RESUMO
We report a case of synovial chondroma of the left ankle in an 11-year-old boy presenting with soft tissue swelling after recent trauma. The noncalcified or nonossified intraarticular chondroma arising from metaplastic synovium has characteristic imaging appearance on computed tomography (CT) and magnetic resonance imaging (MRI). A lobulated mass of fluid-like density and signal intensity along with internal septa are characteristic features on CT and MRI. The knowledge of CT and MRI features of noncalcified or nonossified synovial chondroma is important to distinguish from the simple or complicated effusion, hemarthrosis, or other synovial process.
Assuntos
Traumatismos do Tornozelo/complicações , Articulação do Tornozelo , Condromatose Sinovial/diagnóstico , Imageamento por Ressonância Magnética , Tomografia Computadorizada por Raios X , Articulação do Tornozelo/diagnóstico por imagem , Articulação do Tornozelo/patologia , Criança , Condromatose Sinovial/etiologia , Humanos , MasculinoRESUMO
Isolated intradiaphragmatic bronchogenic cysts are extremely rare. Here, we report a case of intradiaphragmatic bronchogenic cyst with calcifications in a 34-year-old man presenting with no clinical symptoms. Imaging studies of the chest, including chest roentgenogram and computerized tomography (CT), revealed a left posterior mediastinal mass that abutted onto the left diaphragmatic crus with multiple calcifications and showed no enhancement after contrast administration on CT. The patient underwent surgical resection of the mass. Intradiaphragmatic bronchogenic cyst with calcifications was diagnosed by pathology. The patient was discharged 10 days after the operation, and no complication was found 3 months later at follow-up.
Assuntos
Cisto Broncogênico/diagnóstico por imagem , Diafragma/patologia , Adulto , Cisto Broncogênico/patologia , Cisto Broncogênico/cirurgia , Humanos , Masculino , Tomografia Computadorizada por Raios XRESUMO
Solitary lymphangioma of the spleen is an extremely rare, benign vasoformative tumour that typically shows no notable enhancement on imaging studies. Few descriptions of the MRI features have been reported and, to our knowledge, the findings on dynamic gadolinium-enhanced MR images have never been described. We report a case in which MR images showed diffuse and prolonged enhancement of a splenic mass. On histological correlation, splenic lymphangiomas with abundant fibrous stroma may account for this specific enhancing pattern.
Assuntos
Linfangioma/diagnóstico , Neoplasias Esplênicas/diagnóstico , Meios de Contraste , Diagnóstico Diferencial , Feminino , Gadolínio , Humanos , Imageamento por Ressonância Magnética/métodos , Pessoa de Meia-IdadeRESUMO
Urinary production rate and the osmotic and ionic concentrations in both urine and hemolymph were measured in cannulated intermolt Penaeus monodon which were either abruptly transferred from 45 ppt seawater to 15 ppt seawater (Experiment 1) or acclimated to 5, 25 and 45 ppt seawater (Experiment 2). In Experiment 1, urinary magnesium concentration fell dramatically from 228 to 30 mEq/l within 4 h post-transfer, but 8 h after transfer, U/H (urine/hemolymph) ratios stabilized at between 1.0 and 2.5. Sodium was higher in urine than in hemolymph during the first 24 h after transfer, while potassium was lower in urine than in hemolymph until 72 h after transfer, which suggests that sodium and potassium concentrations are regulated by the antennal gland after an abrupt change in media. In Experiment 2, the urinary production rate of P. monodon decreased as salinity increased, suggesting that the antennal glands also regulate body volume. In the acclimated shrimps of Experiment 2, the antennal glands did not appear to regulate osmolarity or the concentration of chloride, sodium, potassium, and calcium ions, but as salinity increased, U/H ratios of magnesium increased from 2.3 to 13.5, and active secretion by the antennal gland accounted for 57 approximately 93% of the total magnesium excretion through urine. These results suggest that active secretion of magnesium by the antennal gland enable this shrimp to maintain hypoionic levels of magnesium in the hemolymph.