Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

1,002 results found
Article

Light bulb sign (phaeochromocytoma)

The light bulb sign of an adrenal phaeochromocytoma is MRI feature of this tumour. This refers to marked hyperintensity seen on T2 weighted sequences however this finding is neither sensitive nor specific and phaeochromocytomas are more often heterogeneous with intermediate or high T2 signal int...
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Linea alba

The line alba (Latin for white line) is a single midline fibrous line in the anterior abdominal wall formed by the median fusion of the layers of the rectus sheath medial to the bilateral rectus abdominis muscles. It attaches to the xiphoid process of the sternum and the pubic symphysis. The umb...
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Linitis plastica

Linitis plastica is a descriptive term usually referring to the appearance of the stomach, although the rectum can also be described this way (see: linitis plastica of the rectum). The appearance is said to be reminiscent of an old leather water-bottle. Pathology The underlying cause is usuall...
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Lipase

Lipase, more specifically pancreatic lipase, is an enzyme produced in the pancreas and is responsible for the digestion of fat molecules. It may be raised in numerous pancreatic, hepatobilary and other diseases but is most commonly associated with acute pancreatitis. Physiological basis Lipase...
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Lipoma

Lipomas are benign tumours composed of mature adipocytes. They are the most common soft tissue tumour, seen in ~2% of the population.  Epidemiology Patients typically present in adulthood (5th-7th decades). Clinical presentation Typically lipomas are subcutaneous in location and present in a...
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Lipomatosis

Lipomatosis is a condition where there is diffuse excessive fat deposition within the body. This can especially affect certain regions. neck and upper region of trunk Madelung disease mediastinal lipomatosis heart lipomatous hypertrophy of the interatrial septum lipomatous metaplasia of th...
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Lipomatosis of the ileocaecal valve

Lipomatosis of the ileocaecal valve is a benign condition usually detected incidentally during investigation of other conditions. However, it may itself cause certain vague abdominal symptoms and may be missed on preliminary ultrasound unless a high level of suspicion is present. Epidemiology ...
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Liposarcoma

Liposarcomas are malignant tumours of fatty tissue and are the malignant counterpart to a benign lipoma. They are the second commonest type of soft-tissue sarcoma. Epidemiology Liposarcomas are typically found in adults, typically between the ages of 40 and 60, and are rare in children. Clini...
Article

Littoral cell angioma of the spleen

Littoral cell angioma of the spleen (LCA) is a rare and relatively recently (1991) described vascular tumour of the spleen. Epidemiology Littoral cell angiomas may occur at any age and have no gender predilection. Clinical presentation Typically, patients with littoral cell angioma are found...
Article

Littre hernia

Littre hernia is a hernia containing a Meckel's diverticulum. Also known as a persistent omphalomesenteric duct hernia. It is most frequently encountered in the inguinal region. Radiographic features CT blind ending tubular structure arising from antimesentric border of small bowel and extend...
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Liver

The liver is the largest abdominal organ that plays a major role in metabolism and has a number of functions, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It is one of the very few organs that has the ability to r...
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Liver overlap sign

The liver overlap sign can be seen in sigmoid volvulus wherein the sigmoid loop is seen, usually on an abdominal radiograph, ascending to the right upper quadrant and projecting over the liver shadow. In one study of 21 patients with confirmed sigmoid volvulus, the sign was present in 9 patient...
Article

Loop-to-loop colon

The loop-to-loop colon describes an abnormal colonic course associated with the absence of the left kidney from the renal fossa.  The transverse colon extends to the lateral margin of the abdominal wall and the descending colon courses medially to fill the renal fossa, resulting in a "looped" c...
Article

Low attenuation lymphadenopathy

Low attenuation lymphadenopathy suggests underlying necrosis and can be seen in: metastatic carcinoma (or lymphoma) infections (tuberculous or fungal) Whipple disease coeliac sprue inflammatory necrotic disorders (ex. Kikuchi-Fujimoto disease) See also lymphadenopathy low attenuation lym...
Article

