Faculty Bibliography

Adenocarcinoma of the stomach represents upwards of 95% of all gastric malignancy. Calcifications in untreated gastric cancer are rare, but typically represent mucin-producing tumor. We report the radiology and pathology of a patient who presented with gastric wall calcifications on CT and a mucin-producing adenocarcinoma at pathologic examination of a gastric biopsy specimen.

The computed tomography (CT) findings of ovarian torsion in a 10-year-old girl are presented. The CT scan was the first cross-sectional imaging examination performed in this patient, who presented with suspected acute appendicitis. Analogous to the sonographic diagnosis of ovarian torsion, the imaging findings may be pathognomonic on CT and should be prospectively recognized for prompt diagnosis.

Oncocytoma is an uncommon benign, typically solitary renal tumor first reported in 1942. Renal oncocytomas are rarely multiple and/or bilateral. Accurate preoperative diagnosis and differentiation from renal carcinoma is difficult. We report the radiology and pathology of a patient with bilateral renal oncocytomas and review the literature of this rare presentation.

Accurate diagnosis of deep venous thrombosis (DVT) is very difficult, and imaging plays a crucial role in the diagnosis or exclusion of DVT. The initial test of choice for diagnosis of acute thigh as well as upper extremity DVT is ultrasound, because of its high accuracy, relatively low cost, portability, and lack of ionizing radiation. In patients who are undergoing CT pulmonary angiography for suspected pulmonary embolism, CT venography can be performed as part of the examination, for comprehensive evaluation of the venous system in the legs, abdomen, and pelvis. MR has a problem-solving role, and conventional venography is now limited to specific scenarios including evaluation of central DVT in the upper extremities, as a prelude to intervention for thrombolysis/thrombectomy, and prior to placement of an inferior vena cava filter. This article discusses the imaging findings of DVT, and the role of these imaging examinations in the evaluation of patients with suspected DVT.