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PMC5377292_01_gr1.jpg
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A contrast enhanced computed tomography scan showed the small bowel and colon in the right and left sides of the abdominal cavity, respectively (a). The ileocolic artery (arrow) (b) and the inferior mesenteric artery (arrow) (c) originate from a common channel branching directly from the abdominal aorta.
The ileocolic artery (ICA) and the inferior mesenteric artery (IMA) originated from a common channel which branched directly from the abdominal aorta (Fig. 1, Fig. 2).
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The three-dimensional imaging based on computed tomography showed mucinous cystic neoplasm, located at the segment III in the form of compressing the root of the Glissonean pedicle of segment III. MHV, middle hepatic vein; LHV, left hepatic vein; and G3, Glissonean pedicle of segment III.
III in the form of compressing the root of the Glissonean pedicle of segment III (Fig. 1). In addition, the computed tomography and magnetic resonance imaging revealed the potential risk of malignancy, therefore we decided to perform laparoscopic left hepatecomy instead of left lateral sectionectomy.
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The overview of a novel modified hanging maneuver technique.
Fig. 3. For this hanging technique, the upper edge of the hanging tape was placed on the lateral side of the LHV, and fixed with the Falciform ligament using clips (Fig. 4a).
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a The upper edge of the hanging tape was placed on the lateral side of the LHV, and fixed with the Falciform ligament using clips. b The hanging tape was positioned along the left side of the middle hepatic vein, and the lower edge of the hanging tape was extracted along the tourniquet for the Pringle's maneuver.
Fig. 3. For this hanging technique, the upper edge of the hanging tape was placed on the lateral side of the LHV, and fixed with the Falciform ligament using clips (Fig. 4a). The hanging tape was positioned along the left side of the middle hepatic vein, and the lower edge of the hanging tape was extracted along the to...
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Skin changes of a mature infant age 3 days.
The lesions were located on the entire back, most of the buttocks, right half of the front of the trunk (with a clear demarcation from the unchanged skin right in the midline), right thigh, and left knee (Fig 1).
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Skin changes of a mature infant age 3 days.
Additionally, the hyperpigmented patches, which were considered Mongolian spots, partly intermingled with the lesions of CMTC, were located on the right upper back, the mid-spine, and the lumbosacral region (Fig 2).
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Histopathologic examination shows numerous dilated capillaries and venules in the dermis level.. A high-resolution version of this slide for use with the Virtual Microscope is available as eSlide:VM01040.
Histopathologic examination on the right side of the thigh found numerous dilated capillaries and venules in the dermis (Fig 3).
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Skin changes of a mature infant age 2 months.
The skin changes of CMTC had almost disappeared, while the Mongolian spots were persistent (Fig 4).
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Case 1. (A) Preoperative OCT shows a large full-thickness macular hole. (B) 1 month postoperatively, the inverted flap is visualized as a hyperreflective tissue nasal to the fovea. (C) OCT 3 months after surgery shows some degree of atrophic change in the inner retinal surface limited to the temporal side of fovea.
The minimum size of the MH was 553 microm, and the basal diameter was 1100 microm (Figure 4A). An area of hyperreflective tissue on the inner retinal surface and nasal to fovea was seen on OCT, which corresponded to the location of the inverted ILM flap (Figure 4B). Besides outer retinal regeneration, some degree of in...
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Case 2. (A) Preoperative OCT shows a large full-thickness macular hole. (B) 1 month postoperatively, closed macular hole is shown with two hyperreflective spaces created by an inverted flap. (C) These spaces were filled with regenerative tissue 3 months after surgery. (D) 6 months postoperatively, OCT shows regenerated...
A 65-year-old man presented with a large full-thickness MH with a minimal diameter of 744 microm and basal diameter of 1337 microm (Figure 5A). OCT showed closed MH with two hyporeflective spaces, created by the inverted flap (Figure 5B). At 3 months after surgery, these spaces were filled with regenerated tissue with ...
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Initial diagnostic workup of the cervical spine injury with CT (panels a-f) and MRI (panels G,H). The sagittal views in panels a-d demonstrate the fracture dislocation with the left sided perched facet (panel c, and arrow in panel b) and the right sided facet fracture-dislocation (panel d). The posterior traumatic lami...
T1, with rotational instability (AO/OTA classification 51-C2.1). The injury pattern included a C7/T1 fracture-dislocation (Fig. 1a) with a left-side locked/perched facet at C6/C7 (Fig. 1b,c), a right side facet fracture-dislocation at C7/T1 (Fig. 1d), and a "saving" traumatic laminotomy at C6 and C7 on right side (Fig....
