Dimitrijevikj, Kristina

Preferred name

Official Name

Dimitrijevikj, Kristina

Translated Name

Кристина

Alternative Name

Кристина Митреска

Митреска К.

К. Митреска

K. Mitreska-Dimitrijevich

Dimitrijevikj K.

Mitreska K

Димитријевиќ К

Kristina Dimitrijevic

Main Affiliation

Now showing 1 - 10 of 27

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MRI features of sacrococcygeal teratoma in neonates
(Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University in Skopje, R.N.Macedonia, 2022-12-03)
Ognenoska B
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Stevkovski J
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Jovanovska Z
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Kamcheva M
Magnetic resonance is a crucial imaging modality in evaluation and classification of lower lumbar region masses, in our case sacrococcygeal teratoma (SCT). Sacrococcygeal teratoma is the commonest congenital tumor in fetuses and neonates. Sacrococcygeal teratomas are derived from all three germinal layers and arise from the ventral surface of the coccyx. The American Academy of Pediatrics’ Surgical Section (APPSS) classification helps in grading the extent of sacrococcygeal teratomas in four different types. The SCTs appear on MRI as hetero-signal, tumor-like masses of varying extent containing soft tissue, fat or liquid components. Treatment and further management depend profoundly on the type of SCT which is based on the exact MRI findings
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Differential Diagnosis of Diffuse Cystic Lung Disease at HRCT - An Overview
(Biomedical & Clinical Research (Biores Scientia), 2024)
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Introduction: The diffuse cystic lung diseases (DCLDs) are a diverse group of lung disorders characterized by the presence of multiple regular or irregular spherical parenchymal lucencies bordered by a thin wall and having a well-defined interface with normal lung. Other lucent lung lesions like centrilobular emphysema, cavity, cystic bronchiectasis, honeycomb cyst, and pneumatoceles are close mimics of a lung cyst on high-resolution computed tomography (HRCT) HRCT is an important modality in the evaluation of interstitial lung disease to include cystic lung disease. This review describes a simple algorithmic approach for DCLDs on HRCT based on cyst’s distribution, size, and shape, as well as background parenchymal changes and it helps also in differentiation of common and uncommon diffuse cystic lung disease. Aim: The aim of the study is to present, describe and make differential diagnosis of this spectrum of diseases associated with air cysts at high-resolution CT. Conclusion: Diffuse cystic lung diseases are a group of complex disorders that often have an overlapping clinical presentation, but different underlying pathological processes. HRCT still remains the imaging of choice for the diagnosis of common diffuse cystic lung diseases.
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Pulmonary manifestation of sarcoidosis detected on high resolution computed tomography
(Macedonian Association of Anatomists, 2023)
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Sarcoidosis is a multisystemic disease of unknown etiology that mostly affects the lung parenchyma with interstitial and granulomatous changes of varying intensity and expression depending on the stage of the disease. In addition to the parenchyma and interstitium, the mediastinal lymph nodes are also very often affected. To analyze the distribution and characteristics of interstitial lung lesions and the involvement of mediastinal lymph nodes in pulmonary sarcoidosis by the method of high-resolution computed tomography.15patients diagnosed with pulmonary sarcoidosis were included in the study. Computed tomography with high resolution was made on 128 slice CT scanner PHILIPS INCISIVE, using 1 mm thin-slice thickness and high spatial frequencies algorithm for image reconstruction. Lymph nodes are classified as hilar and mediastinal with a maximum diameter of short axis of more than 10 mm taken as their enlargement. Pulmonary changes are classified as nodules, reticular opacities, fibrous lesions, ground glass opacities and consolidations. The predominant distribution of lesions in the upper and middle zones of the lungs compared to the lower zones was noted. The disease is graded in 5 stages with the Scadding classification. 15cases of patients diagnosed with sarcoidosis were analyzed all of whom are women in the age group of 30-60 years old. Two patients are in stage I and three are in III stage of the disease, 6patients are in stage II of sarcoidosis and 4 are in stage IV of the disease. Dry cough as a symptom predominates in all patients, while dyspnea is graded according to the mMRC scale. Mediastinal lymphadenopathy with and without calcifications was present in 11patients. The type of lung changes as well as their distribution are presented in graphs. HRCT is the method of choice in the evaluation of pathological changes in pulmonary sarcoidosis. It very precisely shows us the characteristic appearance of nodules and lesions, their distribution and atypical changes and helps us in grading the disease and its treatment.
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MRI presentation of lymphocytic hypophysitis - case report
(2016-09)
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Doreski A.
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Ulcerative colitis CT presentation -case report
(2016-09)
Hadji Nikolova N.
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Ilievski M.
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INTRIGUING VASCULAR ENCOUNTER: ANEURYSM ALONG AN ABERRANT SYSTEMIC ARTERY TO THE LUNG- RADIOLOGY CASE STUDY
(Macedonian Association of Anatomists and Morphologists, 2024-05-02)
