Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Acute Chest Syndrome
• Pneumothorax
• Tuberculosis
• Small Bowel Obstruction
• Intra-abdominal Abscess
• COVID-19
• Subcutaneous Emphysema
• Pneumoperitoneum
• Pneumomediastinum
• ECMO
• Pleural Effusions
• Cavitary Lung Lesions
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: August CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Pneumatocele
- Croup
- Pulmonary Contusion
- Blast Injury
- Bowel Obstruction
- Lobar Pneumonia
- Cavitary Lung Lesions
- Ileus
- Malposition of Central Line
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery week 1Sean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team as they post these weekly educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics!
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery November CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
- Tension Pneumothorax
- Atelectasis
- Esophageal Obstruction / Achalasia
- Right Upper Lobe Mass
- Right Upper and Right Middle Lobectomies
- Esophageal Foreign Body
- Transposition of the Great Vessels
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: October CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Tuberculosis
- Button Battery Ingestion
- Constipation
- Hirschprung's Disease
- Aspiration Pneumonia
- Generalized Lymphatic Anomaly
- Pediatric Acute Respiratory Distress
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: November CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Line Identification
- Thoracic Trauma
- Neutropenic Fever
- ARDS
- ECMO
- Pneumomediastinum
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery July CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Retropharyngeal abscess, Metapneumovirus pneumonia requiring ECMO, Heart failure, Several cases of lobar pneumonia, Left mainstem placement of Dobhoff tube with pneumothorax, Mystery case from Tanzania!
EMGuideWire's Radiology Reading Room: COVID 19 Chest X-rays UpdateSean M. Fox
This document discusses chest X-ray findings in COVID-19 patients from Carolinas Medical Center. It presents a series of de-identified chest X-rays from COVID-19 patients ranging from initial presentation through hospital course. Key findings discussed include ground glass opacities, local and bilateral patchy shadowing, and interstitial abnormalities. Guidelines for use of chest imaging in evaluating and managing suspected and confirmed COVID-19 patients are also summarized. The goal is to promote understanding and mastery of chest X-ray interpretation for COVID-19.
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: May CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
Subcutaneous air
Osteopenia
Bronchiolitis
Constipation
Asthma exacerbation
Alveolar Rhabdomyosarcoma
Aspirated Foreign Bodies
Small Bowel Obstruction
Kyphoscoliosis
Pneumatocele
Cecal Volvulus
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: August CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Pneumatocele
- Croup
- Pulmonary Contusion
- Blast Injury
- Bowel Obstruction
- Lobar Pneumonia
- Cavitary Lung Lesions
- Ileus
- Malposition of Central Line
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery week 1Sean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team as they post these weekly educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics!
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery November CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
- Tension Pneumothorax
- Atelectasis
- Esophageal Obstruction / Achalasia
- Right Upper Lobe Mass
- Right Upper and Right Middle Lobectomies
- Esophageal Foreign Body
- Transposition of the Great Vessels
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: October CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Tuberculosis
- Button Battery Ingestion
- Constipation
- Hirschprung's Disease
- Aspiration Pneumonia
- Generalized Lymphatic Anomaly
- Pediatric Acute Respiratory Distress
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: November CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Line Identification
- Thoracic Trauma
- Neutropenic Fever
- ARDS
- ECMO
- Pneumomediastinum
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery July CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Retropharyngeal abscess, Metapneumovirus pneumonia requiring ECMO, Heart failure, Several cases of lobar pneumonia, Left mainstem placement of Dobhoff tube with pneumothorax, Mystery case from Tanzania!
EMGuideWire's Radiology Reading Room: COVID 19 Chest X-rays UpdateSean M. Fox
This document discusses chest X-ray findings in COVID-19 patients from Carolinas Medical Center. It presents a series of de-identified chest X-rays from COVID-19 patients ranging from initial presentation through hospital course. Key findings discussed include ground glass opacities, local and bilateral patchy shadowing, and interstitial abnormalities. Guidelines for use of chest imaging in evaluating and managing suspected and confirmed COVID-19 patients are also summarized. The goal is to promote understanding and mastery of chest X-ray interpretation for COVID-19.
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: May CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
Subcutaneous air
Osteopenia
Bronchiolitis
Constipation
Asthma exacerbation
Alveolar Rhabdomyosarcoma
Aspirated Foreign Bodies
Small Bowel Obstruction
Kyphoscoliosis
Pneumatocele
Cecal Volvulus
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery October CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Scoliosis
• Pneumothorax
• Parapneumonic Effusion
• Cardiomegaly
• Vaping associated lung injury
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: September CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Non-accidental Trauma (NAT)
• Hyperinflated Lungs
• Esophageal Foreign Body
• Neonatal Pulmonary Abscess
• Neonatal Pneumatocele
• Tuberculosis
• Interstitial Lung Disease of Prematurity
• Disseminated Neonatal HSV
• Aspirated Foreign Body
Drs. Milam and Thomas's CMC X-Ray Mastery Project: January CasesSean M. Fox
This document discusses an adult chest x-ray presentation from the Carolinas Medical Center and Levine Children's Hospital. It provides disclosures about the goal of promoting chest x-ray interpretation skills. Cases are submitted by various departments and international colleagues. The presentation reviews multiple chest x-ray cases and corresponding diagnoses, including pneumomediastinum, spontaneous pneumothorax, deep sulcus sign, pericardial effusion, pulmonary hypertension, mitral stenosis, pulmonary bullae, situs inversus, dextrocardia, and cavitary lesions. A website is provided for an archive of past chest x-ray presentations.
Drs. Lorenzen and Barlock’s CMC X-Ray Mastery Project: January CasesSean M. Fox
This document provides an overview of an ongoing chest x-ray interpretation series aimed at promoting mastery of chest x-ray interpretation. It discusses several cases presented in the series, including a perforated gastric ulcer, pulmonary arterial hypertension, a ruptured diaphragm, cavitary tuberculosis, pneumocystis pneumonia with spontaneous pneumothorax, and lower rib fractures with an associated splenic injury. The goal of the series is to teach anatomy and common pathologies through case examples. Contributors to the series come from various medical centers and specialties around the world.
