Fluoroscopic image with a modified anteroposterior projection showing an ablation catheter at the region of the coronary sinus ostium (CS os) and a quadripolar diagnostic catheter on the right ventricular outflow tract (RVOT).


Intracardiac electrogram of junctional rhythm after radiofrequency ablation of the slow pathway. . Abbreviations: A, atrial intracardiac electrogram; abl d, distal ablation electrode; abl p, proximal ablation electrode; hra d, high right atrium distal; hra p, high right atrium proximal; V, ventricular intracardiac electrogram.


Kidney biopsy scans. . Scan A - segmental necrosis and cellular crescent, Masson stain. Scan B - Glomeruli with fibrocellular crescents, PAS stain.


CT image of the left (S1) and right (S2) gastric duplication cysts. Transveral plane.


CT image of the left (S1) and right (S2) gastric duplication cysts. Coronal plane.


Gastroscopy showed anastomotic inflammation.


Post-gastrectomy (Billroth II). Before duplication cysts resection.


The right duplication cyst, and ,the accessory pancreatic lobe during operation.


The left duplication cyst and the accessory spleens.


Two duplication cysts and the cystic lesion in the sigmoid mesocolon.


Frontal chest radiograph. . Notes: This frontal chest radiograph demonstrates surgical emphysema along the upper part of the right lateral chest wall and the right side of the neck (black arrow), air within the superior mediastinum on the right (white arrow), and the loss of volume of the right lung leading to a mediastinal shift to the right and the elevation of the right diaphragmatic dome.


Portable bedside semi-sitting chest radiograph. . Notes: This radiograph shows the increased severity of pneumomediastinum (white arrow), surgical emphysema (black arrow), right lung collapse, and mediastinal shift to the right.


Axial nonenhanced chest CT scan. . Notes: This chest scan shows air dissecting through the mediastinal spaces (down arrow) and the subcutaneous soft tissue (up arrow). Minimal pneumothorax is also noted (left directional arrow). . Abbreviation: CT, computed tomography.


Axial nonenhanced chest CT scan. . Notes: This chest CT scan shows air dissecting through the mediastinal spaces (down arrow) and the subcutaneous soft tissue (right directional arrow). Air is also noted within the extradural space in the lower cervical and the upper thoracic spine (up arrow). . Abbreviation: CT, computed tomography.


Sagittal reformatted CT scan images of chest. . Notes: This chest scan demonstrates air within the extradural space in the lower cervical and upper thoracic spine (arrows). . Abbreviation: CT, computed tomography.


Follow-up frontal chest radiograph. . Notes: This chest radiograph demonstrates the complete resolution of surgical emphysema and pneumomediastinum and significant inflation of the right lung on the fifth hospital admission day.


(Case 2) White arrow-well-defined mid cheek, infrazygomatic, mass lesion with no evident facial nerve palsy; inset-lateral view.


(Case 2) Intraoperative findings of the tumor in accessory lobe of parotid with splayed zygomaticotemporal branch and its relation to the Stensen's duct.


(Case 2) Postop status with the evident "hallow mid cheek" (thin arrow). Modified Blair's incision for excision of tumor with superficial parotidectomy (thick arrow).


(Case 2) 6 months post op showing complete recovery of facial nerve palsy.


(Case 2) HPE-salivary gland parenchyma with infiltrating malignant cells arranged in diffuse sheets and involving the circumferential resected margins. Inset-round to oval cells with hyperchromatic nucleus. S/0- Diffuse small cell type NHL (H&E x20; inset, x400).


Findings under electronic colonoscope. Ascending colon mass in. The first colonoscopy.


Findings under electronic colonoscope. The second colonoscopy.


Histological appearance of ascending colon mass. Hematoxylin, and . Eosin stain of. High-grade intraepithelial neoplasia in the first biopsy.


Histological appearance of ascending colon mass. Adenocarcinoma in the second biopsy. Magnification, x200.


Clinical pictures of the patient with swelling over the arm.


Microscopy of the lesion showing multiple sections examined showed a low to moderately cellular lesion composed of short spindle cells arranged in a patternless pattern with irregular trabeculae of woven bone giving "Chinese letter pattern" appearance.


Forequarter amputation specimen.


X-ray after forequarter amputation.


Computed tomography thorax showing stable lung nodule.


Fundus photo on presentation showing bilateral tortuosity of the small venules and multiple intra- and preretinal hemorrhages.


Preoperative imaging diagnoses. (A) Chest CT scan at the day before admission shows a smooth cystic tumor measuring 67 x 51 x 60 mm (white arrow). CT value was 28 HU. The esophagus was compressed by the cystic tumor.


Preoperative imaging diagnoses. (B) An abdominal CT at the day before admission revealed a normal shape of the stomach (white arrow).


Preoperative imaging diagnoses. (C) Transverse contrast-enhanced chest CT at 5 days after admission showed the sharply defined mass measuring 47 x 70 x 85 mm (white arrow). CT value was 31 HU.


Preoperative imaging diagnoses. (D) Transverse contrast-enhanced abdominal CT at 5 days after admission showed a huge contusion of the stomach wall (black arrow).


Intraoperative images. (A) Brown fluid was observed in the bronchogenic cyst after dissection of the cystic wall.


Intraoperative images. (B) The nutrient artery (arrow) supplying the cyst was revealed distinctly.


Intraoperative images. (C) The shape of the bronchogenic cyst was revealed.


Intraoperative images. (D) Because of the gastric hematoma, a violet surface (arrow) was observed after incision of the diaphragm.


Immunohistochemical and histopathological examination of the cyst sections. (A) Positive expression of CA199, original magnification x200.


Immunohistochemical and histopathological examination of the cyst sections. (B) Positive expression of CA125, original magnification x200.


Immunohistochemical and histopathological examination of the cyst sections. (C, D) The cystic wall was lined with ciliated columnar epithelium. The wall also contained cartilage and bronchogenic glands (H&E stained, original magnification x40). . Abbreviation: CA, carbohydrate antigen.


(A) A control esophagogram showed that the esophagus (black arrow) had neither stenosis nor leakage.


(B) The shape and function of the stomach (white arrow) were normal.


Capillary zone electrophoresis. A decrease of the alpha-1 globin peak is notable.


(A). Chimpanzee heart.


Note the diffuse cardiomegaly, (B) cut section of the myocardium.


Note the thick streaks of pallor within the papillary muscles,. Interstitial myocardial fibrosis, with pale staining collagen separating myofibers, 40x, H&E.


Interstitial myocardial fibrosis with adipose tissue infiltrates, and ,mild chronic inflammation, 100x, H&E.


Interstitial myocardial fibrosis, note the abundant blue staining collagen bands, 40x, trichrome stain.


Chronic renal infarct with interstitial nephritis and fibrosis, 100x, H&E.


MRI FLAIR. . Notes: MRI FLAIR sequencing through the. Cerebellum.


MRI FLAIR. Frontal lobes shows cortical and subcortical lesions.


MRI FLAIR. One lesion. In the left posterior frontal lobe enhanced with contrast, and ,bright on FLAIR also showed hypointensity on T1 signaling.


MRI FLAIR. Was. Found to have calcification on the CT scan. DWI MRI (not shown) was negative for acute infarction. . Abbreviations: MRI, magnetic resonance imaging; FLAIR, fluid-attenuated inversion-recovery; DWI, diffusion weighted imaging.


Contrast-enhanced abdominal CT-scan. . Note: Demonstrates a 3.5x3.0x3.0 cm enhancing lobulated-noncalcified mass (asterisk) in the right adrenal gland. . Abbreviation: CT, computed tomography.


Histopathology specimen of resected adrenal tumor. . Notes: (A) Tumor arising from the medulla (asterisk) compressing the adrenal cortex (H&E, x40).


Histopathology specimen of resected adrenal tumor. (B, C) High magnification (H&E, x200 and x400) shows whorl-like nests of tumor cells surrounded by a fibrovascular stroma (asterisks). . Abbreviations H&E, hematoxylin and eosin.


Automated visual fields, fundus of both eyes, sequential axial FLAIR MRI. . Notes: Six months after resection of the adrenal tumor, automated visual fields and fundus of both eyes improved (A, B).


Automated visual fields, fundus of both eyes, sequential axial FLAIR MRI. The sequential axial FLAIR MRI shows diminished size and signal of cortical and subcortical lesions (C). . Abbreviations: FLAIR, fluid-attenuated inversion-recovery; MRI, magnetic resonance imaging.


Fundus photograph, fluorescein angiogram. . Notes: Fundus photograph of the right eye shows a vascular dilation (A, asterisk).


Fundus photograph, fluorescein angiogram. Fluorescein angiogram of the right eye shows two small hemangioblastomas (B, C).


Fundus photograph, fluorescein angiogram. Fluorescein angiogram of the right eye shows two small hemangioblastomas (B, C). Note the feeder artery and draining vein (C).


Radiological findings. (a and b) Initial magnetic resonance imaging study revealed leptomeningeal enhancement especially at the inferior portion of the fourth ventricle and suprasellar region (white arrows), ventricles were dilated.


Radiological findings. (c and d) In posterior fossa, bilateral mass located in the lower part of both foramina Luschka and midline mass located just superior from the foramen Magendie. Follow-up magnetic resonance imaging (1 week after steroid treatment) showed attenuation of the leptomeningeal enhanced lesions and hydrocephalus was improved.


Changes in serum free and total IgE levels over time before and after omalizumab administration. Changes in serum free IgE (Black up-pointing triangle) and total IgE (Black square) levels are shown before commencing omalizumab (-1 week) to 172 weeks after beginning administration. The longitudinal axis represents the logarithmic expression of serum IgE levels.


Images of delayed postanoxic encephalopathy. . Notes:. Brain CT at day 1, image A shows a higher axial cut level than image B which shows an axial cut at the basal ganglion level.


Images of delayed postanoxic encephalopathy. T2WI of brain MRI at day 30.


Images of delayed postanoxic encephalopathy. FLAIR of brain MRI at day 30.


Images of delayed postanoxic encephalopathy. T2WI of brain MRI at day 95.


Images of delayed postanoxic encephalopathy. FLAIR of brain MRI at day 95.


Images of delayed postanoxic encephalopathy. T2WI of brain MRI 6 years after the hypoxic event.


Images of delayed postanoxic encephalopathy. FLAIR of brain MRI 6 years after the hypoxic event. . Abbreviations: CT, computed tomography; T2WI, T2-weighted imaging; MRI, magnetic resonance imaging; FLAIR, fluid-attenuated inversion recovery.


Kidney biopsy findings of membranous nephropathy and time course of disease. A: Light microscopy reveals glomeruli that are enlarged, with normal cellularity, and without signs of inflammation, fibrinoid necrosis, or sclerosis. The peripheral capillary walls reveal thickened basement membranes with spike-like projections on the silver-methenamine stain (not illustrated). There is no evidence of significant interstitial inflammation or fibrosis (PAS stain).


Kidney biopsy findings of membranous nephropathy and time course of disease. B: Direct immunofluorescence microscopy reveals diffuse fine-granular deposition of IgG (illustrated) and less intense C3 and C1q staining (not illustrated) predominantly along the peripheral capillary walls. There is no reactivity for the PLA2R in these deposits (not illustrated).


Kidney biopsy findings of membranous nephropathy and time course of disease. C: The electron micrograph shows a greatly distorted capillary wall, with numerous subepithelial electron-dense deposits (asterisks). Individual deposits are sometimes separated from each other by short basement membrane "spikes". The electron dense deposits are finely granular, but they do not show organized substructures. There is extensive effacement of the visceral epithelial cell foot processes. There are also several subendothelial deposits present (arrows).


