Two second-trimester cases and one third-trimester case of intrauterine cytomegalic inclusion disease (CID) are presented, each having a different intracranial sonographic presentation. The findings are correlated with radiographic studies and the known pathophysiology. Sonographic evidence of intrauterine cerebral necrosis or calcification should alert one to the possibility of CID, particularly if other signs of in utero infection are present. A pattern of bilateral periventricular calcifications, which may be preceded by hypoechoic periventricular ringlike zones, seems to be specific for intrauterine CID. However, CID also may result in widespread cerebral destruction. If the sonographic study produces an uncertain diagnosis, sonography can still aid in the prenatal diagnosis of CID by guiding percutaneous umbilical cord blood sampling for serology or by directing amniocentesis for cytomegalovirus culture. The ability of sonography to demonstrate specific characteristics of CID in utero enables prenatal diagnosis of this disease.

Adult↗

PubMedDate not supplied

Patient-radiologic technologist interpersonal relationship and how it can be improved.

The "team approach" is the most recent innovation to patient care in this country. It is theorized that by functioning as a "team" medical care can be improved. This may well be the case if everyone is a member of the "team." The author believes many radiologic technologists are not on the "team" because educators are not providing students with the necessary skills.

Communication↗