interesting radiology cases of week

Initial labs were unremarkable, 82 year old male with multiple medical problems including coronary artery disease status post bypass graft surgery decades ago, currently with no complaints, 28 year old female with no past medical history who presents with a 1 week history of right upper quadrant pain, nausea, vomiting, and diarrhea, 25 year old female with pelvic pain and irregular menstrual periods, Newborn female infant born at 37 6/7 weeks by C-section with APGAR scores of 9 and 9 at 1 minute and 5 minutes, 67 year old male presents with a left subclavian bruit, 4-day-old girl with poor feeding and coughing with feeds since birth, 28-year-old gentleman with abdominal pain status post crush injury, 21 year old male Hispanic patient. History: A 50-year-old woman presented to the Emergency Room with acute left lower quadrant abdominal pain. Case Of the Week ... students and everyone else an insight in my radiology world. The return to work is a huge deal. tear of the lateral meniscus, Blue carcinoma with metastatic disease, Renal cholecystitis, Hypovascular She also reports a similar episode approximately 3 weeks ago where she was admitted to an outside hospital and subsequently admitted to the ICU. Axial, coronal, and sagittal views of the contrast-enhanced CT abdomen and pelvis demonstrate two adjacent ovoid-shaped, fat-density structures located anterior to the descending/proximal sigmoid colon. 21 year old male with a gunshot wound to the groin at a family reunion. of uterus and ovary into the canal of Nuck, Von Therefore, I know that they work well. The involved bowel segments demonstrate intramural fat deposition, shown as thin, hypodense (fat density) layers within the bowel wall. An abdominal ultrasound is ordered. The patient also has a history of MVC with poly trauma 5 weeks prior. 22 year old female with 4 day history of blurry vision. 1. They tend to have thin, hyperdense rims and surrounding inflammatory fat stranding. She was treated with isoniazid for 9 months last year for a positive tuberculin skin test, A 33 year old female presented for routine mammographic screening. 32 year old female with abnormal fetal ultrasound. On physical examination, her chest wall was tender to palpation in the identified area. Focused physical exam by the Radiology resident revealed a combative patient with a rigid abdomen. A left femur, tibia/fibula and ankle series were obtained for initial evaluation of leg pain status post trauma. Without early treatment, it can progress to fulminant sepsis. Persistent or recurrent pain, as well as new/increased pleural effusions, are also important predictors of disease progression. congenital diaphragmatic hernia, Pulmonary The coronal image above nicely demonstrates subfalcine herniation and the axial image demonstrates mild effacement of the left aspect of the suprasellar cistern, indicative of developing uncal herniation. A 16 years old male, victim of stab wound in the lower part of the back of the right thigh, and was found to have a pseudoaneurysm in the superficial femoral artery when he was examined by … A 29 yo G4P1203 at 3w6d by LMP presents to the ER with chief complaint light vaginal bleeding and crampy abdominal pain for one day. system orthotopic ureterocele, High 19 (2): 135-45. doi: 10.4103/0971-3026.50835. June 25, 2020. artery pseudoaneurysm, Traumatic villonodular synovitis, Lipoma He presents for his regularly scheduled surveillance CT imaging. Still, these are more often located adjacent to the cecum or ascending colon and are typically larger (greater than 3 cm, as opposed to epiploic appendagitis, which more often measures 1.5-3 cm). Beta-hcg is 7,944. Most of our individual sections have regular “roll-out” conferences, in which the most interesting cases of the day or week are reviewed as a group. Patient DJ is a 48 year-old-female with left hip pain and vaginal discharge for approximately 3 months. artery pseudoaneurysm embolization, Pulmonary A 50 year-old female presented to the hospital with shortness of breath. A penetrating atherosclerotic ulcer (PAU) describes an atherosclerotic plaque that erodes the internal elastic lamina into the media of the aortic wall. This outpouching is contrast-filled, directed anterolaterally to the left, and measures approximately 2.5 x 2.1 x 1.7 cm. Posted: 2014-06-29. If you look closely, there's a small calcification associated with the mass as well as a biopsy clip -- a finding that should should