Portal vein thrombosis (PVT) refers to thrombosis that develops in the trunk of the portal vein including its right and left intrahepatic branches and may even extend to the splenic or superior mesenteric veins. PVT due to Cytomegalovirus (CMV) infection is a rare complication, scarcely described in English literature. We present a case of a 58-year-old immunocompetent patient with PVT and small bowel ischemia.

Background: A 9-year-old boy was admitted to the emergency department because of repetitive vomiting and loss of appetite for 4 days. There was peristalsis present and laboratory tests were normal.

Background: A 10-year-old girl presented to the emergency department with acute abdominal pain in the right fossa. There was no known previous medical history. She had a fever up to 38,4°C without any complaints of nausea, vomiting or diarrhea.

Background: A 47-year-old male consulted the emergency department in our hospital with a history of short standing but aggravating peri-umbilical pain. In the past week he had no stools, a loss of appetite combined with episodes of nausea and vomitus. Clinical investigation showed diffuse abdominal tenderness and a distended abdomen. A contrast-enhanced CT scan of the abdomen was performed. During the further clinical work-up an intra-abdominal E. coli sepsis was diagnosed

Background: A 66-year-old man, known with nephrocalcinosis in his medical history, was complaining of weight loss, pain at the level of the kidneys and at the right hip. Clinical examination revealed no additional abnormalities. The initial laboratory results showed high calcium (3,5 mmol/L), and normal phosphate (1,07 mmol/L) levels. Alkalic phosphatase in blood was 681 U/L, and PTH levels were high (1788 pg/ml).

Background: A 13-year-old boy was referred for MR imaging of the thoracolumbar spine to further differentiate a spindle shaped hyporeflective soft tissue mass in the back seen on ultrasonography (not shown) most characteristic for a lipoma. After a closer look at the medical history we learn that the boy is known since the age of 7 with a problem of paresis with atrophy of the left arm. An earlier MR examination of the thoracic outlet showed bilateral soft tissue masses interpreted as diffuse thickening of the plexus brachialis nerves, thus explaining the patient’s complaints, without however a clear etiology being withheld. One year ago a new small mass was excised from the boy’s lip. Anatomopathological analysis revealed an interesting diagnosis: submucosal neurofibroma. Now putting these at first apparently independent events in a greater context, we decided to also realize a MR examination of the brain.

Background: A 70-year-old female presented with increasing abdominal girth and extraordinary gain of weight over the past few months. There was no significant medical history. Initially, patient underwent ultrasonography of the abdomen which suggested the diagnosis of cystadenocarcinoma of the right ovary. The laboratory results showed an increase of tumor marker levels (CA19.9 3.7 U/ml (0-37), CEA 55.1 ng/ml (0-3)). Paracentesis allowed aspiration of only a small amount of mucous substance.

Background: A 65-year-old woman presented with progressive walking disturbances and limping of the left leg. On clinical examination central paresis of the left leg was observed. The Babinski sign was positive on the left. Initially there were no sensory disturbances. EMG showed no evidence of a peripheral neuropathy. MR-examination of the brain (not shown) demonstrated nonspecific white matter lesions that could not explain the patients' symptoms.

Background: A 45-year-old man was initially referred with right shoulder pain after a survival weekend. Five months later he returned to the hospital with persisting complaints despite therapy, based on anti-inflammatory drugs and laser therapy. This time he also mentioned a scrotal and inguinal swelling palpable of 2 months duration. Both blood and biochemical analysis were in the normal range, tumor markers turned out negative.

Background: A 37-year-old man presented with a 12 months history of post-micturition dribbling and perineal discomfort, mostly when seated. The patient also complained of a poor stream of urine and the need to strain while passing urine. Clinical examination revealed fullness in the perineum overlying the bulbar corpus spongiosum. Digital rectal examination demonstrated a smooth prostate of approximately 30 grams. Microbiological analysis of a mid-stream urine specimen was normal.

Background: An 80-year-old female with complaints of vertigo of almost one-year duration presentetd. Clinical neurological examination revealed a left sided balance test deviation. MR-examination of the posterior fossa was requested to exclude brain stem lesions, followed by a CT scan for detailed morphologic evaluation of the temporal bone.

Background: A 35-year-old woman consulted a urologist because of recurrent urinary tract infections over the past 6 months. For the last 4 weeks she has complained of left abdominal pain and pain in the left fossa iliaca.

Background: A 38-year-old woman presenting with personality disorders was evaluated at the psychiatry department of our hospital. No information on her previous medical history was available.

Background: A 79-year-old man who was admitted at the emergency department because of diffuse pain and progressive abdominal swelling over the last 24 hours.

Potentially serious abdominal injury is encountered on an almost daily basis in major emergency departments. Approximately 10% of the thousands of yearly fatalities are considered the direct result of abdominal injury, and survivor morbidity is significantly influenced by abdominal trauma (Budnick and Chaiken 1985). Among the involved organs, the spleen is very commonly injured in both blunt and penetrating abdominal trauma. As it is the role of the emergency physician, together with other members of the trauma team (including the radiologist) to accurately detect all significant traumatic injuries, assessment of splenic injury represents one of the most common and challenging problems in diagnostic imaging of the spleen.

SUMMARY Six scapulohumeral joints (3 normal joints and 3 joints with radiographic evidence of osteochondrosis) underwent conventional magnetic resonance ( mr ) imaging and mr scapulohumeral arthrography to evaluate delineation of the articular cartilage. The mr arthrography was performed, using 5 ml of 500 μ M gadopentetate dimeglumine (Gd- dtpa ) as a contrast medium. Delineation of normal articular cartilage and cartilage defects was less accurate after intra-articular administration of Gd- dtpa . Therefore, it was concluded that mr arthrography with Gd- dtpa is unrewarding for evaluation of osteochondrosis lesions.