Transcript الشريحة 1

Case 1
Two-day-old girl with bilious
.emesis
Two days old with billious
vomitting
• Selected images from contrast swallow
study;
• Finding;the stomach well opacified with
contrast no filling defect.
• Crock screw appearance of opacified
small bowel
• Typical appearance of malrotation with
mid gut vulvulus.
• Ddx
• Duodenal atresia,dudenal
stenosis,annularpancreas
Routine prenatal ultrasound in healthy thirty-year-old
Us axial images show;
THERE IS ABNORMALITY WITH •
THE FETUS HEAD.THERE IS
DEFECT THROUGH THE
POSTERIOR OCCIIPIT WITH
HERNATED MASS WHICH
CONTAIN SOLID AND CYSTIC
COMPONENTS
•
•
•
•
•
DDX:
CEPHALOCELE(ENCEPHALOCELE)
BRANCHIAL CLEFT CYST
CYSTIC HYGROMA
TERATOMA
Woman with breast
cancer
MRI BRAIN FOR FEMALE
WITH BREAST CA
• There are multiple enhancing lesion
through the calvarium,diffuse
enhancement of the meninges and
confluent hypersignal intensity lesions on
the deep whit matter in FLAIR and T2WI.
• No enhancing intraparenchymal lesion.
• No mass effect
• Normal ventricular system
• In keeping with hx. Ddx;
METS LESION.
POST RADIATION ‫الحل الصحيح‬
DIFFUSE INFECTIOUS
DIFFUSE INFLAMMATORY
SMALL VESSELS DISEASE
HAND XRAY
• There are tupht expansion of the
4thand5th phingers with
degenerative changes(narrowing of
the interphalengeal joint at the same
fingers , bony over growth) and
periarticular soft tissue swelling
• Normal undrlying bone density
•
•
•
•
Ddx:
Macrodystophia lipomatosa
Hemangiomatosis
neurofibromatosis
Lowe limb x-ray
There is eccentric lytic lesion with •
geographic appearance involve the
diyaphysis of the fibula with
destruction of the cortex and soft
tissue swelling with fragments of
bone in MRI it show fluid fluid level
No other lesion. •
•
•
•
•
•
Ddx
Telange Osteosarcoma
Ewing sarcoma
Giant cell tumor
FIBROSARCOMA
IVP STUDY
• There is filling defect in the lateral
superior aspect of urinary bladder
• With slight dilatation of the distal
end of left ureter
• No other focal lesion .
• The bony structure grossly
unremarkable
ddx
•
•
•
•
•
Transitional cell ca.
Squmas cell carcinoma
Lymphoma
Inflammatory process
cystitis