X-Ray

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A Case Report of Ogilvie’s Syndrome in a 58-year-old Quadriplegic

Rosie Kumar, BS*, Brett Cowan, MD*, Daniel Quesada, MD* and Sage Wexner, MD*

DOI: https://doi.org/10.21980/J82922 Issue 5:4[mrp_rating_result]
Plain radiograph of the patient's abdomen revealed a gaseous distention of the colon. This is demonstrated as noted in the abdominal x-ray as gaseous distention, most notably in the large bowel (arrows) including the rectal region (large circle). Follow up computed tomography (CT) scan affirmed severe pancolonic gaseous distention measuring up to 11.2 cm, compatible with colonic pseudo-obstruction as noted by the large red arrows. No anatomical lesion or mechanical obstruction was observed, as well as no evidence of malignancy or other acute process.
Abdominal/GastroenterologyVisual EM
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Is an X-ray a Useful Test for Esophageal Food Boluses? A Case Report

Meryl M Abrams, MD*, Jennifer L White, MD* and Jeffrey Gardecki, MD*

DOI: https://doi.org/10.21980/J8Q639 Issue 5:3[mrp_rating_result]
The plain film radiograph of the chest demonstrated a fluid level (yellow arrow) in the distal esophagus with dilation of the esophagus proximal to that point (blue line). Neither of these findings were present on the previous visit.
Abdominal/GastroenterologyVisual EM
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Case Report: Talar Neck Fracture

Wilson Frasca, MD* and Nhan Do, MD*

DOI: https://doi.org/10.21980/J8FP75 Issue 5:3[mrp_rating_result]
ABSTRACT: This report demonstrates a case of a severe talar neck fracture. Although rare, talar neck fractures have a high potential for morbidity. Typically caused by a high energy injury, this patient’s mechanism of injury was relatively minor, and presentation was not immediately concerning for such a severe fracture. Initial x-rays provided a gross demonstration of the fracture, but a
OrthopedicsVisual EM
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A Case Report on Miliary Tuberculosis in Acute Immune Reconstitution Inflammatory Syndrome

Erica Concors, MD*, Hamid Ehsani-Nia, DO* and Michael Mirza, MD*

DOI: https://doi.org/10.21980/J81H02 Issue 5:3[mrp_rating_result]
A portable single-view radiograph of the chest was obtained upon the patient’s arrival to the ED resuscitation bay that showed diffuse reticulonodular airspace opacities (red arrows) seen throughout the bilateral lungs, concerning for disseminated pulmonary tuberculosis. Subsequently, a computed tomography (CT) angiography of the chest was obtained which again demonstrates this diffuse reticulonodular airspace opacity pattern (red arrows).
Infectious DiseaseRespiratoryVisual EM
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Case Report of Untreated Pediatric Femoral Neck Fracture with Osteopenia

Sha Yan, DO*

DOI: https://doi.org/10.21980/J8S92K Issue 5:2[mrp_rating_result]
On her right hip radiograph, the patient was found to have a right femoral neck fracture with superior displacement of the intertrochanteric portion of the right femur. Moreover, the radiograph demonstrated diffuse osteopenia of the right hip and femur from chronic disuse as characterized by the increased radiolucency of the cortical bones compared to the left side.
OrthopedicsPediatrics
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Loose PEG Tube Leading to Peristomal Leakage and Peritonitis

Connie Au, BS and Toby Myatt, MD

DOI: https://doi.org/10.21980/J8HS7T Issue 5:2[mrp_rating_result]
Frontal chest X-ray showed a large radiolucent area (pink highlighted area) underneath the diaphragm (yellow line) and on top of the liver (blue highlighted area) and spleen (green highlighted area) suggestive of pneumoperitoneum possibly caused by gastrointestinal perforation. This large radiolucent area can also be seen underneath the diaphragm in the lateral view chest X-ray. Computed tomography (CT) was not performed due to his physical exam findings and the significant positive findings on chest X-ray. Surgery was consulted and patient was taken emergently to the operating room.
Abdominal/GastroenterologyVisual EM
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Rapid Airway Narrowing Associated with Hodgkin’s Lymphoma

Luke Hoffmann, BS* and Toby Myatt, MD*

DOI: https://doi.org/10.21980/J86D3Q Issue 5:2[mrp_rating_result]
Neck X-ray showed nonspecific significant prevertebral soft tissue swelling at the level of the cervical spine, with associated apparent thickening of the epiglottis (yellow arrow), diffuse soft tissue swelling of the neck (red arrows) and tracheal airway narrowing (light blue arrow). The computed tomography imaging of the neck was significant for multiple conglomerating pathological lymph nodes with a significant mass effect (orange arrows) compressing the right internal jugular vein (green arrow).
Hematology/OncologyRespiratoryVisual EM
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Ascending Thoracic Aortic Dissection: A Case Report of Rapid Detection Via Emergency Echocardiography with Suprasternal Notch Views

Brandon Backlund, MD*, Anastasia Kendrick-Adey, MD*, Rachel Harper, MD* and Martin Makela, MD*

DOI: https://doi.org/10.21980/J8WW6WIssue 5:2[mrp_rating_result]
Video of parasternal long-axis bedside transthoracic echocardiogram: The initial images showed grossly normal left ventricular function, and no pericardial effusion or evidence of cardiac tamponade. However, the proximal aorta beyond the aortic valve was poorly-visualized in this window.
Cardiology/VascularUltrasoundVisual EM