openmed-community/multicare-case-images

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PMC4000300_01_cru-0004-0042-g02.jpg	PMC4000300_cru-0004-0042-g02_undivided_1_1.webp	Computed tomography angiography of the carotid arteries. A large embolus in the left carotid artery (arrowhead) is present.	Contrast-enhanced computed tomography of the neck revealed collateral blood flow around a large embolus in the left carotid artery (fig. 2).	F2	PMC4000300_01	PMC4000300	file_0033307	PMC4000300_01	CC BY-NC
PMC4000300_01_cru-0004-0042-g03.jpg	PMC4000300_cru-0004-0042-g03_a_1_2.webp	Echocardiogram of the left carotid artery. a An embolus in the left carotid artery (arrowhead). b Color Doppler shows peripheral blood flow of the carotid artery.	Ultrasound of the left carotid revealed the embolus without any plaques or ulcers at the vessel wall (fig. 3).	F3	PMC4000300_01	PMC4000300	file_0033308	PMC4000300_01	CC BY-NC
PMC7256205_01_gr1.jpg	PMC7256205_gr1_undivided_1_1.webp	The clinical picture showed a rocker-bottom foot and the disappearance of foot tripod on the right foot.	Physical examination revealed rocker-bottom deformity, but there was no edema, ulceration, or local rise in temperature (Fig. 1).	fig0005	PMC7256205_01	PMC7256205	file_0102831	PMC7256205_01	CC BY
PMC7256205_01_gr2.jpg	PMC7256205_gr2_undivided_1_1.webp	Radiographic result of the right foot demonstrated a deformity of the forefoot bone.	CT-scan and plain radiographs revealed the bone deformity of the forefoot with Meary's angle of 22 , Bohler angle of 88 , and Gissane angle of 125 (Fig. 2).	fig0010	PMC7256205_01	PMC7256205	file_0102832	PMC7256205_01	CC BY
PMC7256205_01_gr5.jpg	PMC7256205_gr5_undivided_1_1.webp	Plain radiograph in six months after forefoot arthrodesis showed the bony union and good improvement of Meary's angle measurement at 8 from 22 before surgery.	The foot pain was absent sixth months after the surgery while physical and radiological examination showed improvement of the foot arch and the Meary's angle improved to 8 (Fig. 5).	fig0025	PMC7256205_01	PMC7256205	file_0102833	PMC7256205_01	CC BY
PMC6604042_01_gr2.jpg	PMC6604042_gr2_A_1_3.webp	Irradiation field of palliative radiation therapy.. (A and B) Irradiation field of 2nd lumber vertebra (L2) and 2nd sacral vertebra (S2). (C) Irradiation region of S2 with around 2 Gy including right iliopsoas muscle.	Since pelvic pain, caused by bone metastases in 2nd lumber vertebra (L2) and 2nd sacral vertebra (S2), was occurred in 2013, irradiation of L2 and S2 was performed with a total dose of 30 Gy, respectively (Fig. 2).	fig2	PMC6604042_01	PMC6604042	file_0094462	PMC6604042_01	CC BY-NC-ND
PMC6604042_01_gr3.jpg	PMC6604042_gr3_A_1_2.webp	Location of radiation-induced sarcoma. (A) The lesion (red arrow) with abnormally enhanced signal in right iliopsoas muscle in computed tomogramphy (CT). (B) The lesion (red arrow) with highly enhanced signal in right iliopsoas muscle in positron emission tomography (PET)-CT. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)	In 2018, the patient, now aged 70 years, complained of right mild back pain, caused by the lesion with abnormally enhanced signals in right iliopsoas muscle in CT (Fig. 3A). Positron emission tomography (PET)-CT also confirmed the lesion with highly enhanced signals (Fig. 3B).	fig3	PMC6604042_01	PMC6604042	file_0094465	PMC6604042_01	CC BY-NC-ND
PMC6604042_01_gr4.jpg	PMC6604042_gr4_A_1_2.webp	Pathological and immunohistochemical examination.. (A) Tumor cells displaying proliferation of atypical spindle cells in a random growth pattern [Hematoxylin and eosin (H&E)]. (B) Most of the tumor cells displaying positive staining for CD34.	A pathological examination revealed proliferation of atypical spindle cells in a random growth pattern (Fig. 4A). On immunohistochemical examination, most of the tumor cells were positive for CD34 (Fig. 4B), and only limited number of the tumor cells was faintly positive for EMA or desmin.	fig4	PMC6604042_01	PMC6604042	file_0094467	PMC6604042_01	CC BY-NC-ND
