This Week’s Case of the Week From 11/24/19:
History: Chest pain. Rule out pulmonary embolus.
What is the diagnosis? Increased intravenous contrast in the aorta compared to the pulmonary artery. Poor contrast bolus timing. Cannot evaluate for pulmonary embolus
What do you need to tell the clinician? Inadequate CTA for pulmonary embolus. Recommend a VQ scan if available.
This Week’s Case of the Week From 11/17/19:
History: Fever.
What kind of study is this? Gallium Scan
What is the most likely diagnosis? Gallium avid infection/inflammation- likely pyelonephritis of a renal transplant.
This Week’s Case of the Week From 11/10/19:
History: Reflux.
What is the main finding in this study? Multiple small gastric polyps
What is the most likely diagnosis? Gastric hyperplastic polyps
What is the management of these findings? Antibiotic treatment for H. Pylori.
This Week’s Case of the Week From 11/3/19:
History: Headache.
What is the main finding in this study? Dark low density lesion near the right cerebellopontine angle.
What is the most likely diagnosis? Lipoma. (Not air!). No acute intracranial pathology.
How do you confirm the diagnosis in the CT scan? Rewindow the study in lung windows or get Hounsfield units.
