ABSTRACT
The admission chest radiographs of 29 patients admitted with acute inhalation injury and burns, who required ventilatory support, were analysed for signs of inhalation injury. Four were excluded because of a history of chronic bronchitis or cardiac failure. 13 had radiological signs of inhalation injury, which included oedema of a nodular, consolidatory and interstitial pattern, and linear opacities due to atelectasis. 12 chest radiographs were normal. Inhalation injury in burns cases often requires clinical, bronchoscopic and blood gas assessment. Although changes were noted on 13/25 chest radiographs, the admission chest radiograph is an insensitive indicator of airway and parenchymal lung damage following acute inhalation injury and burns. We draw attention to the fact that significant lung damage may be present even with a normal initial chest radiograph.
Subject(s)
Lung/diagnostic imaging , Smoke Inhalation Injury/diagnostic imaging , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Pulmonary Atelectasis/diagnostic imaging , Pulmonary Edema/diagnostic imaging , Radiography , Retrospective StudiesABSTRACT
100 chest radiographs were reviewed for the normal variable appearances of the larynx. Five radiographs were underexposed and on the remaining 95, contrast between air and soft tissue was identifiable. On 55 radiographs the glottis could be identified, of which 46 had both, eight had none and one had one pyriform recess filled with air. 40 chest radiographs were below the level of the glottis, 34 of which had a convergent appearance of the subglottic region and six had a parallel appearance of the tracheal walls. Appreciation of the variable appearances of the larynx on chest radiography is important before attempting to diagnose laryngeal disease, where practicable standard laryngeal views are recommended.
Subject(s)
Larynx/diagnostic imaging , Adolescent , Adult , Aged , Aged, 80 and over , Humans , Middle Aged , Radiography , Reference ValuesABSTRACT
The computed tomography and magnetic resonance imaging appearances are described in five cases of ankylosing spondylitis with discovertebral destruction. Computed tomography revealed erosions of the vertebral bodies not visible on plain radiographs. The different appearances of the involved disc spaces on magnetic resonance imaging are described and their significance in relation to the pathology of this condition is discussed.
Subject(s)
Intervertebral Disc/pathology , Magnetic Resonance Imaging , Spondylitis, Ankylosing/pathology , Tomography, X-Ray Computed , Adult , Female , Humans , Intervertebral Disc/diagnostic imaging , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/pathology , Male , Middle Aged , Spondylitis, Ankylosing/diagnostic imaging , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/pathologyABSTRACT
Computed tomography has led to an increase in recognition of psoas pathology in general and malignant involvement in particular. A series of 25 cases of malignant involvement of the iliopsoas is presented. The wide spectrum of malignant tumours which can invade the psoas and the diversity of CT appearances are described. In particular, it is shown that involvement is frequently extensive, a feature which has not been previously emphasised.
Subject(s)
Muscular Diseases/diagnostic imaging , Soft Tissue Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , Humans , Retroperitoneal Space , Retrospective Studies , Soft Tissue Neoplasms/secondaryABSTRACT
Patients with advanced inoperable or recurrent adenocarcinoma of the stomach received an iv bolus of epirubicin (75 mg/m2) every 3 weeks. Partial responses were observed in four of 24 evaluable patients (17%). Treatment was generally well tolerated; a drop in left ventricular ejection fraction was observed in one patient who had received 450 mg/m2 of epirubicin.