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Lateral radiograph of the cervical spine after posterior C4-T1 fusion and anterior C7 corpectomy and fusion
The previous anterior cervical wound was re-opened. The exposed dura was visualized through the preceding C7 corpectomy, and a 2-level anterior fusion from C6-T1 was performed with a PEEK cage filled with autograft bone from the resected C7 vertebra, and placement of a 2-level anterior locking plate (Fig. 2). The anter...
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The patient and his wife giving a "thumbs up" in the surgical intensive care unit on postoperative day 1 after spinal fusion and Halo removal
He tolerated the procedure well and was extubated in the operating room. His neurological exam was normal and the hypoesthesia in the right C8 dermatoma resolved postoperatively (Fig. 3).
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The patient depicted on his first street bicycle race at 10 months post injury, with an accompanying letter of gratitude
He was back riding his bicycle at 7 months, and by 10 months after surgery he had returned to competitive street bicycle racing in the 100 mile "Elephant Rock Century Ride" in Castle Rock, Colorado (Fig. 4).
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32-year-old man with history of Wilson's disease who presents with slurred speech. T2-weighed, axial MRI image shows presence of hyperintensities involving bilateral thalami. Minimal hyperintensities are seen involving bilateral lentiform nuclei.
T2 and FLAIR hyperintense lesions involving bilateral thalami, midbrain, and pons (Figure 1A, Figure 1B, Figure 1C, Fig 1D, Fig 1E). The lesions were hypointense on T1-weighted sequence and showed no evidence of restricted diffusion or postcontrast enhancement.
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On initial evaluation, high resolution computed tomography of the chest shows bilateral interstitial reticular pattern on the lower lobes with mild honey combing.
A high-resolution computed tomography (CT) of the chest revealed a bilateral prominent interstitial reticular pattern predominantly in the lower lobes and subpleural regions with mild honeycombing (Fig. 1), consistent with IPF.
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Video assisted thoracoscopic lung biopsy showed chronic active interstitial pneumonitis and fibrosis representing usual interstitial pneumonia pattern.
Histopathology demonstrated a usual interstitial pneumonia (UIP) pattern, corresponding to the clinical diagnosis of IPF (Fig. 2).
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Repeat high resolution computed tomography of the chest done for worsening symptoms reveals increasing fibrosis and traction bronchiectasis.
A repeat CT of the chest demonstrated bilaterally increasing interstitial fibrosis and traction bronchiectasis (Fig. 3).
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Double contrast barium swallow done 3 months following laparoscopic Heller's myotomy with fundoplication shows persistent dilatation at the region of fundoplication.
A double contrast barium swallow revealed no evidence of a leak and persistent dilatation at the region of fundoplication (Fig. 4).
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Computed tomography of the chest done 3 months after the surgery reveals extensive honey combing and ground glassing indicating superimposed pneumonitis.
Repeat imaging revealed severe extensive honey combing and air trapping with superimposed ground glassing (Fig. 5).
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70-year-old female with Stewart-Treves syndrome. Photograph of the left arm demonstrates an area of violaceous skin with surrounding satellite lesions.
The enlarging plaque of coalescing purple papules appeared necrotic, with multiple small satellite lesions that had erupted within the plaque (Fig. 1).
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70-year-old female with Stewart-Treves syndrome. A: T1-weighted image. B: STIR image demonstrating edema-like signal in the subcutaneous tissues of the arm (arrows).
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70-year-old female with Stewart-Treves syndrome. Axial PET (A) and CT images(B) demonstrate a hypemetabolic region along the posterior left arm with marked subcutaneous edema and skin thickening on CT (white arrows).
It was associated with severe subcutaneous edema confined to the left arm without evidence of adenopathy or distant metastasis (Fig. 3).
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Axial MR images of a cystic lesion on the anterior portion of the spinal chord which demonstrates isolucency on T1-weighted MR images (a) and hyperintensity following gadolinium contrast on T2 weighted image (b)
Following careful resection/dissection, he remained neurologically intact, and was still asymptomatic 1 year later [Figures 1 and 2].
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MR imaging revealing a non-enhancing cystic-appearing lesion growing off the conus medullaris at L1- L2 in the spinal with hyperintensity on a sagittal T1-weighted image (a) and hypointensity on a T2-weighted image (b)
Following careful resection/dissection, he remained neurologically intact, and was still asymptomatic 1 year later [Figures 1 and 2].
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Microscopy images of the endodermal cyst revealing a simple ciliated columnar epithelium at 10x (a), 20x (b) and 40x (c) magnification
Pathologically, the lesions proved to be NECs typified by simple ciliated columnar epithelium [Figure 3].
