WDC

WDC Diagnostic centre provide facilities

Digital X-ray. Computerized ECG. Dental X-ray. Lab Facilities.

Strawberry Radiological   signStrawberry gallbladderStrawberry gallbladder refers to the surface appearance (not shape) ...
18/11/2023

Strawberry Radiological sign

Strawberry gallbladder
Strawberry gallbladder refers to the surface appearance (not shape) of the mucosa of the gallbladder due to multiple small collections of triglycerides and cholesterol esters within the lamina propria of the gallbladder wall (gallbladder wall cholesterolosis).

Strawberry gallbladder represents diffuse cholesterolosis and is a common, idiopathic, non-neoplastic condition.

Strawberry cervix
A strawberry cervix is a finding upon examination where the cervix has a punctate and papilliform appearance. It is named because of the superficial appearance to a strawberry.

As opposed to a more general inflammation of the cervix found in cervicitis, the strawberry cervix is considered to be selectively associated with Trichomonas infections

strawberry tongue A characteristic enanthema of the tongue, characterized by hypertrophy of the fungiform papillae, accompanied by changes of the filiform papillae in a bright red background; an ST is classically seen in scarlet fever, but also occurs in Kawasaki's disease–mucocutaneous lymph node syndrome,

Wish you Happy International Radiography Day to  all Our Radiology Family and friendsWilhelm Conrad Röntgen - Biographic...
08/11/2023

Wish you Happy International Radiography Day to all Our Radiology Family and friends

Wilhelm Conrad Röntgen - Biographical
Wilhelm Conrad Röntgen was born on March 27, 1845, at Lennep in the Lower Rhine Province of Germany, as the only child of a merchant in, and manufacturer of, cloth. His mother was Charlotte Constanze Frowein of Amsterdam, a member of an old Lennep family which had settled in Amsterdam.

When he was three years old, his family moved to Apeldoorn in The Netherlands, where he went to the Institute of Martinus Herman van Doorn, a boarding school. He did not show any special aptitude, but showed a love of nature and was fond of roaming in the open country and forests. He was especially apt at making mechanical contrivances, a characteristic which remained with him also in later life. In 1862 he entered a technical school at Utrecht, where he was however unfairly expelled, accused of having produced a caricature of one of the teachers, which was in fact done by someone else.

He then entered the University of Utrecht in 1865 to study physics. Not having attained the credentials required for a regular student, and hearing that he could enter the Polytechnic at Zurich by passing its examination, he passed this and began studies there as a student of mechanical engineering. He attended the lectures given by Clausius and also worked in the laboratory of Kundt. Both Kundt and Clausius exerted great influence on his development. In 1869 he graduated Ph.D. at the University of Zurich, was appointed assistant to Kundt and went with him to Würzburg in the same year, and three years later to Strasbourg.

In 1874 he qualified as Lecturer at Strasbourg University and in 1875 he was appointed Professor in the Academy of Agriculture at Hohenheim in Württemberg. In 1876 he returned to Strasbourg as Professor of Physics, but three years later he accepted the invitation to the Chair of Physics in the University of Giessen.

After having declined invitations to similar positions in the Universities of Jena (1886) and Utrecht (1888), he accepted it from the University of Würzburg (1888), where he succeeded Kohlrausch and found among his colleagues Helmholtz and Lorenz. In 1899 he declined an offer to the Chair of Physics in the University of Leipzig, but in 1900 he accepted it in the University of Munich, by special request of the Bavarian government, as successor of E. Lommel. Here he remained for the rest of his life, although he was offered, but declined, the Presidency of the Physikalisch-Technische Reichsanstalt at Berlin and the Chair of Physics of the Berlin Academy.

Röntgen's first work was published in 1870, dealing with the specific heats of gases, followed a few years later by a paper on the thermal conductivity of crystals. Among other problems he studied were the electrical and other characteristics of quartz; the influence of pressure on the refractive indices of various fluids; the modification of the planes of polarised light by electromagnetic influences; the variations in the functions of the temperature and the compressibility of water and other fluids; the phenomena accompanying the spreading of oil drops on water.

Röntgen's name, however, is chiefly associated with his discovery of the rays that he called X-rays. In 1895 he was studying the phenomena accompanying the passage of an electric current through a gas of extremely low pressure. Previous work in this field had already been carried out by J. Plucker (1801-1868), J. W. Hittorf (1824-1914), C. F. Varley (1828-1883), E. Goldstein (1850-1931), Sir William Crookes (1832-1919), H. Hertz (1857-1894) and Ph. von Lenard (1862-1947), and by the work of these scientists the properties of cathode rays - the name given by Goldstein to the electric current established in highly rarefied gases by the very high tension electricity generated by Ruhmkorff's induction coil - had become well known. Röntgen's work on cathode rays led him, however, to the discovery of a new and different kind of rays.

