This Week’s Case of the Week from 2/24/19:
History: Chest pain.
What are the most important findings? Increased enlargement of the distal thoracic aneurysm with an increased mural hematoma. Poor opacification of the distal thoracic and upper abdominal aorta. Question flap in the aorta
What are the possible diagnoses? an admixture of blood products and contrast in the distal thoracic aorta vs. early dissection flap. Accompanying ruptured plaque with a mural hematoma.
What should you do next? Either follow up with another CTA with improved contrast bolus or MRA of the chest/abdomen.
Today
One year ago
This Week’s Case of the Week from 2/17/19:
History: Abdominal pain.
What are the most important findings? Stranding around the head of the pancreas, SMV thrombosis, new gastric sleeve/post bariatric surgery changes
What is the most likely diagnosis? SMV thrombosis with accompanying pancreatitis or associated inflammatory change
What are the most likely causes of the diagnosis? post bariatric surgery pancreatitis with acute onset of SMV thrombosis or post surgical SMV thrombosis.
Today
Ten Weeks Ago
This Week’s Case of the Week from 2/10/19:
History: Abdominal pain.
What is the most important finding? New wedge-shaped low-density right hepatic liver lesion.
What is the most likely diagnosis? Right hepatic lobe infarct
Two weeks ago
Today
This Week’s Case of the Week from 2/3/19
History: None provided.
What is the most important finding? Linear density at the right lung base parallelling the right hemidiaphragm. ? free air or atelectasis
What do you tell the physician taking care of the patient? Possible free air at the right hemidiaphragm. Recommend upright film.
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