December 20 case conference

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This document summarizes 39 medical cases discussed at a case conference. The cases involved a variety of procedures, devices, and medical conditions including: placement of a PFO closure device, use of an intra-aortic balloon pump, placement of a left atrial clip, treatment of a dislodged right atrial lead, placement of a vagal nerve stimulator, placement of a syrinx-pleural shunt for Chiari malformation, treatment of pericardial effusion, placement of a deep brain stimulator, treatment of pectus excavatum and osteitis pubis, placement of pancreatic and biliary stents, placement of an esophageal drain, placement of a tracheal stent, use of

Health & Medicine

CASE CONFERENCE 1
Jayanth H.Keshavamurthy. M.D.

Syrinx-pleural shunt in a case of
Case of Chiari 1 Malformation.

www.facebook.com/pages/Society
-of-Radiologists-in-Ultrasound-

Pneumoperitoneum, pneumatosis
intestinalis and Portal venous gas
secondary to advanced GIST
tumor.
v

Chronic hip dislocation with pseudo
joint formation

Pancreatic stent intended to fall of
and be defecated out. In 2nd
it is a
CBD stent which has migrated out.

Esophageal to collection drain that
was placed endoscopically. Cysto-
gastostomy.

Tracheal stenosis from intubation,
failed tracheoplasty and this stent
keeps migrating requiring frequent
placements

Right aortic arch with aberrant left
subclavian artery posterior to
oesophagus.

Abdominal Peritoneal dialysis
catheter and a presternal
peritoneal dialysis catheter

PERITONEO VENOUS SHUNT—
LEVEEN OR DENVER SHUNT

Transjugular intrahepatic
portosystemic stent shunt

$RA lead fracture$

Baclofen pump and ending intra-
thecally.

Sigmoid volvulus which was
reduced by rigid endoscopy and
see the sigmoid tube terminating
in RUQ. Once stable he will get
elective surgical fixation.

Para esophageal hernia and on
surgery patient had a 10 cm defect
in left hemi diaphragm which was
repaired.

Boerhaave syndrome with
esophageal rupture usualy on the
left side with very high mortality
without surgery.

LV Aneurysm with calcified
thrombus proved on MRI cardiac.

HIGH POSITION OF IVC FILTER CLUE
DUPLICATED IVC PROVED ON CT.

The document describes a case study of a 72-year-old female patient who developed a giant pseudoaneurysm of the ascending aorta after undergoing aortic valve replacement surgery. A multidisciplinary heart team determined that percutaneously closing the pseudoaneurysm with an ASD occluder device was a high-risk option due to the proximity to the brachiocephalic artery. An 18mm PFM Medical Nit/Occlud ASD device was successfully implanted to close the pseudoaneurysm, as confirmed by follow-up CT scans two months later. The percutaneous approach is an alternative to high-risk open surgery for treating rare giant pseudoaneurysms complicating a

Infective Endocarditis of Mitral valve with severe mitral regurgitation (MR) ...

Sumedh Ramteke

Percutaneous Endovascular Retrieval of Intravascular foreign body in pediatri...

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The document describes two cases of percutaneous retrieval of intravascular foreign bodies in pediatric patients. In the first case, a guidewire displaced during a central line procedure in an 18-month old and migrated to the heart. In the second case, a catheter in a 4-year old broke off and migrated to the heart. Both foreign bodies were successfully retrieved using a gooseneck snare catheter without complications. The technique of percutaneous retrieval using snares is an effective non-surgical approach for removing intravascular objects and avoiding potential complications of leaving them in place.

BALLON ANGOPLASTY MARKS ARE EXPELLED. GUIDELINER IN COMPLEX CASE

Sabroso Hakim

During a balloon angioplasty procedure on an 80-year old man, the balloon broke and became lodged in the patient's artery. Attempts to retrieve the balloon or pass new devices were unsuccessful. The medical team then used a subintimal tracking technique to locate the true arterial lumen, redirect the guidewire, and dilate the lesion with a new balloon. Upon further review after the procedure, it was discovered that the distal end of the original broken balloon had become tightly bound to the guidewire, explaining why it could not be located or retrieved earlier. The patient recovered well after stent implantation.

