An 18-year-old male suffered a penetrating skull base injury caused by a metal rod. We made translucent three-dimensional (3D) computed tomography (CT) for clearing the injury site. This method has revealed that right carotid artery was compressed directly by the foreign body, and internal carotid artery trapping was carried out based on hemodynamics as revealed by angiography. This patient ach...

A 54-year-old male patient complained of recent acute onset of severe neck pain and stiffness. MR revealed a retropharyngeal effusion and edematous infiltration of the longus colli (Figure 1). Radiographs and CT demonstrated calcifications anterior to C1-C2 (Figure 2). The patient shortly recovered after treatment with corticosteroids. Tendinitis of the longus colli, also known as retropharynge...

Aortoenteric Fistula (AEF) is a rare and life threatening condition that has been challenging to diagnose and manage [1]. Early diagnosis and treatment is important to prevent fatal outcomes. While multiple diagnostic modalities have been used to help diagnose AEF, including upper endoscopy, aortogram, and Computed Tomography (CT) angiography; a high clinical suspicion and history remain of utm...

Although intensive lipid lowering by statins can enhance plaque stability, few data exist regarding how early statins change plaque composition and morphology in clinical setting. Therefore, to examine early changes in plaque composition and morphology by intensive lipid lowering with statins, we evaluate coronary plaques from acute coronary syndrome (ACS) before and 3 weeks after lipid lowerin...

Introduction: The quality of CT images used for treatment planning of cancer patients is an important issue in accurate outlining of the tumor volume and organs at risk. Different kernels in CT scanner systems are available for improving the image quality. Applying these kernels  on   CT  images  will  change   the   CT  numbers  and  electron   density   of   tissues, conse...

A case of otogenic brain abscess, secondary to cholesteatoma, is reported. Early diagnosis is very important for the treatment of otogenic brain abscess, which is a life-threatening disease. Early diagnosis of this disease is often difficult, because of modification by antibiotics. A 62-year-old male with a longstanding history of chronic left otorrhea with severe headache and fever, was admitt...

Enhanced computed tomography (CT) is widely used for evaluating acute biliary pain in the emergency department (ED). However, concern about radiation exposure from CT has also increased. We investigated the usefulness of pre-contrast CT for differential diagnosis in middle-aged subjects with suspected biliary pain.A total of 183 subjects, who visited the ED for suspected biliary pain from Janua...

Infected thoracic aneurysms are a rare and potentially life-threatening condition that present with non-specific symptoms. We describe here case of an 83-year-old female who presented to the emergency department chief complaint vomiting blood. The patient had 40 days earlier abdominal pain, fever, leukocytosis. She medical history traumatic liver injury resulting in bile duct stenosis, necessit...

INTRODUCTION Brain midline shift (MLS) is a life-threatening condition that requires urgent diagnosis and treatment. We aimed to validate bedside assessment of MLS with Transcranial Sonography (TCS) in neurosurgical ICU patients by comparing it to CT. METHODS In this prospective single centre study, patients who underwent a head CT were included and a concomitant TCS performed. TCS MLS was de...