Rinsho hoshasen. Clinical radiography
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High-resolution CT (HRCT) examinations were performed in 22 patients with temporal bone trauma. The CT findings were correlated with the clinical signs and symptoms, routine head CT findings were also examined. HRCT was able to demonstrate fracture lines, ossicular chain disruptions, facial nerve injuries, and hemotympanums in majority of cases. Associated many severe head injuries (brain contusion etc.) were noted in the routine head CT.
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A forty-year-old woman who developed brain abscess was found to Rendu-Osler-weber syndrome with multiple arteriovenous fistulas of the left lung. Therapeutic embolization of pulmonary arteriovenous fistulas was performed for the prevention against brain abscess and improvement of hypoxia.
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We reviewed the initial emergency-room plain pelvic radiographs of 75 patients with pelvic fracture. In thirty-six patients transcatheter arterial embolization (TAE) was performed for retroperitoneal hemorrhage associated with pelvic fracture (TAE group) and in 39 patients (non-shock group) TAE was not required. ⋯ Specific soft tissue abnormal shadow of TAE group was not present. It may be impossible to determine the necessity of TAE in pelvic fracture on the basis of plain pelvic radiograph.
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High resolution computed tomography (CT) was applied to seven patients with hypersensitivity pneumonitis clinically confirmed. The CT findings include; (1) granular pattern with acino-centric distribution, (2) increase in density of haziness in the lung fields, (3) multiform high density areas, and (4) "subpleural curvilinear shadow" localized posteriorly. ⋯ It was especially of interest that the relapsed haziness distributed quite in the same regions. High resolution CT may be an effective adjuvant tool for hypersensitivity pneumonitis when applied to the opportune evaluation through the clinical course.
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A review of five cases of surgically proven bronchogenic cysts was undertaken. One case was mediastinal bronchogenic cyst and other four cases were pulmonary bronchogenic cysts. ⋯ They presented as cyst with air-fluid level, air-filled cyst, sharply delineated spherical, oval or lobulated mass shadow. Pulmonary bronchogenic cysts with homogeneous water-density shadow were not necessarily easy to be differentiated from malignant pulmonary neoplasm.