Ulnar Dislocation of the Third Proximal Interphalangeal Joint
History: 40 year old male with finger pain. This is a case of a dislocated third proximal interphalangeal joint. See another case of a dislocated interphalangeal joint here.
Cecal Bascule
History: 40 year old male with abdominal pain. The differential diagnosis in this case includes both cecal bascule and cecal volvulus. A volvulus is a rotational twist of the colon or small bowel on its own axis, which eventually will lead to ischemia and necrosis of the bowel by impairing arterial inflow and venous outflow. […]
Schmorl Node
History: 50 year old male undergoing thoracic CT for chest pain has an incidental finding in his lumbar spine. This is the typical appearance of a Schmorl Node. Frequently they may have a sclerotic border. A Schmorl node is an intravertebral disc herniation due to vertical disc extension through a weakened vertebral body endplate. The […]
Pulmonary Metastatic Disease
History: 65 year old male with a history of “abdominal” malignancy presents with chest pain and shortness of breath. This is a case of metastatic disease to the lungs (pulmonary metastatic disease). Can you determine the likely primary cancer? Take a look at the film again. See the surgical clips in the abdomen. The patient […]
Asbestos Related Pleural Disease – Pleural Plaques and The Holly Leaf Sign
History: 60 year old male with shortness of breath. Pleural plaques can be seen in numerous disease entities, and are most commonly seen in cases of prior asbestos exposure, as in this case. Other possibilities include prior empyema, hemothorax, or pleural effusion. Plaques can be mimicked by extrapleural fat. Pleural malignancies are an additional consideration, […]
Coronary Artery Disease – Noncalcified Plaque
History: 55 year old male with a history of diabetes, hypertension and hyperlipidemia with atypical chest pain. On additional images, this patient had a paucity of calcified plaque (his Agatston score placed him at a very low risk for a major cardiac episode) and the majority of his coronary artery disease consisted of noncalcified atherosclerotic […]
Rib Fracture
History: 30 year old male with chest wall pain. Classic findings of a rib fracture
Small Bowel Obstruction
History: 48 year old man presents with diffuse abdominal pain, nausea and vomiting. This patient was found to have a distal small bowel obstruction secondary to an incarcerated right femoral hernia.