A. A T2-weighted MR image of a 12-year-old boy with nasal obstruction and epistaxis shows a mass (arrow) in the right nasal cavity, nasopharynx, and pterygopalatine.

Slides:



Advertisements
Similar presentations
MRI of the Thoracic Spine: Axial T1 wtd.images.
Advertisements

MedPix Medical Image Database COW - Case of the Week Case Contributor: Steven J Goldstein Affiliation: University of Kentucky.
(A) Coronal noncontrast sinus CT section (same patient; Figure 9
Copyright © 2013 American Medical Association. All rights reserved.
Incidentally noted is a benign exophytic subserosal uterine leiomyoma superior and anterior to the uterine fundus (dashed arrows). The leiomyoma is showing.
Sagittal MR images of the knee showing meniscal tear
A lateral radiograph of a 13-year-old child shows abnormal dentition, with supernumerary teeth, persistence of deciduous teeth, and impaction of permanent.
Soft tissue sarcoma. Forty-eight-year-old morbidly obese woman with a painless rapidly enlarging left anterior thigh. (A) Lateral radiograph of the left.
Soft tissue sarcoma. Forty-eight-year-old morbidly obese woman with a painless rapidly enlarging left anterior thigh. (A) Lateral radiograph of the left.
Olecranon bursitis. (A) Lateral radiograph of the elbow in a patient with gout. There is soft tissue swelling over the olecranon as well as calcifications.
Psoriatic arthritis. Photograph of the hand (A) demonstrates diffuse fusiform swelling and erythema of the second digit, called a “sausage digit.” Radiograph.
Posterior glenohumeral dislocation in a 51-year-old man with shoulder pain and the humeral head fixed in internal rotation. (A) Anteroposterior radiograph.
Serial axial contrast-enhanced CT images in an older man with transglottic squamous cell carcinoma with cartilage erosion. (A) Image through the supraglottis.
Montage of lesions demonstrated by MRI
(A) Axial T1-weighted image in a 55-year-old woman with left facial pain and pressure demonstrates a soft tissue mass (white arrowheads) centered in the.
Radiographs (A) and (B) are anteroposterior and lateral views mode after injection of contrast into the thecal sac. This conventional myelogram can identify.
Example of a normal bone scan, presented as an anterior and a posterior body image. The “hot spot” at the elbow is the injection site. The bladder is also.
A 55-year-old mentally challenged man with chronic sinus congestion
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.
This 6-year-old girl had elevated liver function tests, hyperlipidemia, and a palpably enlarged liver. A, B. Transverse and longitudinal sonographic images.
There is hyperintensity along the surface of the humerus (arrow) due to subperiosteal hemorrhage. The marrow signal is normal. Edema is present within.
Central mass (squamous cell carcinoma) with left upper lobe collapse
This 3-year-old child developed abdominal distention and bloody diarrhea after a fishing trip during which she consumed lake water. She had a prior history.
Trauma. (A) Sagittal CT image of the cervical spine shows a subtle teardrop fracture involving the anterior–inferior corner of the C3 vertebral body as.
Esophageal adenocarcinoma
This otherwise healthy 16-month-old boy presented with nystagmus. A, B
A. This unicameral bone cyst in a 4-year-old child tapers somewhat along the proximal aspect. The overlying cortex is thin and expanded. There is a thin.
42-year-old female with abdominal pain after karate kick with gross hematuria. Upper left: Axial T1-weighted out-of-phase gradient echo image reveals high.
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
A, B. T2-weighted images obtained coronal and sagittal to the fetal head show fluid occupying the majority of the cranial vault (arrows) and absence of.
Carcinoid. Coronal CT image shows a central mesenteric mass (arrow) with spiculated margin and central calcifications representative of carcinoid tumor.
Coronal CT shows a circumferential mass with ill-defined margins obstructing the sigmoid colon (white arrows). Also note the multiple hepatic hypoattenuating.
Pterygopalatine Fossa
PD-weighted images typically have long TR (>2000 ms) and short TE (
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
An axial CT image of a child with proptosis and vision loss shows bone destruction and extension of soft tissue masses (arrows) into the orbital apexes,
Sagittal magnetic resonance T1-weighted image with contrast of the lumbar spine demonstrating diskitis/osteomyelitis associated with a spinal epidural.
Tiffany Jean, MD, Deena Pourang, MD, Patrik Gabikian, MD, John Y
