Pediatric Body CT, 2nd Edition by Edward Y. Lee (Contribution by), Paul S. Babyn

By Edward Y. Lee (Contribution by), Paul S. Babyn (Contribution by) Marilyn J. Siegel

Dr. Siegel's definitive reference on pediatric physique CT is now in its moment Edition—thoroughly revised to mirror the most recent suggestions and the transforming into use of CT for pediatric sufferers. Chapters supply specified, functional protocols for cardiac, vascular, thoracic, stomach, pelvic, and musculoskeletal imaging and punctiliously describe and illustrate general anatomy and pathologic findings. The ebook comprises over 1,100 photographs got with cutting-edge expertise, together with many three-d photographs. This edition's new bankruptcy on cardiac and vascular imaging demonstrates the application of CT as a robust diagnostic device for cardiac anomalies. A full-color insert depicting vascular and cardiac anomalies is additionally incorporated. A better half web site deals the absolutely searchable textual content and a full-color on-line photograph financial institution.

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The result is the ligamentum arteriosus. Occasionally, the ligamentum calcifies and appears as a punctate or curvilinear calcific density in the location of the aortopulmonary window (Fig. 6) (10). 5. Variations in tracheal shape. A: Ovoid configuration, 4-year-old boy. B: Horseshoe shaped with posterior wall flattening, 14-year-old boy. Tr, trachea. Esophagus/Azygoesophageal Recess The azygoesophageal recess is the part of the mediastinum where the medial aspect of the right lung projects into the posterior part of the middle mediastinum in close association with the esophagus and azygous vein.

CT scan shows discretely enlarged anterior and right paratracheal mediastinal lymph nodes (arrows). Thymic hyperplasia, defined as >50% increase in thymic volume over baseline, is a well-recognized effect of chemotherapy, especially when corticosteroids have been given as part of the treatment plan. The increased levels of glucocorticoids cause lymphocyte depletion from the cortical portion of the gland. Thymic regrowth results when the cortisone levels return to normal and the cortex is repopulated with lymphocytes.

Fluid is the dominant component in 80% of masses (38,39,40). Fat is seen in approximately 76% of mature teratomas, a fatâ fluid level in 10% of cases, and foci of calcification or ossification in approximately 50% of cases. About 15% of teratomas are purely cystic lesions without identifiable fat or calcification (38,39,40). 43 typically not a dominant component. A specific diagnosis of teratoma can be made with certainty by CT when calcifications and fat are demonstrated within an anterior mediastinal mass.

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