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train/ROCOv2_2023_train_000201.jpg
Magnetic resonance cholangiopancreatography (MRCP).The cystic duct and common bile duct are markedly distended with a smooth and short narrowing (solid arrow) at the distal aspect. No biliary stone is identified. The main pancreatic duct (dotted arrow) is not involved. Along the distal common duct, there is an area of ill-defined increased T2-weighted signal. The adjacent duodenal wall (*) shows prominently increased T2-weighted signal that reflects oedema which can be reactive to an infiltrative disease.
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Computed tomography (CT) of the chest confirms a large right pleural effusion with collapse of the middle and lower lobe.The bulging nodular hypoenhancing mass (*) in the right lower lobe is suspicious for primary bronchogenic malignancy.
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Whole-body positron emission tomography with fluorine-18 fluorodeoxyglucose (FDG). Intense FDG uptake in the ascending colon and mild focal metabolic activity in the left internal jugular region and diffuse increased FDG activity related to splenic lesions associated with splenomegaly.
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Chest X-ray posterior-anterior view showing no features that indicate a mass lesion.
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Computed tomography scan of the thorax showing a large lobulated mass in the right upper lobe, measuring 3.3×1.6 cm.
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Computer tomography findings at diagnosis, showing large mediastinal mass (arrow).
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Abdominal radiograph showing strange body image in the left iliac fossa
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An angiography image showing two aortopulmonary arteries connecting the descending aorta and the right pulmonary artery, and one collateral artery connecting the descending aorta and the left pulmonary artery
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Three abnormal collateral arteries are embolized with 12 Orbit Galaxy detachable coils
train/ROCOv2_2023_train_000210.jpg
Computed tomographic image of the fibrosarcoma of the rostral maxilla and dorsolateral muzzle in case #1. Note the invasion of the lesion into the medial alveolus of the canine tooth (white asterisks) and the soft tissue mass on the lateral aspect of the maxilla (white arrows). This image is representative of all three cases.
train/ROCOv2_2023_train_000211.jpg
Chest radiograph shows focal consolidation of the right lower lung.
train/ROCOv2_2023_train_000212.jpg
Chest radiograph shows resolution of focal consolidation of the right lower lobe.
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A preoperative panoramic radiograph.
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Panoramic radiograph at 60-month follow-up.
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T1-weighted MRI scan of Guyon's canal. The arrow indicates the fatty mass reported as lying atop Guyon's canal.
train/ROCOv2_2023_train_000216.jpg
Figure 3: Intra-operative cystogram showing no communication with pancreatico-biliary ducts and duodenum.
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Pulmonary embolism at the level of the bronchus intermedius.
train/ROCOv2_2023_train_000218.jpg
CT angiogram with saddle embolus.
train/ROCOv2_2023_train_000219.jpg
CT angiogram showing pulmonary emboli in the distal right and left pulmonary arteries.
train/ROCOv2_2023_train_000220.jpg
Echocardiogram: an apical four-chamber view showing a 2.2 × 1.4 cm left ventricular thrombus.
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Magnetic resonance imaging (MRI) coronal slices showing bilateral subchondral geodes and thinned cortical of mandibular condylar process
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Contrast-enhanced CT image shows 3.6 × 4.5 × 3.1 cm well defined heterogeneous enhancing mass in paraaortic space (arrow).
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Magnetic resonance imaging (MRI) of the lumbar spine demonstrating discitis and vertebral osteomyelitis. T1 post-contrast sagittal MRI demonstrating enhancement at the L3–4 intervertebral disc space with erosions in the adjacent endplates (arrow)
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Positron emission tomography–computed tomography (PET/CT) of the chest. Hypermetabolic soft tissue (arrows) along the right lateral and anterior aspect of the ascending aortic endograft with a maximum standardized uptake value of 9.4, suspicious for aortic endograft infection
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Computed tomography of the abdomen showing gastric and duodenal distention (red arrows) suggestive of small bowel obstruction and narrowing of the angle between the superior mesenteric artery and the abdominal aorta.
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Computed tomography of the abdomen showing gastric and duodenal distention (red arrow) indicating obstruction at the level of the superior mesenteric artery.
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Upper gastrointestinal series. Impression of the third part of the duodenum suggestive of superior mesenteric artery syndrome (red arrow).
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cervical CT axial view: increased angulation of the right C1 anterior arch fracture (blue arrow)
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Magnetic resonance imaging (MRI) at 15 min since contrast injection. MRI enhanced with gadoxetate sodium showing a faint uptake of the contrast medium at the central area of the hepatic mass
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Margo medialis pedis (MMP) method to determine hallux valgus angle.
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Centre Head – Centre base (CC) measuring method, pre- and postoperative site.
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Shaft bisection (SB) measuring method.
