Inside scoop12/31/2023 In contrast, a coronal T2-weighted MR image ( c) in an 82-year-old man with chronic kidney disease shows microcysts with a cortical and subcapsular predominance (arrows), an appearance characteristic of glomerulocystic kidney disease. Note that tiny cysts often appear echogenic rather than anechoic on ultrasound. Longitudinal sonographic image ( b) in a 76-year-old man with history of lithium use shows multiple punctate echogenic foci without shadowing (black arrows), consistent with microcysts from lithium nephrotoxicity. These findings are consistent with lithium nephrotoxicity. Finally, a coronal noncontrast CT image ( e) in a 66-year-old man with chronic rejection of a now non-functioning renal transplant shows dense cortical calcifications (open arrow), as well as extensive vascular calcifications (asterisk).Ĭoronal T2-weighted MR image ( a) in a 74-year-old woman with history of psychiatric disease show numerous predominantly subcentimeter cysts throughout the cortex (arrows) and medulla (arrowheads). Coronal contrast-enhanced CT image ( c) in a 33-year-old man presenting with systemic hypotension secondary to a gunshot wound shows diffuse cortical hypoenhancement (black arrow) with a thin rim of hyperenhancement along the renal capsule (white arrow), also known as the ‘cortical rim sign.’ Axial noncontrast CT image ( d) from a subsequent examination in the same patient shows dense cortical calcification (arrowheads), indicating cortical nephrocalcinosis related to the prior episode of acute cortical necrosis. These findings of active pleuritis and pericarditis are consistent with lupus-related chronic glomerulonephritis as the etiology of the patient’s cortical nephrocalcinosis. Whether it is trying to eat one of our 14 scoop smoking volcano sundaes with your best friends, watching a movie in our lounge, or just relaxing in our living room and playing shuffleboard with family and friends, we hope to provide you with some very memorable experiences.Coronal noncontrast ( a) and axial contrast-enhanced ( b) CT images in a 25-year-old woman reveal ill-defined calcifications in the renal cortex (arrows) compatible with cortical nephrocalcinosis, as well as pericardial and pleural effusions (asterisks) with serosal enhancement (arrowheads) indicating active pleuritis and pericarditis. The Inside Scoop hopes to create some lasting memories for you as well. But it appeared that this impossible task was becoming a reality. The memories that the 2 owners (Penny and Tony) had of growing up together in Emmaus and visiting the local ice cream shop on dates when they were 15 seemed to be almost impossible to create in this busy day and age. The philosophy of giving a superior product at a fair price in a friendly, fun atmosphere that helps you forget the worries of the world and escape into your ice cream or coffee, was finally a reality. Everyone expected a bureaucratic nightmare, but Coopersburg proved why they are such a great little town.Īfter about 5 months of intense building rehabilitation, The Inside Scoop was born. After a few meetings, the Coopersburg Mayor, Jonathan Mack, the chief of police, Daniel Trexler, the zoning board, and the borough council gave this project their full support and blessing, so the project was able to move forward. Then it was realized that a zoning approval was needed because of the unusual residential zoning of this property. (It was hard to miss, since it is attached to the baseball and football fields!) Because of the cooperation of the Wetzel family, it appeared that The Inside Scoop had a found a home. In addition, there was nowhere to get a good cup a coffee on a chilly football game evening or Saturday morning.Īfter scouring the area for suitable locations for an Old Fashioned, family run, locally owned Ice cream parlor, the current building was found. (Most of the local residents remember the building because of the tractor that was on the roof.) Ronnie decided to retire (and make a lot of loyal lawn mower repair customers unhappy) right around the time Penny and Tony Caciolo, also from Coopersburg, had the idea to open an ice cream and coffee shop.Īfter spending countless nights watching their son play baseball and football on the 45 acre sports fields that are behind the building, the Caciolos’ realized that there was NOWHERE to take the kids after games for a celebratory ice cream cone. And then in the 1970’s, Mr.Harold Wetzel bought the property, expanded the building, and it became the new home of Ronnie’s Lawn Mower sales and service. Around 1950, Hickory Valley Farms opened up a butcher shop in this building (you can still see the name on the front concrete stoop).
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