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Slide 2 |
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CHPS |
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Primary sclerosing cholangitis. Endoscopic retrograde cholangiopancreatography
shows multifocal strictures (arrows) involving the intrahepatic
and extrahepatic biliary ducts. |
Slide 4 |
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JRA |
Slide 5 |
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Slide 6 |
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Fetal hydrops.
Longitudinal view of a fetus with skin oedema, ascites
and a hydrothorax. |
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Bennett lesion. A: Axial T1-weighted MR arthrogram. There
is globular low signal intensity suggestive of calcification along the
posterior capsular insertion onto the glenoid
(arrow). The subscapularis tendon is partially
torn. B: Sagittal T1-weighted MR arthrogram image shows the extent of the posterior
capsular low-signal abnormality (arrows). C: Transverse CT image confirms the
presence of calcification of the posterior capsular insertion. |
Slide 8 |
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Mirizzi syndrome. MRCP (A) shows a stricture of the lower common duct caused by a stone
(arrow) lying in an expanded cystic duct on ERCP (B). Multiple gallbladder
stones are also seen. |
Slide 9 |
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Thyroglossal cyst |
Slide 10 |
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SCURVY |
Slide 11 |
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Fibrosing mesenteritis.
Enhanced CT in a patient who
presented with fever of unknown origin demonstrates a fibrofatty
mesenteric mass with irregular borders surrounding mesenteric vessels.
Strands of soft-tissue density are seen radiating from the mass to the
adjacent mesenteric fat. Fibrosing mesenteritis:
CT appearances. Enhanced
abdominal CT demonstrating a large, ill-defined, soft-tissue mesenteric mass
with extensive calcification. Note retraction and thickening of the adjacent
bowel loops. |
Slide 12 |
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A focal tear is seen
within the TFCC (arrow) on (A) coronal T1 and (B) GE images. |
Slide 13 |
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Caecal volvulus.
The dilated caecum lies with its pole under the left hemidiaphragm. In spite of the dilatation the haustra are preserved. There is no dilated large bowel
elsewhere in the abdomen. The small bowel is fluid filled in this case. |
Slide 14 |
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Gastric adenocarcinoma mimicking a GIST. There is a large heterogeneous mass in the body of
the stomach. It is round and contains an ulcer (arrows). A large metastasis
lies in the medial segment of the liver (M). It has similar enhancement
characteristics as the primary tumor. Diagnosis of
GIST was entertained because of the exophytic,
ulcerated appearance, but endoscopic biopsy confirmed it to be a
well-differentiated adenocarcinoma. |
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Ureteric obstruction. (A) IVU demonstrates high-grade obstruction in the right side of a
horseshoe kidney |
Slide 16 |
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Colonic lipoma. There is a 2-cm
fat-density mass in the proximal transverse colon (arrow). It is well defined
and nonobstructing. This was an incidental finding.
Lipomas can be distinguished from fat-density bowel
contents by their notable lack of internal gas. |
Slide 17 |
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HEMANGIOMA |
Slide 18 |
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Cystadenoma. A and B: Axial
contrast-enhanced computed tomography images show a large fluid density
cystic mass with multiple predominantly thin septations
(arrows) and no associated ascites. |
Slide 19 |
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Dense pericardial
calcification demonstrated on (A,B) chest radiograph (arrows) and (C) CT. There are
bilateral pleural effusions in this patient with constrictive calcific pericarditis due to
previous tuberculosis. |
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Slide 21 |
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Thalassaemia.
