X-Ray
Infectious Flexor Tenosynovitis of the Lower Extremity: A Case Report
DOI: https://doi.org/10.5070/M5.52282X-rays of the foot, ankle, and tibia-fibula were obtained which showed no acute fractures or dislocations. A CT of the right lower extremity with IV contrast demonstrated fluid along the flexor hallucis longus and flexor digitorum longus tendons with scattered foci of air, and the hypodensities on the plantar aspect of the foot (red highlight), were concerning for infectious tenosynovitis. The CT scan also showed diffuse soft tissue edema, the dark attenuation on imaging (blue highlighted), predominantly along the dorsal midfoot.
Visual Case Report of a Prosthetic Joint Infection and Chronic Dehiscence following a Total Knee Arthroplasty
DOI: https://doi.org/10.5070/M5.52251Radiographs demonstrated intact prosthetic components (blue) without acute fracture, tibial peri-stem lucency (green) concerning for loosening or infection, as well as joint effusion, and soft-tissue swelling.
Rapidly Progressive Painless Acute Aortic Dissection: A Case Report
DOI: https://doi.org/10.5070/M5.52348A POCUS of the abdomen at that time demonstrated findings concerning for a dissection flap in the abdominal aorta (green arrows), and a new mild to moderate pericardial effusion was seen on a repeat cardiac POCUS suggesting an evolving aortic dissection (blue arrows). The patient’s CTA revealed a type A AAD with extension from the aortic root to the bilateral external and internal iliac vessels as well as the coronary arteries (red arrows).
A Case Report of a Coin Stack Masquerading as a Button Battery
DOI: https://doi.org/10.5070/53886The two images provided are OSH AP and lateral XRs of the patient's neck. The OSH AP view demonstrates a halo sign (green arrow), while the lateral view demonstrates a step-off sign (stick figure). These are key findings with BB ingestions. The halo sign is the presence of two concentric rings on an anterior view XR.
A-Lines below the Diaphragm – A Case Report of Occult Pneumoperitoneum
DOI: https://doi.org/10.5070/M5.52389The 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).
A Case Report on an Open Fracture Dislocation Injury of the Proximal Phalanx of the Thumb Resulting from Playing Cricket
DOI: https://doi.org/10.5070/M5.52278There was an open injury to the volar aspect of the right thumb at the interphalangeal joint, with exposed bone. There was no active bleeding from the wound. He had intact sensation to the entire thumb and hand. His radial pulse was normal with normal capillary refill in all digits of his right hand. He had intact wrist flexion, extension, abduction, and adduction; however, he was unable to flex or extend his thumb secondary to the injury. He had no other injuries to the rest of his right upper extremity. An x-ray was obtained which showed a right thumb proximal phalanx intra-articular fracture (proximal fracture fragment outlined in yellow, distal fracture fragment outlined in pink) at the interphalangeal joint with dorsal dislocation of the distal phalanx (outlined in red). There were no radiopaque foreign bodies.
A Case Report of a 36-year-old Male Diagnosed with a Spontaneous Coronary Artery Dissection
DOI: https://doi.org/10.5070/M5.52022The 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.
Metastatic Calcinosis Cutis in the Emergency Department: A Case Report
DOI: https://doi.org/10.21980/J87Q00X-ray imaging was obtained of the left elbow and showed soft tissue calcium deposits. Radiology stated, “massive periarticular calcinosis of renal failure obscures fine osseous detail. Several of the largest calcifications have decompressed since the prior exam and may contribute to the drainage observed clinically. Superimposed infection is not excluded.” X-rays with an asterisk are the comparison images from two months previous to the visit. Areas of decompression are highlighted in blue demonstrating that some of the larger calcified nodules are no longer present.