• Title/Summary/Keyword: CT finding

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Sjogren′s Syndrome Combined with MALT Lymphoma (MALT 림프종을 수반한 쉐그렌 증후군)

  • Han Won-Jeong;Cha Sang-Yun;Kim Eun-Kyung
    • Imaging Science in Dentistry
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    • v.30 no.2
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    • pp.144-148
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    • 2000
  • Sjogren's syndrome is a chronic inflammatory disease that predominantly affects salivary, lacrimal and other exocrine glands. We report a case of Sjogren's syndrome combined with MALT (mucose associated lymphoid tissue) lymphoma which occured in the parotid gland. A 57-year-old female with the complaint of painful swelling and lymph node enlargement was referred to our department. Sialograms of both parotid glands showed globular collections of contrast material uniformly distributed throughout the parotid gland. Salivary scintigraphy showed decreased uptake of the parotid gland. CT scan showed larger, slightly more dense parotid gland than normal and honeycomb glandular appearance. Also, It showed discrete, slightly more enhanced round mass in the left parotid gland. Histopathological finding showed replacement of salivary gland parenchyma with dense small lymphocytic infiltration having the feature of epimyoepithelial islands. Kappa light chain restriction of interglandular plasma cell could be seen.

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A Case of Interarytenoid Scar Disguising Bilateral Vocal Cord Palsy (양측성 성대 마비로 오인된 피열간 반흔 1예)

  • Shin, Dong-Hyuk;Kim, Yong Won;Lee, Yongsik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.25 no.1
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    • pp.36-38
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    • 2014
  • The patient suffered cardiac arrest 8 months before presentation. She has been suffering hoarseness and exertional dyspnea and nocturnal stridor. Upon flexible laryngoscopy, her vocal cords showed no motion and fixed in paramedian position. There was no causal finding on neck CT. EMG showed some muscular activity. Under the suspicion of crico arytenoid fixation, we performed suspension laryngoscopy, and found the arytenoid cartilage was fixed with short and stout scar, which was removed with scissors. Just after surgery she regained her voice and respiration.

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Maisonneuve Fractures Treated with Percutaneous Screw Fixation (경피적 나사못 고정술로 치료한 Maisonneuve 골절)

  • Jung, Chol-Yong;Son, Young-Chan;Bae, Jun-Bum;Choi, Moon-Do
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.2
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    • pp.61-66
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    • 2000
  • Purpose: To evaluate the clinical validity of percutaneous screw fixation in Maisonneuve fracture. Material and Methods: Out of 5 Maisonneuve fracture patients hospitalized in the department of orthopedic surgery of Seigang hospital from February 1995 to May 1998, 4 patients were treated with percutaneous screw fixation and 1 patient was treated with percutaneous screw fixation and repair of deltoid ligament altogether. The results were evaluated on the clinical and radiological finding. Results: In all cases, the range of motion of ankle joint was normal, the complication such as postoperative pain and post-traumatic arthritis were not found. Widening of medial clear space or talar shift were not found in the follow up X-ray and tibiofibular distance, compared with normal ankle joint was same on follow up CT. Conclusion: Percutaneous screw fixation is simple, less invasive and more effective method in the treatment of Maisonneuve fracture.

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Adrenal Hemorrhage in a Neonate (신생아의 부신 출혈)

  • Cho, Kyung-Ah;Yoo, Soo-Young
    • Advances in pediatric surgery
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    • v.1 no.2
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    • pp.204-208
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    • 1995
  • Neonatal adrenal hemorrhage is frequently associated with birth trauma or perinatal hypoxia. Hemorrhagic necrosis of the adrenal glands is often found at autopsy and many small lesions are usually asymptomatic. A palpable abdominal mass and jaundice are the usual presenting signs. Ultrasound is very useful in the diagnosis of this lesion; however, if the mass has mixed echoic pattern, magnetic resonance imaging (MRl) is helpful for the differential diagnosis from neuroblastoma. We present the case of a female newborn who was found to have a abdominal mass on physical examination. The patient showed anemia and hyperbilirubinemia. An ultrasonogram disclosed a $3.8{\times}3.0$ cm suprarenal mass with mixed echoic pattern. The mass was initially suspected to be neuroblastoma. An abdominal computed tomogram was not able to differentiate the mass. Magnetic resonance imaging revealed markedly increased signal intensity on T1 and T2-weighted sequences. This finding was consistent with adrenal hemorrhage. Serial sonogram demonstrated the mass that resolved completely by 12 weeks of age.

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Accidental Subdural Catheterization for Epidural Neurolysis with Phenol -A case report- (경막외 페놀 신경 차단시 우연히 발생한 경막하 카테터 거치예)

  • Lim, Kyung-Im;Kim, Seok-Hong
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.155-159
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    • 1998
  • Epidural neurolysis with phenol has appeared in literature since 1960. Complications due to accidental subdural block is a rare and unexpected sensory and/or motor disturbance, but it does occur. A 74 years old woman had postherpectic neuralgia for 3 weeks and VAS score of 10. She was treated with intercostal nerve block and intravenous infusion of lidocaine for 7 days and VAS score decreased to 6. To proceed further, we decided to perform epidural neurolysis with 4% phenol 1.5 ml. During thoracic epidural catherization, we encountered unexpected subdural catheterization in subdurographic finding, but we could not precisely rule out subdural catheterization. We had to check CT for exact location of catheter tip. We then performed subdural neurolysis with phenol. This procedure reduced VAS score to between 3 and 4, and we removed the catheter. She had no complication.