Kidney biopsy findings of membranous nephropathy and time course of disease. D: Time course of proteinuria in relation to the tapering of the sargramostim dose. Hatched line indicates urine albumin-to-creatinine ratio (g/g), and shaded area indicates the weekly dose of sargramostim.


Contrast CT scan of the chest. Right apical tumour, with mediastinal extension.


Bone marrow biopsy specimen demonstrating oxalate deposition (arrows) visualized under A) light microscopy and B) polarized light.


Emphysematous lobe seen prior resection.


Pathologic findings: (A) the large-sized epithelioid tumor cells were arranged in a nest-like pattern, and they had wide cytoplasm with obvious atypia, large and clear cell nuclear, and nuclear fission. The pathologic diagnosis of the biopsy specimens was poorly differentiated lung adenocarcinoma (H&E, SP x200).


Immunohistochemical staining showed that tumor cells were positive for CK. SP x200), TTF-1 (focal positive.


SP x100).


NapsinA. SP x200).


Vimentin. SP x200).


Ki-67 was 60%. SP x100). SP, streptavidin-peroxidase.


Historical and current information from this episode of care organized as timeline. LADC, lung adenocarcinoma; MET, mesenchymal-epithelial transition factor; PR, partial response; PD, progressive disease; ILD, interstitial lung disease; Crizo, crizotinib; Crizo DC, crizotinib was discontinued.


A; Computed tomography (CT) angiogram axial view of the lower limbs. The arrow points to an artifact occluding the right TPT.


B; CT angiogram coronal view of the right lower limb. The arrow points to an artifact occluding the right TPT.


Attempting an endovascular retrieval of the closure device using a snare (Indy OTW. Vascular Retriever, 8Fr, .35 mm, 100 cm).


Surgical exploration of the right TPT. The arrow points towards a metallic artifact revealed in the right TPT.


Axial cut of thoracic computed tomography angiography showing embolism in right and left pulmonary artery.


Interstitial pregnancy. (A) Coronal view of the uterus on transvaginal ultrasound showing an empty cavity with a mass of 35.7 mm in diameter.


Interstitial pregnancy. (B) Hysteroscopy shows the ectopic interstitial pregnancy localized in the left tubaric corner.


Serum level of beta-hCG during hospitalization. A progressive decrease of serum beta-hCG was monitored until reduced to zero 35 days after the first MTX injection.


Computed tomography angiography of abdomen (coronal view): Retroperitoneal hematoma (marked by white arrow) of left iliopsoas muscle sized 12 cm x 10 cm with no evidence of active bleeding. The retroperitoneal hematoma compressed iliac venous system without evidence of venous thrombosis.


Two-dimensional echocardiography in apical view: Early diastolic pulmonary regurgitation velocity <2.4 m/s.


Left hilo-axillary linear opacity associated with retraction signs evoking atelectasis on chest-ray face and profile.


Chest CT scan image showing segmental aerated collapse of the lingula.


Complete obstruction of the left strain bronchus by sticky greenish material in flexible bronchoscopy.


Chest CT scan image showing alveolar opacities associated to bronchiectasis in posterior and medial segment of the right basal pyramid.


(A-C) Erythema around the nail and insignificant Gottron's signs can be seen on the patient's hands.


A (arrow) - Axial computed tomography images showing right hilar nodal complex.


B - collapse consolidation of basal segment of the right upper lobe.


C - and right-sided pleural effusion.


D (arrow) - Histology of resected lung showing storiform fibrosis and IgG4-positive plasma cells.


The ECG and chest radiograph of the patient before thyroxine supplementation (A-D).


Follow-up with cardiologist and endocrinologist for repeat ECG in 4 weeks (E,F).


(a) 180. Of zonular loss with temporal subluxation of lens in right eye. Diffuse pigments on zonules are visible.


(b) Presence of Krukenberg's spindle and a faint Zentmayer's line.


(a) 180. Of zonular loss with temporal subluxation of lens in left eye.


(b) Presence of Krukenbergoes spindle.


Coronal, and ,axial contrast-enhanced computed tomography images of the chest revealed an aberrant origin of the right subclavian artery from the aorta, distal to the left subclavian artery (arrows).


Sagittal reformatted image of the right lung reveals only a single major fissure dividing the lung into two lobes suggestive of left isomerism (arrows).


(a and b) Contrast-enhanced axial computed tomography image through the upper abdomen. There is evidence of polysplenia (+) with the stomach lying on the right side ( ) and the liver lying in the midline ( ). The inferior vena cava (curved arrow) is lying to the left of the aorta (arrow) which is midline in location. There is malrotation of bowel with whirling of the mesenteric vessels suggesting midgut volvulus (white arrow).


Chest CT scan reveals right lower lobe cavity.


Sagittal T2-weighted.


Axial T2-weighted.


Axial T1-weighted magnetic resonance imaging images demonstrating a T1-hypointense and T2-hyperintense cystic lesion located in the spinous process and right lamina of the L4 vertebra.


Medical image.


Postresection. Intraoperative computed tomography scan demonstrating complete resection of a hypointense lesion located within the L4 spinous process and right lamina.


Intraoperative navigated computed tomography demonstrating stereotactic navigation being used to plan lateral extent of laminectomy bilaterally. The navigated stereotactic pointer used during the case is indicated in yellow.


Right parasternal short-axis echocardiographic images of LV and RV, and long-axis four-chamber 2-D echocardiographic images. . Notes: (A and B) Right parasternal short-axis echocardiographic images showing a cross section of the LV and RV at the level of papillary muscles. (A) Severe eccentric RV hypertrophy, mild RV concentric hypertrophy, and interventricular septal flattening during systole are noted (arrows). The LV is small and underfilled, and pseudo LV concentric hypertrophy is present.


Right parasternal short-axis echocardiographic images of LV and RV, and long-axis four-chamber 2-D echocardiographic images. . Notes: (A and B) Right parasternal short-axis echocardiographic images showing a cross section of the LV and RV at the level of papillary muscles. (B) Four weeks after sildenafil administration. Mild concentric RV hypertrophy remains, eccentric RV hypertrophy is now mild, there is normal septal motion, and the LV is normal in dimensions.


Right parasternal short-axis echocardiographic images of LV and RV, and long-axis four-chamber 2-D echocardiographic images. (C and D) Right parasternal long-axis four-chamber 2-D echocardiographic images. (C) Severe eccentric RV hypertrophy, mild RV concentric hypertrophy, severe RA enlargement, and moderate RPA dilation are noted. The LV is small and underfilled, pseudo LV concentric hypertrophy is present, and the LA appears normal in size.


Right parasternal short-axis echocardiographic images of LV and RV, and long-axis four-chamber 2-D echocardiographic images. (C and D) Right parasternal long-axis four-chamber 2-D echocardiographic images. (D) Four weeks after sildenafil administration. Mild concentric RV hypertrophy remains, eccentric RV hypertrophy is now mild, and the LV subjectively appears more volume loaded. The LA is normal in size. The RA is now borderline enlarged, and the RPA remains moderately dilated. . Abbreviations: LA, left atrium; LV, left ventricle; RA, right atrium; RPA, right pulmonary artery; RV, right ventricle; 2-D, two-dimensional.


Right parasternal short-axis 2-D echocardiographic images with interrogation of the RVOT ejection envelopes/velocities with pulsed wave color Doppler. . Notes: (A) Mid-systolic notching (arrows) is noted in RVOT ejection envelopes. Moderate dilation of the main, right, and left pulmonary arteries is noted.


Right parasternal short-axis 2-D echocardiographic images with interrogation of the RVOT ejection envelopes/velocities with pulsed wave color Doppler. (B) Four weeks after sildenafil administration. RVOT ejection profiles are normal in shape and laminar. Moderate dilation of the main, right, and left pulmonary arteries persists.


Right parasternal short-axis 2-D echocardiographic images with interrogation of the RVOT ejection envelopes/velocities with pulsed wave color Doppler. . Abbreviations: RVOT, right ventricular outflow tract; V, velocity; 2-D, two-dimensional.


Findings on bronchial arteriography and chest CT before and after BAE. A; Bronchial arteriography with microcatheter shows marked hypervascularity within the lung tumor.


Findings on bronchial arteriography and chest CT before and after BAE. Chest CT before.


Findings on bronchial arteriography and chest CT before and after BAE. After. BAE shows reduction of the tumor size and the hypodense area in the tumor. CT, computed tomography; BAE, bronchial artery embolization.


Pathologic findings of the right upper lobectomy specimen. A; Grossly, cut sections of the lung show the tumor including a wide area of necrosis (arrows).


Pathologic findings of the right upper lobectomy specimen. B; Microscopic examination of the entire tumor shows that only a small area is occupied by cancer cells (arrows). Hematoxylin and eosin stain, loupe view.


Pathologic findings of the right upper lobectomy specimen. C; High magnification view shows the boundary between cancer cells (right) and necrotic tissues (left). Hematoxylin and eosin stain, x400.


CT Pulmonary Angiogram showing non-lumen occluding thrombus (indicated by red arrows) in the right and left main pulmonary trunk.


Posteroanterior chest X-ray.


Coronal chest computed tomography-scan showing multiple bilateral nodular lesions.


Axia chest computed tomography-scan showing multiple bilateral nodular lesions.


Chest x-ray of the patient showing left-sided hydro-pneumothorax.


Evolution of bone marrow histology from 1994 to 2019. In 1994, MPN in chronic phase with ET morphology: normocellular bone marrow with enlarged megakaryocytes with hyperlobulated nuclei.


Evolution of bone marrow histology from 1994 to 2019. , reactive for CALR immunostaining.


Evolution of bone marrow histology from 1994 to 2019. In 2016, progression to fibrotic phase as post-ET Myelofibrosis: hypercellular bone marrow with dense clusters of atypical megakaryocytes.


Evolution of bone marrow histology from 1994 to 2019. , reactive for CARL immunostaining.


Evolution of bone marrow histology from 1994 to 2019. In 2019, APL-blast crisis with hypergranulated promyelocytes.


Evolution of bone marrow histology from 1994 to 2019. , staining positive for CALR together with a megakaryocyte.


OD fundus. A; Initial visit: optic disc hyperemia and edema and several yellowish subretinal lesions located in the posterior pole and lower midperiphery.


OD fundus. B; After 6-month therapy: decreased optic disc hyperemia and edema and increased choroidal granulomas.


OD fundus. C; After 18-month therapy: decreased choroidal granulomas.


OS fundus. A; Initial visit: optic disc hyperemia and edema and several yellowish subretinal lesions located in the posterior pole and lower midperiphery.


OS fundus. B; After 6-month therapy: decreased optic disc hyperemia and edema and increased choroidal granulomas.


OS fundus. C; After 18-month therapy: decreased choroidal granulomas.


Chest X-ray. Chest X-ray showing a suspicion of hilar lymphadenopathy, especially on the left-side.


Histopathology. Histopathology of mediastinal lymph node, stained with hematoxylin-eosin, showing non-caseating granulomatous inflammation and multinucleated giant cells.


Photograph of the skin lesion showing an indurated plaque measuring 13 x 65 mm in size, with ulcers arranged linearly, together with yellowish-white substance. The ulcers were surrounded by reddish skin on the left forearm.


Photograph of the lesion taken 2 months after treatment. Note the scar formation.


Taxonomic classification of sequencing readings read from pleural effusion.


