Myositis ossificans bone scan case _811

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Case of bone scintigraphy of myositis ossificans
 
 
Medical Press. 2001. [2] Cao guests. Diagnostic utility of bone and joint imaging [M]. Jinan: Shandong Science and Technology Publishing House. 1998. [3] GungorF. YaziciM, EgehanI. eta1. Fhallium201uptakeinmyositisossifyicans: potentialpitfa1995, 20 (3): 259262. (2003 ~ 0228 Received 2003-06-10 Revised the same) Chylothorax lymphangiography three cases of Chen Xinglong 【Key Words 1R814.43; R561.7 Document code 【D】 【Article ID 11000-0313 (2003) 12 -0920-01 sick data paper chylothorax in 3 cases, 2 females, 1 male, aged 25 to 44 years, underwent repeated pleural puncture fluids,You are not allowed to view links. Register or Login, or line of closed drainage, chyle test positive pleural effusion, pleural effusion is not checked tumor cells. In 2 cases of female patients showed no incentive under the chest tightness, shortness of breath 3 months, no history of trauma, chest radiograph, CT or MRI shows right pleural effusion and right lung was compressed to change the clinical diagnosis of spontaneous chylothorax right . 1 case of male patients was found in the physical examination the left pleural effusion. CT showed mediastinal tumor (possible sources of lymph.) Left pleural effusion, a 12, including thickening, a diagnosis of mediastinal tumor biopsy tissue degeneration and necrosis of lymphocytes infiltration, bronchoscopy were normal. Puncture through the dorsal lymphatic imaging, the use of 12 ~ 15ml imported lipiodol. To less than 0.2ml/min flow rate of a contrast agent bolus. Using Philips digital gastrointestinal machines, angiography 0.5 ~ 3h observed lymphatic drainage and thoracic duct film camera. 1 female patients in the T contrast agent leakage was noted in vertebral bodies. Tip thoracic duct fistula, the top of the thoracic duct showed impairment (Figure 1). The other 1 female left pleural thoracic lymphatic duct and the branch is not seen in a continuous distribution of contrast agent, no filling the right thoracic duct branches (Figure 2), consider a right thoracic duct, the Ministry of brachiocephalic venous obstruction possible. Again the left upper limb venography,You are not allowed to view links. Register or Login, the left forearm vein into the compound after diatrizoate 40ml, see the contrast agent along the vein on the back to the synthesis of reported cases of axillary vein and subclavian vein, and then into the left brachiocephalic vein and contrast agent through unobstructed. 1 case of male patients for the contrast agent in the middle of the left femur above to the left groin lymphatic vessels have more contrast, showing patchy strip and show up to the groin area over the left blocked, contrast agent was sporadic, intermittent, line like display (Figure 3). The last line of thoracoscopic biopsy,You are not allowed to view links. Register or Login, pathology of malignant thymoma (lymphoid dominant type), tumor invasive growth to the surrounding tissue by chemotherapy and radiotherapy, pleural effusion disappeared. 2 cases of women underwent thoracic duct ligation, postoperative recovery was good, chylous pleural effusion test was negative. Discussion of the lymph reflux after thoracic duct leakage, and chylous fluid accumulates in the pleural cavity is called chylothorax. Chylous fluid leakage resulting in the cause of chest trauma, obstruction, congenital hypoplasia or the formation of thoracic duct fistula one. From the thoracic duct at the level of the vertebral unit I!: 200052 Shanghai, People's Liberation Army 455 Hospital, Radiology Author: Chen Xinglong (1964), male, Zhejiang Yiwu, the attending physician, is mainly engaged in the work of CT and angiography. Figure 1 lymphangiography showed T. Rib below the level of the thoracic duct after lipiodol shadow discontinuous distribution. White arrow shows a high density of free lipiodol shadow to the right chest. Figure 2 lymphangiography, thoracic duct and the left branch of pleural lymphatic imaging, visible impact of discontinuous distribution of iodized oil. Figure 3 lymphangiography,You are not allowed to view links. Register or Login, black arrows show blocked sites, the following contrast agent was isolated, linear display. The chyle pool, long 3O ~ 40cm, underwent in the posterior mediastinum into the chest, the aorta and the azygos vein in the chest between the uplink, due to heart beat relationships seen on television under the relatively small thoracic duct, or thoracic duct is not easy to see . In this paper two cases of spontaneous chylothorax women, thoracic duct seen in 1 case, another thoracic duct fistula in 1 case to see, but do not appear on the thoracic duct. 1 case of male patients with thymoma B_ type, abuse or oppression of thoracic duct obstruction. The formation of chylothorax. 3 cases were confirmed by medical treatment can not be a clear cause, location or nature, can be clearly lymphangiography and thoracic duct lymphatic obstruction, may also be observed in contrast spill from the injury to the thoracic duct within the chest area. Is very intuitive,You are not allowed to view links. Register or Login, as the thoracic duct ligation suture repair or provide a basis.