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Radiological Investigation I: X-ray and CT

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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...

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Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
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Clinical Imaging of Microwave Mammography

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Clinics in diagnostic imaging (127).

D W Y Chee¹, W C G Peh

¹Department of Diagnostic Radiology, Alexandra Hospital, 378 Alexandra Road, Singapore.

Singapore Medical Journal

|August 28, 2009

Summary

A sequestered disc caused severe leg pain in an elderly woman. Surgical removal confirmed the diagnosis, highlighting the importance of accurate imaging for spinal conditions.

Area of Science:

Neurosurgery
Radiology
Orthopedics

Background:

Lumbar disc herniation is a common cause of back and leg pain.
Sequestered discs, where a fragment of the disc migrates into the spinal canal, can present with atypical symptoms.
Accurate diagnosis is crucial for effective treatment and patient outcomes.

Observation:

An 82-year-old female presented with a four-week history of left buttock pain radiating to the left anterior knee.
Magnetic resonance imaging (MRI) of the lumbar spine revealed a rim-enhancing mass at the L3 vertebral level within the spinal canal.
The imaging findings were suggestive of a sequestered disc fragment.

Findings:

Decompression laminectomy confirmed the presence of a sequestered disc at L3.

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The surgical findings correlated with the preoperative MRI.

The patient's symptoms were attributed to the sequestered disc fragment.

Implications:

This case underscores the utility of MRI in diagnosing sequestered discs.
Understanding the imaging characteristics of sequestered discs and their mimics is essential for neurosurgeons and radiologists.
Prompt diagnosis and surgical intervention can lead to effective pain relief and improved function.