Основы. Коллекция изображений для студентов. 2007-2008 Джиллиан Либерман.

Правосторонний пневмоторакс в вертикальном положении

Аневризма брюшной аневризмы при КТ-сканировании

Abscess s/p Appendectomy on CT Scans

Findings: There is a gas containing mass in the RLQ compatible with abscess.   Discussion: This patient is four...

Ахалазия

Острый бактериальный пиелонефрит при КТ-сканировании

Острый пиелонефрит

Голеностопный сустав: NOF

Ankle: Severe Osteoarthritis (OA) / Degenerative Joint Disease (DJD) on CT Scans

Findings: This patient shows the classic radiologic features of severe osteoarthritis: Diffuse joint space narrowing,...

Aortic Dissection on Plain Film and CT Scan

Findings: The CXR demonstrates a widened mediastinum. The CT demonstrates the intimal flap in the ascending and descending...

Aortic Transection on Plain Film and CT Scan

Findings: The CXR demonstrates a widened mediastinum, indistinct aortic knob, and mediastinal shift to the right. The CT...

Aortoiliac Stents: Normal Appearance

Findings: This patient demonstrates the appearance of aortoiliac stents on abdominal plain film.

Arm: Soft Tissue Calcification on Plain Film

Findings: This patient demonstrates intramuscular calcification presenting as calcareous fascial sheets and subcutaneous...

Autosomal Dominant Polycystic Kidney Disease (ADPKD) on CT Scans

Findings: This patient presents with marked enlarged kidneys bilaterally with multiple well-defined round macrocysts. ...

Axilla: Peripheral Nerve Sheath Tumor on MRI

Findings: There is a well-circumscribed mass adjacent to the axillary neurovascular bundle that is T2 hyperintense, T1...

Azygos Fissure on Plain Film

Findings: There is an azygos fissure in the medial apex of the right lung. The inferior border of the azygos fissure...

Bibasalar pneumonia with lateral spine sign

Findings: Aspiration may cause pneumonia in the dependent basilar segments. On lateral CXR, the normal spine should appear...

Bicornuate Uterus on Ultrasound

Findings: The ultrasound demonstrates a bicornuate with an intrauterine pregnancy in the right horn.   Discussion:...

Двусторонняя подкожная эмфизема

Boerhaave's Syndrome on CXR and BaSw

Findings: The CXR shows aberrant air secondary to the perforated esophagus; subcutaneous emphysema and pneumomediastinum....

Bowel Ischemia with Pneumatosis Coli and Portal Venous Gas on CT scans

Findings: The contrast enhanced CTs show air in the bowel wall and portal venous system, which is classic for bowel ischemia...

Кровоизлияние в кишечную стену

Рак молочной железы

Рак молочной железы

Грудь: простая киста на диагностической маммограмме

Бронхиолальвеолярная карцинома

Бронхиолоальвеолярная карцинома

перелом радиуса

Кальцинированные плевральные бляшки

Сердечно-сосудистые: множественные аневризмы брюшной аорты на КТ

Central Venous Line (CVL): Appropriate Placement of a Subclavian CVL

Findings: This patient shows the appropriate placement of a CVL using left subclavian vein access.

Central Venous Line (CVL): Appropriate Placement of an Internal Jugular CVL

Findings: This patient shows the appropriate placement of a CVL using left internal jugular vein access.

Кесарево сечение Эктопическая беременность на ультразвуке

Chest Tube: Appropriate Placement of a Chest Tube

Findings: The pneumothorax is no longer evident i.e. the chest tube successfully treated the pneumothorax. The tip is in the...

Бронхоэктазия на КТ

Эмпиема 

медиастинальный абсцесс

Chest: Saddle Pulmonary Emboli on CTA

Findings: There are large bilateral filling defects in the proximal pulmonary arteries.   Discussion: CTA is...

Стермоманубриальная дислокация

CHF with alveolar edema

Findings: CHF frequently presents radiologically with cardiomegaly and/or pleural effusions. The effusions may be bilateral....

CHF with interstitial edema

Findings: CHF frequently presents radiologically with cardiomegaly and/or pleural effusions. The effusions may be bilateral....

CHF with upper zone redistribution

Findings: CHF frequently presents radiologically with cardiomegaly and/or pleural effusions. The effusions may be bilateral....

гиперпаратиреоз / почечная остеодистрофия

Colles Fracture of the Distal Radius on Plain Film

Findings: There is a comminuted, impacted fracture of the distal radius. There is extension of the fracture to the articular...

