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.

112 results found
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Abscess

Abscesses are focal confined collections of suppurative inflammatory material and can be thought of as having three components 1: a central core consisting of necrotic inflammatory cells and local tissue peripheral halo of viable neutrophils surrounded by a 'capsule' with dilated blood vessel...
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Acute sinusitis

Acute sinusitis is an acute inflammation of the paranasal sinus mucosa that lasts less than four weeks and can occur in any of the paranasal sinuses. If the nasal cavity mucosa is also involved then the term rhinosinusitis may be used. Clinical presentation Fever, headache, postnasal discharge...
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Adult cervical lymphadenopathy (differential)

Cervical lymphadenopathy in an adult can result from a vast number of conditions. They include: malignancy metastases  from head and neck tumours lymphoma other neoplastic lesions Castleman disease Kaposi sarcoma infection bacterial infection viral infection Epstein-Barr virus herpes...
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Amaurosis fugax

Amaurosis fugax is the transient mono-ocular loss of vision, normally lasting a few seconds to a few minutes, and is secondary to vascular ischaemia/insufficiency. Usually the cause is ascribed to occlusion of the central retinal artery there are a wide number of local and central causes. 
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Atlantodental interval

The atlantodental interval (ADI), as the name suggests, is the horizontal distance between the anterior arch of the atlas and the dens of the axis, used in the diagnosis of atlanto-occipital dissociation injuries and injuries of the atlas and axis. It is the distance (in mm) between the posteri...
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Autoimmune thyroiditis

Autoimmune thyroiditises (AIT) refers to a group of conditions where there is inflammation involving the thyroid gland related to thyroid antibodies. Epidemiology They are most common thyroid disease group in the paediatric population 5. Pathology Entities that fall under this category inclu...
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Basion-axial interval

The basion-axial interval (BAI), as the name suggests, is the horizontal distance between the basion and the posterior cortex of the axis, used in the diagnosis of atlanto-occipital dissociation injuries. It is the distance (in mm) between the basion and the superior extension of the posterior ...
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Basion-dens interval

The basion-dens interval (BDI), as the name suggests, is the distance between the basion and the tip of the dens, used in the diagnosis of atlanto-occipital dissociation injuries. It is the distance from the most inferior portion of the basion to the closest point of the superior aspect of the ...
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Benign metastasising tumours

There are a number of benign metastasising tumours: benign metastasising meningioma 1,2 benign metastasising leiomyoma 3 primary adenoma of thyroid 4 giant cell tumour of bone 5
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Benign minor salivary gland pathology

Benign minor salivary gland pathology is a broad term that encompasses a number of relatively uncommon pathologies that affect the minor salivary glands of the head and neck: salivary retention cysts benign neoplasms pleomorphic adenoma
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Bilateral thinning of the parietal bones

Bilateral thinning of the parietal bones, also known as biparietal osteodystrophy, is an uncommon, slowly progressive acquired disease of middle-aged people with slight female predilection. It is typically an incidental finding.  Pathology The aetiology is unknown but is thought to be an age-r...
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Bimastoid line

The bimastoid line has been described and used to evaluate basilar invagination on frontal skull plain film and coronal reconstructed CT image. The bimastoid line is drawn between the inferior tips of the of mastoid processes bilaterally. The tip of the odontoid process of C2 normally projects ...
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Blunt traumatic neck injury

Blunt traumatic neck injury is uncommon because it is usually protected by the head, shoulders, and chest. This term is generally used to refer to injuries of the neck besides to cervical spine injuries, which are common.  Pathology Blunt injury to the neck is most commonly from motor vehicle ...
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Boogard's angle

Boogard's angle is measured by drawing a line from basion to opisthion and another line along the plane of the clivus to the basion intersecting the first line - the angle between these two lines is measured . The normal angle is 126° +/- 6°. If the angle measures more than 136° it is indicativ...
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Calcification of the external ear (differential)

Calcification of the external ear (auricular cartilage) may arise from a number of causes, including: hyperparathyroidism gout and pseudogout relapsing polychondritis frostbite trauma ochronosis sarcoidosis diabetes mellitus adrenal insufficiency
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Calcification of the globe (differential)

Calcification of the globe has many causes, varying from the benign to malignant. When calcification is seen of the posterior half of the globe, it could relate to any of the layers (scleral, choroidal or retinal), as it is not possible to separate them out on CT. Retinal drusen: 1% population...
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Carcinoembryonic antigen

