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Search Patient Charts: Axial

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Search Results for => Axial <= Result Items 1 - 20

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Case ID: 13816 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Axial Brain Anatomy, Sagittal Brain Anatomy
	History	45 y.o. woman with headache
	Findings	Normal Anatomy
	Differential Dx
	Discussion	... (continues ...)
	User Group	n
	Contributor	James G. Smirniotopoulos, M.D. :: Uniformed Services University -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 12096 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	AtlantoAxial traumatic dislocation
	History	30 year old pedestrian hit by car while crossing the street.
	Findings	• Complete dislocation of the Cervical spine at C1/2 level. • Marked prevertebral and paraspinal edema. • Edema and hemorrhage in medulla and Cervical cord on MRI
	Differential Dx	AtlantoAxial traumatic dislocation
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 10247 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Axial (sliding) hiatal hernia
	History	Thirty seven-year-old female smoker with difficulty swallowing solid foods.
	Findings	Fluoroscopic images of the distal esophagus demonstrate barium-coated gastric folds within a portion of the stomach located above the diaphragm and contiguous with the esophagus. The gastroesophageal junction lies more than 2 cm above the diaphragm. The gastric fundus is positioned normally below the diaphragm. No esophageal strictures were identified.
	Differential Dx	Axial (sliding) hiatal hernia
	Discussion	... (continues ...)
	User Group
	Contributor	Mark M Morton :: Naval Medical Center Portsmouth -
	Reviewer	Martin N Scott :: Naval Medical Center Portsmouth - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 10015 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	AtlantoAxial dissociation
	History	dsaf
	Findings	dfsa
	Differential Dx	fdsa
	Discussion	... (continues ...)
	User Group
	Contributor	Michael A Winkler :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 9725 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Axial (sliding) hiatal hernia
	History	27-year-old male with history of symptoms of gastroesophageal reflux over the past year complaints of dyspepsia.
	Findings	Fluoroscopic images of the distal esophagus demonstrate barium-coated portion of the stomach located above the diaphragm. The gastroesophageal junction lies more than 2 cm above the diaphragm. The gastric fundus is positioned normally, below the diaphragm.
	Differential Dx	Axial (sliding) hiatal hernia
	Discussion	... (continues ...)
	User Group
	Contributor	Mark M Morton :: Naval Medical Center Portsmouth -
	Reviewer	Lynn Marie Bergren :: Naval Medical Center Portsmouth - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 9519 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Hiatal Hernia, Mixed Sliding (Axial) and Paraesophageal
	History	Seventy-five-year-old woman with frequent left-sided chest pain, heartburn and dysphagia.
	Findings	Chest radiograph demonstrates an air-containing retrocardiac soft-tissue density. Axial computed tomographic images demonstrate that the gastroesophageal junction is located above the diaphragm and that the gastric fundus is lying alongside the distal esophagus. Fluoroscopic and overhead images obtained during an esophagram demonstrate a herniated portion of the gastric fundus protruding upward through the diaphragmatic hiatus next to the gastroesophageal junction.
	Differential Dx	Mixed (paraesophageal and sliding) hiatal hernia.
	Discussion	... (continues ...)
	User Group
	Contributor	Mark M Morton :: Naval Medical Center Portsmouth -
	Reviewer	Garry H. Simons III :: Naval Medical Center Portsmouth - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 9400 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Gastric Volvulus (OrganoAxial)
	History	78 year old man presents with history of reflux for routine Upper GI study.
	Findings	The stomach is rotated about the longitudinal axis and has an "upside down" appearance typical of organo-Axial volvulus. This typically is seen in elderly patients and is due to ligamentous laxity. Compare with mesenteroAxial volvulus.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Paul DiDomenico :: David Grant USAF Medical Center -
	Reviewer	Michael A Tall :: David Grant USAF Medical Center - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 8873 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Gastric OrganoAxial Rotation with Type 4 Paraesophageal Hernia
	History	The patient presented complaining of solid food dysphagia and a prior EGD showing a dilated esophagus.
	Findings	The PA and Lateral Chest radiographs show intrathoracic stomach and bowel. The Axial CT image through the chest shows the esophagus, the gastric fundus, and a loop of bowel within the thoracic cavity. These findings are consistent with a Type 4 paraesophageal hernia. A barium esophagram demonstrates a tortuous esophagus that deviates to the left just below the aortic arch. The esophagogastric junction projects to the left of midline with a large paraesophageal hiatal hernia which includes the stomach. The pyloric channel of the stomach projects below the level of the diaphragms. The mucosa of the esophagus and stomach are normal with no evidence of ulceration or neoplastic change.