Colon: Sigmoid Volvulus on Plain Film and CT Scan

Findings: There is a dilated large bowel with coffee bean sign. There are multiple dilated small bowel loops.  ...

Коловагинальная фистула при КТ-сканировании

Complex Renal Cyst: Bosniak III on CT Scan

Findings: The CT scan demonstrates a large cystic mass with multiple septations i.e. multilocular complex cyst.  ...

Кальцинирование коронарной артерии при КТ-сканировании

Cyst in Dense Breast on Mammogram

Findings: The breast parenchyma is very dense. There is a subtle density/lesion that needs further workup.  ...

Cyst on US

Findings: There is a round anechoic lesion with sharply defined walls and distal enhanced through transmission.  ...

Cyst vs. Fibroadenoma on US

Findings: The left US shows a round anechoic lesion with sharply demarcated walls and distal enhanced...

Cystic Bronchiectasis in Williams-Campbell Syndrome on CT Scans

Findings: The CTs demonstrate bronchiectasis in fourth and higher-order bronchi. There are signet ring signs of...

Cystic Renal Cancer: Bosniak IV and Simple Cysts on CT Scan

Findings: The CT demonstrates two simple renal cysts and one cystic renal cancer. The renal cancer has invaded the...

Deep Brain Stimulator: Appropriate Placent on Plain Film and CT Scan

Findings: CXR: The two subcutaneous generators are seen. Lateral Skull: The three intracerebral electrodes are seen entering...

Diverticulitis of the Sigmoid Colon with Fat Stranding on CT Scan

Findings: There are diverticula and thickening of the walls of the sigmoid colon with significant surrounding fat...

Double Lead Pacemaker: Appropriate Placement of a Double Lead Pacemaker

Findings: One lead inserts in the right atrium and the other in the right ventricle near the apex. The pacer wires traverse...

Dropped Radiolucent Gallstones in Abscess after Distant Cholecystectomy on CT and MRI Scans

Findings: The CT and MRI scans show a cystic mass with enhancing wall. The CT shows clips from a prior...

Echinococcus aka Hydatid Pulmonary Cyst on CXR and CT Scan

Findings: The CXR and CT demonstrate a thin-walled cystic lesion with a solid focus and air crescent.  ...

Эктопическая яичниковая беременность

Локтевой сустав: перелом радиальной головки

Elbow: Olecranon Bursitis in Gout on Plain Film

Findings: This patient shows enlargement of the olecranon bursa and a spur off the olecranon process. Bilateral enlarged...

Эмфизема: Парасептальные и центральнобулярные типы при КТ-сканировании

Рак эндометрия

ENT: Residual Thyroid Tissue on I131 RN Scan

Findings: There is radiotracer uptake compatible with residual functioning thyroid.   Discussion: This patient is...

Эпидуральная гематома при КТ-сканировании

Аденокарцинома пищевода

Кандидоз пищевода

Бедренная грыжа

медуллярные инфаркты 

множественные экзостозы

Femur: Avascular Necrosis (AVN) головки бедренной кости

Femur: остеосаркома

Findings: Osteosarcoma has a bimodal distribution: 15-25 yo and over 55 yo (in patients with Pagets Disease) Osteosarcoma is...

Femur: Subcapital Femoral Neck Fracture on Plain Film

Findings: There is a displaced, subcapital femoral neck fracture of the right femur.   Discussion: Fractures of...

Fetal Echogenic Bowel on US

Findings: The ultrasound demonstrates echogenic bowel within the fetal abdomen, at the level of the umbilical cord...

Фиброаденома на маммограмме

Fibroid Uterus on US

Findings: The sonograms demonstrate an enlarged fibroid uterus.   Discussion: Fibroids, or leiomyomas, are ...

Fibrous Tumor of the Pleura on Plain Films and CT Scan

Findings: The CXR and CT are compatible with a mass arising from the apical pleura and projecting into the right upper lobe....

Finger: Echondroma с патологическим переломом

Finger: Extensor Avulsion DIP на обычной пленке

Foot and Spine: Lover's Fracture on CT Scans

Findings: This patient demonstrates a fracture through the calcaneus and a vertebral compression fracture at the...

подагра

подагра

перелом Джонса

дислокации Lisfranc

перелом Ласфранка

Нейропатический артрит / Шарко 

остеомиелит дистальной фаланги

реактивный артрит / reiters 

Foot: Stress Fracture of the Calcaneus on Plain Film

Findings: There is a vertical sclerotic line in the posterior calcaneus. There is incidental dystrophic calcification...