Serum carcinoembryonic antigen (CEA) is a cell-adhesive glycoprotein that was discovered in colorectal cancer in 1965, and is hence one of the oldest and most used tumour markers. Its name derives from its normal expression in fetoembryonic liver, gut and pancreas tissue. Normal range of CEA is...
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Chamberlain line

Chamberlain line is a line joining the back of hard palate with the opisthion on a lateral view of the craniocervical junction. Significance It helps to recognise basilar invagination which is said to be present if the tip of the dens is >3 mm above this line. McGregor developed a modificatio...
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Cleft palate

Cleft palate is a type of facial cleft. It can occur in two main aetiologically different forms: in association with a cleft lip: cleft lip +/- palate (much commoner) on its own: isolated cleft palate (rarer)
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Clival masses

The differential of a mass involving or arising from the clivus is a relatively narrow one and can be divided into whether the lesion arises from the skull base itself, from the intracranial compartment or from below the base of skull.   When evaluating the clivus it is important to compare the...
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Cochlear implant

Cochlear implants (CI) are a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severely hard of hearing. Unlike conventional hearing aids, the cochlear implant does not amplify sound, but works by directly stimulating any functioning audi...
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COL4A1-related disorders

COL4A1-related disorders are a group of autosomal dominant disorders caused by a mutation in the COL4A1 gene. Epidemiology The exact prevalence is unknown, but the group of disorders is considered to be under-recognised, especially asymptomatic variants 1. Clinical presentation The clinical ...
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Conductive hearing loss

Conductive hearing loss is caused by a range of developmental, congenital or acquired pathology to the external, middle or inner ear. Pathology Essentially any process that obstructs or disrupts the passage of sound waves through the outer or middle ear can cause conductive hearing loss and th...
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Congenital calvarial defects

Congenital calvarial defects are a group of disorders characterised by congenital calvarial bone defects that vary in severity. Radiographic features CT with 3D shaded surface reformats is the best imaging tool as it demonstrates calvarial defects and bone margins: parietal foramina parietal...
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Convexal subarachnoid haemorrhage

Convexal subarachnoid haemorrhages (cSAH) are nontraumatic intracranial haemorrhages that occur within the surface sulci of the brain (c.f. basal cisternal distribution of aneurysmal SAH). There are various causes of convexal SAH, some of which include: dural venous sinus thromboses cortical ...
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Craniotomy

Craniotomy is a surgical procedure where a piece of calvarial bone is removed to allow intracranial exposure. The bone flap is replaced at the end of the procedure, usually secured with microplates and screws. If the bone flap is not replaced it is either a craniectomy or cranioplasty.  Classif...
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CSF otorrhoea

CSF otorrhoea is defined as leakage of cerebrospinal fluid (CSF) from the subarachnoid space into the middle ear cavity or mastoid air cells. Epidemiology There are a number of underlying causes, and thus no specific demographic is affected.  Clinical presentation Patients typically present ...
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Cystic mass adjacent to the angle of mandible (differential)

The differential diagnosis of a cystic mass adjacent to the angle of mandible includes: 2nd branchial cleft cyst lymphatic malformation (lymphangioma) cystic lymphadenopathy from tuberculosis from metastatic squamous cell carcinoma  from metastatic papillary thyroid cancer See also cys...
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Cystic (necrotic) lymph nodes

Cystic or necrotic appearing lymph nodes can be caused by a number of infectious, inflammatory or malignant conditions: Systemic squamous cell carcinoma metastases treated lymphoma leukemia plasmacytoid T-cell leukemia acute myeloid leukemia viral lymphadenitis herpes simplex lymphadenit...
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Cystic parotid lesions

The differential for cystic parotid lesions includes: bilateral cystic parotid lesions Warthin tumour benign lymphoepithelial lesions of HIV Sjögren syndrome sialocoeles unilateral cystic parotid lesion(s) Warthin tumour sialocoele first branchial cleft cyst: parotid lymphoepithelial cy...
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Dental abscess

Dental (periapical) abscess is an acute infection of the periapical tissue around the root of the tooth. Clinical presentation Patients may present with pain, oedema, and purulent discharge localised to the site of pathology with or without fever and tender cervical lymphadenopathy 1. Patholo...
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Differential diagnosis for calcified masses in the mandible

Differential diagnosis for calcified masses in the mandible includes: calcifying odontogenic cyst (Gorlin cyst) calcifying epithelial odontogenic tumour (Pindborg tumour) fibrous dysplasia foreign body odontoma cemento-ossifying fibroma osteoma synovial osteochondromatosis focal sclero...
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Dysphagia