Lower abdominal / pelvic calcification

Causes of calcifications in the lower abdomen and pelvis include: vascular calcifications artherosclerosis aneurysms phleboliths urogenital uterine fibroid prostatic calcification seminal vesicle and ductus deferens calcification bladder stones gallstones dropped stones following chol...
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Lower gastrointestinal bleeding

Lower gastrointestinal bleeding (LGIB) is defined as that occurring distal to the ligament of Treitz (i.e. from the jejunum, ileum, colon, rectum or anus) and presenting as either haematochezia (bright red blood/clots or burgundy stools) or melaena. Epidemiology The incidence of LGIB is only o...
Article

Lower gastrointestinal bleeding (differential)

Lower gastrointestinal bleeding usually occurs distal to the ligament of Treitz, and has a wide differential diagnosis: diverticular disease enterocolitis infective Crohn’s disease ulcerative colitis ischaemic colitis vascular malformation vascular ectasia angiodysplasia arteriovenous ...
Article

Low-grade appendiceal mucinous neoplasm

Low-grade appendiceal mucinous neoplasms (LAMN), previously known as appendiceal mucinous cystadenomas, are rare mucinous tumours of the appendix showing low-grade cytologic atypia, c.f. high-grade appendiceal mucinous neoplasms. Terminology  Considerable controversy still exists on mucinous n...
Article

Lucent liver sign

The lucent liver sign is represented by a reduction of hepatic radiodensity on supine radiograph when there is a collection of free intraperitoneal gas located anterior to the liver.
Article

Lumbar hernia

Lumbar hernias are a rare form of posterior abdominal hernia.  Epidemiology Most common in patients aged between 50 and 70 years with a male predominance 1.  Clinical presentation Patients with lumbar hernias can present with a variety of symptoms, including a posterolateral mass, back pain,...
Article

Lymphocele of the thoracic duct

Introduction Lymphocele of the thoracic duct (thoracic duct cyst) is usually asymptomatic or less commonly may present as  left supraclavicular fossa mass 1. The clinical significance of a thoracic duct cyst lies in its misidentification as a pathological lesion at radiological assessment, whi...
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Magenstrasse

The term magenstrasse refers to a tubular portion of the stomach adjacent to the lesser curve of the stomach. It is a favoured route by food, fluids and drugs as they flow from the cardia/fundus to the gastric outlet 1. Magenstrasse is an old German anatomical term that has come back into commo...
Article

Magnetic resonance cholangiopancreatography

Magnetic resonance cholangiopancreatography (MRCP) is a non-invasive imaging technique to visualize intra and extrahepatic biliary tree and pancreatic ductal system. It can provide the diagnostic range equivalent to the ERCP and so it can replace the ERCP in high risk patient to avoid significa...
Article

Malignant biliary tract obstruction (summary)

This is a basic article for medical students and other non-radiologists Malignant biliary tract obstruction (MBTO) represents a group of conditions that cause obstructive jaundice. While most examples are the result of pancreatic head cancers, other malignancies may be causative. Reference art...
Article

Malignant oesophageal neoplasms

Malignant oesophageal neoplasms are much more common than benign oesophageal neoplasms, especially if the patient is symptomatic.  Pathology oesophageal carcinoma (90%) oesophageal squamous cell carcinoma (SCC) oesophageal spindle cell carcinoma oesophageal adenocarcinoma oesophageal neuro...
Article

Malignant vs benign gastric ulcer (barium)

Barium meal has been frequently used to differentiate malignant and benign gastric ulcers: Features suggesting benign gastric ulcer outpouching of ulcer crater beyond the gastric contour (exoluminal) smooth rounded and deep ulcer crater smooth ulcer mound smooth gastric folds that reach the...
Article

Mallory-Weiss tear

Mallory-Weiss tears occur due to violent projection of gastric contents against the lower oesophagus, which results in mucosal and submucosal tear with involvement of the venous plexus. The resultant clinical syndrome is known as Mallory-Weiss syndrome.  Clinical presentation Patients present ...
Article

