Radiology Cases Ankita Mathur, M4 Case 1 RDJ,

Radiology Cases Ankita Mathur, M4 Case 1 RDJ,

Radiology Cases Ankita Mathur, M4 Case 1 RDJ, 64 y/o M

Pertinent Clinical History 64 y/o M s/p L pneumonectomy for adenocarcioma of lung

POD 6 CT w/ Contrast Differential Diagnoses

Chylothorax Cholesterol effusion Parapneumonic pleural effusion Work-up

Pleural effusion drainage Cytology pH 7.84, fl protein 18 g/L, fluid LDH 511 IU/L, cholesterol 19.08 mg/dL, TG 235.8 mg/dL

Diagnosis: Chylothorax TG > 110 strongly suggestive of chylothorax TG < 50 indicates absence of chylothorax Hospital Course

Pt. improved s/p thoracic duct ligation via video-assisted thoracoscopy Chylothorax vs. Cholesterol Effusion Chylothorax

Cholesterol Effusion Triglycerides Distruction/Obstrucion

of thoracic duct/tributaries Cholesterol Chronic pleural

inflammation thickened/calcified pleural surfaces Case 2

HB, 55 y/o M Pertinent History 55 y/o M w/ h/o DM presents to ED w/ R thigh pain

Work-Up T 100.6 BP 130/87 P 115 Focal erythema & edema w/ TTP

WBC 40 Radiograph T2 MR

T1 MR Gradient-Echo

Differential Diagnosis Cellulitis Gas gangrene Fasciotomy w/ Surgical Debridement

References Ali, S. Z., Srinivasan, S., & Peh, W. C. G. (2014). MRI in necrotizing fasciitis of the extremities. The British Journal of Radiology, 87(1033), 20130560. http://doi.org/10.1259/bjr.20130560

Fahimi H, Casselman FP, Mariani MA, et al. Current management of postoperative chylothorax. Ann Thorac Surg 2001; 71:448. Kuhlman JE, Singha NK. Complex disease of the pleural space: radiographic and CT evaluation. RadioGraphics 1997; 17:63-79. Le Pimpec-Barthes F, D'Attellis N, Dujon A, et al. Chylothorax complicating pulmonary

resection. Ann Thorac Surg 2002; 73:1714. Vallires E, Karmy-Jones R, Wood DE. Early complications: chylothorax. Chest Surg Clin N Am 1999; 9:609-616. Medline Martucci N, Tracey M, Rocco G. Postoperative Chylothorax. Thorac Surg Clin 2015; 25 :523.

Shimizu K, Yoshida J, Nishimura M, et al. Treatment strategy for chylothorax after pulmonary r esection and lymph node dissection for lung cancer. J Thorac Cardiovasc Surg 2002; 1 24:499. Zabeck H, Muley T, Dienemann H, Hoffmann H. Management of chylothorax in adults

Recently Viewed Presentations

  • The Tar Heel Certificate Program in Research Administration

    The Tar Heel Certificate Program in Research Administration

    "Dreams Are Just Thoughts. They Become Tangible Goals When We Write Them Down." Write Your Goals Down. Helps To Crystallize Thinking Be Precise Helps Spot Contradictory Goals Increases Commitment Creating Deadlines Is A Powerful Management Technique Make Your Goals Time...
  • BREAKOUT SESSION 1 - California Courts

    BREAKOUT SESSION 1 - California Courts

    BREAKOUT SESSION 1 Recap. Covered the Following: Parking violations - 1993 revision of parking infractions to administrative offenses. Vehicle Code section 463 - definition of "parking" Uniform Bail and Penalty Schedule - parking infractions. Parking Infractions. Equipment Violations on Parking...
  • The 12 Main Greek Gods and Goddesses

    The 12 Main Greek Gods and Goddesses

    Greek Hera / Juno Roman. Goddess of Marriage, Protector of Women. PEACOCK. She is the wife . and sister of . Zeus and is a jealous goddess! She punished most women Zeus fell in love with, no matter how innocent...
  • 8 Ways to ensure your tenants care for your property

    8 Ways to ensure your tenants care for your property

    Three Reasons Why Rehab Matters. For $1 invested in rehab, You'll get back $1.50 - $2 in increased rents. I.E. A $20,000 rehab (new laminate, new paint, new windows, baseboards, blinds, vanity appliances) can equate to $350 more per month...
  • High-Speed Router Design - Simon Fraser University

    High-Speed Router Design - Simon Fraser University

    Access time Data structures of Routing Table Changes relatively slowly, every 2 min Advances in Switching Fabrics Crossbar scheduler Shared memory Memory access speeds Bus Bus capacitance and arbitration overhead Advance in Bus speed Speeding Up Output Queues The major...
  • www.healthinnovationnetwork.co m @HINSouthLondon Mental Health Programme Dr Muj

    www.healthinnovationnetwork.co m @HINSouthLondon Mental Health Programme Dr Muj

    Explain this is a very brief overview all link to website are at the end of presentation. Unique to SIM is that the SIM Police officer is on an NHS honorary contract working 9-5 in a MH team , key...
  • STARR User Group_TS - Georgia

    STARR User Group_TS - Georgia

    State Technology Annual Report Registry (STARR) Application Inventory. ... The SRS Maturity Dashboard represent cumulative operational responses from Business Owners and CIOs input related to the current state of their agency; data, systems and IT security. ... STARR User Group_TS
  • ASSOCIATION HEALTH PLANS AND A FEW MEMES ABOUT

    ASSOCIATION HEALTH PLANS AND A FEW MEMES ABOUT

    *DISCLAIMER: Watch the lame duck session after the election if Democrats win back the House and/or Senate. Confidential and Proprietary - Wellmark Blue Cross and Blue Shield. The judicial branch. Texas v. United States - the death of the ACA?