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More powerful opens improve neuroimaging : Problems associated with larger field-of-view and thicker slices disappear as field strength increases

Cayea, Paul D; Safir, J; Berkovich, G
ORIGINAL:0009670
ISSN: 0194-2514
CID: 1563192

Renal vein thrombosis after martial arts trauma [Case Report]

Berkovich, G Y; Ramchandani, P; Preate, D L Jr; Rovner, E S; Shapiro, M B; Banner, M P
PMID: 11253760
ISSN: 0022-5282
CID: 1562172

CT findings in patients with esophagitis

Berkovich, G Y; Levine, M S; Miller, W T Jr
OBJECTIVE: The purpose of our study was to determine the CT findings in patients with esophagitis. MATERIALS AND METHODS: A search of medical and radiology files revealed 29 patients with esophagitis in whom thoracic CT was performed within 1 month of the diagnosis. The CT scans were reviewed retrospectively for esophageal wall thickening, a target sign, or other abnormalities. The thickness of the esophageal wall was also measured on CT in these 29 patients and compared with a control group of 85 patients. RESULTS: We found that 16 patients (55%) with esophagitis had abnormal findings on CT, including a thickened esophageal wall (using 5 mm as the threshold for wall thickening) in all 16 (55%) and a target sign in five (17%). The overall mean esophageal wall thickness was 4.7 mm (standard deviation [SD], 2 mm; 95% confidence interval [CI], 0.7-8.7 mm) in patients with esophagitis versus a mean wall thickness of 2.9 mm (SD, 0.8 mm; 95% CI, 1.3-4.5 mm) in controls (p <.001). Using the same 5-mm threshold for wall thickening, we found that only three (4%) of 85 controls had a thickened esophageal wall on CT. CONCLUSION: The majority of patients with esophagitis had abnormalities on CT, including a thickened esophageal wall (> or =5 mm) in 55% and a target sign in 17%. Although barium studies and endoscopy are more sensitive modalities for detecting this condition, the CT finding of a relatively long segment of circumferential esophageal wall thickening, with or without a target sign, should suggest the diagnosis of esophagitis in the proper clinical setting.
PMID: 11044057
ISSN: 0361-803x
CID: 1562182