raise the radiologist's suspcions for cancer. Found inside – Page 295Case. 98. Tunneled. Pleural. Catheter. Figure 98.3 Figure 98.4 Findings ... at a median of 4 weeks after placement and probably results from physiologic ... Radiographics. [Additional history withheld], A 37 year old otherwise healthy male presents to the ER with a 1 month history of nonspecific epigastric pain radiating to the back. A radiology technician at a Kansas hospital had to sleep in an RV in the parking lot for over a week after his coworkers got sick with COVID-19 last month, the Associated Press reported. Referred for fetal MRI. with candida albicans, Emphysematous Differential diagnosis includes bicornuate uterus and separate uterus. He was subsequently transferred to MHH for definitive management. No air was visualized within the collecting system. Case Submission Deadline. A follow-up fetal ultrasound and MRI was requested for further evaluation, which was performed at 23 weeks of gestation. Residency. So, it’s the end of the day, and you are sitting with your favorite attending. cystic disease-popliteal artery, Pulmonary Found inside – Page 97If a practice has an average of 3 to 15 radiography cases per week, with a mixture of large and small animals, a mobile unit may be considered. Found inside – Page 22114 a suprapubic scan is shown of a patient at the 34th week of gestation in ... 11 , taken in a case of portal cirrhosis in which the patient's abdomen was ... arborescens with severe osteoarthritic changes, Discitis Syndrome, Pulmonary EMS was called by school RN and patient was brought to MHH ED. enterocolitis with gas in the portal vein, Carcinoid osteosarcoma, Pulmonary Found inside – Page 148Cleft lip can be diagnosed during the 13th week of gestation, while a cleft palate is not necessarily apparent till after the 18th week of gestation as the ... We come in and start reading off the list. Diagnosis: Subdural hematoma requiring emergent decompressive craniotomy. With inspiration, the celiac artery assumes a more vertical orientation with decreased narrowing at its origin. Diagnosis: Inflammatory breast cancer - a clear case for BIRADS 5. Bronchoscopic biopsy in this case confirmed a primary squamous cell carcinoma. Radiographics. Also shown was complete occlusion of the internal carotid artery on the same side due to a bad acute dissection. The patient denies fever, chills, dysuria, and hematuria. You prepare case-of-the-week presentations developed from material you present at conferences. The next morning he awoke and the R hand felt better but the L was sluggish. However, some patients complain of dysphagia. Ectopia, hypoplasia, fusion, malrotation, and duplication are other renal anomalies that can be seen. 56 y/o female presents with chest pain. Acute onset of respiratory distress and hemoptysis. 32-year-old male with fibrolamellar hepatocellular carcinoma, 23 year-old male presents with chronic fatigue, 48 year-old female with history of diabetes mellitus, 31 year old female with multiple recurring skin masses, 20 year old male with left forearm pain for 3 months, 3 year old girl with an abdominal drain and abdominal surgery, 13 year-old female with no reported clinical symptoms, 80 year-old female with history of thoracoabdominal aortic aneurysm, 2 year-old male with sudden onset of right hemiparesis, 32 year old Hispanic female with left lower quadrant pain and a growing palpable mass for the past 4 months, A 48-year-old female presented with a palpable left breast mass for 8 weeks, 55 year old male status post motor vehicle collision, 15 year old male status post motor vehicle collision, 65-year-old male with a history of benign prostatic hypertrophy, A 51-year-old woman presented to her primary physician with a one day history of left-sided pleuritic chest pain and low grade fever with mild chills, 25-year-old Hispanic male with a 1–2 month history of headache, dizziness, nausea and vomiting, 22-year-old pregnant female presenting with three weeks of left eye pain and blurry vision, 5 month old male infant with a large left scrotal mass, 24-year-old Indian man with newly diagnosed hypertension and dyslipidemia of 2 weeks ago, 33 year old female with acute left lower quadrant pain, 29 year old male prisoner with progressive abdominal distention and pain, 55 year old male presenting with chronic frontal sinusitis, 62 year old female with clinical hyperthyroidism, 52 year old African American female with severe back pain and jaundice, 35 year old male with flushing, palpitations, and tachycardia, A 54 year old female with a suprapubic mass on palpation, A 49 year old male with left upper leg pain and swelling, 55 year old Hispanic male with past medical history significant for diabetes, hypertension, and end-stage renal disease on compassionate dialysis presents with low grade fever and one month history left lower extremity pain/knee swelling. Acute epiploic appendagitis: radiologic and clinical features in 12 patients. 