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Findings on contrast-enhanced computed tomography (CT) at the sixth episode of gastrointestinal bleeding (GIB). Contrast-enhanced CT showed no marked bleeding sources or collaterals.
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Preoperative transthoracic echocardiography. The right atrial tumor (40 × 20 mm) originated from the interatrial septum. The tumor had a tail-like surface projection, which prolapsed into the right ventricle during diastole. RV, right ventricle; RA, right atrium.
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Post-op MRI Brain, T1W axial section showing a well-defined lobulated non-enhancing cystic lesion in right parietal lobe communicating with right lateral ventricle with dilated occipital horn.
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Contrast-enhanced transthoracic echocardiography. Passage of microbubbles to the left atrium during the first three beats after right atrial opacification
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The plain radiograph of initial visit to our hospital at 7 years before surgery. Osteoarthritic changes in both hips without acetabular dysplasia were identified.
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The plain radiograph before surgery. End-stage osteoarthritis was revealed in both hips.
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Postoperative plain radiograph. Hybrid THA was performed on both hips.
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Abdominal native CT-scan made 1 h after enteroclysis showing contrast media in the enterostomy (A), intestine (B) and renal pelvis bilaterally (C).
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FDG PET/CT scans showing metabolic response to therapy. Response in the 26 year old female with classic Hodgkin's lymphoma with sirolimus and vorinostat after 6 lines of therapy. Pre-treatment scans show extensive lymphoma. Scans after 3 cycles of therapy show an exceptional response and decreased SUV activity.
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Ultrasound scan in axial plane at the level ofthe fetal pelvic region, shows the bladder brought forward by the cystic mass of dense content (white arrow), at the midsagittal septum (yellow arrow).
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Ultrasound scan after the bladder was completely empty, shows the septated cystic mass (white arrow) occupying the region of the newborn's uterus.
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Anteroposterior radiograph of the chest from a 3-year-old girl shows dextrocardia with left-sided aortic arch and stomach. There is a gastric bubble with an elevated left hemidiaphragm.
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Anteroposterior radiograph of the pelvis from a 3-year-old girl shows the normal articulation of the proximal femurs with hip joints; however, there is slight breakage of the left Shenton line.
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Large area splenic infarct based on CT angiography of the portal venous system.
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Hypoechoic and thickened plantar fascia: 0.83 cm
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Selecting the entry point for partial plantar fasciotomy
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Panoramic view of patient after 6 years of implant surgery
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Chest X-ray findings of COVID-19 pneumonia: frontal radiograph of the chest demonstrates low lung volumes with bilateral perihilar ground glass opacities and peripheral airspace consolidations (blue arrows) in a predominately mid and lower lobe distribution.
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Early stage COVID-19 (0–4 days): Axial CT scan of the chest in a 52-year-old man with COVID-19 predominantly demonstrates peripheral ground glass opacities (blue arrows).
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Myocardial infarction (MI) in a 56-year-old man: Two chamber post-contrast cardiac MRI shows transmural delayed enhancement consistent with MI involving the inferolateral base of the left ventricle.
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Acute thromboembolic infarction in a 57-year-old: Axial non-contrast CT scan demonstrates left hyperdense middle cerebral artery (MCA) sign (blue arrow), with increased density in the M1 segment of the left MCA, consistent with acute thromboembolic occlusion. There is subtle loss of gray-white matter differentiation, hypodensity, and engorgement along the left insular ribbon and temporal operculum (loss of insular ribbon sign), reflecting acute infarction (green arrow).
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Intracranial hemorrhage in a 60-year-old: Axial non-contrast CT scan demonstrates intraparenchymal hemorrhage within the right basal ganglia and thalamus, with associated intraventricular extension, dilatation, and midline shift (blue arrow).
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Guillain-Barré syndrome: Axial post-contrast T1 MRI of lumbar spine demonstrates diffuse enhancement without enlargement of the ventral and dorsal nerve roots (blue arrows).
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Axial post-contrast CT scan demonstrates diffuse bowel wall thickening of the distal duodenum and jejunum (blue arrow), indicative of gastroenteritis.
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The isodose curve distribution of tumor after seed implantation from CT scan. The inner red curve represents tumor. The ellipses are iso-dose lines of 200, 145, 120 and 45 Gy from inside, respectively.
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Representative right ventricular segmentation used in Feature Tracking Cardiac Magnetic Resonance Imaging. Abbreviations: ST = subtricuspid region; AW = anterior wall region; AP = apical region
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Image of this patient’s computed tomography with the foreign body located near the gastroesophageal junction (arrow).
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Preoperative RP. The right ureter shifted medial (red arrows) compared with the normal position
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Plain abdominal radiography of patient 2: Distension of the large bowel and gas-fluid-levels as signs for a large bowel obstruction.
