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pmc-6158927-1
A 67-year-old male underwent total laryngectomy and secondary tracheoesophageal prosthesis placement 15 years prior. He was proficient at the use and care of his TEP. He lost his TEP and presented to his speech language pathologist for replacement. He did not recall how or when the TEP was dislodged; thus, it was uncle...
pmc-6158927-2
A 72-year-old female 20 years following laryngectomy, free flap reconstruction, and radiation had been using a TEP successfully. While cleaning her prosthesis, it dislodged and was aspirated. She initially presented to an outside hospital acutely short of breath, requiring supplemental oxygen to maintain saturations >9...
pmc-6158927-3
A 56-year-old male, 8 years postlaryngectomy with free flap reconstruction, proficient at changing his own prosthesis, presented to our clinic with 2 days of worsening dyspnea. The patient had not noticed aspirating his prosthesis after changing it. He underwent flexible bronchoscopy under topical anesthesia while sitt...
pmc-6158928-1
A 24-year-old female presented to the Emergency Department of a tertiary hospital in Brisbane with a 48-hour history of diarrhoea and vomiting. Her medical history included primary carnitine deficiency, a rare inherited metabolic disorder that causes cardiomyopathy, which was diagnosed as asymptomatic during her infanc...
pmc-6158940-1
A 24-year-old male with a past medical history of HIV not on antiretroviral treatment presented to the emergency department of a large community hospital with complaints of bilateral lower extremity swelling of two weeks duration and worsening abdominal discomfort. He reported a 6-month history of mild to moderate cons...
pmc-6158946-1
An 80-year-old man with a past medical history of diabetes mellitus presented to his primary care physician after several weeks of left-sided congestion and epistaxis that he had attributed to seasonal allergies. He denied significant weight loss, headaches, visual changes or weakness. A computed tomography (CT) scan o...
pmc-6158946-2
A 25-year-old Asian female with a past medical history of myotonic muscular dystrophy presented to an otolaryngologist with complaints of otalgia. She reported intermittent right ear pain of mild severity, as well as sneezing, itchy nose, and watery eyes for one month. Nasal endoscopy revealed a lobulated, fleshy mass ...
pmc-6158949-1
A 30-year-old Caucasian woman, without significant past medical history, presented to our hospital with “flu-like symptoms.” She admitted to four days of fatigue, myalgias, nausea, nonbilious emesis, and nonbloody diarrhea. She complained of abdominal pain, anorexia, and dark urine. She took no medications and family h...
pmc-6158966-1
A 37-year-old (G4P3) woman was referred to the University of the Ryukyus Hospital at 32 weeks of gestation for the evaluation of a fetus with an intrathoracic cystic lesion. An US examination revealed a 39 × 30 × 44-mm sized monocystic lesion in the mediastinum, in which the aortic arch was displaced upward (). Magneti...
pmc-6158977-1
An 83-year-old woman, with a height of 1 meter and 65 cm and a weight of 85 kg (BMI = 31.22), was transferred to our department because of a reverse pertrochanteric-subtrochanteric fracture AO 31-A3 (). The patient had a cardiovascular disease of moderate severity, though her social life was very active, and the Harris...
pmc-6159110-1
The patient was a 75-year-old woman without a chief complaint. Abdominal ultrasound for cancer screening revealed a retroperitoneal hypoechoic mass measuring 26 × 22 × 18 mm in the perirenal space, at the level of the left renal upper pole. Subsequently, she was referred to our hospital for examination.
pmc-6159113-1
A 57-year-old female was referred to Oncology for consideration of adjuvant treatment following right breast wide local excision with sentinel lymph node biopsy in August 2011 for Grade 2, lymph node-negative, ER-positive and HER2-negative invasive ductal carcinoma. She stated that she had been treated for a skin condi...
pmc-6159113-2
A 50-year-old female was referred to oncology for consideration of adjuvant treatment following a left-sided mastectomy and axillary clearance in 2012. She was diagnosed with a Grade 2, lymph node-positive, ER-positive, HER2-negative invasive lobular carcinoma. Her CA-15.3 and bone profile were within normal limits. Th...
pmc-6159114-1
A 55-year-old male was admitted to our hospital with clinical evidence of encephalopathy. Physical examination revealed mild jaundice. The patient’s medical history included hypertension, diabetes mellitus, knee arthrosis and resection of a basal cell carcinoma in the nose. The patient was also considered to have hepat...