Malone antegrade continence enema procedure

Malone antegrade continence enema is a surgical procedure where the vermiform appendix or ‘neoappendix’ is used to create a small stoma at the abdominal wall allowing antegrade enemas to be administered to empty the colorectum. This procedure is important particularly in children and adolescents...
Article

Marginal artery of Drummond

The marginal artery of Drummond, also known as the marginal artery of the colon, is a continuous arterial circle or arcade along the inner border of the colon formed by the anastomoses of the terminal branches of the superior mesenteric artery (SMA) and inferior mesenteric artery (IMA). Gross a...
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Marginal artery of Drummond and arc of Riolan (mnemonic)

Remembering the colon vascular supply can be confusing because of inconstant collateral vascularisation, therefore mnemonics can be helpful. One way to remember the location of the marginal artery of Drummond is to remember that it runs distally to the root of the mesentery (near the colon). I...
Article

Maydl hernia

Maydl hernias are defined as the presence of two small bowel loops within a single hernial sac, that is, there are two efferent and two afferent loops of bowel, forming a "W" shape. This type of hernia is more prone to strangulation and necrosis. The intervening intra-abdominal loop is also at ...
Article

McBurney point

McBurney point is defined as a point that lies one-third of distance laterally on a line drawn from the umbilicus to the right anterior superior iliac spine. Classically, it corresponds to the location of the base of the appendix 1. Clinically, McBurney point is relevant for the elicitation of ...
Article

McKeown procedure

The McKeown procedure ("tri-incisional oesophagectomy") is a type of oesophagectomy, that is similar in concept to an Ivor Lewis procedure, but it tends to be used for oesophageal lesions that are higher in the oesophagus. Procedure laparotomy stomach mobilized, the oesophagus "gastric tube"...
Article

Meandering main pancreatic duct

Meandering main pancreatic duct (MMPD) comprises of a reverse Z-type and loop-type of pancreatic ducts. These ductal variants are found in ERCP and MRCP studies. The exact incidence is not known. Increased incidence of meandering pancreatic duct has been reported in patients with idiopathic re...
Article

Meckel diverticulitis

Meckel diverticulitis is the inflammation of Meckel diverticulum, which is the most common congenital structural abnormality of the gastrointestinal tract 3. Despite this, it is an uncommon cause of acute abdomen and is often not correctly diagnosed pre-operatively.  This article focuses on Mec...
Article

Meckel diverticulum

Meckel diverticulum is a congenital intestinal diverticulum due to fibrous degeneration of the umbilical end of the omphalomesenteric (vitelline) duct that occurs around the distal ileum. It is considered the most common structural congenital anomaly of the gastrointestinal tract. Epidemiology ...
Article

Meconium ileus

Meconium ileus refers to a neonatal bowel obstruction of the distal ileum due to abnormally thick and impacted meconium. Unlike in the meconium plug syndrome, the meconium is abnormal in consistency. Epidemiology Meconium ileus is more common in white populations and affects both sexes almost ...
Article

Meconium peritonitis

Meconium peritonitis refers to a sterile chemical peritonitis due to intra-uterine bowel perforation and spillage of fetal meconium into the fetal peritoneal cavity. It is a common cause of peritoneal calcification.  Epidemiology The estimated prevalence is at ~1 in 35,000. Pathology The aet...
Article

Medial fossa

The medial fossae are concave depressions of peritoneum in the paravesical space bounded by the medial umbilical folds and the lateral umbilical folds. The fossae are contained within the inguinal (Hesselbach’s) triangle. The right medial fossa typically partially contains the cecum and/or ileum...
Article

Medial umbilical folds

The medial umbilical folds are raised ridges of parietal peritoneum in the deep aspect of the anterior abdominal wall formed by the underlying medial umbilical ligaments. The paired folds run from pelvis to umbilicus. The medial umbilical ligaments are anatomical remnants of foetal umbilical art...
Article