Dysphagia refers to subjective awareness of difficulty or obstruction during swallowing. It is a relatively common and increasingly prevalent clinical problem.  Fluoroscopy is the mainstay of imaging assessment but manometry can help evaluate the esophageal motor pattern and lower esophageal sp...
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Ectopia lentis

Ectopia lentis refers to subluxation or dislocation of the lens of the eye secondary to dysfunction or disruption of zonular fibres.  Pathology Aetiology trauma systemic and syndromic disorders Marfan syndrome typically upwards and out most common spontaneous cause 2 homocystinuria -  ty...
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Endophthalmitis

Endophthalmitis is a potentially sight-threatening condition that involves intraocular inflammation of any cause. It is either infectious or noninfectious in aetiology, but in clinical practice, intraocular infections are the commonest.  Clinical presentation Eye pain and discomfort are common...
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Enlarged extraocular muscles (differential)

There is a short list of causes for enlarged extraocular muscles: thyroid associated orbitopathy lymphoma orbital pseudotumour sarcoidosis metastases amyloidosis (very rare) 2
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Extraconal orbital lesions

Extraconal orbital lesions include lesions which arise from structures within the extraconal orbital space and those extending from adjacent structures into the orbits. Differential diagnosis Intraorbital lesions dermoid cyst: most common lesion in paediatrics  lacrimial gland lesions dacry...
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Facial fractures

Facial fractures are commonly caused by blunt or penetrating trauma sustained during motor vehicle accidents, assaults, and falls. The facial bones are thin and relatively fragile making them susceptible to injury. Epidemiology Males are affected more commonly than females and facial fractures...
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Facial palsy

Facial palsy refers to the neurological syndrome of facial paralysis. It can result from a broad range of physiological insults to the facial nerve or its central nervous system origins. The most common causes of this is Bell palsy.  Terminology While facial palsy refers to the clinical presen...
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Focal calvarial thinning

Focal calvarial thinning can result from a number of causes. They include: bilateral thinning of the parietal bones (normal variant) most common arachnoid cyst mega cisterna magna peripherally located tumors (e.g. oligodendroglioma) See also calvarial thinning calvarial thickening
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Frontal bossing

Frontal bossing is a calvarial radiographic feature where the front of the skull appears protruding anteriorly. It is best appreciated on a sagittal or lateral image. Pathology This feature can be seen in many conditions (in alphabetical order): 18q syndrome acromegaly achondroplasia ß-tha...
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Heterogeneous thyroid echotexture

Heterogeneous echogenicity of the thyroid gland is a non-specific finding and is associated with conditions diffusely affecting the thyroid gland. These include: Hashimoto thyroiditis Graves disease
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High arched palate

High arched palates are a facial feature of many syndromes, although the classic association is Marfan syndrome. There are hundreds of conditions associated with high arched palates, with some of the radiologically-more important including: Down syndrome Apert syndrome Rubinstein-Taybi syndro...
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Hyperattenuating paranasal sinus opacification

Hyperattenuating paranasal sinus opacification can arise in a number of situations: fungal sinus disease inspissated secrections acute haemorrhage into sinus (haemosinus) Differential diagnosis In some situations can consider early calcification within the sinus.
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Hyperostosis of the skull (differential)

Hyperostosis of the skull has many causes, broadly divided into focal or diffuse. Diffuse Paget's disease of bone metastatic disease, especially prostate carcinoma chronic, severe anaemia hyperparathyroidism acromegaly osteopetrosis hyperostosis frontalis interna long-term phenytoin use...
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Hypoglobus

Hypoglobus refers to the inferior displacement of the globe into the orbit. It may or may not be associated with enophthalmos. Hypoglobus is most commonly caused by fracture of the orbital floor but may be due to other causes: silent sinus syndrome orbital masses orbital foreign bodies thyr...
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Hypotelorism

Hypotelorism refers to an abnormal decrease in distance between any two organs although some authors use the term synonymously with orbital hypotelorism meaning an abnormal decrease in the distance between the two eyes (the eyes appear too close together). The article mainly focuses on the latte...
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IgG4-related disease

IgG4-related disease (IgG4-RD) is a systemic disease that is characterised by extensive IgG4-positive plasma cells and T-lymphocyte infiltration of various organs. Terminology This condition has been known by many other names in the past, such as IgG4-related sclerosing disease, IgG4-related s...
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Ingested bones

