This Week’s Case of the Week From 9/29/2019:
History: Blurry vision.
What is the diagnosis? Left-sided isodense subdural hematoma.
What are the possibilities that may explain its density/appearance? Subacute blood products or acute subdural with anemia.
2 weeks earlier
This Week’s Case of the Week From 9/22/2019:
History: Chest pain
What is the differential diagnosis? Pericardial cyst, esophageal duplication cyst, esophageal diverticulum
What can you do next to further narrow down the diagnosis? An upper GI series can be helpful for differentiating an esophageal diverticulum from the other differentials. In this case, the upper GI series was negative. See the film below.
This Week’s Case of the Week From 9/15/2019:
History: Right upper quadrant pain. The first one-hour dynamic study is from three days ago but the patient was unable to complete the study. The patient was brought back today for the same complaint and repeat one-hour dynamic imaging for the second video. And, the patient was dynamically imaged after morphine administration for the third video.
What can you do next to confirm the diagnosis? Get a lateral view or delayed images, dynamic or static to make sure that there is no filling gallbladder. Hilar uptake presently is most likely related to overlying duodenum!
This Week’s Case of the Week from 9/8/2019:
History: Status post-trauma. Shoulder pain
What are the key findings? Multiple exostoses extending off of the proximal humerus with slight expansile appearance to the medullary cavity.
What is the most likely diagnosis? Multiple hereditary exostoses
How should you manage this case? Do not touch the lesions unless there is a complication- fracture, etc.
This Week’s Case of the Week from 9/1/2019:
History: History of a previous biopsy. Stable findings compared to the previous mammogram 6 months ago.
What are the key findings? Lucent centered irregular density on the mammogram with a corresponding hypoechoic ill-defined region of tissue on the mammogram
What is the most likely diagnosis? radial scar, complex sclerosing lesion
How should you manage this case? Even though it is stable, the patient will still need surgical consultation given a higher rate of breast cancer.
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