Median umbilical fold

The median umbilical fold is a raised ridge of parietal peritoneum in the deep aspect of the anterior abdominal wall overlying the median umbilical ligament. It runs from the apex of the bladder to the umbilicus. The median umbilical ligament is the anatomical remnant of the foetal urachus. The ...
Article

Mediastinal pseudocyst

A mediastinal pseudocyst is the extension of pancreatic pseudocyst into the posterior mediastinum through oesophageal or aortic hiatus or rarely through the foramen of Morgagni. It is a rare complication of acute or chronic pancreatitis. Clinical presentation It can present with symptoms due t...
Article

Medical devices in the abdomen and pelvis

Medical devices in the abdomen and pelvis are important to be recognised, just like medical devices of the chest. Often we ignore these devices, considering them to be incidental and non-pathological, however it is essential to be aware of potential complications. Gastrointestinal tubes stomac...
Article

Mega oesophagus

Mega oesophagus or diffuse oesophageal dilatation can be caused by a variety of conditions.  Pathology Aetiology Some of the more common causes are given below 1-3: oesophageal dysmotility achalasia Chagas disease scleroderma distal obstruction malignant stricture, e.g. oesophageal canc...
Article

Melioidosis

Melioidosis is an infectious disease caused by Burkholderia pseudomallei (previously known as Pseudomonas pseudomallei) and is a multisystem disorder which may affect the lungs, brain, visceral organs, or musculoskeletal system. Epidemiology Melioidosis is a disease of the monsoon season in th...
Article

Ménétrier disease

Ménétrier disease (MD) is a form of rare idiopathic hypertrophic gastropathy. Epidemiology Rare disease with incidence < 1 per 200,000. Bimodal in distribution, children often < 10 years; adult forms 30-60 years, peak 55 years. Male preponderance both in juvenile and adult form 7. Pathology ...
Article

Mercedes-Benz sign (gallbladder)

In the gallbladder, the Mercedes-Benz sign describes a star-shaped pattern of gas-fissuring within gallstones initially described on an abdominal radiograph 2. Fissures, usually fluid-filled, are present in close to 50% of gallstones. Less than half of these fissured gallstones contain some amo...
Article

Mesenteric adenitis

Mesenteric adenitis is a self-limiting inflammatory process that affects the mesenteric lymph nodes in the right lower quadrant, and is clinically often mistaken for acute appendicitis. Epidemiology Mesenteric adenitis is most common in children and adolescents although it may occasionally aff...
Article

Mesenteric cyst

Mesenteric cysts are a very rare cause of abdominal pain and have a wide range of underlying causes.  Epidemiology Mesenteric cysts are rare, with a reported incidence of 0.5-1 per 100,000 admissions 3.  Clinical presentation Patients usually present with abdominal pain and/or mass, although...
Article

Mesenteric desmoid tumour

Mesenteric desmoid tumours are a subtype of desmoid tumours   Pathology Desmoids are cytologically bland tumours that appear as infiltrative, well-demarcated tumours that are derived from musculo-aponeurotic structures throughout the body.  Associations in the mesentery, the masses may occur...
Article

Mesentery

A mesentery is a double layer of peritoneum that encloses the intestines and attaches them to the posterior abdominal wall. The term was originally only used to refer to the double layer of peritoneum that suspends the jejunum and ileum, but its meaning has been widened. Mesenteries include: s...
Article

Mesoappendix

The mesoappendix is a fold of peritoneum around the vermiform appendix and one of the four mesenteries in the abdominal cavity. It is attached to the lower end of the small bowel mesentery, close to the ileocaecal junction. It usually extends to the tip of the appendix and sometimes suspends th...
Article

Mesorectal fascia

The mesorectal fascia is a layer of connective tissue enclosing the peri-rectal fat that surrounds the rectum. It is an important anatomical structure in rectal cancer staging. Summary location: envelopes the peri-rectal fat which surrounds the rectum within the pelvis boundaries: extends fro...
Article

