Marvin L. Daves

Roentgenologic findings in systemic lupus erythematosus: An analysis of 100 cases

Abstract A five-membered radiographic constellation is characteristic of S.L.E.: (1) minimal bilateral fibrinous pleuritis; (2) ill-defined patches or linear bands or plaques in the lung bases; (3) fluctuation in the size and configuration of the heart; (4) slight enlargement of the spleen; (5) conspicuous lack of irreversible structural damage to the joints. The first four can be seen frequently on serial chest roentgenograms. Table IV is a statistical summary of these findings. IV . Organ or tissue involved Usual manifestation Per cent of patients found positive Pleura Pleuritis 74 Lung Pneumonitis 50 Heart Carditis 53 Spleen Slight enlargement 34 Joint Minimal osteoporosis 26

Pulmonary Roentgen Findings Following Renal Transplantations

Transplantation of vital organs in other than identical twins calls forth the normal body rejection mechanism. Steroids and other immunosuppressive agents have been used in an attempt to preserve the organ graft, but the protection afforded against graft rejection also leads to susceptibility to infection. Organisms which ordinarily are saprophytic become capable of producing severe disease. These organisms are often difficult to identify. For example, no good diagnostic test short of lung biopsy exists for Pneumocystis carinii. Fungal cultures take one to two weeks to isolate the organism. A need exists for some rapid means of identification of these organisms so that appropriate therapy may be instituted early. With this goal in mind, the roentgenograms of a series of renal transplant patients who died were reviewed. Methods And Materials One hundred and eleven patients were treated by renal transplant from the beginning of the program in November 1962 through December 1965. Immunosuppressive therapy wa...

Radiology and organ transplantation. New Horizons for Radiologists Lecture.

The discipline of Radiology has played an indispensable role in the development and clinical application of transplantation procedures. The contributions have included radiotherapy, diagnosis, and research. In this communication, some of the wide-ranging activities of radiologists are reviewed, as these have been seen in a large transplantation program.

Roentgen findings in patients with high serum calcium.

The Roentgen manifestations in 75 patients with hypercalcemia have recently been reviewed at The John Hopkins Hospital. This series represents patients studied by the Department of Endocrinology and also patients with a high serum calcium reported by the Chemistry Laboratory during the year 1952. Only cases for which sufficient clinical information, satisfactory films, and conclusive evidence of hypercalcemia were available were included. The distribution of cases according to etiology with the range of serum calcium determinations for each group is presented in Table I. The roentgenologic skeletal findings fell into five categories: (a) focal and disseminated lesions, (b) malacic lesions, (c) porosis, (d) changes characteristic of Pagets disease, and (e) absence of roentgen skeletal abnormalities. Focal and Disseminated Lesions Multiple osteolytic foci, varying in size and dissemination and without surrounding bony reaction, were the predominant feature in this series of patients. All of these lesions p...

Clatworthy's Sign

A valuable roentgenographic sign—anterior displacement of the duodenum in a patient with portal hypertension—has been described by surgeons (1) and apparently gone unnoticed. An appropriate case and a well read colleague (2) called our attention to the finding which we term “Clatworthys sign.” Case Report This 6-year-old white girl had required exchange transfusions for erythroblastosis in the neonatal period. The umbilical vein had been used until it became unsatisfactory, and transfusion was completed through the femoral vein. Abdominal swelling was first noted at eight months of age, but definite ascites was never demonstrated. Subsequently, the child did fairly well but was seen at the University of Colorado Medical Center at the age of six years because of chronic diarrhea and frequent upper respiratory infections. Fibrocystic disease was ruled out by appropriate tests, but an upper gastrointestinal examination revealed esophageal varices, splenomegaly, and anterior displacement of the duodenum. Two...