Issue 11:1

SCAD. Angiography. JETem 2026

A Case Report of a 36-year-old Male Diagnosed with a Spontaneous Coronary Artery Dissection

Stephen DeWitt, DO*, Jacob McClinton, MD* and Daniel Jarrell, DO*

DOI: https://doi.org/10.5070/M5.52022Issue 11:1[mrp_rating_result]
The initial ECG obtained from the patient shows subtle ST-segment elevation noted in leads I, aVL, and V2-V5, suggestive of pathology of the left anterior descending artery. The results of the catheterization revealed a spontaneous coronary artery dissection of the distal portion of the left anterior descending coronary artery, which can be seen in the image of the angiogram, with the diseased portion notated between the brackets.
Visual EMCardiology/Vascular
Atypical Presentation of Fourniers Gangrene. CT. JETem 2026

A Case Report of an Atypical Presentation of Fournier’s Gangrene

Elaha Noori, BS*, Konnor Davis, BS*, Tyler Rigdon, MD^ and Lindsey Spiegelman, MD, MBA^

DOI: https://doi.org/10.5070/M5.52203 Issue 11:1[mrp_rating_result]
A 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.
Visual EMInfectious DiseaseUrology
Open Chest Wound. Photo. JETem 2026

Open Chest Wound with Sternal Fracture in the Emergency Department, a Case Report

Alexandra Ortego, MD* and Vivek Sharma, DO*

DOI: https://doi.org/10.5070/M5.52202Issue 11:1[mrp_rating_result]
The image demonstrates the large chronic-appearing wound of the patient’s anterior chest as well as the visible fractured segments of the patient’s exposed sternum. The sternum is necrotic appearing concerning for a chronic process including osteomyelitis and malignancy. Purulent drainage is visible on the wound consistent with an infectious process.
Visual EMDermatologyHematology/OncologyInfectious Disease
Edema Bulla. Photo 1. JETem 2026

Effects of Volume Overload: A Case Report of an Edema Bulla

Jarom Morris*, Matthew Sommer*, Felix Braun, MD*, Brent Klapthor, MD*, Allison Beaulieu, MD, MAEd* and Megan Fix, MD*

DOI: https://doi.org/10.5070/M5.52206 Issue 11:1[mrp_rating_result]
This image shows a large edema bulla on the patient's right shin. The bulla is 10 x 10 cm, filled with serous fluid, has a spontaneously occurring defect in the skin of the superior portion of the bulla, and is non-erythematous. The bulla is much larger than the 1-5 cm edema bullae described in the literature. As edema bulla is primarily a clinical diagnosis, taking the full history and physical exam into account is essential to recognize these bullae.
Visual EMCardiology/VascularDermatology
Carotid Cavernous Fistula Photograph. JETem 2026

A Case Report of Carotid Cavernous Fistula: A Commonly Missed Diagnosis

Rosalind Wu Ma, MD* and Dustin Harris, MD*

DOI: https://doi.org/10.5070/M5.52242Issue 11:1[mrp_rating_result]
The initial physical exam performed by the ED provider revealed severe left eye chemosis, clear drainage, visual acuity of right eye 20/100 and left eye 20/400, and a left eye IOP of 52. There was a deficit of extraocular movement in all directions of gaze and limitation in all visual fields in the left eye. The MRI showed that at the level of the eye, the left cavernous sinus is asymmetrically enlarged compared to the right (red arrow) with an enlarged left inferior petrosal sinus with internal flow void on the pre-contrast MRI images (blue arrow). The orange arrow notes a central filling defect of the left superior ophthalmic vein on the MRA.
Visual EMOphthalmologyProcedures