On the evening of November 8, 1895, he found that, if the discharge tube is enclosed in a sealed, thick black carton to exclude all light, and if he worked in a dark room, a paper plate covered on one side with barium platinocyanide placed in the path of the rays became fluorescent even when it was as far as two metres from the discharge tube. During subsequent experiments he found that objects of different thicknesses interposed in the path of the rays showed variable transparency to them when recorded on a photographic plate. When he immobilised for some moments the hand of his wife in the path of the rays over a photographic plate, he observed after development of the plate an image of his wife's hand which showed the shadows thrown by the bones of her hand and that of a ring she was wearing, surrounded by the penumbra of the flesh, which was more permeable to the rays and therefore threw a fainter shadow. This was the first "röntgenogram" ever taken. In further experiments, Röntgen showed that the new rays are produced by the impact of cathode rays on a material object. Because their nature was then unknown, he gave them the name X-rays. Later, Max von Laue and his pupils showed that they are of the same electromagnetic nature as light, but differ from it only in the higher frequency of their vibration.

Numerous honours were showered upon him. In several cities, streets were named after him, and a complete list of Prizes, Medals, honorary doctorates, honorary and corresponding memberships of learned societies in Germany as well as abroad, and other honours would fill a whole page of this book. In spite of all this, Röntgen retained the characteristic of a strikingly modest and reticent man. Throughout his life he retained his love of nature and outdoor occupations. Many vacations were spent at his summer home at Weilheim, at the foot of the Bavarian Alps, where he entertained his friends and went on many expeditions into the mountains. He was a great mountaineer and more than once got into dangerous situations. Amiable and courteous by nature, he was always understanding the views and difficulties of others. He was always shy of having an assistant, and preferred to work alone. Much of the apparatus he used was built by himself with great ingenuity and experimental skill.

Röntgen married Anna Bertha Ludwig of Zürich, whom he had met in the café run by her father. She was a niece of the poet Otto Ludwig. They married in 1872 in Apeldoorn, The Netherlands. They had no children, but in 1887 adopted Josephine Bertha Ludwig, then aged 6, daughter of Mrs. Röntgen's only brother. Four years after his wife, Röntgen died at Munich on February 10, 1923, from carcinoma of the intestine.

Special  views of petella BoneAXIAL OR SUNRISE/SKYLINE PROJECTIONS1. Inferosuperior (patient supine 45 degree knee flexi...
03/11/2023

Special views of petella Bone

AXIAL OR SUNRISE/SKYLINE PROJECTIONS

1. Inferosuperior (patient supine 45 degree knee flexion)
2. Hughston method (patient prone, 55 degree knee flexion)
3. Settegast method ( patient prone, 90 degree knee flexion)
4. Sitting tangential method (patient sitting,

The lungs and respiratory system allow us to breathe. They bring oxygen into our bodies (called inspiration, or inhalati...
12/10/2023

The lungs and respiratory system allow us to breathe. They bring oxygen into our bodies (called inspiration, or inhalation) and send carbon dioxide out (called expiration, or exhalation). This exchange of oxygen and carbon dioxide is called respiration.
There are five functions of the respiratory system.

Gas Exchange – oxygen and carbon dioxide.

Breathing – movement of air.

Sound Production.

Olfactory Assistance – sense of smell.

Protection – from dust and microbes entering body through mucus production, cilia, and coughing.

Dacryocystography Dacryocystography involves the radiographic visualization of the lacrimal sacs and associated structur...
11/10/2023

Dacryocystography

Dacryocystography involves the radiographic visualization of the lacrimal sacs and associated structures after injection of a contrast medium.
Indication
To determine the patency of the lacrimal drainage system
Procedure
Explain the procedure to the patient and gain consent
Wash your hands
Put on gloves
Place patient in supine position
Instil a drop of topical anesthetic into palpebral apertures of both eyes.
A control film is taken after intubation of bboth lower punctum with Portex intravenous cannulae, size 27G
Inject 1-2ml of Lipiodol into both lacrimal systems
Take a series of macroradiographs
Place patient in upright postion for 5 minutes
Take another erect oblique radiograph
The injection into the canaliculus is made with a polyethylene catheter, which facilitates the procedure and seems to avoid damage to the lacrimal system. The contrast medium is injected under fluoroscopic control. A water-soluble material is used and observed with the fluoroscope. Whenever necessary or indicated, pictures are taken.