PMC8639588_01_fsurg-08-755279-g0001.jpg	PMC8639588_fsurg-08-755279-g0001_A_1_4.webp	(A) Computed tomography (CT) scan (coronal plane) of the chest and upper abdomen showing elevated right hemi-diaphragm (arrowhead), right-sided diaphragmatic herniation of ascending colon (star), and mediastinal shift to the left side (arrow). (B) CT scan (axial plane) of the chest showing herniated right-sided ascending colon (star), pleural effusion (arrowhead), and mediastinal shift to the left side (arrow). (C) Intra-operative abdominal situs showing the right posterolateral defect (arrow) of the bulged diaphragm (star) with herniation of the ascending colon (arrowhead). (D) Intra-operative situs showing the colon perforation (arrow).	Computed tomography (CT) imaging was added and showed a right-sided Bochdalek hernia with right-sided lung compression, pleural effusion on the right, and mediastinal shift to the left (Figures 1A,B). A 2 cm right posterolateral diaphragmatic hernial orifice containing an incarcerated and partially necrotic loop of the ascending colon without any intraabdominal signs of infection was detected (Figure 1C). Right-sided hemicolectomy and a side-to-side anastomosis from the ileum to the transverse colon was necessary due to intestinal ischemia and colon perforation (Figure 1D).	F1	PMC8639588_01	PMC8639588	file_0127840	PMC8639588_01	CC BY
PMC8639588_01_fsurg-08-755279-g0002.jpg	PMC8639588_fsurg-08-755279-g0002_A_1_4.webp	(A,B) Computed tomography (CT) scan [axial (A) and coronal plane (B)] of the chest showing pleural effusion rim enhancement (arrow) with distributed gas (arrowhead) suspicious of pleural empyema. (C,D) Intra-operative thoracic situs showing the pleural empyema (star) before (C) and after (D) intrathoracic lavages were performed.	As laboratory infection signs remained elevated and the patient became febrile a further thoracic CT scan was performed, which showed increasing rim enhancement now suspicious of pleural empyema (Figures 2A,B). Due to solid pleuritic formations this approach had to be converted to open thoracotomy following empyema (stage II-III) evacuation (Figures 2C,D) and right-sided pleural decortication.	F2	PMC8639588_01	PMC8639588	file_0127844	PMC8639588_01	CC BY
PMC8639588_01_fsurg-08-755279-g0003.jpg	PMC8639588_fsurg-08-755279-g0003_A_1_4.webp	(A,B) Posteroanterior (A) and lateral (B) chest X-ray one month after right-sided Bochdalek hernia repair and empyema evacuation. A right-sided pleural effusion (arrowhead) and opacity due to basal hypoventilation (star) accompanied by a moderate elevation of the right hemidiaphragm without any signs of hernia recurrence can be detected. (C,D) Posteroanterior (C) and lateral (D) chest X-ray one year after right-sided Bochdalek hernia repair and empyema evacuation. No signs of hernia recurrence and only a slight right-basal hypoventilation (star) can be detected.	No signs of residual empyema or hernia recurrence were detected (Figures 3A,B). Follow-up clinical examination and chest X-ray one year after initial surgical repair of right-sided Bochdalek hernia did not show any signs of recurrence and only slight right-basal hypoventilation (Figures 3C,D).	F3	PMC8639588_01	PMC8639588	file_0127848	PMC8639588_01	CC BY
PMC10318351_01_fcvm-10-1164668-g001.jpg	PMC10318351_fcvm-10-1164668-g001_A_1_3.webp	(A) Absence of CAD prior to the procedure. (B) Thrombus in RCA post-TAVI. (C) RCA post-stenting.	Pre-procedural cardiac catheterization showed non-obstructive coronary artery disease (Figure 1A). Emergent coronary angiography revealed a thrombus occluding the second segment of the right coronary artery (RCA) (Figure 1B). Angioplasty was performed with implantation of one drug-eluting stent (Figure 1C).	F1	PMC10318351_01	PMC10318351	file_0007767	PMC10318351_01	CC BY