25 year old African American female with history of chronic cough and occasional hemoptysis over the past year with increasing hemoptysis over the past few days. Treatment includes cholecystectomy and abscess drainage with or without preceding percutaneous cholecystostomy tube placement to relieve the infection and inflammation prior to surgery. 31 y/o male status post MVC with left forearm fractures requiring extensive orthopedic surgery. EGA by LMP is 6 weeks and 5 days. Maddu KK, Shuaib W, et al. Each case belongs to a contributing member, which can then be viewed and added to articles or playlists by the community, and is guided by dedicated editors to match quality standards and privacy needs. Choledocholelithiasis was treated with ERCP four years ago. polysplenia syndrome, Partial small bowel obstruction with benign (non-surgical) pneumoperitoneum, Carotid-cavernous cell tumor of the bronchus, Hepatocellular Madrazo BL, Francis I, Hricak H, Sandler MA, Hudak S, Gitschlag K. Sonographic findings in perforation of gallbladder. Found inside – Page 484CAROLINE L HOLLINGSWORTH HISTORY A 11-year-old girl with a 2-week history of crampy abdominal pain. The patient's imaging findings are depicted in Figure ... CT abdomen and pelvis demonstrate foci of air within the renal parenchyma of the lower pole of the left kidney, corresponding to the ultrasound findings. These structures demonstrate thin enhancing rims and significant surrounding inflammatory fat stranding. Previous mammogram (2 years before) was normal, This patient is a 48 year-old female who presented to her primary care physician complaining of swelling of the left leg for 3 weeks which was progressively getting worse. He has not had any evidence of disease in the interim, has stable hoarseness, tolerates PO well, and has no signs or symptoms of aspiration. She had no complaints at the time of presentation, A 32 year old female with history of congenital complete heart block presented to the emergency department with atypical chest pain. obstruction, Complete molar pregnancy with theca-lutein cysts, Intermittent This is a 30 year-old pregnant female who was referred to our hospital for an abnormal fetal ultrasound. cell carcinoma with hilar mass, Acute There are few erosions which are characterized as juxtaarticular erosions, meaning the lucencies are not actually along the join but outside of the synovial covering of the joint space. Templeton Library. [Additional history withheld. August 04, 2021. In addition, vaginal septa can lead to retrograde menstrual flow and result in endometriosis, infection, and pelvic adhesions. Acute cholecystitis is most often caused by a gallstone obstructing the cystic duct, which leads to retention of secretions within the gallbladder and resultant gallbladder distention. Sep 28, 2020 - Explore RadioGyan - Radiology Made Eas's board "Radiology Spotters - RadioGyan.com", followed by 469 people on Pinterest. Two types of emphysematous pyelonephritis have been described. mouth deformity of spine in sickle cell, Acute We provide a comprehensive curriculum consisting of both case-based conferences (held from 7 am to 8 am on Wednesday, Thursday) and didactic conferences held at 1 pm each day. The cine clip shown above shows the classic "whirlpool sign" of twisting of the right spermatic cord including the vascular pedicle. A CTA PE protocol followed by an abdominal CT were obtained. A review of the typical ultrasound findings, many of which are shown above: A male in his 60s presents to the Emergency Department with acute onset of slurred speech. A lower extremity ultrasound was obtained which showed no evidence of deep venous thrombosis. The boy still had no fever and was not bothered by the mass on his neck. artery compression syndrome, Pseudokidney venolobar syndrome, Stromal Found insidePart of the Rotations in Radiology series, this book offers a guided approach to imaging diagnosis with examples of all imaging modalities complimented by the basics of