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Present day mammography has not been able to make use of the advantages of digital luminescence radiography because of the limited spatial resolution. The recent development of electromagnetic focusing x-ray tube with effective focal spot sizes from 0.04 to 0.12 mm allows radiographic direct magnification with less geometric blur. It is now possible to combine direct magnification mammography with digital luminescence radiography. By combining high quality storage phosphor screens with an HQ-workstation a spatial resolution of 8 lp/mm is possible for 1.7-fold magnification. For 4-fold spot magnification views spatial resolution can be theoretically increased to approx. 20 lp/mm. One important advantage of digital radiography is the possibility of image-post-processing. This article presents two sets of standard parameters and three sets of image dependent parameters for better imaging of specific lesions, such as microcalcifications. The introduction of the the storage phosphor screen technique in mammography is one step in the development of direct digital radiography. Further interesting perspectives for the future include post-processing programs for detecting suspicious lesions which are already being clinical tested.

Dynamic MR imaging of the breast is viewed as an examination technique which is supplementary to mammography and sonography and which can provide important additional diagnostic information. Proven indications for MR mammography include examinations of patients who have undergone lumpectomy and patients with prosthetic breast implants. The method also appears to be useful to differentiate between postoperative scarring and carcinoma as well as to exclude a multicentric breast carcinoma prior to lumpectomy. The sensitivity of MR mammography, however, is limited in cases of DCIS. Hypervascular benign lesions can be difficult to distinguish from malignant lesions.

This report presents a case of a ruptured intracranial dermoid accidentally found in a 51-year old patient. The tumour appears as a large lesion located in the posterior fossa. The CT and MRI studies identify fatty material into the CSF spaces providing intraventricular fat-fluid levels. These characteristic findings are indicative of the diagnosis.

Modern imaging techniques such as ultrasound, computer tomography and magnetic resonance imaging serve an increasingly important role as an extension of conventional radiological methods for clarification of shoulder disorders. The precise representation of bony, cartilaginous and soft tissue injuries has become indispensable for successful therapeutic decision making. A stepwise employment of the various examination techniques of the shoulder should be utilized while keeping in mind the patient's particular complex of symptoms.

The differential diagnosis of cystic tumours in the region of the so-called Trigonum femorale is presented and discussed. In this context the topography of this area is demonstrated. In addition to the clinical findings sonography and computed tomography are the method of choice in finding the right diagnosis. Invasive methods such as angiography and lymphography are indicated in only few cases. US-guided fine-needle-aspiration should be preferred instead, if it is of any therapeutic relevance.