Taxonomic classification of sequencing readings read from pleural effusion. Microbe sequences distribution in hydrothorax sample of right chest.


Taxonomic classification of sequencing readings read from pleural effusion. Bacterium sequences distribution in hydrothorax sample of right chest on genus level.


Taxonomic classification of sequencing readings read from pleural effusion. Microbe sequences distribution in hydrothorax sample of left chest. Bacterium sequences distribution in hydrothorax sample of left chest on genus level.


Axial orbital MRI (T1FS) showed that the enhancing infiltrative lesion involved the right sphenoid sinus, clivus, prepontine cistern, and right-side cavernous sinus. It also encapsulated the right ICA and caused moderate luminal narrowing.


(A) Axial brain MRI (T1FS) showed that the mass involved the left cavernous sinus and encased the left cavernous ICA without definite luminal narrowing. It extended posterosuperiorly along the retroclival and bilateral petroclival regions with a pressure effect on the left side of the pons and partially encased the basilar artery.


(B) Axial brain MRI (T1FS) showed atrophy of the left lateral rectus muscle (arrow).


Axial brain MRI (T1FS) showed an enhancing infiltrative mass that involved the entire nasopharynx, posterior nasal cavities, bilateral sphenoid sinuses, and skull base, including the right Dorello's canal.


Axial brain MRI (T1FS) showed an enhancing infiltrative mass that involved the right ethmoid and bilateral sphenoid sinuses with extension into the right orbit. The mass also encased the right cavernous ICA.


(A) Axial brain MRI (T1FS) showed a large enhancing mass at the left sphenoid sinus and petrous bone with involvement of the sixth cranial nerve.


(B) Axial T2-weighted DRIVE MRI showed involvement of the left Dorello's canal.


A; Enhanced chest CT scan on admission shows pericardial effusion.


MR angiography shows the occlusion of the superior division of the left M2 segment of the MCA.


Diffusion-weighted MR imaging shows high signal intensity in the MCA territory.


D; Postoperative CT scan shows diffuse brain edema after the hemispheric infarction; decompressive craniectomy was performed.


Summary of the fluid resuscitation of the patient after admission to the intensive care unit within 24 h. The lines depict the changes in hemoglobin and heart rate.


Photograph after bilateral calf fasciotomy.


Intraoperative photograph after left forearm fasciotomy and carpal tunnel release.


Diagnosis of Hirschsprung's disease. (A) Barium enema showing transitional zone (arrow) in the middle of the sigmoid colon.


Diagnosis of Hirschsprung's disease. (B) Frozen section of the biopsy showing the absence of ganglion cells.


Diagnosis of Hirschsprung's disease. (C) Enzyme histochemistry showing aberrant acetylcholine esterase.


The polyacrylamide gel electrophoresis of the PHOX2B gene SSCP profiles in Haddad syndrome and his family. A heterozygous mutation (232 bp and 250 bp) was found in the patient compared to the single strands in his family and normal samples (232 bp). SM, size marker; HS, Haddad syndrome; F, father; M, mother; N1, N2, and N3, normal controls.


Contrast enhanced sagittal MRI (T1-weighted) showing hypoglossal schwannoma.


Contrast enhanced coronal MRI (T1-weighted) showing hypoglossal schwannoma.


Contrast enhanced axial MRI (T1-weighted) showing hypoglossal schwannoma.


Postoperative contrast enhanced axial MRI (T1-weighted) showing complete excision.


Bilous drainage in a segmental bronchus.


Mapping of the relative spectral power of EEG signals registered unipolar in reference to a frontal midline (Fp1/Fp2) relative spectral power of EEG signals registered during initial (left) and control (right) hospitalization. Spectra were obtained using FFT, and ratios were calculated for the theta (3.5-7.5 Hz) band . The high ration value obtained for theta activity in the first examination and the central location (A) is caused by the slow-frequency artifacts in the Cz channel.


Mapping of the relative spectral power of EEG signals registered unipolar in reference to a frontal midline (Fp1/Fp2) relative spectral power of EEG signals registered during initial (left) and control (right) hospitalization. Spectra were obtained using FFT, and ratios were calculated for the theta (3.5-7.5 Hz) band . Theta activity dominates in posterior channels and is much stronger in both absolute and relative values in the second examination (B).


Mapping of the relative spectral power of EEG signals registered unipolar in reference to a frontal midline (Fp1/Fp2) relative spectral power of EEG signals registered during initial (left) and control (right) hospitalization. Beta-2 (18-24 Hz) band. As the power of EEG in a specific band divided by the level obtained for all bands (1-24 Hz). The differences visible at. Are not statistically significant.


Mapping of the relative spectral power of EEG signals registered unipolar in reference to a frontal midline (Fp1/Fp2) relative spectral power of EEG signals registered during initial (left) and control (right) hospitalization. Beta-2 (18-24 Hz) band. As the power of EEG in a specific band divided by the level obtained for all bands (1-24 Hz). Fast beta activity is stronger in the frontal area; yet its relative power is much smaller in the second examination , where its distribution has a predominance in the left hemisphere, however,. The differences visible at. Are not statistically significant.


MR examination, axial T2-weighted images. The initial MR showed diffuse, mild cortico-subcortical atrophy of the brain (A).


MR examination, axial T2-weighted images. The follow-up image (B) revealed an increased rate of brain atrophy after 2 years.


MRS examination within the left parietal white matter area performed at 9 months after cardiorespiratory arrest revealed decreased NAA/Cr ratios (A).


The control MRS examination (18 months after cardiorespiratory arrest) demonstrated a moderate improvement of NAA/Cr ratios within white matter; however, the NAA/Cr ratio still remained decreased (B).


A 17-month-old girl presented with below average height and weight gain, subsequently diagnosed as having cleidocranial dysplasia. Frontal view of the chest showing conical or bell shaped thorax and narrow upper chest.


A 17-month-old girl presented with below average height and weight gain, subsequently diagnosed as having cleidocranial dysplasia. Frontal view of the chest showing hypermobile shoulders which can be brought close to each other anteriorly.


A 17-month-old girl presented with below average height and weight gain, subsequently diagnosed as having cleidocranial dysplasia. Frontal.


A 17-month-old girl presented with below average height and weight gain, subsequently diagnosed as having cleidocranial dysplasia. Lateral. Skull radiographs showing wide open sagittal fontanelles and sutures, multiple wormian bones, brachycephaly, frontal bossing, hypoplastic mandible and maxilla and multiple unerupted primary teeth.


A 17-month-old girl presented with below average height and weight gain, subsequently diagnosed as having cleidocranial dysplasia. Frontal chest radiograph showing absent right and hypoplastic left clavicles, bell shaped thorax and narrow upper chest.


A 17-month-old girl presented with below average height and weight gain, subsequently diagnosed as having cleidocranial dysplasia. Frontal pelvic radiograph showing wide pubic symphysis.


Bilateral echogenic lungs (white arrow) with everted diaphragm (red arrow).


Dilated airway (arrow).


Compressed centrally placed heart (arrow).


Complete ptosis and ophthalmoplegia in the left eye.


T1 and T2-weighted MRI with gadolinium contrast of the brain and orbits. . Notes: Coronal T2-weighted MRI disclosing a 5x9x10 mm abnormal enhancing of the soft tissue in the left superior orbital fissure with mild extension along the anterior aspect of the left cavernous sinus (red arrow).


T1 and T2-weighted MRI with gadolinium contrast of the brain and orbits.an axial T1-weighted MRI disclosing mild edema of the left lateral rectus (red arrow) . Abbreviations: MRI, magnetic resonance imaging. T1, spin-lattice relaxation time; T2, spin-spin relaxation time.


MRI brain coronal T1 weighted postcontrast images reveal heterogeneously contrast enhancing hyperintense sellar and suprasellar mass lesion extending laterally into cavernous sinuses and encasing both internal carotid arteries. Diffuse calvarial thickening and expansion in right high parietal region is also present.


MRI brain sagittal T1 weighted post contrast images reveal heterogeneously contrast enhancing hyperintense sellar and suprasellar mass lesion extending superiorly up to the floor of the third ventricle and pushing the optic chiasma superiorly and anteriorly.


The whole body 99m-Tc-MDP bone scan image reveals multiple regions of intense activity on the right side of the skull, mandible, right humerus, scapula, hemi pelvis, femur and tibia. Foci of increased uptake were also present in the lumbar spine and the left humerus.


X-ray pelvis AP view showing expensile radiolucent lesion with sclerotic foci in neck and metaphysis of B/L femur with sephered cook deformity on left side.


A plain X-ray film lateral view shows extensive involvement of skull base with thickening and sclerotic changes.


T1 sagittal MRI. Adenohypophysis is morphologically not definable, therefore, aplasia is suspected. The neurohypophysis presents as punctuate signal enhancement midsize of the hypophysis stem.


Right atrial thrombus (center) surrounded by pulmonary thromboendarterectomy specimens.


Bone chambers massively invaded by grayish-colored oxalate crystals deposited in stars or rosettes (hematoxylin and eosin stain, original magnification x 40).


Grayish-colored oxalate crystals deposited in stars or rosettes surrounded by a macrophage reaction against foreign bodies (hematoxylin and eosin stain, original magnification x 200).


Medullar fibrosis (special trichrome stain, original magnification x 200).


A very intense pale green birefringence of crystals of oxalate showed in polarized light (hematoxylin and eosin stain, original magnification x 400).


Case 1 preoperative physical appearance. Anterior view showing imbalance of shoulder and waist line. Other characteristic findings such as short stature, a small chest, and variable limb abnormalities were not found. The scar seen at the center of his abdomen was made when he received a renal transplant. Lateral view showing thoracic rib humps and thoracolumbar kyphosis.


Case 2 preoperative physical appearance. Lateral view showing prominent right scapula and rib hump. However, there were no apparent abnormalities such as a small chest, obvious short stature, and short limbs. Clinical photos during forward bending showed an obvious right rib hump and mild left lumbar hump.


Microscopic view of the bronchogenic cyst (HE, x40, x10). The cyst had a smooth inner lining and contained a grey viscous mass. Microscopically, it consisted of ciliated, respiratory epithelium, seromucous glands and fully developed cartilage, without any malignant or dysplastic cells.


Chest radiograph showing unilateral opacity of right hemithorax and shifting of airway and heart on left side.


Follow-up chest radiograph showing full expansion of lung fields immediately after chest tube drain.


Chest CT scan-case 1:. Axial CT scan image.


Coronal CT scan image. Left-sided bronchial-centric mass in the left main bronchus (white arrow) associated with multiple left hilar lymph nodes and carcinomatous lymphangitis in the left inferior lobe.


Chest X ray - case 2: mediastinal widening (white arrow).


Spirometry: flow volume loop: flattened inspiratory curve (black arrow).


Initial chest X-ray.


CT scan at day 27.


49 of illness.


A chest CT scan revealing a mass measuring 3.7 x 3.0 cm in size in the right lower lung (red arrow).


Chest CT showed that the right lower lung mass had not shrunk after anti-infective treatment (red arrow).


Pneumothorax was presented after the removal of the chest tube in x-ray (red arrow).


A pigtail catheter was inserted into chest for pneumothorax (red arrow).


A brain CT scan showed multiple low densities in the right occipital lobe (red arrow).


Abdominal computed tomography. Computed tomography findings show a massive pneumoperitoneum localized to the upper abdomen without collection of intra-abdominal fluid, pneumoretroperitoneum, or subcutaneous emphysema.


