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Случай от @timmoha2707
Ампутация III пальца
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Case by @timmoha2707
3d finger amputation
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#radiology #radiologytech #radiologylife #radiologystudent
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#medicine #diagnosticimaging
Adult dog neurological signs and neck pain.
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#vetschool #veterinarylife #veterinarymedicine #veterinarian #veterinary #veterinaryradiology #veterinarytraumatology #veterinaryradiologist #xray #radiography #radiograph #radiologist #radiology #radiologylife #ct #computedtomography #dogct.
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Excellent example of comminuted fractures of a cervical vertebra that are visible on radiographs and confirmed on CT. Given the orientation of these fractures on the CT relative to the spinal cord there is significant spinal cord associated compression. This however is difficult to appreciate on the available video of the CT study as I have the study windowed for bone and not the spinal cord region specifically. You can see how helpful CT is with regards to spinal trauma right!? See how the caudal part of C2 looked unremarkable on the radiograph but there is a fracture that extends caudally to involve the caudal right aspect of the C2 vertebra that you can see readily with C2? The marked narrowing/collapse of the C2-C3 intervertebral disc space narrowing is suggestive of probable concurrent traumatic intervertebral disc extrusion as well.
Young adult cat with acute T3-L3 myelopathy no deep pain.
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#vetschool #veterinarylife #veterinarymedicine #veterinarian #veterinary #veterinaryradiology #veterinarytraumatology #veterinaryradiologist #xray #radiography #radiograph #radiologist #radiology #radiologylife.
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Good example of a vertebral fracture... remember when these are not appreciably displaced they don’t show up radiographically.... radiographs are specific but are only moderately sensitive for spinal fractures.... rads also have a low negative predictive value.... (translation) if you see one there could be more you don’t see... if you don’t see one but are concerned for significant trauma, CT and/or MRI are recommended.
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KINNS, J. , MAI, W. , SEILER, G. , ZWINGENBERGER, A. , JOHNSON, V. , CÁCERES, A. , VALDÉS‐MARTÍNEZ, A. and SCHWARZ, T. (2006), RADIOGRAPHIC SENSITIVITY AND NEGATIVE PREDICTIVE VALUE FOR ACUTE CANINE SPINAL TRAUMA. Veterinary Radiology & Ultrasound, 47: 563-570. .
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Paper was of course written by my Radiology home base UPenn (and my supervisor is first author!)
Geriatric cat presenting for vomiting.
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#vetschool #veterinarylife #veterinarymedicine #veterinarian #veterinary #veterinaryradiology #veterinaryoncology #veterinaryradiologist #xray #radiography #radiograph #radiologist #radiology #radiologylife #joeylovesleftlaterals #leftlateralradiographsmaketheworldgoround #leftlaterallover
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Great example of my favorite abdominal view saving the day! In general with the gastrointestinal tract wall thickening is often impossible to assess on survey radiographs (need a contrast study for example to evaluate wall thickening using radiographs and this is still not perfect compared with ultrasound…) unless there is a pretty significant mass. This is a very good example of a gastric mass in an older cat that is most consistent with neoplasia. Carcinoma,round cell neoplasia, etc. should be considered. This mass is likely responsible for the reported clinical signs. Non-neoplastic etiologies are considered unlikely. See how on the right lateral view you could not definitively tell if that was the stomach? And plop you put the patient in left lateral recumbency, gas with in the stomach rises up into the antrum letting you see the antrum because there’s gas in it relative to the gastric wall, and we have a diagnosis! Also… Do you see how useless the dorsoventral view is of the abdomen? It’s most often of little help for the abdomen (often very helpful for thorax/heart!) and for some reason it almost always gets mislabeled! I often get notes from the clinic saying, “we couldn’t get a VD because the patient was fractious (etc.).” I % get the difficulty getting that shot in some patients but the backstory unfortunately does not magically help me read the image any better . It’s almost not worth taking in many cases (especially in big dogs!). I have had clinicians call me up and one has actually yelled at me because I requested a left lateral view... “other radiologists have not recommended that in the past what’s wrong with you?” And… I have certainly had many a technician/nurse give me quite the stink eye when I request that extra left lateral… Can we all see why it’s helpful? ☺️❤️
#latepost de mi despedida de una gran e inolvidable ciudad, Hospital, equipo de trabajo y experiencia en el Hospital Dr Peset de Valencia. Infinitamente agradecido con el equipo de Radiología, adjuntos y Residentes, me hicieron sentir siempre como uno más del equipo! Espero volver pronto! // #latepost of my farewell from a great and unforgettable city, Hospital, work team, and experience at Dr Peset Hospital. Infinitely grateful with the Radiology team, AP’s and fellow residents, you made me feel like one of the team! Hope to see you soon again!
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Agradecimiento especial al colega y profesor @ronnyrodelo por ser el artífice de esta experiencia, a los profesores José Vizuete/Gregorio Martín por su paciencia, dedicación y amistad, y finalmente al Profesor @budacan compañero y amigo en esta gran aventura.
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