	Differential Dx	There are four types of paraesophageal hernias: Type 1: Sliding hiatal hernia with esophagogastric junction displaced into the thorax. Type 2: Shows fundus or other portions of the stomach herniated into the chest while the esophagogastric junction remains in normal position at the level of the hiatus. Type 3: Compound or mixed hiatal hernia which shows displacement of the esophagogastric junction, gastric fundus, and body into the chest. Type 4: Not universally recognized since some authors consider it to be a variant of type 3 paraesophageal hernias. It is defined as a type 3 paraesophageal hernia with additional herniation of viscera such as the small or large bowel. OrganoAxial rotation OrganoAxial volvulus MesenteroAxial rotation MesenteroAxial volvulus
	Discussion	... (continues ...)
	User Group
	Contributor	Robert A Liotta :: National Capital Consortium -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 8481 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	OrganoAxial hiatal Hernia
	History	63 y/o male with c/o left lower abdominal pain r/o diverticulitis.
	Findings	Scout film demonstrates the stomach above the diaphragm. Axial contrast enhanced A/P CT demonstrates the stomach within the thoracic cavity, twisted along its long axis with the antrum superiorly and anteriorly loacted and the fundus inferiorly and posteriorly located.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Darryl David Stinson :: Naval Medical Center Portsmouth -
	Reviewer	Martin N Scott :: Naval Medical Center Portsmouth - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 8223 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	AtlantoAxial subluxation due to rheumatoid arthritis
	History	64 year old female with rheumatoid arthritis.
	Findings	Lateral, flexion and extension views of the cervical spine are obtained. Lateral view shows normal atlantoAxial distance, and normal allignment of the cervical spine. Extension view demonstrates atlantoAxial distance of 5.6 mm. Flexion view shows that the A-A distance has increased to 8.7 mm.
	Differential Dx	AtlantoAxial subluxation secondary to: Inflammatory: Rheumatoid arthritis Congenital: Down’s syndrome Trauma: Rupture of transverse ligament
	Discussion	... (continues ...)
	User Group
	Contributor	carrie l carlin :: Wilford Hall USAF Medical Center -
	Reviewer	Liem T Mansfield :: Brooke Army Medical Center - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 7518 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Normal Shoulder - Axial
	History	Normal cadaver donor
	Findings	Normal shoulder anatomy
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	James G. Smirniotopoulos, M.D. :: Uniformed Services University -
	Reviewer	Timothy G. Sanders, M.D. :: Uniformed Services University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 7505 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Atlato-Axial dislocation (AOD)
	History	While in Operation Provide Comfort (first Iraq conflict in early 90's), this soldier was run over by a jeep, over his head.
	Findings	Extremem soft tissue swelling anterior to entire cervical spine. This is further evident by the ET and NG tube displacement anterior by several centemeters. C1 and C2 are dissociated from each other, completely dislocated.
	Differential Dx	Atlato-Axial dislocation (AOD) Atlato-Axial ligamentous injury
	Discussion	... (continues ...)
	User Group
	Contributor	Les R Folio :: Uniformed Services University -
	Reviewer	Timothy G. Sanders, M.D. :: Uniformed Services University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 7037 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Case 2, (27th Annual Uniformed Services Dermatology Seminar, 2003) FAMILIALPOLYDACTYLY (AUTOSOMAL DOMINANT BILATERAL POSTAxial POLYDACTYLY)
	History	Full term infant with an uneventful spontaneous vaginal delivery and normal newborn examination. Father, paternal grandfather and aunt have a history of bilateral supernumerary digits.
	Findings	X-Rays of hands significant for bilateral small supernumerary rudimentary digits extending from the fifth proximal interphalangeal joint region medially, with tiny central ossification, attached by a narrow stalk of soft tissue. Soft tissue and osseous structures of the hands are otherwise normal. Histopathology: The biopsy shows connective tissue with scattered eccrine glands, fatty tissue, neural proliferation, and cartilage.
	Differential Dx	• traumatic neuroma
	Discussion	... (continues ...)
	User Group
	Contributor	James V Twede :: Uniformed Services University -
	Reviewer	Leonard C. Sperling :: Uniformed Services University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 6950 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Hiatal hernia, organoAxial gastric volvulus
	History	Iron deficiency anemia of unknown cause and chest discomfort. Upper GI with small bowel follow through was requested to assist with determination of source of her anemia.
