(A–C) Three examples of diaphragmatic rupture seen on three modalities

Slides:

Advertisements

Similar presentations

Chest Injuries Main Causes of Chest Trauma Blunt Trauma- Blunt (direct) force to chest. Penetrating Trauma- Projectile that enters chest causing small.

Advertisements

(A–C) Forms of non-small-cell carcinoma

HIV patient with reactivation tuberculosis

Ulcerative colitis. This image from the colon shows edematous and inflamed mucosa indicative of severe inflammation. Although this patient has ulcerative.

(A) Perfusion image of the lungs obtained in the anterior view demonstrates large segmental defects bilaterally (arrows), which are not matched by similar.

Mid and lower cervical spine fractures. (A–C) Cervical burst fracture

The “mickey mouse” sign is made up of the three portal structures

Miliary tuberculosis. (A) Frontal chest radiograph demonstrates innumerable tiny nodules distributed throughout both lungs. There is a hazy opacity at.

CT showed the fat/blood level in the suprapatellar bursa (E, arrow) and a subtle nondisplaced tibial plateau fracture (F, arrow). Source: Chapter IV-3.

[C from: Markowitz SK, Ziter FHM: The lateral chest film and pneumoperitoneum. Ann Emerg Med 1986;15:425–427, with permission.] Source: Chapter II-3. Pneumoperitoneum,

Transabdominal ultrasound image showing the appearance of water in the stomach, a technique effective to displace overlying gas in the stomach and allow.

Cystic and varicose bronchiectasis

Four imaging studies obtained in the same patient with seizure disorder. (A) Ictal axial SPECT image obtained after the intravenous administration of Tc-99m.

Incidentally noted is a benign exophytic subserosal uterine leiomyoma superior and anterior to the uterine fundus (dashed arrows). The leiomyoma is showing.

Laparoscopic inguinal hernia repair (A→D). (Used with permission of Dr

Correlation between SCr and GFR

CMV pneumonia. The patient is a 22-year-old female with congenital heart disease, common variable immunodeficiency, being treated for Burkitt' lymphoma.

A-D: PA, oblique, lateral, and scaphoid views of the right wrist show a subtle fracture through the scaphoid waist. The fracture is seen best on the scaphoid.

Diagnostic approach: Dizziness.

Color Doppler image from a sonohysterography study shows a broad-based, hypoechoic, and well-defined solid mass (arrow) projecting into the endometrial.

CT scan of the chest. These axial images of the lower chest demonstrate the difference in lung and soft tissue windows. This patient has a history of congenital.

CT scan of the abdomen demonstrates grade 4 laceration of the spleen, extending to hilum with smaller areas of laceration. Active extravasation was also.

(A) Multiple sigmoid diverticuli (white arrows) with linear tract containing air outside the bowel lumen consistent with a fistula (black arrow) as a complication.

Multiple hepatic cysts in the setting of ADPKD

Bladder: stress cystograms for assessment of suspected bladder injury following blunt trauma to pelvis. (A) Stress cystogram in patient with gross hematuria.

Squamous cell carcinoma

(A) An axial CT scan demonstrates a grade II splenic laceration with a small amount of hemoperitoneum. (B) An axial CT scan demonstrates a grade III splenic.

A 71-year-old male with mantle cell lymphoma presenting with bright red blood per rectum. Dynamic images of the abdomen and pelvis were obtained in the.

Imaging studies in a patient with a distractive flexion injury of the cervical spine. (A) This lateral radiographic view demonstrates anterior subluxation.

The concept of stress, strain, elastic modulus, plastic modulus, tensile strength and energy as demonstrated by a tensile stress applied to a given structure.

Multiple transabdominal and transvaginal ultrasound images of a different patient with an ectopic pregnancy demonstrating (A) echogenic debris in the endometrial.

Single view of the chest and abdomen shows the orogastric tube terminating in an air-filled, distended pharyngeal pouch (black arrow) consistent with esophageal.

Coronal noncontrast CT image shows dextroscoliosis centered around chronic, lateral compression deformity of T6 (arrowhead). An acute compression fracture.

Ultrasound contrast agents

Composite 2D-mode image and M-mode image of a small pleural effusion

[From Pansky B: Review of Gross Anatomy, 6th ed

Multiple splenic masses were seen during a right upper quadrant ultrasound for symptomatic gallstones and were further evaluated by a CT scan as shown.