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Preoperative views of the bladder prolapse through rectum from lateral (A) and caudal (B) views. Postoperative image of specimen after transanal cystectomy and final postoperative appearance after bilateral gracilis flaps (C).
Patient (and spouse) quality-of-life are now much improved, more than 6 months after surgery (Fig. 1).
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Sister Mary-Joseph nodule aspect on the admission
Clinical findings: on admission, we found on physical examination, an ulcero-budding mass (Figure 1), which appeared ten months after the treatment of peritonitis is which manifested in the beginning as a hard mass of 3 cm without inflammatory signs insight and which changed character after three months becoming fixed ...
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CT-scan of the abdomen; this image shows an umbilical mass
An abdominal-pelvic computed tomography (Figure 2) was performed, objectifying the presence of: a urachal-cyst that manifested like an oblong structure, extending from the umbilicus to the dome of the urinary bladder measuring 68 * 18 mm.
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microphotography at low magnification shows the presence of a carcinomatous proliferation in the dermis, (HE; 10X)
The histological assessments (Figure 3, Figure 4, Figure 5) of the resectioned parts retained the diagnosis of NSMJ with: for the bladder: no tumor proliferation, chronic inflammatory reshaping of the bladder mucosa; for segmental colectomy of the sigmoid: a well-differentiated and infiltrating adenocarcinoma of 2 * 2....
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microphotography shows that the carcinomatous proliferation in the dermis is identical to those found in the colonic tumor, (HE; 40X)
The histological assessments (Figure 3, Figure 4, Figure 5) of the resectioned parts retained the diagnosis of NSMJ with: for the bladder: no tumor proliferation, chronic inflammatory reshaping of the bladder mucosa; for segmental colectomy of the sigmoid: a well-differentiated and infiltrating adenocarcinoma of 2 * 2....
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microphotography of the colonic tumor, showing infiltration of the colonic wall by a well-differentiated adenocarcinoma, (HE; 100X)
The histological assessments (Figure 3, Figure 4, Figure 5) of the resectioned parts retained the diagnosis of NSMJ with: for the bladder: no tumor proliferation, chronic inflammatory reshaping of the bladder mucosa; for segmental colectomy of the sigmoid: a well-differentiated and infiltrating adenocarcinoma of 2 * 2....
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Ulcerated basal cell carcinoma on the arm
On clinical examination, it was noted that besides the large crusted ulcer of confirmed BCC on the arm [Figure 2], there were several other loci of evolving tumors on the patient's back [Figures 3 and 4].
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Several foci of basal cell carcinoma within the epidermal nevus on the back
On clinical examination, it was noted that besides the large crusted ulcer of confirmed BCC on the arm [Figure 2], there were several other loci of evolving tumors on the patient's back [Figures 3 and 4].
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Close-up view
On clinical examination, it was noted that besides the large crusted ulcer of confirmed BCC on the arm [Figure 2], there were several other loci of evolving tumors on the patient's back [Figures 3 and 4].
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Color fundus photographs of the right (a) and the left eye (b) at the time of presentation.
Dilated fundoscopy revealed tortuous and dilated retinal veins with 360 scattered retinal hemorrhages as well as a clearly demarcated pale retina in the distribution of the upper temporal artery in the right eye and scattered laser spots with macular retinal pigment epithelium changes in the left eye (fig. 1).
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Autofluorescence (a) and fluorescein angiography (b) images of the affected eye with the segmental infarct related to the occlusion of the upper temporal branch of the retinal artery. Subretinal fluid, increased macular thickness and increased reflectivity of the ganglion cell layer corresponding to the infarcted area ...
Our fundus autofluorescent image clearly depicted the extent of the infarcted area (fig. 2a), and fluorescein angiography demonstrated that the peripheral retina was well perfused in the right eye (fig. 2b). Optic coherence tomography (OCT) showed the presence of subretinal fluid and the ganglion cell layer infarct in ...
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Color fundus photograph (a) and OCT scan (b) of the right eye 6 months after the injection.
Six months after the operation, the retinal anatomy appeared to be dramatically improving (fig. 3a, b), and his BCVA was found to be 20/25.
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Visual field defects corresponding to the infarcted retinal sector at the third (a) and sixth (b) postoperative months.
His visual field defect contracted with time in the right eye (fig. 4a, b).
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(A) Tethered discolored small bowel segment, (B) Single, free intraperitoneal staple caught on small bowel mesentery.
Closer examination revealed a single loose malformed staple that had hooked onto the small bowel mesentery, causing a volvulus (Fig. 1, Fig. 2).
