Large Bowel Obstruction in the Emergency Department: Imaging Spectrum of Common and Uncommon Causes
Subramaniyan Ramanathan, Vijayanadh Ojili, Ravi Vassa, Arpit NagarJournal of Clinical Imaging Science 2017 7(1):15-15Although large bowel obstruction (LBO) is less common than small bowel obstruction, it is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. Plain radiographs are sufficient to diagnose LBO in a majority of patients. However, further evaluation with multidetector computed tomography (MDCT) has become the standard of care to identify the site, severity, and etiology of obstruction. In this comprehensive review, we illustrate the various causes of LBO emphasizing the role o...
Source: Journal of Clinical Imaging Science - April 5, 2017 Category: Radiology Authors: Subramaniyan Ramanathan Vijayanadh Ojili Ravi Vassa Arpit Nagar Source Type: research

Radiologic-Pathologic Correlation: Acellular Dermal Matrix (Alloderm & #174;) Used in Breast Reconstructive Surgery
Christine U Lee, Aleh Bobr, Jorge Torres-MoraJournal of Clinical Imaging Science 2017 7(1):13-13Acellular dermal matrix (ADM) such as Alloderm® is sometimes used in tissue reconstruction in primary and reconstructive breast surgeries. As ADM is incorporated into the native tissues, the evolving imaging findings that would correlate with varying degrees of host migration and neoangiogenesis into the matrix can be challenging to recognize. In the setting of a palpable or clinical area of concern after breast reconstructive surgery following breast cancer, confident diagnosis of a mass representing ADM rather than...
Source: Journal of Clinical Imaging Science - March 28, 2017 Category: Radiology Authors: Christine U Lee Aleh Bobr Jorge Torres-Mora Source Type: research

Anatomic Variations of the Right Portal Vein: Prevalence, Imaging Features, and Implications for Successful Transjugular Intrahepatic Portosystemic Shunt Creation
Senthil S Gunasekaran, Ron C GabaJournal of Clinical Imaging Science 2017 7(1):14-14Given the widespread use of transjugular intrahepatic portosystemic shunt (TIPS) creation for the treatment of portal hypertensive complications, a working knowledge of portal venous anatomy is critical for interventional radiologists. The right portal vein – which is most commonly accessed during TIPS – is subject to various anatomic variants that may potentially impact procedure success. This pictorial essay characterizes the anatomic patterns of the right portal vein branching in terms of type and frequency base...
Source: Journal of Clinical Imaging Science - March 28, 2017 Category: Radiology Authors: Senthil S Gunasekaran Ron C Gaba Source Type: research

Apparent Diffusion Coefficient Measurement in Mediastinal Lymphadenopathies: Differentiation between Benign and Malignant Lesions
Conclusions: ADC measurements could be considered an important supportive method in differentiating benign from malignant mediastinal lymphadenopathies. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - March 5, 2017 Category: Radiology Authors: Fethi Emre Ustabasioglu Cesur Samanci Deniz Alis Nilay Sengul Samanci Osman Kula Deniz Cebi Olgun Source Type: research

Congenital Uterine Arteriovenous Malformation Presenting as Postcoital bleeding: A Rare Presentation of a Rare Clinical Condition
We report multiparous women presenting to us with a history of postcoital bleed. Initial Doppler ultrasonography was consistent with features suggestive of AVM. Subsequently, computed tomography (CT) angiography confirmed the diagnosis. Embolization was chosen as the treatment because of the large extension of AVM and the risk of hemorrhage during hysterectomy. The patient was discharged in a stable condition with a plan of repeat embolization in the next setting. At 6 and 12 weeks of follow-up, she did not experience any further episodes of bleed. The purpose of this case report is to highlight the salient clinical featur...
Source: Journal of Clinical Imaging Science - February 26, 2017 Category: Radiology Authors: Neha Agarwal Seema Chopra Neelam Aggarwal Ujjwal Gorsi Source Type: research

Different Sonographic Faces of Ectopic Pregnancy
Charu Chanana, Nishant Gupta, Itisha Bansal, Kusum Hooda, Pranav Sharma, Mohit Gupta, Darshan Gandhi, Yogesh KumarJournal of Clinical Imaging Science 2017 7(1):6-6Vaginal bleeding in the first trimester has wide differential diagnoses, the most common being a normal early intrauterine pregnancy, with other potential causes including spontaneous abortion and ectopic pregnancy. The incidence of ectopic pregnancy is approximately 2% of all reported pregnancies and is one of the leading causes of maternal mortality worldwide. Clinical signs and symptoms of ectopic pregnancy are often nonspecific. History of pelvic p...
Source: Journal of Clinical Imaging Science - February 19, 2017 Category: Radiology Authors: Charu Chanana Nishant Gupta Itisha Bansal Kusum Hooda Pranav Sharma Mohit Gupta Darshan Gandhi Yogesh Kumar Source Type: research