pmc-6159119-1
A 34-year-old male was referred to our hospital where he presented a 6-month history of unilateral nasal obstruction and frontal headache. Endoscopic examination showed a polypoid mass in the right nasal cavity and permitted biopsy of the lesion. Histological findings documented an olfactory neuroblastoma of Grade II a...
pmc-6159120-1
A 62-year-old female patient was admitted in April 2016 in another hospital complaining of severe persistent deep throbbing headache in the right retro-orbital region, not responsive to common non-steroidalanti-inflammatory drugs. Neurological examination did not show any signs of focal deficit. Ophthalmic examination ...
pmc-6159121-1
A 16-year-old male presented to the emergency department with acute onset left flank pain and frank haematuria. This patient had a longstanding history of relapsing nephrotic syndrome secondary to minimal change disease, with his most recent relapse occurring 2 weeks prior to this presentation after an attempt to wean ...
pmc-6159124-1
A 40-year-old male patient presented to us with a 3-month history of having noticed a painless lump over his forehead. He reportedly ignored the lump, initially assuming it to be a pimple, but became concerned when it continued to grow gradually. He stated that it turned painful, and that was when he came in seeking me...
pmc-6159126-1
An 18-year-old female was referred to our institution complaining of pain in the left mid-forearm. Previous medical history included a fracture of both radius and ulna 12 years previously, which had been successfully treated with reduction and by intramedullary pinning (). Several months before the current referral, th...
pmc-6159131-1
A 68-year-old female presented 4 days following the onset of nausea, headache and neck pain. Her symptoms were increasing in severity and associated with left-sided inco-ordination and subtle facial weakness. A CT scan was performed and demonstrated a 3-cm left extra-axial posterior fossa lesion abutting the tentorium ...
pmc-6159131-2
A 34-year-old female was transferred from a peripheral hospital 10 days after an elective lower uterine section caesarean section for a breech presentation for which she had an epidural anaesthetic. She presented to her general practitioner with a 2-day history of increasing right leg weakness. She was referred to her ...
pmc-6159137-1
A 46-year-old female presented to her general practitioner with a painless left supraclavicular mass (). No further history was provided at the time. Initial imaging was performed with both ultrasound () and CT. The CT was performed as a non-contrast scan, as per the patient’s request. The lack of intravenous contrast ...
pmc-6159139-1
A 29-year-old male presented with progressively worsening symptoms, including altered mental status, lower extremity weakness, nausea and vomiting for 6 months, with symptomatology extending back more than 6 years prior to this decline. He also reported headaches, dizziness, multiple falls, and right facial numbness an...
pmc-6159140-1
A 65-year-old female with long-standing history of hypertension and Type II diabetes mellitus presented to the emergency department complaining of sudden onset of chest pain and dyspnea. Initial evaluation in the emergency department revealed a BP of 210/120 mmHg, sinus tachycardia at 120 beats min–1, and tachypnea. On...
pmc-6159141-1
A 73-year-old female presented to the emergency department with 1-week history of dry cough, intermittent light-headedness precipitated by cough, occasional mild chest pain and reduced exercise tolerance. She completed a course of antibiotics 2 weeks ago for respiratory tract infection with partial resolution of sympto...
pmc-6159141-2
A 72-year-old male presented to emergency department with tender mass on lower back and posterior aspect of neck. Apparently, he had noticed it on his lower back 6 months ago and had grown in size with another similar swelling appearing on his neck, also they were increasingly painful and sore to touch. He had a histor...
pmc-6159142-1
A 55-year-old female patient with a history of systemic lupus erythematosus was admitted to the haematology external consultation service as a result of a clinical picture of fatigue and constitutional syndrome of 5 months’ duration. She presented with an extrainstitutional CT that demonstrated multiple focal, hypovasc...
pmc-6159146-1
A 54-year-old male presented with progressively worsening neck pain and numbness of the left upper extremity and the left face for 2 weeks. He had no history of recent head or neck injuries. He was followed closely without further treatment because of his fluctuating subjective symptoms. However, the symptoms gradually...
pmc-6159148-1
A 59-year-old female patient presented with abdominal pain and bloating sensation after every meal. At times, pain was severe and was localized to the right hypochondrium. The patient had undergone laparoscopic cholecystectomy for similar complaints 6 months back. On clinical examination, there was positive Murphy’s si...
