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Issue 11:3

Blunt Cerebrovascular Injury. CT Sagital Internal Carotid Unannotated. JETem 2026

Blunt Cerebrovascular Injury: A Visual Case Report with Computed Tomography Angiography Findings Revealing Carotid and Vertebral Artery Dissection

Edmund Hsu, MD*, Andrew T Kinoshita, MD, MPH^, Elanor Chu, MD† and C Eric McCoy, MD, MPH*

DOI: https://doi.org/10.5070/M5.52229 Issue 11:3[mrp_rating_result]
Computed tomography angiography of the neck showed worsening right ICA dissection with increased size of the pseudoaneurysm to 9 mm and worsening stenosis to greater than 70%. Computed tomography angiography of the neck also showed a new dissection of the V2 segment of the right vertebral artery with a 3 mm pseudoaneurysm and greater than 50% stenosis.
Visual EMCurrent Issue
Occult Pneumoperitoneum. Figure 1 Unannotated. JETem 2026

A-Lines below the Diaphragm – A Case Report of Occult Pneumoperitoneum

Yong Hoon Lee MD* and Michael Dalley DO*

DOI: https://doi.org/10.5070/M5.52389Issue 11:3[mrp_rating_result]
The RUQ POCUS focusing over the left liver lobe shows multiple enhanced peritoneal stripe signs (red arrows) and several reverberation artifacts (yellow arrows). The second RUQ POCUS of the right lobe of the liver and the gallbladder shows reverberation artifacts (yellow arrow) and ring-down artifacts (blue arrow). The chest X-ray shows free air under the right diaphragm (orange arrow), which indicates pneumoperitoneum. The CT abdomen and pelvis show pneumoperitoneum near the porta hepatis (green arrow).
Visual EMAbdominal/GastroenterologyCurrent Issue
Granulomatosis with Polyangiitis. Chonic Conjunctivitis. JETem 2026

A Case Report of Granulomatosis with Polyangiitis Presenting with Chronic Conjunctivitis

Daniel Martin, PA-C*

DOI: https://doi.org/10.5070/M5.52284Issue 11:3[mrp_rating_result]
Notable bilateral proptosis with conjunctival injection and limbic sparing (clear conjunctiva surrounding the margin of the cornea, shown by the arrow in the image of the eyes) was present.
Visual EMCurrent IssueOphthalmology

Caught in the Whirl: A Case Report of Midgut Volvulus in an Elderly Patient

Surina Khurana, MD*, Tien Lu, MD^, Carson Dangberg MD^, Kristin Lewis MD, MA^

DOI: https://doi.org/10.5070/M5.52361Issue 11:3[mrp_rating_result]
An upright chest x-ray demonstrated air underneath the diaphragm bilaterally (yellow arrows), enhancing the diaphragmatic contour. A computed tomography angiography (CTA) abdomen and pelvis showed scattered pneumoperitoneum (red arrow), dilated segments of small bowel (orange arrow), and clockwise swirling of the mesentery (blue arrow), concerning for mesenteric volvulus with possible bowel perforation.
Visual EMCurrent Issue
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