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…

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…

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…

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…

69 years old female with colorectal cancer

History 69 years old female staged for colorectal cancer. Imaging findings Conventional x-ray of the thorax (A) shows a curvilinear opacity on the right side of the lung extending from the hilum to the diaphragm. Computed tomography of the thorax postprocessed as thin slab maximum intensity projections (B, D) and volume rendering technique (C) show…