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(a) Axial T2-weighted images at the level of mid-brain shows median cleft, which is seen separating the cerebellar hemispheres and communicating with fourth ventricle, producing the typical bat wing (open umbrella) (solid arrow) appearance. (b) Axial T2-weighted image at the pontomesencephalic junction shows the typica...
Axial T2-weighted images at the level of mid-brain shows median cleft, which is seen separating the cerebellar hemispheres and communicating with fourth ventricle, producing the typical bat wing (open umbrella) (solid arrow) appearance [Figure 1a]. MRI revealed enlargement of posterior fossa with absence of cerebellar ...
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Chest x-ray at day of birth (A) showing mild diffuse granular opacification with progression of lung disease on day of life 5 (B) and 10 (C).
CPAP and FiO2 0.21. Chest x-ray showed mild diffuse hazy granular opacities consistent with respiratory distress syndrome (Figure 1A). Chest x-ray at this point showed diffuse bilateral hazy opacities with increased perihilar markings (Figure 1B). Chest x-ray now showed bilateral interstitial infiltrates (Figure 1C).
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Figure 1. Patients 1 (A), 2 (B), 3 (C) and 4 (D). The patients exhibited the physical findings of 3M syndrome: Dolichocephaly, high and broadforehead, upswept posterior hairline (in patients 1 and 2), downward slanting of the eyes, horizontal eyebrows, flat nasal bridge, narrowed and short nasal body, prominent flesh...
The skeletal dysplasia was not considered at genetic evaluation at age 9 and GH therapy was recommended. GHIS was excluded with IGF-1 generation test (Table 3). The patient's anthropometric and physical examination findings are given in Table 1 and in Figures 1C, 2B and 6.
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Figure 2. Exaggerated hyperlordosis as seen in Patients 1 (A) and 3(B)
Radiographic bone survey showed slender long bones with diaphyseal constriction and flared metaphyses, slender ribs, thick cortex of the tibia and femur, tall lumbar vertebrae, a small pelvis, short femoral neck and short iliac wings ([tif:Figure 3. Lateral radiography of the vertebrae showing tall vertebral bodies wi...
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Figure 5. Radiography of the lower extremity and lateral vertebrae in Patient 2
Lateral radiography of the vertebrae showing tall vertebral bodies with reduced anterior-posterior diameters (Patient 1)|9-3.tif]Figures 3[/tif] and [tif:Figure 4.
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Figure 6. Prominent heels were present in all patients
Skeletal survey showed slender long bones with diaphyseal constriction and flared metaphyses, slender ribs, tall lumbar vertebrae, small pelvis and short iliac wings (Figure 5).
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Figure 1. Patients 1 (A), 2 (B), 3 (C) and 4 (D). The patients exhibited the physical findings of 3M syndrome: Dolichocephaly, high and broadforehead, upswept posterior hairline (in patients 1 and 2), downward slanting of the eyes, horizontal eyebrows, flat nasal bridge, narrowed and short nasal body, prominent flesh...
The skeletal dysplasia was not considered at genetic evaluation at age 9 and GH therapy was recommended. GHIS was excluded with IGF-1 generation test (Table 3). The patient's anthropometric and physical examination findings are given in Table 1 and in Figures 1C, 2B and 6.
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Figure 7. Note the narrow pelvis, hypoplastic pubis and ilium, as well as the short femoral necks (Patient 3)
The skeletal dysplasia was not considered at genetic evaluation at age 9 and GH therapy was recommended. GHIS was excluded with IGF-1 generation test (Table 3). The patient's anthropometric and physical examination findings are given in Table 1 and in Figures 1C, 2B and 6.
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PMC3234154_01_ijnrd-4-137f1.jpg
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Abdominal X-ray.
We present this interesting image Figure 1 (abdominal X-ray), demonstrating bilateral cuffed tunneled femoral dialysis access; concurrent vascular ectopic calcification and the presence of a left iliac stent.
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View of turgid appendix, overlying, and attached to, the peritonealised Mesh revealed after division of the covering omentum using bipolar diathermy. The omentum was adherent superiorly along a line corresponding to the line of peritoneal overlap and/or imperfectly covered areas of Mesh that may result after TAPP repai...
The omental adhesiolysis in the right iliac fossa revealed a small amount of free fluid and a turgid appendix overlying and adherent to the peritonealised Mesh from the previous right laparoscopic inguinal herniorraphy [Figures 2 and 3]. The turgid appendix was carefully dissected off the peritonealised Mesh using shar...