CMC Pediatric X-Ray Mastery: January CasesSean M. Fox
Drs. Kaley El-Arab and Taylor Anderson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Pericardial cyst
- Acute chest syndrome
- Cavitary pneumonia
- Non-COVID coronavirus pneumonia with pulmonary arteriovenous malformations
- Multifocal pneumonia with ARDS
- COVID-19 pneumonia
- Round pneumonia
- Lobar pneumonia
- Aspiration pneumonia with parapneumonic effusion
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery December CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Esophageal foreign body
• Mucus plugging
• Pneumonia
• Atelectasis
• Bronchiolitis
• E-cigarette vaping associated lung injury (EVALI)
Drs. Milam and Thomas's CMC X-Ray Mastery Project: February CasesSean M. Fox
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
• Mycoplasma pneumonia
• Thoracic aortic aneurysm
• Hydropneumothorax
• Sternal fracture
• Foreign body
• Iatrogenic pneumothorax
• Pulmonary contusion
• Type A aortic dissection
• Cardiomegaly
• PCP pneumonia
• Pneumothorax
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: December CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Hemopneumothorax
- COVID Pneumonia
- Metastatic Testicular Cancer
- Tension Pneumothorax
- Acute Chest Syndrome
- Status Asthmaticus
- Severe Anemia
- Pulmonary Infarct and Pulmonary Embolism
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: April CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Tension pneumothorax
• MIS-C
• Fungal Pneumonia
• Systemic JIA
• Large Pericardial Effusion
• Post-obstructive Pulmonary Edema
• Normal Thymus
• Pneumonia
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: May CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Recurrent pneumothorax
• Parapneumonic effusion
• Pediatric ARDS
• Septic pulmonary emboli
• RUl Pneumonia
• GSW with pulmonary hemorrhage
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery January CasesSean M. Fox
This document provides an overview of pediatric chest x-ray cases from the month. It discusses several cases including a child who swallowed magnets, a case of complex left lower lobe pneumonia evaluated with chest x-ray, CT, and ultrasound, a case of right middle lobe pneumonia in a child found to have a low hemoglobin, and finally a series of cases demonstrating the chest wall deformity pectus excavatum.
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery August CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Tetralogy of Fallot, Pneumonia, Bronchiolitis, Esophageal Foreign Body, Pneumothorax, ECMO
Drs. Milam and Thomas's CMC X-Ray Mastery Project: April CasesSean M. Fox
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
• Esophageal Perforation
• Perforated Viscous
• Pneumothorax
• Traumatic Diaphragmatic Hernia
• Pulmonary Contusion
• COVID-19 associated Pneumonia
• COVID-19
• Influenza Like Illness
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: April CasesSean M. Fox
Dr. Kelsey Lena is an Emergency Medicine Resident and Drs. Michael Avery and Joshua Davis are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s topics include:
- Large Bowel Obstruction
- Blunt Aortic Injury
- Abdominal Aortic Aneurysm with Rupture
Drs. Rossi and Shreve’s CMC Abdominal Imaging Mastery Project: November CasesSean M. Fox
Dr. Brian Shreve is an Emergency Medicine Resident and Dr. Isolina Rossi is a Surgery Resident at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
Enterovesical Fistula
Abdominal Aorta Aneurysm
Aortic Dissection
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: February CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Myocarditis
• Pulmonary Contusions
• Clavicle Fracture
• Pneumonia
• Acute Chest Syndrome
• Pleural Effusion
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery Cases #2Sean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team as they post these weekly educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Diaphragmatic Hernia, Pneumomediastinum, Right Mainstem Intubation, Left Lung Collapse, Coarctation of the Aorta, Right Upper Lobe Pneumonia, Right Lower Lobe Pneumonia
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: July CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Aortic Aneursym
• Aortic Coarctation
• Aspirated Foreign Body
• Ingested Foreign Body
• VP Shunt Malfunction
• Hemopneumothorax
• COVID-19 pneumonia and pneumothorax
EMGuideWire's Radiology Reading Room: PneumoniaSean M. Fox
The Department of Emergency Medicine at Carolinas Medical Center is passionate about education! Dr. Michael Gibbs is a world-renowned clinician and educator and has helped guide numerous young clinicians on the long path of Mastery of Emergency Medical Care. With his oversight, the EMGuideWire team aim to help augment our understanding of emergent imaging. You can follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides or you can also use this section to learn more in-depth about specific conditions and diseases. This Radiology Reading Room pertains to Pneumonia and is brought to you by Elissabeth Hagler, MD and Tom Shuman, MD. Guest Editor is Michael Leonard, MD, Infectious Disease specialist.
Drs. Milam and Thomas's CMC X-Ray Mastery Project: May CasesSean M. Fox
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
• Spontaneous Pneumothorax
• Esophageal Stent
• Iatrogenic Pneumothorax
• Pleural Effusion
• Shoulder Dislocation
• Proximal Humeral Fracture
• Aspiration Event
• Subcutaneous Emphysema
• Metastatic Germ Cell Cancer
• ARDS
• Right Lower Lobe Pneumonia
• Mediastinal Mass
CMC Pediatric X-Ray Mastery: 26th Case SeriesSean M. Fox
Drs. Kaley El-Arab and Taylor Anderson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Penetrating Chest Trauma
- Meconium Aspiration Syndrome
- Respiratory Distress Syndrome
- Pneumothorax
- Pneumatosis
- Rickets of prematurity
- Disseminated HSV
- VACTERL
CMC Pediatric X-Ray Mastery: February CaseSean M. Fox
Drs. Kaley El-Arab and Neha Ray are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Acute chest syndrome (review)
• Traumatic diaphragmatic hernia
• Cervical distraction injury
• Traumatic pneumothorax
• Pelvic fractures from GSW
• Lung whiteout from mucous plug
• Scapula fracture and subclavian artery injury from GSW
• Pulmonary contusions
• Pneumomediastinum
• Post-op pneumothorax
• Pulmonary contusions, femur fracture, and pelvic fractures
• Lines and tubes practice
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery October CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Scoliosis
• Pneumothorax
• Parapneumonic Effusion
• Cardiomegaly
• Vaping associated lung injury
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: September CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Non-accidental Trauma (NAT)
• Hyperinflated Lungs
• Esophageal Foreign Body
• Neonatal Pulmonary Abscess
• Neonatal Pneumatocele
• Tuberculosis
• Interstitial Lung Disease of Prematurity
• Disseminated Neonatal HSV
• Aspirated Foreign Body
Drs. Milam and Thomas's CMC X-Ray Mastery Project: January CasesSean M. Fox
This document discusses an adult chest x-ray presentation from the Carolinas Medical Center and Levine Children's Hospital. It provides disclosures about the goal of promoting chest x-ray interpretation skills. Cases are submitted by various departments and international colleagues. The presentation reviews multiple chest x-ray cases and corresponding diagnoses, including pneumomediastinum, spontaneous pneumothorax, deep sulcus sign, pericardial effusion, pulmonary hypertension, mitral stenosis, pulmonary bullae, situs inversus, dextrocardia, and cavitary lesions. A website is provided for an archive of past chest x-ray presentations.
