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All nuclear-medicine Cases

Technetium labelled HYNIC-TOC

cheaper alternative to Gallium-68 DOTATATE Technitium labelled HYNIC-TOC #NuclearMedicine #NeuroendocrineTumours


Choosing Wisely Canada

Resident Doctors of Canada (RDoC) has joined Choosing Wisely Canada, a national clinician led campaign to reduce unnecessary care. The ...


Breast cancer with mets

50yo F Dx with Breast Ca per needle bx. PETCT to complete staging. Patient opt'ed for lumpectomy only. No Chemo/hormone/ ...


x-ray of displaced clavicle fracture

27yo male had a bike accident and landed on his shoulder. 1st xray were taken at the ER the day ...


Synovial Hemangioma of the Knee

44 y/o F with intermittent knee pain and swelling for several years. What is your diagnosis?


acute on chronic subdural hematoma on CT brain

Vomiting,coma. Anticoagulation with Warfarin. INR 4,0


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 ...


Chest X-ray of the patient with history of cough

72 year old male presented with history of dry #Cough for 7 days and became productive with blood for 3 ...


Retrograde flow in left ophthalmic artery on carotid doppler

Transient Left Eye Blindness after Exercise This 73 year old male with a history of transient left eye blindness after ...


Painless right upper inner thigh mass on CT

This 26 y/o male presented with a right upper inner thigh mass for over a year. The mass was painless ...


Meningioma and neurosurgery

39yoF with over 6 months history of progressive left leg weakness (lesion is on the right). Prompted to ER for ...


Enlarged right supraclavicular lymph node and chest x-ray

OK, this is going to be at least a three-part case; taking it step-wise, just like in real life. 75 ...


Large B-cell lymphoma on PET scans

PET and CT imaging are often used to ascertain changes in tumors. 1) PET scans of diffuse large B-cell lymphoma, ...


Acute myelogenous leukemia with maturation

this is a case of a 17-year-old female presenting with fever, body malaise and a 1-year history of hematoma on ...


Gastric varices on abdominal CT

gastric #Varices; next step?


Invasive ductal carcinoma on mammogram

A 27-year-old, African American female presented with a right breast mass, palpable for one year. Given the patient’s age, an ...


Ureteral stone on x-ray

one month history of uretheral stone


Varicose vein

28 yr old male varicose ant. Left Leg since 1 year.other sites normal .right leg normal



45 yr old male h/o tobacco chewing.


Histology of granulocytic sarcoma

This HIV positive 63 year old female patient had an enlarging left anterior chest wall mass which was subsequently biopsied. ...


Transscaphoid perilunate dislocation on x-ray

This patient fell off his bicycle, landing on his hyperextended ulnar-deviated wrist. What is your diagnosis?


Pituitary macroadenoma on MRI

macroadenoma of pituitary in 18 yo female syncopal episode.


Ectopic lingual thyroid

20 YOF PMH of hypothyroidism now presents with a mass at the base of her tongue causing worsening dysphasia. Lateral ...


Nasopharyngeal carcinoma on PET scan

UPDATE - 75 yo woman with right supraclavicular lymph node and mediastinal lymphadenopathy (seen on CT). Here is her #Positron-emission-tomography-(PET) ...


Stage 4 Neuroblastoma on PET scan

6 months old presented to emergency room with nausea. Sent home with a constipation diagnosis. Mother returned with infant, 2 ...


Thyroglossal duct cyst

Pain in the Neck. Diagnosis?


Duodenal atresia in x-ray

Do you know the name of this disease.? Differencial diagnosis?


Neuroblastoma on abdominal CT scan

10 y/o male with vague abdominal pain and abnormal calcifications on abdominal X-ray. What's your diagnosis and next imaging step? ...


Nuclear Medicine Gastric Emptying Study

Nuclear Medicine Gastric Emptying Study (GETS) for 56 yoM. The study uses Tc99m Sulfur Colloid injected into standard egg sandwhich. ...

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