Panitumumab-induced fatal ILD. Chest X-ray on day 17 of admission, showing further deterioration.


Panitumumab-induced fatal ILD. HRCT of the chest, axial image, two days after the admission, showing bilateral patchy ground glass changes.


Electrocardiogram showing normal sinus rhythm with right bundle branch block.


Chest radiography in lateral view showing prominent right ventricle.


Transthoracic echocardiogram (in apical 4-chamber view) showing moderately dilated right ventricle and right atrium.


Cardiac magnetic resonance angiography showing large anomalous RUPLV draining into the SVC-RA junction. RUPLV=Right upper pulmonary vein, SVC=Superior vena cava, RA=Right atrium, IVC=Inferior vena cava, Ao=Aorta, PA=Pulmonary artery, LV=Left ventricle.


Cardiac magnetic resonance imaging showing small anomalous RMPV draining into the LA with sinus venosus ASD. RMPV=Right middle pulmonary vein, ASD=Atrial septal defect, RA=Right atrium, RV=Right ventricle, LA=Left atrium, LV=Left ventricle.


The computed tomography (CT) pulmonary angiography showed a small fresh thrombus in the right A10 (yellow arrow) and chronic thromboembolic obstruction of the bilateral distal pulmonary artery. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article. ).


The enhanced CT showed a small defect of fresh thrombus (yellow arrows) in the bilateral pulmonary arteries at the segmental or subsegmental levels and signs of CTEPH. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article. ).


Pulmonary angiography before BPA revealed only a small fresh bloody thrombus in the right A1 and left A9 and chronic thromboembolic lesions of webs, subtotal occlusion, and total occlusion in the bilateral pulmonary arteries at segmental levels.


Chest X-ray showing a suspicious consolidation in the right upper lung field and diffuse bilateral haziness.


Surgical lung biopsy specimen showing metastatic carcinoma predominantly in the lymphovascular spaces (H&E stain, x100).


Ground glass opacities as well as the area of infarction in the right upper lobe.


Whole body bone scintigraphy images taken 3 hours after intravenous injection of 20 mCi of 99m-Tc-Methylene diphosphonate show increased symmetrical tracer uptake in diaphyses of bilateral femurs and tibiae. Increased tracer uptake is also noted in the proximal humeri. Scoliosis is also noted.


Radiographs (anteroposterior and lateral view) of the left lower limb showing fibrous dysplasia of the left femur and tibia.


Magnetic resonance images (axial and coronal) showing multiple well-defined lesions, hyperintense on T2 and STIR images, largest lesion seen in distal thigh, measuring 51 mm x 48 mm x 73 mm.


Single, encapsulated globular mass excised from distal thigh measuring 8 cm x 4 cm x 3 cm and weighing 88 g.


Histopathological examination showed a well-encapsulated tumor with myxoid background containing many interspersed stellate to spindle-shaped cells with scant to moderate amounts of cytoplasm.


Magnetic resonance images (axial and coronal) at 6 months showing initial increase in the inguinal and thigh lesion.


Magnetic resonance images at 2 years' followup showing decrease in the size of the thigh lesion and the minimal increase in the size of the inguinal lesion.


Preoperative fundus photograph acquired at the first referral by 200Tx (Optos ): dense vitreous hemorrhage and total retinal detachment are shown.


Anterior segment 14 days after the surgery: clear cornea and aphakia with no inflammation of the anterior chamber is shown. Encircling scleral buckling was performed.


Postoperative fundus photograph acquired 3 months after the SO removal by 200Tx (Optos ): retina was attached despite residual FRD without SO.


Thoracic CT at the first medical consultation.


Thoracic CT 26 months after cessation of petroleum jelly.


Clinical appearance of the patient in the trauma bay after intubation, and ,bilateral needle thoracostomy.


Computed tomography imaging displaying rupture of the right main stem bronchus (arrow), massive soft tissue and mediastinal emphysema, and significant right pneumothorax and in spite of drainage (*thoracostomy tube).


Intraoperative placement of traction suture at the caudal tracheal rim of the defect, allowing simultaneous occlusion of the defect and patency of the left main stem bronchus.


Medical image.


Preoperative Computed Tomography (CT) venography indicating thrombosis of the superior sagittal sinus (white arrow). Preoperative CT venography indicating thrombosis of the confluens sinuum, left sigmoid and transverse sinuses (white arrow). The right sigmoid sinus is patent (green arrow).


(c) Preoperative magnetic resonance imaging angiography (posterior view) indicating the extent of the intracranial thrombosis. Only the right transverse and sigmoid sinuses are patent (green arrow).


(d) CT venography indicating the tumor location (left carotid bifurcation, white arrow) and the associated internal jugular vein compression. The right internal jugular vein is patent (green arrow).


Postoperative Computed Tomography (CT) venography indicating cerebral venous sinuses complete recanalization.


(c) CT arteriography presenting complete tumor removal.


Computed tomography pulmonary angiography discloses large emboli in the left and right pulmonary arteries.


The right ventricle/left ventricle diameter ratio is abnormally increased to 1.22 , confirming the diagnosis of acute massive pulmonary embolism.


Representative CT images of the chest. (A) During acute COVID-19 infection, CT chest with intravenous (IV) contrast revealed diffuse ground glass with consolidative changes and no evidence of bullous lung disease (BLD).


Representative CT images of the chest. (B) Three-month post-infection, a repeat CT chest with IV contrast showed right-sided bullous lesions with mediastinal shift.


Representative CT images of the chest. (C) The right lower lobe lung section stained with Elastic Van Gieson (EVG) was used to identify the pleural elastic membrane (arrow) to confirm the presence of the bullae (star) localized within the lung parenchyma.


Histopathology of the resected tumor demonstrates solid neoplasms comprising clusters and cords of epithelioid tumor cells within variably mucinous stroma that typically contains a lymphoplasmacytic infiltrate (a and b). Nuclei are round to oval in appearance without evidence of cellular atypia or mitotic figures. Magnification,. X200,. Scale bar,. 250 mum.


Histopathology of the resected tumor demonstrates solid neoplasms comprising clusters and cords of epithelioid tumor cells within variably mucinous stroma that typically contains a lymphoplasmacytic infiltrate (a and b). Nuclei are round to oval in appearance without evidence of cellular atypia or mitotic figures. . X400. . 100 mum.


Photomicrographs revealing immune-histopathology of the tumor. Most tumor cells are strongly immunoreactive for GFAP Magnification, a-d) x400. Scale bar, a-d) 100 mum.


Photomicrographs revealing immune-histopathology of the tumor. , CD34 Magnification, a-d) x400. Scale bar, a-d) 100 mum.


Photomicrographs revealing immune-histopathology of the tumor. And TTF-1 Magnification, a-d) x400. Scale bar, a-d) 100 mum.


Photomicrographs revealing immune-histopathology of the tumor. This tumor shows slightly positive staining for Ki-67 (MIB-1) (MIB-1 labeling index: 2.0%) (d). Magnification, a-d) x400. Scale bar, a-d) 100 mum.


Postoperative. Sagittal.


Coronal images of gadolinium-enhanced MRI at 12 months after surgical resection show no residual tumor in the suprasellar region.


Clot straddled in patent foramen ovale in trans-esophageal echocardiography (TEE) bicaval view.


Anteroposterior (AP) view of chest X-ray showing extensive subcutaneous emphysema in the chest and neck.


Axial view of CT chest revealing cervical and facial subcutaneous emphysema.


Axial view of CT chest revealing extensive pneumomediastinum and subcutaneous emphysema.


Coronal view of CT chest, abdomen, and pelvis revealing pneumomediastinum and subcutaneous emphysema from neck area to left flank of abdomen.


Axial view of CT abdomen showing punctate retroperitoneal air around left kidney.


Clinical course of serum calcium, magnesium, and creatinine level.


X-Ray and foreign body's of Case 1.


X-Ray and foreign body's of Case 2.


Overview of the renal biopsy showing slight increase of mesangial material and interstitial calcium deposits (HE stain, magnification 125x).


Glomeruli with increased mesangial material and calcification outside glomerular capsule (HE stain, magnification 250x).


Serial chest CT findings and pulmonary functions of the patient. (A) Initial CT at the time of diagnosis of ILD showed perilobular consolidations and fibrosis in posterior aspects of the lower lobes, and forced vital capacity (FVC) was 3.05 L.


Serial chest CT findings and pulmonary functions of the patient. (B) CT performed just before the rituximab injection showed the increased extent of fibrosis. However, the patient did not complain of respiratory symptoms including cough or dyspnea, and FVC was slightly improved by 4.6% compared to baseline.


Serial chest CT findings and pulmonary functions of the patient. (C) CT performed immediately after the second rituximab injection showed an increased extent of fibrosis and perilobular consolidations. The patient developed mild dyspnea, and FVC declined by 11% from the latest one.


(a) Microscopy showing highly cellular tumor comprising of spindle cells arranged in a fascicular and herring bone pattern (H and E, x100). (b) Intra-operative squash smears showing monotonous population of short spindle cells arranged in fragments and single cells containing scant granular cytoplasm and coarse chromatin with comma shaped nuclei (MGG, x100).


Tumor cells showing bcl-2 positivity (IHC, x400).


A 21-year-old man with Mycobacterium avium infection combined with a bronchogenic cyst. (A) Chest radiography showed a cystic mass in the right upper lobe.


A 21-year-old man with Mycobacterium avium infection combined with a bronchogenic cyst. (B) After anti-tuberculosis medication for 6 months, the mass increased in size and developed multiple cavities.


A 21-year-old man with Mycobacterium avium infection combined with a bronchogenic cyst. (A) Chest computed tomography (CT) revealed a multi-loculated cystic mass with bronchiolitis in the right upper lobe.


A 21-year-old man with Mycobacterium avium infection combined with a bronchogenic cyst. (B) The resected right upper lobe showed an intrapulmonary bronchogenic cyst in the apical segment (arrow) and multiple cavitary necroses in the destroyed apical segment of the right upper lobe (arrowhead).


A 21-year-old man with Mycobacterium avium infection combined with a bronchogenic cyst. (C) Microscopic findings of the multiple cavitary lesions revealed chronic granulomatous inflammation (the lesion is indicated by an arrowhead on the chest CT and gross findings) (H&E, x 100).


A 21-year-old man with Mycobacterium avium infection combined with a bronchogenic cyst. (D) The microscopic findings of the bronchogenic cyst showed that the cyst was walled by ciliated columnar epithelium (the lesion is indicated by an arrow on chest CT and gross findings) (H&E, x 40).


Coronal CT scan.


Axial CT scan.


Pathological specimen.


Pictomicrograph showing Paecilomyces species (KOH x10 x x40 magnification) having elongated and tapering phialides with ovoid conidia in basipetal succession.


Pictomicrograph showing Scopulariopsis species (KOH x10 x x40 magnification) having basipetal globose to pyriform conidia on annellides (solitary and in groups).


Pathological tissue removed from the sinus.


Ten minutes after re-intubation chest X-ray showed diffuse interstitial and alveolar infiltrates in bilateral centralized areas (white arrows).


Chest computed tomography scan at the first postoperative day revealed interlobular septal wall thickening and patchy ground glass opacity in the bilateral upper lungs, consistent with NPPE (white arrows). . Abbreviation: NPPE, negative pressure pulmonary edema.


Plain chest X-ray at the third postoperative day showed the resolution of pulmonary edema.


Chest X-ray showing reticular changes bilaterally on the mid and lower lung zones and bilateral pleural effusions.