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Close up image acquired with the video-endoscope zoom facility illustrating adhesions between the turgid appendix and peritonealised Mesh. * = Appendix adherent to peritonealised Mesh; # = peritonealised Mesh; = Remnant of omentum left attached to the anterior abdominal wall; = Caecum; = Terminal ileum
The omental adhesiolysis in the right iliac fossa revealed a small amount of free fluid and a turgid appendix overlying and adherent to the peritonealised Mesh from the previous right laparoscopic inguinal herniorraphy [Figures 2 and 3]. The turgid appendix was carefully dissected off the peritonealised Mesh using shar...
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PMC8457354_01_fneur-12-701571-g0001.jpg
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Muscle atrophy of bilateral supraspinatus and infraspinatus. The bilateral infraspinatus fossae are dented, with greater severity on the right side (arrow).
Atrophy of both shoulder girdles was observed (Figure 1).
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Ultrasound images from cine clips of the left radial nerve in the short axis show a normal posterior interosseous fascicle (arrowhead) within the radial nerve (A), swelling (arrowhead) is noted as the nerve is traced proximally (B), followed by fascicular constriction (arrow) (C), and a swollen fascicle (arrowhead) pro...
A 4-week follow-up ultrasound revealed constriction of the left posterior interosseous fascicle within the left radial nerve at 1.5 cm proximal to the lateral epicondyle (Figures 3A-D). Surgical exploration was performed 6 months after symptom onset and confirmed fascicular constriction at the area identified by ultras...
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PMC3752856_01_AJM-3-15-g001.jpg
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Testicular ultrasound: The testis is large in size with heterogeneous echogenicity and poorly visualized outline
Testicular ultrasound examination confirmed the presence of bilateral hyperechogenic hypervascularized lesion; right: 8.6 cm x 3.5 cm; left: 8.4 cm x 5.5 cm [Figure 1].
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Frozen sections: (a: left) The lesion was composed of sheets and nests separated by dense fibrous tissue (H and E, x200), (b: right) The individual cells were large round and polygonal cells with defined cell borders, abundant eosinophilic cytoplasm and round central nuclei (H and E, x400)
Nests of cells were separated by dense fibrous tissue [Figure 2].
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Gross evaluation of orchiectomy specimen. Cut surface revealing a well-circumscribed, non-capsulated, solid, and lobulated brown lesion
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Chest plane computed tomography at 5 days before admission (A-D) showing left lung consolidation (lung window) and (E-H) consolidation of the left lung with a small amount of pleural effusion (mediastinal window).
Chest plane CT showed consolidation of most of the left lung with insufficiency and a small amount of pleural effusion (Figure 1). Consequently, the patient received sodium cefotaxime for 5 days for the treatment of lung infection.
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Chest x-ray on the day of admission showing atelectasis of the left lung (A). Flexible bronchoscopy showing a nut-like foreign body (B). A nut shell - like foreign object after removal (C). Review flexible bronchoscopy for foreign body retention (D).
We treated her with intravenous antibiotics and performed an x-ray of her lung, which revealed opacification in the left lung indicative of pneumonia and left atelectasis (Figure 2A). During the bronchial examination, an abnormal reflective object was found in the left main bronchus, which was removed using a foreign b...
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Chest computed tomography on the seventh day of admission showing left lung consolidation, atelectasis (A-E), and CT scan and airway reconstruction (F) multiple saccular changes in the left lung, indicating necrotizing pneumonia.
Enhanced CT for the lung on the seventh day of hospitalization showed infectious lesions in the left lung with consolidation, atelectasis, and multiple cystic changes in the lower lobe of the left lung, suggesting necrotizing pneumonia (Figure 3).
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Chest computed tomography at 10 weeks of onset showed that bronchiectasis of the left lung was still present and the consolidation of left lung lesions was improved. A-B (lung window), C-D (mediastinal window).
A repeat CT performed after 2 weeks of discharge showed improvement in infectious changes in the left lung with pulmonary consolidation, atelectasis, bronchiectasis of the left lung, and cystic changes (Figure 4).
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(A,B) R shoulder abduction of 2-dimensional analysis in pre-intervention and 1-week post-intervention.
For range of motion (ROM) measurements, the clinicians screenshot the patient's shoulder active ROM (AROM), then measured the angles through a smartphone 2-Dimensional application (Angle Meter 360) after the assessment (Figure 1).
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Right ventriculogram in lateral view [Video 1] shows thickened and doming pulmonary valve (PV) shown in arrow, dilated main pulmonary artery (MPA) and adequately open right ventricular outflow tract (RVOT)
Right ventriculogram showed thickened and doming pulmonary valve; infundibulum showed dynamic systolic infundibular clamping, but opened well in diastole [Figure 1 and Video 1].
