Clinical Medical

Image LibraryISSN: 2474-3682

Current Issue

 Open Access DOI:10.23937/2474-3682/1510118

Electric Stimulation of Human Nasal Conchae towards Reproduction of Olfactory Sensations

Kasun Karunanayaka, Sharon Kalu Ufere, Hanis Camelia and Adrian David Cheok

Article Type: Image Article | First Published: October 31, 2018

The human nose is a complicated and smart part of the chemosensory system. Humans have multifaceted olfactory bulbs and orbitofrontal cortices, which provide them with more sensitive and dynamic abilities for the sense of smell, and as such humans could detect at least 1 trillion different smells. In the olfactory epithelium, odour molecules bind to olfactory receptors which are expressed in olfactory sensory neurons in the nose. Once an odorant binds to the receptor, the olfactory receptors tri...

 Open Access DOI:10.23937/2474-3682/1510117

An Unusual Cause of Lung Micro-Nodules: Pulmonary Ossification

Caio Julio Cesar dos Santos Fernandes and Christina Shiang

Article Type: Image Article | First Published: October 04, 2018

An 81-years-old patient presented himself with dyspnea on exercise and dry cough, for 3 months. He was being treated to Waldenstrom's Macroglobulinemia in the prior 6 months and had non-requiring dialysis chronic renal failure as a consequence of the disease. High-resolution CT scan showed pulmonary micro-nodules with some predominance in the bronchial-vascular axis (Figure 1). Due to the findings in the CT scan and the high prevalence of the disease in Brazil, the patient was being treated empi...

 Open Access DOI:10.23937/2474-3682/1510116

Bilateral Isolated Lateral Semicircular Canals Aplasia: MRI Findings

Serdar Arslan, Hasan Erdogan, Mehmet Sedat Durmaz, Fatma Zeynep Arslan, Fatih Oncu and Ismet Tolu

Article Type: Image Article | First Published: October 04, 2018

A 38-year-old man was admitted to our department due to recurrent sensations of imbalance and vertigo for two years. Moderate bilateral sensorineural hearing loss was detected. Magnetic resonance imaging demonstrated bilateral isolated aplasia of the lateral semicircular canals (Figure 1). Bilateral superior and posterior semicircular canals were normal. No cochlear malformation and no pathological contrast enhancement were detected. The internal auditory canal and the cerebellopontine angle wer...

 Open Access DOI:10.23937/2474-3682/1510115

Coronary-Bronchial Collaterals in Chronic Thromboembolic Pulmonary Hypertension

Caio Julio Cesar dos Santos Fernandes, Monique S Pessi, Ellen Pierre de Oliveira, Daniela Calderaro and Rogerio de Souza

Article Type: Image Article | First Published: October 03, 2018

Chronic thromboembolic pulmonary hypertension (CTEPH) is a form of hypertension pulmonary due to a mechanical obstruction of pulmonary arteries, which is caused by organized fibrotic thrombi. Consequences of pulmonary artery obstruction are an increase in pulmonary vascular resistance with pulmonary hypertension and heart failure. The main chest CT findings in CTEPH are the artery pulmonary enlargement and failure fill branches. Since there is a network of anastomotic channels linking the pulmon...

 Open Access DOI:10.23937/2474-3682/1510114

Meyerson Phenomenon Simulating a Halo Nevus

Salma Salim, Senouci Karima, Znati Kaoutar and Badredine Hassam

Article Type: Image Article | First Published: October 01, 2018

Meyerson phenomenon (MP) is an uncommon clinical condition that is characterized by an eczematous halo surrounding a preexisting melanocytic nevus (MN) and numerous other lesions. The etiology is unknown and the main concern is malignant transformation. We report an original case of a MP simulating a halo nevus. MP is an uncommon clinical condition that is characterized by an eczematous halo surrounding a preexisting MN and numerous other lesions. We report a case of a 40-year-old woman, with no...

 Open Access DOI:10.23937/2474-3682/1510113

Cavernous Hemangioma of Spinal Cord: A Clinical Image

Seyed Ahmad Mirhosseini, Mohammad Ebrahim Ghanei, Ehsan Zarepur and Reza Bidaki

Article Type: Image Article | First Published: October 01, 2018

The patient is a 40-year-old married man was referred with the complaint of low back pain. The pain was referred to proximal of lower limbs. Past medical history was negative. The cranial nerves exam were normal. The first diagnosis was a discal hernia. After lumbar MRI, a thickening was determined in the upper section. Therefore, another MRI with gastrographine was done for upper parts. A mass was detected in spinal foramen. Following surgery, the extradural lesion without extension to vertebra...

 Open Access DOI:10.23937/2474-3682/1510112

Purpura Fulminans and Refractory Shock in a Child

Madhuradhar Chegondi and Adalberto Torres

Article Type: Image Article | First Published: September 29, 2018

A previously healthy, 5-year-old boy was visiting the USA from Europe one week ago. He presented to our hospital with 18 hours history of high-grade fever, rash, vomiting, and progressive lethargy. On physical exam, he was obtunded, febrile, tachycardic, tachypneic, hypotensive and with a nonblanchable purpuric rash on the face and extremities. A possibility of Meningococcemia considered. Fluid resuscitation, broad-spectrum antibiotic therapy started after obtaining blood cultures. Vasopressor t...