The monograph consists mainly of a series of dacryocystograms, which are complemented by excellent black-and-white sketches explaining the main features of the photograph. After many examples of normal dacryocystograms, the various obstructions, congenital anomalies, and traumatic changes are discussed and illustrated.

This is a most useful book for anybody who uses dacryocystography for the evaluation of pathologic changes in the excretory lacrimal system. Many ophthalmologists will object that the injection of this material does

MR Dacryocystography: Comparison with Dacryocystography and CT Dacryocystography

Several techniques have been used to image the nasolacrimal system, providing functional (dacryoscintigraphy) or morphologic (dacryocystography, CT dacryocystography [CTD]) information. Using gadopentetate dimeglumine–diluted solution injected into the lacrimal canaliculus or instilled into the conjunctival sac, we compared the sensitivity of MR dacryocystography (MRD) with that of CTD.

A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the bod...
10/10/2023

A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column

Artifacts in diagnostic ultrasoundUltrasound artifacts are encountered daily in clinical practice and may be a source of...
09/10/2023

Artifacts in diagnostic ultrasound

Ultrasound artifacts are encountered daily in clinical practice and may be a source
of confusion on interpretation. Some artifacts arise secondary to improper scanning techniques
and may be avoidable. Other artifacts are generated by the physical limitations of the technique.
Recognition of artifacts is important, as they may be clues to tissue composition and aid in
diagnosis. The ability to recognize and correct potential ultrasound artifacts is important for
image-quality improvement and optimal patient care. In this article, we review common ultra-
sound artifacts that occur in B mode, spectral and color Doppler, and elastography.
Keywords: artifacts, ultrasound, Doppler artifacts, B-mode artifacts

Artifacts in diagnostic ultrasound

Gray-scale artifacts
Reverberation
Appearance
Multiple equidistantly spaced linear reflections

Ring-down artifact
Appearance
A line or series of parallel bands extending posterior to a gas
collection

Comet-tail artifact
Appearance
Series of multiple, closely spaced small bands of echoes

Shadowing
Appearance
Dark or hypoechoic band deep to a highly attenuating struc-
ture

Clean shadowing
Appearance
Uniformly anechoic signal behind a structure

Dirty shadowing
Appearance
Low-level echoes in the shadow deep to gas

Increased through-transmission
Appearance
Hyperechoic area behind a structure

Partial shadowing
Appearance
Hypoechoic signal behind a structure.

Refraction “ghosting”
Appearance
Duplication of a structure or structures appearing

Refractive shadowing (edge artifact,
lateral cystic shadowing)
Appearance
Shadow occurring at the edge of a curved surface

Speed propagation
Appearance
Artificial widening of a structure

Side lobes and grating lobe artifacts
Appearance
Hyperechoic rounded object within an anechoic or
hypoechoic structure such as the urinary bladder or gallblad-
der lumen

Volume averaging (section
thickness, slice thickness)
Appearance
False sludge or debris within anechoic cystic structures

Range ambiguity
Appearance
Structures deep to the scanning range are depicted in the
image.

Mirror-image artifact
Appearance
Duplicated structure equidistant from but deep to a strongly
reflective interface

Electronic interference/spiking
Appearance
Bands of noise

Banding
Appearance
A band of increased brightness.

Attenuation artifact
Appearance
Nonvisualization of deep structures

Spectral and color Doppler
Mirror image (cross talk)
Appearance
Mirror image of the spectral display on the opposite side of
the baseline

Tissue vibration
Appearance
Red and blue Doppler signal in perivascular soft tissue

Flash artifact
Appearance
Spurious appearance of blood flow

Spurious spectral broadening
Appearance
Spurious spectral broadening

Lack of shear-wave signal (shear wave)
Appearance
No color-coding of a lesion in shear-wave imaging

Dirty shadowing
Appearance
Low-level echoes in the shadow deep to gas

Increased through-transmission
Appearance
Hyperechoic area behind a structure

Partial shadowing
Appearance
Hypoechoic signal behind a structure.

Refraction “ghosting”
Appearance
Duplication of a structure or structures appearing

Refractive shadowing (edge artifact,
lateral cystic shadowing)
Appearance
Shadow occurring at the edge of a curved surface

Speed propagation
Appearance
Artificial widening of a structure

Side lobes and grating lobe artifacts
Appearance
Hyperechoic rounded object within an anechoic or
hypoechoic structure such as the urinary bladder or gallblad-
der lumen

Volume averaging (section
thickness, slice thickness)
Appearance
False sludge or debris within anechoic cystic structures

Range ambiguity
Appearance
Structures deep to the scanning range are depicted in the
image.