Gastropleural Fistula with Aortic Intramural Involvement
We present a rare case of an 88-year-old male who developed a gastropleural fistula with erosions into the wall of the descending thoracic aorta. Computed tomography (CT) is a leading modality in evaluation of suspected gastropleural or aortoenteric fistulas given the quick scan time and widespread availability. Prompt diagnosis is essential and requires an understanding of appropriate CT protocols and CT imaging appearance. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - February 19, 2017 Category: Radiology Authors: Akshya Gupta Abhishek Chaturvedi Patrick Fultz Susan Hobbs Source Type: research

Computer-aided Detection Fidelity of Pulmonary Nodules in Chest Radiograph
Conclusion: We conclude that CAD does not qualify for a stand-alone standard of diagnosis. The use of CAD accompanied with a critical radiological assessment of the software suggested pattern appears more realistic. Accordingly, it is essential to focus on studies assessing the quality-time-cost profile of real-time (as opposed to retrospective) CAD implementation in clinical diagnostics. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - February 19, 2017 Category: Radiology Authors: Nikolaos Dellios Ulf Teichgraeber Robert Chelaru Ansgar Malich Ismini E Papageorgiou Source Type: research

Asymptomatic Urolithiasis Complicated by Nephrocutaneous Fistula
We report a case of 56-year-old woman with a nephrocutaneous fistula (NFC) which developed from a superinfected urinoma following calyceal rupture due to an obstructing calculus in the left ureter. The patient was clinically asymptomatic and came to the emergency department for a painless left flank fluctuating mass. This urinoma was superinfected, with a delayed development of renal abscesses and perirenal phlegmon found on contrast-enhanced uro-computed tomography (CT), responsible for left renal vein thrombophlebitis and left psoas abscess.. Thereafter, a 99 mTc dimercaptosuccinic acid (DMSA) scintigraphy revealed a non...
Source: Journal of Clinical Imaging Science - February 19, 2017 Category: Radiology Authors: Marion Hamard Ga & #235;l Amzalag Christoph D Becker Pierre-Alexandre Poletti Source Type: research

Erratum: SYNTAX Score in Patients with High Computed Tomography Coronary Calcium Score
Journal of Clinical Imaging Science 2017 7(1):10-10 (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - February 19, 2017 Category: Radiology Source Type: research

Initial Experience with a Cone-beam Breast Computed Tomography-guided Biopsy System
Conclusion: Initial experience with a BCT-guided biopsy system has shown to be comparable to stereotactic biopsy in phantom studies with equivalent or decreased dose. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - January 26, 2017 Category: Radiology Authors: Posy J Seifert Renee C Morgan David L Conover Andrea L Arieno Source Type: research

Bronchial Artery Aneurysm with Associated Bronchial Artery to Pulmonary Artery Fistula: Treatment by Embolization
In this report, we review some of the risks and benefits associated with BAA embolization with specific consideration of the challenges in cases of co-existing BA-PA fistula. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - January 26, 2017 Category: Radiology Authors: Caleb G Hsieh Thomas Le Keren Fogelfeld Nader Kamangar Source Type: research

Gastropericardial Fistula as a Late Complication of Laparoscopic Gastric Banding
We present a case of gastropericardial fistula occurring nine years after an LAGB. There have been no previous documented cases of the complication after this procedure. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - January 26, 2017 Category: Radiology Authors: Adam A Rudd Chandana Lall Ajita Deodhar Kenneth J Chang Brian R Smith Source Type: research

Elastography-targeted Thyroid Nodule Aspiration: A Novel Approach
Conclusions: The presence of an elastogram failed to demonstrate a significant decrease in ND FNA rates although these results may be secondary to study design. Further evaluation with prospective trials using larger sample size may ultimately detect increased accuracy of RTE-targeted FNA. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - January 26, 2017 Category: Radiology Authors: Elliot Landau Danielle Del Re Bina Kviatkovsky Aryeh Rothstein Jonathan Scheiner Cheryl Lin Source Type: research

Infantile Hemangioendothelioma of the Parotid Gland
Rajas Chaubal, Om Tavri, Atul Sawant, Chitrangada SinghJournal of Clinical Imaging Science 2017 7(1):5-5A 4-month-old infant presented with a painless swelling overlying the left angle of mandible. Ultrasound and magnetic resonance imaging (MRI) revealed a large lesion replacing the entire left parotid gland, with multiple enlarged vessels. Homogeneous enhancement of the lesion was seen on the postcontrast MRI scans. Based on the imaging features, a diagnosis of infantile hemangioendothelioma of the parotid gland was offered. This helped in avoiding any further invasive testing. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - January 26, 2017 Category: Radiology Authors: Rajas Chaubal Om Tavri Atul Sawant Chitrangada Singh Source Type: research