Infective Endocarditis

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This document provides a mnemonic to help remember the common causes of infective endocarditis. It lists the main bacteria that can cause infective endocarditis, including streptococci, enterococci, staphylococci, streptococcus pneumoniae, HACEK organisms, fungi, Coxiella burnetti, Chlamydia species, and Bartonella species. It also provides the percentages for some of the more common causes such as streptococci, enterococci, and staphylococci.

Singapore conference 2015 jj

Global R & D Services

This document summarizes Priscilla Das's research proposal on the association between endothelial progenitor cells (EPCs) and von Willebrand factor (vWF) in astrocytic glioma patients. The study aims to determine the correlation between circulating and tissue EPCs with plasma vWF levels in glioma patients. Blood and tissue samples will be collected from 22 glioma patients undergoing surgery. Circulating EPCs will be measured via flow cytometry and tissue EPCs will be detected using immunofluorescence staining. Plasma vWF levels will be measured using ELISA. The study hopes to show increased tissue EPCs in tumors compared to normal brain tissue and a correlation between tumor EPCs and plasma vWF, in order

PD in AKI

drsanjaymaitra

This document discusses the use of peritoneal dialysis (PD) for acute kidney injury (AKI). It finds that PD is a viable option for RRT in AKI, especially in remote or resource-limited settings. Several studies have found mortality rates similar to other RRT modalities like CRRT. PD offers advantages of wider availability, lower cost, and gentler fluid removal in unstable patients. High-volume PD techniques can provide clearance comparable to intermittent hemodialysis. While concerns remain around clearance and peritonitis risk, evidence suggests PD is a valuable complementary therapy for selected AKI cases.

TIssue engineering presentation

poppyaddison

The document discusses tissue engineering solutions for pediatric cardiac defects. Approximately 1% of newborns are affected by congenital heart defects such as ventricular septal defects. Current treatments involve multiple high-risk open-heart surgeries. The goals of future treatments are to grow tissues that integrate without immunosuppression or additional surgeries, and are cheap and quick. Promising future treatments include using induced stem cells, induced cardiomyocytes, scaffold-free methods, and bioreactors to further research in these areas.

This document presents 20 medical cases involving various musculoskeletal injuries and conditions. The cases include fractures of the scaphoid, Bennett's fracture, lung cancer with humeral metastasis, hemarthrosis with possible condylar fracture, green stick fracture, Osgood-Schlatter disease, cystic change in the femoral head, ac joint subluxation, loosening of an L1 pedicle screw, osteoarthritis of the hands and wrists, leakage of bone cement after vertebroplasty, osteoporotic vertebral deformity, maxillary sinusitis, phalangeal fractures, flat foot, osteonecrosis of the femoral heads, osteoarthritis of the knee, navicular fracture, post-op tib

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International Journal of Case Reports & Short Reviews

SciRes Literature LLC. | Open Access Journals

Fabry Disease (FD), also known as Anderson-Fabry disease, is an inherited X-linked disorder characterized by the absence (in men) or defi ciency (in women) in α-galactosidase A, activity that causes a progressive accumulation of glycosphingolipids within lysosomes of cells in all the major organ systems and progressive organ damage that fi rst manifests in childhood or early adulthood. End Stage Renal Disease (ESRD) is a major cause of morbidity and premature mortality in FD. We present a male patient with FD who was transplanted with kidney from a living donor and had a sudden cardiac arrest on the 4th day after operation. We suggest detailed preoperative examination including coronary angiography, echocardiography for these patients and also a multidisciplinary care is required for perioperative management of FD patients.

Austin Journal of Tropical Medicine & Hygiene

Austin Publishing Group

Austin Journal of Tropical Medicine & Hygiene is an open access, peer review journal publishing original research & review articles in all fields of Tropical Medicine & Hygiene. Tropical Medicine & Hygiene is a branch of medication that deals with health issues that arise unambiguously, or prove tough to manage in tropical and subtropic regions. Austin Journal of Tropical Medicine & Hygiene is a comprehensive Open Access peer reviewed scientific Journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials), Clinical Images. Austin Journal of Tropical Medicine & Hygiene supports the scientific modernization and enrichment in Tropical Medicine & Hygiene research community by magnifying access to peer reviewed scientific literary works. Austin also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.

