Case of the Week from 5/30/21
History: Elbow pain.
Give the findings and diagnosis: Increased fluid surrounding the UCL with thinning of the UCL consistent with a partial tear.
How is this entity treated? Usually treated conservatively if it is a partial tear. Complete tears can be treated with a repair (Tommy John Surgery)
Case of the Week from 5/23/21
History: Pulmonary nodule. First CT scan from 1 year ago. Additional studies from today.
Give the findings: Enlarging right middle lobe ill defined peripheral pulmonary nodule with moderate hypermetabolism greater than mediastinal blood pool and SUVmax of 3.9.
What is the most likely diagnosis? Consider bronchoalveolar/low grade primary malignant lung neoplasm given configuration and moderate hyper metabolism. Other inflammatory/infectious etiologies are less likely given slow growth but are also within the differential diagnosis.
1 year ago
Today
Case of the Week from 5/16/21
History: Chest pain.
What is the most relevant finding? Disruption of the scapular cortex at the glenoid on the PA view, suggesting a scaphoid fracture.
What would you recommend next? CT scan of the chest due to scapular fracture association with other chest trauma pathology (pneumothorax, rib fractures, vascular injury, etc.)
Case of the week from 5/9/21
History: Hip pain.
What are all the findings (Will show the CT scan on Wednesday to confirm) ? Rotated right acetabular cup, right acetabular fracture, inferior right pubic ramus fracture
Does the patient need surgical intervention? Yes
Case of the week from 5/2/21
History: New tachycardia. CT scan from today and previous CT scan of the abdomen from 6 months before.
What are the findings on the new scan? Multiple pulmonary emboli in the bilateral lobar branches. Mild enlargement of the pulmonary artery.
What findings have changed in the interim? New enlargement of the pulmonary artery.
What are the critical findings to tell the ordering clinician? Possible early right strain with interval enlargement of the pulmonary artery and multiple pulmonary emboli.
Today
6 Months Ago
