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Radiology Interesting Cases - SHORT- FAST LEARNING
Australia
Приєднався 16 лис 2023
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I am Dr.med. Athan Markonis MD, PhD, UK registered Consultant Radiologist.
Here, you have the opportunity to watch interesting cases in Radiology.
SHORT and POINT focused cases!
The selection of the cases is based on the everyday clinical importance or/and the rarity of the cases.
Please, keep in mind that extensive reflection and comments of the cases is out of the purpose of this work, so this can be an occasion of further reading.
Any comments are welcome for further discussion as most of the cases are based on typical imaging characteristics.
This presentation is derived from my everyday work.
I hope you will find my work useful and any newly learned information will influence your reporting for similar cases in the future.
Please subscribe to my channel and support me and get my experience! For Fast Learning!
My responsibility is to pass the knowledge to the next generation. Good luck with your career!
Thank you!
Get my experience in Radiology!
Learn Fast!
I am Dr.med. Athan Markonis MD, PhD, UK registered Consultant Radiologist.
Here, you have the opportunity to watch interesting cases in Radiology.
SHORT and POINT focused cases!
The selection of the cases is based on the everyday clinical importance or/and the rarity of the cases.
Please, keep in mind that extensive reflection and comments of the cases is out of the purpose of this work, so this can be an occasion of further reading.
Any comments are welcome for further discussion as most of the cases are based on typical imaging characteristics.
This presentation is derived from my everyday work.
I hope you will find my work useful and any newly learned information will influence your reporting for similar cases in the future.
Please subscribe to my channel and support me and get my experience! For Fast Learning!
My responsibility is to pass the knowledge to the next generation. Good luck with your career!
Thank you!
Synchronous Pyelonephritis and Intestinal Inflammatory disease. Is there any connection?
Synchronous Pyelonephritis and Intestinal Inflammatory or even infectious disease has been well recognised and it is briefly discussed in this unusual case short presentation. Your comments are very welcome in this interesting case.
References' links for further reading:
pubmed.ncbi.nlm.nih.gov/26223844/
www.mycrohnsandcolitisteam.com/resources/kidney-disease-and-ulcerative-colitis-is-there-a-connection
www.ncbi.nlm.nih.gov/pmc/articles/PMC8310564/
References' links for further reading:
pubmed.ncbi.nlm.nih.gov/26223844/
www.mycrohnsandcolitisteam.com/resources/kidney-disease-and-ulcerative-colitis-is-there-a-connection
www.ncbi.nlm.nih.gov/pmc/articles/PMC8310564/
Переглядів: 53
Відео
Postoperative neck abscess - cervical spine surgery complication
Переглядів 1284 години тому
Postoperative neck abscess - cervical spine surgery complication. Case presentation.
Traumatic pneumomediastinum - CT findings and basic diagnostic approach
Переглядів 737 годин тому
Traumatic pneumomediastinum - CT findings and basic diagnostic approach - an example of a blunt injury, possible Macklin effect and / or bronchial rupture.
Hyperacute stroke and hyperdense artery sign
Переглядів 7419 годин тому
The value of the hyperdense artery sign in the hyperacute stroke. CT findings.
Intracranial abscess - Otomastoiditis complication in an adult female
Переглядів 29221 годину тому
Intracranial abscess - Otomastoiditis complication in an adult female. Interesting case presentation.
Gas gangrene in a diabetic foot
Переглядів 388Місяць тому
Gas gangrene in a diabetic foot in a known diabetic patient with chronic vasculopathy
Pott's Puffy tumour - understanding the pathogenesis
Переглядів 136Місяць тому
Pott's Puffy tumour is a serious complication of sinusitis and a potentially life threatening condition. The aim of this presentation is to understand the pathogenesis of this rare entity and to present a serious complication of this case.
Brain abscess - sinusitis complication
Переглядів 374Місяць тому
Brain abscess - sinusitis complication
Colonic / large bowel tumour causing obstruction. CT findings.
Переглядів 1852 місяці тому
Colonic tumour causing bowel obstruction. CT findings.
Gastrocnemius rupture mimicking acute vascular emergency
Переглядів 2132 місяці тому
Gastrocnemius rupture mimicking acute vascular emergency in a patient with bilateral popliteal arteries aneurysms - erroneous clinical impression - CT findings
Fatty Adrenals - very unusual features on CT
Переглядів 1092 місяці тому
Very unusual case of fatty infiltration of the adrenals. Please leave your comments and your opinion. Thank you!
Peritoneal metastases in CT
Переглядів 1302 місяці тому
Peritoneal metastases in CT - an example - case presentation.
Rapid progress acute brain infarct
Переглядів 802 місяці тому
Rapid progress acute brain infarct - interesting case presentation.
Charcot Bouchard aneurysm rupture - Massive intracranial hemorrhage
Переглядів 1242 місяці тому
Charcot Bouchard aneurysm rupture - Massive intracranial hemorrhage
Early signs of Appendicitis - CT findings
Переглядів 1412 місяці тому
Early signs of Appendicitis - CT findings
Spinal epidural abscess - spondylodiscitis - insufficiency spinal fracture. CT and MRI correlation.
