Tag Archives: Imaging
Health professional wellness hierarchy.

Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level

Burnout has been implicated in higher physician turnover, reduced patient satisfaction, and worsened safety, but understanding the degree of burnout in a given physician or team does not direct leaders to solutions. The model proposed integrates a long list of variables that may ameliorate burnout into a prioritized, easy-to-understand hierarchy. Modified from Maslow’s hierarchy, the […]

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High-resolution chest computed tomography scan before treatment (A) and after treatment (B) of Pneumocystis jirovecii pneumonia with 21-day course of trimethoprim-sulfamethoxazole and intravenous immunoglobulin.

Pneumocystis Pneumonia Complicated by Extensive Diffuse Pneumatoceles

A 60-year-old male presented to the outpatient clinic with shortness of breath, subjective fevers, and night sweats of 1-month’s duration. Initial chest X-ray revealed new bilateral perihilar consolidations. He was treated with a 5-day course of levofloxacin 750 mg/d without improvement. Therefore, he underwent a chest computed tomography (CT) scan which showed extensive bilateral pneumatoceles […]

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On positron emission tomography/computed tomography, 18F-fludeoxyglucose accumulation was seen in bilateral carotid, iliac, femoral, and popliteal arteries, and thoracic aorta with standardized uptake value maximum of 6.94 in right iliac artery. Arrows (A) and arrowheads (B).

Diffuse Vascular FDG Uptake in Late Onset Takayasu Arteritis

A 75-year-old Japanese woman presented to our hospital with intermittent right neck pain and right-sided headache lasting for 3 weeks. Her erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level were elevated to 100 mm/h and 2.95 mg/dL, respectively. Whole body positron emission tomography (PET) and computed tomography (CT) showed 18F-fludeoxyglucose (FDG) uptake in the bilateral […]

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Diabetic Mastopathy Masquerading as Breast Cancer

A 50-year-old woman with long-standing type 1 diabetes mellitus complicated by diabetic retinopathy, peripheral vascular disease and end-stage renal disease on hemodialysis was referred for screening mammography by her primary care physician. Her hemoglobin A1c was 7.1%, and she was on long-acting insulin along with mealtime coverage. Mammography revealed heterogeneouslydense breast tissue (Figures 1A and […]

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Fiber-optic bronchoscopic image showing multiple submucosal nodules characteristically sparing posterior membranous (A). Narrow-band imaging not showing the intraepithelial capillary loop pattern with dark brown dots (B). Axial and coronal scan depicting calcifications within the tracheal lumen (C and D).

Polypoidal Trachea: A Clinician’s Predicament

A 44-year-old asymptomatic female patient with no known comorbidities was scheduled for donor kidney harvesting for her husband. During intubation, the anesthetist found multiple polypoidal lesions just below the vocal cords, studding the tracheal wall. A diagnosis of multiple tracheal papillomatosis was made, and the patient was referred to the Otorhinolaryngology Department for further evaluation. […]

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Gallium scintigraphy findings. (A) Coronal section and (B, C) axial on gallium scintigraphy show marked uptake (arrows).

Reactive Arthritis Caused by Haemophilus parainfluenzae in a Diabetic Patient

We report the first likely known case of reactive arthritis caused by Haemophilus parainfluenzae. An 84-year-old woman developed polyarthritis of the neck, shoulders, and hips. Two months prior to admission, she had received dental treatment for caries; 1 week later, she noted fever and extremity pain. Physical examination revealed that the range of motion of both […]

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