Drs. Lorenzen and Barlock’s CMC X-Ray Mastery Project: January CasesSean M. Fox
This document provides an overview of an ongoing chest x-ray interpretation series aimed at promoting mastery of chest x-ray interpretation. It discusses several cases presented in the series, including a perforated gastric ulcer, pulmonary arterial hypertension, a ruptured diaphragm, cavitary tuberculosis, pneumocystis pneumonia with spontaneous pneumothorax, and lower rib fractures with an associated splenic injury. The goal of the series is to teach anatomy and common pathologies through case examples. Contributors to the series come from various medical centers and specialties around the world.
CMC Pediatric X-Ray Mastery: January CasesSean M. Fox
Drs. Kaley El-Arab and Taylor Anderson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Pericardial cyst
- Acute chest syndrome
- Cavitary pneumonia
- Non-COVID coronavirus pneumonia with pulmonary arteriovenous malformations
- Multifocal pneumonia with ARDS
- COVID-19 pneumonia
- Round pneumonia
- Lobar pneumonia
- Aspiration pneumonia with parapneumonic effusion
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery December CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Esophageal foreign body
• Mucus plugging
• Pneumonia
• Atelectasis
• Bronchiolitis
• E-cigarette vaping associated lung injury (EVALI)
Drs. Milam and Thomas's CMC X-Ray Mastery Project: February CasesSean M. Fox
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
• Mycoplasma pneumonia
• Thoracic aortic aneurysm
• Hydropneumothorax
• Sternal fracture
• Foreign body
• Iatrogenic pneumothorax
• Pulmonary contusion
• Type A aortic dissection
• Cardiomegaly
• PCP pneumonia
• Pneumothorax
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: December CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Hemopneumothorax
- COVID Pneumonia
- Metastatic Testicular Cancer
- Tension Pneumothorax
- Acute Chest Syndrome
- Status Asthmaticus
- Severe Anemia
- Pulmonary Infarct and Pulmonary Embolism
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: April CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Tension pneumothorax
• MIS-C
• Fungal Pneumonia
• Systemic JIA
• Large Pericardial Effusion
• Post-obstructive Pulmonary Edema
• Normal Thymus
• Pneumonia
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: May CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Recurrent pneumothorax
• Parapneumonic effusion
• Pediatric ARDS
• Septic pulmonary emboli
• RUl Pneumonia
• GSW with pulmonary hemorrhage
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery January CasesSean M. Fox
This document provides an overview of pediatric chest x-ray cases from the month. It discusses several cases including a child who swallowed magnets, a case of complex left lower lobe pneumonia evaluated with chest x-ray, CT, and ultrasound, a case of right middle lobe pneumonia in a child found to have a low hemoglobin, and finally a series of cases demonstrating the chest wall deformity pectus excavatum.
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery August CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Tetralogy of Fallot, Pneumonia, Bronchiolitis, Esophageal Foreign Body, Pneumothorax, ECMO
Drs. Milam and Thomas's CMC X-Ray Mastery Project: April CasesSean M. Fox
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
• Esophageal Perforation
• Perforated Viscous
• Pneumothorax
• Traumatic Diaphragmatic Hernia
• Pulmonary Contusion
• COVID-19 associated Pneumonia
• COVID-19
• Influenza Like Illness
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: April CasesSean M. Fox
Dr. Kelsey Lena is an Emergency Medicine Resident and Drs. Michael Avery and Joshua Davis are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s topics include:
- Large Bowel Obstruction
- Blunt Aortic Injury
- Abdominal Aortic Aneurysm with Rupture
Drs. Rossi and Shreve’s CMC Abdominal Imaging Mastery Project: November CasesSean M. Fox
Dr. Brian Shreve is an Emergency Medicine Resident and Dr. Isolina Rossi is a Surgery Resident at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
Enterovesical Fistula
Abdominal Aorta Aneurysm
Aortic Dissection
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: February CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Myocarditis
• Pulmonary Contusions
• Clavicle Fracture
• Pneumonia
• Acute Chest Syndrome
• Pleural Effusion
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery Cases #2Sean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team as they post these weekly educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Diaphragmatic Hernia, Pneumomediastinum, Right Mainstem Intubation, Left Lung Collapse, Coarctation of the Aorta, Right Upper Lobe Pneumonia, Right Lower Lobe Pneumonia
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: July CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Aortic Aneursym
• Aortic Coarctation
• Aspirated Foreign Body
• Ingested Foreign Body
• VP Shunt Malfunction
• Hemopneumothorax
• COVID-19 pneumonia and pneumothorax
EMGuideWire's Radiology Reading Room: PneumoniaSean M. Fox
The Department of Emergency Medicine at Carolinas Medical Center is passionate about education! Dr. Michael Gibbs is a world-renowned clinician and educator and has helped guide numerous young clinicians on the long path of Mastery of Emergency Medical Care. With his oversight, the EMGuideWire team aim to help augment our understanding of emergent imaging. You can follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides or you can also use this section to learn more in-depth about specific conditions and diseases. This Radiology Reading Room pertains to Pneumonia and is brought to you by Elissabeth Hagler, MD and Tom Shuman, MD. Guest Editor is Michael Leonard, MD, Infectious Disease specialist.