Free Abdominal Air aka Pneumoperitoneum on CXR

Findings: The CXR demonstrates crescentic lucent air collections below both hemidiaphragms. This is the classic appearance...

Gallstone Ileus on CT Scans

Findings: This CT demonstrates the classic Rigler’s Triad of gallstone ileus: Pneumobilia (air in the biliary tract), low...

Graft vs Host Disease: Calcinosis Cutis on Plain Film

Findings: There are scattered diffuse soft tissue calcifications. These calcifications are compatible with the patient’s...

склеродермия

перелом боксера

энхондрома фаланги

Hand: Lunotriquetral Coalition on Plain Film

Findings: The lunate and triquetrum are fused.   Discussion: Lunotriquetral coalition is the most common type of...

синдром Маффуччи

ревматоидный артрит (РА)

Hand: Severe Erosive Osteoarthritis (OA) on Plain Film

Findings: Post-menopausal females. Affects same joints as primary osteoarthritis: 1st CMC, DIP, PIP joints. Presents...

Hand: Severed Finger on Plain Films

Findings: The plain films show a severed distal phalanx of the thumb. The flexor pollicis longus tendon is seen attached to...

Hand: Shrapnel and Degenerative Changes of the CMC Joints on Plain Film

Findings: There are multiple metallic densities compatible with shrapnel. There is sclerosis and joint space narrowing of...

Hand: Subtle Avulsion Fracture of Phalanx on Plain Film

Findings: There is a subtle, but definite, curvilinear ossific density at the radial base of the 3rd proximal...

гиперпаратиреоз / почечная остеодистрофия

ревматоидный артрит (RA)

Hemispherectomy on MRI Scans

Findings: The MRI scans demonstrate a right fluid-filled cavity s/p a right hemispherectomy. There is a shunt in...

Hemivertebra

Hemopericardium

Hemothorax

Hereditary Angioedema Manifesting in the Small Bowel on CT Scans

Findings: The CT scans demonstrate ascites and bowel wall thickening with intramural low attenuation.  ...

Гетеротопическая беременность

Hiatus грыжа

Hip: Diffuse Pigmented Villonodular Synovitis (PVNS) on Plain Film and MRI

Findings: The plain film demonstrates cystic areas in the femoral head and the acetabulum with joint space narrowing from...

Hip: Endpoint Osteoarthritis (OA) / Degenerative Joint Disease (DJD) on Plain Films

Findings: This patient shows the classic radiologic features of endpoint osteoarthritis: Joint space obliteration,...

Hip: Moderately Severe Osteoarthritis (OA) / Degenerative Joint Disease (DJD) on Plain Film

Findings: This patient shows the classic radiologic features of severe osteoarthritis: Eccentric joint space narrowing,...

Бедро: остеохондрома / экзостоз

Бедро: остеохондрома / экзостоз

Hip: Total Hip Arthroplasty Loosening on Plain Films

Findings: The plain films show lucency at the bone-cement interface surrounding the femoral stem. Greater than 2 mm of...

ВИЧ-токсоплазмоз при КТ-сканировании

ВИЧ: лейкоэнцефалопатия

Hook in Charcot's Foot and Glass in Thumb on Plain Films

Findings: Patient 1 presents with a heavy metal density in the foot. The tarsal bones are abnormal. This patient is a...

Humerus: Сосудистый некроз (AVN)

Hydrocele on Scrotal US

Findings: There is an anechoic halo surrounding the right testis compatible with a right hydrocele. The right and left...

Hyperdense MCA Sign in Ischemic Stroke on CT Scan

Findings: There is a linear hyperdensity in the M1 segment of the left MCA, consistent with a left MCA thrombus.  ...

Идиопатический легочный фиброз

Implant: Breast Cancer with Implant on Mammogram

Findings: There is a focal opacity or asymmetric density in the area of palpable concern, adjacent to the implant that has...

Implant: Linguini Sign of Intracapsula Rupture on MRI Scans

Findings: There are high signal subglandular implants with central serpentine, low signal line.   Discussion:...

Имплантат

Intra-aortic Balloon Pump (IABP): Appropriate Placement of an IABP

Findings: The IABP proximal tip should be just below the superior aortic knob contour. If the tip is too high, it may...

