No abstract

Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign mesenchymal proliferative lesion of the breast. In this study, we aimed to show a case of PASH with mammographic and sonographic features, which fulfill the criteria for benign lesions and to define its recently discovered elastography findings. A 49-year-old premenopausal female presented with breast pain in our outpatient surgery clinic. In ultrasound images, a hypoechoic solid mass located at the 3 o'clock position in the periareolar region of the right breast was observed. Due to it was not detected on earlier mammographies, the patient underwent a tru-cut biopsy, although the mass fulfilled the criteria for benign lesions on mammography, ultrasound, and elastography. Elastography is a new technique differentiating between benign and malignant lesions. It is also useful to determine whether a biopsy is necessary or follow-up is sufficient.

No abstract

Computed tomographic evaluation of maxillofacial region trauma is a subject requiring expertise. Occasionally, false-positive or negative interpretations may occur. In our case, a 46-year-old male has been exposed to a blunt trauma on the tragus region of the left ear. Hyperemia was determined on the left auricle at the examination. At the physical examination and maxillofacial computed tomography (CT) evaluation performed by plastic-reconstructive surgeon, no osseous pathology requiring surgery was detected. In radiology report, linear nondisplaced fracture line was determined in the anterior section of the left nasal bone, in the left zygomatic arch and in the left lateral orbital wall. However, in the reevaluation of the CT images in the Institute of Forensic Medicine, it was seen that, the fractures described in radiologic report were sutures misdiagnosed as fracture lines. Forensic reports related to maxillofascial trauma imaging sould be evaluated by radiologists experienced in trauma radiology in consultance with clinican in the light of patient's symptoms and clinical findings.

Amaç: Omuz ağrısı șikayetiyle bașvuran hastalarda manyetik rezonans görüntüleme (MR) ile ultrasonografi (US) bulgularını karșılaștırarak rotator manșet lezyonlarında ultrasonografinin etkinliğini araștırdık. Gereç-Yöntem:Omuz MR'ı çekilen 58 hastaya MR sonuçları görülmeden omuz ultrasonografisi yapıldı. US bulguları MR sonuçları ile karșılaștırılarak US'nin omuz ağrısı olan olgularda rotator manșet lezyonlarındaki duyarlılık ve özgüllük değerleri araștırıldı. İnfraspinatus ve subskapularis patolojileri sayıca yetersiz olup istatistiksel analiz güvenilirliğinin düșük olması nedeniyle sadece supraspinatus patolojileri değerlendirilmiștir Bulgular: US ve MR bulguları karșılaștırıldığında supraspinatus tendonu tam kat yırtıklarında US'nin duyarlılık ve özgüllüğü %95, parsiyel yırtıklarında duyarlılığı %71,özgüllüğü ise %98, supraspinatus tendinosis vakalarında duyarlılığı %82,özgüllüğü ise %93' tür. . Materials-Metods:Blinded to MRI results ;shoulder US was performed to 58 patients who had undergone MRI.MRI results were compared to US findings in patients with shoulder pain and rotator cuff pathologies. Results:In the supraspinatus tendon;for full-thickness tears the sensitivity and specificity of US was %95,for partial tears the sensitivity was 71% and the specificity was 98%,for supraspinatus tendinosis the sensitivity was 82%,the specificity was 95%. We could not do reliable statistical analysis becouse of insufficiant number of infraspinatus and subscapularis pathologies and so we evaluated only supraspinatus pathologies. Conclusion:US is an non-invaziv ,cheap and easly accessible imaging metod.Especially for the cases who we think that they have a supraspinatus pathologies the first imaging metod should be US due to its high sensitivity and specificity.