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Left ventricular (LV) injection [Video 2] after deploying Amplatzer duct occluder (ADO I) shown in arrow across the muscular VSD
Amplatzer Duct Occluder (StJude Medical, St Paul, MN) from the right ventricle after establishing an arteriovenous circuit [Figure 2 and Video 2]. After release, the RV pressure increased transiently due to dynamic infundibular hyper-contractility and the retention skirt of the device partially protruded into the left ...
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Migration of the device [Video 3] into the left ventricle (LV) after release of the device (ADO I). Ao =Aorta, RV = right ventricle
Amplatzer Duct Occluder (StJude Medical, St Paul, MN) from the right ventricle after establishing an arteriovenous circuit [Figure 2 and Video 2]. After release, the RV pressure increased transiently due to dynamic infundibular hyper-contractility and the retention skirt of the device partially protruded into the left ...
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After positioning a muscular VSD occluder device (MVO) across the VSD from the right ventricle [Video 4], the device appears tilted towards the left ventricle (LV)
The device was replaced with an 18-mm muscular VSD occluder (HeartR, Lifetech Scientific, Shenzhen, PRC) [Figure 4 and Video 4].
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The device (arrow) appeared well-aligned on the right ventricular (RV) side [Video 5]. MPA = Main pulmonary artery
Even though device appeared tilted towards the left ventricle on left ventriculogram, right ventriculogram showed correct device orientation [Figure 5 and Video 5].
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Temporary pacing wire (TPI) in right ventricle (RV) while embolized device was snared from the left ventricle (LV) [Video 6]
There was transient heart block needing temporary RV pacing [Figure 6 and Video 6].
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The large device was slenderized by screwing the cable to the device again from a brachial access catheter. The non-screw end of the occluder was snared from a femoral artery catheter [Video 7]
The large device was slenderized by re-screwing this cable [Figure 7 and Video 7].
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Through a jugular venous access, a larger muscular VSD occluder device was positioned across the defect. The VSD device was held by a snare at the left ventricular (LV) end from the femoral arterial catheter [Video 8]. This helped stabilization of the device from both ends and permitted successful deployment
This stabilization of the device from both ends permitted successful deployment [Figure 8 and Video 8].
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PMC7332718_01_OC-10-19-t-001.jpg
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Patients with aniridia and aphakia corrected with IOL artificial iris complex
All patients included in this review (Table 1 (Tab. 1)) had suffered ocular trauma with globe rupture, iris disinsertion, and traumatic cataract (Figure 1 (Fig. 1)).
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Anterior segment photograph of case 1, showing almost complete lack of iris tissue
The IOL was sutured to the mesh on the posterior face of the artificial iris with 10-0 polypropylene sutures, first anteriorly to posteriorly and then posteriorly to anteriorly through the IOL eyelets (Figure 2 (Fig. 2), Figure 3 (Fig. 3)).
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The Akreos IOL-ArtificialIris complex
The IOL was sutured to the mesh on the posterior face of the artificial iris with 10-0 polypropylene sutures, first anteriorly to posteriorly and then posteriorly to anteriorly through the IOL eyelets (Figure 2 (Fig. 2), Figure 3 (Fig. 3)).
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A chest computed tomography scan revealed a solitary nodule accompanying a central radiolucency in the right lower lobe when the patient was 61 years old (A and B), which had apparently grown compared to its size when she was 54 years old (arrow mark) (C). A fluorodeoxyglucose (FDG)-positron emission tomography scan wh...
A contrast-enhanced chest CT scan revealed a solitary and well-circumscribed nodule (36 x 37 x 40 mm in diameter) in the peripheral region of the right lower lobe (Fig. 1A). While a solid part of the tumor was homogeneously enhanced, the tumor included an irregular-shaped low-density area (19 mm in maximum diameter) th...
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A microscopic examination of the pathological specimen obtained by a transcutaneous core needle biopsy predominantly showed solid (A) and papillary (B) patterns, in concomitance with the minor findings of sclerosing (C) and hemorrhagic (D) components (hematoxylin and eosin staining).
The biopsy specimen obtained from the solid part of the tumor was composed of two major pathological patterns, a solid proliferation of round cells and papillary growth of type II pneumocyte-like cuboidal cells overlying a core comprised of round cells (Fig. 2A and B). Sclerotic and hemorrhagic patterns were also evide...
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An examination of the gross features of the surgical specimen revealed an encapsulated tumor underneath the visceral pleura with intratumoral gross hematoma (A and B). A microscopic examination predominantly showed papillary growths of cuboidal and round cells on hematoxylin and eosin staining (C). The surface cuboidal...
Tachikawa Hospital. An examination of the gross features of the fixed lung revealed an encapsulated tumor (30 x 35 x 35 mm in size) underneath the visceral pleura in the right lower lobe accompanying a cavitary space filled with bloody content (Fig. 3A and B). The cavity formation was pathologically attributed to a gro...