Further experience with the double onlay preputial flap

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This document describes the use of a double onlay preputial flap technique for repairing hypospadias in one stage. The authors reviewed 47 patients who underwent this procedure. Complications occurred in 12 patients (25%), including fistulas in 8 patients (17%), diverticula in 4 patients (9%), and other issues in fewer patients. Despite a high rate of more severe proximal hypospadias (75% penoscrotal or perineal), complication rates were comparable or lower than other techniques. The double onlay flap technique offers good cosmetic and functional results for repairing hypospadias.

Case of Dimorphic Histoplasmosis in Vivo

mfabzak

This case report describes a rare case of Histoplasma endocarditis, an infection of the heart valves caused by the dimorphic fungus Histoplasma capsulatum. The patient presented with confusion and was found to have a large vegetation on his prosthetic aortic valve as well as pancytopenia. Further testing revealed disseminated histoplasmosis. Histopathology unexpectedly showed both fungal hyphae and yeast forms of Histoplasma on the heart valve, a very unusual finding. The patient underwent valve replacement and antifungal therapy. Histoplasma endocarditis is challenging to diagnose and has poor outcomes, requiring a team-based inpatient approach and prolonged antifungal treatment.

Pd aki 2019

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The document provides historical background on the development of peritoneal dialysis (PD) and outlines its use in acute kidney injury (AKI). It discusses: 1. The first experiments using the peritoneal cavity for uremia removal in the 1920s. 2. The development of intermittent PD in the 1960s and continuous ambulatory PD in the 1970s. 3. Evidence that high doses of continuous PD can provide appropriate metabolic control in AKI, with survival and renal recovery rates similar to other renal replacement therapies. 4. Indications for acute PD include hemodynamic instability and bleeding risks, while contraindications include recent abdominal surgery and severe peritonitis.

Bilateral Peripheral Arterial Disease.pdf

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A 60-year-old man presented with rest pain in both lower limbs due to peripheral arterial disease. Angiography revealed total occlusion of the right common iliac artery and occlusion of the right superficial femoral artery down to the popliteal artery, with poor distal run off vessels. On the left side there was lengthy superficial femoral artery occlusion but a visible popliteal artery reformed by collaterals. The surgical options discussed were left femoro-popliteal bypass but the options on the right side were more limited due to the lengthy occlusion and poor distal vessels. Exploration of the right femoral artery and possible thromboendarterectomy was considered, with additional grafting procedures if successful.

An Interesting Case of Seizure

Stanley Medical College, Department of Medicine

This document summarizes the case of a 24-year-old patient with cyanotic heart disease who presented with breathlessness, fever, and a seizure. Examination found clubbing and cyanosis. Investigations including CT scan, ECG, and echo found features consistent with tetralogy of Fallot and a cerebral abscess. Aspiration of the abscess drained pus growing Pseudomonas. Patients with cyanotic heart disease are at higher risk for brain abscesses due to right-to-left shunting and low perfusion areas in the brain. Treatment involves aspiration of abscesses under local anesthesia and intravenous antibiotics for 6 weeks.

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Coronary Artery Bypass Grafting in Dextrocardia. Is There a Challenge?

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Dextrocardia with situs inversus is a rare congenital condition, even though known since 1606 when Fabricious first described it. The incidence of coronary artery disease in this group of patients is the same as in general population. First Coronary Artery Bypass Grafting (CABG) in patient with Dextrocardia was performed in 1980. Performing the procedure it is a very challenging task for the surgeon in the terms of planning, choice of conduits, and simultaneous presentation of other congenital conditions.

Coronary Artery Bypass Grafting in Dextrocardia. Is There a Challenge?

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Coronary Artery Bypass Grafting in Dextrocardia. Is There a Challenge?

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Role of spleenectomy in itp

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In 1916, Schloffer performed the first splenectomy for idiopathic thrombocytopenic purpura (ITP) after his student Paul Kaznelson hypothesized that platelet destruction in ITP occurred in the spleen. Their first patient treated with splenectomy showed dramatic improvement. Splenectomy is now an established treatment for chronic ITP when patients have relapsed or have severe refractory thrombocytopenia. It results in complete or partial response rates of 66-72% in adults and 72% in children, with relapse rates of 15%. Predictors of response to splenectomy are not well established.

