Case Study – Chronic Noninfectious Osteomyelitis (CNO)

By Josh Gottlieb, OMS IV, NYIT-COM and Roy Gottlieb, D.O.



X-ray demonstrated marked wavy solid cortical thickening along the posterior cortex of the tibia (Figures 1 and 2). The periosteal reaction was thought to be non-aggressive in type without evidence of a Codman’s triangle or “onion-skin” appearance.

On MRI, there is marrow edema in the thickened posterior cortex with mild adjacent soft tissue edema (figures 3 and 4). Linear vascular grooves are demonstrated in the cortex without radiation to a focal osteoid osteoma nidus.

A CT demonstrated marked […]

By |January 19th, 2017|Case Studies|0 Comments

The 2nd Annual RadNet Fall Vascular Symposium


The 2nd Annual RadNet Fall Vascular Symposium has been approved for 10 ARDMS CME credits. We invite all of our technologists in southern California to attend this event, which we’re holding exclusively for RadNet free of charge. Over 50 of our Southern California technologists have already signed up! We believe this event will be a tremendous benefit as it shows commitment to education and training, as well as commitment to our patient community. The symposium will be a combination of hands-on workshops, lectures, and case study reviews. Topics include:

• Venous […]

By |November 14th, 2016|News|0 Comments

Benefits to CT Calcium Scores


CT calcium score is a strong predictor of a patient’s risk for heart attack. However, this widely available and relatively inexpensive exam is often underutilized. New research provides additional evidence supporting the benefits of CT calcium scoring.

Warranty Periods for CT Calcium Scores

Research published August 2015 in JACC: Cardiovascular Imaging discusses the “warranty period” for a calcium score of 0. It has been shown that a calcium score of 0 offers a short-term (5-year) warranty period suggesting a low chance of a major adverse cardiovascular event (MACE). However, […]

By |April 28th, 2016|Cancer Imaging, Cancer Screening|0 Comments

Case Study – Everything is Backwards (CCTGA)

By Joshua I. Gottlieb, OMSII; Roy Gottlieb, D.O. FSCCT



Both CT and MR demonstrate atrioventricular discordance and ventriculoarterial discordance diagnostic of CCTGA. Both images also demonstrate situs inversus totalis. In addition, MR offered the benefit of evaluating the severity of the VSD shunt using phase contrast MR imaging with Q-flow analysis taken above the pulmonary and aortic valves. The Vp/Vq ratio measured 2:1. The severities of the valve abnormalities were also better evaluated using MR, which demonstrated moderate tricuspid insufficiency, mild aortic and pulmonic valve insufficiency, moderate subpulmonic, and mild […]

By |February 29th, 2016|Case Studies|0 Comments

Case Study – OHVIRA Syndrome

By Joshua I. Gottlieb, OMSII; Roy Gottlieb, D.O. FSCCT; Karie McMurray, M.D.



MRI Findings were crucial in determining the correct diagnosis in this patient with a complex congenital anomaly consisting of uterine didelphys, obstructed right hemivagina (atresia) with hematocolpus, ipsilateral agenesis of right kidney, and non-obstructed left hemivagina.

FINAL DIAGNOSIS – OHVIRA SYNDROME (Obstructed Hemivagina with Ipsilateral Renal Anomaly)

OHVIRA syndrome (previously known as Herlyn-Werner-Wunderlich syndrome) was first reported in 1950 [1] and is a rare congenital anomaly of the Müllerian (paramesonephric) ducts and Wolffian (mesonephric) structures consisting of the following triad: […]

By |February 29th, 2016|Case Studies|2 Comments

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