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By Funsho Komolafe

A educating Atlas of Case experiences in Diagnostic Imaging is a vital academic device for radiology citizens getting ready for fellowship and board examinations, and for working towards radiologists. This huge atlas is made out of six sections, overlaying chest, musculoskeletal, urogenital, gastrointestinal, and neurological imaging, and a last part containing miscellaneous photographs. The e-book comprises case reviews which support clarify the options utilized in diagnostic imaging and symptoms for his or her use. each one portion of the e-book comprises infrequent or unusual circumstances with correct radiographic photographs, by way of dialogue on medical presentation and an outline of the most radiological pathologies. The part on musculoskeletal imaging comprises the newest strategies, fresh advances and traits, bringing the atlas firmly modern. A educating Atlas of Case reports in Diagnostic Imaging is stronger by means of approximately six hundred radiographic pictures, and written through specialist radiologists from the United Arab Emirates, making sure authoritative content material all through. Key issues * number of infrequent and unusual case experiences protecting imaging of the chest, musculoskeletal, urogenital, gastrointestinal, and neurological structures *585 radiographic photos * UAE writer group of senior advisor cardiologists

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33 34 A Teaching Atlas of Case Studies in Diagnostic Imaging CASE 17 A 19-year-old man was brought into the emergency room with chest injuries sustained in a high velocity motor vehicle accident. The right chest showed abrasions, with a suspicion of underlying rib injury. CT done showed pnuemothorax. A thoracostomy tube was inserted, and the patient made a full recovery, with only minimal residual pulmonary scarring and pleural thickening. Figure 1 Axial CT with lung window shows a large right tension pneumothorax, with several lacerations, contusion and atelectasis of the right lung DISCUSSION Pulmonary laceration may result from penetrating chest trauma, from shear stress, or from penetrating rib fractures.

3. Sengupta PP, Eleid MF, Khandheria BK. Constrictive pericarditis. Circ. 2008;72:1555-62. Chest Imaging CASE 12 A 37-year-old man presented with a 5-year history of dyspnea of increasing severity. Pre­vious investigations included echocardiogra­phy, multidetector computerized tomography (MDCT) and cardiac MRI. A chest X-ray was done prior to readmission. Figure 1 PA chest radiograph shows a normal sized heart, marked enlargement of the main pulmonary and central hilar arteries, marked peripheral vascular pruning and oligemic and hyperlucent lung fields Impression: Severe pulmonary arterial hyper­tension, consistent with longstanding arterial septal defect (ASD) and shunt reversal (Eisenmenger’s syndrome).

Figure 1 PA chest radiograph reveals multiple cavitary nodules in both lungs DISCUSSION In an AIDS patient, the diagnostic possibilities are Pneumocystis jiroveci pneumonia, tuberculosis, including Mycobacterium avium complex, Kaposi sarcoma, non-Hodgkins lymphoma and fungal infections. g. Klebsiella pneumoniae. FURTHER READING 1. Allen CM, Al-Jahdali HH, Irion KL, et al. Imaging lung manifestations of HIV/AIDS. Ann Thorac Med. 2010;5(4):201-16. 2. Lillington GA, Caskey CI. Evaluation and management of solitary and multiple pulmonary nodules.

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