pmc-6159149-1
An 85-year-old right-handed male presented with sudden onset right hemiparesis. His medical history was significant for hypertension, dyslipidaemia and prostate cancer. He never smoked cigarettes and had no known diabetes mellitus or atrial fibrillation. Pre-admission cardiovascular medications included aspirin 75 mg a...
pmc-6159149-2
A 38-year-old Middle Eastern male presented to the emergency department with sudden onset dense right hemiparesis, right facial droop and aphasia. His background history included a previous ischaemic stroke 15 months ago treated in a different institution. At that time, he presented with a headache and dysphasia and a ...
pmc-6159151-1
A 63-year-old male presented first with right groin pain and back pain over a period of more than 2 years and received analgesics, which did not help much. A year later, he started to feel pain and swelling in the right gluteal region. Conventional radiography of the lumbar spine showed mild left convex scoliosis and a...
pmc-6159152-1
A 51-year-old female presented to the emergency department with sudden onset of epigastric pain and vomiting. There was no known history of visceral or other arterial aneurysm, pancreatitis or connective tissue disease and the patient was otherwise fit and well. On examination, she was hypotensive (85/60 mmHg), with re...
pmc-6159152-2
A 57-year-old female presented with abdominal pain radiating to the back, with presyncopal symptoms. There was no known relevant history. Urgent triple phase CT demonstrated a right gastric artery aneurysm, located near the region of its anatomical anastomosis with the left gastric artery. No definite active haemorrhag...
pmc-6159154-1
The patient was a 47-year-old, gravida 2, para 2 female. She presented with lower right abdominal pain. MRI revealed a complex solid and cystic lesion measuring 9 cm in the right ovary (, upper left;). Some of the cystic locules showed high signal intensity on T1 weighted image (WI), indicating haemorrhage. A large enh...
pmc-6159154-2
The patient was a 65-year-old, gravida 2, para 2 post- menopausal female. She presented with vaginal bleeding. She was pointed out a pelvic mass on clinical examination and ultrasound. MRI showed a multiloculated mass measuring 15 cm of mixed high and low signal intensities on T1WI. Within a cyst, irregular shaped papi...
pmc-6159154-3
The patient was a 54-year-old, gravida 2, para 2 post-menopausal female. She presented with lower abdominal discomfort and a right ovarian mass was pointed out by pelvic examination. Endometrial cytology detected adenocarcinoma cells. MRI and CT revealed a complex solid and cystic lesion of 8.4 cm diameter within the r...
pmc-6159154-4
The patient was a 41-year-old, gravida 0 female. She was diagnosed with a left ovarian endometriotic cyst and uterine myomas when she was 34-years-old. At the age of 36, she was diagnosed with breast cancer and underwent left mastectomy and axillary lymphadenectomy, chemotherapy, and radiotherapy. She then commenced go...
pmc-6159159-1
A 56-year-old female was recalled for assessment following an incident round screening mammography that demonstrated a new density in the left breast. She was asymptomatic, fit and well, with no significant medical or family history. Bilateral breast examination was normal.
pmc-6159161-1
A 4-month-old female infant presented to our ear, nose and throat department with nasal stenting for CNPAS, which was performed elsewhere, with the stents in place. On clinical examination, the stents were seen in the bilateral nares, with partial absence of the nasal septum. Previous CT images were obtained from the p...
pmc-6159162-1
A previously well 52-year-old male presented to the hospital with a 5-day history of abdominal tenderness, which was maximal in the left iliac fossa.
pmc-6159163-1
A 24-year-old black female presented with widespread skin changes on the upper and lower extremities, torso and genitalia. 2 years after the initial presentation, owing to worsening of her skin, she underwent partial vulvectomy. Lesional skin histopathology revealed the diagnosis of granulomatous slack skin cutaneous T...
pmc-6159165-1
A 33-year-old Sudanese woman, gravida 8, para 7 with 2 months of amenorrhea, was admitted to hospital following complaints of minimal vaginal bleeding, lower abdominal pain, nausea and vomiting on the day of admission. She had undergone a caesarean section 3 years prior. The patient’s physical examination revealed abdo...
