VN;
r,
::
,
Image Interpretation Session1 Sunday,
November
Anne
G. Osborn,
Leslie
H. Sobin,
MarilynJ.
The
MD,
bly
and
image
has
years.
MD
Annual
(RSNA)
interpretation Meeting
been
This
Co-moderator
MB MD MD MD
Siegel,
Sunday
year’s
of the
image
pletely
times
Index
for
terms:
cases
radiologists each with
interest
interpretation
and
that
for
selected
at the important
residents
in
in North
pathology
resident
brings
subsequently
AFIP. Ten teaching
40
exercise
by the faculty Forces Institute of
in radiologic are
America over
is a unique
radiology
Each
Assem-
of North
Armed
course AFIP.
Scientific
assembly
were
of the
at the
interesting
your
Images,
Cases
Pathology,
6-week
year
pathologists and unique archives,
selected
Society session
two-thirds
intensive
every
at the
of the
interpretation
Over
evaluated,
both vast,
Radiological
of Radio!ogic .
held
highlights
correlation.
of the Department Pathology (AFIP) America take the six
session
of the
one
radiologic-pathologic
fered
1990
Moderator
MD,
Peter Armstrong, David Norman, BruceJ. Hiliman, Bettyf Manaster,
25,
two
ofcorn-
reviewed
by
cases from these value, have been
enjoyment.
#{149} Radiological
Society
of North
America,
76th
scientific
assembly
and
annual
meeting RadloGraphics
1990;
From the N Medical ofPathology, 1
ment diology,
10:883-898
1990 RSNA scientific assembly. From Dr, Salt Lake City, UT 84 132 (AGO., Washington, DC (L.H.S.); Department
ofRadiology, St Louis
University (Mj.S.).
ofArizona Address
reprint
Health
the Department of Radiology, University of Utah Medical Center, 50 Bj.M.); Department of Radiologic Pathology. Armed Forces Institute of Radiology. St Bartholomew Hospital. London (PA.); DepartScience
requests
Center,
Tucson
(Bj.H.);
and
the
Mallinckrodt
Institute
of Ba-
to AGO.
#{176}asNA, 1990
883
The
image
and
the
tor
before
one
interpretation
members the
ceive
recognition other
per
radiologist
Anne
G.
U
be
Osborn,
mail
.
as a categorical
their
1 hour
with will
winners.
The
one
answer
Only
to the
of category
Individuals There
answers
course,
modera-
1 credit. high
Every-
scores
will
re-
be no announcement answers per
should case
and
of
be one
submitreply
accepted.
be mailed
to:
MD
of Radiology
of Utah
50
North
Salt
Lake
tions,
who
receive
of the 1 990
,
will
Department
The
1
is offered
assembly.
those
should
University
884
at the than
by November
Answers
RSNA will
to participate.
ted
sue
of the meeting
is encouraged
scores
session
Medical City,
UT
diagnoses, and
Medical
Center
Drive 84132
discussion,
recognition
acknowledgment
of winners
will
of contributing appear
in the
January
institu-
1 99 1 is-
of RadioGraphics.
Ra4ioGrapbics
U
Osborn
et a!
Volume
10
Number
5
2a.
2b.
Figures
CASE U
1, 2. Case
1.
1
HISTORY
A 1 9-year-old woman had symptoms of upper respiratory tion of 2 months duration. Posteroantenior (Fig la) and 1 b) chest radiographs and computed tomographic (CT) chest (Fig 2) were obtained.
September
1990
tract lateral scans
infec(Fig of the
Osborn
et
a!
U
RadioGrapbics
U
885
CASE
2
U HISTORY A 7-year-old
girl
had
a 2-day
nation were normal except (Fig 3a) and T2-weighted contrast agent enhancement;
obtained
886
U
with
aging,
is withheld.
a. Figure
3- Case
RadioGrapbks
contrast
history for (Fig
of vision
the marked, 3b) magnetic subsequently,
enhancement.
loss
in the right
diminished resonance axial (Fig
Additional
medical
visual (MR) 4) and
eye. acuity images coronal
history,
Results
of neurohogic
exami-
in the right eye. Axial Ti were obtained without (Fig 5) MR images were
unavailable
at the time
-
of im-
b. 2.
