With the advent of the COVID 19 pandemic, it may be prudent to review the radiographic findings of viral or secondary bacterial pneumonia, which may be a complication of the infection. In this article, I will describe two cases in which pneumonia developed. To begin, I would like to review some of the recent Coronavirus data.
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Calcification/ossification of cartilaginous bodies within a synovial joint is not a rare phenomenon. This may occur secondarily as a result of degenerative joint disease or as a primary entity. Technically this is referred to as “synoviochondrometaplasia.” As the name implies, this represents a metaplastic process involving the synovium of the joint, in which cartilaginous loose bodies form within the joint.
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The following case occurred earlier this year. It is fairly representative of the benefit of imaging in the chiropractic setting and demonstrates the service that an astute Doctor of Chiropractic can provide.
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Calcification of the stylohyoid ligaments or thyroid cartilage may be frequently mistaken for calcific plaquing of the vertebral artery. In actuality, calcification of the vertebral arteries is extremely rare. The calcification of the stylohyoid ligaments and thyroid cartilage is commonly encountered and should not be mistaken for arterial calcification.
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A condition that may plague adults, particularly males in the 20-40 year age range, is avascular necrosis of the lunate. This has been termed Kienbock’s disease in reference to the doctor who first diagnosed the disease in 1910.
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The os odontoideum is one of many developmental abnormalities that can occur and yet be completely occult to the examining physician.
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I am not really sure why the topic of shoulder MRI tends to be so popular, but I have a few ideas. Perhaps it is because shoulder problems tend to be a bit more difficult to accurately diagnose. Although that statement may seem misleading, the majority of shoulder pain is due to rotator cuff problems, but the difficulty often lies in trying to distinguish rotator cuff tendinosis from cuff tear.
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Plain film radiographs often reveal calcifications in or near the spine. Calcifications, while relatively common and innocuous, may at times be symptomatic.
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