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Subtrochanteric Femur Fracture

History: middle aged male with trauma.  This is a subtrochanteric fracture of the femur. The above image is a 3D reconstruction from the raw data of a CT of the abdomen and pelvis, such that the patient did not have to undergo additional scanning and radiation exposure to get this image of the femur. See … Continue reading

Pars Defects – Spondylolysis

History: young adult male with back pain.  This is a case of a pars interartcularis defect with anterolisthesis, also called spondylolysis with spondylolisthesis. These injuries are thought to be due to chronic repetitive stress at the pars interarticularis, and most commonly occur at the L5-S1 level. It is best demonstrated on oblique radiographs of the … Continue reading

Nails Driven Into Head by Nail Gun

History: Construction worker accident.  This happened in 2005 to a construction worker in Southern California. He had fallen off the roof of a home onto another worker operating the nail gun. At that point, the nail gun discharge six nails into his face, head and neck. Some of the nails penetrated his brain and came … Continue reading

Eel Chewed Through Colon

This is not one of my personal cases, but I found this at the link below the images and had to share it. History: China‘s southeastern Guangdong province admitted himself to a local hospital after he reportedly got a live eel stuck inside him. http://www.huffingtonpost.com/2013/04/09/eel-removed-from-man-stuck-colon-photo_n_3046785.html

Pediatric Ankle Anatomy

The following images are from WikiRadiography (WetPaint) here.

Pediatric Hand Anatomy

The following images are from WikiRadiography (Wet Paint) here.

Bone Infarcts

History: 55 year old male with knee pain.  This is a classic example of bone infarcts, here called osteonecrosis of the knee, which on radiographs is represented as a well defined sclerotic lesion with serpentine margins. In our example, the articular surfaces are mildly distorted, more so on the tibial plateau, causing collapse. On MRI, … Continue reading

Pediatric Elbow Anatomy

The following images are from WikiRadiography (WetPaint) here. See a lateral epicondyle avulstion fracture here.

Solution to Unknown Case #38 – Esophageal Bronchus

History: Adult male with chest pain.  This is a case of an esophageal bronchus, which is a congenital foregut abnormality sometimes also referred to as communicating bronchopulmonary foregut malformation. An esophageal bronchus typically feeds the medial basal segment of the right lower lobe and puts the patient at risk for recurrent pneumonia in that segment. … Continue reading

Unknown Case #38 – CT Chest Male with Chest Pain

History: Male with chest pain.  What is your diagnosis for this patient with chest pain? Comment and share below! Find the answer to this case here.