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A conjoined twin can be ruled out if there is visualization of two placentae or a membrane separating the twins.
An ultrasound-guided percutaneous liver biopsy was performed.
A prolonged deficiency may cause complications such as Vitamin K deficiency bleeding , which is commonly secondary to preexisting bleeding disorders.
Consideration for preoperative embolization is recommended for hypervascular tumors 3-4 cm with at least 50% of blood supply from accessible branches of the external carotid artery, in eloquent locations and with extensive calcifications.
Concurrent gastrointestinal and urogenital abnormalities, including anal atresia and redundant colon, occur in 50-80% of ACD/MPV patients.
The prevailing thought at the time was that chronic hepatitis was a sequela of acute infectious hepatitis.
Left upper lobe consolidation and bilateral pleural effusions were also visualized.
Surfactant Protein-C deficiency is a rare lung disease with highly variable age of onset, severity, and natural history.
A noncontrast magnetic resonance imaging of the brain showed bilateral symmetrical T2 and FLAIR hyperintense signal in the head of the caudate nuclei and lentiform nuclei.
Cardiac catheterization performed one year later showed no flow distal to the LAD aneurysm. Multiple collateral vessels were observed.
Chest X-rays often show multiple nodules of variable sizes that can wax and wane over time.
An EGD was scheduled for attempted endoscopic mesh removal, however, during the EGD, the protruding mesh could not be retrieved.
Laboratory analysis revealed elevated creatine kinase of 33,912 IU/L and elevated urine protein level of 100 mg/dL.
The aim of endovascular treatment is to completely eliminate the arteriovenous shunt to prevent recruitment of collaterals and persistent risk of hemorrhage.
On CT and MRI, neuroblastomas present as heterogeneous masses with variable enhancement.
An adolescent presented with a seizure after a 1-week history of progressively worsening headache and left-sided neuropathy.
GCNIS can be found adjacent to GCTs in nearly all specimens and in 4-8% of contralateral testes, and 70% of patients with GCNIS develop invasive GCT within 7 years.
Subsequent to the pathologic diagnosis, the patient underwent an 18-F fluorodeoxyglucose positron emission tomography-computed tomography scan to assess for metastatic disease, which showed expected post-surgical and reactive changes with no definitive metabolic evidence of surgical bed residual tumor or regional or distant metastasis.
Objectives measures such as liver stiffness, liver fat fraction, liver volume and spleen volume can be used to quantitatively evaluate the liver.
Hemichorea-hemiballism is a rare hyperkinetic movement disorder characterized by typically continuous unilateral involuntary and nonrhythmic movements of one or both limbs.
Because of its rarity, the condition typically goes undiagnosed until the fourth decade of life.
Gross evaluation showed a well-circumscribed neoplasm with a homogeneous white-tan cut surface and composed of firm parenchyma.
The patient was then taken to urgent cystoscopy for retrograde ureteral stent placement, which was unsuccessful.
The supernumerary testis is typically identified subsequent to symptomatic presentation of inguinal hernia, maldescended testis, testicular torsion, hydrocele, or varicocele.
Atypical mitosis, nuclear pleomorphism, and necrosis were not observed.
They typically present as a rapidly growing, painless, palpable mass that may demonstrate bluish skin discoloration.
Endovascular retrieval with a loop-snare device was successfully performed .
The approach may include, but is not limited to, a first-rib resection, cervical-rib resection, anomalous band division, and scalenectomy.
Four-dimensional CTA using a can accurately diagnose, classify, and assist in treatment planning for DAVF.
Milgram outlined a 3-stage classification for intraosseous lipomas combining both histological and radiologic features Uniformly adipose tumors of viable fat cells A mixture of viable fat cells, fat necrosis, and calcifications Necrotic fat, cystic formation, and reactive woven bone.
These may include recurrent urinary tract infections, metaplasia, and malignancy.
