CT evaluation of non-opaque renal calculus. A case report.
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Biomedical subjects
Publications and source records attributed to M G Stiris.
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Eight patients with proven pulmonary sarcoidosis were investigated prospectively by computed tomography (CT) to determine beyond that obtained from conventional chest films. Although CT disclosed minor pulmonary "sarcoid nodules" not seen on the chest films, this did not influence the treatment. We conclude that CT will not replace conventional chest films in the diagnosis and followup of pulmonary sarcoidosis.
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A soft tissue mass close to the upper pole of the left kidney was noted in a patient referred for intravenous pyelography. A left adrenal tumor was suspected. Computed tomography, however, revealed an accessory spleen. The diagnosis was confirmed by abdominal angiography.
Three patients with blunt abdominal trauma underwent computed tomography (CT) as part of their diagnostic evaluation. In each case CT accurately demonstrated the pathological damage to the parenchymal organs. CT is an effective non-invasive diagnostic mode of investigation in the evaluation and follow-up care of the traumatized patient.
Computed tomography was used in 12 patients to investigate the distribution of oedema in the soft tissue compartments of lower limbs with deep venous thrombosis. Oedema was evenly distributed throughout the subcutis and the muscular compartments in tomograms obtained 25 cm proximal to the ankle. Significantly less swelling in the muscular compartments was found 10 cm proximal to the ankle. Interstitial fluid hydrostatic pressure was measured in the subcutis, and in anterior and posterior muscular compartments, and was significantly increased in all cases. Except for one case, the recorded pressures were well below 30 mmHg, which is considered the limit above which compartment syndromes occur. Tissue compliance was significantly lower in muscular compartments than in the subcutis.
Infrahepatic interruption of the inferior vena cava (IVC) with azygos and hemiazygos continuation is a well known anomaly. An aneurysm of the IVC has to our knowledge never been reported. A patient is described in whom a postrenal segmental aneurysm of the IVC in association with infrahepatic interruption was evaluated by cavography, ultrasound, and computed tomography. The different modes of evaluation are discussed with emphasis on the embryogenesis of the IVC.
A double-blind, cross-over trial of the non-ionic, low-osmolar contrast medium iohexol (Omnipaque) and the ionic, low-osmolar medium ioxaglate (Hexabrix) at concentrations of 300 mg I/ml was carried out in 107 consecutive patients with arterial insufficiency of the lower limbs. The purpose of the study was to observe possible 'carry-over' effects from any of the contrast media, and to evaluate patient discomfort such as pain, adverse reactions, or effect on peripheral blood pressure. No carry-over effect was seen. Ioxaglate caused less injection pain and heat sensations than iohexol, and showed less effect on the systemic blood pressure.