MR images and plain radiograph of an 82-year-old woman who had compression fractures and osteonecrosis at the L3 vertebral body. MR images and plain radiograph.
 Contrast enhanced computed tomography (axial cut) (A) showing involvement of the left nasal cavity and maxillary sinus (arrow) by mucorales and (B) showing.
A–D, MR images of an 83-year-old man who was diagnosed with osteonecrosis at the L1 vertebral body. A–D, MR images of an 83-year-old man who was diagnosed.
Anatomy of the Nose Prof. Abdulameer Al-Nuaimi
Case 2. Case 2. Organized hematoma arising from antrochoanal polyp in a 12-year-old girl. A, Contrast-enhanced axial CT scan shows marked irregular nodular.
MRI showing a venous infarct in the parasagittal area on the right and enhancement around the thrombus in the superior sagittal sinus (T1-weighted image.
CT and MR images of patients with inverted papilloma of the maxillary sinus.A, Axial CT image of a patient with inverted papilloma shows cone-shaped focal.
Signal intensity is dependent on scaling
Case 5. Case 5. Organized hematoma of the maxillary sinus in a 50-year-old man. A, Precontrast axial CT scan with bone algorithm shows a large, expansile.
Contrast-enhanced fat-suppressed T1-weighted MR images obtained through the orbits show diffuse homogeneous thickening of the medial, lateral, and inferior.
Case 1. Case 1. A, Unenhanced axial CT scan through the nasopharyngeal region shows thickening of the nasopharyngeal tissues at the level of the left torus.
MR images obtained through the pituitary gland show diffuse enlargement of the pituitary gland. MR images obtained through the pituitary gland show diffuse.
Case 10. Case 10. Organized hematoma of the maxillary sinus in a 76-year-old woman. A, Precontrast axial CT scan with bone window setting shows a large,
Coronal T1-weighted postcontrast MR image in a 42-year-old woman with enhancing polyps in the left lateral wall of the nasopharynx and sphenoid sinus and.
Coronal T1-weighted postcontrast MR image in a 71-year-old man, 11 years after radiation therapy, with a contrast enhancing polyp (arrow) with less enhancing.
Orbital cellulitis related to mucormycosis (A–C) and bacterial infection (D–F). Orbital cellulitis related to mucormycosis (A–C) and bacterial infection.
Osteoarthritis year 2012 in review: imaging
Images from the case of a 6-year-old African-American female patient who presented with a 2-week history of progressive painless swelling of the left cheek.
Fig. 1. Preoperative magnetic resonance imaging
A 16-year-old boy with juvenile angiofibroma.
Patient 1, a 50-year-old man presenting with a severe headache, diplopia, and the sensation of a “thick” tongue. Patient 1, a 50-year-old man presenting.
49-year-old man with a cystic cervicomedullary schwannoma and hydrocephalus who underwent a third ventriculostomy before excision of the tumor.A, Axial.
Neurothekeoma of tongue in a 15-year-old girl.
MR images in a 69-year-old woman with cervical and thoracic back pain.
A, Sagittal T1-weighted, contrast-enhanced, fat-suppressed MR image shows infiltration of the superior extraconal space (small asterisk), superior rectus.
A 16-year-old boy with rhabdomyosarcoma.
Case 2. Case 2. A, Coronal unenhanced T1-weighted image through the base of the skull. The left pterygopalatine fossa appears infiltrated by soft tissue.
Case 4: (A) and (B) axial T1 and T2 weighted images showing 4 mm right enophthalmos and abduction. Case 4: (A) and (B) axial T1 and T2 weighted images.
KD involving bilateral buccal spaces in a 52-year-old man.
Presentation transcript:

A. A T2-weighted MR image of a 12-year-old boy with nasal obstruction and epistaxis shows a mass (arrow) in the right nasal cavity, nasopharynx, and pterygopalatine fossa (arrow). There is anterior deviation of the posterior wall of the maxillary sinus. B. The mass is isointense to other soft tissues on this sagittal T1-weighted image. C. There is marked contrast enhancement. D. Enhancing tumor fills the nasopharynx and right pterygopalatine fossa on this fat-suppressed T1-weighted image. There is marked enlargement of the sphenopalatine foramen. E. An anterior coronal image shows the mass expanding the right nasal cavity. Nonenhancing fluid and thickened enhancing mucosa fill the narrowed right maxillary sinus (M). Source: The Nose, Nasal Cavity, and Nasopharynx, Diagnostic Imaging of Infants and Children Citation: Wells RG. Diagnostic Imaging of Infants and Children; 2015 Available at: http://accesspediatrics.mhmedical.com/DownloadImage.aspx?image=/data/books/1429/well_ch29_f016c.png&sec=84706089&BookID=1429&ChapterSecID=84706057&imagename= Accessed: November 15, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved