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Heartburn is often present, particularly in older children and adults, making the differentiation with GERD difficult.
Fat stranding and inflammatory changes in the surgical bed and surrounding the pancreatic remnant are common findings, making the differentiation between pancreatitis and normal postoperative inflammation challenging, especially in cases of mild pancreatitis.
However, in many cases a mixture of acute inflammation and fibrosis in the same stenotic segment can be found in the pathological analysis, making impossible the diagnosis (Fig. 14) [26], or even in some cases a stenotic segment can have some zones of inflammation and different zones with fibrosis as the predominant component, making the differentiation difficult (Fig. 15).
MRI performed up to 1-year post-surgery shows some enhancement in the scar tissues at dynamic examination making the differentiation of scar from recurrence unsatisfactory.
However, primary lung cancer also commonly stains positive for CEA, making the differentiation between colon and lung primaries difficult based on CEA expression alone (Raab et al, 1993).
These soft tissue changes surrounding the necrotic cartilage can be very pronounced and may be the only visible abnormality, making the differentiation with recurrent tumour very difficult.
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"The great thing about Mike [Leigh] and my association with him is that he's never made the differentiation between me being a leading actor or a supporting actor".
"They need to make the differentiation that not all Mexico is violent," said J. Patrick Butler, chairman of Club Acquisition, a resort developer based in Aurora, Colorado.
"I make the differentiation between a ballet master and a coach in that a ballet master has the capability to assist the choreographer or learn whole parts of a ballet," said Kevin McKenzie, artistic director of American Ballet Theater.
All of which makes the differentiation between "modest" and "immodest" minimum wage rises fairly important.
Our modeling of busy time and packet loss probability can clearly make the differentiation between interference from transmission and carrier sense range.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com