Ingested bones that become lodged in the throat or gastrointestinal tract are a common presentation to the emergency department. Recognition is important because these cases can be potentially fatal.  Pathology Patients may present with a 'foreign body' feeling in the throat after eating fish ...
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Intraconal orbital lesions

Intraconal orbital lesions are broadly divided into two main groups; those with or without involvement of the optic nerves: Lesions with optic nerve involvement: optic nerve glioma optic nerve meningioma optic neuritis pseudotumour lymphoma and leukaemia intracranial hypertension retinob...
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Jugular fossa masses

Jugular fossa masses comprise a range of pathological lesions that arise from or extend into the jugular fossa in the skull base. Although not a common location for tumours it is not unusual for jugular fossa lesions to be discovered incidentally on cross sectional imaging. Terminology Althoug...
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Lacrimal gland masses

Lacrimal gland masses​ can be classified into two broad groups - inflammatory (~50%) and neoplastic, either lymphoma (25%) or salivary gland type tumours (~25%).  Pathology Inflammatory sarcoidosis affects ~25% of patients with systemic disease orbital inflammatory pseudotumour lacrimal gl...
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Laryngeal cyst

Laryngeal cysts can occur in any part of larynx, but are more frequent in supraglottic locations, such as the epiglottis and vallecula. The prevalence of each location varies on different studies.  Epidemiology The laryngeal cysts represent a rare group, about 5%, of benign laryngeal lesions 1...
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Leukocoria

Leukocoria (also spelled as leucocoria or leukokoria) refers to an abnormal white reflection from the retina of the eye. Despite its colour, the reflection is related to the familiar red-eye effect. Usually, when a light is shone through the iris, the retina appears red to the observer. In leuko...
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Longitudinal temporal bone fractures

Longitudinal temporal bone fractures are petrous temporal bone fractures that occur parallel to the long axis of the petrous temporal bone. Although more current classifications of the extent of temporal bone fractures focus on the integrity of the otic capsule rather than the fracture orientati...
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Longitudinal versus transverse petrous temporal bone fracture

Petrous temporal bone fractures are classically divided into longitudinal, transverse or mixed fracture patterns depending on the direction of fracture plane with respect to the long axis of the petrous temporal bone. Some features may aid in distinguishing them.                 Longitudinal pe...
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Macrophthalmia

The increased globe size or macrophthalmia may have many differentials: buphthalmos (congenital glaucoma) axial myopia macrophthalmus in neurofibromatosis type 1 (NF1) connective tissue disorders: Marfan syndrome, Ehlers-Danlos syndrome Focal enlargement: staphyloma coloboma See also mi...
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Mandibular lesions

Mandibular lesions are myriad and common. The presence of teeth results in lesions that are specific to the mandible (and maxilla) and a useful classification that defines them as odontogenic or non-odontogenic. While it may often not be possible to make a diagnosis on imaging alone, this classi...
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Mandibular periostitis

There are many causes for mandibular periostitis: Langerhans cell histiocytosis malignancy (both primary and metastatic) necrosis, e.g. radiation osteonecrosis osteomyelitis pyogenic Garre's sclerosing osteomyelitis actinomycosis (uncommon) syphilis (uncommon) tuberculosis (uncommon) r...
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McRae line

McRae line is a radiographic line drawn on a lateral skull radiograph or midsagittal section of CT or MRI, joining the basion and opisthion. Normal position of the tip of dens is 5mm below this line. If the tip of the dens migrates above this line it indicates the presence of basilar invaginati...
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Medical devices in the neck

Medical devices in the neck are regularly observed by radiologists on plain film and CT reporting. They include devices which pass through the neck onto the chest and stomach. Vascular access devices dialysis catheters peripherally inserted central catheters (PICC) central venous catheters ...
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Middle ear tumours

There are a range of middle ear tumours, which are more likely to be benign than malignant.  Pathology The three most common middle ear tumours are (not in any particular order as there are differences in the literature) 1-3:  glomus tympanicum paraganglioma congenital cholesteatoma middle ...
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Midline neck mass

Midline neck masses have a relatively narrow differential, as few structures are present in the midline. Dividing the causes according to structure of origin is a useful schema. lymph node(s): Delphian node(s) inflammatory adenopathy malignancy thyroid gland thyroglossal duct cyst thyroid ...
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Mucocele