M132 Module 08 Coding Assignment Build the correct ICD 10 PCS .docx

infantsuk

M132 Module 08 Coding Assignment Build the correct ICD 10 PCS code based on the documentation in the Operative Report documentation given under each Case Study. 1. Case #1 PREOPERATIVE DIAGNOSES: 1. A 37 weeks intrauterine pregnancy. 2. Previous cesarean section with rupture of membranes. POSTOPERATIVE DIAGNOSES: 1. A 37 plus weeks gestation. 2. Previous cesarean section with spontaneous rupture of membranes. 3. Pelvic adhesions. ANESTHESIA: Spinal. PROCEDURE PERFORMED: Repeat low-transverse cesarean section. FINDINGS: Male infant, 6 pounds, 5 ounces. Apgars 9 and 9. ESTIMATED BLOOD LOSS: 800 mL. The patient's condition after surgery, the patient tolerated the procedure well. PERTINENT HISTORY AND PHYSICAL: The patient is a 20-year-old black female, gravida 2, para 1-0-0-1, last normal menstrual period 08/02/2006, EDC 05/08/2007, 37-5/7th weeks gestation, she presented to L D with spontaneous rupture of membranes, history of previous cesarean section in 2009 for CPD. PAST MEDICAL HISTORY: She denies allergies. MEDICATIONS: She is on prenatal vitamins. MEDICAL SURGICAL: She denies any significant history except for C-section in 2006. SOCIAL HISTORY: She denies ethanol, tobacco, or drugs. PSYCHIATRIC HISTORY: Noncontributory. FAMILY HISTORY: Noncontributory. PHYSICAL EXAMINATION: Vital Signs: Temperature, the patient is afebrile, pulse 94, respiratory rate 20, BP 97/50, fetal heart tone was 140 to 145. HEENT was within normal limits. Neck is supple. Chest: Cardiovascular, Sl and S2 regular without gallop or murmur. Lungs: Clear both fields. Breasts: No masses or tenderness. Abdomen: Gravid. Pelvic: Cervix was 50% effaced, 1 to 2 cm dilated, presenting part was vertex at -2 station, there was gross fluid, clear and Nitrazine was positive. The patient was therefore taken to the operating room for a repeat low-transverse cesarean section. OPERATIONAL TECHNIQUE: The patient was brought to the operating room and under spinal anesthesia, was prepped and draped in the usual manner for a gynecologic abdominal operation. Through the old suprapubic Pfannenstiel skin incision, the abdominal cavity was entered into after much difficulty because of the pelvic abdominal adhesion. Following entry into the abdominal cavity, the bladder peritoneum was identified, reflected down. Following that, a midline low-transverse incision was made at the lower uterine segment with a knife and carried down into the uterine cavity without any difficulty. The incision was then extended to the level of the round ligament on both sides. Following which a male infant in vertex position was delivered with vacuum and handed over to the nursery staff in attendance. Birth weight was 6 pounds 5 ounces. Apgar was 9 and 9. Placenta was manually delivered. After remnants of the placental membranes have been removed from the uterine cavity, the uterine cavity was then closed with #1 chromic continuous interlocking suture. Hemostasis was verified and found to be adequa ...

Rhabdomyoma in neonate WJPCHS

Ali Dodge-Khatami, MD, PhD

This case report describes the successful biventricular repair of a neonate with obstructive cardiac rhabdomyoma and tuberous sclerosis. The neonate presented with a large intracardiac tumor obstructing the tricuspid valve. At 9 days of life, the tumor was resected and the tricuspid valve reconstructed with pericardium. Follow-up echocardiograms at discharge and 2 months showed excellent results with a competent tricuspid valve and normal heart function. Genetic testing confirmed tuberous sclerosis. The report concludes the cardiac outcome is currently favorable, though long-term prognosis depends on issues related to tuberous sclerosis.