High resolution computerized tomography (HRCT) image of the chest. A reticulonodular pattern is demonstrated with bilateral inter- and intralobular septal thickening, centrilobular nodules and associated patchy ground glass opacities.


Pulmonary artery angiogram in AP view showing tortuous right pulmonary artery with peripheral stenoses. RPA= right pulmonary artery.


Pulmonary artery angiogram in AP view showing tortuous left pulmonary artery with stenosis. LPA= left pulmonary artery.


Left ventricular angiogram in LAO view showing elongated aortic root and aortic arch. LV= left ventricle.


Histopathology of liver showed nodular cirrhosis with mixed-type steatosis involving approximately 60% of hepatocytes.


Series of chest X-rays:. On admission.


48 hours post-ECMO.


Before weaning. . Abbreviation: ECMO, extracorporeal membrane oxygenation.


Electrocardiogram showing sinus tachycardia (heart rate, 100 bpm) with incomplete right bundle branch block and minor nonspecific ST-T alterations.


Magnetic resonance cholangiopancreatography demonstrating a mass in the head of the pancreas.


Imaging findings of autoimmune pneumonitis during first admission at the NIH. A. Radiographic features of APECED pneumonitis with ground glass opacities (GGO), tree-in-bud (TIB) opacities without bronchiectasis (yellow oval), and small nodular opacities.


Imaging findings of autoimmune pneumonitis during first admission at the NIH. B. Bilateral bronchiectasis-associated structural lung disease and mucus plugging (green ovals).


Imaging findings of autoimmune pneumonitis during first admission at the NIH. C. Large cavitary lesions caused by nontuberculous mycobacteria (NTM) (blue ovals). Chest CT performed in 2013. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.


Radiographic appearance of the right chest post-omental flap repair. A. Multi-planar volume reformation (MPVR) image showing a large post-surgical communication between the pleural space and external body surface (blue arrow).


Radiographic appearance of the right chest post-omental flap repair. B. Axial chest CT illustrating the omental flap, which was harvested from the abdominal cavity and was used to cover the right pleural cavity with a small area remaining open for healing by secondary intention (blue arrow) with packing material noted. Images are from 2015. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.


Autoimmune pneumonitis and its improvement following lymphocyte-directed immunomodulation. Chest CT showing left upper lobe consolidation. Yellow oval) with interval improvement following immunomodulatory treatment.


Autoimmune pneumonitis and its improvement following lymphocyte-directed immunomodulation. Chest CT showing left upper lobe consolidation. Orange oval).


Autoimmune pneumonitis and its improvement following lymphocyte-directed immunomodulation. Chest CT showing left lower lobe consolidation with bronchiectatic air bronchograms. Yellow oval) with interval improvement.


Autoimmune pneumonitis and its improvement following lymphocyte-directed immunomodulation. Chest CT showing left lower lobe consolidation with bronchiectatic air bronchograms. Orange oval) following immunomodulatory treatment. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.


Right vestibular schwannoma with maximum diameter of 28 x 25 x 26 mm. MRI T2 image of Gamma Knife Radiosurgery (GKR) treatment planning (a).


Right vestibular schwannoma with maximum diameter of 28 x 25 x 26 mm. MRI T2 image 21 months after GKR (b). Extensive peritumoral brain edema with fourth ventricle compression is evident.


Right vestibular schwannoma with maximum diameter of 41 x 35 x 35mm. MRI T1 contrast-enhanced image before first surgery (a).


Right vestibular schwannoma with maximum diameter of 41 x 35 x 35mm. MRI T1 contrast-enhanced image of Gamma Knife Radiosurgery (GKR) treatment planning (b).


Right vestibular schwannoma with maximum diameter of 41 x 35 x 35mm. MRI T2 image at 18 months after GKR (c); peritumoral brain edema (PTBE) in the right cerebellar hemisphere and brain stem is clearly visible.


Right vestibular schwannoma with maximum diameter of 41 x 35 x 35mm. MRI T2 at image 3 months after surgical removal showing complete PTBE resolution (d).


Right clinoid meningioma. MRI T1 contrast-enhanced images before.


Right clinoid meningioma. After. Surgery showing complete removal of the meningioma.


Right clinoid meningioma. MRI flair images highlight peritumoral brain edema before surgery.


Right clinoid meningioma. At 2 months after surgery ; an almost complete resolution is clear.


Computed tomography scan obtained on December 24, 2014 (7 days before treatment). . Notes: Scan demonstrates a mass in the upper lobe of the left lung, multiple enlarged lymph nodes in the mediastinum, and pleural effusion; arrow indicates abundant pericardial effusion around the pericardium.


Pericardial effusion-volume changes seen on a computed tomography image obtained on February 9, 2015 (2 months after bevacizumab treatment).


Pericardial effusion-volume changes seen on a computed tomography scan obtained on March 31, 2015 (4 months after bevacizumab treatment).


Pericardial effusion-volume changes seen on an ultrasonogram obtained on May 5, 2015 (5 months after bevacizumab treatment).


Fundoscopy showed bilateral optic disc swellings (grade 2 papilledema).


Flow-volume loop showing flattening of inspiratory flow- volume curve.


Uvula touching epiglottis in supine position.


Serial panoramic radiograph monitoring the resolution of the lesion:. Orthopantomogram radiograph at the initial presentation.


4 months after the first triamcinolone injection.


8 months after the first triamcinolone injection.


18 months from the initial injection.


Computed tomography image with the mass-like opacification in the superior segment of the right lower lobe, and in close proximity to the oesophagus.


Computed tomography image demonstrating the complex vascular supply to the mass. Arrow indicates the branch of the aorta supplying the mass.


A standard air pump.


Computed tomography of the abdomen and pelvis showing subcutaneous air pockets on both sides (arrows).


CT scan showing large heterogeneous left-sided pleural effusion.


Large gelatinous mass with bleeding into the pleural cavity as seen on video-assisted thoracoscopic surgery.


Myxoid stroma with high mitotic activity and pleomorphism. Tumor cells are seen at 400x magnification.


(a-b) -MRI -FLAIR axial images showing multiple chronic (arrow) infarcts bilateral hemispheres.


(c-d) -Diffusion weighted image showing a few lesions (arrow) with reduced ADC (apparent diffusion coefficient) indicating that these infarcts are acute (<14 days).


(a) -Chest radiograph AP view of patient showing rounded shadows (arrow),contiguous with right main pulmonary artery.


(b) -CT- Pulmonary angiogram-Maximal intensity projection image showing multiple high volume arterio-venous fisulae with arterial feeders from superior, middle and inferior branch of right pulmonary artery and inferior branch of left pulmonary artery(arrows).


Thoracic CT-scan showing a consolidation in the right inferior lobe (arrow) interpreted as a pulmonary infarction due to pulmonary embolism from the cardiac thrombus.


CT-pulmonary angiography that aroused suspicion of a thrombus in the right ventricle (arrow).


Cardiac magnetic resonance imaging in a sagittal plane demonstrating the piston-like shape of the thrombus, and how it protrudes through the pulmonary valve in systole.


Thoracic computed tomography (CT) of the right upper lobe. The initial CT showed no abnormality. Four days after admission, CT showed increased thickness of the bronchial wall. In a short period, the bronchiole was obstructed and enlarged. Extended parenchymatous opacity was observed along the obstructed bronchi 7 days after admission. Twenty-one days after admission, progression of consolidation including cystic bronchiectatic lesions. Sixty-three days after admission, CT showed remarkable improvement of the infiltrative shadows. One hundred thirty-three days after admission, most infiltrative shadows had disappeared.


Bronchoscopic examination revealed extensive tissue necrosis and pseudomembrane formation in the right upper lobe bronchus. These bronchi were occluded by the membrane.


(a) Head computed tomography showing ventricular dilatation and foramen of Monro occlusion with significantly high-density lesions.


(b) The coronal view of three-dimensional computed tomography revealed that the high-density lesions continuously extended from the choroid plexus of the lateral ventricles to the third ventricle.


(c) Head magnetic resonance imaging is showing modest enhancement of the choroid plexus by gadolinium without an obvious tumoral lump.


(d) Postoperative computed tomography showing that the placement of the ventriculo-peritoneal shunt.


Intraoperative view with a flexible neuroendoscope showing an entirely calcified lesion consecutive from the choroid plexus in the ventricle body Biopsy was performed, and a small specimen was obtained from the relatively less calcified part (a) asterisk.


Toward the foramen of Monro.


(a and b) Contrast-enhanced coronal CT images (lung window) demonstrate linear pockets of air tracking within small mesenteric veins (white arrow). Note the enteroscopically placed clip in the patient's distal ileal GIST, which was tattooed for the surgeon (curved arrow).


Contrast-enhanced axial CT image demonstrates linear branching pattern of air in the mesenteric veins due to air embolism (white arrow). Note the mild mesenteric stranding around the lesion, a common finding after enteroscopic procedure (thick arrow).


Pre-operative frontal view of the patient.


Pre-operative lateral profile of the patient.


Pre-operative orthopantomograph showing ankylosis of the left TMJ, prominent left antegonial notch, and impacted molars.


Coronal CT scan view showing obliteration of left interarticular space of TMJ.


Extra-oral photograph showing placement of external pin distractors bilaterally.


Intraoperative photograph showing bony cuts to release TMJ ankylosis.


Post-operative view photograph showing increase in the mouth opening after interpositional arthroplasty.


Post-operative view photograph showing frontal view of the patient after the completion of distraction osteogenesis and interpositional arthroplasty after 5 months.


Post-operative view photograph showing the lateral view of the patient after the completion of distraction osteogenesis and interpositional arthroplasty after 5 months.


Post-operative orthopantomograph showing ossification of the callus after distraction and interpositional arthroplasty.


Removed clot and endotracheal tube. The removed clot lodged within the endotracheal tube (black arrow); the remaining clot (dotted arrow) removed by suction under fiberoptic bronchoscopy. ETT endotracheal tube.


Chest radiograph demonstrating enlarged central pulmonary arteries and diminished peripheral pulmonary vascular marking. . Abbreviations: AP, anterior-posterior; R, right.


Thrombuses removed from the left and right pulmonary arteries at the time of surgery.


FLAIR.


DWI. Sequences of cranial MRI showed diffuse thickening of the skull and increasing signal intensity.


Lumbar MRI prompted lumbar vertebra multiple bone changes.


Skull X-ray prompted that the skull and maxillofacial bone (A,B) were found to have diffuse worm-like low-density bone destruction and there was no obvious hardening at the edge.


(C) Pelvis X-ray showed small and low-density bone destruction zone in the pelvis and proximal femur.


A CT slices (oroantral communication). B; Panoramic radiograph (follow-up).


Timeline. PICU, pediatric intensive care unit; O2, oxygen; NIV, non-invasive ventilation; IgIV, intravenous immunoglobulin therapy; AQP-IgG, autoantibodies against the aquaporin-4 water channel.


Brain MRI performed at 1.5 Tesla and limited by metallic artifacts. Coronal T1 weighted imaging showing a low signal intensity.


Brain MRI performed at 1.5 Tesla and limited by metallic artifacts. Axial T2 weighted imaging.


Brain MRI performed at 1.5 Tesla and limited by metallic artifacts. Axial fluid attenuation inversion recovery showing a high signal intensity in the posterior part of the medulla oblongata bilaterally.


Graphic demonstration of FT4, FT3, and cortisol levels over time in case 1.


The normal left hemidiaphragm of the patient. We can see the diaphragmatic excursion showing an inspiratory peak of 2.78 cm above the baseline.


