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Biomedical subjects

M C Beachley

Publications and source records attributed to M C Beachley.

At least 55 records · Page 3Linked to original sources

Combined radiographic and ultrasonographic approach in diagnosis of renal inflammatory lesions.

Seven cases of inflammatory lesions of the kidneys are reported. In 6 of the 7 patients, there were clinical and/or laboratory signs of urinary tract infection. The lesions occurred without any preference to age, sex, or location as to the right or left kidney. The diagnostic approach was individualized, and a correct preoperative diagnosis was made in 6 of the 7 cases. This high diagnostic accuracy was reached by using the following diagnostic principles. The lesions are detected and localized by urography and nephrotomography. Ultrasonography is used to decide whether the mass is solid or cystic. A percutaneous needle puncture is done in cases in which ultrasonography indicates a cystic lesion. The diagnosis of renal cyst is confirmed or excluded by cytology and analysis of the cyst fluid. Renal angiography is performed when the mass displays a solid or mixed ultrasonographic pattern and also in cases of hematuria and in cases in which the clinical symptomatology suggests malignancy.

Adult↗

The radiographic spectrum of pulmonary complications in burn victims.

The spectrum of pulmonary complications in 28 of 66 burn victims is analyzed according to time of onset and resultant radiographic features. Immediately recognizable pulmonary abnormalities are usually due to chemical pulmonary edema and inhalation pneumonitis. Complications manifested 2-5 days after injury include pulmonary microembolism, adult respiratory distress syndrome, and atelectasis. Delayed complications are major pulmonary embolism, pneumonia, and adult respiratory distress syndrome. In this series, 25 patients (89%) developing pulmonary complications died. The critical role of serial chest radiographs in the evaluation and management of burn victims is emphasized.

Adolescent↗

Post-voiding roentgenograms in routine intravenous urography.

57 patients were studied to determine the validity of post-voiding films in routine urography. It was discovered that if the post-voiding film was delayed by as much as five minutes after the patient had actually voided, a significant error was introduced. The post-voiding film must therefore be obtained immediately after voiding and even a short delay, which is not uncommon in busy Radiology Ddepartments, may result in a false impression of incomplete voiding.

Female↗

The angiographic evaluation of human renal allotransplants. Functional graft deterioration and hypertension.

The renal arteriogram is a highly reliable test in the differential diagnosis of early transplant anuria, graft rejection, and hypertension. The reliability of the renal arteriogram was 97.8% in either substantiating or disproving the presence of a suspected episode of graft rejection or renal artery stenosis. The earliest signs of acute humoral and acute rejection were a prolongation of arterial clearance time, diffuse edema with enlargement of the kidney, and progressive deterioration of the nephrogram. Renal artery stenosis may be a sharply localized septum or an elongated narrowing at or distal to the actual site of anastomosis. This was seen primarily in patients' arteriograms more than 60 days after transplantation, and it is important because it is a surgically correctable cause of hypertension.

Adolescent↗

Tracheobronchiomegaly (Mounier-Kuhn syndrome).

Tracheobronchiomegaly is a rare congenital disorder due to defective development of elastic and muscle tissues in the upper airways. The characteristic radiologic features shown by bronchography include marked dilatation of the tracheobronchial system and diffuse saccular bronchiectasis. These findings and recurrent episodes of pneumonia lead to a progressive loss of pulmonary function. Even with vigorous medical therapy the prognosis is poor and severe respiratory failure eventually develops.

Adult↗

Angiography and ultrasonography. A comparative study of abdominal aortic aneurysms.

Ultrasound is presently the diagnostic procedure of choice in pulsatile abdominal masses. The ease and accuracy of this method have many advantages over aortography, and ultrasonography can accurately define the size of an abdominal aortic aneruysm. In addition, a normal aorta with an overlying mass, or a tortuous aorta which feels unusually prominent, can be detected, and aortography may not be necessary. Although ultrasound can detect involvement of iliac arteries, it does not allow assessment of the position of the aneurysm relative to the renal arteries, or detect involvement of other branch vessels of the aorta. Ultrasound is more accurate that clinical examination, plain roentgenography, aortography, or isotope aortography in the diagnosis of abdominal aortic aneurysms.

Aorta, Abdominal↗

Radiographic findings in aneurysms of the aorta.

The use of specific radiographic criteria in the investigation of an aneurysm of the aorta will enable the physician to determine its etiology with a high degree of accuracy. The etiology, location, type, and extent of an aneurysm determine the proper mode of therapy. Aortography, therefore, is the single most important examination for the diagnosis, and will predict the ultimate prognosis in a patient with an aortic aneurysm. This review critically evaluates major recent articles on aortic aneurysms, emphasizing radiographic findings which have a high degree of reliability and cautioning the reader about nonspecific signs which have been reported. Each type of aortic aneurysm is described in detail, stressing criteria which allow the radiologist to be as specific as possible in determining the etiology and extent of the aneurysm.

Aneurysm, Infected↗