Detectives and Images

Comprehension

Tell the Story

85278p.800 water waterskiing failed attempt detectives and radiologists comprehension tell the story Davidoff photography Davidoff MD

Where does the hair on the Fence Come From?

10384b01 The simple life of a farm in Princeton New Jersey. The hair balls of the cattle have been trapped in the barbed wire which the cattle had used to scratch their backs. Courtesy Ashley Davidoff MD. 10384 protection physiology
What is Happening?
02024p incomplete accessory detectives New York city Courtesy Ashley Davidoff MD.

 In Radiology

Detection – Size

 

Cause for the thickened interlobular septa ? heart
46427 heart cardiac chest secondary lobule pulmonary lobule fx pulmonary congestion bilateral effusions interstitial edema Kerley B lines thickened interlobular septa dx congestive heart failure intubated intubation endotracheal tube n-g tube CHF cardiac failure CTscan Davidoff MD 46425 46427 46428 46431 46432 46432c01 radiologists and detectives
Presenting Symptom?
46572 skin buttock muscle injection young female presents with abdominal pain dx IM injection CTscan Radiologists and Detectives Davidoff MD

 

What is the Story?
46549c01 colon hand femur hip bladder rectum size position bullet skin dx bullet wound quadraplegic radiologists and detectives CTscan Davidoff MD

Tell the Story
46789c02 hx 88 F with acute renal failure CT showed end stage left kidney and hydronephrosis on the right kidney renal pelvis ureter fx filling defect ureterolithiasis with proximal ureteral obstruction s/p nephrostomy radiologists and detectives – radiologists fingers pushing the catr=”theter” into better position elderly patient with compression fractures Davidoff MD

Tell the Story
46709 elderly lady s/p lung biopsy lung chest fx pneumothorax detection perception LUL nodule dx neuroendocrine neoplasm Davidoff MD radiologits and detectives

A Closer Look
46709c01 elderly lady s/p lung biopsy lung chest fx pneumothorax detection perception LUL nodule dx neuroendocrine neoplasm Davidoff MD radiologists and detectives

 

The Pneumothorax
46709c02 elderly lady s/p lung biopsy lung chest fx pneumothorax detection perception LUL nodule dx neuroendocrine neoplasm Davidoff MD radiologists and detectives
The Real Criminal
46709c03 elderly lady s/p lung biopsy lung chest fx pneumothorax detection perception LUL nodule dx neuroendocrine neoplasm Davidoff MD radiologists and detectives

Tell The Story
0916030018 This is a case of a central squamous carcinoma causing obstruction of the right mainstem bronchus and SVC requiring stents in both. This image tells the story of how tubular transport function is compromised by reduced size, and how size can be restored by modern technology. 0916030018 Courtesy Ashley Davidoff MD size tracheobronchial tree SVC vein stent anatomy applied biology applied anatomy CXR

Tell the Story
70000.800 skin brain cerebrum cerebral subcutaneous subdural contra coup fx acute blood fx density dense subdural hematoma subcutaneous hematoma trauma radiologists and detectives CTscan Davidoff MD

Conracted Gallbladder Recent (large) Meal in Stomach

46354c01.8s gallbladder function contracted cholecystokinin normal physiology fat digestion size stomach food ingestion stimulated stimulation hormone normal CTscan Courtsy Ashley Davidoff MD radiologists and detectives

 

Tell the Story

72175c02 15 year old with pain after punching bone hand 5th metacarpal fracture growth plates epiphyses epiphysis Boxer’s fracture plain X-ray plain film Davidoff MD

 

What is the abnormality?

22211b02.800 hx 41 year old male with vague symptoms kidney renal calyx fx calyceal deformity fx mass effect dx adult Wilm’s tumor 1 year later progressed to total relacement of the kidney IVP detectives and radiologists detection Davidoff MD

Mass in the Right Upper Pole

22212c03 hx 41 year old male with vague symptoms kidney renal calyx fx calyceal deformity fx mass effect dx adult Wilm’s tumor 1 year later progressed to total relacement of the kidney IVP detectives and radiologists detection Davidoff MD

Renal Mass Repacing Right Kidney
22219c01 hx 41 year old male with vague symptoms kidney renal calyx fx calyceal deformity fx mass effect kidney renal fx triangular mass encased right renal artery absent right kidney dx adult Wilm’s tumor 1 year later progressed to total relacement of the kidney IVP detectives and radiologists detection Davidoff MD