Drs. Milam and Thomas's CMC X-Ray Mastery Project: May CasesSean M. Fox
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
• Spontaneous Pneumothorax
• Esophageal Stent
• Iatrogenic Pneumothorax
• Pleural Effusion
• Shoulder Dislocation
• Proximal Humeral Fracture
• Aspiration Event
• Subcutaneous Emphysema
• Metastatic Germ Cell Cancer
• ARDS
• Right Lower Lobe Pneumonia
• Mediastinal Mass
CMC Pediatric X-Ray Mastery: 26th Case SeriesSean M. Fox
Drs. Kaley El-Arab and Taylor Anderson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Penetrating Chest Trauma
- Meconium Aspiration Syndrome
- Respiratory Distress Syndrome
- Pneumothorax
- Pneumatosis
- Rickets of prematurity
- Disseminated HSV
- VACTERL
CMC Pediatric X-Ray Mastery: February CaseSean M. Fox
Drs. Kaley El-Arab and Neha Ray are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Acute chest syndrome (review)
• Traumatic diaphragmatic hernia
• Cervical distraction injury
• Traumatic pneumothorax
• Pelvic fractures from GSW
• Lung whiteout from mucous plug
• Scapula fracture and subclavian artery injury from GSW
• Pulmonary contusions
• Pneumomediastinum
• Post-op pneumothorax
• Pulmonary contusions, femur fracture, and pelvic fractures
• Lines and tubes practice
CMC Pediatric X-Ray Mastery: 27th Case SeriesSean M. Fox
This document presents a series of pediatric chest x-ray cases for interpretation and learning. It discusses six cases, providing images and summaries of the findings. The cases include a clavicle fracture, congenital diaphragmatic hernia, normal thymic shadow, duodenal atresia, Hirschsprung's disease, and malpositioned lines and tubes. The goal is to promote mastery of chest x-ray interpretation through discussion of real cases submitted from various medical centers and countries.
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: February CasesSean M. Fox
Drs. Daniel Escobar, Angela Pikus, and Alex Blackwell are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
Bullous Lung Disease
Influenza Myocarditis Requiring Circulatory Support
Free Air representing:
Pneumothorax
Tension Pneumothorax
Pneumoperitoneum
Subdiaphragmatic Abscess
Pneumobilia
Subcutaneous Free Air
Pneumomediastinum
Drs. Milam and Thomas's CMC X-Ray Mastery Project: September CasesSean M. Fox
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on: Septic Pulmonary Emboli, Severe Rib Fractures, Left Lower Lobe Resection, Pneumonia, Esophageal Stent, COPD, Hyperinflation, Pulmonary Contusion, Aortic Dissection, Tuberculosis
Dr. Escobar’s CMC X-Ray Mastery Project: December CasesSean M. Fox
Drs. Daniel Escobar, Angela Pikus, and Alex Blackwell are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
- Blunt hemothorax
- Pulmonary contusion
- Lung Cancer with Bone Metastases
- Pneumomediastinum
- Pneumopericardium
Dr. Michael Gibbs's CMC X-Ray Mastery Project: Week #11 casesSean M. Fox
Dr. Michael Gibbs is a Professor of Emergency Medicine and interested in educating others. Radiology is a passion of his. Follow along with the EMGuideWire.com team as they post Dr. Gibbs's weekly educational, self-guided radiology slides on: Pleural Effusion, Dilated Cardiomyopathy, Septic Pulmonary emboli, Tracheal Laceration, LifeVest Defibrillator, Aspirated Tooth, Pulmonary Nodule, Rib Fractures, Fail Chest, Metastatic Melanoma.
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: March CasesSean M. Fox
1) A large study of over 2,000 hospitalized adults with community-acquired pneumonia (CAP) found that specific pathogens were only identified in 38% of cases. Viral pneumonia was significant, with human rhinovirus and influenza virus among the most common.
2) New guidelines for CAP management recommend against macrolide monotherapy due to high pneumococcal resistance rates. Obtaining cultures is only recommended for severe CAP or if MRSA/pseudomonas is being treated. Influenza testing and treatment is recommended when circulating.
3) Validated prediction rules like the Pneumonia Severity Index should be used along with clinical judgment to determine initial treatment location and need for higher levels of
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: April CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• VP Shunt Disconnection
• E-cigarette Vaping Associated Lung Injury
• Apical Lung Mass
• Pulmonary Metastasis
• Vascular Ring
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...Sean M. Fox
Drs. Angela Pikus, Alex Blackwell, Mark Baumgarten, Rosa Malloy-Post are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
• Naloxone-Associated Aspiration Pneumonitis & Pulmonary Edema
• Superior Vena Cava Syndrome
• Pulmonary Aspergillosis And The “Air Crescent Sign”
• Needle-Chest Decompression & Recent Pneumothorax Literature
Dr. Michael Gibbs's CMC X-Ray Mastery Project: Week #12 casesSean M. Fox
Dr. Michael Gibbs is a Professor of Emergency Medicine and interested in educating others. Radiology is a passion of his. Follow along with the EMGuideWire.com team as they post Dr. Gibbs's weekly educational, self-guided radiology slides on: Pleural Effusion, Dilated Cardiomyopathy, Septic Pulmonary Emboli, Tracheal Laceration, LifeVest Defibrillator, Aspirated Tooth, Pulmonary Nodule, Rib Fractures, Flail Chest, Metastatic Melanoma
EMGuideWire's Radiology Reading Room: PneumomediastinumSean M. Fox
The Department of Emergency Medicine at Carolinas Medical Center is passionate about education! Dr. Michael Gibbs is a world-renowned clinician and educator and has helped guide numerous young clinicians on the long path of Mastery of Emergency Medical Care. With his oversight, the EMGuideWire team aim to help augment our understanding of emergent imaging. You can follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides or you can also use this section to learn more in-depth about specific conditions and diseases. This Radiology Reading Room pertains to Pneumomediastinum and is brought to you by Jacob Leedekerken, MD and Chelsea Wilson, MD.
This document contains rationales for questions from the 2007 ACR Diagnostic Radiology In-Training Exam related to pediatric radiology. It provides the correct answer and an explanation for each question, referencing imaging findings and typical presentations of various pediatric conditions like congenital cystic adenomatoid malformation, hematometrocolpos, pulmonary sling, Hirschsprung's disease and more. Key anatomic and imaging features are discussed in the rationales to explain why each answer choice is right or wrong.