Lateral radiograph of the
skull showing gross expansion of the diploë and
loss of definition of the outer table with sparing of the occipital bone. A
gross ‘hair-on-end’ appearance is shown. |
Slide 22 |
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Grade III urethral
injury. Retrograde urethrogram performed with a Foley catheter in the distal
penile meatus reveals extravasation
of contrast material from the posterior urethra extending above and below the
level of the urogenital diaphragm. Some venous
uptake is also seen. |
Slide 23 |
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Atretic parietal encephalocele |
Slide 24 |
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Emphysematous cholecystitis. (A) CT – Intraluminal gas; (B) US – intraluminal gas appears as a bright curvilinear echogenic band (arrow) with ‘dirty’ shadowing. |
Slide 25 |
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Haemophilia. (A) Antero-posterior radiograph of the knee showing epiphyseal overgrowth and enlargement of the intercondylar notch. (B) Antero-posterior radiograph of
the elbow showing erosion of the radial notch of the ulna. (C)
Antero-posterior radiograph of the ankle showing medial tibiotalar
slant and secondary osteoarthritis. |
Slide 26 |
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Breast implant |
Slide 27 |
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TAPVC |
Slide 28 |
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Biliary cystadenoma in a
49-year-old woman. Fast spin-echo T2-weighted MR image shows a multilocular, septated mass
(arrows) in segment 7 of the liver, with high signal intensity within the cystadenoma. Corresponding portal-venous-phase
gadolinium-enhanced T1-weighted MR image shows enhancement of the capsule and
septa. |
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pseudomyxoma peritonei |
Slide 30 |
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Duct ectasia. (A) Broken needle
appearance, typical of duct ectasia. (B)
Sometimes thicker, more localized calcifications can be seen, giving a ‘lead-pipe’
appearance |
Slide 31 |
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Transitional cell
tumour seen on an IVU as a filling defect in the distal ureter.
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Slide 32 |
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Fibrous dysplasia in
a rib; chest radiograph detail of
the left lung. Compared with the other ribs the ninth rib shows an increase
in density and is slightly broadened |
Slide 33 |
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Pulmonary alveolar proteinosis,
15-year-old girl with shortness of breath. High-resolution computed
tomography through the lung bases shows extensive ground-glass opacity and
interstitial thickening, creating a “crazy paving” appearance |
Slide 34 |
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Pneumoperitoneum resulting from perforation
of a duodenal ulcer. Erect chest radiograph. Typical free gas between the
liver and the right hemidiaphragm. Note also the
small triangular collection between the loops of the splenic
flexure of the colon, beneath the left hemidiaphragm.
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Slide 35 |
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Barium swallow demonstrating the typical appearances of oesophageal
intramural pseudodiverticulosis. The small flask-shaped
pits of contrast (arrowheads) represent dilated mucous glands and are
associated with a stricture at the level of the aortic knuckle. |
Slide 36 |
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Urinary tract schistosomiasis. The characteristic curvilinear calcification in the bladder wall is
seen on the precontrast radiograph of an IVU
series. Ureteric obstruction was seen following
contrast injection (not shown). |
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Epithelioid
hemangioendothelioma. Unenhanced CT image (A) shows two peripheral hypoattenuating
liver masses (M). The large right lobe mass represents coalescence of several
smaller lesions that were present on prior examinations. Arterial (B), portal
venous (C), and equilibrium phase (D) images demonstrate peripheral
enhancement with gradual centripetal progression. Note the capsular
retraction (arrows) associated with the masses and hypertrophy of the
remaining normal hepatic parenchyma. |
Slide 38 |
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Fibromuscular
dysplasia. (A) On this AP aortogram the pigtail catheter is positioned just above
the renal arteries. There is fibromuscular disease
involving the distal right renal artery (arrow) with an aneurysm (short
arrow). (B) MR angiography demonstrates the same findings. (C) On a selective
right anterior oblique (RAO) angiogram the characteristic saccular
dilatations and the web-like stenoses are more
clearly evident. |
Slide 39 |
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Teratoma in a young man undergoing an immigration chest radiograph. (A) There
are no specific features on the plain radiograph to indicate the nature of
the mass. (B) CT demonstrates that the opacity visible on the chest
radiograph is well defined and contains soft tissue and fat densities. |
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WILMS |
Slide 41 |
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MULTIPLE ENCHONDROMAS INVOLVING ENTIRE FEMUR ALONG WITH SOFT TISSUE HAEMANGIOMAS |
Slide 42 |
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