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Radiology gallery 3

Multiple bladder calculi This 80 year-old man presented with haematuria, dysuria and urinary frequency. He had had several previous microbiologically proven urinary tract infections. This image is part of the control film taken prior to an IVU. The multiple radio-opaque lesions seen in the pelvis are bladder calculi. Bladder stones are uncommon in the United Kingdom. They may be asymptomatic but are more prevalent in those with bladder outflow obstruction or recurrent urinary sepsis. They can induce squamous metaplasia and are associated with an increased risk of squamous carcinoma. These stones were removed at open surgery.
A large right renal mass in a child - a nephroblastoma This four year-old boy presented being generally unwell with a large right-sided abdominal mass. The mass clinically was arising from the right kidney. This CT image shows a large, partially necrotic lesion filling the right side of his abdomen and replacing the right kidney. He underwent a radical nephrectomy and histologically the mass proved to be a nephroblastoma - Wilm's tumour.

A left pleural effusion This 70 year-old woman had three years previously undergone a right hemicolectomy for a Duke's C carcinoma. She had post operative adjuvant chemotherapy. She presented to a routine review with increasing shortness of breath and left-sided chest pain. Clinically and radiologically she had a pleural effusion. A diagnostic tap was performed. This showed that the fluid was an exudate (total protein > 30 g/dl) and microbiological cultures were negative. Cytology showed adenocarcinoma cells consistent with a colonic primary tumour.
A cervical spine injury - A C6-C7 dislocation This lateral cervical spine spine x-ray was taken in 50 year-old man who had fallen head first from height.  He complained of severe neck pain but had no neurological symptoms or signs.  It shows loss of the normal alignment and curvature of the cervical vertebrae.  At the C6-C7 junction there is anterior displacement of C6 vertebra with 'fanning' of the spinous processes and narrowing of the disc space.  The appearance is that of a bifacet C6-C7 dislocation.

 
 

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