Early degeneration of a bioprosthetic mitral valve complicated by a large lef...

pascal Pascal, Richard

This case report describes a 71-year-old man who presented with symptomatic early degeneration of a bioprosthetic mitral valve replacement complicated by a large left atrial thrombus. Transesophageal echocardiography revealed severe calcification and stenosis of the bioprosthetic valve as well as a thrombus in the left atrium. The patient underwent mechanical mitral valve replacement and left atrial thrombectomy. Calcium supplementation required for the patient's prior parathyroidectomy may have contributed to early bioprosthetic valve deterioration. Despite anticoagulation, the large thrombus formed due to left atrial stasis from mitral stenosis.

Umbilical Venous Catheter

Ayman Abou Mehrem

This document discusses umbilical venous catheters used in neonates, including three case studies. It outlines complications that can arise from malpositioning of the catheter tip, such as perforation of blood vessels, ascites, cardiac issues, and liver damage. Predicting the proper insertion length is difficult and radiography is not always reliable in confirming tip location. The recommendation is that further research is needed to determine the best length of insertion and that repeated imaging may help ensure the tip remains in the correct position.

cardiovascular disease nd edntal considerations

Nishtha Singhal

This document provides information on examining patients with cardiovascular diseases. It discusses taking a thorough history including present symptoms, past medical history, family history, and personal history. It then describes examining various aspects of the cardiovascular system such as vital signs, jugular venous pressure, heart sounds, and peripheral pulses. It lists common causes of cardiovascular diseases and the NYHA classification system for functional capacity.

Marijuana rsna presentation (final)

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This document discusses the lasting lung effects of legalizing marijuana and what radiologists need to know. It finds that marijuana smoke deposits tar and chemicals at similar or higher levels than tobacco. Marijuana smoking can cause bronchitis, cough, wheezing and recurrent infections. It also increases the risk of lung cancer. Imaging may show micronodularity, infections like pneumonia, and sequelae of emphysema like pneumothorax. Radiologists should inquire about marijuana use in young patients with extensive unspecified lung findings to help make the diagnosis.

Non-malignant cardiac findings on FDG PET CT

Jayanth Hiremagalur

This document discusses non-malignant cardiac findings that can present on FDG PET-CT scans. It presents 5 case examples of focal cardiac FDG uptake and describes the diagnostic approach and differential diagnosis in each case. Common non-malignant etiologies that can cause increased cardiac FDG uptake include physiologic variants, inflammation from conditions like sarcoidosis, infection from endocarditis, and anatomical variants like lipomatous hypertrophy of the interatrial septum. Differentiating malignant from non-malignant cardiac FDG uptake is important to avoid unnecessary diagnostic steps or treatment.

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WHITEOUT LEFT HEMITHORAX: WHAT DO YOU THINK IS GOING ON HERE?

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Subarachnoid hemorrhage unmasks aortic coarctation in a young man

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A 20-year-old man presented with a severe headache and confusion and was found to have a subarachnoid hemorrhage from a ruptured basilar tip aneurysm. He was also found to have long-standing hypertension. Further cardiac imaging revealed an aortic coarctation, which had gone undiagnosed and likely caused his hypertension. Cardiac MRI and MRA clearly showed the coarctation and extensive collateral vessels that had formed. A cardiac catheterization further demonstrated a significant pressure gradient across the coarctation, confirming it as the cause of his hypertension. The patient subsequently underwent stent placement in the coarcted segment.

Aortic Arches A REVIEW E POSTER

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This document discusses aortic arch anomalies. It begins by describing normal aortic arch development. It then defines vascular rings as vessels that encircle the trachea and esophagus, causing symptoms. It classifies the main types of vascular rings as complete rings (double aortic arch with right/left/balanced dominance, right aortic arch with left ductus arteriosus) and incomplete rings (innominate artery compression, pulmonary artery sling, left aortic arch with aberrant right subclavian). Each type of ring is described in detail with examples and images provided.

Subaortic membrane

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A 43-year-old male presented with chest trauma after a fall. A trans-thoracic echocardiogram revealed a 1 cm mass protruding into the left ventricular outflow tract. Cardiac MRI was obtained for better tissue characterization. The MRI showed the mass had a non-enhancing morphology. Based on the echocardiogram and MRI findings, the mass was determined to be a sub-aortic membrane. The patient was discharged with regular follow up since he did not have a significant gradient across the membrane or aortic regurgitation.