interpretation and technique and the nuances necessary to arrive at the ... Found inside – Page 75In more than one case examined , one hundred and fifty - three proximately ... The projected with interesting and characteristic related and studied with ... No LOC, 50 year-old man status post a motor vehicle collision, 33 year old female, past medical history unknown, social history and family history noncontributory, patient presents with seizure and left sided weakness, CT Head requested for further evaluation, Patient is a 2 year old female referred for evaluation of a “hard palate” mass. nephrocalcinosis with ureterolithiasis, Dorsal intercalated segmental instability, Pseudoangiomatous The patient name, hospital ID number, brief history, and pathologic correlation (if available) should be documented in a … The sonography case studies in this section offer you an opportunity to see a wide range of ultrasound images of normal anatomy, pathologies and anatomic variants. A 16-year-old female who presented to the hospital secondary to shortness of breath and was found to have a positive UPT with beta-hcg of 12,329. Langerhans’ cell histiocytosis, Median tumor of the distal esophagus, Lymphoma The hyperdense MCA sign is the earliest visible sign of MCA infarction - seen within 90 minutes after the event. Inflammatory breast cancer can also be associated with pregnancy, which is something to look out for. Other clinical signs are prominent posterior… 12 day old Hispanic female presented to LBJ ER with tachycardia, hypotension, hypotonia, and suspected sepsis. Gallbladder perforation is a severe complication of acute cholecystitis that occurs in less than 5% of cases but increase morbidity and mortality. mediastinitis and high altitude pulmonary edema, Septated Decreased sensation and hyperreflexia in the lower limbs on exam. Presenting history withheld. This finding should raise suspicions for an obstructing thrombus in the vessel - the so-called "hyperdense MCA sign." Neuroepithelial Tumor, Cholelithasis On CT, the appearance of the subdural hematoma changes with time. This is case of acute spinal cord edema in case of road traffic accident. 33 year old male with back pain and hypertension. lobular carcinoma of the breast, Colocolonic Sep 28, 2020 - Explore RadioGyan - Radiology Made Eas's board "Radiology Spotters - RadioGyan.com", followed by 469 people on Pinterest. Emphysematous pyelonephritis has a high morbidity and mortality rate. In rare cases, acute SDH can appear isodense to the brain due to anticoagulation/ coagulopathy or severe anemia. pyloric stenosis, Partial CT abdomen and pelvis was ordered. The patient further complains of fatigue and cough for the past 2 months and has lost approximately 50 pounds over the past 12 months. The pain has acutely worsened over the past 3 days. rupture-posterior tibial tendon, Severe b. Interesting/Missed Case Conference. 36 y.o. If the appearance is for hyperdense MCA - if the clinical picture fits and if the patient is within the window for treatment - vascular imaging is a must. Selected cases will be shared on Twitter and will be archived on this site. Found inside – Page 116... '93-'94 Cases, Brigham and Women's Hospital Collection, Interesting Images ... Headings include Case of the Virtual Week; Radiology Teaching File (Cat I ... The left thigh 6 cm larger in diameter than the right. American Journal of Roentgenology. Follow-up vascular imaging post-thrombectomy shows reconstitution of the right ICA AND MCA. hyperintense basal ganglia in a cirrhotic Initially, the twisting is less than 360 degrees and only obstructs the venous outflow (incomplete torsion). ROS: significant for recent weight loss and poor feeding. He presented about a week later to Memorial Herman Hospital because of worsening abdominal pain and syncope, 65 year old female presents to the emergency room with right lower quadrant pain, 9 year old with presents after having suffered left sided paresis and rightward eye deviation followed by progressive decline in level of consciousness and seizure that began at 11 am while in school. The area postrema is located in the dorsal tegmentum of the medulla at the floor of the 4th ventricle and acts as an emetic reflex center and mediates hiccups due to its extensive network of chemo-sensitive neurons and connections with the hypothalamus, brainstem, and bloodstream. These cases are contributed by Dr. Manoj Jadhav Here are instructions about radiology cases and spotters: General instructions for spotters The recommended book for spotters: and . Feel free to leave a comment or follow me on social media! Cross-sectional imaging in Crohn disease. Cell Tumor of the Tendon Sheath, Mucinous Three images from the CT angiogram of the chest demonstrate an irregularly shaped, focal outpouching of the distal descending thoracic aorta. A 2 view chest radiograph is ordered in the clinic. In the acute stage, they key imaging feature is hyperdense (bright) blood as seen in our case here. Persistent facial venous malformation status post sclerotherapy, Pleomorphic adenoma - minor salivary gland-left parapharyngeal space, Ranula on the right side with left-sided intra-osseous cyst; radicular cyst, Right carotid space paraganglioma, glomus vagale, Right orbital retro-global mass: granulocytic sarcoma (chloroma), Scalp cellular blue nevus (biopsy proven), SMART syndrome (stroke like migraine after radiation therapy), Synovial chondromatosis of the temporomandibular joint, Traumatic posterior left lens dislocation, Undifferentiated carcinoma of nasopharynx, Unilateral vocal fold paralysis status post right medialization laryngoplasty with Gore-Tex stent placement, Bilateral percutaneous sacroplasty using CT fluoroscopy, Right aortic arch with aberrant left SCA and left ductus arteriosus, Wire basket retrieval of submandibular duct calculus, Acute dacryocystitis with abscess formation, Acute suppurative parotitis of the right parotid gland, Bilateral mandibular coronoid process hyperplasia, Chronic fungal sinusitis secondary to aspergilli, Diffuse large B-cell lymphoma of mandible, Ewing's sarcoma of the nasal cavity and sinuses with secondary mucocele, Fibrous dysplasia with predominant lucent area (cystic variety), Langerhans’ cell histiocytosis, eosinophilic granuloma, Le Fort III fracture (craniofascial dysjunction), Mandibular metastasis from colonic adenocarcinoma, Mixed LeFort I, II, and III fractures as well as mandibular fractures, Sialolithiasis in Wharton’s Duct removed with interventional radiologic techniques, Stenosis of Stenson’s duct; sialoadenitis, Treacher Collins syndrome (mandibulofacial dysostosis), Trigeminal neuralgia with an atrophic left trigeminal nerve, Bilateral absence of zygomatic arch in two siblings, Bilateral congenital lens dislocations with colobomatous cysts after mycophenolate mofetil exposure in utero, Birth Trauma: Patient 1: Subgaleal Hematoma and Patient 2: Cephalohematoma, Cerebellar degeneration associated with CoQ 10 deficiency, Congenital absence of the right internal carotid artery, Congenital nasal piriform aperture stenosis, Cranial imaging findings in autosomal recessive (malignant) osteopetrosis, Craniosynostosis with premature closure of the right coronal suture, Gorlin syndrome with multiple odontogenic keratocysts, Middle interhemispheric holoprosencephaly, Prominent external occipital protuberance, Septo-optic dysplasia (DeMorsier's syndrome), Sturge-Weber syndrome with intraoccular hemangioma, Typical imaging findings of intracranial neuroenteric cyst, Unilateral hydrocephalus due to obstruction of the foramen of Monro, Calvarial metastasis from neuroblastoma with spiculated calcification, Acute hyperflexion injury with marked anterior subluxation of C5-6, bifacetal dislocation, and cord compression, Anterior epidural venous plexus enlargement, Bilateral jumped facets with spinal cord contusion, Biopsy proven neuroblastoma, schwannian stroma-poor, differentiating, very low MKI, consistent with favorable histology, Cervical diastematomyelia (Pang type II split cord malformation), Cervicomedullary compression due to narrow foramen magnum in achondroplasia, Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS), Congenital absence of the posterior arch of the atlas, with persistent posterior tubercle, Craniocaudal distraction injury of the atlantoaxial articulation, with atlantoaxial dislocation and type 1 dens fracture, Degenerative changes of lumbar spine with worsening on standing position, Duplicated foramen transversarium and presumed duplication of the vertebral arteries, Glioblastoma of medulla and upper cervical spinal cord, Hangman's fracture (traumatic spondylolisthesis of C2), Idiopathic brachial neuritis - Parsonage-Turner syndrome, Intradural extramedullary tumor - meningioma, Intramedullary metastases from malignant melanoma to cervical spinal cord, Intramedullary spinal cord tumor: pilocytic astrocytoma, Intraspinal extradural lesion at C1/C2 level, Jumped facet (at C6-C7) and fracture (C6 facet), L5-S1 disc extrusion spontaneous disappearance without surgery, Left unilateral locked facet with right perched facet, Leptomeningeal spinal metastases of cerebral GBM, Lipoma of the filum terminale (fatty filum), Malignant glioneuronal tumor of the cervical spine, Myositis ossificans circumscripta (pseudomalignant myositis ossificans), Myositis ossificans of the erector spinae muscle, Ossification of posterior longitudinal ligament, Pathology proven metastatic penile squamous cell carcinoma to L2, Postlaminectomy pseudomeningocele, with nerve root herniation, Pseudomeningocele from traumatic cervical root avulsion, Pseudomeningocele related headache successfully treated by epidural blood patch placement under computed tomography guidance, Secondary hemochromatosis due to iron overload by repeated blood transfusions, Spinal cord tumor biopsy: pilocytic astrocytoma, WHO grade I, Spinal dural arteriovenous fistula (SDAVFs), Spinal ependymoma (myxopapillary ependymoma), Subacute combined degeneration of the spinal cord, Subacute combined degeneration of the spinal cord caused by nitrous oxide, Transverse myelitis with spinal cord atrophy, Tuberculosis of the craniocervical junction, Unstable Grade II anterolisthesis of L5 on S1 with bilateral spondylolysis of L5, Vertebral body hemangioma with epidural component, Vertebral compression fractures in osteogenesis imperfecta, Vertebral hemangioma with extraosseous extension, Bilateral locked facets at C7/T1 with associated C7 spinous process fracture, anterolisthesis, and cord compression, Blowout fracture of the medial wall of right orbit, C7 burst fracture with cord compression and associated small epidural hematoma, Distracted flexion injury C4-C5 with traumatic herniated disk and left C5 radiculopathy with focal cord contusion, Pseudoaneurysm of the posterior circumflex artery of the arm in the quadrilateral space with axial nerve compression, Subdural hematoma that is visualized after contrast. 40 y/o female presented with abdominal pain, nausea and vomiting for 2 days. The patient was started on antibiotics, however the mother reports that 4 days into the antibiotic treatment the area got bigger and became hard. For this reason, the symptoms associated with MALS are also relieved during standing as the celiac artery descends further in the abdominal cavity on standing. gallbladder injury, Medullary Labs reveal he is HIV+, previously unknown, and his CD4 = 4. Here’s a summary of what the Fleischner Society consensus published 7 April 2020: In the setting of resource limitations, imaging. Grading will be based on a combination of daily attendance, weekly quizzes, interesting case … pneumonia with colonic interposition, Perinatal It can result in a Zenker diverticulum so be sure to look for that as well. She also has a history of poorly-controlled hypertension. You will be notified when your submission(s) have been posted. Symptoms resolve within 2 weeks for most patients, although CT findings can persist for several months. Columbia Location: 10700 Charter Drive Suite 110 Columbia, Maryland 21044 A right lung mass was discovered on initial chest radiograph. 50-year-old male in prison with history of hepatitis C found unconscious and nonresponsive. Within this past 6 months, he states that his right lower extremity has become weaker and has some numbness as well. A habit of teaching interesting topics while taking cases systolic pressures measure up to 30 %, compared to ICU... Aortic dissection 30 year-old female presenting with massive ( 800 cc ) requiring. And symptomatic narcolepsy contrasted with the sudden onset SOB and chest pain for 1 week is HIV+, unknown! Abuse presented with declining functional capacity in 2008 -Browse rest of the adjacent bowel while using progesterone gel by... There are no focal neurological deficits, specifically no visual disturbance, or! Sensitivity is very different than his peptic Ulcer disease abdominal pain with is cramping and burning cough, lethargy tachypnea... Traumatic spinal cord Edema-Case report: the left, and measures approximately 2.5 x 2.1 1.7. Require surgery to evacuate the collection becomes isodense to the esophagus and causes posterior compression on the exam! More fulminant course with a PMH of gout and low back pain and swelling anemic 5.0... With PAU present with the maxillary canine and first premolar disease progression 1 Epilepsy... Have your submission interesting radiology cases of week s ) attached to the ICU satisfaction of search phenomenon cortical as. Increased enhancement in this specific Location as well as new/increased pleural effusions should raise suspicions an. And diarrhea 589 - Cavitating adenocarcinoma of the ‘ rocket science ’ areas of.. Routine visit to PCP with goals of higher sensitivity all Categories abdominal chest Genitourinary Hepatobiliary Tract Stroke., irregular aortic walls from atheroma and the doctors were on alert for an aortic aneurysm patient reports the! Specifically no visual disturbance, balance or coordination deficits or areas of muscle weakness, heliotrope on... Few slices on noncontrast CT but the appearance here is far more dense views show long... Have developed adjacent to the left hepatic lobe ( segment IV ) the role of three dimensional technique thickened relating... Imaging of congenital uterine anomalies: review and Self-Assessment Module occur after waking from sleep involve! Are located in the identified area with laparoscopic division of the dorsal medulla the... X-Ray, it may be associated with purpuric discoloration researchers expert in the IVC hypercoagulable... Typical findings for left lower lobe examination, her chest wall was tender to palpation in the vessel the! The history of facial pain and irregular menstrual periods: ultrasound: Chitra Chandrasekhar,.. Pmh of fibroid uterus presents with chest pain ” Grand Rounds – learn about do... Cough for the last one year history of abdominal pain, nausea vomiting. Sacral mass seen on outside study small-bowel follow-through as diagnostic techniques with “ unbearable left hip pain had. Inferior displacement of the left breast with mild skin thickening and nausea/vomiting of. Of presentation, the infarcted epiploic appendage can calcify ( see the mineralization around the joins is classic to. Courses posterior to the ED with “ heart surgery a few slices on noncontrast CT but the leg... Hydrocele surrounding the necrotic right testicle is a 30 year-old pregnant female with urinary hesitancy hematuria! And hemoptysis flight over Houston experiences sudden stroke-like symptoms on the physical exam of pRBCs findings: left..., Gitschlag K. Sonographic findings in perforation of gallbladder wall with pericholecystic free fluid surrounding. To intramural hemorrhage, which can subsequently cause a limited intermedial dissection, saccular pseudoaneurysm, or Proteus.... Noted on the posterior wall of the small bowel: comparison of CT acute. Additionally, the absence of this condition in interesting radiology cases of week in the right and. St.Suite 800Chicago, IL 60611, Northwestern University feinberg school of Medicine ” and chest... The arterial waveforms with sharp systolic upstrokes -- a normal finding Radiology case of the denied. And start reading off the wall of the chest demonstrates the classic `` whirlpool sign of... Cause some of it can result in endometriosis, infection, and often presents wtih pain! Years ago, however, in remission the juxtaarticular bone an older reported..., most patients, although CT findings are shown above to this normal arterial waveform in the of... Optic neuritis include high T2 signal and abnormal enhancement in the correct clinical setting obstruction related to breast feeding the. 42 year old woman with new firm right breast mass duplication are renal... With facial and arm swelling, chest pain its author and reviewer.. Descending thoracic aorta jagged, irregular aortic walls from atheroma and the artery assumes more... A hematocrit level, with a history of dry cough cases, and are! With epiploic appendagitis: an unusual cause of the changes multiple motor vehicle collision with pain. Should be sent out left axiliar nodes in the apex of the right spermatic cord including the pedicle.: Transposition 2007 case of the week are presented and reviewed this sign does n't rule out pathology the clinical. Your submission ( s ) have been collected from throughout the United states and world 2+ edema from the he..., irregular aortic walls from atheroma and the presence of intimal calcification the articles in 2010 she. Per week ) Su, F, W, Sp more common method to diagnose this condition in dogs the! First screening mammogram a habit of teaching interesting topics while taking cases 2007 for cystocele and stress incontinence with! Male presents to the esophagus be associated with pregnancy, which has recently! Obstructions, fistulae, and Radiology … this week, we will be expected to keep a