CT angiography of the head demonstrates a vessel branching from the cavernous segment of the right internal carotid artery, which crosses the cavernous sinus, and assumes the course of the intracranial left internal carotid artery terminus .
There are appendicular pathologies that can mimic acute appendicitis, causing the same typical RLQ pain, including appendicular torsion, which is a rare pathology, first described in 1918.
The exact rate at which cement embolizes to the lungs is unknown because patients are not routinely screened with chest imaging before and after the procedure.
Noninvasive methods, such as enzymatic dissolution by pancreatic lipase or cellulose, and medical treatment with metoclopramide or acetyl cysteine have low success rates.
There was preservation of the cortex of the maxillary sinus and maxillary alveolus as well as preserved integrity of the gingival mucosa which was best demonstrated on coronal T2 images and confirmed on clinical examination.
Up to 95% of CNS lymphomas are large B-cell lymphoma, typically Diffuse Large B-Cell Lymphoma , and 99% are primary manifestations while other less common cases exist, such as T-cell, Burkitt's, and lymphoblastic lymphoma.
It is in the epidermis where the Langerhans cell performs its role of immunosurveillance, extending dendritic processes into mucosal sites to maximize the surface area over which they can sample antigens.
On T2W MRI, hyperintense areas can be found in the caudate nucleus, putamen, globus pallidus, and thalamus.
In the remaining cases, NUT is fused to the closely related BRD3 gene and other partner genes .
A 10 year old presented with oral pain and swelling that had been worsening for approximately 1 week.
Preliminary pathology reports of the right thyroid mass revealed clear cell neoplasm consistent with either primary follicular thyroid cancer or metastatic renal cell carcinoma.
Finally, the nodular pattern is thought to represent changes related to hepatic fibrosis it is present in approximately 10% of CFLD patients.
Etiopathology of this disease is unclear.
Soft tissue sarcomas, in general, exhibit variable FDG hypermetabolism, typically in relationship to their histologic grade.
Despite vessel tortuosity, percutaneous embolization under ultrasound guidance can achieve successful results.
Solid and cavitary nodules were visible in the right lung.
Most commonly affected extra-pulmonary sites include bone, joints, skin, soft tissue, and meninges.
A teenager presented with a one-day history of non-bloody, non-bilious emesis, incomplete defecation, and periumbilical abdominal pain with an episode of extreme groin and anal pain.
Ultrasound has been proposed as a screening tool for CFLD.
Retroperitoneal hematomas appear on ultrasound as heterogeneous structures along the pararenal space extending into the pelvis.
Splenic artery embolization falls under the spectrum of NOM, for stable patients with moderate- to high-grade splenic injuries.
All laboratory values were within normal limits.
Testicular microlithiasis, or calcium deposition within the seminiferous tubules, is seen at US as echogenic foci in the parenchyma ranging from 1-3 mm in size.
Directed to identify the source of recurrent subarachnoid hemorrhage.
These tumors are more likely to occur in males, most commonly in the fourth or fifth decade.
Brain computerized tomography demonstrated a lesion near the right Sylvian fissure with displacement of the septum pellucidum.
At diagnosis more than 80% of tumors present as a large , well-defined, solid mass with lobulated contours and a central stellate scar.
The patient in this study was treated with right fourth digit proximal phalanx enchondroma curettage with distal radius bone grafting.
Intraoperative findings included an acute appearing complete tear of the subscapularis tendon.
Mutation in ANKH gene, which is the human ankylosis gene, is thought to be the etiology of CMD.
Laboratory tests were unremarkable, with normal white blood cell count, c-reactive protein and serum lactate.
They all share similar symptomatology, laboratory findings, and imaging features, and are all associated with a benign prognosis.
Computed tomography with intravenous contrast is the imaging technique of choice for the diagnosis of this entity to determine the extension and severity of bowel impact.
The causes for symptomatic Meckel diverticulum are not limited to the inflammation seen in Meckel diverticulitis.