	Findings	Image 1 is an AP chest which demonstrates a large well circumscribed retrocardiac density extending into the right inferior chest region. Image 2 is a double contrast upper GI radiograph demonstrating a large mixed hiatal hernia with a large paraesophageal component and a small sliding component. OrganoAxial gastric volvulus is also present.
	Differential Dx	Based on initial plain radiograph only: Hiatal hernia Pericardial cyst Bronchogenic cyst Aortic aneurysm or pseudoaneursym Loculated pleural effusion
	Discussion	... (continues ...)
	User Group
	Contributor	Joseph B. Sutcliffe :: Brooke Army Medical Center -
	Reviewer	David P Raiken :: Wilford Hall USAF Medical Center - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 6419 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	University of South Carolina Normal CT Axial Anatomy of the Abdomen
	History	Normal Axial CT images of the abdomen
	Findings	Normal CT of the abdomen
	Differential Dx	none
	Discussion	... (continues ...)
	User Group
	Contributor	Kirk D Peterson :: Civilian Medical Center -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 6010 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Atlanto-Axial Subluxation in Rheumatoid Arthritis and erosive changes at the dens.
	History	55 y/o woman with severe rheumatoid arthritis, preoperative evaluation.
	Findings	Severe erosion of the base of the dens with some erosion in the superior portions as well. There is asymmetry in the lateral atlanto-dens relations consistent with a mild subluxation. The lateral cervical spine view demonstrates discogenic degenerative changes and loss of the normal cervical lordosis. The atlanto-dens interval is 3mm. Flexion and extension views were not obtained but should be performed prior to completing a pre-operative assessment. A single radiograph of the hands demonstrates many of the stigmata of rheumatoid arthritis: severe erosive changes at the radio-ulnar joints, throughout the carpal bones and at the metacarpal heads and subluxations
	Differential Dx	Rheumatoid arthritis
	Discussion	... (continues ...)
	User Group
	Contributor	Kevin F. McCarthy :: Civilian Medical Center -
	Reviewer	Donald J Flemming :: Penn State University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 5943 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Gastric Volvulus (OrganoAxial)
	History	A 62-year old female history of hiatal hernia presented with acute onset of recurrent vomiting and epigastric pain.
	Findings	Fluoroscopic evaluation of the upper gastrointestinal tract demonstrated inversion of the stomach along its long axis and displacement into the thoracic cavity.
	Differential Dx	OrganoAxial volvulus MesenteroAxial volvulus Paraesophageal hernia Hiatal hernia
	Discussion	... (continues ...)
	User Group
	Contributor	Kevin Banks :: Brooke Army Medical Center -
	Reviewer	Thomas M. Dykes :: Penn State University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 5724 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	CALCIUM PYROPHOSPHATE DIHYDRATE (CPPD) CRYSTAL DEPOSITION DISEASE OF THE ATLANTOAxial JOINT.
	History	Status post fall with face injury and c-spine tenderness.
	Findings	Multiple subchondral cysts/erosions in the dens and adjacent portions of atlas. Faint calcifications of the transverse ligament.
	Differential Dx	CPPD Hemochromatosis Primary Hyperparathyroidism
	Discussion	... (continues ...)
	User Group
	Contributor	Jason Eves :: Wilford Hall USAF Medical Center -
	Reviewer	Liem T Mansfield :: Brooke Army Medical Center - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 5640 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Atlanto-Axial Subluxation in Rheumatoid Arthritis
	History	75 yo female with long history of rheumatoid arthritis who is being evaluated for operative planning requiring general anesthesia. Needs flexion/extension views of the cervical spine to rule out instability.
	Findings	There is an increased atlanto-Axial distance demonstrated with flexion compared to extension. Additionally, degenerative changes of the lower cervical spine are present.
	Differential Dx	Rheumatoid arthritis Traumatic transverse ligamentous disruption
	Discussion	... (continues ...)
	User Group
	Contributor	james p eaton :: Tripler Army Medical Center -
	Reviewer	Greg Petermann :: Tripler Army Medical Center - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

Case ID: 4888 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	AtlantoAxial instability confirmed radiographically
	History	Middle-aged female with a history of rheumatoid arthritis.
	Findings	Widening of the atlantodental space measuring approximately 11 mm on flexion.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Alice Boyd Smith :: Uniformed Services University -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2010-12-15 15:38:47-05 :: Revised: :: Submitted:

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