Aunt Minnie's Atlas and Imaging-Specific Diagnosis by Thomas L Pope Jr. MD

By Thomas L Pope Jr. MD

Revised and up to date for its 3rd version, Aunt Minnie's Atlas is a superb learn software for the oral radiology board exam. It positive factors over 900 pictures and over 250 instances representing "Aunt Minnies"—diseases with particular radiographic positive factors that let a convinced, speedy prognosis. each one case is gifted in an easy-to-follow structure and contains the most important take-away issues known as "Aunt Minnie's Pearls." The circumstances characterize all modalities and canopy all subspecialties verified at the oral forums. This version has extra instances in additional modalities, together with new instances in breast MRI and electronic mammography. A significant other web site will supply new circumstances each one zone.

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Doppler sonography is considered the imaging modality of choice when clinical findings are equivocal or presentation is delayed. Early on, the testis may have few sonographic findings. With time and the development of testicular edema, the torsed testis enlarges and becomes hypoechoic. Additionally, there may be epididymal swelling and reactive hydrocele formation. More recently, a whirlpool sign of the twisted spermatic cord has been described (46). With color Doppler, there is diminished or absent flow within the torsed testicle as compared to the affected side.

Long-segment disease accounts for 15% of cases and mimics small left colon meconium plug syndrome (therefore this variant is not an Aunt Minnie). Total colonic aganglionosis accounts for 5% of cases, may be familial, and has no sex predilection. Uncommon but severe complications of Hirschsprung disease include fulminant enterocolitis and bowel 31 32 perforation (21). Aunt Minnie's Pearls • 80% of patients with Hirschsprung disease present in the first 6 weeks of life. • Contrast enemas reveal the transition point between the aganglionic distal segment and the dilated proximal bowel.

Geographic lesions with sharply defined serpiginous margins and the â double line/double rim sign,â consisting of an inner zone of high signal intensity and peripheral zone of low signal intensity on T2-weighted images are characteristic MRI features of osteonecrosis. 2 History A 2-year-old male unrestrained passenger in a motor vehicle accident was unresponsive upon presentation to the trauma center. Findings Images from a contrast enhanced CT of the abdomen reveals (Fig. 2) dilated, fluid-filled bowel with intense enhancement of the bowel wall, aorta, inferior cava, pancreas, and kidneys.

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