Clinical Medical

Image LibraryISSN: 2474-3682

Early Online

 Open Access DOI:10.23937/2474-3682/1510124

Utility of Functional MRI and 3D Tractography in Presurgical Planning in Patients with Glioblastoma

Chaudhry Ammar, Badie Behnam, Jandial Rahul, Chen Mike, Korn Ron and Rahmanuddin Syed

Article Type: Image Article | First Published: December 07, 2018

Glioma (astrocytoma) is one of the most common primary intra-axial CNS neoplasm and glioblastoma (GBM) is the most aggressive form of astrocytoma (grade IV). According to Central Brain Tumor Registry of the United States (CBTRUS), GBM is the most common primary malignant primary CNS neoplasm with median survival of only 15 months. With emergence of new treatment options on the horizon, imaging precision is important to treatment planning. In this mini-review, we aim to demonstrate utility of eff...

 Open Access DOI:10.23937/2474-3682/1510123

Rare Case of Lung Adenocarcinoma Invading the Inferior Vena Cava with Neoplastic Thrombus Extending into the Right Atrium

Miriam Patella, Francesco Proietti, Francesco Mongelli and Stefano Cafarotti

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

Lung cancer, Inferior vena cava thrombosis, Right atrium thrombosis. A 40-years-old patient with M1a lung adenocarcinoma. CT scan showed a mass directly invading the inferior vena cava (IVC) with neoplastic thrombus in the right atrium (Figure 1A and Figure 1B). Echocardiogram confirmed solid mass floating in the right atrium, connected with tumour invading the IVC (Figure1C)....

 Open Access DOI:10.23937/2474-3682/1510122

Pressure Ulcers due to a Tunneled Central Venous Catheter in a Patient on Chronic Maintenance Hemodialysis

Gaetano Alfano, Ferrari Annachiara , Francesco Fontana and Gianni Cappelli

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

We describe a rare complication given by tunneled central venous catheter in a 95-years-old woman on chronic maintenance hemodialysis (HD). The cause of end-stage renal disease was hypertensive nephrosclerosis. She suffered from ischemic heart disease and mild cognitive impairment. Her weight was 85.9 Ib (39 kg), resulting in a body mass index (BMI) of 18.1 kg/m2. She started hemodialysis in 2002 at age of 79-years-old with a dialysis regimen of 3 hours and a half, three days a week....

 Open Access DOI:10.23937/2474-3682/1510121

A Case of Gastric Obstruction: A Giant Stomach

Yao Yu and Yisen Zhang

Article Type: Image Article | First Published: November 24, 2018

A seventeen-month-old boy presented with a seven-day history of vomit and abdominal pain. After treatment of prokinetics agents, his symptoms of vomiting remitted. However, he began to have continuous abdominal distension with worse mental status and his stomach is giant. Gastric obstruction was caused by eating myrica rubra. The patient have congenital malformation which make the condition even worse. Gastric obstruction complicated with congenital malformation is easy to be misdiagnosed in chi...

 Open Access DOI:10.23937/2474-3682/1510120

Blue Urine

Lorna Ting and Liew Yew Toong

Article Type: Image Article | First Published: November 24, 2018

A 25-year-old gentleman presented with recurrent right lower neck swelling for 2 years. The recurrent attack of infections were always precipitated by upper respiratory tract infection. On clinical examination, there was a cystic swelling located at right lower neck, and anterior to sternocleidomastoid muscle. It measured 5 cm by 5 cm in diameter, with a sinus opening (Figure 1). Computed Tomography fistulogram of the neck showed similar findings that was suggestive of branchial cleft cyst witho...

 Open Access DOI:10.23937/2474-3682/1510119

Midgut Volvulus: The Whirlpool and Corkscrew Signs

Jessica Kris and Monica Epelman

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

An 8-week-old male was referred to the emergency room from his primary care physician, with bile-tinged vomiting since birth increasing in frequency over the past 2 days. He was born at 39 weeks via spontaneous vaginal delivery, and has been otherwise a healthy child. His examination was rather unremarkable; his vitals were stable, he was mildly dehydrated, but alert, and had a soft, non-tender, non-distended abdomen with normal bowel sounds. The clinical concern was for pyloric stenosis, so an ...

Volume 4
Issue 6