Similar to Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: March Cases (14)
Implanted Devices - VP Shunts: EMGuidewire's Radiology Reading RoomSean M. Fox
The Department of Emergency Medicine at Carolinas Medical Center is passionate about education! Dr. Michael Gibbs is a world-renowned clinician and educator and has helped guide numerous young clinicians on the long path of Mastery of Emergency Medical Care. With his oversight, the EMGuideWire team aim to help augment our understanding of emergent imaging. You can follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides or you can also use this section to learn more in-depth about specific conditions and diseases. This Radiology Reading Room pertains to Ventriculoperitoneal Shunts and their Complications and is brought to you by Brandon Friedman, MD, Kelsey Patterson, and L. Erin Miller MD. It is has special guest editor: Scott Wait, MD
Sternal Fractures & Dislocations - EMGuidewire Radiology Reading RoomSean M. Fox
The Department of Emergency Medicine at Carolinas Medical Center is passionate about education! Dr. Michael Gibbs is a world-renowned clinician and educator and has helped guide numerous young clinicians on the long path of Mastery of Emergency Medical Care. With his oversight, the EMGuideWire team aim to help augment our understanding of emergent imaging. You can follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides or you can also use this section to learn more in-depth about specific conditions and diseases. This Radiology Reading Room pertains to Sternal Fractures and Dislocations and is brought to you by Carrie Bissell, MD, Aaron Fox, MD, Kendrick Lim, MD, Stephanie Jensen, MD, and Olivia Rice, MD. It is has special guest editor: Sean Dieffenbaugher, MD and Laurence Kempton, MD
Diaphragmatic Injuries - Radiology Reading RoomSean M. Fox
The Department of Emergency Medicine at Carolinas Medical Center is passionate about education! Dr. Michael Gibbs is a world-renowned clinician and educator and has helped guide numerous young clinicians on the long path of Mastery of Emergency Medical Care. With his oversight, the EMGuideWire team aim to help augment our understanding of emergent imaging. You can follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides or you can also use this section to learn more in-depth about specific conditions and diseases. This Radiology Reading Room pertains to Diaphragm Injury and is brought to you by Kylee Brooks, MD, Parker Hambright, MD, Alexis Holland, MD, and William Lorenz, MD. It is has special guest editor: Kyle Cunningham, MD
Acute Chest Syndrome - EMGuidewire's Radiology Reading RoomSean M. Fox
The Department of Emergency Medicine at Carolinas Medical Center is passionate about education! Dr. Michael Gibbs is a world-renowned clinician and educator and has helped guide numerous young clinicians on the long path of Mastery of Emergency Medical Care. With his oversight, the EMGuideWire team aim to help augment our understanding of emergent imaging. You can follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides or you can also use this section to learn more in-depth about specific conditions and diseases. This Radiology Reading Room pertains to Acute Chest Syndrome and is brought to you by Angela Pikus, MD, Mark Baumgarten, MD, Andres Gil Bustamante, and Ahmed Mashal, MD. As always, Michael Gibbs, MD serves as the projects editor.
Adult Orthopedic Imaging Series: Presentation #2 Native Hip DislocationsSean M. Fox
Drs. Carrie Bissell, Aaron Fox, and Kendrick Lim are Emergency Medicine Residents at Carolinas Medical Center and are interested in emergency medicine and medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine and Dr. Laurence Kempton, an Orthopedic Surgeon, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides that focus on Adult Orthopedic cases. This set will cover:
- Hip Dislocations
Neuroimaging Mastery Project: Presentation #5 Subdural HematomasSean M. Fox
Drs. Faith Meyers, Madison Watts and Steven Perry are Emergency Medicine Residents at Carolinas Medical Center who are interested in medical education. Dr. Rebecca DeCarlo, MD is a Neurosurgical resident at Carolinas Medical Center. Along with the guidance of Dr. Michael Gibbs (Chair of Emergency Medicine), Dr. Jonathan Clemente (Chief of the Department of Radiology and Neuroradiology specialist), Dr. Christa Swisher (Neurocritcal Care Intensivist), and Dr. Scott Wait (Chief of Pediatric Neurosurgery) they aim to help educate us on Neuroimaging. In this presentation they will address Subdural Hematomas. Follow along with the EMGuideWire.com team as they post the CMC Neuroimaging Case Studies.
- Subdural Hematomas
Neuroimaging Mastery Project Presentation #4: Acute Epidural HematomasSean M. Fox
Drs. Faith Meyers, Madison Watts and Steven Perry are Emergency Medicine Residents at Carolinas Medical Center who are interested in medical education. Along with the guidance of Dr. Michael Gibbs (Chair of Emergency Medicine), Dr. Jonathan Clemente (Chief of the Department of Radiology and Neuroradiology specialist), Dr. Christa Swisher (Neurocritcal Care Intensivist), and Dr. Scott Wait (Chief of Pediatric Neurosurgery) they aim to help educate us on Neuroimaging. In this presentation they will address Atraumatic Neurosurgical Intracranial Infections. Follow along with the EMGuideWire.com team as they post the CMC Neuroimaging Case Studies.
- Acute Epidural Hematomas
Pediatric Orthopedic Imaging Case Studies #7 Pediatric Elbow FracturesSean M. Fox
The document provides an overview of commonly encountered pediatric elbow injuries seen in the emergency department setting. It reviews the anatomy and imaging evaluation of pediatric elbow fractures including the supracondylar humerus, radial neck, lateral condyle, and medial epicondyle fractures. Specific radiographic findings that help identify subtle fractures are discussed. Challenges in pediatric elbow imaging related to ossification centers are also covered. The goal is to help emergency physicians accurately diagnose pediatric elbow fractures on radiographs.
Adult Orthopedic Imaging Mastery Project - Pelvic Ring FracturesSean M. Fox
The document discusses different types of pelvic ring injuries including lateral compression, anterior-posterior compression, and vertical shear fractures. It emphasizes the importance of early resuscitation, pelvic stabilization, and considering advanced measures or angiography to control hemorrhage in unstable patients. The case examples demonstrate imaging features and management approaches for different pelvic fracture patterns.
Neurosurgical Intracranial Infections - FINAL 10-17-23.pptxSean M. Fox
Drs. Faith Meyers and Steven Perry are Emergency Medicine Residents and Trent VanHorn is a Neurosurgical Resident at Carolinas Medical Center who are interested in medical education. Along with the guidance of Dr. Michael Gibbs (Chair of Emergency Medicine), Dr. Jonathan Clemente (Chief of the Department of Radiology and Neuroradiology specialist), Dr. Christa Swisher (Neurocritcal Care Intensivist), and Dr. Scott Wait (Chief of Pediatric Neurosurgery) they aim to help educate us on Neuroimaging. In this presentation they will address Atraumatic Neurosurgical Intracranial Infections. Follow along with the EMGuideWire.com team as they post the CMC Neuroimaging Case Studies.