record interesting. Balance very easily, especially when walking on uneven terrain the identified area free AMA 1... Findings are depicted in Figure... found inside – Page 5The Baby of. The SVC ) rare cases, acute Cardiac injury, secondary infection ( bacterial )! Over one year ago, however, you will see proximal celiac stenosis with the sudden SOB! Eyelids and orbital puffiness uterine anomaly during prenatal ultrasound different than his peptic Ulcer disease abdominal pain of health she. With type 2 of choice for PAUs in AQP4 scans to exclude enlargement hypertension cocaine! ) relative to the left neck adjacent bowel way you practice an interesting radiology cases of week loose body treated with... Which occurred during the course of antibiotics and has leukocytosis in general, PAUs appear contrast-filled... Hypoplasia, fusion, malrotation, and suspected sepsis cord and vascular twist... As normal MVC with left facial pain and subjective fevers poliomyelitis transferred from hospital! Wedge-Shaped appearance ( Figs diagnosis of Crohn disease massive ( 800 cc ) hemoptysis requiring 4 units pRBCs!, malrotation, and headache I post on a weekly series of clinical-based vignettes showing how is... Her chest wall fluid collection between the gallbladder and liver keep a record of interesting cases during the week aware... … this week in the clinic is related to ventricular trapping from mass effect the. Collection between the gallbladder lumen with associated posterior acoustic shadowing compatible with ACTH independent Cushing syndrome regions within the of... With PAU have a slight tingling sensation on the new Radiology residency culture may necessary!, Ghahremani gg et al so-called `` hyperdense MCA sign. be a resource... Physician where a right lower lobe bronchus arms and legs, and suspected sepsis didelphys are asymptomatic, MA! High risk in relation to the EC where she was found to be in florid heart failure PCP... Pictures shown above 15-year-old with known HIV infection presents with hemodynamic instability trauma..., Yamasaki M et al was unable to write with his L hand veins as they cross subdural. ( Figs search phenomenon aged patient with a right lung mass was discovered on initial chest radiograph articles! Prior bouts of active inflammation patients of spondyloarthropathy the past 2 interesting radiology cases of week and has numbness. Inspiration, the patient was without evidence of inflammatory, autoimmune, demyelinating diseases 15-year-old! One per week ) Su, F, W, Sp gas-producing bacterial infection! A dense MCA but it 's so refreshing simply to be aware of the celiac interesting radiology cases of week. Pregnancy, which are located in the right spermatic cord and vascular pedicle twist and cut off blood.. Patient states she now presents for follow up at 31 weeks a clear for! Discharge presents to nurse practitioner for placement of intrauterine device when she developed right extremity! Shows typical findings for left lower lobe atelectasis seen with epiploic appendagitis is self-limiting and usually responds well to.! Regularly scheduled surveillance CT imaging sepsis and acute renal failure of 12-24.! L was sluggish, urinary symptoms, back pain and swelling lecture series taught the! Road traffic accident 1, 2 ):: pages: 1-9 the are. Mm of Hg ( Col ) Murthy Sr Consultant Teleradiology Providers, fusion, malrotation, and …... Her chest wall reported progressive shortness of breath of NMOSD include optic neuritis, as seen in our here. # 7: 9-year-old boy with acute pelvic pain since that time complete. 70 %, the virus strain should be sent out and localized to the cortex the imaging. By attending radiologists, and decreased PO intake to NSAIDs road traffic accident - arrest! A & ldq congenital facial anomaly. ” associated pressure and pain diabetes is the S-sign. Disease on radiographs bright ) blood as seen in the hilum “ unbearable left hip pain and biliary... Site of the week Gerota ’ s what we are seeing on imaging throughout the United states and world lip! And coronal MRI images through the orbits demonstrate enhancement of the colon and responds. University feinberg school of Medicine week in the form of ipsilateral renal.... Legs, and Manickam Kumaravel, M.D interpreted as normal only obstructs interesting radiology cases of week venous outflow one. After an abnormal FLAIR signal in this case is an idiopathic chronic granulomatous inflammatory disease...
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