MR demonstration of right atrial involvement in multifocal epithelioid hemangioendothelioma.
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Biomedical subjects
Publications and source records attributed to M A Bisesi.
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Although many species of the fungus Aspergillus have been identified, the most common human pathogen is A. fumigatus, which has a worldwide distribution. Although any organ may become infected, pulmonary aspergillosis is the most common manifestation. The spectrum of pulmonary aspergillosis includes saprophytic aspergillomas, allergic bronchopulmonary aspergillosis, chronic necrotizing aspergillosis, and invasive aspergillosis. Immune status of the host, and the presence of underlying lung disease are important in determining the type of pulmonary involvement. Thus, the radiographic findings are variable. This article reviews the various manifestations of pulmonary aspergillosis, including the immune status of the patient, the presence of underlying lung disease, and the radiographic appearance of the different entities.
To objectively assess the linguistic complexity of radiographic reports, the authors retrospectively performed readability analysis on 10,361 reports dictated by seven attending radiologists in 1989. A commercial writing evaluation program was used to determine the Flesch-Kincaid readability index of each report. Four radiographic modalities were studied: general radiography, mammography, ultrasound, and magnetic resonance imaging (MRI). Analysis of the reports demonstrated that the average readability index was consistently higher for mammography and MRI when compared with ultrasound and general radiology. Reports were categorized by radiologist and modality, and a two-way analysis of variance was performed that showed a significant difference between radiologist and modality (F = 18.6, P less than .001). To assess the relevance of this observation, 40 chest radiographic reports, randomly selected from the reports in the sample, were sent to family practitioners. The practitioners were asked to evaluate each report for clarity and the certainty of the radiologists about their findings. There was a strong negative correlation between readability and average clarity (r = -0.63, P less than .001) and readability and average certainty (r = -0.58, P less than .001). Thus, the results of this study suggest that there are differences in the linguistic complexity of radiographic reports, as measured by the readability index, among individual radiologists and different modalities. The survey data indicate that reports containing lengthy, complex sentences are viewed negatively by family practitioners and may impede effective communication between radiologists and clinicians.
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In 1950, Wolin and his colleagues described nine patients who exhibited a "meniscoid" lesion of the ankle. He used this term to describe a mass of hyalinized tissue that formed following an inversion sprain of the ankle. This band of tissue was predisposed to trapping between the fibula and the talus. His patients presented with persistent pain and swelling over the anterior aspect of the ankle. In the last 3 years, four patients have presented with this lesion at the Methodist Sports Medicine Center in Indianapolis. They were all soccer players who had experienced repeated ankle sprains accompanied by persistent pain, swelling and trapping. Initially, these patients were treated with physical therapy, taping, and antiinflammatory medication. After 6 months of treatment, they continued to have symptoms and underwent arthroscopic examination. In each case a band of white, fibrous tissue was found during surgery and was removed. After an appropriate period of rehabilitation, all four patients returned to competition with a cessation of symptoms. However, one patient reported recurrent pain on rare occasions.