Aunt Minnie's Atlas and Imaging-Specific Diagnosis by Thomas L Pope Jr. MD

By Thomas L Pope Jr. MD

Revised and up to date for its 3rd version, Aunt Minnie's Atlas is a wonderful learn software for the oral radiology board exam. It beneficial properties over 900 photographs and over 250 instances representing "Aunt Minnies"—diseases with exact radiographic beneficial properties that permit a convinced, instant analysis. each one case is gifted in an easy-to-follow layout and contains the most important take-away issues known as "Aunt Minnie's Pearls." The circumstances signify all modalities and canopy all subspecialties validated at the oral forums. This variation has extra situations in additional modalities, together with new circumstances in breast MRI and electronic mammography. A better half web site will supply new situations each one zone.

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5c Diagnosis Double aortic arch (DAA) Discussion The DAA is the most common symptomatic vascular ring. Although esophageal compression may produce symptoms, respiratory findings, including distress, wheezing, or stridor, predominate. On plain-films, the DAA will demonstrate a right arch and generalized overaeration. Displacement or indentations on the trachea may be seen, or there may be complete loss of the tracheal air column on frontal projection, as in this case. The esophagram, however, is more valuable as the DAA produces a characteristic reverse S indentation on the esophagus.

Most cases present before the age of 2 years. A variety of presenting symptoms can occur, including neonatal bowel obstruction, intussusception, palpable mass, vomiting, and abdominal pain. Duplications may contain ectopic gastric or pancreatic mucosa that, when present, can induce intractable abdominal pain, GI bleeding, anemia, and elevated amylase levels. Plain-film findings may include a bowel obstruction or intussusception. Sonographically, a well-defined, spherical or tubular, fluid-filled mass with the characteristic bowel wall signature of hyperechoic inner lining of mucosa and hypoechoic rim of smooth muscle is specific for duplication.

On a transverse obstetrical ultrasound image, look for the stomach bubble adjacent to the heart to suggest this diagnosis. 2 History A 6-week-old full-term infant with constipation Findings Anteroposterior scout (Fig. 1) and overhead (Fig. 2) view from a limited-contrast enema demonstrate an air-filled and dilated sigmoid colon on the scout radiograph. Contrast enema reveals a transition from a relatively narrow rectum to dilated sigmoid and descending colon. Diagnosis Hirschsprung disease Discussion Hirschsprung disease is a functional colonic obstruction characterized by an aganglionic hypertonic distal segment of bowel with associated proximal dilation.

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