This set will cover:
Atraumatic Neurosurgical Intracranial Infections
Subdural Empyema and Brain Abscess
CMC Neuroimaging Case Studies - Cerebral Venous Sinus ThrombosisSean M. Fox
Drs. Faith Meyers, Steven Perry, Madison Watts, and Brandon Friedman are Emergency Medicine Residents at Carolinas Medical Center and interested in medical education. Along with the guidance of Dr. Michael Gibbs (Chair of Emergency Medicine), Dr. Jonathan Clemente (Chief of the Department of Radiology and Neuroradiology specialist), Dr. Christa Swisher (Neurocritcal Care Intensivist), and Dr. Scott Wait (Chief of Pediatric Neurosurgery) they aim to help educate us on Neuroimaging. In this presentation they will address Cerebral Venous Sinus Thrombosis. Follow along with the EMGuideWire.com team as they post the CMC Neuroimaging Case Studies.
This set will cover:
- Cerebral Venous Sinus Thrombosis
Abdominal Imaging Case Studies #27.pptxSean M. Fox
Drs. Kylee Brooks and Parker Hambright are Emergency Medicine Residents and Drs. Alexis Holland and William Lorenz are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham, Brent Matthews, and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s cases include:
• Iatrogenic Esophageal Perforation
• Emphysematous Cystitis
• Meckel’s Diverticulum
• Paraesophageal Hernia
Blood Can Be Very Very Bad - CMC Neuroimaging Case StudiesSean M. Fox
Drs. Faith Meyers and Steven Perry are Emergency Medicine Residents at Carolinas Medical Center and interested in medical education. Along with the guidance of Dr. Michael Gibbs (Chair of Emergency Medicine), Dr. Jonathan Clemente (Chief of the Department of Radiology and Neuroradiology specialist), and Dr. Scott Wait (Chief of Pediatric Neurosurgery) they aim to help educate us on Neuroimaging. In this initial educational slideset, they are also joined by Dr. Andrew Perron, the creator of the “Blood Can Be Very Bad” Head CT interpretation framework. Follow along with the EMGuideWire.com team as they post the CMC Neuroimaging Case Studies.
This set will cover:
- The Neuroimaging Framework “Blood Can Be Very Very Bad.”
Drs. Angela Pikus, Alex Blackwell, Mark Baumgarten, Rosa Malloy-Post are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
• Abnormalities of the Thoracic Aorta
o Traumatic aortic disruption
o Thoracic aortic aneurysm with acute dissection
Medical Device Imaging Mastery Project #4: Extracorporeal Membrane OxygenationSean M. Fox
Drs. Kaley El-Arab and Brandon Friedman are Emergency Medicine Residents at Carolinas Medical Center and interested in medical education and Critical Care. They have teamed with Ms. Emily Lipitz a PA with the Sanger Heart & Vascular Institute. Along with the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, and Dr. John Symanski, a cardiologist from the Sanger Heart & Vascular Institute, they aim to help augment our understanding of emergent imaging of implanted devices. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
- Extracorporeal Membrane Oxygenation
Drs. Brooks, Hambright, Holland, and Lorenz’s CMC Abdominal Imaging Mastery P...Sean M. Fox
Drs. Kylee Brooks and Parker Hambright are Emergency Medicine Residents and Drs. Alexis Holland and William Lorenz are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham, Brent Matthews, and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s cases include:
- Pyogenic Liver Abscess
- Bladder Rupture
- Sigmoid Volvulus
Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...Sean M. Fox
Dr. Haley Dusek is an Emergency Medicine Resident and interested in pediatric emergency medicine and medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, and supervision of Dr. Danielle Sutton, a Pediatric Emergency Medicine specialist, and Dr. Virginia Casey, a Pediatric Orthopedic Surgeon, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
• Tufts fracture
• Mallet fracture
• Seymour fracture
• Volar Plate Injury
• Base fracture
• Phalangeal neck
• Condyle fracture
• Phalanx dislocations
Drs. Pikus, Blackwell, Baumgarten, and Malloy-Posts’s CMC X-Ray Mastery Proje...Sean M. Fox
This document provides an overview of an ongoing chest x-ray interpretation series aimed at promoting mastery of chest x-ray interpretation. It discusses topics covered in prior presentations including peripartum cardiomyopathy, left ventricular assist devices, and pleural effusions. Appendices provide references for articles related to peripartum cardiomyopathy. The document also announces that next month's presentation will cover new diagnoses.
Drs. Escobar, Pikus, and Blackwell’s CMC X-Ray Mastery Project: 43rd Case SeriesSean M. Fox
Drs. Daniel Escobar, Angela Pikus, and Alex Blackwell are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
- Traumatic Pneumothorax
- Flail Chest And Surgical Rib Fixation
- Traumatic Pulmonary Pseudocyst
- Stab Wound To The Heart
Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: June...Sean M. Fox
1. The document discusses three adult abdominal imaging case studies from Carolinas Medical Center involving abdominal wall hematoma, walled off necrosis of the pancreas, and acute aortic thrombosis.
2. For the first case, a 57-year-old female presented with an abdominal wall dog bite and was found to have a 12 cm abdominal wall hematoma with active contrast extravasation.
3. The second case was a 65-year-old female with a history of severe pancreatitis who had a follow up CT showing walled off necrosis of the pancreas.
4. The third case was a 46-year-old male with a history of Ehlers Danlos and recent cocaine usage who presented
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: March Cases
1. Pediatric Chest X-Rays of the Month
Elizabeth Olson, MD & Kendra Jackson, MD
Department of Emergency Medicine &
Department of Pediatrics
Carolinas Medical Center & Levine Children’s Hospital
Michael Gibbs, MD, Faculty Editor
Nicholena Richardson, MD & Mary Grady, MD, Junior Faculty Editors
Chest X-Ray Mastery Project
March 2021
2. Process and Disclosures
This ongoing pediatric chest x-ray
interpretation series is proudly sponsored
by the Emergency Medicine Residency
Program and Pediatric Emergency Medicine
Fellowship at Carolinas Medical Center.
