J McIlhenny's research while affiliated with Virginia Department of Health and other places

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Publications (11)


Asymmetric radiographic findings in the pediatric chest: approach to early diagnosis
  • Article

February 1993

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16 Reads

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11 Citations

Radiographics

B A Alford

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J McIlhenny

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J E Jones

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[...]

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C D McKinney

Several conditions in children produce a mass effect within one hemithorax, which may be life threatening. The different radiographic appearances of these conditions provide a basis on which they can be classified. The three major categories include a large cystic hemithorax, a large lucent hemithorax, and a large opaque hemithorax. Some disorders may be seen within more than one major group. Within the large cystic hemithorax group, congenital cystic adenomatoid malformation and congenital diaphragmatic hernia may be life-threatening conditions that require emergency surgery. The large lucent hemithorax is usually caused by pneumothorax, partial bronchial occlusion, or compensatory hyperinflation of the unobstructed lung. The majority of cases within the large opaque hemithorax group involve pleural fluid collections. Because many conditions that cause a mass effect require intervention or surgery, accurate interpretation of the plain chest radiograph is essential for an early diagnosis. Classification of radiographic features into these three groups often allows accurate diagnosis without additional studies.

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The child with acute abdominal pain and vomiting

April 1992

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9 Reads

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18 Citations

Radiologic Clinics of North America

Evaluation of the child who presents with abdominal pain and vomiting is difficult. Close cooperation between pediatricians, surgeons, and radiologists is necessary to identify situations requiring urgent intervention. Close attention to history and physical findings will allow appropriate, judicious use of modern imaging techniques to arrive at an early diagnosis and initiate proper treatment when necessary.


Hepatobiliary cystadenoma: A rare hepatic tumor in a child

January 1991

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13 Reads

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19 Citations

Journal of Pediatric Surgery

This report describes a 3-year-old child with a hepatobiliary cystadenoma. Cystadenomas are benign, multilocular, cystic neoplasms that usually occur in middle-aged women. The patients may be asymptomatic, but often there are vague abdominal complaints related to extrinsic compression of the stomach, duodenum, or biliary tree. Recurrence following incomplete excision and the presence of carcinoma within otherwise benign cysts has been documented. Complete resection is the therapy of choice, and thorough histopathologic evaluation is imperative.



The role of ultrasound in the management of vein of Galen aneurysms in infancy

February 1990

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5 Reads

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20 Citations

Neuroradiology

Ultrasonography can be the key imaging modality for neonatal patients with vein of Galen aneurysms. Ultrasound can be used to diagnose the condition, monitor transtorcular embolization procedures, and follow-up these patients after embolization to assess the effectiveness of embolization and to check for complications.


Holoprosencephaly and interstitial deletion of 2(p2101p2109)

October 1989

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8 Reads

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19 Citations

American Journal of Medical Genetics

We report on a girl with holoprosencephaly and a small, de novo interstitial deletion of most of band 2(p21). The similarity between the cytogenetic findings and CNS malformations in our patient and those recently reported by Münke et al. [Am J Med Genet 30:929-938, 1988] suggests a phenotypic relationship between deletion of this band and holoprosencephaly.


“New” ectodermal dysplasia syndrome with distinctive facial appearance and preaxial polydactyly of feet

October 1989

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6 Reads

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4 Citations

American Journal of Medical Genetics

We describe a 2-year-old girl with virtual absence of body and scalp hair, rounded nails, thin dental enamel, preaxial polydactyly of feet, and unusual facial appearance. This combination of findings is not similar to that of any of the previously described ectodermal dysplasia syndromes and may represent a new disorder.


Neonatal Dural Venous Sinus Thrombosis Associated with Central Venous Catheterization

May 1989

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11 Reads

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20 Citations

Journal of Computer Assisted Tomography

We report a case of extensive thrombosis of dural venous sinuses associated with placement of a central venous catheter in the jugular vein. Cases such as this one, though uncommon, underscore a potentially devastating complication associated with central venous catheterization and emphasize caution in catheter placement particularly in neonates.



Neonatal Craniopharyngioma

September 1988

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26 Reads

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10 Citations

Journal of Computer Assisted Tomography

A case of craniopharyngioma in a neonate is reported and the literature on neonatal craniopharyngioma reviewed. First reported in 1952 and previously considered rare, the diagnosis of these neonatal tumors has increased with the use of noninvasive imaging including CT and ultrasound. The CT and ultrasound features of this uncommon but potentially treatable entity are described.


