Mesenteric lymphangiomas (MLs) are a heterogeneous group of malformations of the lymphatic system that present with cystic dilated lymphatics of the mesentery. We reviewed the cases of MLs diagnosed over the period from 2004 to 2016 years. Twenty one children were included average age 3,11 ± 0,34 years, (range 4 days — 15 years). All children underwent a sonography and color Doppler ultrasound study before any surgical procedure. MLs was diagnosed by recognition of the fixed multilocular cystic masses with a thin wall and anechoic (fluid) content. The sonographic differential diagnosis held between delimited peritonitis, complicated ovarian cysts, teratomas with a cystic component, terminal obstructive uropathy. The echographic signs of MLs were picked out. The short review of the literature is present.

In the article the analysis of the use of whole-body MDCT in patients with polytrauma was present, which based on the review of literature and own experience. Indications for the use of this method of examination were shown. Also, from the point of view of minimizing the radiation dose and obtaining maximum information, the optimal scanning protocol and the method of contrast enhancement are chosen. In conditions of first level traumatological centers, early use of whole-body MDCT can be the single method of examination for polytrauma patients. The introduction of this method significantly reduces the time of diagnosis and reduce mortality in polytrauma patients.

A clinical case of late diagnosis of lobular breast cancer, manifest bone metastases. Of particular interest is a complex radial diagnostics. In a clinical breast examination detected left breast skin lesions. On mammograms visualized education isodens, which had no signs of malignancy, and thickening of the skin of the areola. Given the discrepancy between clinical-ray data computed tomography breast with intravenous contrast was performed and revealed the formation of 6 × 8 mm, intensively accumulates contrast agent. Following the sectoral resection was verified infiltrative lobular carcinoma.

The clinical example demonstrating the diagnostic possibilities of digital breast tomosynthesis of the patient with dense breast is presented. According to the full-field digital mammography, the patient had an extremely dense breast. A region of focal asymmetry was determined in the lower part of the left breast, category BI-RADS 3. The examination was supplemented with the digital breast tomosynthesis technique, according to which the node with characteristic of BI-RADS 5 was visualized in the left breast. Changes in the left breast tissue have been confirmed by ultrasound examination in B-mode (BI-RADS 4). After that, a stereotaxic core biopsy of the abnormal area was performed, followed by morphological verification, according to which the patient was verified with breast cancer (BI-RADS 6).