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Cystic Meningiomas

  • Park, Seung-Soo;Koh, Eun-Jeong;Lee, Woo-Jong;Choi, Ha-Young
    • Journal of Korean Neurosurgical Society
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    • v.40 no.4
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    • pp.281-284
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    • 2006
  • Cystic Meningiomas are rare tumor. There is a clear prevalance in infants, according for $10{\sim}19%$ of all intracranial meningiomas in this age group, compared with only $2{\sim}4%$ in adults. But, reports of cystic meningioma have been increased in frequency since the introduction of computed tomography[CT] and magnetic resonance image[MRI]. Authors report two cases of cystic meningioma in adults. Radiological finding showed extraaxial mass with cystic component. Authors performed total surgical resection of the tumor mass and of the entire cystic component with cystic wall in both patients. Postoperative histopathological diagnosis of the tumor mass was a transitional meningioma in both patients. Both patients showed favorable prognosis and no recurrence findings in follow up MRI.

A Case of Treatment with Baclofen for Chronic Hiccup (Baclofen으로 치료한 만성 딸꾹질 1례)

  • Lee, Seock-Yeol;Lee, Man-Bok;Lee, Kihl-Rho;Koh, Eun-Suk;Im, Han-Heag
    • Korean Journal of Bronchoesophagology
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    • v.5 no.2
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    • pp.217-221
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    • 1999
  • Chronic hiccup is a rare occurrence but can be debilitating for the patient. Treatment of choice is seldom reported. A 83-year-old male was admitted our hospital due to chronic hiccup for 3 months. Chest PA X-ray and chest CT showed a lung mass finding in the right lower lobe. After percutaneous transthoracic needle aspiration, squamous cell lung cancer with abscess formation was confirmed. Within three days of initiation of baclofen treatment. stop of hiccup was obtained. We report a baclofen effect for chronic hiccup.

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A Study on Synthetic Failure-finding Method for Electrical and Thermal Degradation of Polymer Insulator by Surface Discharge

  • Lee, Kang-Won;Jang, Dong-Uk;Park, Cheol-Hyun
    • Transactions on Electrical and Electronic Materials
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    • v.8 no.3
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    • pp.143-146
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    • 2007
  • Polymer insulators are used widely in variable fields for high voltage insulation and separating people from high voltage charging parts for safety and also supporting overhead power line in electric railway. But it may be broken down by tracking path resulting from continuous surface discharge. This paper has investigated synthetically both the characteristics of electrical aging using precision CT(current transformer) and the thermal aging using thermography method. Electrical aging was analyzed for time-frequency region and thermal aging was illustrated by image processing method. This synthetic method may be an appropriate one to evaluate the surface degradation of polymer insulator.

A Case of Congenital Hepatic Fibrosis with Variceal Bleeding (식도 정맥류 출혈을 동반한 간섬유증 1례)

  • Shin, Dong Soo;Lim, Si Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.1
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    • pp.98-101
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    • 2004
  • Congenital hepatic fibrosis is an inherited, congenital disorder of the liver characterized by portal hypertension and hepatic fibrosis. We experienced a case of congenital hepatic fibrosis with esophageal varix in a 9-year-old male. He complained hematemesis, hematochezia, dizziness. In laboratory examination, AST/ALT was slightly increased. Esophageal varix was noted by an endoscopic examination. Hepatosplenomegaly and hypoechoic lesion of periportal area were seen by abdominal CT scanning. Histologic finding of liver biopsy showed fibrous tracts containing dilated bile ductules connecting adjacent portal spaces that were widened by mature fibrosis. Endocopic sclerotherpy and ligation was done. We summarized a case with review of literatures

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Bronchioloalveolar Cell Carcinoma in Solitary Pulmonary Nodule(SPN) with Cavitary Lesion (동공을 형성한 고립성 폐결절에서의 세기관지폐포암)

  • Shim, Jae-Jeoug;Lee, Jin-Goo;Cho, Jae-Youn;Ihn, Kwang-Ho;Yoo, Sae-Hwa;Kang, Kyung-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.4
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    • pp.435-439
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    • 1994
  • Lung cancer is the most common fatal malignant lesion in both sexes. Detection of the solitary pulmonary nodule is important because surgical series up to a third of solitary pulmonary nodules are bronchogenic carcinoma. Bronchioloalveolar cell carcinoma is a rare primary lung cancer and surgery is treatment of choice in brochioloalveolar cell carcinoma. We experinced a case of bronchioloalveolar cell carcinoma in solitary pulmonary nodule with cavitary lesion in chest CT scan, which is an uncommon finding in brochioloalveolar cell carcinoma.

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