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The 5.5 × 3.9 cm pseudoaneurysm 41 days after biopsy.
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Selective angiography of the EIA demonstrates IEA pseudoaneurysm (arrow).
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Successful embolization with metallic coils proximal and distal to the pseudoaneurysm neck.
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A more medial entry point has corrected the neck shaft angle but some lateral translation of the proximal fragment has occurred.
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Thin-layer computed tomography demonstrating a small thickening of the right mid ureter.
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Non-contrast brain CT demonstrating bleeding on right basal ganglia.
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Small luminal outpouching to innominate artery (arrow) in chest subclavian angiography.
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Ultrasound image of a nodule in a patient with Classic Kaposi Sarcoma. The formation is homogeneous, hypoechoic, with clear and well-defined contours. It involves the epidermis and derma and it is associated to ectasia of local-regional vessels in adipose sub-cutaneous tissue.
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Vascular aspects of Classic KS. Classic Kaposi Sarcoma lesion, with slight vascularisation (only one vascular pole), in a small superficial hypoechoic lesion, is evident.
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Pretreatment chest X-ray.
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Posttreatment chest X-ray.
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Posttreatment CT scan.
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Frequent locations of fronto-basal fractures with CSF leak (green) and medial orbital fractures (blue)
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Pneu-encephalon with Mount Fuji sign in the axial CT scan
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The preoperative chest X-ray shows the tracheal deviation to the right side.
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The preoperative chest computed tomography scan. (A) the diameter of the right main bronchus, 12.5 mm. (B) the diameter of left main bronchus, 8.6 mm.
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A cross-sectional slice of CT abdomen showing left colonic mass with extramural extension.
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CT scan of a 69-years-old male with IPF and squamous cell carcinoma.
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CT scan of a 72-years-old male with IPF and adenocarcinoma.
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CT of abdomen with contrast revealing small pockets of intra-abdominal free air noted throughout the whole abdomen with mild fat stranding at the level of the mesenterium at the left paramedial lower abdomen and small amount of intrapelvic free fluid. A background of significant diverticular disease involving a redundant sigmoid which courses cranially to the umbilical region as well as scattered throughout the entire colon. This is suspicious for perforation within a hollow viscus (red arrow).
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Occlusal view showing extent of bone involvement
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Longitudinal triplex sonogram of a myomatous uterus showing the waveform pattern and Doppler indices of a perifibroid (peripheral) artery.
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Measurement method of prevertebral soft tissue swelling. The prevertebral soft tissue was measured between the anterior surface of each vertebral body and the air shadow of the airway.
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Lumbar magnetic resonance imaging on the second day of hospitalization. The image shows an extensive epidural abscess with evidence of discitis in the L5/S1 region
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Positron emission tomography performed 10 days prior to presentation showing fludeoxyglucose uptake in the proximal appendix without surrounding inflammation consistent with appendiceal metastasis (arrow).
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Contrast-enhanced abdominal computed tomography of the abdomen performed in the emergency department showing a dilated appendix with enhancing wall and surrounding fat stranding (arrow) suggestive of acute appendicitis.
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MRI (T1-weighted with gadoliunium) at presentation in April 2008.
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MRI (T1-weighted with gadolinium) at detection of seeded metastasis September 2009.
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Postoperative contrast‐enhanced chest computed tomography. The right heart returns to a normal contour (black arrows), and the tricuspid annulus is repaired with a prosthetic annulus (white arrow).
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Sagittal MRI image showing the rectal tumour commencing approximately 9 cm from the anal verge and extending 10 cm proximally into the distal sigmoid colon.
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Voiding cystourethrogram showing grade 4 vesicoureteral reflux with intrarenal reflux (arrows) on left and grade 3 vesicoureteral reflux without intrarenal reflux on right sides.
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MRI image of the subcutaneous lesion.
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Changes of bronchiectasis in the lungs.
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Computed tomography image of abdomen showing ascites, peritoneal enhancement and aortic thrombosis.
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Lateral radiograph of cervical spine showing the segmental height ratio (SHR) measuring method. Segmental height ratio=segmental height (line A)/AP diameter of the mid vertebral body (line B).
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Lateral radiograph of cervical spine showing the segmental lordotic angle (SLA) measuring method. There is a Cobb's angle between the upper endplate of the vertebral body and the lower endplate of vertebral body of the fused segment.
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Lateral radiograph of cervical spine showing the global lordotic angle (GLA) measuring method. There is a Cobb's angle between the lower endplate of the C2 vertebral body and the lower endplate of C7 vertebral body.
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Bladder ultrasound showing trabeculation and bladder wall thickening.
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Drip infusion pyelogram showing important dilatation of the upper urinary tract with a partial defect of the distal ureter.