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Systemic arterial supply to the lungs from an aberrant artery is a rare congenital anomaly, and the occurrence of an aneurysm along this aberrant vessel is an even rarer phenomenon. We present a detailed case study of a 69-year-old male diagnosed with a fusiform aneurysm of an aberrant systemic artery supplying the right lower lobe. Accurate diagnosis was achieved through CT angiography, enabling precise visualization of the anomalous artery and the aneurysmatic dilatation. In this unique case, a 69-year-old male presented with persistent cough, chest/back pain, dyspnea, prompting medical attention. Ultrasonography revealed an atypical dilation of the inferior vena cava (IVC), measuring up to 3.5 cm, alongside a distinct sub-hepatic vascular structure. Doppler imaging indicated a discernible signal, prompting further investigation through CT angiography. Notably, during imaging, features suggestive of intra-lobar sequestration were observed, indicating a potential connection between the vascular anomalies and eventual respiratory symptoms.
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RENAL OUTCOME IN PATIENTS DIAGNOSED WITH VESICOURETERAL REFLUX IN CHILDHOOD
(Medical Faculty, Ss. Cyril and Methodius University in Skopje, 2017-11)
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Mihajlovska Rendevska A
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Kuzmanovska D
To evaluate the outcome of the renal function and blood pressure in adult patient diagnosed with primary vesicoureteral reflux (VUR) in childhood Material and methods All patients have undergone renal laboratory tests, renal ultrasound, patients high, weight and blood pressure (BP). Results The mean age of the patients was 25 years. In 43 out of 48 patients with color Doppler ultrasound follow-up no renal parenchymal defects were found. In 5 patients were found bilateral and unilateral parenchymal kidney defects. The estimated GFR showed mild damage of the kidney function in 3 patients. Proteinuria was found in 1 patient and high blood pressure was measured in 1 patient. The diastolic blood pressure was lower in those patients with no renal parenchymal scars compared with those patients who had unilateral or bilateral renal scars. Conclusions Renal function was slightly lowered in less than half of the participants. Findings of the participants with unilateral scarring or unscarred kidneys were similar. The patients with bilateral kidney scars had lowered kidney function, proteinuria and hypertension. Follow-up of the renal outcome is needed in those patients diagnosed with VUR in the childhood.
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Двоен канален систем
(2016-09-22)
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Јошева Ј
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High-resolution CT pulmonary changes in patients with cystic fibrosis using Bhalla score system correlated with clinical parameters
(Macedonian Association of Anatomists, 2023-12)
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Introduction: Cystic fibrosis (CF), caused by a mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene, is an inherited, chronic, progressive, and fatal disease.It mainly involves the lungs and pancreas, but also the upper airways, liver, intestine, and reproductive organs. The aim of our study is to evaluate one of the most used scoring systems, the Bhalla scoring system, in the detection of lung impairment in patients with cystic fibrosis. Material and methods: A total of 32 patients diagnosed with CF came to our University clinic of pulmonology and allergology-Skopje to perform HRCT for the first time and to detect the degree of the disease. Clinical data, age at application, deep throat and sputum cultures were obtained from medical records Moj Termin. High-resolution computed tomography (HRCT) was performed on a 128-slice PHILIPS INCISIVE CT scanner, using 1 mm slices and a high spatial resolution image reconstruction algorithm using Bhaala score system. Results: A total of 66% of patients have mild severity of bronchiectasis, 53% of all have mild peribronchial thickening. 41% of all have from 1 to 5 extent of the bronchiectasis and 53% of all have from 1 to 5 extend of mucus plugs as a dominant HRCT findings. Sputum was positive in 44 % of patients. Conclusion: High resolution computed tomography (HRCT) is well-established and is the current “gold standard” method for monitoring lung anatomical changes in patients with CF. Bhalla HRCT scoring system is useful for pulmonary evaluation of children with CF.
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OVERDIAGNOSIS OF ACUTE PULMONARY EMBOLISM DETECTED ON CTPA - A RETROSPECTIVE STUDY
(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2024)
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Aim: To evaluate the prevalence of overdiagnosis of pulmonary embolism (PTE) by computed tomography pulmonary angiography (CTPA) and assess the clinical justification for CTPA use. Methods: A retrospective study was conducted on 200 patients who presented with symptoms of PTE between 2023 and 2024. CTPA was performed, and results were analyzed to determine diagnostic yield and identify factors contributing to over diagnosis. Results: Out of 200 patients, 22.5% were diagnosed with PTE, while 77.5% had negative results. Common symptoms included dyspnea (45%) and chest pain (42.5%). Elevated D-dimer levels were found in 92.5% of patients. For those with negative CTPA results, alternative diagnoses included pneumonia (29.03%) and pleural effusion (16.13%). Conclusion: The study highlights a significant issue of overdiagnosis due to excessive reliance on CTPA. The low positive yield suggests overuse of this imaging modality, potentially driven by inadequate application of clinical decision rules and the D-dimer test. Recommendations include improving adherence to clinical guidelines and optimizing the use of diagnostic tools to reduce unnecessary imaging and radiation exposure.

Dimitrijevikj, Kristina

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