pmc-6159166-1
A 2-month-old male infant was referred to our intensive care unit (ICU) from a peripheral facility where he had presented with one day of progressively worsening difficulty in breathing and feeding associated with multiple convulsions of generalized tonic clonic nature. On examination, he was dyspneic, afebrile and tac...
pmc-6159167-1
A 55-year-old female with no significant past medical history initially presented in 2006 with vague abdominal pain. Her past social history was negative for alcoholism or smoking. Work up of the patient including physical examination and laboratory indices were all normal. A multi-detector CT of the abdomen and pelvis...
pmc-6159168-1
A 64-year-old female patient with background of a right iliac fossa renal transplant presented to the renal outpatient clinic complaining of unilateral swelling of the left lower limb for several weeks. The clinical history did not reveal any risk factors for deep vein thrombosis. On clinical examination the patient ha...
pmc-6159173-1
A 58-year-old male with Type 2 diabetes mellitus and peripheral neuropathy, presented with left foot swelling and minimal pain. There was no history of trauma. Radiograph () demonstrates multiple healing stress fractures involving the diaphysis of the second, third, fourth and fifth metatarsals.
pmc-6159173-2
A 46 year-old female with a history of poorly controlled Type 1 diabetes mellitus and diabetic peripheral neuropathy presented with painless foot swelling. Radiograph performed 6 months prior to presentation () shows an ununited fracture of the proximal shaft of the fifth metatarsal. No specific treatment for the ununi...
pmc-6159173-3
A 53-year-old male with Type 1 diabetes, peripheral neuropathy and previous partial amputation of the proximal phalanx of the left great toe presented with a non-healing, minimally painful ulcer at the stump of the left first toe. Radiograph of the left foot () demonstrates established avascular necrosis involving the ...
pmc-6159173-4
A 65-year-old male with Type 2 diabetes mellitus and peripheral neuropathy presented with a painless ulcer in the third toe. Radiograph performed on presentation () shows an ununited fracture of the head of the proximal phalanx of the fourth toe, consistent with previous trauma in an insensate foot. “Pencil point” defo...
pmc-6159173-5
A 52-year-old male patient with a history of diabetes mellitus and peripheral neuropathy presented with fifth toe swelling. MRI () and CT () demonstrate remodelling of the distal phalanx of the fifth toe. The MR appearances are suggestive of chronic microtrauma in the context of diabetic neuropathy with remodelling of ...
pmc-6159173-6
A 62-year-old male with a history of Type 2 diabetes was admitted with a chronic non-healing left calcaneal ulcer. Radiograph of the left calcaneus () was unremarkable. MRI () reveals a non-displaced insufficiency fracture of the calcaneus with no evidence of osteomyelitis.
pmc-6159173-7
A 73-year-old male with a history of Type 2 diabetes mellitus presented with a heel ulcer. Radiograph of the left foot () reveals a wedge-shaped avulsion fracture at the posterior calcaneus.
pmc-6159175-1
A 20-year-old asymptomatic female, G1P0, with a history of curettage, is presented to the Department of Gynecology and Obstetrics for termination of pregnancy. Her last menstrual period was 17 weeks and 2 days ago. Abdominal ultrasound revealed a clear gestational sac (GS), fetus with heartbeat and placenta previa. Abd...
pmc-6159178-1
An 80-year-old male was being investigated at a tertiary hospital for iron deficiency anaemia. His medical history, symptomology and physical examination did not indicate a cause. After gastroscopy and colonoscopy were also unremarkable he was referred for capsule endoscopy. The delivery of the capsule in the morning w...
pmc-6159179-1
A 72-year-old Caucasian female patient was referred to the respiratory clinic with a 6-month history of exertional breathlessness. She gave a history of yearly chest infections, particularly in winter months. She, however, had no history of childhood respiratory problems or any significant respiratory symptoms during h...
pmc-6159180-1
An independent, healthy 48-year-old female presented to her general practitioner with a 3-week history of slurred speech, unsteadiness and fatigue. She took occasional iron supplements, but no regular medications. Her past medical history included iron deficiency anaemia and a melanoma, which had been excised 13 years ...
pmc-6159181-1
A 63-year-old female patient was referred to the IR clinic with medically refractory ascites due to Child-Pugh Class B alcoholic-liver disease cirrhosis. The patients’ pre-procedure parameters were as shown in . The patient did not wish to be considered for OLT or TIPSS, and decision was made to insert an alfapump syst...
