PICKER

Picker Images

NUCLEAR MEDICINE CASES

1) MR MR- PCD BRAIN

This patient is an 81 y.o. female who presented with headaches and progressive left side weakness. The MRI demonstrates an enhancing lesion with surrounding edema in the right parietal lobe. The PCD images show a photopenic defect in the right parietal lobe. The fusion images show the photopenic defect corresponds to the enhancing tumor. The patient had radiation therapy followed by surgery.

2) Planar MUGA 8 min

A 52 y.o. male with a history of chest pain and shortness of breath is evaluated. The MUGA demonstrates normal wall motion and normal ventricular size and ratios. The ejection fraction is 53%.

3) Parathyroid Tl-Tc

This is a 34 y.o. male with hypercalcemia and hypercalcuria. The Technicium scan followed by Thallium with subtraction images demonstrates markedly increased uptake in the right lower parathyroid. The patient underwent surgical resection and a parathyroid adenoma was removed.

4) In111 Oncology SPECT

This 70 y.o. oncology patient presented with fever and fatigue. The Indium scan demonstrates increased uptake in the perirectal region. A large abscess was found on CT and subsequently drained.

CT CASES

1) CT BRONCHOSCOPY

This 47 y.o. male with a history of TB presented with a new mediastinal mass seen on a CXR. CT endoscopy with multispiral acquisition and volume rendering demonstrates a calcified mediastinal node, which is visible 'through' the bronchus.

2) RENAL STENT

A 58 y.o. female with a history of hypertension had prior placement of a left renal artery stent. The patient's blood pressure was rising and the stent was assessed with CT angiography with 4-D angiographic volume rendering. The lumen of the vessel was shown to be patent through the stent.

3) PELVIC FX

This patient has a pelvic fracture previously openly reduced and pinned. The 4-D images show pin positions in the iliac wings as well as fractures of the pubic rami.

MR CASES

1) SHOULDER, VOLUNTEER

T1 coronal and coronal Fat Sat images demonstrate normal architecture. The joint is preserved and the cartilaginous structures are normal.

2) LUMBAR SPINE, VOLUNTEER

Sagital T2 FSE and axial images demonstrate no evidence of disc herniation or compression of the nerve roots.

3) BRAIN WITH ANGIO, VOLUNTEER

MRA demonstrates normal architecture of the common, internal, and external carotid arteries. There is no evidence of stenosis.

4) ABDOMEN, VOLUNTEER

Express coronal and axial images show a normal liver, kidneys, and spleen. The vasculature is normal. The portal system is normal.

X-RAY CASES

1) CASE #8

The HSG shows narrowing of the lumen of the uterus with a smooth endometrial lining. The tubes are patent bilaterally with extrusion of contrast bilaterally into the pelvis.