Hemangioma in vertebral body X-ray

Benign, slow-growing tumor composed of vascular channels. Usually asymptomatic and identified in middle-aged patients. The coarse vertical trabecular pattern may extend into the pedicles and laminae. Soft-tissue and intraspinal extension of the tumor or secondary hemorrhage can produce a paraspinal mass.

It is one of these lytic lesions that appeares in X-ray of vertebral body and shows demineralized and occasionally expanded vertebral body with characteristic multiple coarse linear striations running vertically.

 Hemangioma of a vertebral body. Multiple coarse, linear striations run vertically in the demineralized vertebral body.

Neurogenic neoplasm in X-rays

Posterior mediastinal mass that sharply circumscribed, round or oval homogeneous mass that is usually unilateral and paravertebral.

Primarily neurofibromas and neurolemmomas in adults, ganglioneuromas and neuroblastomas in children. Chemodectomas (any mediastinal compartment) and pheochromocytomas are extremely rare. There may be associated rib or vertebral erosion, calcification, and a dumbbell appearance (part of the tumor is inside and part outside the spinal canal).
Neurogenic tumor. (A) Frontal and (B) lateral views of the chest demonstrate a large right posterior mediastinal mass.

Consolidation Of Chest X Ray Images

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Diagram of Anterior anatomical relations of both kidneys

The kidneys are retroperitoneal organs that are located in the perirenal retroperitoneal space with a longitudinal diameter of 10–12 cm and a latero-lateral diameter of 3–5 cm and a weight of 250–270 g.
In the supine position, the medial border of the normal kidney is much more anterior than the lateral border, The upper pole of each kidney is situated more posteriorly than the lower pole.
The right kidney,  anteriorly :
has a relation with the inferior surface of the liver with peritoneal interposition,and with the second portion of the duodenum without any peritoneal interposition since the second portion of the duodenum is retroperitoneal .
The left kidney, anteriorly :
has a relation with the pancreatic tail, the spleen, the stomach, the ligament of Treitz and small bowel, and with the left colic lexure and left colon . Over the left kidney, there are two important peritoneal relections, one vertical corresponding to the spleno-renal ligament (connected to
the gastro-diaphragmatic and gastrosplenic ligaments) and one horizontal corresponding to the transverse mesocolon.

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What is the most appropriate interpretation of this CT Scan?

what do you think of the axial image ct scan below ..? please answer the comments below, may be useful

choose the most appropriate:
a. Ependymome
b. Medulloblastoma
c. Subependymoma, Medulloblastoma with obstr hydrocephalus

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Causes of Bilateral diminished concentration of contrast material in the pelvocalyceal system

1- Overhydration/ inadequate dehydration :
Causes dilution of the contrast material (Note that the kidneys may be entirely normal).

2- Polyuria :
Excretion of large volumes of hypotonic urine due to diuretic therapy, diabetes insipidus (lack of antidiuretic hormone ADH secreted by the posterior lobe of the pituitary gland), diabetes mellitus, and intrinsic renal diseases.

3- Renal failure (uremia) :
Severely decreased renal function due to a variety of underlying causes.

4- Nephrosclerosis :
Long-standing hypertension causes narrowing of extraand intrarenal arteries with prolonged intrarenal circulation time and decreased excretion of contrast material.
Malignant nephrosclerosis. Nephrotomogram obtained 5 minutes after the injection of contrast material shows minimum opacification of small, smooth kidneys.

5- Technical :
Injection of an inadequate dose of contrast material.


Causes of Bilateral diminished concentration of contrast material in the pelvocalyceal system

X-ray of Gallstone ileus

Imaging Findings :

Classic triad of
  1. jejunal or ileal filling defect
  2. gas or barium in the biliary tree
  3. small bowel obstruction.

Gallstone ileus is caused by a large gallstone entering the small bowel via a fistula from the gallbladder or the common bile duct to the duodenum. Usually occurs in elderly women.

Gallstone ileus. Upper gastrointestinal series demonstrates the obstructing stone (white arrows) and barium in the biliary tree (black arrow).

 Localized osteoporosis due to Burn, Frostbite and Electric shock

The bone demineralization is most marked where softtissue damage was greatest, is an early radiographic finding that may persist for a prolonged period.

Electrical injury. This X-ray shows comminuted fracture of the head and shaft of the humerus associated with mottled decalcification of the humeral head.
The cortex of the humerus is thin, and the medullary cavity is widened. Discrete areas of rarefaction can be seen in the shaft and distal metaphyseal region.

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