Metaplasia

Metaplasia is a general pathology term that refers to process when one cell type is replaced by another. It usually occurs in the context of a changed cellular environment to which the new cell type is better adapted 1. Examples include 2-5: Barrett oesophagus: normal squamous epithelium replac...
Article

MIBG

MIBG scan is a scintigraphic study that uses metaiodobenzylguanidine labeled to iodine-123 or iodine-131. It is indicated in the investigation of phaeochromocytoma. MIBG is positive in: neuroblastoma olfactory neuroblastoma 1 carcinoid tumour 4 paraganglioma phaeochromocytoma medullary th...
Article

Middle colic artery

The middle colic artery is a branch of the superior mesenteric artery (SMA). It passes in the layers of the transverse mesocolon to the transverse colon. The middle colic artery divides into right and left branches. The right branch supplies the right portion of the transverse colon and anastom...
Article

Middle rectal artery

The middle rectal artery, also known as the middle haemorrhoidal artery, is a branch from the anterior division of the internal iliac artery supplying the rectum. Summary origin: anterior division of the internal iliac artery location: pelvis supply: inferior rectum, seminal vesicles, prosta...
Article

Midgut volvulus

Midgut volvulus is a complication of malrotated bowel and results in a proximal bowel obstruction and ischaemia. Epidemiology A midgut volvulus of malrotated bowel can potentially occur at any age but in approximately 75% of cases is within a month of birth 4,6, most within the first week 3, a...
Article

Misty mesentery

Misty mesentery is a term used to describe the CT appearance of mesenteric fat with increased attenuation. Just as with fat stranding elsewhere, a number of processes can lead to the appearance including infiltration by inflammatory cells, oedema, lymphatic accumulation, haemorrhage, tumour infi...
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Mobile caecum

Mobile caecum is an anatomical variant and is often defined as a failure of the caecum, terminal ileum, and right colon, along with the mesentery, to fuse to the posterior parietal peritoneal wall. This results in increased mobility of the caecum. Epidemiology It has been estimated to occur in...
Article

Modified CT severity index

The modified CT severity index is an extension of the original CT severity index (CTSI) was developed by Balthazar and colleagues in 1994 for distinguishing mild, moderate and severe forms of acute pancreatitis. The original CT severity index has been followed internationally and has been very ...
Article

Morgagni hernia

Morgagni hernias are one of the congenital diaphragmatic hernias (CDH), and is characterised by herniation through the foramen of Morgagni. When compared to Bochdalek hernias, Morgagni hernias are: anterior more often right-sided (~90%) small rare (~2% of CDH) at low risk of prolapse Clini...
Article

Moulage sign (bowel)

The moulage sign is related to sprue, in particular coeliac disease. It occurs where there is a dilated jejunal loop with complete loss of jejunal folds 1. It is said to appear like a tube into which wax has been poured. History and etymology Moulage (French: casting/moulding) is the art of ap...
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MR defaecating proctography

MR defecography is a dynamic study for evaluation of the pelvic floor and pelvic organ prolapse. Phases There are four phases of evaluation: rest squeeze strain (Valsalva) defaecation Method of evaluation Many variations in the techniques described below exist. Patient preparation Typi...
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MR enteroclysis

MR enteroclysis is a technique for evaluation of number of small bowel diseases (especially Crohn disease) using MRI. Technique A general technique is outlined below placement of a nasoduodenal tube under fluoroscopic guidance the small-bowel is distended with 1-3 L of methylcellulose (0.5%)...
Article

MR enterography

MR enterography is a non-invasive technique for diagnosis of small bowel disorders. Indications The most common indication is to evaluate patients with Crohn disease (CD). Other less common indications would include coeliac disease, postoperative of adhesions, radiation enteritis, scleroderma,...
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Mucinous adenocarcinoma of the appendix

Mucinous adenocarcinomas of the appendix are on the malignant end of the spectrum of the mucinous neoplasms that affect the caecal appendix.  For the mucinous carcinomas involving the remainder of the colon, please refer to the article on mucinous carcinoma of the colon. Epidemiology Peak inc...
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Mucinous carcinoma of the colon