The pathological right hemidiaphragm of the patient. There is a dysfunction of the hemidiaphragm with an absent movement (Arrow).


Dynamic lateral cervical radiographs: (a) in extension, Cobb and atlas angles are 65. And 47 , respectively.


(b) In flexion, Cobb and atlas angles are decreased to -5. And 44 , respectively. Since atlas is loose with respect to axis, changes in atlas angle are invaluable in os odontoideum.


(a) T1-weighted sagittal magnetic resonance imaging (MRI) of cervical spine shows an os odontoideum (OO) with atlantoaxial dislocation and narrowing of the cervicomedullary junction. The OO and atlas ring are engulfed in a soft tissue extending from os to axis. The posterior airway space is quite narrow in the MRI taken in neuter position (white dash).


(b) T2-weighted sagittal MRI shows myelopathy at the cervicomedullary junction.


Computed tomography scan of the cervical spine, (a) axial view shows atlantoaxial dislocation.


(b) Reconstructed sagittal view shows displaced os odontoideum (OO) - atlas ring forward displacement in jigsaw pattern; note posterior airway space is very narrow with the neck in neuter position.


(c) Reconstructed coronal view shows the OO.


Postoperative lateral cervical X-ray shows C1-C2 screw rod fixation (a) a few days after surgery.


(b) Five years after surgery.


(a) An axial T1 weighted magnetic resonance imaging (MRI) of the polycystic vestibular schwannoma with a mass effect.


(b) A T1 weighted MRI sagittal view of the vestibular schwannoma.


Computerized tomography imaging of the first intratumoral hemorrhage in vestibular schwannoma.


Second hemorrhage.


Third hemorrhage.


Fourth hemorrhage 36 h after intervention.


Chest computed tomography scan revealed the peritoneal catheter in the bronchus (arrow).


Bronchoscopy showed the distal end of the peritoneal catheter in the left main bronchus.


Fluoroscopy revealed the contrast medium confined to the bronchus (arrow) and the fistulous tract (arrow heads) but did not spread out in the pleural cavity.


A part of peritoneal catheter was remodeled in angular shape (arrow) using silicon tube in the previous surgery.


Two linear hyperpigmented indurated plaques over left side of back of neck with scarring alopecia. The plaque on the left side also shows linear thickened cord-like structures restricting the neck movement.


Lesion after 1 month of treatment showing softening of the plaque as well as the cords.


Further improvement in the lesion seen at 4th month of treatment with normal range of motion of the neck.


A. Chest X-ray showing an enlarged mediastinal shadow, left atelectasis, and pleural effusion.


B. Chest computed tomography showing a large anterior mediastinal tumor, tracheal and cardiovascular compression, left pleural effusion, and atelectasis. The image is rotated because the patient's respiratory distress was only relieved by placement in the left lateral decubitus position.


Chest X-ray three months post-chemotherapy showing tumor reduction.


Chest computed tomography showing a large anterior mediastinal tumor and tracheal compression.


Fluoroscopic image after Dumon Y stent placement at the tracheal bifurcation.


Pulmonary angiography. Before BPA.


Pulmonary angiography. During balloon dilatation.


Pulmonary angiography. After BPA. Organized thrombi in the segmental and subsegmental pulmonary arteries (arrow).


After treatment.


Clinical course of the patient and changes in various circulation parameters and CAVI.


Axial view displaying left renal vein thrombosis.


Coronal view displaying thrombosis in the renal vein with further extension into the inferior vena cava (top arrowhead). Also displayed is the ovarian vein clot (bottom arrowhead).


Normal glomerulus without proliferative changes (Periodic acid-Schiff, original magnification x 400).


Glomerulus with granular capillary loop staining for IgG (direct immunofluorescence; original magnification x 400).


Glomerular basement membranes with subepithelial electron dense deposits (original magnification x 12,000).


Selective retrograde catheter angiography demonstrating the presence of a side-to-side shunt between the portal vein and IVC along with an acceptable intrahepatic portal venous system.


Bilateral pulmonary agenesis. . A. Ultrasound examinations at 31 + 2 weeks of gestation show collapsed thoracic cavity with diaphragmatic eventration. Intact diaphragm (arrow) was noted between elevated liver and narrow thoracic cavity. Right diaphragm was more displaced cephalad than left diaphragm. As result, heart and liver are shown on same plane as axial view.


Bilateral pulmonary agenesis. . B. Fetal MRI study on sagittal and coronal views at 35 + 2 weeks of gestation demonstrates decreased volume of thoracic cage, associated with bilateral elevation of diaphragm without any defect. Abruptly ending trachea (arrow) is noted.


Bilateral pulmonary agenesis. . C. Postmortem infantogram shows bell-shaped thoracic cage with diaphragmatic eventration.


Bilateral pulmonary agenesis. . D. On autopsy findings of thoracic cavity, there are no other structures except for heart, vessels (including aorta), and bilateral masses of fat tissue.


The patient's chest radiograph when admitted to the emergency department.


CT angiogram of the thorax after admission.


Digital mammography showing suspected malignant alterations of the right breast (BI-RADS 4C.


Benign alterations of the left breast (BI-RADS 2.


CT angiogram of the thorax performed during hospitalization, revealing aggravation of the extent of DAH.


CT angiogram of the thorax performed after six sessions of plasmapheresis, revealing an impressive decrease of the extent of DAH.


MRI of the right and left breasts.


CT angiogram of the thorax performed 2 weeks after radical right mastectomy.


Taxonomic classification of reads from. Filtered reads of the synovial fluid sample.


Bacterial reads of the synovial fluid sample.


Filtered reads of the whole blood sample.


Bacterial reads of the whole blood sample.


Anteroposterior X-rays of the pelvis with both hips showing large, well-defined, expansile lytic lesion in the metaphysis of the proximal femur with a breach in the lateral cortex.


Anteroposterior X-rays of the hip with thigh, immediately post op showing a valgus osteotomy at the subtrochanteric region and fixed with a 95 degree Dynamic condylar screw (DCS) and barrel plate.


Histopathological examination (HPE) revealed spindle to stellate stromal cells embedded in dense fibrous stroma.


The tissue showed features of a benign mesenchymal lesion with bone matrix and chondroid matrix formation consistent with the characteristics of FCD.


Anteroposterior X-rays of the hip with thigh at the one-year follow-up showing correction of the varus and improvement in the lytic lesion of the bone.


Preoperative (left) magnetic resonance venography (MRV) demonstrating displacement and attenuation of the superior sagittal sinus (SSS).


Postoperative (right) MRV demonstrating near resolution of SSS compression.


Chest radiograph. Anterior perfusion.


Ventilation.


Lung scintigrams demonstrating loss of ventilation and perfusion to the left lung at initial presentation.


Lung scintigrams demonstrating restoration of ventilation and perfusion to the left lung one month following surgery.


Aplasic image of the left lung.


Rudimentary left main bronchus.


The image of nonexistent left pulmonary artery and rudimentary left pulmonary vein.


Left hemithorax; no parenchyma was observed.


A-C: NCCT topographical, axial mediastinal and lung window images at thoracic inlet of rRT-PCR confirmed COVID patient (Case1 on day 10 of admission) developed sudden onset swelling and tightness in chest, neck and difficulty in swallowing, showing subcutaneous and soft tissue emphysema (star mark) and pneumomediastinum (white arrow).


A-C: NCCT Coronal and axial lung window of rRT-PCR confirmed COVID patient (case1 on day 10 of admission, same patient as in Figure 1), showing subcutaneous and soft tissue emphysema (star mark) and pneumomediastinum (white arrow) along with extensive GGO, septal thickening and consolidations (Black arrow).


Axial T2 MR image showing bilateral thinned out optic nerves with prominent optic nerve sheath fluid.


Axial T2 weighted images showing thinned out bilateral optic nerves (arrows).


Axial, Coronal and Sagittal CT images showing bilateral symmetrical expansile predominantly lytic lesions involving the body, rami and coronoid processes of bilateral mandible (arrows). Typical sparing of condyloid process of mandible (arrow heads) seen.


Cardiac MRT before initiation of treatment.


Cardiac MRT in peripheral euthyroid state.


CT images from case 2. Day numbers refer to the days after the first RRx-001 dose. The arrows indicate the target lesion whose change in longest diameter is shown in Figure 3. A; Chest CT scan, measured at day 50 and showing stable disease.


CT images from case 2. Day numbers refer to the days after the first RRx-001 dose. The arrows indicate the target lesion whose change in longest diameter is shown in Figure 3. B; Chest CT scan on day 186, showing an increased size of the mass in the right lung field. Dosing with RRx-001 was stopped.


CT images from case 2. Day numbers refer to the days after the first RRx-001 dose. The arrows indicate the target lesion whose change in longest diameter is shown in Figure 3. C; Chest CT on day 228, 42 days after RRx-001 was stopped, showing a significant enlargement of the right upper lobe mass and interval nodule growth. The patient was not treated during this period.


CT images from case 2. Day numbers refer to the days after the first RRx-001 dose. The arrows indicate the target lesion whose change in longest diameter is shown in Figure 3. D; Chest CT scan on day 256, approximately 4 weeks after treatment with FOLFIRI, was commenced, showing a modest reduction in the size of the right upper lobe mass and pulmonary lesions.


CT images from case 2. Day numbers refer to the days after the first RRx-001 dose. The arrows indicate the target lesion whose change in longest diameter is shown in Figure 3. E; Chest CT scan on day 294, approximately 8 weeks after treatment with FOLFIRI was started, showing further tumor shrinkage.


Serial serum platelet count post-vaccination and chronological evolution of symptoms after steroid treatment and high-dose immunoglobulin.


(A) Abdominal CT revealed renal calculus and hydronephrosis, and pelvic CT revealed lower shift of bladder (red arrow) and severe uterine prolapse (white arrow).


(B,C) Abdominal CT showed emphysematous pyelonephritis (white triangle), and pelvic CT showed emphysematous cystitis (red triangle).


(A-C) Abdominal and pelvic CT taken 10 days after admission. Abdominal and pelvic CT revealed that hydronephrosis was improved, although renal calculus was observed. In addition, pelvic CT revealed that lower shift of bladder (red arrow) and severe uterine prolapse (white arrow) were improved.


Time course of clinical parameters in this subject. After prolapsed uterus reduction, ureteral stenting and starting antibiotics, her inflammation markers were markedly improved. She was transferred from intensive care unit to general ward at day 10. After then, her renal function and inflammatory markers were gradually normalized and she was finally discharged about 1 month after admission.


Chest roengtogram showing persistent right pneumothorax and collapsed right lung.


Fiberoptic view at the level of carina showing a large carinal rent.


Coronal multiplanar reconstructed CT image of the chest in lung window settings shows a small defect with focal air leak at the carina (arrow), right pneumothorax with underlying collapse of right lung and extensive subcutaneous emphysema over right side.


Chest X-ray showing air in soft tissue of neck, upper thorax and bilateral axilla.


Computed tomography thorax showing pneumomediastinum, pneumopericardium, pneumothorax and bullae.


Computed tomography thorax showing air in soft tissue of neck extending lateraly and posteriorly.


Computed tomography head and neck showing air in bilateral paraspinal soft tissue and in extradural space.


In bronchoalveolar lavage, a large number of hemosiderin-laden macrophages are histologically confirmed, which indicate an alveolar hemorrhage (Berlin blue stain).


