By Richard Davis
Книга является полным руководством построения тела, о котором вы мечтали! В ней подробно и методично расписано все, что всемирно известный тренер Ник Митчелл сделал с заместителем главного редактора Mens health Джо Варнером за 12 недель. Что именно? Да так, самую малость! Он просто изменил состав его тела - добавил 10 кг мышечной массы, избавив при этом от eight кг жировой прослойки!
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Enhancement is heterogeneous and calcification is common. Masses can be either completely solid or have cystic components. There is often intratumoural restricted diffusion. DIFFERENTIAL DIAGNOSIS Imaging findings are nonspecific. The differential diagnosis in young children typically includes supratentorial epenymoma, S-PNET, oligodendroglioma, and atypical teratoid/rhabdoid tumour. Definitive diagnosis is achieved only following biopsy. PATHOLOGY AND CLINICAL CORRELATION S-PNET and medulloblastoma (PNET-MB) are closely related, though distinct, tumours.
The lower resistance in the arm is commonly due to a focal high-grade stenosis of the proximal subclavian artery causing decreased distal pressure. Subclavian steal is most commonly asymptomatic (greater than 90% of the time in several studies) or presents with symptoms of arm claudication secondary to the precipitating subclavian stenosis. However, patients occasionally present with symptoms related to vertebrobasilar insufficiency such as vertigo, ataxia, or visual disturbances. These findings can be exacerbated by arm activity.
IMAGING FINDINGS Images 13A, B demonstrate multiple calcified subependymal nodules in the body and atrium of the lateral ventricle bilaterally. The larger masses at the right (13A) and left (13B) foramen of Monro represent subependymal giant cell astrocytomas and the lesion in the left frontal lobe represents a subcortical tuber (i). Findings are consistent with TSC (ii). Note the small amount of pneumocephalus adjacent to the frontal lobes related to recent craniotomy. DIFFERENTIAL DIAGNOSIS Differential diagnosis of calcified periventricular lesions includes tuberous sclerosis, neurocysticercosis, the TORCH infections (Question 51), and metastasis (including ovarian cancer).