A mucocele simply refers to accumulation and expansion of a structure by mucus. It occurs in a variety of locations which are discussed separately: paranasal sinus mucocele oral cavity e.g. ranula, mucous retention cysts mucocele of the appendix 1 mucocele of the gallbladder mucocele of the...
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Multiple cystic neck lesions (differential)

The differential diagnosis for multiple cystic neck lesions is different to that for a solitary cystic neck mass. Differential diagnosis Cystic neck lesions are seen in: necrotic metastatic SCC nodes: older patient, M>F papillary thyroid carcinoma metastases: usually a younger patient, F>M ...
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Multiple endocrine neoplasia syndromes

Multiple endocrine neoplasia (MEN) syndromes are a collection of syndromes characterised by the presence of, as the name would suggest, multiple endocrine tumours. They are autosomal dominant in inheritance. MEN1 (Wermer syndrome) MEN2 (multiple endocrine adenomatosis) MEN2a (Sipple syndrome)...
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Obstruction of nasolacrimal drainage apparatus

Obstruction of nasolacrimal drainage apparatus results in epiphora and can be primary or secondary, congenital or acquired. Obstruction can occur in canaliculi, lacrimal sac, or nasolacrimal duct (post saccular) levels. Congenital obstruction is usually secondary to persistence of the membrane ...
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Ocular metastasis

Ocular metastases, also termed uveal metastases, account for over 80% of all ocular pathology, and need to be distinguished from extraocular metastasis, which are a quite different group of tumours. This article will discuss metastatic lesions affecting the orbits. For other intracranial metast...
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Ocular pathology

Ocular pathology covers a wide range of conditions and therefore represents the cause of a wide range of symptoms, signs and radiographic features. Ocular metastases account for over 80% of all ocular pathology. With regard to the remainder of ocular lesions, the primary differentiating factor ...
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Odontohypophosphatasia

Odontohypophosphatasia is the mildest form of hypophosphatasia that manifests as tooth dysplasia and/or early loss of deciduous or permanent teeth. Pathology As with all forms of hypophosphatasia, the underlying abnormality is a mutation in the ALPL gene that encodes for tissue non-specific al...
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Ophthalmoplegia

Ophthalmoplegia describes the abnormal eye movement that occurs because of paralysis of one or more of the six extraocular muscles involved in eye movements. Classification can be based on the cause of the ophthalmoplegia or the directions of the affected movements. There are numerous causes of...
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Optic nerve enlargement

Enlargement of the optic nerves is uncommon and has a surprisingly broad differential: optic nerve glioma optic nerve meningioma orbital pseudotumour optic neuritis sarcoidosis leukemia orbital lymphoma metastases perioptic haemorrhage Erdheim-Chester disease juvenile xanthogranuloma ...
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Orbital cystic lesions

Several cystic and cyst-like orbital lesions may be encountered in imaging of the orbits: developmental orbital cysts choristoma dermoid: commonest benign orbital tumour in childhood  epidermoid teratoma  congenital cystic eye colobomatous cyst acquired abscess haematoma lacrimal glan...
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Orbital infection

Orbital infection is a relatively commonly encountered pathology. It comprises of three main clinical entities with the most important distinction between that of orbital and periorbital cellulitis: periorbital cellulitis (preseptal cellulitis) is limited to the soft tissues anterior to the or...
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Orbital inflammatory disease (differential)

The differential diagnosis of orbital inflammatory diseases (including orbital pseudotumours) can be divided based on their location into: dacryoadenitis of lacrimal glands myositis of extraocular muscles perineuritis of optic nerve orbital cellulitis preseptal postseptal orbital apiciti...
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Orbital mass

An orbital mass carries a relatively wide differential: tumours lymphoma metastasis lacrimal gland or duct tumours rhabdomyosarcoma of the orbit retinoblastoma optic nerve meningioma optic nerve glioma optic nerve schwannoma  neurofibroma developmental orbital cysts 3: choristoma ep...
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Orbital vascular lesions

Orbital vascular lesions may be difficult to distinguish on imaging. However, the following conditions have been described: arteriovenous malformation capillary haemangioma cavernous haemangioma lymphangioma / lymphangiovenous malformation / venolymphatic malformation orbital venous malform...
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Otitis media

Otitis media refers to inflammation or infection of the middle ear cavity. It is commonly seen in children and is termed otomastoiditis when inflammation spreads to involve the mastoid. Clinical presentation Common complaints include otalgia, otorrhoea, headache, fever, and systemic upset. In ...
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Oxalosis

