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Biomedical subjects

R M Rozanski

Publications and source records attributed to R M Rozanski.

4 recordsLinked to original sources

Sonographic anatomy of the normal placenta.

The normal anatomy of the placenta and the retroplacental area can be well defined with gray scale sonography. The placenta has a characteristic granular echo pattern, with strong echoes emanating from the chorionic plate. After 37 weeks, strong echoes representing calcification may appear; this is a normal physiologic process. The significance of early calcification is unclear. The retroplacental myometrium and venous drainage of the placenta are easily visualized by sonography. Variations in the appearance of the retroplacental myometrium result from different degrees of bladder filling and from uterine contractions. These normal retroplacental structures should not be mistaken for myomas or hematomas.

Calcification, Physiologic

Abruptio placenta: sonographic and pathologic correlation.

In cases of abruptio placenta, the ultrasound examination may be negative if external bleeding occurs without a large enouth accumulation of blood to be sonographically visible. A positive sonogram may demonstrate either a retroplacental hematoma or a hematoma that has dissected beneath the chorionic membranes. Six cases of abruptio placenta are presented with sonographic and pathologic findings.

Abruptio Placentae

Computed tomography in genitourinary pathology.

Computed tomography (CT) provides accurate localization of pathologic processes within the abdomen and also frequently contributes information regarding the nature of the process. A review of 50 patients with suspected genitourinary pathology studied with CT suggests that this new noninvasive diagnostic modality can provide increased diagnostic accuracy but that it will not replace conventional abdominal radiography and intravenous urography as the primary screening examination for such patients. Situations in which CT has proved valuable include: (1) evaluation of areas which are relatively "blind" on conventional radiography: anterior and posterior margins of kidneys, paravertebral and midline portions of retroperitoneum, and base of bladder; (2) evaluation of patients with severely compromised function of one or both kidneys, including assessment of amount of functioning renal parenchyma and possible demonstration of cause of obstructive hydronephrosis; (3) evaluation of patients in whom intravenous urography is contraindicated; (4) differentiation of solid from cystic masses of kidney; (5) evaluation of spread of tumor outside boundaries of kidney; and (6) staging of bladder tumors.

Abscess

Sonolucent areas in the placenta: sonographic and pathologic correlation.

With the advent of gray scale ultrasonography, the internal structure of the placenta can be defined in great detail. Subchorionic sonolucent areas visualized on antepartum sonograms correlate with areas of subchorionic fibrin deposition, hematoma, and cystic degeneration in the term placenta. These lesions are apparently of no clinical significance. However, diffuse intraplacental sonolucent cystic lesions are abnormal and are seen in both hydatidiform mole and hydropic swelling of the placenta.

Adolescent