ALCAPA AND TAKEUCHI PROCEDURE

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A 29-year-old female with a history of ALCAPA and Takeuchi procedure as a child presented with palpitations. Her recent echocardiogram showed worsening pulmonic stenosis and her holter monitor detected non-sustained ventricular tachycardia. She was ordered for a cardiac MRI to assess for left ventricular scar that could explain her arrhythmia and to evaluate her coronary anatomy before potential angiogram or hemodynamic study. CMR is useful for delineating coronary anatomy and detecting characteristic sub-endocardial late gadolinium enhancement in the basal anterolateral wall seen in ALCAPA patients. CMR may avoid the need for invasive procedures by clearly defining the postoperative anatomy in adults who

Chest tubes - what one needs to know?

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This document discusses chest tubes and complications that can arise from procedures like needle thoracocentesis and tube thoracostomy placement. It notes that needle thoracocentesis can result in false positives or negatives if the needle is not correctly placed in the pleural space. Tube thoracostomy placement can also have complications if the tube is placed incorrectly, such as being extrapleural, intrapulmonary, or penetrating mediastinal structures. Correct placement of chest tubes and procedures is important to avoid failure to decompress the intended body spaces and potential fatal outcomes.

Alveolar sarcoid

Jayanth Hiremagalur

A 37-year-old woman presented with a 1-month history of daily cough and 30 lb unintentional weight loss. She was diagnosed with alveolar sarcoidosis based on radiographic findings of reticulonodular opacities. Alveolar sarcoidosis is a rare manifestation of pulmonary sarcoidosis characterized by interstitial granulomas compressing airways and mimicking airspace disease. The patient recovered with steroid treatment and follow-up imaging showed interstitial fibrotic changes, consistent with Stage 1 sarcoidosis.

Discitis and osteomyelitis in Sickle cell disease

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1. A 14-year-old male with sickle cell disease presented with low back pain radiating up his spine that was worsened with movement. MRI showed chronic bone marrow changes and compression deformities consistent with his condition. 2. CT-guided biopsy of vertebrae showed preliminary positive cultures, with a presumptive diagnosis of vertebral osteomyelitis/discitis. 3. Vertebral osteomyelitis/discitis can result from hematogenous spread, direct inoculation, or contiguous spread. Treatment involves pathogen-directed antimicrobial therapy and drainage of abscesses if present.

Pheochromocytoma radiology

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A 67-year-old female presented with right upper quadrant abdominal pain following meals and diarrhea for two weeks. Imaging studies including CT, MRI, and MIBG scan revealed bilateral adrenal masses consistent with pheochromocytoma. Laboratory tests showed markedly elevated urine and plasma metanephrines levels confirming the diagnosis. Pheochromocytoma is a rare catecholamine-secreting tumor that arises from chromaffin cells of the adrenal medulla or extra-adrenal paraganglia. It is usually benign but can be malignant in 10% of cases.

Hemithorax white out (1)

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A 28-year-old female with diabetes, chronic pancreatitis, and substance abuse presented with cough, chills, and nausea for 3 days. Imaging showed complete white-out of the left lung with an air bronchogram sign. The differential diagnosis for hemithorax white-out included pulmonary edema, consolidation, or a chest wall/pleural mass. Given the trachea was midline and presence of an air bronchogram sign, consolidation from pneumonia was suspected. The patient was treated with antibiotics.

Case conference abdomen November 1, 2017

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Severe Hyponatremia, SIADH, and Pericardiac Effusion as Initial Presenting Fe...

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A 56-year-old female presented with headache, dysarthria, and unsteady gait. Imaging revealed a moderate to large pericardial effusion. Labs showed hyponatremia consistent with SIADH. A pericardial window drained fluid and symptoms improved. Further imaging found metastatic non-Hodgkin's lymphoma to the pericardium and lung, explaining the presentation. The patient's citalopram use and pericardial effusion both likely contributed to her SIADH. Management included fluid restriction, hypertonic saline, and pericardial drainage.

Empyema as a complication of lung abscess drainage

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Splenic rupture

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Pt 1 is a 45-year-old man who presented with flank and chest pain due to a large splenic abscess and rupture secondary to illicit drug use including methamphetamines and heroin. Imaging showed a large fluid collection replacing the spleen. Pt 2 is a 27-year-old woman who presented with abdominal and pelvic pain due to an extracapsular splenic hemorrhage from illicit drug use. Both patients underwent splenic artery embolization and splenectomies. Illicit drug use such as cocaine can cause splenic infarction and subsequent rupture from vasospasms.

