Visual EM

Intraocular Foreign Body: Ultrasound and CT Findings

Maja Feldman, MPP^*, Kristi Shigyo, MD^{^} and Amy Kaji, MD^{^}

DOI: https://doi.org/10.21980/J8JS3MIssue 2:1 No ratings yet.

Point of care ultrasound revealed a mobile, radiolucent hyperechoic structure (see red arrow) with reverberation within the posterior chamber (see blue arrow), likely a metallic foreign body. Linear areas of mobile hyperechoic material revealed possible vitreous hemorrhage (see purple circular area). Orbital non-contrast CT confirmed a 3 mm metallic focus within the dependent portion of the left globe, lodged in the posterior sclera, with some vitreous hemorrhage but no evidence of globe rupture. Ophthalmology was consulted and the patient was taken to surgery later that night.

Ophthalmology Visual EM

Computed Tomography Diagnosis of Appendicitis

Christopher Libby, MPH^* and Shannon Toohey, MD, MAEd^{^}

DOI: https://doi.org/10.21980/J8F30NIssue 2:1 No ratings yet.

The CT abdomen/pelvis with IV contrast shows a dilated appendix (see red outline) with thickened, hyperenhancing wall (see blue outline) best visualized in the axial and coronal planes.

Abdominal/Gastroenterology Visual EM

Intracranial Hemorrhage Following a 3-week Headache

John Jiao, MHS^* and Alisa Wray, MD^*

DOI: https://doi.org/10.21980/J89885 Issue 2:1 No ratings yet.

The patient’s head CT showed a significant area of hyperdensity consistent with an intracranial hemorrhage located within the left frontal parietal lobe (red arrow). Additionally, there is rightward midline shift up to 1.1cm (green arrow) and entrapment of the right lateral ventricle (blue arrow).

Neurology Visual EM

Gastric Bezoar

Samer Assaf MD^*

DOI: https://doi.org/10.21980/J85K5WIssue 2:1 No ratings yet.

In the abdominal radiograph, a nonspecific and non-obstructive bowel gas pattern with no air-fluid level was noted, however the stomach was distended with soft tissue. The CT abdomen/pelvis revealed a distended stomach with undigested heterogeneous contents (presumed bezoar).

Abdominal/Gastroenterology Visual EM

Monteggia Fracture in an Assault Patient

John Jiao, MHS^* and Shannon Toohey, MD, MAEd^*

DOI: https://doi.org/10.21980/J81S3ZIssue 2:1 No ratings yet.

On the axial elbow x-ray, the radial head (red arrow) is dislocated anteriorly from the humerus; the humeroulnar articulation is intact. On the AP forearm x-ray, there is a closed, displaced, comminuted fracture of the ulna (blue arrow).

Orthopedics Visual EM

Cholelithiasis: WES Sign

Hamid Ehsani-Nia, MS^* and Shannon Toohey, MD, MAEd^{^}

DOI: https://doi.org/10.21980/J8X300Issue 2:1 No ratings yet.

Abdominal ultrasound showed the classic presentation of the Wall-Echo-Shadow (WES) sign. The superficial aspect of the gallbladder wall is represented by a hyperechogenic curve. Below this, bile fluid is represented by hypoechogenicity. Underneath the bile fluid is the echo of the dense border created by the collection of gallstones, represented by a hyperechogenic curve. Due to the high density of the gallstones, nothing deeper can be visualized (including other gallstones or the far end of the gallbladder); this is the shadow.

Abdominal/Gastroenterology Ultrasound Visual EM

Hill-Sachs Deformity

Jessa Baker^* and Shannon Toohey, MD^*

DOI: https://doi.org/10.21980/J8Z59DIssue 1:2 No ratings yet.

In the post-reduction film, there is a lateral depression in the humeral head (arrow, a Hill-Sachs deformity). A Hill-Sachs deformity is a cortical depression (fracture) in the humeral head that forms as the humeral head hits the glenoid rim during the dislocation.

Orthopedics Visual EM

Perforated Duodenal Ulcer

Jessa Baker^*, Jonathan Patane, MD^* and Carrie Chandwani, MD^*

DOI: https://doi.org/10.21980/J8TG64Issue 1:2 No ratings yet.

In the chest radiograph, there was obvious free air under the both the right diaphragm (above the liver) and the left diaphragm, consistent with pneumoperitoneum.

Abdominal/Gastroenterology Visual EM

Trimalleolar Fracture

Christopher Gilani^* and Shannon Toohey, MD, MA^*

DOI: https://doi.org/10.21980/J8PP46 Issue 1:2 No ratings yet.

Anteroposterior (AP), lateral, and oblique x-ray views were obtained. The AP view revealed a displaced spiral fracture of the lateral malleolus (red) and a vertical fracture of the medial malleolus (blue). The lateral view revealed a displaced fracture of the posterior malleolus, tibial plafond (yellow), and the oblique view showed widening of the distal tibiofibular syndesmosis (green). CT scans confirmed trimalleolar fracture, annotated with the same colored lines (red, lateral malleolus; blue, medial malleolus; yellow, posterior malleolus).

Orthopedics Visual EM

Hyperkalemia on ECG

Bryson Hicks, MD^*

DOI: https://doi.org/10.21980/J8K017Issue 1:2 No ratings yet.

Initial ECG shows tall, peaked T waves, most prominently in V3 and V4, as well as QRS widening. These findings are consistent with hyperkalemia, which was promptly treated. Follow-up ECG post-treatment shows narrowing of the QRS complexes and normalization of peaked T waves.

Cardiology/Vascular Visual EM