Tag Archives: Imaging

Restoring Balance: Paraneoplastic Cerebellar Degeneration

A 63-year-old woman was evaluated for 3 months of gradually worsening tremors in her legs. The tremors were worse in the right leg, increased in amplitude on standing or walking, and were absent at rest. She also had a milder tremor of her head. She had no headache, confusion, weakness, numbness, or dyscoordination. Her medical […]

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A Hard Calculus: Submandibular Sialolithiasis

  Eating worsened the discomfort a 52-year-old woman was experiencing, who presented with a 4-day history of painful swelling on the left side of the neck. The consumption-related symptom is common among those with her diagnosis. Assessment A tender, firm, warm swelling was identified in the patient’s left submandibular region. Intraoral examination revealed a hard […]

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An Unusually Long Process: Eagle Syndrome

For a tiny subset of patients, an anomaly in the skull’s architecture can precipitate significant symptoms. That was true for a 34-year-old woman who presented with a 5-month history of diffuse neck pain that increased with movement. For the previous 3 months, discomfort was associated with the feeling that she had a lump in the […]

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A Silent Relic: Uremic Pericardial Effusion

A 52-year-old woman’s deviation from her treatment regimen put her at risk for a bygone fate. The patient presented to the hospital with gradually worsening dyspnea on exertion, nausea, vomiting, and headaches. After reporting a history of hypertension, end-stage renal disease secondary to lupus nephritis, and an inability to tolerate her oral antihypertensive medications, she […]

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Her Aching Bones: Atypical Parathyroid Adenoma

A radiologic investigation of lower back pain captured something unusual: multiple osteolytic lesions with fluid-fluid levels. The patient was a 34-year-old Portuguese woman of Romani ethnicity. Previously healthy, she presented to our emergency department with a 6-month history of lumbar pain. Her medical history was unremarkable aside from 2 cesarean sections and a bilateral tubal […]

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