 Open Access DOI:10.23937/2474-3682/1510111

Coronary to Pulmonary Artery Fistula as a Main Source of Pulmonary Blood Flow in Pulmonary Atresia and Ventricular Septal Defect

Isam Bsisu, Ali Abualhija and Iyad Al-Ammouri

Article Type: Image Article | First Published: September 28, 2018

We report a large fistula between left main coronary artery and pulmonary trunk as major source of pulmonary blood flow in a patient with pulmonary atresia and ventricular septal defect.Pulmonary atresia with ventricular septal defect is associated with variable aortic to pulmonary arterial connections. Coronary artery to pulmonary artery collaterals are rare sources of pulmonary blood flow, and when present, they are associated with other major aortopulmonary collaterals, and will have no signi...

 Open Access DOI:10.23937/2474-3682/1510110

Giant Congenital Melanocytic Nevus: About a Case

Salma Salim, El Meknassi Ilham, Sqalli Asmae and Badredine Hassam

Article Type: Image Article | First Published: September 27, 2018

Giant congenital melanocytic nevi (GCMN) are a rare occurrence. They arise from mutations in either BRAF or NRAS genes. The major complications associated with GCMN are malignant melanoma and neurocutaneous melanosis. Management of GCMN is symptomatic. We present a rare case of a 20-year-old woman born with GCMN. Congenital melanocytic nevi (CMN) are large brown-to-black skin lesions caused due to genetic mutations which leads to abnormal proliferation of embryonic melanoblasts....

 Open Access DOI:10.23937/2474-3682/1510109

Significance of 3D Imaging in Oncologic Assessment

Rahmanuddin Syed, Korn Ron, Cridebring Derek, Burkett Doug and Von Hoff Daniel

Article Type: Image Article | First Published: September 27, 2018

3D Advanced imaging including Artificial Intelligence is becoming very important tool in diagnosing cancer and playing vital role in surgical and oncological assessment. This technology is advancing further to play major role in the early detection of the cancer. In this picture author is showing pancreatic cancer and its relationship with the vessels which elaborate the tumor growth and severity on each pixel basis. Pancreas on image shows tumor on the right hand side in green (Figure 1). Showi...

 Open Access DOI:10.23937/2474-3682/1510108

Revision Total Hip Arthroplasty Surgery with a Modular Coned Hemipelvic Implant in a Young Patient for the Treatment of Septic Hip Arthroplasty

Bahtiyar Haberal, Orcun Sahin and Huseyin Demirors

Article Type: Image Article | First Published: September 26, 2018

38-year-old male patient who had total hip arthroplasty surgery for the treatment of coxarthrosis 5 years ago due to a childhood hip septic arthritis was admitted to our department. He had a complaint of left hip pain while walking and infected drainage from the iliac region which had started approximately 6 months ago (Figure 1A). After the laboratory results of high sedimentation rate and C-reactive protein and positive culture of drainage, the patient was operated again with the diagnosis of ...

 Open Access DOI:10.23937/2474-3682/1510107

Long-Term Outcome of Oncologic Right Pulmonary Artery Occlusion

Daniel B Takizawa, Alexandre Kawasaki and Caio J Fernandes

Article Type: Image Article | First Published: September 03, 2018

A 53-year-old female presented chronic dry cough and mild dyspnea, for 6 months. Due to an erroneous interpretation of CT findings (Figure 1A), she was diagnosed as pulmonary embolism, but without improvement with 6 months of anticoagulation. Evaluated at our service with progressive dyspnea, CTPA demonstrated complete occlusion of the right pulmonary artery (Figure 1A and Figure 1B). At echo, initial systolic pulmonary artery pressure 30 mmHg, not suggestive of pulmonary hypertension. A biopsy ...

 Open Access DOI:10.23937/2474-3682/1510106

Incidental Breast Carcinoma in Myocardial Perfusion Imaging Cine Mode

Aylin Akbulut, Suleyman Kalayci, Gokhan Koca and Meliha Korkmaz

Article Type: Image Article | First Published: September 03, 2018

Review of raw data cine mode is essential in the interpretation of myocardial perfusion SPECT imaging (MPI) for not only distinguishing the potential artifacts but also giving further diagnostic information by identifying incidental non-cardiac uptakes. Here, we report an incidental finding of invasive breast carcinoma detected during MPI cine mode....

 Open Access DOI:10.23937/2474-3682/1510105

Mapping of M2 and 5-HT1A Receptors in the Human Amygdala

Olga Kedo, Karl Zilles, Nicola Palomero-Gallagher and Katrin Amunts

Article Type: Image Article | First Published: September 03, 2018

Subdivisions of the amygdala were identified in the color-coded receptor autoradiographs immediately adjacent to Nissl-stained sections in the right hemisphere at the level of the central nucleus. Color scales visualize the concentrations for each receptor (cholinergic muscarinic M2 or serotoninergic 5-HT1A receptors). After incubation of 20-μm thick coronal sections with the respective tritium-labelled ligand and exposition of the sections against the tritium-sensitive films, the films were de...

 Open Access DOI:10.23937/2474-3682/1510104

Coronary Artery Ectasia in Patients Presenting with Acute Coronary Syndrome, A Mini Case Series: Presentation, Angiographic Findings and Management

Marian SOBHI, Harb ABUBARKA and Nadim SHAH

Article Type: Image Article | First Published: September 01, 2018

Coronary artery ectasia (CAE) is defined as dilatation of the coronary artery one and a half times greater than that of an adjacent normal segment [1]. It usually accompanies coronary artery disease (CAD). Our objective in this study was to examine the clinical characteristics of CAE and its prognosis. We recognized CAE in five patients between February 2016 and June 2016 admitted to Rashid Hospital, Dubai, United Arab Emirates. The patients presented with chest pain and were diagnosed as acute ...

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