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(a) Coronal slice from the follow-up angio-magnetic resonance imaging showing the reconstitution of the physiological caliber of the right transverse-sigmoid sinus. Comparison between preoperative (b) and follow-up (c) axial magnetic resonance imaging images demonstrating the resolution of two important radiological si...
The patient underwent a magnetic resonance imaging (MRI) scan of the brain with Gadolinium which showed signs in keeping with longstanding raised ICP, including bilateral kinking of the optic nerves within the orbit, enlargement of subarachnoid spaces, flattening of the posterior sclera, and the empty sella sign [Figur...
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(a) Angiographic sequence showing the mild right sinus dominance and the clear effect of the compression on the transverse-sigmoid junction. (b) Angio-magnetic resonance imaging coronal slice showing the hyperintense solid lesion responsible for the hampering of the venous blood flow
The same investigation documented a single, 16 mm, oval, T1 and T2 isointense, contrast-enhancing lesion arising in the right mastoid region, and narrowing the transverse-sigmoid sinus junction [Figure 2b]. A cerebral angiography digital subtraction angiography documented the compression of the right transverse-sigmoid...
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Mildly hyperintense and "salt and pepper" looking lesion, located superior to left carotid bifurcation level between left ICA and ECA, is observed on T2 weighted axial (A) and coronal (B) imaging. Hypointense lesion on T1 weighted axial (C) imaging. Postcontrast T1-weighted axial (D) images demonstrates increased contr...
Moreover, there was atrophy in the left half of the tongue (Figure 1).
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Coronal postcontrast T1-weighted images (A) shows increased contrast enhancement. Coronal multiplanar reformation (B) and maximum intensity projection (C) contrast-enhanced MR angiography images demonstrates lesion localized superior to the carotid bifurcation level, between left ICA and ECA. Lesion pushed left ICA to ...
The neck mass displaced the left ICA anteriorly and medially (Figure 2).
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A. 28-year-old woman with focal nodular hyperplasia with a retraction of the liver capsule. On hepatic helical CT scan during the portal phase, the mass shows an iso-attenuation with the liver parenchyma. The mass has a central fibrotic scar (small black arrows), and the liver capsule adjacent to the mass is retracted ...
The hepatic helical CT scan during the portal phase showed an isodense mass with a hypodense central scar (Fig. 1A). The T2-weighted axial MR image showed a slightly hyperintense mass with a hypointense central scar. The contrast-enhanced T1-weighted axial MR image revealed a marked enhancement of the tumor with a none...
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(A) Growth curves of the patient according to normative growth charts for individuals with Costello syndrome. (B) Growth curves of the patient according to national growth charts for healthy children.
In growth monitoring, height and weight of the patient are plotted on charts for both CS and healthy national children (Figs. 1 and 2).
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Upon examination, no dysmorphic features where noted aside from bilateral absent upper limbs from the shoulder.
Maintaining preoperative range of motion for the spine and able to use his lower limbs for feeding, drawing and combing his hair (Figs. 4 and 5).
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Cardiac muscle biopsy of a 22-year-old man with lymphocyte infiltration of the myocardium in a setting of a new-onset fever and clozapine usage.
Cardiac biopsy in the 22-year-old patient showed lymphocyte infiltration of the myocardium (Fig. 1).
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Cardiac muscle biopsy of a 41-year-old man with blood eosinophilia and elevation in creatine kinase in a setting of a new-onset fever and clozapine usage. Eosinophils are present in cardiac tissue.
Cardiac biopsy in the 41-year-old patient showed eosinophilic infiltration of the myocardium (Fig. 2).
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Suprasternal short axis view with color Doppler interrogation showing mosaic flow in lower branch of right pulmonary artery (arrow) suggestive of stenosis. 1b: Continuous wave Doppler interrogation of lower branch of RPA showing velocity of 316 cm/sec (peak gradient of 40 mmHg with pandiastolic spilling) suggestive of ...
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Pre-operative anteroposterior (AP) radiograph of the right wrist shows distal ulnar resection. [Powerpoint Slide]
Initial radiographs demonstrated distal ulnar resection (Figure 1).
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Near-infrared fundus autofluorescence images (NIA) of both eyes: clearly visible hypoautofluorescent spots in the fovea
However, on near-infrared fundus autofluorescence (NIA) small spots of hypoautofluorescence in both maculae corresponding in location to the white discoloration in the color fundus image and the IS/OS to RPE layer retinal layer disruption on SD-OCT were found (Figure 4 (Fig. 4)).
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Extraoral photograph
The lips were competent [Figure 1].