pmc-6159181-2
A female patient aged 54 years, with Child-Pugh Class B cirrhosis secondary to excess alcohol intake, was referred to IR clinic with medically refractory ascites. Pre-procedure parameters were as documented in . The patient had previous encephalopathy, hence was not a candidate for TIPSS. Following much discussion, she...
pmc-6159181-3
A 54-year-old female patient, with Child-Pugh C cirrhosis secondary to alcoholic liver disease, was referred to IR clinic for medically refractory ascites. Pre-procedure parameters were as outlined in . The patient tolerated the procedure well, with no complaints of discomfort. The patient had two episodes of celluliti...
pmc-6159182-1
An 88-year-old female presented to the emergency department with abdominal pain and vomiting. She was mildly tender in her right upper quadrant but was focally more tender in her right lower quadrant. Her blood results showed an elevated white cell count of 12.9 × 109 l–1 and a neutrophil count of 10.4 × 109 l–1. Furth...
pmc-6159184-1
We report the case of a 41-year-old male patient who suffered from a mediastinal neuroblastoma in his childhood (in 1977), having been treated by surgery, chemotherapy and radiotherapy. At first, he was admitted to his referral hospital, presenting an episode of progressive dyspnea and angina pectoris (NYHA class III)....
pmc-6159186-1
A 22-year-old primigravida at 30 weeks of gestation presented with a painful right inguinal swelling. Pregnancy had been uneventful. Symptoms started at 24 weeks when she noticed a swelling in the right groin which became prominent on standing and disappeared on lying down. On routine obstetric visit, her obstetrician ...
pmc-6159189-1
A 75-year-old female presented insidiously with right upper quadrant abdominal tightness and band-like pain. This was associated with a right flank swelling. She had been suffering with progressively worsening abdominal discomfort for many years. There was a 2.5 kg history of weight loss, but no other associated sympto...
pmc-6159190-1
A 35-year-old male patient, with persistent AF refractory to the pharmacologic treatment underwent RFA in our hospital. As a routine practice in our centre, the patient was assessed pre-procedurally by transesophageal echocardiography (TEE) on the day of procedure to delineate anatomy of pulmonary veins and left atrium...
pmc-6159191-1
We present a 20-year-old female with athletic constitution in good health condition. She suffered trauma caused by an accident during skiing, where she jumped over a small hill border and landed in a small pit on the slope. The traumatic mechanism of the accident was a ventral-lateral (right side) collision with the so...
pmc-6159193-1
A 17-year-old female presented to the physician with a 4 weeks history of fever, predominantly with evening rise of temperature. The temperature fluctuated between 37.7 and 38.8°C. She had no history of cough, haemoptysis or significant loss of weight. Neither a previous history of TB nor a recent exposure to TB was ev...
pmc-6159194-1
A 63-year-old male presented with abdominal pain and was diagnosed with a 7.5 × 7.3 × 7.0 cm (AP × ML × CC) splenic mass on CT. It was predominantly hypo-attenuating with peripheral serpiginous enhancement. The lesion was very well defined and the imaging characteristics were interpreted as being consistent with a beni...
pmc-6159196-1
A 65-year-old female non-smoker of Indian origin living in the UK for 42 years was referred to rheumatology outpatients with a 5-year history of mild arthralgia affecting the shoulders, hands and elbows. A 6-month history of productive cough without haemoptysis and concurrent weight loss was also reported. No fever, ni...
pmc-6159197-1
A 20-year-old female with history of primary amenorrhoea referred to our radiology department for further evaluation. On physical examination, all the secondary sexual features were well made out. In view of primary amenorrhoea, an abdominal sonography was performed which showed upper abdominal organs in normal anatomi...
pmc-6159200-1
A 62-year-old lady with past medical history of lupus anticoagulant on warfarin, and grade II obesity (body mass index of 38.5) status post laparoscopic gastric banding in 2003, presented with a 3-day history of bright red blood with clots per rectum. She presented with left-lower quadrant abdominal pain, nausea, emesi...
pmc-6159202-1
A 79-year-old male, with positive history of ischaemic heart disease and dyslipidemia, was referred to our centre for further management of an incidental finding of an abdominal aortic aneurysm (AAA). Initial CT angiography of the aorta revealed an infrarenal AAA measuring 6.3 cm × 7.0 cm × 20.0 cm, which extended to t...
