Visual EM

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Pulmonary Arteriovenous Malformation in a Patient with Suspected Hereditary Hemorrhagic Telangiectasia: A Case Report

Nadia Zuabi, MD*, Sean Ryan Thompson, BS*, Alexa Lucas, BS*, Alisa Wray, MD*

DOI: https://doi.org/10.21980/J8M353 Issue 6:1[mrp_rating_result]
Initial vital signs were unremarkable, including oxygen saturation of 98% on room air. The patient did not exhibit any signs of respiratory distress, and the lungs were clear to auscultation bilaterally. Labs were obtained, which showed normal hemoglobin at 15.8. Computed tomography (CT) of the chest (Video 1) showed a large left upper lobe arteriovenous malformation (AVM) with large feeding arteries and tortuous dilated draining veins (red arrow) measuring up to 3.8cm. Imaging also demonstrated nonspecific multifocal ground-glass opacities, which may have represented pulmonary hemorrhage (blue outline) from AVM without evidence of contrast extravasation to suggest active bleeding.
Visual EMRespiratory
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Case Report: Not Your Typical Kidney Stone

Laura Kolster, DO* and Danielle Biggs, MD*

DOI: https://doi.org/10.21980/J8GD2T Issue 6:1[mrp_rating_result]
The CT scan demonstrates nephrolithiasis with associated forniceal rupture. Encircled in the yellow outline is fluid, demonstrating a forniceal rupture. The stone is in the proximal aspect of the ureter, as highlighted by the purple arrow.
Renal/ElectrolytesVisual EM
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A Case Report of a Transected Carotid Artery Caused by a Stab Wound to the Neck

Jennifer Roh, MD* and Kylie Prentice, BS*

DOI: https://doi.org/10.21980/J8BP8M Issue 6:1[mrp_rating_result]
The post intubation chest x-ray (CXR) showed severe rightward displacement of the trachea (purple arrow). The computed tomography angiogram (CTA) showed transection of the left common carotid artery (LCCA), extensive neck hematoma without extravasation and severe tracheal deviation to the right (blue arrow). The intravenous (IV) contrasted chest computed tomography (CT) image showed a lateral contrast projection from the aortic arch at the level of the isthmus (green and pink arrows). There were no other significant injuries reported on the CT scans of the chest, abdomen and pelvis.
Cardiology/VascularTraumaVisual EM
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Case Report of COVID-19 Positive Male with Late-Onset Full Body Maculopapular Rash

Sarah Harirforoosh, MD*, Jessica Hoffmann, MD^ and Emily Bernal†

DOI: https://doi.org/10.21980/J86W72 Issue 6:1[mrp_rating_result]
The images demonstrate a diffuse, flat, maculopapular exanthema along the torso, bilateral upper and lower extremities, and neck without edema consistent with reported cutaneous manifestations of COVID-19. There are no surrounding bullae, vesicles, or draining. On palpation, there was blanching of the rash. Sensation to light touch was intact in all extremities. The findings were also apparent on the face with no mucosal involvement.
DermatologyInfectious DiseaseVisual EM
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Posterior Sternoclavicular Dislocation: A Case Report

Stephanie Songey, DO*, Christopher Goodwill, DO* and Kimberly Sokol, MD, MS, MACM*

DOI: https://doi.org/10.21980/J8363Q Issue 6:1[mrp_rating_result]
Chest X-ray revealed an inferiorly displaced right clavicle at the right sternoclavicular joint (blue arrow). A computed tomography angiogram (CTA) of the chest was therefore obtained and revealed a right posterior sternoclavicular dislocation with resultant compression of the left brachiocephalic vein (purple arrow). Even though the right clavicle is displaced, the anatomy of the brachiocephalic vein is such that it is positioned to the right of midline, placing the left brachiocephalic vein posterior to the right clavicle. The right brachiocephalic and common carotid artery were normal in appearance. The CTA also revealed a comminuted fracture of the left anterior second rib at the costochondral junction that had not been previously seen on the x-ray.
OrthopedicsTraumaVisual EM
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Case Report: Traumatic Tension Pneumothorax in a Pediatric Patient

Zachary Tritsch, MD*, Gayle Galan, MD*, Gary Oates, MD* and Janelle Thomas, MD*

DOI: https://doi.org/10.21980/J8ZD1S Issue 6:1[mrp_rating_result]
Chest X-ray demonstrated significant right-sided pneumothorax (with red outline showing border of collapsed right lung) with cardio mediastinal shift to the left (shown by blue arrows) indicative of a tension pneumothorax
TraumaPediatricsRespiratoryVisual EM
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Necrotizing Fasciitis and Mediastinitis after Wisdom Tooth Extraction: A Case Report

Jennifer Edwards, MD*, Ryan Fisher, MD* and Amrita Vempati, MD*

DOI: https://doi.org/10.21980/J8XW7KIssue 5:4[mrp_rating_result]
Computer tomography (CT) imaging of soft tissues of the neck and of the chest/abdomen/pelvis revealed extensive swelling and subcutaneous air (see red arrows) on the left side of the face and neck extending to the left shoulder, as well as parapharyngeal/retropharyngeal spaces and posterior/superior mediastinum.
Infectious DiseaseVisual EM
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Adult Clavicular Fracture Case Report

Jessica L Sea, PhD*, Nadia Zuabi, MD* and Alisa Wray, MD, MAEd*

DOI: https://doi.org/10.21980/J8FM0TIssue 5:4[mrp_rating_result]
The patient's chest and clavicular radiographs showed a comminuted displaced acute fracture of the right mid-clavicle (green, blue, yellow). The clavicular fracture was also visible on the chest computed tomography (CT). The remainder of his trauma workup was negative for acute findings.
OrthopedicsTraumaVisual EM