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AuntMinnie 2007: Gadolinium: A 'necessary factor' in the development of NSF?

AuntMinnie

In 2007, our top article offered a deep dive into the association of nephrogenic systemic fibrosis (NSF) with gadolinium-based contrast agents. Imagine going in for a diagnostic MRI scan and coming out with a progressive, irreversible, and potentially fatal disease. They found 14 cases (0.77%) of confirmed NSF among 1,826 patients.

Disease 116
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Interstitial lung abnormalities linked to respiratory disease risk

AuntMinnie

CT imaging shows that severe acute respiratory disease events can be caused by quantitative interstitial abnormalities (QIA) -- that is, small irregularities that don't necessarily meet diagnostic criteria for advanced pulmonary diseases but show up on CT exams over time, a study published April 30 in Radiology has reported.

Disease 111
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Lung Abnormality Progression Linked to Acute Respiratory Disease in Smokers

Imaging Technology

Quantitative interstitial abnormalities (QIA) are subtle abnormalities on chest CTs that do not meet the diagnostic criteria for advanced pulmonary diseases but are nonetheless associated with decreased lung function and capacity, increased respiratory symptoms and death. “QIA

Disease 94
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Is semiannual mammo after breast conserving surgery necessary?

AuntMinnie

Annual mammography with a clinical exam -- rather than semiannual -- is “likely sufficient” for women who have undergone breast-conserving surgery and were treated with neoadjuvant therapy, a study published March 2 in Surgical Oncology Insight has found.

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REBEL Core Cast 116.0 – Achilles Tendon Rupture

REBEL EM

Take Home Points Achilles tendon rupture is a clinical diagnosis. Partial rupture of the proximal Achilles tendon: a differential diagnostic problem in ultrasound imaging. 2007; 31:279-284. MRI is Unnecessary for Diagnosing Acute Achilles Tendon Ruptures: Clinical Diagnostic Criteria. Br J Sports Med.

X-ray 103
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Managing the Patient with Alcohol Intoxication

REBEL EM

Patients may be agitated or altered, hindering their initial evaluation and diagnostic workup. It is reasonable to wait to consult psychiatry until clinical sobriety is achieved. If there is a strong clinical suspicion of alcohol use, but a patient denies drinking, it is reasonable to send an alcohol level.

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Extramedullary focal fat - fluid level, a specific sign of osteomyelitis

Neuroradiology Cases

Findings were discussed with the referring physician before finalizing the report, who added that there is elevation of inflammatory markers in lab reports and the suspicion of osteomyelitis clinically as well, with a feedback of significant improvement clinically after IV antibiotics. 2007 Jun;36 Suppl 1:S101-4. Eur Radiol.