(F) A femoral hernia follows the course of the femoral artery and vein into the anterior thigh inferior to the inguinal ligament. Source: Chapter II-1.

Plasma drug concentration-time profiles after IV infusion

Fish vertebra. (A) Lateral view of lumbar spine shows endplate compression (arrows) due to osteoporosis. (B) Fish drawing (Used with permission from Arash.

Image acquisition in a modern CT scanner

Transverse color Doppler sonogram of testicular torsion demonstrates normal flow to the right testis and absence of flow to the ischemic left testis (arrow).

A. There is soft tissue fullness in the right upper quadrant, with the appearance of hepatomegaly. B. A longitudinal sonographic image shows a large multiseptated.

Axial contrast-enhanced CT image demonstrates a large enhancing mass arising from the right base of tongue (yellow arrow). Note the presence of large metastatic.

Central mass (squamous cell carcinoma) with left upper lobe collapse

Single high-resolution CT image of a patient with pulmonary fibrosis from sarcoidosis. Note the interlobular and intralobular septal lines along with traction.

Staging system for gastric carcinoma

Esophageal adenocarcinoma

(A–C) Right ureteral reimplantation following extensive distal ureteral injury. Prior bladder surgery or pelvic inflammatory or neoplastic disease, among.

†††Patients who do not meet any of the triage criteria in Steps One through Four should be transported to the most appropriate medical facility as outlined.

Planar scintigram obtained after hepatic arterial injection of Tc-99m labeled MAA shows radionuclide activity in the liver, particularly the liver tumor.

Percutaneous access of a gas distended stomach with a needle (left arrow). Notice opacification of the stomach rugal folds (right arrow) with contrast.

Intermediate probability V/Q scan

A-C: Axial, coronal, and sagittal CTA images demonstrate a large filling defect in the main right pulmonary artery consistent with a large pulmonary embolism.

Protocol for nutrition support at the University of Wisconsin-Madison and the Elvis Presley Trauma Center at the University of Tennessee, Memphis. Source:

Coronal color Doppler ultrasound image of the posterior chest showing a large multicystic mass in the left lung (arrows). The aorta is seen, and it does.

SBO from ventral hernia

Axial CT view of a ventral hernia with incarcerated transverse colon (arrow). Note the defect in the fascia. Source: HERNIAS, Acute Care Surgery: Imaging.

Cut-away view of a modern MRI machine. Please see text for description. Source: Overview of Diagnostic Modalities and Contrast Agents, Introduction to.

Composite 2D-mode image and M-mode image of a small pleural effusion

Carcinoid. Coronal CT image shows a central mesenteric mass (arrow) with spiculated margin and central calcifications representative of carcinoid tumor.

Acute diverticulitis. Notice several diverticula of the sigmoid colon as small round outpouchings (white arrows). These alone would be simply diverticulosis,

Lymphoma of the small bowel

A, B: Transvaginal images now demonstrate a rounded yolk sac within the gestational sac. Source: Chapter 7. Atraumatic Conditions of the Abdomen, The Atlas.

Multiple transabdominal and transvaginal ultrasound images of a different patient with an ectopic pregnancy demonstrating (A) echogenic debris in the endometrial.

Small-bowel obstruction

Chronic sarcoidosis. (A) Axial chest CT in lung windows demonstrates bilateral central upper lobe scarring (white arrows) with mild traction bronchiectasis.

Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.

Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.

Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.

Presentation transcript:

(A–C) Three examples of diaphragmatic rupture seen on three modalities (A–C) Three examples of diaphragmatic rupture seen on three modalities. (A) Portable chest film on admission demonstrates an elevated left hemidiaphragm. There is compression of the gastric air in the fundus, consistent with compression as the stomach traverses the diaphragm. (B) Upper gastrointestinal imaging demonstrates a narrow area of barium entering the chest. Note again the compression. (C) Scout film after embolization of a ruptured spleen shows similar compression of the gastric shadow as seen in (A). Patient was explored, the hernia reduced, and the diaphragm repaired. A Grade IV nonbleeding lacerated spleen was left undisturbed. Source: Chapter 15. Diagnostic and Interventional Radiology, Trauma, 7e Citation: Mattox KL, Moore EE, Feliciano DV. Trauma, 7e; 2013 Available at: https://accesssurgery.mhmedical.com/DownloadImage.aspx?image=/data/books/matt7/matt7_c015f019b.png&sec=41079330&BookID=529&ChapterSecID=41077254&imagename= Accessed: October 16, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved