Current Edition

Contrast controversies and confusion

Mariya Kobi; Meir H Scheinfeld; Seymour Sprayregen; R Joshua Dym*

    Misunderstandings of the risks of contrast agents have led to the persistence of outdated, non-evidence based policies that are often overly restrictive. This review presents a series of questions that arise in practice concerning such topics of controversy and confusion in regard to contrast media. For each case, we review the current evidence-based best practices for contrast media administration, based largely on the most recent American College of Radiology Manual on Contrast Media.


Efficacy of portable ultrasound to detect pneumothorax post-lung resection

Farah Mohammad; Adhnan Mohamed; Shumaila Khawja; Ilan Rubinfeld; Karen Byers; Efstathios Karamanos; Keith Killu; Zane Hammoud*

    Background: The role of bedside Ultrasonography (US) in detection of pneumothorax in the acute care setting is well established. However, its role in the diagnosis of pneumothorax following chest tube removal post-lung resection has yet to be elucidated. Our aim was to assess the efficacy of portable ultrasound in the detection of pneumothorax following chest tube removal post-lung resection.


Unusual cause of acute pulmonary thromboembolism: Kasabach merritt syndrome

Anuradha Rao*; Chandni Sharma; Syed Khader Mohammed; Raghuram P

    Kasabach-Merritt syndrome [KMS] is a rare but potentially life threatening condition characterized by consumptive coagulopathy caused by hemangiomas. A 64 year old lady was referred to CT scan with history of fever, pain abdomen, respiratory distress, anemia, raised bilirubin levels and altered coagulation profile with clinical diagnosis of disseminated intravascular coagulation.


Atlantoaxial rotatory subluxation in children: A review

NK Sferopoulos

    Torticollis is a common complaint of childhood. Trauma should always be considered and carefully excluded. All children with torticollis should be examined with plain radiographs to rule out a fracture or bony abnormality. Atlantoaxial rotatory subluxation has been defined as a cause of temporary, self-resolving torticollis in children.


Orbital infiltration mimicking pseudotumor as first manifestation of cancer of unknown primary

Michaela Cellina*; Cristina Rosti; Antonio Giancarlo Oliva

    Orbital metastases are rarely the first and sole presenting feature of distant carcinoma and extremely rare as the presenting sign of Cancer of Unknown Primary (CUP). We report the case of a previously healthy woman who presented with diplopia and left orbital pain and underwent contrast enhanced orbit MRI: Imaging findings were interpreted as left orbital pseudotumor, so she began a treatment with steroids.


Is reduced global longitudinal strain in m.3243A>G carriers truly attributable to the mutation?

Josef Finsterer, MD, PhD*; Sinda Zarrouk-Mahjoub, PhD

    In a recent article, Koene et al. reported about a study of 30 carriers of the m.3243A>G mutation who were retrospectively evaluated for their findings on 2D speckle tracking echocardiography [1]. Global Longitudinal Strain (GLS) was reduced in 56-70% of the patients. We have the following comments and concerns.


Biphasic & triphasic computed tomography (CT) scan in focal tumoral liver lesions

Waseem Zafar*; Zain Zulfiqar; Najam Ud Din; Sohail Murad; Basit Iqbal

    Objective: To assess the diagnostic accuracy of biphasic & triphasic spiral CT in differentiating benign from malignant focal tumoral liver lesions in the patients of Gujranwala region.
   Methods: The study was conducted in Department of Radiology of Medcare International Hospital and GINUM cancer hospital, Gujranwala from 11 March 2015 to December 2015.


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