Mirror-image artifact
Appearance
Duplicated structure equidistant from but deep to a strongly
reflective interface

Electronic interference/spiking
Appearance
Bands of noise

Conclusion
US artifacts are common, and some can be used to aid in
diagnosis when the principles of the artifacts are known.
Understanding the cause of the artifacts can help to eliminate
unwanted artifacts.

Kleine Levin Syndrome Kleine-Levin syndrome is a rare sleep disorder that mainly affects adolescents and is characterise...
19/09/2023

Kleine Levin Syndrome

Kleine-Levin syndrome is a rare sleep disorder that mainly affects adolescents and is characterised by relapsing-remitting episodes of severe hypersomnia, cognitive impairment, apathy, derealisation, and psychiatric and behavioural disturbance
Possible causes are:
Circadian rhythm (sleep cycle) dysfunction
Disturbances in thalamus, temporal lobe and frontal lobe.
Dysfunction in the metabolism of serotonin and dopamine.
Multifocal, localized encephalopathy
Kleine-Levin syndrome may be confirmed based upon excessive sleep requirements (hypersomnolence); the desire to eat all available food (compulsive hyperphagia); and hypersexuality. Certain medical tests may be performed to rule out other conditions such as epilepsy, brain lesions, meningitis or encephalitis.

Galactography (DuctographyGalactography uses mammography and an injection of contrast material to create pictures of the...
19/09/2023

Galactography (Ductography

Galactography uses mammography and an injection of contrast material to create pictures of the inside of the breast’s milk ducts. It is most commonly used when a woman has experienced a bloody or clear discharge from the breast ni**le but has an otherwise normal mammogram. It’s important not to squeeze the ni**le prior to the exam as there may only be a small amount of fluid and it is necessary to see where it is coming from to perform the exam.

Galactography (Ductography)
Galactography is an x-ray examination that uses mammography, a low-dose x-ray system for examining breasts, and a contrast material to obtain pictures, called galactograms, of the inside of the breast's milk ducts.

An x-ray (radiograph) is a noninvasive medical test that helps physicians diagnose and treat medical conditions. Imaging with x-rays involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body. X-rays are the oldest and most frequently used form of medical imaging.

The breast is composed primarily of three structures: fat, lobules (that make the milk) and milk ducts (that carry the milk from the lobule to the ni**le). While mammography, ultrasound and magnetic resonance imaging (MRI) are excellent ways to image the breast; they do not visualize the inside of the breast's milk ducts to the same degree as galactography.

What are some common uses of the procedure
The most common use of galactography is to evaluate a woman who has a bloody or clear discharge from her breast ni**le and an otherwise normal mammogram.

Galactography is typically NOT called for in women with the following conditions:

A discharge that is milky, blue-green, green, or gray is usually not a cause for concern, especially if it comes from multiple ducts in the breast.
A discharge that is from both breasts in a woman who has not had children may indicate a side effect from a drug, or may be related to a pituitary problem located in the brain.

Venogram Venography (also called phlebography or ascending phlebography) is a procedure in which an x-ray of the veins, ...
18/09/2023

Venogram

Venography (also called phlebography or ascending phlebography) is a procedure in which an x-ray of the veins, a venogram, is taken after a special dye is injected into the bone marrow or veins. The dye has to be injected constantly via a catheter, making it an invasive procedure. Normally the catheter is inserted by the groin and moved to the appropriate site by navigating through the vascular system.

Contrast venography is the gold standard for judging diagnostic imaging methods for deep venous thrombosis; although, because of its cost, invasiveness, and other limitations this test is rarely performed.

Venography can also be used to distinguish blood clots from obstructions in the veins, to evaluate congenital vein problems, to see how the deep leg vein valves are working, or to identify a vein for arterial bypass grafting.

Areas of the venous system that can be investigated include the lower extremities, the inferior vena cava, and the upper extremities.

A venogram is performed in the x-ray department or in an interventional radiology suite, sometimes called special procedures suite.

You will lie on an x-ray table. Depending on the body part being examined (e.g., the legs), the table may be situated to a standing position. If the table is repositioned during the procedure, you will be secured with safety straps.

The physician will insert a needle or catheter into a vein to inject the contrast agent. Where that needle is placed depends upon the area of your body where the veins are being evaluated. As the contrast material flows through the veins being examined, several x-rays are taken. You may be moved into different positions so that the x-rays can take pictures of your veins at different angles.

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