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Abdominal MRI of cystic fibrosis liver disease and splenomegaly

young (late 20s) male, known cystic fibrosis. What intra-abdominal manifestation of this disease is seen here?


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 ...


Sleeve gastrectomy

#sleevegastrectomy item CO2 test for stapling lines leaks. No leakage. 400 cc insuflation. Perfect lineal stapling.


Hairy cell leukemia

Hairy Cell Leukemia


Spleen following splenectomy

s/p #Splenectomy



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


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 ...


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 ...


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 ...


IV metronidazole and usage information

#Metronidazole has a range of uses including for Protozoa and anaerobic bacteria. It works against Gram negative anaerobe Bacteroides fragilis. ...


Hepatosplenomegaly on CT

55 y.o. AA male (no sig pmh) presented with fatigue for a month and dizziness. Reports a 10 pound unintended ...


Large omphalocele and ectopia cordis on MRI

Sagittal T1-weighted postcontrast image of the chest and abdomen shows herniation of the bowel, liver, and heart through a large ...


Mecerated stillbirth and ascites on ultrasound

a px in her 20s delivered a macerated stillbirth (29w) at home and was presented to our facility. She is ...


Ileocecal Crohn's disease with cancer

Severe structuring ileocecal Crohn's disease with cancer at the valve on previous colonoscopy + biopsy. Picture one points to the ...


Sagittal CT of superior mesenteric syndrome

Sagital CT image, arterial fase, the superior mesenteric artery angulation is too acute. This compression dilates the first 2 segments ...


Gastric gastrointestinal tumor

Gastric #Gastrointestinal-stromal-tumor in a 42M who presented with nausea and early satiety. CT scan revealed a 10cm solid exophytic mass ...


DDX of Palpable Abdominal Mass in Pediatric patient

An #ultrasound is obtained in the workup of a palpable abdominal mass in a toddler. What finding is demonstrated by ...


Lyme disease with painless circular lesions

55 yo F in Lyme endemic area, noted new HA & neck pains, no fevers, followed by singular lesion on ...


Multiple lesions in psoas and bladder on abdominal CT

69 year old male with elevated CRP (200) and fever for 2-3 weeks. Intermittent abdominal diffuse pain. What is the ...


Millipede burn

9 yo female presented to summer camp health office w. this: strange pattern, brownish black on ball of foot. Denies ...


Babesia parasite on cell smear

I just saw this patient some weeks ago. Specially for students and residents but open to everyone. This patient has ...


Healing abrasions on the knees from road rash

2 week old injuries suffered when driving 55 mph on a motorcycle and having a deer pop out in front ...


Adrenal gland calcifications seen on abdominal CT

Coronal image from an abdominal CT shows calcifications in both #adrenal glands. Adrenal calcifications can be associated with tumors such ...


Hilar lymph node clacification on coronal CT scan

Coronal CT of the same patient shows speckled calcification in of two enlarged right hilar lymph nodes. The presence of ...


Perirenal hematoma on CT

54y/o female fell off a slide onto her side and pinned her arm. Decent sized little kidney lack with 12 ...


Pseudomonas bacteria

So pretty but so dangerous. This is #Pseudomonas, a non-fermenting Gram negative rod. What drug to use? Options: #Ticarcillin-clavulanate #Piperacillin-tazobactam ...


Severe Psoriasis with full body distribution

34 YOM, HIV+, Hep B+ with a year long #Psoriasis. Pt said symptoms started a year ago but opted for ...

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