scholarly journals Cross-sectional Imaging of Parotid Gland Nodules: A Brief Practical Guide

2018 ◽  
Vol 8 ◽  
pp. 14 ◽  
Author(s):  
Giuseppe Cicero ◽  
Tommaso D’angelo ◽  
Sergio Racchiusa ◽  
Ignazio Salamone ◽  
Carmela Visalli ◽  
...  

Clinical evaluation and ultrasound examination are the first steps in the evaluation of a patient with a swelling of the parotid region. After the detection of a nodular lesion, cytological or histological confirmation is usually performed to achieve the diagnosis, while the choice of cross-sectional imaging (computed tomography scan and magnetic resonance imaging) may significantly vary from one physician to another, on the basis of the degree of confidence that both radiologist and surgeon have with this kind of imaging. This work focuses on some essential “reporting points” in cross-sectional imaging evaluation of parotid nodules, chiefly helpful to the radiologist when the ultrasonography assessment is considered incomplete and requires a further evaluation.

2020 ◽  
Vol 44 (6) ◽  
pp. 870-881
Author(s):  
Yanqiu Zheng ◽  
Amr Shabana ◽  
Khaled M. Elsayes ◽  
Aws Hamid ◽  
Amr Abdelaziz ◽  
...  

Author(s):  
Siddhant Uttam Manwar ◽  
Manisha Vishnu Joshi ◽  
Devdas Sudhakar Shetty ◽  
Upendra Diwakar Bhalerao

Retroperitoneal lymphangiectasia is a very rare lymphatic disorder characterized by abnormal proliferation of lymphatics. We present series of 3 cases of retroperitoneal lymphangiectasia which are diagnosed in our institute with the help of Ultrasonography (USG), Computed Tomography (CT) and Magnetic resonance imaging (MRI) of abdomen and pelvis with unusual clinical presentation. We include clinical features and imaging findings of this disorder with its pathogenesis and diagnosis. Two of the cases were clinically masquerading as hernia and one case was mimicking varicocele. Thorough clinical examination and USG, colour Doppler, CT and MRI are extremely helpful imaging investigation that aid in differentiating these lesions from hernia/ varicocele and the cross sectional imaging like CT and MRI can  depict the anatomical extent of the disease.


2014 ◽  
Vol 28 (7) ◽  
pp. 385-390
Author(s):  
Brian A Brunson ◽  
Robert Hawes ◽  
Brenda Hoffman ◽  
Stacie Vela ◽  
Joseph Romagnuolo

BACKGROUND: Cross-sectional imaging remains the first-line test for obstructive jaundice despite high miss rates for pancreatobiliary tumours. Improvements in resolution and slice thickness of spiral computed tomography/magnetic resonance imaging/magnetic resonance cholangiopancreatography promised to increase accuracy.OBJECTIVE: To assess whether the post-test probability of neoplasm is truly altered by the presence or absence of a mass on computed tomography/magnetic resonance imaging in obstructive jaundice.METHODS: The institutional endoscopic ultrasound (EUS) database was retrospectively reviewed to stratify patients presenting to EUS over a two-year period for obstructive jaundice (suspicious for malignancy) according to their pre-EUS imaging results. The primary analysis involved the calculation of the positive predictive value and negative predictive value (NPV) of imaging with 95% binomial CIs. Test performance of EUS/fine-needle aspiration (FNA) was also calculated. Final diagnosis was determined by positive cytology/histology; negative EUS was supplemented by clinical follow-up.RESULTS: The positive predictive value (n=51) and NPV (n=53) of pre-EUS imaging was 98% (95% CI 90% to 100%) and 9% (95% CI 3% to 21%), respectively (accuracy 53%), with post-test suspicion of malignancy similar between imaging-positive and -negative groups. EUS demonstrated a mass in 96% of imaging-positive cases versus 85% in imaging-negative cases (exact P=0.09). Malignant or suspicious FNA cytology was obtained with EUS in 92% of the imaging-positive group, and 62% of the imaging-negative group (75% of subgroup with FNA) (P<0.001).CONCLUSION: Lack of a definite mass on pre-EUS imaging had low NPV, and was clearly not sufficiently accurate or reassuring in this clinical setting. In suspicious obstructive jaundice, EUS with FNA has a high diagnostic yield regardless of the findings of pre-EUS cross-sectional imaging and, as such, EUS may be a more reasonable first-line test in this high-suspicion setting.


UK-Vet Equine ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. 142-149
Author(s):  
Jonathon J Dixon ◽  
Lucy Meehan

Diagnostic imaging of the equine neck is undertaken for a wide variety of conditions. In many cases, radiography is the principal imaging modality, often complemented by ultrasound examination. Common conditions encountered include osteoarthritis, articular process joint osteochondral fragmentation, cervical vertebral malformation (‘wobbler’), fractures and numerous soft tissue lesions. The complex three-dimensional anatomy of the region limits interpretation of planar images and, in some cases, cross-sectional imaging (such as computed tomography) may be required. However, careful use of radiography and ultrasound can help clinicians to achieve a diagnosis in many cases, often from combining conventional and lesion-orientated projections with a thorough clinical examination.


Foot & Ankle ◽  
1987 ◽  
Vol 8 (2) ◽  
pp. 59-80 ◽  
Author(s):  
David J. Sartoris ◽  
Donald Resnick

Cross-sectional imaging techniques are becoming increasingly important for the evaluation of foot and ankle disorders. Computed tomography affords superior depiction of osseous anatomy, and is useful in the assessment of acute fractures, degenerative joint disease, and postoperative alterations. Magnetic resonance imaging is particularly well suited to soft tissue disease, including neoplasms, tendinitis, myopathy, and infection, owing to its excellent contrast discrimination capabilities.


1996 ◽  
Vol 86 (3) ◽  
pp. 123-125 ◽  
Author(s):  
PM Logan ◽  
DG Connell ◽  
DL Janzen

The authors presented the computed tomography and magnetic resonance imaging appearances of a painful os cuboideum secundarium. To the authors' knowledge, this is the first report of the cross-sectional imaging appearance of this condition, and serves to underline the utility of computed tomography and magnetic resonance imaging in the investigation of foot pain.


2016 ◽  
Vol 6 ◽  
pp. 33
Author(s):  
Matthew Neill ◽  
Hearns W Charles ◽  
Jonathan S Gross ◽  
Sean Farquharson ◽  
Amy R Deipolyi

Despite progress in noninvasive imaging with computed tomography and magnetic resonance imaging, conventional angiography still contributes to the diagnostic workup of oncologic and other diseases. Arteriography can reveal tumors not evident on cross-sectional imaging, in addition to defining aberrant or unexpected arterial supply to targeted lesions. This additional and potentially unanticipated information can alter management decisions during interventional procedures.


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