Objectives: To determine whether the revised 2018 ATS/ERS/JRS/ALAT radiological criteria for usual interstitial pneumonia (UIP) provide better diagnostic agreement compared to the 2011 guidelines.
Methods: Cohort for this cross-sectional study (single center, nonacademic) was recruited from a multidisciplinary team discussion (MDD) from July 2010 until November 2018, with clinical suspicion of fibrosing interstitial lung disease (= 325). Exclusion criteria were technical HRCT issues, known connective tissue disease (rheumatoid arthritis, systemic sclerosis, poly-or dermatomyositis), exposure to pulmonary toxins or lack of working diagnosis after MDD.
Malignant degeneration in fibrous dysplasia is a rare occurrence. Most cases are reported in polyostotic fibrous dysplasia with predisposition of the femur, tibia, maxilla, and mandible. The most commonly observed malignant tumors are osteosarcoma, fibrosarcoma, and chondrosarcoma.
View Article and Find Full Text PDFWe present a case of unintended intrathecal cannulation by a pulmonary artery catheter introducer in a patient scheduled for coronary surgery. This complication was likely due to multiple attempts of placing the guidewire. Switching to the straight tip of the guidewire may have created a false route, facilitating entrance in the subarachnoid space.
View Article and Find Full Text PDFWe describe a very unusual form of sarcoidosis of the testis, mimicking malignancy at initial presentation. Genitourinary sarcoidosis is rare and this case report emphasizes the importance of meticulous analysis of the patient's clinical history combined with imaging findings and specific pathological criteria to diagnose this granulomatous disorder.
View Article and Find Full Text PDFThe clinical relevance of subtle changes on magnetic resonance imaging (MRI) for evaluating haemophilia treatment is unknown. To determine the relationship of findings on MRI with joint function and bleeding in joints with apparently very mild arthropathy, a prospective study was performed. Knees and ankles of 26 patients, 13-26 years, were scanned.
View Article and Find Full Text PDFThe supracondylar process is a bony spur at the anteromedial surface of the distal humerus. It is associated with the Struthers' ligament, running from its apex to the medial epicondyle. Symptoms may occur due to fracture and entrapment of nerves (most frequently the median nerve) and/or blood vessels underneath the structures.
View Article and Find Full Text PDFWe present a case of a 79-year-old female with a history of pain at the right groin for 9 days. Computer tomography of the pelvis showed herniation of the appendix through the obturator canal with a huge abscess surrounding the right hip joint. Laparotomy was performed and histopathology confirmed a perforated necrotic tip of the herniated appendix.
View Article and Find Full Text PDFRadiology plays an important role in the diagnosis of a Brodie's abscess, as can be difficult for a clinician to identify the disease using clinical information alone. A Brodie's abscess is clinically difficult to diagnose because patients typically have mild local symptoms, few or no constitutional symptoms, and near normal laboratory values. Furthermore, a Brodie's abscess may mimic various benign and malignant conditions, resulting in delayed diagnosis and treatment.
View Article and Find Full Text PDFAngioleiomyoma is a benign smooth muscle tumor arising from the vessel walls.The tumor can occur anywhere in the body, but is most often seen in the extremities, particularly in the lower leg. The most common presentation is a solitary subcutaneous nodular lesion, which is either painful or painless.
View Article and Find Full Text PDFThis paper briefly reviews the technique of direct MR arthrography, MR anatomy and pathologic conditions of the acetabular labrum. Normal variants that may simulate pathology are also illustrated.
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