pmc-6159202-2
A 54-year-old male who was a chronic smoker and had long-standing heart failure was referred to our centre for investigation of abdominal pain with elevated liver enzymes. He reported with fever with recorded temperature of 38°C, with nausea, vomiting and diarrhoea. There were no chills and rigors. Full blood count sho...
pmc-6159203-1
In August 2008, a 43-year-old female underwent a partial mastectomy with axillary lymph node dissection for right-sided breast cancer. Pathological diagnosis confirmed an infiltrating canalicular carcinoma (1.0 × 1.2 cm in diameter) as the primary tumour. Lymph node metastasis was observed in 6/34 harvested nodes. The ...
pmc-6159205-1
A 27 year-old female came to the hospital for routine second trimester antenatal ultrasound. Clinical history did not reveal any predisposition to increased risk for genetic or familial disorder. Initial first trimester ultrasound scan was done at 6 weeks which did not show any significant abnormality. Then she reporte...
pmc-6159206-1
A 55-year-old female presented to gastroenterology outpatients clinic with a 2-month history of dysphagia for solids. Her medical history included learning difficulties, but she was otherwise fit and well. At upper gastrointestinal endoscopy there was an impassable stenosis 30 cm from the incisors. Biopsies were obtain...
pmc-6159208-1
A 66-year-old Chinese lady presented with a retracted nipple and generalised thickening over the lateral aspect of her right breast. She had a medical history of metastatic adenocarcinoma of the lung which was initially diagnosed approximately one and a half years prior to the development of her breast symptoms. On cli...
pmc-6159208-2
A 59-year-old Chinese lady initially presented to her family physician for a routine check-up. Routine blood screening showed raised levels of tumour markers with abnormally raised levels CEA, CA125, CA153 and CA19.9. She had a previous total hysterectomy and bilateral salpingo-oophorectomy 15 years ago, for adenomyosi...
pmc-6159208-3
A 40-year-old Chinese lady presented to our institution with a left breast mass. Mammography and ultrasonography of the left breast. Imaging revealed a lobulated mass in the upper quadrant at 12 o’clock position with associated ipsilateral axillary lymphadenopathy. Several large cysts were also noted in both breasts ()...
pmc-6159210-1
A 15-year-old female presented to the emergency department of a level 1 trauma centre after being involved in a high-speed motor vehicle accident. After the initial survey was performed in the emergency department, the patient was found to be haemodynamically stable. She underwent a routine whole body scan as part of o...
pmc-6159232-1
A 79-year-old male presented with locally advanced transitional cell carcinoma (TCC) of the bladder. This was staged as T2 N1 M0 radiologically. Transurethral resection of the bladder tumour was performed and he was then treated with three cycles of gemcitabine and cisplatin chemotherapy. Post chemotherapy cystoscopy r...
pmc-6159232-2
A 77-year-old male presented with a background of metastatic prostate cancer. At the time of diagnosis with a TCC of the bladder his prostate cancer was well controlled with androgen deprivation therapy. He presented with haematuria, and cystoscopy identified muscle invasive disease. A single involved obturator node wa...
pmc-6159232-3
A 74-year-old male with T3 bladder TCC with left internal iliac and obturator lymph node positivity presented with hydronephrosis. This was treated with the insertion of a nephrostomy before neoadjuvant gemcitabine and cisplatin chemotherapy was started. Following three cycles of chemotherapy a CT scan showed excellent...
pmc-6159232-4
A 67-year-old female presented with a high-grade transitional cell carcinoma after presenting with cystitis. Initial staging was T2 N0 and the patient underwent three cycles of neoadjuvant gemcitabine and cisplatin chemotherapy before a restaging scan showed two enlarged iliac lymph nodes despite an otherwise good resp...
pmc-6159232-5
A 70-year-old male of previous excellent health presented with haematuria and was found to have T2 N1 TCC of the bladder. He underwent four cycles of neoadjuvant chemotherapy with gemcitabine and cisplatin without complication and was shown to have had a good response. He was felt to be inoperable owing to the node-pos...
pmc-6159233-1
A 74-year-old female was referred to the respiratory clinic with incidental finding of a pulmonary nodule on chest X-ray. She did not have any other respiratory symptoms. She was a non-smoker throughout her life and had no exposure to asbestos or tuberculosis. Her past medical history was significant only for chronic l...