Clinical course in this case. PE = plasma exchange; mPSL = methylprednisolone; SBP = systolic blood pressure; DBP = diastolic blood pressure; NPPV = noninvasive positive pressure ventilation; Cr = creatinine; Plt = platelet count.


AP radiograph of chest showing bilateral basal air space filling lesions consolidation.


Complete collapse of left lung after endluminal stenting of aortic aneurysm.


Complete collapse of left main bronchus by clotted aneurysm with significant compression of right pulmonary artery.


Show the evolution of the wave form, (2.1) 30 min before punction represent P2/P1 wiht 1.10, representing high pressure, (2.2) represent an little bit higher during the procedure, (2.3) nevertheless after 60 min the punction pression get better, showing, that the noninvasive method might help in decision-making.


Multi loculated hypoechoic collections arising from right thyroid lobe extending into the isthmus.


Largest hypoechoic collection occupying the right lobe.


(A) Multi loculated hypodense rim enhancing collection at right thyroid bed, trachea deviated to the left.


Left thyroid gland appears normal; (B) Collection extends posterosuperiorly into the prevertebral space.


Normal heart.


Tako-Tsubo sign. With apical ballooning (end-systolic view).


Resting ECG of the patient.


Original case TEE sequence in anaesthesia #4. A. Acute onset of left ventricular dysfunction/considerable hypokinesia (reduced contractility: outer circle: diastole; inner circle: systole).


Original case TEE sequence in anaesthesia #4. B. After successful therapeutic intervention: normal left ventricular function/no considerable wall motion abnormalities (normal contractility: outer circle: diastole; inner circle: systole).


Serial changes of electrocardiography (ECG). (A) Extensive ST elevation with bizarrely wide QRS complexes immediately after extracorporeal membrane oxygenation (ECMO) application.


Serial changes of electrocardiography (ECG). (B) Ventricular and atrial electrical standstill during ECMO management.


Serial changes of electrocardiography (ECG). (C) Decreased but remained extensive ST elevation with narrowing and low voltage of QRS complexes on ECG on the third hospital day.


Serial changes of electrocardiography (ECG). (D) Normalization of ST segment elevation and QRS width; an increased but remained low voltage QRS complex on pre-discharge ECG.


Histopathologic examination of endomyocardial biopsy revealed marked and diffused infiltration of lymphocytes (thick arrow) within the myocardium (thin arrow) (x40, Hematoxylin-eosin stain).


(A) Abdominal computed tomography (CT) revealed mixed reticular and ground-glass opacities in both lower-lung zones.


(B) Chest radiograph on admission showed no specific abnormality.


(C, D) High-resolution CT showed intralobular reticular and ground-glass opacities in both lower lobes, the right-middle lobe, and the left lingular segment. Band-like thickened intralobular septa were also observed.


CTPA in an axial window showing an acute pulmonary embolism of the upper lobar branch of the left pulmonary artery (yellow arrow), associated with a left pleural effusion.


the first thoracic CT scan in an axial lung window showing widespread bilateral ground glass opacities associated with crazy paving (yellow arrow), vascular dilatation (red arrow) as well as consolidation (orange arrow).


CTPA in axial.


Coronal. Windows showing pulmonary embolism of the left pulmonary artery extended to the lower lobar and segmental branches (yellow arrow).


Coronal view of the chest CT showing a large right hilar mass.


A; H&E staining of a transbronchial specimen revealing broad, sweeping densely cellular fascicles of spindle cell neoplasm infiltrating endobronchial tissue.


B; Positive IHC staining for Bcl-2.


C; Negative IHC staining for CD34.


D; Positive IHC staining for CD99.


Timeline of Events for Case 1. HCT, hematopoietic cell transplant; ICU, intensive care unit; ECMO, extracorporeal membrane oxygenation; CD, cluster of differentiation; G-CSF, granulocyte-colony stimulating factor.


Serial chest radiographs for Case 1 demonstrating the progression and subsequent improvement of diffuse bilateral interstitial and alveolar opacities. Initial decline prompting transfer to the ICU.


Serial chest radiographs for Case 1 demonstrating the progression and subsequent improvement of diffuse bilateral interstitial and alveolar opacities. Mild respiratory improvement.


Serial chest radiographs for Case 1 demonstrating the progression and subsequent improvement of diffuse bilateral interstitial and alveolar opacities. Worsening ARDS leading to transfer for ECMO evaluation.


Serial chest radiographs for Case 1 demonstrating the progression and subsequent improvement of diffuse bilateral interstitial and alveolar opacities. Pre-decannulation.


Timeline of Events for Case 2. HCT, hematopoietic cell transplant; ICU, intensive care unit; ETT, endotracheal tube; BAL, bronchoalveolar lavage; ECMO, extracorporeal membrane oxygenation; CRRT, continuous renal replacement therapy; TA-TMA, transplant-associated thrombotic microangiopathy.


Serial chest radiographs for Case 2 demonstrating the progression and subsequent improvement of diffuse bilateral interstitial and alveolar opacities. Following intubation.


Prior to transfer for ECMO evaluation.


Following ECMO cannulation.


Prior to ECMO decannulation.


Post-transfer back to referring center.


(A) Right main bronchus wall with conical cleft-like protrusion (black arrow).


(B) Anteroposterior angiography of BBF.


(C) Lateral angiography of BBF.


The pediatric endobronchial blocker system.


(A) Abnormal opening of the tracheal carina (white arrow).


(B) Endobronchial blocker enter into the trachea.


(C) Endobronchial blocker enter into the fistula.


(D) The endobronchial blocker was inflated and fixed after entering the fistula.


Video-assisted thoracoscopic surgery to cut and suture the fistula. (A) CBBF was detected.


Video-assisted thoracoscopic surgery to cut and suture the fistula. (B) Free CBBF.


Video-assisted thoracoscopic surgery to cut and suture the fistula. (C) Ligation of CBBF.


Video-assisted thoracoscopic surgery to cut and suture the fistula. (D) CBBF was cut and sutured.


Anteroposterior X-ray showing the proximal end of the shunt migrating up to the vault of the skull.


Sagittal computed tomography scan of the full spine and skull showing the shunt extending up to the cranial cavity.


Sagittal computed tomography scan of the skull showing the cranial end migrating up to the ventricle.


Axial computed tomography of the brain showing the proximal end of the shunt in the frontal horn.


Chest x-ray showing a right hemithorax opacification and left lung vicariance. Note the rightward deviation of the mediastinal structures.


A - Front view of the thoracic organs. Note a single pulmonary artery perfusing the left lung and lack of the right lung.


B - Posterior view characterized by the complete absence of the right main bronchus and lung.


A
- Non-bifurcate trunk of the pulmonary artery.


B - Note at the tip of the forceps the obliterated ductus arteriosus.


Renal arteries after injecting the glue.


Pseudotumor orbitae and lymphocytic dakryadenitis as rare extrahepatic manifestations of hepatitis C. A; Presentation of our patient with bilateral ptosis on the left side more than on the right.


Pseudotumor orbitae and lymphocytic dakryadenitis as rare extrahepatic manifestations of hepatitis C. B; MRI of the brain and orbit (T1-weighted contrast-enhanced image) demonstrating left-sided pseudotumor orbitae.


Pseudotumor orbitae and lymphocytic dakryadenitis as rare extrahepatic manifestations of hepatitis C. C; Lacrimal gland with a prominent lymphocytic infiltration. Giemsa. X200.


Pseudotumor orbitae and lymphocytic dakryadenitis as rare extrahepatic manifestations of hepatitis C. D; Abundant CD20-positive B cells. CD20. X100.


Basoon.


HRCT case I.


HRCT case II.


Chest X-ray in the immediate post operative period.


Chest X-ray after 24 hours.


Right lateral thoracic radiographs of a 4-year old Siberian Husky mix with smoke inhalation injury. Radiograph obtained on presentation.


Radiograph performed 4 days after presentation. Progressive tracheal narrowing and progressive, ventrally dependent interstitial to alveolar pulmonary pattern are present. Diffuse interstitial to bronchial pattern is present on both studies.


Necropsy findings of a 4-year-old Siberian Husky mix with smoke inhalation after being in a housefire. Severe, diffuse tracheal mucosal necrosis, and subsequent intraluminal tracheal obstruction can be observed (black arrows). Diffuse pulmonary parenchymal edema and diffuse deposition of particulate were described.


Histology of the respiratory tract of a 4-year-old Siberian Husky mix with smoke inhalation after being in a housefire. (A) Trachea with attenuated epithelium (+) with streaming necrotic material extending from the ulcerated mucosa.


Histology of the respiratory tract of a 4-year-old Siberian Husky mix with smoke inhalation after being in a housefire. (B) The lumen was obstructed by necrotic tissue admixed with fibrin and black particulate matter (interpreted as soot).


Histology of the respiratory tract of a 4-year-old Siberian Husky mix with smoke inhalation after being in a housefire. (C) Bronchi have similarly attenuated to ulcerated mucosa with necrotic and cellular debris within the lumen.


Histology of the respiratory tract of a 4-year-old Siberian Husky mix with smoke inhalation after being in a housefire. (D) Bronchiolar smooth muscle is expanded by granular, dark brown to black pigment (interpreted as carbon particles). Alveoli are variably ruptured forming coalescing airspaces (alveolar emphysema).


Pulmonary artery clot.


Right ventricle clot. Of case 2 extracted via thrombectomy.


Transvaginal ultrasound scan showing empty uterine cavity and empty cervical canal with a gestational sac in anterior myometrium of lower uterine segment.


Digital subtraction angiogram images from the patient with CSP who was treated using transcatheter uterine arterial embolization. . Notes: (A) The left uterine artery and its branch vessels were revealed before embolization.


Digital subtraction angiogram images from the patient with CSP who was treated using transcatheter uterine arterial embolization. (B) The left uterine artery and its branch vessels were not revealed after embolization.


Digital subtraction angiogram images from the patient with CSP who was treated using transcatheter uterine arterial embolization. (C) The right uterine artery and its branch vessels were revealed before embolization.


Digital subtraction angiogram images from the patient with CSP who was treated using transcatheter uterine arterial embolization. (D) The right uterine artery and its branch vessels were not revealed after embolization. . Abbreviation: CSP, cesarean scar pregnancy.


Computed tomography pulmonary angiogram scan showed extensive filling defects in pulmonary artery. . Notes:. Defects in the pulmonary trunk artery.


Computed tomography pulmonary angiogram scan showed extensive filling defects in pulmonary artery. Defects in the left, and ,right trunk of pulmonary arteries.


Computed tomography pulmonary angiogram scan showed extensive filling defects in pulmonary artery. Defects in pulmonary trunk and branch embolization (coronary position). The arrows show the thrombus in pulmonary artery.


Fundus photographs at the initial visit showing severe papilledema in both eyes of an 11-year-old patient with idiopathic intracranial hypertension. A; Right eye.


Fundus photographs at the initial visit showing severe papilledema in both eyes of an 11-year-old patient with idiopathic intracranial hypertension. B; Left eye.


Head X-ray and MRIs of the young boy described in fig. 1. A; Head X-ray showing dehiscence of the coronary suture.


Head X-ray and MRIs of the young boy described in fig. B; Head MRI shows flattening of the posterior sclera and tortuous optic nerve in both eyes.


Chest x rays from admission showing bilateral interstitial infiltrates (1A) and from 2 weeks showing complete resolution (1B).


PAS (+) cuticular membrane pieces were prominent on the histopathological studies with wide necrotic areas and inflammation which were concordant with alveolar echinococcosis. (PAS (+)x100).