Mucinous carcinoma of the colon is a distinct form of colorectal cancer found in 10-15% of patients with colorectal cancer. It differs from the conventional adenocarcinoma in terms of clinical and histopathological characteristics. For the caecal appendix, please refer to the article on mucinou...
Article

Mucinous cystadenocarcinoma of the pancreas

Mucinous cystadenocarcinomas of the pancreas are a type of pancreatic mucinous tumour. It is considered the more malignant counterpart of a mucinous cystadenoma of the pancreas. Epidemiology Like the more benign mucinous cystadenomas, these are found almost exclusively in females 4. Radiograp...
Article

Mucinous cystadenoma of the pancreas

Mucinous cystadenomas (MCN) of the pancreas are a type of mucinous cystic neoplasm of the pancreas. Epidemiology Previously believed to occur exclusively in middle age females 5, it has occasionally been described in males 6-7. Pathology It is a large uni/multilocular cystic pancreatic neopl...
Article

Mucinous cystic neoplasms of the pancreas

Mucinous cystic neoplasms of the pancreas are the most common cystic neoplasm of the pancreas and include: mucinous cystadenoma of pancreas mucinous cystadenocarcinoma of pancreas intraductal papillary mucinous neoplasms (IPMN) of the pancreas: sometimes classified separately
Article

Mucinous neoplasms of the appendix

Mucinous neoplasms of the appendix are epithelial tumours of the appendix that produce mucin. According to a panel of specialists consensus published in 2016, a new nomenclature and classification for the appendiceal mucinous neoplasms based on their histologic type and biologic behaviour has be...
Article

Muir-Torre syndrome

Muir-Torre syndrome is a rare variant of hereditary nonpolyposis colorectal cancer (HNPCC),  characterised by sebaceous neoplasms (e.g adenoma, epithelioma or carcinoma) and keratoacanthocytomas as well as at least one internal malignancy: gastrointestinal malignancies (most common of internal ...
Article

Multiple endocrine neoplasia type I

Multiple endocrine neoplasia type I (MEN1), also known as Wermer syndrome, is an autosomal dominant genetic disease that results in proliferative lesions in multiple endocrine organs, particularly the pituitary gland, islet cells of the pancreas and parathyroid glands.  There are other multiple...
Article

Mushroom cap sign

Mushroom cap sign is one of the important signs of deep rectosigmoid endometriosis seen on T2 weighted MRI sequence. It indicates the submucosal involvement in rectosigmoid region. Radiographic appearance MRI Hypertrophic muscularis propria appears as heterogeneous low signal intensity surrou...
Article

Mushroom sign (pyloric stenosis)

The mushroom sign (also called umbrella sign) is a radiological sign described in pyloric stenosis on barium examination. This sign refers to the impression made by the hypertrophic pylorus on the duodenal cap. See also shoulder sign cervix sign of pyloric stenosis target sign of pyloric st...
Article

Mycosis fungoides

Mycosis fungoides (MF), also known as cutaneous T-cell lymphoma, is a type of malignant T-cell lymphoma that primarily involves the skin.  Epidemiology In the United States, it is more common in males and African Americans. In Europe, it accounts for ~6% of all non-Hodgkin lymphomas. It is rar...
Article

Myochosis coli

Myochosis coli is an uncommonly used term to denote the shortening and thickening of the colon seen in diverticulosis.  This is due to shortening of the taeniae coli and thickening of the circular muscular layer 1. History and etymology Myochosis coli is from the Ancient Greek for "heaped-up ...
Article

Nasogastric tube positioning

Assessment of nasogastric (NG) tube positioning is a key competency of all doctors as unidentified malpositioning may have dire consequences, including death. The ideal position should be in the sub-diaphragmatic position in the stomach - identified on a plain chest radiograph as overlying the ...
Article

Nasogastric tube position on chest x-ray (summary)

