Segmental bronchial atresia-Case Report

Discussion –-       Bronchial atresia usually is benign and asymptomatic and is incidental finding&clinical manifestations may range from recurrent pulmonary infections to mild wheezing and dyspnea. Bronchial atresia is a congenital abnormality resulting from focal interruption of a lobar, segmental, or subsegmental bronchus with associated peripheral mucus impaction (bronchocele, mucocele) and associated hyperinflation of the obstructed lung segment. The apicoposterior segmental bronchus of the left upper lobe is most common site to be involved, followed by segmental bronchi of the right upper, middle, and lower lobes.-       As the bronchial pattern is entirely normal distal to the site of stenosis, it has been suggested that the atresia is probably not a result of abnormal growth and development, but rather secondary to a traumatic event during fetal life like intrauterine ischemia.-       Distal hyper-inflation in lung is caused by collateral ventilation through intraalveolar pores of Kohn, bronchoalveolar channels of Lambert, and interbronchiolar channels. Interbronchiolar channels, which connect terminal bronchioles from adjacent lung segments, may be the major conduit of collateral ventilation, because the pores of Kohn and channels of Lambert have not consistently been found in infants. -       A classic r...
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs

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ConclusionThe authors recommended short implants whenever the height of available bone permits optimum implant placement. The authors concluded that both treatment options are considered viable clinically and radiographically. However, short implants have shown reduced postoperative discomfort, minimal invasiveness, and reduced cost.
Source: Journal of Evidence Based Dental Practice - Category: Dentistry Source Type: research
ConclusionsFontan patients commonly have chronotropic incompetence, diminished heart rate reserve but with preserved heart rate recovery. While there is overall no difference in chronotropy in Fontan patients based on dominant systemic ventricle, there is a difference between HLHS and tricuspid atresia patients.
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research
Publication date: Available online 15 November 2019Source: Fuß &SprunggelenkAuthor(s): Hubert Hörterer, Sebastian Felix Baumbach, Mareen Braunstein, Ulrike Szeimies, Wolfgang Böcker, Markus Walther, Hans PolzerZusammenfassungSchmerzen am Ansatz der Achillessehne stellen mit einer Lebenszeitinzidenz von 6% ein häufiges Krankheitsbild dar. Mittels klinischer Untersuchung, Röntgen und MRT können die Pathologien entsprechend ihrer Lokalisation in drei verschiedene Kompartimente (retro-, intra-, prä-achillär) eingeteilt werden. Führt die konservative Therapie nicht zu einer ausr...
Source: Fuss and Sprunggelenk - Category: Podiatry Source Type: research
ConclusionOur study indicates RA-ILD among Blacks is predominantly a disease of elderly females with higher rates of GERD and CVD risk factors. Further studies are needed to identify the pathogenetic differences accounting for the gender distribution of RA-ILD among Black and White populations.Key Points•First study to assess ILD among predominantly Black RA patients.•The prevalence of RA-associated ILD was 6.36%, affecting mostly women in their sixth decade with seropositive disease.•COPD was the most common airway disease among non-RA-ILD Black population.•GERD was found in approximately one-third of ...
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
We present a 48 year-old active duty physician who initially presented in 2007 with dyspnea and cough. Despite the absence of variable obstruction on spirometry, a clinical diagnosis of asthma was made. The patient's symptoms were temporized with inhaled corticosteroids and bronchodilators, titrated to his symptoms, until eventual therapeutic failure resulted in re-referral to pulmonary. Chest computed tomography (CT) showed ground-glass nodules and patchy airspace opacities with evidence of thoracic lymphadenopathy. A positron emission tomography CT (PET CT) showed diffuse adenopathy throughout his thorax and abdomen with...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
Publication date: Available online 16 November 2019Source: Journal of Forensic Radiology and ImagingAuthor(s): Nayara Maria Gil Mazzante, Bárbara Wagner Duarte Ferraz de Camargo, Paula de Sanctis, Jéssica Leite Fogaça, Michel de Campos Vettorato, Tália Missen Tremori, Selene Daniela Babboni, Vânia Maria de Vasconcelos Machado, Noeme Sousa RochaAbstractA hanging happens when there is a constriction of the neck caused by a rope pulled by the weight of the victim's body, and it is possible for the victim to die even when it remains on the ground, in what is called an incomplete hanging. In th...
Source: Journal of Forensic Radiology and Imaging - Category: Radiology Source Type: research
AbstractThe recent genomic characterization of urothelial carcinoma by the Cancer Genome Atlas Project, made possible by the introduction of high throughput, reduced cost, and sequence analysis, has shed new insights on the biology of advanced disease. In addition, studies on imaging of advanced urothelial carcinoma have widened the knowledge on disease presentation and on pattern of metastatic spread and their correlation with the underlying biology of urothelial carcinoma. The wide range of treatments for advanced urothelial cancer, including combined chemotherapy regimens and immune checkpoint inhibitors, each result in...
Source: Abdominal Imaging - Category: Radiology Source Type: research
ConclusionThis study demonstrated that radiologists exhibit hindsight bias but appeared to be able to compensate for this phenomenon once its effects were considered. Also, visual hindsight bias appears to be affected by task difficulty with a greater effect occurring with less conspicuous nodules.
Source: Academic Radiology - Category: Radiology Source Type: research
CONCLUSIONS: We concluded that both interventions had a similar ability to reduce temporary paresthesia of the IAN after third molar surgery with moderate certainty of evidence. PMID: 31724883 [PubMed - as supplied by publisher]
Source: Dentomaxillofacial Radiology - Category: Radiology Tags: Dentomaxillofac Radiol Source Type: research
Conclusions: For sacrum fractures with minimal or no displacement, slight differences in the VAS were noted within 24 hours after injury or surgery, but limited differences were seen at 3 months for either operatively treated minimally or undisplaced sacrum fractures. It is unknown whether this represents clinical relevance. These differences were below the minimally important clinical difference for VAS scores for other orthopaedic conditions. Level of Evidence: Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
Source: Journal of Orthopaedic Trauma - Category: Orthopaedics Tags: Original Article Source Type: research
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