By Thomas L Pope Jr. MD
Revised and up to date for its 3rd variation, Aunt Minnie's Atlas is a superb examine instrument for the oral radiology board exam. It positive aspects over 900 pictures and over 250 instances representing "Aunt Minnies"—diseases with targeted radiographic positive factors that let a convinced, speedy analysis. every one case is gifted in an easy-to-follow layout and contains the most important take-away issues referred to as "Aunt Minnie's Pearls." The instances symbolize all modalities and canopy all subspecialties established at the oral forums. This version has extra situations in additional modalities, together with new instances in breast MRI and electronic mammography. A better half web site will provide new circumstances each one area.
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Extra resources for Aunt Minnie's Atlas and Imaging-Specific Diagnosis
As time passes, the testis enlarges and becomes hypoechoic. • Color Doppler sonography is the imaging modality of choice to evaluate the acute scrotum. • The color Doppler findings of torsion are diminished or absent testicular flow on the affected side. • In late or missed torsion, there is increased peritesticular flow around the avascular testis producing a rim sign. 4 60 61 History A 6-year-old with wheezing Findings Frontal radiograph of the chest (Fig. 1) reveals loss of the intrathoracic tracheal air column.
Findings Sagittal (Fig. 1) and transverse (Fig. 2) images of the right lower quadrant at the site of maximal pain reveal a non-compressible blind-ending tubular structure, greater than 1 cm in diameter, with a highly echogenic central focus and distal acoustic shadowing. Diagnosis Acute appendicitis Discussion Acute appendicitis is the most common surgical emergency in the pediatric population. Typically, the pediatric patient presents with initial history of periumbilical pain that gradually shifts to the right lower quadrant.
Aunt Minnie's Pearls 50 51 • Luckenschadel is a temporary abnormality in the bony calvaria associated with dysraphic defects. • It is characterized by fenestrations within the parietal bones and superior portions of the frontal and occipital bones. 2 History A 2-year-old with head trauma Findings Lateral view of the skull at the time of the trauma (Fig. 1) reveals a diastatic linear parietal skull fracture; 2 months later (Fig. 2), there is a larger radiolucent defect with relatively smooth and sclerotic edges in the parietal bone.