Jagan Dewan Gupta

All articles by Jagan Dewan Gupta

Multiple Sclerosis

Preliminary Diagnosis: Multiple Sclerosis I. What imaging technique is first-line for this diagnosis? Contrasted MR of the brain per demyelinating protocol Contrasted MR of the cervical spine may additionally be performed to search for any cervical spine demyelinating plaques. II. Describe the advantages and disadvantages of this technique for diagnosis of multiple sclerosis. Advantages Highly…

Nephrolithiasis

Preliminary Diagnosis: Nephrolithiasis I. What imaging technique is first-line for this diagnosis? Computed tomography (CT) scan without oral and without intravenous contrast II. Describe the advantages and disadvantages of this technique for diagnosis of nephrolithiasis. Advantages Able to locate an obstructive radiopaque renal, collecting system, and urinary bladder calculi Relatively quick imaging modalities that require…

Meningitis

Preliminary Diagnosis: Meningitis I. What imaging technique is first-line for this diagnosis MR imaging of the brain and spine with and without contrast II. Describe the advantages and disadvantages of this technique for diagnosis of meningitis. Advantages May be diagnostic in certain clinical settings Able to locate the focal area of meningeal inflammation and predict…

Encephalitis

Preliminary Diagnosis: Encephalitis I. What imaging technique is first-line for this diagnosis? MR imaging with intravenous contrast of the brain. II. Describe the advantages and disadvantages of this technique for diagnosing encephalitis. Advantages Diagnostic with positive pertinent findings in the correct clinical setting, including focal parenchymal inflammation secondary to a viral infection. Able to locate…

Zollinger-Ellison Syndrome

Preliminary Diagnosis: Zollinger-Ellison Syndrome I. What imaging technique is first-line for this diagnosis? The first line imaging modality is ultrasound of the pancreas and surrounding abdominal organs. (Endoscopic sonography offers better evaluation than transabdominal sonography). II. Describe the advantages and disadvantages of this technique for diagnosing Zollinger Ellison-Syndrome. Advantages Highly portable. Does not expose patients…

Intracerebral hemorrhage

Preliminary Diagnosis: Intracerebral Hemorrhage I. What imaging technique is first-line for this diagnosis Noncontrast CT of the brain II. Describe the advantages and disadvantages of this technique for diagnosis of an intracerebral hemorrhage. Advantages Relatively inexpensive and more efficient and faster imaging modality compared to MR imaging Very specific and sensitive in evaluating for intracerebral…

Vertebrobasilar insufficiency

Preliminary Diagnosis: Vertebrobasilar insufficiency I. What imaging technique is first-line for this diagnosis Non-contrast CT of the head with CTA of the head and neck is the first-line imaging modality. II. Describe the advantages and disadvantages of this technique for diagnosis of vertebrobasilar insufficiency. Advantages Relatively fast and inexpensive imaging modality compared with companion MR/MRA…

Vasculitis

Preliminary Diagnosis: Vasculitis I. What imaging technique is first-line for this diagnosis? MR imaging (with and without contrast) of the area of concern. MRA (with and/or without contrast) imaging may additionally be performed. II. Describe the advantages and disadvantages of this technique for diagnosing vasculitis. Advantages Highly sensitive and specific in detecting, detailing, and characterizing…

Varicose Veins (Venous Reflux)

Preliminary Diagnosis: Varicose Veins I. What imaging technique is first-line for this diagnosis? Ultrasound of the vessel of concern. II. Describe the advantages and disadvantages of this technique for diagnosing varicose veins. Advantages Highly portable imaging modality. Does not expose patients to ionizing radiation.Continue Reading Highly adept in detailing the velocity and directionality of the…

Tricuspid Stenosis

Preliminary Diagnosis: Tricuspid stenosis I. What imaging technique is first-line for this diagnosis? Echocardiography (transesophageal offers better resolution compared with transthoracic) II. Describe the advantages and disadvantages of this technique for diagnosis of tricuspid stenosis. Advantages Highly portable, fast, and relatively inexpensive imaging modality. Does not expose patients to ionizing radiation.Continue Reading Offers exquisite visualization…

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