Radiology case conference october 4 2017. pptx

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A 50-year-old female presented with an incidental 2x3 cm paraesophageal mass found on CT during a hematuria workup. FDG PET showed intense focal uptake in the mass concerning for metastatic lymph node or esophageal cancer. Biopsies were nondiagnostic. VATS showed necrotizing granuloma suggestive of fungal infection, likely histoplasmosis. Treatment with itraconazole led to a significant decrease in FDG avidity on follow-up PET-CT, indicating histoplasmosis rather than cancer. This case demonstrates that focal FDG uptake can be caused by fungal infection, which should be considered in the differential diagnosis of possible esophageal cancer.

Atypical lung neoplasms1

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Pulmonary infections 1

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This document describes a patient who was initially diagnosed with Klebsiella pneumonia based on imaging signs seen two years ago. More recently, imaging showed new signs and a lung biopsy was positive for Cryptococcus neoformans, while blood cultures detected Cryptococcus. The patient also has cavitary lung lesions caused by Mycobacterium avium-intracellulare superimposed on the initial infection.

Airways lecture final 2017

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A 30-year-old previously healthy man presented with worsening shortness of breath over two days. He had been working in a corn silo filled with nitrous oxide the day before and inhaled some of the gas. Laboratory results showed elevated white blood cells. Imaging showed diffuse lung inflammation and injury consistent with acute hypersensitivity pneumonitis from inhaling the gas. He required ventilator support but was successfully treated with steroids and diuretics and showed improvement over the next few days.

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1. CASE CONFERENCE 1 Jayanth H.Keshavamurthy. M.D.

2. CASE 1

3. Patient 1

4. Patient 2

5. Patient 2

6. PFO-AMPLATZ DEVICE

7. CASE 2

9. IABP- Intra aortic Balloon Pump

10. CASE 3

11. PATIENT 1

12. PATIENT 2

13.

14. LEFT ATRIAL CLIP

15. CASE 4

16. ONE TWO

17.

18. Dislodged right atrial lead

19. CASE 5

20. PATIENT 1

21.

22. Vagal nerve stimulator

23. Case 6

24.

25. Syrinx-pleural shunt in a case of Case of Chiari 1 Malformation.

26. CASE 7

27.

28. PERICARDIAC EFFUSION

29. CASE 8

30.

31.

32. Deep brain stimulator.

33. CASE 9

34. ABNORMAL NORMAL

35. ABNORMAL NORMAL

36. PECTUS EXCAVATUM

37. CASE 10

38.

39. OSTEITIS PUBIS

40. CASE 11

41.

42.

43. www.facebook.com/pages/Society -of-Radiologists-in-Ultrasound-

44. Pneumoperitoneum, pneumatosis intestinalis and Portal venous gas secondary to advanced GIST tumor. v

45. CASE 12

46.

47. Chronic hip dislocation with pseudo joint formation

48. CASE 13

49. PATIENT 1

50. PATIENT 2

51. Pancreatic stent intended to fall of and be defecated out. In 2nd it is a CBD stent which has migrated out.

52. CASE 14

53.

54. Esophageal to collection drain that was placed endoscopically. Cysto- gastostomy.

55. CASE 15

56.

57. TRACHEOMALACIA AND STENT

58. CASE 16

59.

60. Tracheal stenosis from intubation, failed tracheoplasty and this stent keeps migrating requiring frequent placements

61. CASE 17

62. TEE PROBE

63. CASE 18

64.

65. SPINAL CORD STIMULATOR

66. CASE 20

67. PATIENT 1

68. PATIENT 2

69. Right aortic arch with aberrant left subclavian artery posterior to oesophagus.

70. CASE 21

71. SUPRAPUBIC CATHETER

72. CASE 22

73. COOLING BLANKET

74. CASE 23

75. PATIENT 1

76. PATIENT 2

77. PATIENT 3

78. PATIENT 4

79. PATIENT 4

80. Abdominal Peritoneal dialysis catheter and a presternal peritoneal dialysis catheter

81. CASE 24

82.