U
Osborn
et a!
Volume
10
Number
5
5a
Sb.
Figures4,5.Case2.
September
1990
Osborn
et a!
U
RadioGraphics
U
887
CASE U
3
HISTORY
A 1 4-year-old boy complained of pain in the lower graphs of both knees (Fig 6) and a lumbar myelogram
Figures
888
U
RadioGraphics
6, 7. Case
back
and extremities. Antenopostenior (Fig 7) were obtained.
radio-
3-
U
Osborn
et
a!
Volume
10
Number
5
I HISTORY 38-year-old man had onset of bleeding in ie upper gastrointestinal tract. A CT examination was performed (Fig 8).
d. Figure
September
e. 8. Case
1990
4.
Osborn
et a!
U
RadioGrapbks
U
889
I
9a.
Figures
890
U
RadioGrapbks
10.
9-11.
5.
Case
U
Osborn
et
al
Volume
10
Number
5
Figure
CASE U
12. Case
5.
5
HISTORY
A 1 -year-old girl was brought for medical examination because of an enlarged left lower extremity. Longitudinal (Fig 9a) and transverse (Fig 9b) sonograms of the night kidney and longitudinal sonograms of the left kidney (Fig 1 0) and its lower pole (Fig 1 1) were obtained. Contrast-enhanced
September
1990
CT
scans
were
also
taken
(Fig
12).
Osborn
et a!
U
RadioGrapbics
U
891
6
CASE U
HISTORY
A 74-year-old (Fig 1 3a) and tamed.
A
white lateral
woman had a 2-month history (Fig 1 3b) chest radiographs
postbronchoscopy
chest
_______%
892
U
Ra4ioGrapbks
..
U
Osborn
radiograph
of nonproductive cough. and CT scans of the chest is shown in Figure 15.
Postenoantenior (Fig 1 4) were
ob-
+
et al
Volume
10
Number
5
16b.
16a.
17b.
17a.
CASE U
7
HISTORY
A 33-year-old
rhea.
Results
woman
complained
of physical
of amenor-
examination
were
normal. Laboratory studies disclosed elevated prolactin levels. A coronal CT examinalion of the sella turcica was performed (Fig 1 6), followed by MR imaging without (Fig 1 7a) and with (Fig 1 7b, 1 7c) contrast en-
hancement.
II-.-
Figures
September
16, 17. Case
1990
7.
Osborn
et al
U
RadioGrapbks
U
893
CASE U
8
HISTORY
A 49-year-old
woman
isotope bone scans axial CT scans (Fig
had left knee pain. (Fig 19), coronal Ti2 1) were
Anteropostenion
(Fig
20a)
radiograph
and T2-weighted
of the left knee (Fig (Fig 20b) MR images,
18), and
obtained.
$
.
I
‘4
18. Figures
894
U
RadioGraphics
19. 18, 19
Case
U
8.
Osborn
et al
Volume
10
Number
5
21. Figures
September
20, 21. Case
1990
8.
Osborn
et a!
U
Ra4ioGrapbks
U
895
CASE U
9
HISTORY
A 38-year-old broids.
amination
woman
Because was
underwent
of findings performed
routine
chest
on the chest
images
(Fig
radiography
(Fig
22),
prior
to hysterectomy
a contrast-enhanced
for uterine
abdominal
fi-
CT cx-
23).
a. Figure
896
U
RadioGrapbics
22. Case
9.
U
Osborn
et a!
Volume
10
Number
5
a.
b.
CFigure
September
d. 23. Case
1990
9.
Osborn
et a!
U
Ra4ioGrapbks
U
897
CASE U
10
HISTORY
A 14-year-old girl complained of abdominal pain and vomiting. There was no history of
alcohol
trauma,
vious
trast-enhanced
scans
abuse,
pancreatic were
or pre-
disease. abdominal
obtained
(Fig
ConCT 24).
a.
b. Figure
898
U
Ra4ioGrapbics
U
Osborn
et a!
24. Case
10.