The goal is to promote widespread mastery
of CXR interpretation.
Cases are submitted by contributors from
many CMC departments, and now…
Tanzania and Brazil.
Ages have been changed to protect patient
confidentiality. No protected health
information (PHI) will be shared.
For more educational content, visit
EMGuidewire.com
3. Reading systematically…
A for airway
B for bones
C for cardiac silhouette
D for diaphragm
E for everything else
For more educational content, visit
EMGuidewire.com
5. 2-year-old with history of sickle cell anemia
presents with fever, pain all over, and fussiness
CXR interpretation?
Review
6. 2-year-old with history of sickle cell anemia
presents with fever, pain all over, and fussiness
Right upper and lower lobe pneumonia –
Consider acute chest syndrome
Review
7. 20-month-old female presents with
3 days of cough and congestion.
Diagnosed with bilateral otitis
media at PCP one day prior to
arrival. Now with increased work of
breathing and hypoxia.
Interpret this CXR.
8. 20-month-old female presents with
3 days of cough and congestion.
Diagnosed with bilateral otitis
media at PCP one day prior to
arrival. Now with increased work of
breathing and hypoxia.
What is the circled abnormality?
9. 20-month-old female presents with
3 days of cough and congestion.
Diagnosed with bilateral otitis
media at PCP one day prior to
arrival. Now with increased work of
breathing and hypoxia.
Diagnosis: Pneumothorax
10. Because the pneumothorax is
relatively small, the team opts to
treat her with high flow nasal
cannula and serial CXRs instead of
a chest tube. This is her next CXR.
Interpret this CXR.
11. Because the pneumothorax is
relatively small, the team opts to
treat her with high flow nasal
cannula and serial CXRs instead of
a chest tube. This is her next CXR.
What abnormality is highlighted by
the arrows? Is there still a
pneumothorax?
12. Because the pneumothorax is
relatively small, the team opts to
treat her with high flow nasal
cannula and serial CXRs instead of
a chest tube. This is her next CXR.
The pneumothorax is no longer
radiographically apparent, but a
right perihilar density is now seen.
With antibiotics started, she
improves over the next two days
and is discharged home.
13. Your colleague calls you over and
asks your opinion of this image
without any background
information.
Interpret this CXR.
14. Your colleague calls you over and
asks your opinion of this image
without any background
information.
What is the circled abnormality?
15. Interpretation: RLL infiltrate.
Additional information: Patient is a
16-year-old boy who moved to the
US from Guatemala 2 years ago. He
presents with 3 days of fevers and
hemoptysis.
He is diagnosed with RLL
pneumonia and discharged on
antibiotics. He returns 3 days later
with worsening symptoms. See
next slide for repeat CXR.
16. Repeat 3 days later Original
Despite antibiotics, his fevers
continue, and his hemoptysis
is worsening. He is admitted
for IV antibiotics, having
failed outpatient
management.
With worsening hemoptysis,
a history of travel outside of
the US, and an infiltrate that
has become denser despite
antibiotics, what additional
testing should you send?
17. Tuberculosis
Consider in patients with international travel history,
working/living in a nursing home or detention facility,
or with a positive close contact.
- Usually has a more indolent, subacute
presentation. This patient is atypical, having only
had symptoms for a few days.
- QuantiFERON gold testing (interferon-gamma
release assay, or IGRA) alone is not sufficient to
confirm or rule out TB.
- Send expectorated sputum samples for AFB (acid
fast bacilli) and NAA (nucleic acid amplification).
Three samples should be sent 8 hours apart.
- Both tests depend on the patient’s ability to bring
up sputum with a sufficiently high organism
burden. Too few mycobacteria can lead to false
negatives.
- Involve your Infectious Disease colleagues. They
will be grateful to talk about something other than
COVID.
U.S. Department of Health & Human Services, Centers for Disease Control, Division of Tuberculosis
Elimination. "Report of an Expert Consultation on the Uses of Nucleic Acid Amplification Tests for
the Diagnosis of Tuberculosis." Sept 2012.
18. 8-year-old nonverbal child
history of cerebral palsy,
trach dependence
presents with abdominal
distention and hypoxia.
Interpret this CXR.
19. 8-year-old nonverbal child
history of cerebral palsy,
trach dependence
presents with abdominal
distention and hypoxia
What is the circled
abnormality?
20. 8-year-old nonverbal child
history of cerebral palsy,
trach dependence
presents with abdominal
distention and hypoxia
Radiologist’s interpretation:
Low lung volumes with suspected
bibasilar atelectasis, not well assessed.
Marked gaseous distension of the
bowel causing elevation of the right
hemidiaphragm with a paucity of rectal
bowel gas.
Final diagnosis: Small bowel
obstruction.
21. 16-year-old with cerebral palsy,
nonverbal, presents with abdominal
distention and “pain” per parents.
Recently had multiple abdominal
surgeries for a perforated ulcer.
Interpret this CXR.
Baseline
Current
22. Radiologist interpretation:
Free intraabdominal air on right
side, compatible with perforated
viscus.
Large gas-containing structure in
left upper quadrant may be
stomach, but is favored to be an
abscess until proven otherwise,
given recent history of gastric
perforation and presence of
intraabdominal free air.
23. This is a left lateral decubitus
view, i.e., the left side is facing
down.
Note the increased visibility of
the free air at the top of the
image.
24. From the operative note:
We performed careful and meticulous lysis of adhesions to gain access to the LUQ. We
were concerned that the structure thought to be a dilated stomach may be a large
abscess cavity. We discovered this to be true as we entered the capsule of the abscess
cavity with malodorous air and purulent fluid. We performed an EGD to ensure there
were no injuries to the stomach. The esophagus, stomach, and duo were intact with
no signs of injury. We performed a bubble test and found no evidence of leak. We
excised as much of the abscess wall cavity as possible--it was thick and adherent to
surrounding tissue. It was necessary to leave a significant amount behind.
The VP shunt was found to terminate in the area of the abscess, and this was
externalized by neurosurgery.
25. Pneumoperitoneum
Upright CXR is the most sensitive plain film
for this pathology.
As little as 1 mL of free air can be seen on
an upright CXR.
A cross-table left lateral decubitus film can
detect 5-10 mL of free air.
For best results, if possible, have the
patient stay in that position for 10-15
minutes before obtaining the xray, to allow
the air to migrate upwards.
