CT
A Case Report of Acute Appendicitis Complicated by Appendicoliths
DOI: https://doi.org/10.5070/M5.52213Contrast-enhanced CT of the abdomen and pelvis was obtained. Coronal CT demonstrated a dilated appendix measuring up to 1.2 cm in diameter with multiple appendicoliths (yellow arrows), the largest measuring 1.1 cm. Mild periappendiceal fat stranding was present, consistent with acute appendicitis complicated by appendicoliths. The surrounding bowel and colon were normal in caliber and distribution. An additional coronal view demonstrated a dilated appendix (yellow arrow) containing an appendicolith with periappendiceal inflammatory changes. No evidence of perforation, abscess, or drainable fluid collection was identified.
Case Report: Acute Dyspnea in a Young Female
DOI: https://doi.org/10.5070/M5.52254The patient underwent computer tomography (CT) imaging of the chest, abdomen, and pelvis. Computer tomography of the chest showed bilateral diffuse pulmonary nodules in a perilymphatic distribution (yellow arrows), and diffusely increased mediastinal and hilar soft tissue densities (blue circle), likely representing lymphadenopathy; a left upper lobe lesion with central cavitation (orange circle) was also seen likely to be associated with the same disease process as the extensive lymphadenopathy. Imaging of the abdomen and pelvis was significant for diffuse hypodensities of the liver and spleen suggesting a multi-system process.
A Woman’s Infertility Journey Complicated by Severe Ovarian Hyperstimulation Syndrome – A Case Report
DOI: https://doi.org/10.5070/M5.52309Computed tomography (CT) of the abdomen and pelvis demonstrated pleural effusions in the lung bases (blue stars), ascites (blue stars), and enlarged ovaries with multiple cysts/follicles (white arrows). A formal pelvic US also demonstrated large volume ascites (white diamonds) and bilateral ovarian enlargement with numerous cysts. A CT angiogram (CTA) of the chest demonstrated small bilateral pleural effusions and no obvious pulmonary embolism.
Diagnosis of Sinonasal Carcinoma in the Emergency Department: A Case Report Highlighting Red Flag Symptoms
DOI: https://doi.org/10.5070/M5.52257Physical exam revealed a gross deformity of the left side of the face with soft tissue swelling with no overlying skin changes. The left eye was proptotic and completely immobile, with cranial nerve (CN) 3, 4, and 6 palsies. Additionally, a large obstructive mass was noted in the left naris with resultant rightward displacement of the nasal septum. Intraocular pressures (IOPs) were measured to be 6 mmHg in the right eye and 11 mmHg in the left eye.
Imaging, including maxillofacial and neck soft tissue CTs revealed a large, destructive, soft tissue mass centered in the nasal cavity with significant osseous destruction of the midface and skull base (red highlighted area). There was mild intracranial extension with the mass abutting or infiltrating the inferior frontal lobes (green highlighted area). The nasal cavity and nasopharynx were obstructed (orange highlighted area). The mass invaded the left orbit with associated left-sided proptosis, left globe deformity, and compressed the left optic nerve and the left optic chiasm (blue arrows).
A Case Report of an Atypical Presentation of Fournier’s Gangrene
DOI: https://doi.org/10.5070/M5.52203A computed tomography (CT) scan of the abdomen and pelvis was significant for scrotal fluid and punctate gas locules (red arrow) without discrete evidence of invasion into the adjacent soft tissues, suspicious for Fournier’s gangrene. There was also fluid collection centered around the seminal vesicles suggestive of an abscess.
A Case Report of Facial Swelling and Crepitus Following a Dental Procedure
DOI: https://doi.org/10.21980/J83W8HGiven the physical exam findings of crepitus on the right neck up to the right lower eyelid, a maxillofacial CT scan without contrast was performed. It revealed diffuse subcutaneous air within the soft tissues of the face and neck and free air within the pre-septal soft tissue of the right eye, appearing as hyperlucent (dark) areas on CT within the soft tissue planes (blue outline). It showed no evidence of post-septal free air. A single-view chest X-ray was also performed and was unremarkable except for incompletely imaged soft tissue gas in the right lower neck (blue outline). On flexible fiberoptic laryngoscopy performed by ENT, the oropharynx appeared diffusely edematous and narrowed.
Case Report: Iatrogenic Bowel Perforation Following Dental Procedure
DOI: https://doi.org/10.21980/J8CD38The patient’s abdominal CT demonstrated a metallic foreign body in the left side of the abdomen within the small bowel, without surrounding induration or abscess. Radiology questioned whether the metallic foreign object perforated the bowel. Seen in the cross-sectional CT image, there is a hyperdense linear structure transversing the small intestinal wall, given that a portion of the structure was located outside of the lumen of the bowel.
A Case Report of an Unstable C-spine Fracture in the Emergency Department
DOI: https://doi.org/10.21980/J8SK90The initial workup in the ED showed an acute displaced fracture of the left occipital condyle (CT-coronal, fracture of the left occipital condyle, red arrow; displacement, orange line), a shattered left lateral mass with involvement of the vertebral canal (CT-axial, red arrow), and malalignment of the craniocervical junction (CT-sagittal, red outline). The CT angiogram head and neck showed a possible irregularity in the left vertebral artery. The CT head without contrast had no significant findings.