Volume
10
Number
5
r,
::
,
Image Interpretation Session1 Sunday,
November
Anne
G. Osborn,
Leslie
H. Sobin,
MarilynJ.
The
MD,
bly
and
image
has
years.
MD
Annual
(RSNA)
interpretation Meeting
been
This
Co-moderator
MB MD MD MD
Siegel,
Sunday
year’s
of the
image
pletely
times
Index
for
terms:
cases
radiologists each with
interest
interpretation
and
that
for
selected
at the important
residents
in
in North
pathology
resident
brings
subsequently
AFIP. Ten teaching
40
exercise
by the faculty Forces Institute of
in radiologic are
America over
is a unique
radiology
Each
Assem-
of North
Armed
course AFIP.
Scientific
assembly
were
of the
at the
interesting
your
Images,
Cases
Pathology,
6-week
year
pathologists and unique archives,
selected
Society session
two-thirds
intensive
every
at the
of the
interpretation
Over
evaluated,
both vast,
Radiological
of Radio!ogic .
held
highlights
correlation.
of the Department Pathology (AFIP) America take the six
session
of the
one
radiologic-pathologic
fered
1990
Moderator
MD,
Peter Armstrong, David Norman, BruceJ. Hiliman, Bettyf Manaster,
25,
two
ofcorn-
reviewed
by
cases from these value, have been
enjoyment.
#{149} Radiological
Society
of North
America,
76th
scientific
assembly
and
annual
meeting RadloGraphics
1990;
From the N Medical ofPathology, 1
ment diology,
10:883-898
1990 RSNA scientific assembly. From Dr, Salt Lake City, UT 84 132 (AGO., Washington, DC (L.H.S.); Department
ofRadiology, St Louis
University (Mj.S.).
ofArizona Address
reprint
Health
the Department of Radiology, University of Utah Medical Center, 50 Bj.M.); Department of Radiologic Pathology. Armed Forces Institute of Radiology. St Bartholomew Hospital. London (PA.); DepartScience
requests
Center,
Tucson
(Bj.H.);
and
the
Mallinckrodt
Institute
of Ba-
to AGO.
#{176}asNA, 1990
883
The
image
and
the
tor
before
one
interpretation
members the
ceive
recognition other
per
radiologist
Anne
G.
U
be
Osborn,
.
as a categorical
their
1 hour
with will
winners.
The
one
answer
Only
to the
of category
Individuals There
answers
course,
modera-
1 credit. high
Every-
scores
will
re-
be no announcement answers per
should case
and
of
be one
submitreply
accepted.
be mailed
to:
MD
of Radiology
of Utah
50
North
Salt
Lake
tions,
who
receive
of the 1 990
,
will
Department
The
1
is offered
assembly.
those
should
University
884
at the than
by November
Answers
RSNA will
to participate.
ted
sue
of the meeting
is encouraged
scores
session
Medical City,
UT
diagnoses, and
Medical
Center
Drive 84132
discussion,
recognition
acknowledgment
of winners
will
of contributing appear
in the
January
institu-
1 99 1 is-
of RadioGraphics.
Ra4ioGrapbics
U
Osborn
et a!
Volume
10
Number
5
2a.
2b.
Figures
CASE U
1, 2. Case
1.
1
HISTORY
A 1 9-year-old woman had symptoms of upper respiratory tion of 2 months duration. Posteroantenior (Fig la) and 1 b) chest radiographs and computed tomographic (CT) chest (Fig 2) were obtained.
September
1990
tract lateral scans
infec(Fig of the
Osborn
et
a!
U
RadioGrapbics
U
885
CASE
2
U HISTORY A 7-year-old
girl
had
a 2-day
nation were normal except (Fig 3a) and T2-weighted contrast agent enhancement;
obtained
886
U
with
aging,
is withheld.
a. Figure
3- Case
RadioGrapbks
contrast
history for (Fig
of vision
the marked, 3b) magnetic subsequently,
enhancement.
loss
in the right
diminished resonance axial (Fig
Additional
medical
visual (MR) 4) and
eye. acuity images coronal
history,
Results
of neurohogic
exami-
in the right eye. Axial Ti were obtained without (Fig 5) MR images were
unavailable
at the time
-
of im-
b. 2.
