AJR. American journal of roentgenology
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AJR Am J Roentgenol · Feb 1984
Mediastinal-width/chest-width ratio in blunt chest trauma: a reappraisal.
The chest radiographs of 54 patients with blunt chest trauma and suspected aortic rupture were reviewed retrospectively. A mediastinal-width/chest-width ratio was calculated at the level of the aortic arch. ⋯ There was no identifiable ratio of significance in distinguishing those with aortic rupture and those without rupture. The mediastinal-width/chest-width ratio is of insufficient sensitivity and specificity in confirming or excluding aortic rupture to be clinically useful.
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AJR Am J Roentgenol · Feb 1984
Case ReportsCT of bilateral adrenal hemorrhage with acute adrenal insufficiency in the adult.
Bilateral adrenal hemorrhage and acute adrenal insufficiency in three acutely ill patients occurred as a complication of pneumonia in two and recent abdominal surgery in the third. The diagnosis was unsuspected in each case before abdominal computed tomography (CT), which showed bilateral adrenal masses. ⋯ Adrenal insufficiency was confirmed by endocrine studies, and each patient promptly recovered with steroid replacement therapy. Follow-up CT showed diminution or disappearance of the masses and density changes consistent with resolving hematomas.