This is a basic article for medical students and other non-radiologists   Nasogastric (NG) tube position on chest x-ray should be assessed following initial placement and on subsequent radiographs. Reference article This is a summary article; we have a more in-depth reference article NGT. S...
Article

Necrotising enterocolitis

Necrotising enterocolitis (NEC) is the most common gastrointestinal condition in premature neonates. It is characterised by inflammation, ischaemia, and permeability of the neonatal bowel wall to bacteria. It is potentially life-threatening with significant associated morbidity. Epidemiology N...
Article

Necrotising enterocolitis (staging)

Necrotising enterocolitis (NEC) can be staged into three groups, helping to guide appropriate treatment. In general, stage I and II are managed medically whereas stage III is managed surgically. stage I clinical signs lethargy, temperature instability, apnoea, bradycardia emesis, abdominal d...
Article

Necrotising pancreatitis

Necrotising pancreatitis (NP) represents the severe form of pancreatitis. It is considered a subtype of acute pancreatitis as necrosis usually tends to occur early, within the first 24-48 hours, but can also rarely occur with subacute forms. A key feature is a significant amount of pancreatic a...
Article

Neonatal appendicitis

Neonatal appendicitis is rare, presumably in part due to the short funnel shape to the appendix at that age. Symptoms are non-specific and may mimic necrotising enterocolitis. 
Article

Neonatal pneumoperitoneum

The causes of neonatal pneumoperitoneum are different from adult pneumoperitoneum and include: perforated hollow viscus necrotising enterocolitis (NEC): most common meconium ileus in cystic fibrosis Hirschsprung disease intestinal atresia or web peptic ulcer disease iatrogenic intubation...
Article

Neoplasms of the appendix

There are a number of neoplasms that can involve the vermiform appendix, some of which are peculiar to this site. Epidemiology Tumours involving the appendix have been found in only about 1% of all appendectomy specimens 9. Epithelial neoplasms and neuroendocrine tumours represent the vast maj...
Article

Neuhauser sign (distal ileum)

Neuhauser sign refers to a soap bubble appearance seen in the distal ileum in cases of meconium ileus, related to the air mixed with meconium. It may be seen with barium enema if contrast passes beyond the ileocaecal valve or with small-bowel follow-through. Although classically described with ...
Article

Niacin deficiency

Niacin (vitamin B3) deficiency, also known as pellagra, is a multisystem disease which involves the skin, gastrointestinal tract and central nervous system.  Epidemiology It use to be widespread until the early twenty century, but after fortification of flour with niacin it was practically era...
Article

Nodular filling defects of duodenum (differential)

Nodular filling defects due to mucosal lesions in the duodenum are due to a number of processes. For a differential list which includes non-mucosal lesions see duodenal filling defects. The differential diagnosis for mucosal lesions includes:  heterotopic gastric mucosa 1-2 mm clustered onl...
Article

Non-neoplastic solid lesions of the pancreas

Non-neoplastic solid lesions of the pancreas (NNSLP) are conditions which may mimic pancreatic neoplasms on imaging. They include: focal pancreatitis fatty infiltration-replacement intrapancreatic accessory spleen peripancreatic lymph node congenital anomalies, such as prominent pancreatic ...
Article

Non-specific oesophageal motility disorder

Non-specific oesophageal motility disorder (NSMD) is one of the oesophageal dysmotility disorders. It is used to describe patients with oesophageal dysmotility that do not meet diagnostic criteria for other oesophageal motility disorders.  Clinical presentation Patients may be asymptomatic or ...
Article

Normal gastrointestinal tract imaging examples

This article lists examples of normal imaging of the gastrointestinal tract and surrounding structures, divided by modality. Plain radiograph example 1: abdominal film example 2: erect and supine example 3, example 4: paediatric example 5: young adult male Barium studies example 1, exampl...
Article

Normal mesenteric lymph nodes

Mesenteric lymph nodes had, during the era of single thick slice CT been only really appreciated when enlarged. With the advent of multidetector volume acquisition CT (and especially coronal reformats) they are commonly seen in normal individual and thus have raised the obvious question of what ...

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