U
Osborn
et a!
Volume
10
Number
5
5a
Sb.
Figures4,5.Case2.
September
1990
Osborn
et a!
U
RadioGraphics
U
887
CASE U
3
HISTORY
A 1 4-year-old boy complained of pain in the lower graphs of both knees (Fig 6) and a lumbar myelogram
Figures
888
U
RadioGraphics
6, 7. Case
back
and extremities. Antenopostenior (Fig 7) were obtained.
radio-
3-
U
Osborn
et
a!
Volume
10
Number
5
I HISTORY 38-year-old man had onset of bleeding in ie upper gastrointestinal tract. A CT examination was performed (Fig 8).
d. Figure
September
e. 8. Case
1990
4.
Osborn
et a!
U
RadioGrapbks
U
889
I
9a.
Figures
890
U
RadioGrapbks
10.
9-11.
5.
Case
U
Osborn
et
al
Volume
10
Number
5
Figure
CASE U
12. Case
5.
5
HISTORY
A 1 -year-old girl was brought for medical examination because of an enlarged left lower extremity. Longitudinal (Fig 9a) and transverse (Fig 9b) sonograms of the night kidney and longitudinal sonograms of the left kidney (Fig 1 0) and its lower pole (Fig 1 1) were obtained. Contrast-enhanced
September
1990
CT
scans
were
also
taken
(Fig
12).
Osborn
et a!
U
RadioGrapbics
U
891
6
CASE U
HISTORY
A 74-year-old (Fig 1 3a) and tamed.
A
white lateral
woman had a 2-month history (Fig 1 3b) chest radiographs
postbronchoscopy
chest
_______%
892
U
Ra4ioGrapbks
..
U
Osborn
radiograph
of nonproductive cough. and CT scans of the chest is shown in Figure 15.
Postenoantenior (Fig 1 4) were
ob-
+
et al
Volume
10
Number
5
16b.
16a.
17b.
17a.
CASE U
7
HISTORY
A 33-year-old
rhea.
Results
woman
complained
of physical
of amenor-
examination
were
normal. Laboratory studies disclosed elevated prolactin levels. A coronal CT examinalion of the sella turcica was performed (Fig 1 6), followed by MR imaging without (Fig 1 7a) and with (Fig 1 7b, 1 7c) contrast en-
hancement.
II-.-
Figures
September
16, 17. Case
1990
7.
Osborn
et al
U
RadioGrapbks
U
893
CASE U
8
HISTORY
A 49-year-old
woman
isotope bone scans axial CT scans (Fig
had left knee pain. (Fig 19), coronal Ti2 1) were
Anteropostenion
(Fig
20a)
radiograph
and T2-weighted
of the left knee (Fig (Fig 20b) MR images,
18), and
obtained.
$
.
I
‘4
18. Figures
894
U
RadioGraphics
19. 18, 19
Case
U
8.
Osborn
et al
Volume
10
Number
5
21. Figures
September
20, 21. Case
1990
8.
Osborn
et a!
U
Ra4ioGrapbks
U
895
CASE U
9
HISTORY
A 38-year-old broids.
amination
woman
Because was
underwent
of findings performed
routine
chest
on the chest
images
(Fig
radiography
(Fig
22),
prior
to hysterectomy
a contrast-enhanced
for uterine
abdominal
fi-
CT cx-
23).
a. Figure
896
U
RadioGrapbics
22. Case
9.
U
Osborn
et a!
Volume
10
Number
5
a.
b.
CFigure
September
d. 23. Case
1990
9.
Osborn
et a!
U
Ra4ioGrapbks
U
897
CASE U
10
HISTORY
A 14-year-old girl complained of abdominal pain and vomiting. There was no history of
alcohol
trauma,
vious
trast-enhanced
scans
abuse,
pancreatic were
or pre-
disease. abdominal
obtained
(Fig
ConCT 24).
a.
b. Figure
898
U
Ra4ioGrapbics
U
Osborn
et a!
24. Case
10.
Volume
10
Number
5