Primary lung tumor and interstitial pneumonia prior to and following treatment. (A) Prior to chemotherapy, multiple nodules were scattered in the double-lung field.


Primary lung tumor and interstitial pneumonia prior to and following treatment. Following four cycles of chemotherapy, the therapeutic effect was progressive disease.


Primary lung tumor and interstitial pneumonia prior to and following treatment. 30 days subsequent to the last administration of gefitinib, the therapeutic effect was partial response.


Primary lung tumor and interstitial pneumonia prior to and following treatment. 60 days subsequent to the last administration of gefitinib, interstitial pneumonia occurred.


Primary lung tumor and interstitial pneumonia prior to and following treatment. (E) Following seven days of treatment, interstitial pneumonia was significantly relieved.


Primary lung tumor and interstitial pneumonia prior to and following treatment. Results following 30 days of treatment.


Primary lung tumor and interstitial pneumonia prior to and following treatment. Results following one year of gefitinib treatment.


Primary lung tumor and interstitial pneumonia prior to and following treatment. Lung pathology following interstitial pneumonia, occurring 60 days subsequent to the last administration of gefitinib [hematoxylin, and ,eosin staining, magnification,. X200.


Primary lung tumor and interstitial pneumonia prior to and following treatment. Lung pathology following interstitial pneumonia, occurring 60 days subsequent to the last administration of gefitinib [hematoxylin, and ,eosin staining, magnification,. X400.


Chest images and pathological findings of mucus plug from the patient. (A) X-ray image shows infiltration shadows (arrow) that moved in each period.


Chest images and pathological findings of mucus plug from the patient. (B) Computed tomography image shows proximal bronchiectasis (arrow) and mucus plug (arrowhead).


Chest images and pathological findings of mucus plug from the patient. (C) Hematoxylin-eosin staining shows Charcot-Leyden crystals (arrows) with clusters of eosinophils.


Chest images and pathological findings of mucus plug from the patient. (D). Periodic acid-Schiff's stain shows hyphae (arrowheads) indicating fungal infection.


Aspergillus fumigatus and Schizophyllum commune isolated from mucus plug. (A) Morphologically characterized A. Fumigatus. Slide.


Aspergillus fumigatus and Schizophyllum commune isolated from mucus plug. (B) Cultured S. Commune isolate shows hyaline, septate hyphae with clamp connections and spicules (400x). Slide.


Aspergillus fumigatus and Schizophyllum commune isolated from mucus plug. (C) Granular to cottony, green-gray Aspergillus fumigatus colonies with apron at margin. SGA. Cultures.


Aspergillus fumigatus and Schizophyllum commune isolated from mucus plug. (D) White, wooly colonies of S. Commune isolated from sputum and inoculated onto SGA supplemented with benomyl after 4 days of incubation at 28. C. SGA. Cultures.


adrenal CT scan, tumor mass at the right adrenal, measuring 46 x 36mm, the left adrenal was not hyperplastic.


aseptic necrosis of the hip on radiographs.


(a) X-ray chest showing patchy opacity on the left midzone and right paracardiac region (pneumonitis) along with left hilar and right basal infection (alveolar proteinosis).


(b and c) contrast-enhanced computed tomography chest showing bilateral ground-glass haze in lung parenchyma with interlobular septal thickening along with characteristic crazy pavement was noted on contrast-enhanced computed tomography chest suggesting a possibility of alveolar proteinosis.


Bedside X-ray chest showing bilateral fluffy opacities suggestive of pulmonary edema.


Post EVD non contrast CT brain showing left-sided cerebellar infarct with a mass effect pushing the brainstem to the right, chinking of fourth ventricle and hydrocephalus. Also seen is air within the ventricle following the EVD.


CT-scan showing a bilateral heterogeneous mass of about 6 cm in diameter in both adrenal glands.


CT-scan at the end of chemotherapy treatment showing complete response.


Thoracic computed tomography (CT) scan showing focal and bilateral parenchymatous infiltrates (ground grass).


Contrast-enhanced abdominal CT images. (A-C) Images at diagnosis showed 40x38 mm sized right iliac artery aneurysm and iliocaval fistula (black arrow) with thrombus (white arrows). Transverse veiw.


Contrast-enhanced abdominal CT images. (A-C) Images at diagnosis showed 40x38 mm sized right iliac artery aneurysm and iliocaval fistula (black arrow) with thrombus (white arrows). Coronal view.


Contrast-enhanced abdominal CT images. (A-C) Images at diagnosis showed 40x38 mm sized right iliac artery aneurysm and iliocaval fistula (black arrow) with thrombus (white arrows). Sagittal view.


Contrast-enhanced abdominal CT images. (D-F) Follow-up images at 6 months after endovascular stent-graft repair demonstrated patency of the graft, without evidence of graft migration or aortocaval communication. Transverse veiw.


Contrast-enhanced abdominal CT images. (D-F) Follow-up images at 6 months after endovascular stent-graft repair demonstrated patency of the graft, without evidence of graft migration or aortocaval communication. Coronal maximal intensity projection view.


Contrast-enhanced abdominal CT images. (D-F) Follow-up images at 6 months after endovascular stent-graft repair demonstrated patency of the graft, without evidence of graft migration or aortocaval communication. Sagittal maximal intensity projection view.


Contrast-enhanced chest CT images. (A, B) Images at diagnosis showed pulmonary thromboembolism (arrows) that involved right lower lobe base segmental pulmonary artery. Arterial phase.


Contrast-enhanced chest CT images. (A, B) Images at diagnosis showed pulmonary thromboembolism (arrows) that involved right lower lobe base segmental pulmonary artery. Venous phase.


Contrast-enhanced chest CT images. (C, D) Follow-up chest CT scans at 6 months after coumadization showed much regressed pulmonary embolism. Arterial phase.


Contrast-enhanced chest CT images. (C, D) Follow-up chest CT scans at 6 months after coumadization showed much regressed pulmonary embolism. Venous phase.


Angiography findings. (A) Embolization of right common iliac artery was performed with PLUG 10 mm (dotted arrow).


Angiography findings. (B) Pelvic arteriogram showed aneurysmal dilatation of right common iliac artery, iliocaval shunt and some filling defects near the aneurysm (white arrow indicate thrombus).


Angiography findings. (C) Angiography after deployment of the stents showed well implanted graft stents and no visible of IVC.


Presenting chest radiograph showing cardiomediastinal silhouette enlargement with mild congestion and pleural opacity on the right chest wall. Annular calcific pericardial ring later seen on echocardiogram, coronary angiography, and computed tomography scan is not well visualized.


Presenting echocardiogram showing pericardial calcification. (a) Apical four chamber and parasternal short axis.


Presenting echocardiogram showing pericardial calcification. (b) Views showing pericardial thickening (shown by arrows).


Reconstructed computed tomography scan image showing the calcific ring.


The distal first diagonal artery stent (arrow) crossing underneath the calcific band.


Autopsy gross specimens of lungs and heart. (a) Lung gross specimen showing pulmonary thromboemboli with massive right pulmonary hemorrhagic infarct and pleural hemorrhage which was thought to be the cause of death.


Autopsy gross specimens of lungs and heart. (b) Dissected specimen of left anterior groove with patent and intact recently placed first diagonal artery stent (arrow).


Autopsy gross specimens of lungs and heart. (c) Gross specimen of heart with hypertrophied left ventricle and fibrocalcific constrictive annular band in atrioventricular groove (arrow) with dense fibrosis and calcification.


CECT scan of chest showing bilateral diffuse ground glass opacities.


Quantification of T lymphocytes (CD4+/CD8+ and B lymphocytes (CD19+/CD20+) populations by flow cytometry in peripheral blood. Analysis of dot plot size and complexity (Forward and Side scattered) of total leukocytes.


Quantification of T lymphocytes (CD4+/CD8+ and B lymphocytes (CD19+/CD20+) populations by flow cytometry in peripheral blood. , quantification of CD4+ T lymphocytes and CD8+ T lymphocytes.


Quantification of T lymphocytes (CD4+/CD8+ and B lymphocytes (CD19+/CD20+) populations by flow cytometry in peripheral blood.total B lymphocytes quantification Note the reversal of the CD4/CD8 ratio, 1:3 (instead of 2:1) and the percentage increase of 30% (6-19%) in B Lymphocytes.


Electrocardiogram showing ST segment elevation in lead V3, V4 and V5 with Q waves in II, III and AVF.


Left heart cath. showing patent left coronaries.


Left heart cath. showing occlusion of RCA with collaterals from left.


Left ventriculography shows wall motion abnormalities with mid to apical akinesis and basal hyperkinesis.


Two-dimensional echocardiogram shows mid-to-apical ballooning of the right and left ventricle.


Two-dimensional echocardiography with definity showing LV thrombus.


Chest radiograph showing milliary mottling.


Computed tomography-scan showing pulmonary interstitial emphysema.


Chest radiograph showing hyperinflated lung with bronchovascular markings in the right hemithorax.


CT scan of the same patient with fine delineation of the radiographic findings.


The only attachment of emphysematous tissue with others was blood vessels.


All three lobes are present inside the chest cavity after excision of the emphysematous lung tissue.


The excised emphysematous intralobar sequestration.


Chest X-ray showing regular masses scattered throughout both lung fields in a 16 years old Tunisian with cardiac hydatid cyst.


Angioscan of the chest showing multiple segmental defects with intra right atrial mass in a 16 years old Tunisian with cardiac hydatid cyst.


Angioscan of the chest showing multiple pulmonary hydatid ocalizations in a 16 years old Tunisian with cardiac hydatid cyst.


Two-dimensional echocardiography, in the apical four chamber view showing a large interatial septum cystic mass in a 16 years old Tunisian with cardiac hydatid cyst.


Right atriotomy showing the cyst exposed through the incision. mass in a 16 years old Tunisian with cardiac hydatid cyst.


Multi vesicular atrial cystic (2 cm in dameter) mass in a 16 years old Tunisian with cardiac hydatid cyst (surgical view).


High-resolution CT thorax of the patient prior to initiation of CDK 4/6 inhibitor (Palbociclib).


High-resolution CT thorax of the patient, taken at timepoint of clinical deterioration, three months after initiation of CDK 4/6 inhibitor (Palbociclib) therapy.


Coronal Computed tomography angiography thorax demonstrates absence of the left lung and pulmonary vessels. The LMB shows abrupt termination after the carina (thick black arrow). The mediastinum is completely displaced to the left side. There is associated fusion of the C2-C3 vertebrae (thin white arrow).


Blood pressure and diuresis during the first three days of life. This figure displays changes in blood pressure (systolic, diastolic and mean arterial pressure) as well as rate of diuresis in relation to the medication applied. See the immediate onset of diuresis after the initiation of vasopressin therapy.


Chest X-ray depicting free abdominal air due to gastric perforation.


Marked reticular shadows, and patchy areas of ground glass appearance more prominent in the lower lobes of both lungs are observed.


Prescription history in this case. X + 0 indicates the time of surgery with permanent tracheostomy. X + 17, 19, and 21 indicate the days from surgery to the start of respiratory distress, the consultation at the respiratory department of internal medicine, and discharge from the hospital, respectively.


A, b Control chest CT scans performed 30 days after admission show response to voriconazole.


67-year-old asymptomatic woman with hepatic metastatic renal cell carcinoma who presented with organizing pneumonia after radioembolization treatment. (a) Pre-procedure contrast-enhanced MRI demonstrated conglomerate renal metastases in segments 7 and 8 adjacent to the diaphragm.