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Radiograph (orthopantomogram) - showing severe bone loss with 14, 15, 16 and impacted teeth
Severe bone loss was present with 14, 15, and 16 teeth [Figure 4].
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Microscopic picture showing epithelial and connective tissue hyperplasia with dense fibrosis and areas of hyalinization and inflammation
There was no evidence of dysplasia or malignancy [Figure 8].
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A massive left frontal cauliflower-like squamous cell carcinoma with central necrosis and peripheral erythema.
Physical examination showed a 12 x 15 x 14 cm left frontal cauliflower-like mass with a necrotic center and peripheral subcutaneous induration with erythema [Figure 1].
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(a) Preoperative 3D reconstruction CT scan showing the destruction of the left frontal bone. Coronal (b) and sagittal (c) T1-weighted MRI sequence with contrast agent showing invasion of the dura and the left frontal lobe.
CT scan showed destruction of the left frontal skull [Figure 2a]. MRI revealed extensive frontal dural induration with a cystic invasion of the left frontal lobe [Figure 2b and c].
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PMC7656049_01_SNI-11-347-g003.jpg
PMC7656049_SNI-11-347-g003_a_1_4.webp
(a) Total excision of the tumor and its extension to the bone, dura, and brain. (b and c) Use of local skin graft with free skin transfer to cover the large skin defect. (d) Postoperative result 3 months after surgery.
The invaded skin, bone, and dura were excised with a safety margin of 1 cm [Figure 3a]. Cutaneous reconstruction was performed using a scalp graft and free thigh flap transfer [Figure 3b and c]. Three months after surgery, the grafts had completely healed [Figure 3d].
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PMC7656049_01
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PMC4359789_01_13039_2015_119_Fig1_HTML.jpg
PMC4359789_13039_2015_119_Fig1_HTML_undivided_1_1.webp
The picture of the proband at the age of 13 years.
Physical examination at 13 years of age revealed auxological parameters above the average (weight >97th centile; height between the 90th and 97th centile) and dysmorphic features including high forehead with frontal bossing, small palpebral fissures, epicanthal folds, hypertelorism (>2 SD), dental abnormalities, high a...
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PMC6319684_01_fig-1.jpg
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(A) February 2015 CT scan. (B) October 2015 CT scan.
In October, 8 months after her only dose of chemotherapy, she had a CT scan that showed continued disease stability (Fig. 1).
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PMC6385762_01_imcrj-12-043Fig1.jpg
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Kidney, ureter and bladder X-ray showing bilateral ureteric calculi; a huge distal ureteral calculus and an opaque staghorn stone in the left side and also a large right ureteral calculus.
Findings illustrated a huge left distal ureteral calculus with 14 cm length and 106 g weight, a large right ureteral calculus with 3 cm longitudinal diameter and also an opaque staghorn stone in the left kidney (Figure 1).
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PMC6385762_01
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PMC7757964_01_EEJ-2-12-g002.jpg
PMC7757964_EEJ-2-12-g002_a_1_4.webp
a-d. (a) Radiography at eight years post-trauma, (b) spherical bur to access the root apical area of the 11, (c) apical lesion (granulation tissue) removed from maxillary central incisor, (d) granulation tissue for histopathological analysis
However, at eight years post-trauma, a radiographically visible apical lesion was diagnosed, and the tooth did not respond to pulp tests and had light sensitivity to percussion (Figure 2a). Paulo, Brazil) were used to cut and scrape the bone to access the root apical area of tooth 11 (Figure 2b). Periapical curettage w...
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PMC7757964_01_EEJ-2-12-g003.jpg
PMC7757964_EEJ-2-12-g003_a_1_2.webp
a, b. (a) Radiography at six months after surgical procedure, (b) follow-up radiography at 53 months from surgical procedure
In the six-month follow-up, a periapical radiograph showed a slight radiolucency consistent with scar tissue (Figure 3a). At 53 months, no apical lesions, root resorption or bone loss were observed (Figure 3b).
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PMC6580008_01_gr1.jpg
PMC6580008_gr1_undivided_1_1.webp
Abdominal CT revealed a distended, floating gallbladder located outside its normal fossa, with thickened wall and twisted pedicule (red arrow).
Abdominal computed tomography (CT) revealed the presence of a distended, floating gallbladder measuring 12.2 x 8.2 x 7.6 cm located outside its normal fossa with thickened non-enhancing wall and a twisted pedicle (Fig. 1).
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PMC6580008_01_gr3.jpg
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Intraoperative photo of distended and necrotic gallbladder after detorsion.
After untwisting, it was found that the gallbladder had a complete long mesentery held closely to the liver (Fig. 3).
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