36 years old male involved in shooting

Case provided by Jorge History 36 years old male involved in shooting and presenting with abdominal gunshot wound. Imaging findings CT image A shows little gas and hemorrhage in the subcutaneous tissue at bullet entry site (left anterior abdominal wall) and bullet exit site (left posterior abdominal wall). There is a small amount of extraluminal…

59 years old male in intensive care unit with sudden subcutaneous crepitation

Case provided by Viktoria History A 59 years old male with severe pneumonia, ARDS, and prolonged mechanical ventilation. Imaging findings The thoracic plain film radiograph (image A) shows striated subcutaneous hyperlucencies along the lateral chest wall and the cardiac outline compatible with subcutaneous emphysema and pneumomediastinum. The abdominal and thoracic CT scan (images B, C and…

38 years old female with postpartal anuria

History 38 years old female with acute anuric renal failure 7 days after delivery complicated by postpartal hemorrhage. Imaging findings The arterial phase CT scan shows lack of cortical enhancement of both kidneys (image A). In the nephrographic phase there is enhancement of the renal medulla and the very outer part of the renal cortex…

30 years old male with hematologic malignancy

History 30 years old male during high-dose chemotherapy with cytarabine for hematologic malignancy. Imaging findings A PET-CT scan was performed for staging. Images A and C (minimum intensity projections in lung window) show diffuse intramural gas in the right hemicolon as well as gas in the pericolonic fat. Image B is a slabbed volume rendering…

34 years old female after car accident

History 34 years old female after car accident as front-seat passenger. The vehicle was overturning several times after tumbling down a scarp with 140 km/h. She complains about paresthesia of the right index and middle finger. Imaging findings Axial CT scans of the cervical spine show a fracture of the right articular process of C7…

76 years old female found unconscious

History 76 years old female found unconscious at home. Imaging findings Unenhanced head scans (A, C) show subarachnoid hemorrhage with symmetric clot deposition predominantly within the basal cisterns. Blood is also found in the ventricle system. Volume rendering technique (B) and maximum intensity projection (D) of a CT angiogram depict a small focal outpouching of…

54 years old female with left lower quadrant abdominal pain

History 54 years old female with history of dermatomyositis, for which she is on immunosuppressive medication, presents with left lower quadrant abdominal pain. Blood tests reveal leucopenia and normal CRP. Imaging findings CT images during portal venous phase after intravenous injection of contrast material show an oval area of fat attenuation surrounded by a ring of soft tissue…