Massive pneumoperitoneum in the infant
population can take on the appearance of a
football…if you use a lot of imagination.
Get your surgical colleagues involved in
these cases.
Lee HJ. Plain abdominal radiography in infants and children.
Korean J Paediatr Gastroenterol Nutr. 2011;14:130–6
27. 9-year-old with asthma
and obesity presents with
cough and fever.
Radiologist interpretation: Hazy
asymmetric right lung infiltrates.
Differential includes pneumonia,
viral process.
Bonus question: Identify the
dense linear structure.
28. 9-year-old with asthma
and obesity presents with
cough and fever.
Radiologist interpretation: Hazy
asymmetric right lung infiltrates.
Differential includes pneumonia,
viral process.
The indicated structure is the
flexible metal strip from a
surgical mask, worn upside-
down.
29. Interpret this CXR from hospital
day 2.
9-year-old with asthma and
obesity presents with cough
and fever.
He is discharged home on
antibiotics for CAP. Tests
positive for COVID.
Clinically worsens and is
admitted to the PICU on NiPPV.
30. Radiologist interpretation:
“Extensive pneumomediastinum
and subcutaneous emphysema.
Increasing opacities in right
lung. Possible right apical
pneumothorax.”
9-year-old with asthma and
obesity presents with cough
and fever.
He is discharged home on
antibiotics for CAP. Tests
positive for COVID.
Clinically worsens and is
admitted to the PICU on NiPPV.
31. Note the striated appearance of
the subcutaneous emphysema
lateral to the right chest wall.
This appearance is caused by air
tracking through the pectoralis
muscles.
9-year-old with asthma and
obesity presents with cough
and fever.
He is discharged home on
antibiotics for CAP. Tests
positive for COVID.
Clinically worsens and is
admitted to the PICU on NiPPV.
32. Interpret this abdominal xray.
9-year-old with asthma and
obesity presents with cough
and fever.
He is discharged home on
antibiotics for CAP. Tests
positive for COVID.
Clinically worsens and is
admitted to the PICU on NiPPV.
His abdomen is becoming
increasingly distended.
33. Radiologist interpretation:
Massive pneumoperitoneum.
9-year-old with asthma and
obesity presents with cough
and fever.
He is discharged home on
antibiotics for CAP. Tests
positive for COVID.
Clinically worsens and is
admitted to the PICU on NiPPV.
His abdomen is becoming
increasingly distended.
34. What intervention was
performed by surgery?
The patient continued to
decline, is intubated, and
ultimately is placed on ECMO.
As the patient’s distended
abdomen was by this point
impeding his lung compliance
and causing decreasing tidal
volumes, surgery was
consulted.
35. Surgery placed a peritoneal drain.
From their operative report:
“ECMO team reports progressive
decreasing flows on ECMO. …
Decision made to emergently
place pigtail drain in peritoneal
cavity to decompress abdomen.
... Needle inserted to the left of
and just above umbilicus with
gush of air as needle entered
peritoneal cavity. A 15 cm 8.5
French pigtail was placed. During
procedure, ECMO specialist
reported flows immediately
improved.”
36. Despite aggressive
intervention, the patient
continues to decline. Here is a
follow-up CXR.
1) Identify the lines/support
structures in this image.
2) What new abnormality is
seen in the lung fields?
37. Despite aggressive
intervention, the patient
continues to decline. Here is a
follow-up CXR.
1) Identify the lines/support
structures in this image.
2) What new abnormality is
seen in the lung fields?
A
B
C
E
D
38. A
B
C
E
D
Despite aggressive
intervention, the patient
continues to decline. Here is a
follow-up CXR.
A) ECMO cannula
B) ECMO cannula
C) Endotracheal tube
D) NG or OG tube
E) New left pleural effusion
39. 7-year-old with history of severe scoliosis
develops hypoxia while admitted for
pyelonephritis.
Identify the abnormalities.
Baseline
Current
40. 7-year-old with history of severe scoliosis
develops hypoxia while admitted for
pyelonephritis.
What are the indicated abnormalities?
Baseline
Current
41. 7-year-old with history of severe scoliosis
develops hypoxia while admitted for
pyelonephritis.
Diagnosis: Large left pleural effusion and
small right pleural effusion, likely due to
volume overload from aggressive fluid
resuscitation. There are air bronchograms
evident in the left lung field.
Baseline
Current
42. Interpret this CXR.
15-year-old presents with fever
and hemoptysis for two days.
Three weeks ago, she was
diagnosed with type 1 diabetes
after presenting in new-onset
DKA, and incidentally tested
positive for COVID, but was not
symptomatic at that time.
43. Radiologist interpretation:
Thick walled cavitary lesion in
the right upper lobe measuring
approximately 6cm with
adjacent right upper lobe
consolidation.
15-year-old presents with fever
and hemoptysis for two days.
Three weeks ago, she was
diagnosed with type 1 diabetes
after presenting in new-onset
DKA, and incidentally tested
positive for COVID, but was not
symptomatic at that time.
44. CT angiography was ordered to
evaluate the extent of the cavitary
lesions. No specific culprit vessel was
found that could be blamed for the
hemoptysis.
45. Extensive workup was largely unrevealing.
- Tuberculosis testing was negative (negative AFB, negative NAA, negative
QuantiFERON)
- Auto-immune testing was negative (ANCA, anti-myeloperoxidase, anti-
proteinase-3 antibodies)
- Fungal testing was negative (aspergillus galactomannan, histoplasma
antigen)
- Viral pathogen panel negative
Sputum cultures did grow MSSA, for which she was treated with
improvement.
She was discharged with plan to follow up with rheumatology as well as
obtain cystic fibrosis testing as an outpatient, given poor weight gain, new
diagnoses of diabetes and Celiac disease, and unusual lung pathology. If
this is negative, then the likely culprit is post-COVID MSSA pneumonia. This
is unusual, as she had no respiratory symptoms while infected with COVID.
46. Summary of This
Month’s Diagnoses
• Acute chest syndrome (review)
• Pneumothorax & Pneumonia
• Tuberculosis
• Small bowel obstruction
• Intraabdominal abscess with free air
• COVID
• Subcutaneous emphysema &
Pneumomediastinum
• Pneumoperitoneum
• ECMO & Pleural effusion
• Pleural effusion
• Cavitary lung lesions from MSSA
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