About 90 percent of dedifferentiated liposarcomas arise de novo and 10 percent occur as recurrence of a prior well-differentiated liposarcoma.
The patient denied fever, night sweats, and shortness of breath.
Anorexia nervosa has also been linked to abnormalities in osteoblast and osteoclast progenitor cells in bone marrow.
The tumor was classified as stage III, group II.
Children with long-standing asthma, and occasionally cystic fibrosis, may develop allergic bronchopulmonary aspergillosis , a hypersensitivity reaction to fungal antigens.
Noncontrast computed tomography of the abdomen and pelvis showed a dilated right hemivagina and a fluid collection in the right lower quadrant.
A 58 year old with a history of neurofibromatosis type 1 and recurrent nephrolithiasis presented to the emergency department with right flank pain.
Ultimately chemotherapy was necessary for obvious enlarging Wilms tumors.
Primary endometrial cancer may be curable with surgery, whereas metastatic disease to the uterus has only systemic treatment options with an overall poor prognosis.
This syndrome refers to atrophy or hemiatrophy of a cerebral hemisphere secondary to a brain insult in the fetal or early childhood period.
Ultrasound of the neck revealed a right, hypoechoic, homogeneous lesion of 22 8 7 mm behind the ramus of the mandible and anterior to the mastoid insertion of the sternocleidomastoid muscle.
The patient did well postoperatively with excellent cosmetic results.
Caution should be used in considering radiotherapy for children with CPP owing to the treatment's long-term consequences.
Familial VMs are associated with a mutation of the protein receptor tyrosine kinase mapped to the 9p21-22 gene.
It is generally thought to occur as a result of bilateral occlusion of the ICAs.
Different imaging modalities can aid diagnosis of Rapunzel syndrome.
Postnatal treatment of CPAM is surgical .
Possible differential considerations include but are not limited to ossifying fibroma, bone metastases, and chondrosarcoma.
In immunocompromised patients, CNS involvement is often fatal.
Because the medial aspect of the clavicle at the SCJ does not fully ossify until 23 to 25 years of life, most injuries are more correctly classified as physeal separations or fractures rather than true dislocations.
The measurement of Hounsfield units may assist in identification of the smuggled substance experiments have shown that cannabis has a density similar to bone , cocaine is less dense than fat , and heroin even more hypodense .
Upon arrival, the patient's symptoms worsened and another CT scan was obtained with a split bolus technique to capture the nephrographic and excretory phases in combination, which demonstrated right ureteral injury with extravasation of urine within the pelvis.
Additional intermediate- to high-density fluid surrounded the rectus abdominis, displacing the bladder posterolateral to the right and extending craniocaudally.
It is possible for wall thickening to be asymmetric as opposed to circumferential.
Although hydatid cysts may be found almost anywhere in the body, the liver is the most frequent site of involvement, with the majority of cysts affecting the right lobe.
Diffusion weighted imaging of the spinal cord demonstrated multiple areas of reduced diffusion, representing acute infarcts.
The next step in management entails a multidisciplinary approach that requires input from cardiothoracic, neurosurgical, and infectious disease specialists.
Positron emission tomography/CT is useful in staging and identifying metastasis in intrahepatic cholangiocarcinoma.
Congenital pulmonary airway malformations form from abnormal airway branching and is the most common congenital lung lesion.
Hepatic metastases typically will be multiple, particularly if achieving the size demonstrated in our case.
Lab findings were normal except for iron deficiency anemia.
On histology, embryonal RMS is characterized by rhabdomyoblasts at variable stages of differentiation in sheets and nests within a myxoid matrix.
The area of biopsy-proven myeloma/plasmacytoma was obtained from the left lower abdomen.
The differential diagnosis includes leukemia/lymphoma, osteosarcoma, Ewing sarcoma, bony metastasis and osteomyelitis.
The appearance of other axillary masses may also be difficult to differentiate from lymphadenopathy.
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