James F. Lally

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A 35-year-old female nurse presented with an 8-month history of headaches often precipitated by valsalva type maneuvers. The patient occasionally experienced tingling in her face and left arm associated with several episodes of blurred vision. The neurologic exam was normal as was the electroencephalogram. Plain skull films showed asymmetric pneumatization(More)
Six cases of odontoid fracture were recognized in patients with metastatic carcinoma of the breast. The clinical findings, radiographic diagnosis, and possible neurological sequelae are discussed. While pathologic long bone fractures are often aggressively treated, pathologic odontoid fractures are frequently not recognized despite their prognostic(More)
Among 270 CT scans of the thorax obtained over a 7-month period, four patients (1.5%) with calcified herniated thoracic disks were identified. Each of these patients presented with abnormal chest radiographs and had a CT examination for evaluation of suspected malignancy. None showed any signs or symptoms of thoracic spinal cord compression. The clinical(More)
Fourteen patients with anomalous coronary arteries associated with objective evidence of myocardial ischemia, a group at increased risk for cardiac events, were successfully stented. This led to 6-month patency and resolution of the ischemia, which was confirmed angiographically and by stress imaging studies.
A lumbar hernia usually involves protrusion of extraperitoneal fat or bowel through an area of weakness in the posterolateral abdominal wall bounded superiorly by the 12th rib, inferiorly by the iliac crest, posteriorly by the erector spinae muscle, and anteriorly by the posterior border of the external oblique muscle. Most are due to an acquired(More)
Paraspinal lipomatosis usually occurs in patients with steroid excess. In two patients a paraspinal mass was detected on conventional radiographs and was subsequently shown to represent benign fat deposition on computed tomography, thereby obviating further studies. Neither patient had been receiving steroids. Paraspinal lipomatosis may be the cause of a(More)