Saeed Rad, M.D.

Radiographic Sequela On Knee X-Ray

Case: Radiographic sequela seen on this knee x-ray.

Articles

What radiographic sequela do you see on this knee x-ray? 

Image IQ Quiz: Radiographic Sequela On Knee X-Ray

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 On barium swallow with stomach demonstrated inadequate distension of the stomach with increased rigidity associated with a narrow lumen. The normal mucosal gastric fold pattern is no longer seen and in this case, completely absent.

 Linitis plastica is a condition referring to the appearance of the stomach resembling an “old leather bottle.” There is typically diffuse submucosal infiltration by an adenocarcinoma with thickening and loss of distensibility of the stomach. The mucosal gastric fold pattern is can be absent, thickened, or distorted.

Image IQ Quiz: Patient Presents with Inadequate Stomach Distension

Filling defect disrupting the gastric contour and folds with suggestion of outpouching of the ulcer crater with a relatively smooth border consistent with an ulcer. No significant irregularity of the border.

Features that suggest a benign ulcer is an outpouching of the ulcer crater beyond the gastric border, smooth borders, smooth ulcer mound, smooth folds reaching the margin of the ulcer, “Hampton’s line”, and location along the lesser gastric curvature. Features that suggest malignant gastric ulcer includes irregularity of the borders, nodularity of the ulcer mound, and more commonly seen along the greater curvature of the gastric border.

What is the diagnosis in this patient with melena?

Image IQ Quiz: Patient Presents with Melena

 Filling defect diffusely seen broadly within the small bowel consistent with a parasitic infection consistent with ascariasis.

 GI ascariasis appears as potentially single to multiple worms (nematodes) seen as a longitudinal linear filling defect on barium study. Often times, the intestinal tract of the worm itself can be visualized or if its GI tract is empty, a pure filling defect is seen.

What is the diagnosis in this patient with weight loss?


Saeed Rad, M.D.

Articles

Image IQ Quiz: Radiographic Sequela On Knee X-Ray

Image IQ Quiz: Patient Presents with Inadequate Stomach Distension

Image IQ Quiz: Patient Presents with Melena

Image IQ Quiz: Patient Presents with Weight Loss