Переглядів 6762 місяці тому
Spinal epidural abscess - spondylodiscitis - insufficiency spinal fracture. CT and MRI correlation.
MUST SEE IT! Middle Cerebral Artery - MCA - thrombosis - a tiny white spot - don't miss it !
Переглядів 782 місяці тому
MUST SEE IT! Middle Cerebral Artery - MCA - thrombosis - a tiny white spot - don't miss it !
Aortic dissection and micro-rupture with hematoma extended to the pulmonary artery
Переглядів 1482 місяці тому
Aortic dissection and micro-rupture with hematoma extended to the pulmonary artery
Paraumbilical hernia - incarcerated causing small bowel obstruction
Переглядів 1362 місяці тому
Paraumbilical hernia - incarcerated causing small bowel obstruction
Mesenteric carcinoid with liver metastases
Переглядів 882 місяці тому
Mesenteric carcinoid with liver metastases
Blood or fat ? SWI: not only blood gives the black-blooming artefact ! MRI KNOWLEDGE
Переглядів 1872 місяці тому
Blood or fat ? SWI: not only blood gives the black-blooming artefact ! MRI KNOWLEDGE
Dermoid cyst ( ruptured ) - rare intracranial lesion
Переглядів 1,4 тис.2 місяці тому
Dermoid cyst ( ruptured ) - rare intracranial lesion
Biloma - rare complication after gallbladder perforation
Переглядів 1272 місяці тому
Biloma - rare complication after gallbladder perforation
Diastematomyelia Type 2 - split conus medullaris and hydromyelia - rare paediatric case
Переглядів 1132 місяці тому
Diastematomyelia Type 2 - split conus medullaris and hydromyelia - rare paediatric case
Diffuse - massive arterial thrombosis involving multiple organs. CT findings.
Переглядів 1463 місяці тому
Diffuse - massive arterial thrombosis involving multiple organs. CT findings.
Vessel hyperdensity: not always a thrombosis !!!
Переглядів 1803 місяці тому
Vessel hyperdensity: not always a thrombosis !!!
Male 24 year old - Increased Intracranial Pressure - CT findings
Переглядів 2363 місяці тому
Male 24 year old - Increased Intracranial Pressure - CT findings
Thank you for sharing
It might be worth adding that anterior discectomies are done from the right side of the neck mormally. The sugical anatomy differs between the left and right amd the right side is regarded as a safer approach. Of course this needs to be confirmed in this case but it looks likely. The presence of gas is worrisome. Typical post op infections are due the Staph aereus which is not mormally a gas former. Gas may be due to gangrene but this would be vertly unususl here. Another possibility is a perforated orsophagus with a leak. This couid ischemic during retraction or direct injury during operation. If i am correct the injury must have been overlooked at op.
Thy Doc. Bone window will help us to see it better.
Appreciate your explanation 🙏
Thy Doc interesting finding.
Thanks for the informative video. What are the solution for such medical condition? Is it curable?
Hello, to my best knowledge dietary changes and antibiotics is the first therapeutic approach. Thank you!
Possibly your best video yet. The clinical pics and typical history help a lot. Mind you nothing new to me nut fabulous revision. One tiny point. The frontal sinuses drain into the recess between the inferior and middle tirbunates adjacent to or even sharing the exit to the maxillary sinuses. If the maxillary sinus becomes blocked the inflamation may block the frontal drainage also. You also omitted to discuss the marked septal deviation seen here which is the cause of the blockage of the sinuses. This will need to be fixed if the patient survives. The sinuses enlarge quickly during puberty as part of the growth spurt. Asymetical growth in the septum can become a problem. ENT hate working on adolescent sinuses and noses because growth can mess up the post op result. Please please keep the cases coming.
Thanks for your invaluable comments and clinical intuts!
🎉🎉🎉thank you
Thy Doctor.
So nice
Pott's puffy tumour. The nasal septum is markedly deviated to the left. This is probably blocking drainage from the maxillary and front sinuses on the left
Exactly, this is the mechanism and pathogenesis! A dedicated presentation for this pathology follows soon. Cheers, Athan.
THanks! but, why your voice vibrate and u should also read us the article as it is not visible
Vow
Ulttasound shows bursitis and gluteal tendonopathy very clearly without the need for radiation
🎉🎉🎉
Thank you, Doctor very interesting case.
Thank you Doctor.
Thank you
This patient should have had an ultrasound rather than a CT. Inflammed appendices are trivial to see provided they are not retro ceacal. Retro caecal appendix cannot normally be seen because of gas in the caecum. Inflamation on ultrasound in such cases is much easier to see than with CT. Such an early case should be treatable with antibiotics. Remember 25% plus of such cases are caused by Yersinia - a gram negative bacillus - which has a constitutive beta lactamase. You need a non beta lactam or one with beta lactamase resistance or an inhibitor of beta lactamases.
Many thanks for your valuable inputs!
