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Bilateral swelling of the jaw in cherubism

14 year old male.Condition started since he was a toddler and progressively increasing. Differentials ? Students give it a try


ECG changes showing inferior MI in patient with low-grade adenocarcinoma

52yoM presented to the ED with a 2-day history of dyspnea and chest pain that radiated to the back, worsened ...


Aortagram demonstrating bilateral renal artery stenosis

Bilateral #renal artery #stenosis brought to #interventional #radiology for management. Aortogram demonstrates occlusion of the left renal artery (yellow arrow) ...


lymphoepithelioma like thymic carcinoma in histopathology

this is are H&E slides of a cell block from the pleural fluid of a 61/F presenting with masses in ...


Abdominal wall hematoma on CT abdomen without any cause except coughing and senility

70 YO female patient. She has abdominal pain which started while she was coughing. She has HT, Diabetes. She doesn't ...


Abdominal aortic aneurysm in angiography

89F admitted for hip Fx, s/p ORIF, incidentally found to have 8cm juxtarenal AAA. Patient elected for non-operative management.


Pseudo aneurysm arising from cystic artery

63 yo female status post outside transjugular liver biopsy presenting with ruq pain. Pre contrast images show a large stone ...


Penrose drain in JP drain

this is from a 50 y/o, s/p mastectomy (l). What is this white thing coming out of the jp drain?


Sibutramine drug information

#Sibutramine is an #inhibitor of the reuptake of #serotonin and #noradrenaline, leading to a decrease in appetite and, therefore, helps ...


Abdominal aortic aneurysm rupture on CT abdomen

Largest Infrarenal AAA anyone had ever seen. Pt presented to ED abd pain x 3 days, syncopal episode prompted 911. ...


Upright MRI

1. Great position for t-spine. This is just an example of a #uprightmri #mri 2nd shows table tilting back to ...



Fluconazole is an Azole antifungal drug, which decreases ergosterol synthesis & interferes w/ fungal cell membrane formation. Beware QTc prolongation, ...


Large small cell tumor attached to the chest wall

66 y/o #Smoking gardener with history of #Pesticide inhalation presented with increasing shortness of breath and #Chest-wall pain. Large small ...


Pyelonephritis on kidney CT

Oblique coronal contrasted CT image of the kidneys in a teenager with flank pain & fever shows patchy foci of ...


Clot removed from the left M1 segment of the Middle cerebral artery

80yo F presents to the ED aphasic and right sided paralysis. CT confirms left M1 clot. Pt sent to Cath ...


Aortic occlusion due to Chagas disease

Accute aortic occlusion from a cardioembolic event. Cardiomegaly and atrial fibrillation due to Chagas disease - this huge heart was ...


Squamous cell carcinoma on histology

#Squamous-cell-carcinoma #Folliculitis #Sebaceous-glands there's a lot going on here. I'm thinking Scc more opinions please thanks.


Hand Foot Mouth Disease

difficult case for me, 32 y.o. Make librarian presents with rash for 1 day. No significant past medical history, no ...


Abdominal aortic aneurysm stent compressing colon

#Abdominal-Aortic-Aneurysm Stent Compressing Colon. A 72-year-old male CC rectal bleeding, change in bowel habits. PMHx Repair of an AAA with ...


Obturator hernia on CT

90+ year-old woman admitted for vomiting and renal failure. Bowel obstruction suspected. CT shows obturator hernia so emergent surgery is ...


Incomplete left bundle branch block on ECG

alright guys, been hand interpreting EKGs for the past several days and I've got a few questions about this one. ...


Leriche syndrome and classic steal syndrome

54 yo AA F with a 20+ pack year hx presented to clinic due to severe bilateral LE pain with ...


Impella assist device on radiograph

89+ year old man presenting with dyspnea and CHF and nstemi. EF 15% with mod-severe ischemic MR, Iabp dependant, turned ...


Bilateral foot sole discoloration

52 y.o. male on Hemodialysis, s/p endovascular infrarenal abd aneurysm repair. Developed tenderness to bilateral foot soles and noticed discoloration. ...


Second degree type 1 heart block on ECG

24 yo F Pt. ~40kg, CC: copious amounts of ETOH ingestion during frosh week. >300ml tequila piggybacked with 3/4 a ...


Retroperitoneal hematoma on abdominal CT

89+yo male. S/P EVAR + proximal extension (blue arrow) + coil #Embolization (yellow arrow) + Onyx #Embolization. Returning type 1 ...


Right internal iliac aneurysm, deep vein thrombosis and pulmonary emboli on CT

87 yo M hx of #AAA s/p EVAR repair with right internal iliac #aneurysm and type II endoleak present on ...


Right coronary artery occlusion

29 yo AA-M presents with 3 Hr. pressure-like CP. No definitive STEMI on EKG. PMH: DVT after 20+ hour driving ...


Bradycardia on ECG

60YOM presented with chest pain after going shopping with his wife, MI treatment given by ambulance crew and blue lighted ...


Wegners granulomatosis and chest CT

22 yo female, increasing R chest pain x 1/52. LAMA 5/7 ago after image 2 taken. Image 1 was done ...

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