83.

84. ACUTE T 12 BURST FRACTURE

85. CASE 25

86. IUD COPPER T

87. CASE 26

88. FOLEY CATHETER

89. CASE 27

90. DOBHOFF TUBE

91. CASE 28

92. RECTAL TUBE

93. CASE 29

94.

95.

96. PERITONEO VENOUS SHUNT— LEVEEN OR DENVER SHUNT

97. CASE 29

98.

99. Transjugular intrahepatic portosystemic stent shunt

100. Case 30

101. Patient 1

102. Patient 2

103. Failed renal transplant

104. Case 31

105. Patient 1

106. Patient 2

107. Patient 3

108. Case 32

109. RA lead fracture

110. Case 33

111.

112. Baclofen pump and ending intra- thecally.

113. Case 34

114.

115.

116. Sigmoid volvulus which was reduced by rigid endoscopy and see the sigmoid tube terminating in RUQ. Once stable he will get elective surgical fixation.

117. Case 35

118.

119.

120.

121. Post operative

122. Para esophageal hernia and on surgery patient had a 10 cm defect in left hemi diaphragm which was repaired.

123. Case 36

124.

125. Boerhaave syndrome with esophageal rupture usualy on the left side with very high mortality without surgery.

126. Case 37

127.

128.

129. LV Aneurysm with calcified thrombus proved on MRI cardiac.

130. Case 38

131.

132.

133. Fused SI joint

134. Case 39

135.

136. HIGH POSITION OF IVC FILTER CLUE DUPLICATED IVC PROVED ON CT.

Editor's Notes

Pfo device
Pfo device
Pfo device
IABP –LOCATION IDEAL AT CARINA.
Pfo device
RIGHT ATRIAL LEAD DISLODGED
RELODGED BACK
VAGAL NERVE STIMULATOR
Syrinx-pleural shunt in a case of Case of Chiari 1 Malformation.
DD- ENLARGED CARDIAC SILHOUETTE
DEEP BRAIN STIMULATOR
18 YR OLD FH OF PECTUS AND IN SELF PRE OP.
OSTEITIS PUBIS
PV GAS
PD STENT SUPPOSED TO FALL OFF
Esophageal to collection drain that was placed endoscopically. Cysto-gastostomy
Esophageal to collection drain that was placed endoscopically. Cysto-gastostomy
Tracheal stenosis from intubation, failed tracheoplasty and this stent keeps migrating requiring frequent placements
SPINAL CORD STIMULATOR
Right aortic arch with aberrant left subclavian artery posterior to oesophagus.
Right aortic arch with aberrant left subclavian artery posterior to oesophagus.
PD CATHETER
AP APPERANCE FOR COMPRESSION FX
PERITONEO VENOUS SHUNT—LEVEEN OR DENVER SHUNT
PERITONEO VENOUS SHUNT—LEVEEN OR DENVER SHUNT
TIPS
Failed renal transplant
Failed renal transplant
Breast implants
Left mastectomy
Bilateral breast implants.
Baclofen pump and ending intra-thecally
Sigmoid volvulus which was reduced by rigid endoscopy and see the sigmoid tube terminating in RUQ. Once stable he will get elective surgical fixation
Sigmoid volvulus which was reduced by rigid endoscopy and see the sigmoid tube terminating in RUQ. Once stable he will get elective surgical fixation
Para esophageal hernia and on surgery patient had a 10 cm defect in left hemi diaphragm which was repaired.
Para esophageal hernia and on surgery patient had a 10 cm defect in left hemi diaphragm which was repaired.
Para esophageal hernia and on surgery patient had a 10 cm defect in left hemi diaphragm which was repaired.
Para esophageal hernia and on surgery patient had a 10 cm defect in left hemi diaphragm which was repaired.
Boerhaave syndrome with esophageal rupture usualy on the left side with very high mortality without surgery
LV Aneurysm with calcified thrombus proved on MRI cardiac
LV Aneurysm with calcified thrombus proved on MRI cardiac
Fused SI joint
Fused SI joint
HIGH POSITION OF IVC FILTER CLUE DUPLICATED IVC PROVED ON CT.

December 20 case conference

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Editor's Notes