Oxalosis results in supersaturation of calcium oxalate in the urine (hyperoxaluria), which in turn results in nephrolithiasis and cortical nephrocalcinosis.  This article focus on the secondary oxalosis, please refer to primary oxalosis for a specific discussion on this entity.  Pathology Cal...
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Paediatric cervical lesions (differential)

The differential diagnosis of paediatric cervical lesions is commonly encountered in practice, unfortunately, the list is long.  Differential diagnosis Inflammatory Most lesions tend to be inflammatory 3: nontuberculous lymphadenitis scrofula sialodochitis abscess infected branchial cle...
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Parotid enlargement

Parotid enlargement has a wide differential given the significant breadth of pathology that can affect the parotid gland. These can be separated by the standard surgical sieve approach into infective, inflammatory, immune, neoplastic, infiltrative and congenital causes. Differential diagnosis ...
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Pedunculated intratracheal mass

A pedunculated intratracheal mass has a variety of differential diagnoses: benign tumour, e.g. hamartoma, chrondroma, lipoma haemangioma inspissated mucus metastasis to tracheal mucosa, e.g. renal cell carcinoma, melanoma polyp, e.g. inflammatory, antrochoanal papilloma post-intubation tr...
Article

Penetrating traumatic neck injury

Penetrating traumatic neck injury can be a potentially devastating injury due to the high density of crucial anatomical structures within the neck.  Epidemiology Young males are highly represented in patients with a traumatic neck injury. In one study, 11:1 ratio of males to females were ident...
Article

Petrous apex lesions (differential)

There is a wide differential diagnosis of petrous apex lesions: asymmetrical marrow petrous apex cephalocoele 4 petrous apicitis congenital cholesteatoma  cholesterol granuloma: most common cystic appearing lesion 3 mucocoele of petrous apex 2 benign tumours meningioma schwannoma malig...
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Pneumoparotid

Pneumoparotid refers to air in the parotid gland and can cause unilateral/bilateral parotid swelling. In severe cases it can be associated with subcutaneous emphysema.  Pathology Any profession or recreation that increases oral positive pressure can cause air to reflux up the parotid ducts int...
Article

Powers ratio

Powers ratio is a measurement of the relationship of the foramen magnum to the atlas, used in the diagnosis of atlanto-occipital dissociation injuries. The ratio, AB/CD, is measured as the ratio of the distance in the median (midsagittal) plane between the: basion (A) and the posterior spinola...
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Primary malignancy of the nasopharynx

There are a number of primary malignancies of the nasopharynx: nasopharyngeal carcinoma (squamous cell carcinoma): 70% lymphoma (sinonasal lymphoma): 20% other adenocarcinoma adenoid cystic carcinoma carcinosarcoma extramedullary plasmacytoma fibrosarcoma melanoma rhabdomyosarcoma sin...
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Proptosis

Proptosis refers to forward protrusion of the globe with respect to the orbit. There are many causes of proptosis which can be divided according to location and it is worth remembering that it is not just orbital disease processes that cause proptosis. Terminology Exophthalmos also describes f...
Article

Pulsatile exophthalmos

Pulsatile exophthalmos or pulsatile proptosis is a clinical symptom characterized by protrusion and pulsation of the eyeball that can occur due to various causes: caroticocavernous fistulas neurofibromatosis type 1 (with sphenoid wing dysplasia) arteriovenous malformation trauma (orbital roo...
Article

Ranawat's line

Ranawat's line is the perpendicular distance between the centre of the sclerotic ring of C2 and a line drawn along the axis of the C1 vertebra. Normal value is 17 mm in males and 15 mm in females. It is decreased in basilar invagination. History and etymology Chitranjan S Ranawat is an Americ...
Article

RASopathies

RASopathies are a class of developmental disorders caused by germline mutations in genes that encode for components or regulators of the Ras/mitogen activated protein kinase (MAPK) pathway. Epidemiology As a group, RASopathies represent one of the most common malformation syndromes, with an in...
Article

Recreational drug use (radiological manifestations)

Radiological manifestations of recreational drug use are not infrequently seen as the use of recreational drugs is widespread. Epidemiology Interestingly, recent reports have suggested a decreasing incidence of reported drug use in the general population over the past decade, but it remains th...
Article

Salivary gland tumours

Salivary gland tumours are variable in location, origin, and malignant potential.  Pathology In general, the ratio of benign to malignant tumours is proportional to the gland size; i.e. the parotid gland tends to have benign neoplasms, the submandibular gland 50:50, and the sublingual glands a...

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