Citations (8)


... Causes of vomiting attributed to etiologies outside the GI tract include intracerebral abnormalities such as subdural collections, drugs or toxic agents, and medical conditions such as kernicterus, metabolic disorders, and/or renal problems. [2][3][4][5] Not all causes of vomiting during the first 3 months of life present in the same manner. Differentiating diagnostic considerations among neonates with various forms and presentations of vomiting can be reviewed by noting key clinical information and the imaging workups for 3 common vomiting scenarios in neonates. ...

Reference:

The Vomiting Neonate: A Review of the ACR Appropriateness Criteria and Ultrasound’s Role in the Workup of Such Patients
The child with acute abdominal pain and vomiting
  • Citing Article
  • April 1992

Radiologic Clinics of North America

... Year Study Type Term Period n Scans n Cases Beretsky [4] 1983 case report cholelithiasis 1 Heijne [9] 1985 case report gallstones 1 Klingensmith [10] 1988 case report gallstones 1 Schirmer [11] 1989 case report cholelithiasis 1 Abbitt [12] 1990 case report gallstones 1 Broussin [13] 1990 case report cholelithiasis 3 Devonald [14] 1992 retrospective gallstones 1990 1.104 7 Brown [5] 1992 retrospective/prospective echogenic material 1984-1991 17/9 Suchet [15] 1993 case report cholelithiasis 1 Clarke [16] 1994 case report cholelithiasis 1 Petrikovsky [17] 1996 case report sludge 5 Stringer [18] 1996 case report gallstones 3 Sepulveda [19] 1996 case report echogenic material 1 Table 1 provides a synthesis of the studies evaluated in the present paper. Thirty-four articles published from 1983 to 2022 were included, reporting on a total of 226 fetuses with EC. ...

Prenatal detection of gallstones
  • Citing Article
  • March 1990

Journal of Clinical Ultrasound

... It is a venous ectasia secondary to an arteriovenous (a-v) shunt between deep choroidal vessels and the median prosencephalic vein of Markowski; vein of Galen fails to form because of the fistula [27]. Often, the pathology is identified through ultrasonographic examinations in fetal age [23,28], though MRI can deliver a more precise characterization. ...

The role of ultrasound in the management of vein of Galen aneurysms in infancy
  • Citing Article
  • February 1990

Neuroradiology

... A malpositioned central venous catheter may lead to incorrect measurement of central venous pressure and also cause more serious complications such as thrombosis and thrombophlebitis, 18,22 specifically cerebral venous thrombosis, 23,24 when located in the IJV. In this regard, our results suggest that the SCV may not be a safe choice for catheterization in infants. ...

Neonatal Dural Venous Sinus Thrombosis Associated with Central Venous Catheterization
  • Citing Article
  • May 1989

Journal of Computer Assisted Tomography

... Congenital defects encompass both structural and functional abnormalities, which originate from the failure of normal forebrain development during embryonic life (Roach et al., 1975;Dennis and Leipold, 1979). Holoprosencephaly denotes a developmental disturbance in the central nervous system (CNS), leading to the incomplete cleavage of the prosencephalon into two cerebral hemispheres (Leipold, 1986, andWilson et al., 1989). Two primary types of defects can be distinguished: one is characterized by paired orbits and a diminished olfactory region (cebocephalia), while the other typically exhibits a single median orbit 2 and substantial reduction or absence of olfactory structures (cyclopia) (Diogo et al., 2019). ...

Holoprosencephaly and interstitial deletion of 2(p2101p2109)
  • Citing Article
  • October 1989

American Journal of Medical Genetics

... Craniopharyngiomas rarely present in the neonatal period, therefore their CUS characteristics have not been frequently described. In 1988, Hurst et al. [26] described a craniopharyngioma in a 1-day-old newborn, presenting at CUS as a suprasellar heterogeneous mass with hyperechoic shadowing images compatible with calcifications; hydrocephalus was also reported. Likewise, intracranial lipomas are rare and have seldom been described in neonates but their CUS appearance is typically that of a hyperechoic mass [27], often associated with anomalies of the corpus callosum. ...

Neonatal Craniopharyngioma
  • Citing Article
  • September 1988

Journal of Computer Assisted Tomography

... 1 There are several reported cases of familial IACs and several genetic syndromes in which IACs occur including autosomal dominant polycystic kidney disease, acrocallosal syndrome, and Aicardi syndrome. [2][3][4][5] Typically, IACs are asymptomatic and found incidentally on imaging. 6 However, there are documented cases of cyst enlargement, and larger cysts and recent head trauma have been identified as risk factors for rupture and hemorrhage. ...

Arachnoid cysts in a brother and sister
  • Citing Article
  • November 1988

Journal of Medical Genetics