59 years old male with acute liver failure

Case provided by Rhea History A 59 years old male presented with signs of acute liver failure with highly increased aminotransferase levels and unclear perianal bleedings. Since 2008 the patient had a known history of alpha (1)-antitrypsin deficiency (a(1)-ATD) type PIZZ. In the forefront of acute liver failure the patient had an episode of right-sided…

53 years old male with progressive pulmonary thromboembolism despite anticoagulant therapy

Case provided by Vincent History A 53 years old melanoma patient was initially diagnosed with an incidental pulmonary thromboembolism. Despite therapeutic anticoagulation, pulmonary thromboembolism was progressive three months later. Image findings The initial CT scan performed for melanoma staging incidentally shows a central pulmonary thromboembolism pronounced on the right side in a staging CT scan…

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…

49 years old male with hypoxemia

Case provided by Simone History 49 years old male with stress dyspnea and known liver cirrhosis. Blood gas analysis: pO2 62 mmHg.  Imaging findings Abdominal computed tomography shows evidence of liver cirrhosis with status post transjugular intrahepatic stent shunt (A). The chest scans shows dilated pulmonary vessels abnormally extending to the subpleural space and being accentuated…

74 years old male with stress dyspnea

Case provided by Anja History 74 years old male with stress dyspnea and nonproductive cough. Restrictive ventilation abnormality at lung function testing. Imaging findings Conventional x-ray of the chest shows basal-predominant reticular abnormalities with volume loss (A). Computed tomography of the chest shows reticular architectural distortion with thickening of inter- and intralobular septae, traction bronchiectasis,…

51 years old male with progressive dyspnea

History 51 years old male with progressive dyspnea during treatment for Hodgkin’s lymphoma. Imaging findings Image A shows a CT scan 3 months after beginning of anti-cancer therapy. There are subtle curvilinear opacities in the subpleural lung periphery on the left side. Images B, C, and D show a CT scan 6 months after beginning…