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Thank you Doctor appy tips are always appreciated
надо делать мрт и строить 3д реконструкцию
The main differential is infectious vs malignant. Both can co exist. The main infectious causes of such a lesion are S aureus and Mycobacterium tuberculosis. If the patient was immunosupressed - HIV, long term steroids, etc - the differential gets longer. A rarer cause might be fungal. From what we can see of the chest on the CT tuberculosis seems unlikely as the lungs are clear. This does not rule it out completely but it does make it less likely. Assuming that the patient is not immunosupressed the likely cause is S aureus. This patient needs iv antibiotics. These must include one or more agents active against S aureus. Other pathogens may be on the radar eg E coli after say a prostate operation but this will depend on the clinical history. S aureus is still top of the leader board until proven otherwise. Treatment. Urgent referal to a spinal unit. Once there a laminectomy with debridement followed by stabilization of the spine will be needed. Details are best left to a spinal surgeon. Finally there is something in the video of happy eye. There is a disc protrusion at C6/7. This does not look bad but clinical history and exanination will clarify its importance.
Thank you Doctor.
Very informative! Thank you :)
Thank you Doctor.
Thank you Doc.
хорошая работа! у меня в шее в вене примерно то же самое, и никто не хотел видеть даже после того как я сам увидел и показал.
Dissection aortique extend to abdominale aorta Classification biky 3
Hello, just for confirmation, this case is classified as a Stanford A type aortic dissection. The correlation with the DeBakey is the following: The DeBakey classification divides dissections into: • type I: involves ascending and descending aorta (= Stanford A) • type II: involves ascending aorta only (= Stanford A) • type III: involves descending aorta only, commencing after the origin of the left subclavian artery (= Stanford B) radiopaedia.org/articles/debakey-classification Thank you!
Thank you for explaining.
Thank you very much. Appreciated.
Beautiful ❤
Thanks dear for those excellent cases. Was this lesion& fat globules intra axial? and any suggestion about management? Thank you very much again.
Hello and thanks for your comments! Intracranial dermoid cysts can be extra-axial (most commonly) but also intra-axial (extremely rare) probably depending on the stage of their initial growth, during early embryogenesis and even later due to proliferation and migration procedures. To make it more complicated there have been found lesions with combined intra- and extra- axial component. It is proposed that in at least some cases intraparenchymal rupture of dermoids can cause intra‐axial dermoids (it looks debatable and controversial). As for the therapeutic approach, excision is the method of choice and if the lesion does not adhere to any adjacent noble structures, total excision is possible otherwise partial excision is opted with a possibility of very slow recurrence. Some good source of further reading is the following links. www.tandfonline.com/doi/pdf/10.1080/02841850410003798 www.ncbi.nlm.nih.gov/pmc/articles/PMC3358959/ radiopaedia.org/articles/intracranial-dermoid-cyst-1
Any views of the right heart? Carcinoid is a rare cause of right heart pronlems. I would have started with a colonoscopy here unless there was a good reason not to. I realise the scope would not be diagnostic in retrospect but one is not to know that
Thank you!
The T1 is simply amazing
Thanks David. My next - upcoming video gives some very useful info regarding the DDx between blood and fat in MRI. Cheers, Athan
Is the patient diabetic? Perforated gall bladders are more common in diabetics. Not known why. Possibly small vessel disease?? Plural of biloma is bilomae. Its latin.
Thanks for your comments! I don't know if the Pt is diabetic... Thanks, Athan.
Your cases are awesome
всё это видно на мрт без контраста.зря облучали и кололи в вену ядовитые вещества.
Transient global amnesia? Or just a radiologist after one too many?
No comment on the Osteoarhritis of the spine i see 😀 More seriously ib heparin or thrombectomy?
Thank you very much! I must say you are a great teacher. I always make sure to watch every case you upload. شكرًا :)
Thank you for your kind words and your support!
I really appreciate you uploading these videos thank you!
Thanks for sharing.
может это Перистальтика.надо смотреть в динамике
Hi, it is not "peristalsis/spasm" as the finding is persistent and stable exactly at the same position in the previous CT scan which was performed 1-2 weeks ago (I personally saw the previous images and I can confirm the findings) - the patient has a history of multiple admissions to the Hospital due to recurrent small bowel obstruction. Finally, in cases of local spasm, the symptoms are not so severe and the size of the bowels are not so prominent/dilated and the air-fluid levels are rare. Thank you for your comments anyway... Athan
@@RadiologyInterestingCase-pk3uk в таком случае в первую очередь нужно смотреть позвоночник зажаты или нет нервы которые управляют кишечником.
Thank you
Thank you! Very educational video! I am a radiology resident from Italy
Wet, weird and wobbly. Incontinence, dementia like changes and ataxia. Clinical features of chronic raised intracranial pressure. There are others. Pseudo papilloedema springs to mind. But it doesnt start with W. Not many people know that the first ventricle is the left lateral ventricle and that the right is the second. Even fewer know that there is a fifth and sixth ventricle. These last two normally disappear in the fetus but can be present in some weird congenital cases
thanks for sharing