Intrauterine Device (IUD) on Plain Film

Findings: This patient demonstrates a copper IUD in the right pelvis.   Discussion: The position of this IUD on...

Intrauterine Device (IUD) with Pregnancy on Plain Film and US

Findings: This pregnant patient demonstrates an IUD embedded in the uterine myometrium on plain film and US.  ...

Синдром Картагенера

Почки: Двусторонний пиелонефрит на КТ

Knee and Ankle: Maisonneuve Fracture on Plain Films

Findings: Knee views: There is an oblique fracture through the upper third of the fibula. Ankle views: There is abnormal...

Knee and Wrist: Calcium Pyrophosphate Deposition Disease (CPPD) on Plain Films

Findings: Wrist: There is chondrocalcinosis. There is also scapholunate widening from calcification and disruption of the...

Колено: Аневризмактическая костная киста

Колено: разрыв передней крестообразной связки (ACL), связанный с переломом Сегонда при сканировании МРТ

Knee: Calcifications in Infrapatellar Bursa on Plain Film

Findings: There is calcified soft tissue, likely in the prepatellar bursa.   Discussion: The differential for this...

хондрокальциноз

Knee: Meniscal Tear on MRI Scans

Findings: The MRIs show abnormal increased signal contacting the inferior articular surface in the posterior horn of the...

Маловыраженный остеоартрит (ОА)

умеренно тяжелый остеоартрит (ОА)

Knee: Patellar Fracture and Septic Arthritis on Plain Film

Findings: The presentation views demonstrate an acute fracture of the patella. The follow up view demonstrates generalized...

Колено: Пателлофеморальный остеоартрит (ОА) / Дегенеративная суставная болезнь (DJD) 

Knee: Small Suprapatellar Bursa Effusion on Plain Film

Knee: Soft Tissue Calcification on Plain Film

Findings: The plain film demonstrates an intramuscular calcification presenting as calcareous tumor-like...

Knee: Tibial Plateau Fracture Presenting as Fat-Fluid Level on Plain Film and CT Scan

Findings: The cross table lateral view of the knee shows a fat-fluid level in the suprapatellar bursa. This finding is...

Гистоцитоз клеток Лангерганса при компьютерной томографии

Выводы: КТ демонстрируют множественные плотности узлов, преобладающие в обоих верхних легочных полях. Некоторые узелки ...

Слева диафрагмальный разрыв

Результаты: рентгенограмма грудной клетки показывает повышенную левую полудиафрагму. КТ демонстрирует разрыв диафрагмы ...

Left inferior pneumothorax

Findings: A pneumothorax is air between the visceral and parietal pleura. Air is lucent (jet black) on plain film. Air in...

Left lower lobe collapse

Findings: Lobar collapse presents as a wedge shaped density and signs of volume loss. LLL collapse presents as a left lower...

Left lower lobe consolidation

Findings: A left lower lobe infiltrate usually silhouettes out the left hemidiaphragm on frontal and/or lateral views. A...

Левосторонний плевральный выпот

Левосторонний пневмоторакс

Left skin fold mimicking pneumothorax

Findings: Elderly or cachectic patients have loose skin which may fold. A skin fold presents as a line which may be confused...

Left upper lobe collapse

Findings: Lobar collapse presents as a wedge shaped density and signs of volume loss. LUL collapse presents as a left upper...

Диффузный остеосклероз из-за мастоцитоза

Lingular consolidation

Findings: Infiltrates in the lingula silhouette out the upper left heart border.

Liver Laceration on CT Scans

Findings: Both the arterial phase and delayed phase CTs show active bleeding into the laceration involving the left lobe of...

Печень: эхинококковая киста в КТ-сканировании

Печень: гемангиома при КТ-сканировании

Коллапс и плевральный выпот

Лимфангит-карциноматоз при компьютерной томографии

Лимфангит-карциноматоз

Мужчина: Асимметричная гинекомастия на маммографии

Мужской: Асимметричная гинекомастия

Мужчина: карцинома молочной железы на маммограмме

Мужчина: Pseudogynecomastia на маммограмме

Злокачественная мезотелиома при КТ-сканировании.

Malpositioned IUD on Abdominal Plain Film

Findings: The abdominal x-ray demonstrates an intra-abdominal IUD. The IUD is located lateral to its expected position...

Медиастинальный липоматоз

Metastatic melanoma causing medistinal masses

Findings: On frontal CXR there are bilateral mediastinal masses, left greater than right, highlighted with stars. The left...