pmc-6159235-1
A 46-year-old male was referred to the Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Denmark, with a 3-week history of infection after tooth extraction in the left side of the mandible. He was diagnosed with gout in 2004, and was on regular medication with allopurinol, prednisolone and alend...
pmc-6159236-1
An 83-year-old male with chronic hepatitis was noted to have a hepatic mass with early enhancement in the right lobe of the liver. A PV shunt was also noted close to the tumour on dynamic abdominal CT. The hepatic tumour was diagnosed as hepatocellular carcinoma by ultrasound-guided biopsy, and transcatheter arterial c...
pmc-6159236-2
A 75-year-old female presented to the emergency room of our hospital after sudden onset of confusion and incontinence. She had no medical history of trauma, liver disease or loss of consciousness. Her serum ammonia level was elevated to 330 mg dl–1. Head CT showed no obvious cause for her confusion. Consequently, she w...
pmc-6159238-1
A 79-year-old male was referred to the surgical outpatient department with a 2-month history of altered bowel habit. Abdominal examination and digital rectal examination in the outpatient clinic were unremarkable. The laboratory studies, full blood count and biochemistry were normal. A colonoscopy study identified four...
pmc-6159239-1
We present a case of a 51-year-old male who presented with atypical chest pain. As part of his workup and coronary artery disease (CAD) risk stratification, he underwent a Coronary CT angiography (CCTA) scan at our institution. The “short” LAD was not short since it branched out of the LMCA and coursed along the epicar...
pmc-6159240-1
A 45-year-old Caucasian male presented with right arm pain and a palpable mass below the right mandibular angle, 2 years after resection of a cutaneous melanoma in the right jaw. The initial resection 2 years prior was followed by a repeat local excision and level I–V lymph node dissection, with none of the 48 lymph no...
pmc-6159242-1
A 2 year old male child with a history of recurrent projectile non-bilious vomiting, since 4 weeks after birth, was referred for a barium meal study to rule out pyloric stenosis or gastro-oesophageal reflux disease. The patient experienced persistent hunger and was always underweight. The results of a full blood count ...
pmc-6159243-1
A 45-year-old male with history of blunt abdominal trauma was brought to casualty with abdominal distension and drop in haemoglobin levels. Initial ultrasound imaging revealed free fluid in the abdomen. Exploratory laprotomy was done that show hemoperitoneum, and liver laceration in the right lobe. Perihepatic packing ...
pmc-6159245-1
Case1: Reported here is a 41-year-old male patient who had previously undergone pyeloplasty for right pelviureteric junction obstruction. The patient was diabetic since 10 years and had developed chronic kidney disease 5 years ago. The patient presented with fever with chills, burning micturition and right flank pain. ...
pmc-6159245-2
Case 2: Reported here is a 48-year-old female patient who is a known case of diabetes with chronic kidney disease. She previously had bilateral emphysematous pyelonephritis, which resolved with treatment. Stenting was done for the patient at that time, which was removed with resolution of patient symptoms and normaliza...
pmc-6159245-3
Case 3: Reported here is a 66-year-old non-hypertensive, non-diabetic female patient, known to have chronic renal failure who presented with progressively increasing flank pain. Initial evaluation by ultrasound imaging showed left-sided hydronephrosis (). The creatinine level of this patient was 4.5 mg dl–1. MRI was re...
pmc-6159245-4
Case 4: Reported here is a 47-year-old male who underwent radical cystoprostatectomy with bilateral ureteric reimplantation into the ileum for bladder carcinoma. The patient subsequently developed increased creatinine and acute renal failure with a creatinine level of 6.6 mg dl–1. Laboratory evaluation showed increased...
pmc-6159245-5
Case 5: Reported here is a 64-year-old male patient, a known case of diabetes since 18 years, who presented with fever and burning micturition. The patient had an elevated creatinine level of 3.5 mg dl–1 and presented with back pain and fever raising a suspicion of pyelonephritis. Ultrasound imaging showed bilateral hy...
pmc-6159246-1
A 31-year-old male patient first presented to our clinic (time point A, ) with daily vertigo, aggravated by sudden movements of the head and complicated by nausea and vomiting, as well as difficulties sustaining his balance in confined spaces. His medical history was blank except for meningitis at 2 years of age; his f...