1855-1936) was an English s...

Drowning (postmortem findings)

Drowning is one of the most prevalent causes of non-natural death with typical postmortem imaging findings. According to the World Health Organization (WHO), an estimated 360,000 annual deaths occur due to drowning. This article concerns itself with postmortem appearances in fatalities from dro...

Postmortem and forensic curriculum

The postmortem and forensic curriculum is one of our curriculum articles and aims to be a collection of topics that represent core knowledge pertaining to forensic and postmortem radiology. Definitions Postmortem radiology: the radiographic examination of the body after death. Forensic radi...

Methanol poisoning

Methanol poisoning is a cause of an acute toxic leukoencephalopathy that also has eventual chronic sequelae. Epidemiology Methanol poisoning or intoxication is rare and often occurs after suicidal or accidental oral ingestion of methanol-containing agents, or after consumption of adulterated ...

Anatomy curriculum

The anatomy curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core anatomy knowledge for radiologists and imaging specialists. General anatomy Neuroanatomy Head and neck anatomy Thoracic anatomy Abdominal and pelvic anatomy Spinal anat...

Ethylene glycol toxicity

Ethylene glycol toxicity is a type of toxic leukoencephalopathy. Ethylene glycol, best known as a component of antifreeze, has been ingested both deliberately and accidentally, resulting in neurotoxicity and renal failure. Epidemiology Ethylene glycol is found in many compounds including antif...

Trauma films (summary approach)

This is a basic article for medical students and other non-radiologists Trauma films are ubiquitous in an orthopedic attachment and also in the Emergency Department. In most cases, a trauma film will come with two views. It is important that you review both films because in some cases a fractu...

High-velocity penetrating brain injury

High-velocity penetrating brain injuries, in practical terms most often due to cranial gunshot injuries, are a form of penetrating traumatic brain injuries, which are much less common than blunt traumatic brain injuries and distinguished from low-velocity penetrating brain injuries (such as stab...

Penetrating thoracic trauma

Penetrating thoracic trauma, namely gunshot and stab injuries, vary widely in incidence globally but nevertheless result in high mortality and serious morbidity. CT is the modality of choice in imaging these patients and can reduce the need for surgical exploration. Pathology Penetrating thor...

Fracture-a-la-signature (skull fracture)

Fracture-a-la-signature (or signature fracture) is another term used to described a depressed skull fracture. Fracture-a-la-signature derives its name from forensic medicine because the size and shape of a depressed skull fracture may give information on the type of weapon used. It can be a si...

Pancreatic trauma

The pancreas is uncommonly injured in blunt trauma. However, pancreatic trauma has a high morbidity and mortality rate. Epidemiology The pancreas is injured in ~7.5% (range 2-13%) of blunt trauma cases 1,3,7. Motor vehicle accidents account for the vast majority of cases. Penetrating trauma co...

Splenic trauma

Splenic trauma can occur after blunt or penetrating trauma or secondary to medical intervention (i.e. iatrogenic). The spleen is the most frequently injured internal organ after blunt trauma. Epidemiology In blunt trauma, the spleen can account for up to 49% of abdominal organ injuries 2. Cli...

Liver trauma

The liver is one of the most frequently damaged organs in blunt trauma, and liver trauma is associated with a significant mortality rate. Epidemiology In blunt abdominal trauma, the liver is injured ~5% (range 1-10%) of the time 1,3. Clinical presentation Patients can present with right uppe...

Renal trauma

Renal trauma can result from direct, blunt, penetrating, and iatrogenic injury. Epidemiology Renal injuries account for ~10% of abdominal trauma, and thus the demographic of affected individuals reflect that population. The incidence of renal injuries increases in pre-existing congenital or ac...

Bone age assessment

Bone age assessment is used to radiologically assess the biological and structural maturity of immature patients from their hand and wrist x-ray appearances. It forms an important part of the diagnostic and management pathway in children with growth and endocrine disorders. It is helpful in the ...

Near drowning pulmonary edema

Near drowning pulmonary edema is considered an etiological subtype of non cardiogenic pulmonary edema. It can occur with both salt water and fresh water near-drowning. Pathology It is thought to result from the inhalation of either fresh water or sea water resulting in lung damage and a ventil...

Buckle rib fracture

Buckle rib fractures are incomplete fractures involving only the inner cortex. They typically occur due to an anterior compressive force to the chest, most commonly during external cardiac massage, but can be seen following any such traumatic injury. Pathology Buckle rib fractures occur in all...

Gunshot injuries

Gunshot injuries often require imaging assessment, and this evaluation has both clinical relevance (assessment of organ damage, surgical planning, and prognostication), and often also forensic implications. Epidemiology Incidence of gunshot injuries to the head is increasing in some countries,...

Solvent abuse

Solvent abuse (toluene being the major component) is remarkably common, especially in young people with psychosocial stressors, and with chronic use can lead to numerous ill-effects, particularly affecting the central nervous system. Epidemiology Solvent abuse is geographically widespread, an...

Hangman fracture

Hangman fracture, also known as traumatic spondylolisthesis of the axis, is a fracture which involves the pars interarticularis of C2 on both sides, and is a result of hyperextension and distraction. Epidemiology These injuries account for 4-7% of all cervical spine fractures and up to 22% of ...

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