Subtle Shape Deformity

33077.800 chest mediastinum azygous region azygous node lymph node azygous vein enlarged shape lymphadenopathy dx reactive node CXR plain film CTscan Davidoff MD Radiologists and detectives 33077.800 33078.800 33080.800 33082c01

Large Reactive Node – Pathology negative

The node in the azygous region is pathologically enlarged but at pathology was shown to be reactive.  note the subtle deformityof the azygous region on the CXR

33082c02 Davidoff MD

Straight Lines

Radiation Hepatitis – Hyperemia
The straight line and the hyperemia are characteristis features radiation induced change

22975 Courtesy Ashley Davidoff MD

Detection – Character

Reconstructing the Shape of the Breast
16127 Courtesy Ashley Davidoff MD code breast TRAM imaging radiology CTscan post mammoplasty

Recent Passage of a Kidney Stone – Note Position of the Stone
47628c01 kidney bladder ureter renal pelvis fx nephrolithiais mild hydronephrosis mild hydroureter stone in bladder dx recent passage of stone CTscan DavidoffMD

Tell the Story

Methane or Nitrogen in a Cholesterol Stone

70269c02 gallbladder air methane nitrogen gas cholesterol stone isodense with bile fat subtle change CTscan

Detecting Foreign Bodies
48073 chest heart ASD repair ear rings ASD rings interatrial rings Amplatz device snaps radiologists and detectieves CXR plain film of chest X-ray Davidoff MD

Pneumothorax following nephrectomy with pain control

49714.800 kidney surgery lung pleura iatrogenic pneumothorax intrathecal catheter post op pain control plain film X-ray detectives and radiologists Davidoff MD

Did the Surgeon LEave Anything in the Chest?

49676a01.800 hx age 88M abdomen chest fx reticular density right paraaortic region post op AVR and CABG chest tubes ECG leads dx retained sponge iatrogenic disease Courtsesy Ashley Davdioff MD

Did the Surgeon Leave Anything in the Chest?

49676a01.800 49676c01 hx age 88M abdomen chest fx reticular density right paraaortic region post op AVR and CABG chest tubes ECG leads dx retained sponge iatrogenic disease Courtsesy Ashley Davdioff MD

66F with Post MEnopausal Bleeding

49708 66 F Russian uterus endometrial stripe shadowing with regularity fibroid calcified shadowing device dx IUD Lippy’s loop comprehension perception shape USscan radiologists and detectives diagnosis Davidoff MD 49711 49711c01

Sepiginous Shape in the Uterus

49711.800 49708 66 F Russian uterus endometrial stripe serpiginous structure devices dx IUD Lippy’s loop comprehension perception shape MRI radiologists and detectives diagnosis Davidoff MD

IUD

49711c01 49711 49708 66 F Russian uterus endometrial stripe serpiginous structure devices dx IUD Lippy’s loop comprehension perception shape MRI T1 fat suppression USscan radiologists and detectives diagnosis Davidoff MD Courtesy Rolina Levin MD

Tell the Story

77753c01.8s young female right upperquadrant tenderness RUQ gallbladder echogenic irregular fluid fluid layer conforming to the shape of the gallbladder wall thickened linear echoes floaters crystalline SG less than bile cholesterol crystals specific gravity forces space cholelithiasis stones small acute cholecystitis USscan ultrasound Courtesy Ashley Davidoff MD For Radiologists and Detectives

Floaters

77753c02.8s young female right upperquadrant tenderness RUQ gallbladder echogenic irregular fluid fluid layer conforming to the shape of the gallbladder wall thickened linear echoes floaters crystalline SG less than bile cholesterol crystals specific gravity forces space cholelithiasis stones small acute cholecystitis USscan ultrasound Courtesy Ashley Davidoff MD For Radiologists and Detectives

Acute Cholecystitis Caused by Cholesterol Crystals

77753c03.8s young female right upperquadrant tenderness RUQ gallbladder echogenic irregular fluid fluid layer conforming to the shape of the gallbladder wall thickened linear echoes floaters crystalline SG less than bile cholesterol crystals specific gravity forces space cholelithiasis stones small acute cholecystitis USscan ultrasound Courtesy Ashley Davidoff MD For Radiologists and Detectives