Journal of Clinical and Medical Images, Medical Imaging Journal

Clinical Image

Colonic Stricture in Ulcerative Colitis: Diagnosis Out-of-the-Way

1. Abstract A 51-year Asian man, with Ulcerative Colitis (UC) for 10 years, presented as 8 months history of intermittent abdominal pain and change in bowel habits, feeling of lump-in-abdomen, tenesmus, bleeding per rectum and significant weight loss for 2 months. He was never on immunosuppressant for UC. MRI abdomen showed circumferential enhancing thickening (up …

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Glycogenic Acanthosis: Just an Incidental Finding?

1. Clinical Image A 15-year-old girl, with a previous allergic asthma diagnosis, was evaluated because of progressive dysphagia and heartburn over the last two months. An upper gastrointestinal endoscopy was performed and showed an apparent trachealization of all segments of the oesophageal mucosa (Figure 1 and 2). Histological analysis of three-level biopsies revealed hyperplasia of …

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Rokitansky-Mayer-Kuster-Hauser Syndrome

1. Clinical Medical Image The patient was 18 years old, followed for Hodgkin’s lymphoma at puberty stage under treatment, admitted for absence of menarche and pelvic pain. Pelvic ultrasound revealed uterine agenesis, confirmed by pelvic MRI which showed uterine agenesis with hypoplasia of the upper 2/3 of the vagina continuing with elongated T2 hypointense structures …

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Hemoptysis on False Rasmussen Aneurysm

1. Clinical Medical Image A 65 old man, with a history of heavy smoking was diagnosed with pulmonary tuberculosis. Admitted to the emergency room for respiratory distress with hemoptysis and stage III dyspnea, the biological workup revealed a hemoglobin of 9 with d-dimer of 10000, The thoracic angioscanner showed a distal right pulmonary embolism with …

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Excessive Dynamic Airway Collapse

1. Clinical Image A 71-year-old man underwent an elective liver transplantation for decompensated alcoholic liver cirrhosis. He had a medical history of Chronic Obstructive Pulmonary Disease (COPD) group B. In the pre-operative examination, spirometry had revealed: Forced Expiratory Volume (FEV-1), 2.18 L (69% of predicted value), forced vital capacity (FVC), 3.50 L (84%), Total Pulmonary …

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Comparative Study of Truenat MTB/RIF Assay and MGIT Culture in Testing Different Types of Spinal Tuberculosis Tissue Specimens in T Ward Mumbai

1. Abstract 1.1. Introduction: The World Health Organization says there are nearly 1 million cases of rifampicin-resistant tuberculosis (RR-TB) worldwide in 2019. About 78% of cases are multidrug-resistant (MTB), of which India bears the heaviest burden. Early diagnosis and determination of drug resistance could promote effective treatment ofspinal tuberculosis and reduce therisk ofMTB.

Magnetic Resonance Imaging of an Atypical Trigeminal Neuralgia Case

1. Clinical Images A 71-year-old man presents to the clinic complaining of 1-month right-sided headache, motivating prior hospital visits for analgesia. Pain is persistent, with paroxysmal exacerbations, accompanied by nausea and heartburn. He feels tingling on the right face. MRI was done (Figure 1), revealing T2 FLAIR hiperintensity along trigeminal ganglia and tract. Carbamazepine thrice …

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Characteristic Computed Tomography Findings of Intersigmoid Hernia

1. Clinical Image A 52-year-old man with no surgical history was admitted to our hospital. Physical examination revealed tenderness in the lower abdomen. Contrast-enhanced computed tomography (CT) showed a closed-loop formation and edema of the distal ileum between the sigmoid colon and left psoas muscle (Figure A). Edema and a sac-like appearance of the ileum …

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