PMC10318351_01_fcvm-10-1164668-g002.jpg	PMC10318351_fcvm-10-1164668-g002_undivided_1_1.webp	Timeline of imaging, symptoms, and procedures.	She was doing well until 10 days after the procedure when she presented with acute severe chest pain (Figure 2).	F2	PMC10318351_01	PMC10318351	file_0007770	PMC10318351_01	CC BY
PMC10318351_01_fcvm-10-1164668-g003.jpg	PMC10318351_fcvm-10-1164668-g003_undivided_1_1.webp	CT angiography showing a small thrombus between the right coronary and left coronary cusp.	The CT showed a small thrombus between the right coronary and left coronary cusp (Figure 3).	F3	PMC10318351_01	PMC10318351	file_0007771	PMC10318351_01	CC BY
PMC4802983_01_SNI-7-153-g002.jpg	PMC4802983_SNI-7-153-g002_a_1_3.webp	(a) Tumor proliferation image by H and E coloring, (b) chromogranin A demarcates cytoplasm of ganglion cells, (c) negativity synaptophysin immunoreactivity of ganglion cells (x10)	Microscopically, we showed lobulated cells with eosinophilic cytoplasms, sharply demarcated, with dense and rounded nuclei, pointing in immunohistochemistry neuron-specific enolase (NSE) and chromogranin A (CgA) [Figure 2].	F2	PMC4802983_01	PMC4802983	file_0051735	PMC4802983_01	CC BY-NC-SA
PMC8081048_01_fped-09-656584-g0001.jpg	PMC8081048_fped-09-656584-g0001_undivided_1_1.webp	Genetic testing results of the infant and the parents.	A genetic verification of the infant's parents was also performed; the father had a point mutation and the mother had a CFTR gene exon 2-3 heterozygous deletion mutation (shown in Figure 1).	F1	PMC8081048_01	PMC8081048	file_0116811	PMC8081048_01	CC BY
PMC8081048_01_fped-09-656584-g0002.jpg	PMC8081048_fped-09-656584-g0002_undivided_1_1.webp	Weight change of the infant.	Two weeks after the oral pancreatic enzyme tablets were administered, the color of the infant's stool changed to yellow and his weight increased (shown in Figure 2).	F2	PMC8081048_01	PMC8081048	file_0116812	PMC8081048_01	CC BY
PMC6743703_01_SNI-10-48-g002.jpg	PMC6743703_SNI-10-48-g002_a_1_3.webp	Postoperative sagittal images demonstrating posterior cervicothoracic instrumentation and fusion from C4 to T2 at midline. (a) And lateral views. (b and c) With the facets at the respective side.	A postoperative CT scan demonstrated adequate localization of the instrumentation and alignment despite slight unilateral facet subluxation at C6/C7 and minor unilateral facet subluxation at C7/T1 [Figure 2].	F2	PMC6743703_01	PMC6743703	file_0096565	PMC6743703_01	CC BY-NC-SA
PMC8313121_01_fneur-12-704747-g0002.jpg	PMC8313121_fneur-12-704747-g0002_A_1_2.webp	Muscle biopsy performed at the age of 9 months. (A) Modified Gomori Trichrome staining showing round and small muscle fibers separated by increased connective tissue and containing several cytoplasmic vacuoles. (B) Non-specific esterase (NSE) staining displaying swelled NMJs.	In addition, using specific staining, we also detected enlargement and abnormality on the shape of the neuromuscular junctions (NMJ; Figure 2).	F2	PMC8313121_01	PMC8313121	file_0121476	PMC8313121_01	CC BY
PMC7527615_01_gr1.jpg	PMC7527615_gr1_undivided_1_1.webp	Axial CT scan of the chest showing anterior chest wall cystic lesion with nearly similar lesion in the anterior mediastinum.	CT scan of chest revealed a cystic lesion with fluid content measuring 12 x 8 cm in size connecting with a similar cystic lesion in the substernal area through a hole in the fifth rib (Fig. 1, Fig. 2).	fig0005	PMC7527615_01	PMC7527615	file_0109056	PMC7527615_01	CC BY-NC-ND
PMC7527615_01_gr3.jpg	PMC7527615_gr3_undivided_1_1.webp	Intraoperative finding revealing a hole in the fifth rib.	TB. The wound was closed in layers after insertion of intrathoracic drain (Fig. 3).	fig0015	PMC7527615_01	PMC7527615	file_0109057	PMC7527615_01	CC BY-NC-ND
PMC5320041_01_AnnGastroenterol-30-251-g001.jpg	PMC5320041_AnnGastroenterol-30-251-g001_undivided_1_1.webp	Narrow-band imaging of the gastric-like mucosa in the upper esophagus	Esophagogastroduodenoscopy revealed gastric-like mucosa 2 cm in diameter in the proximal esophagus, suggestive of an inlet patch (Fig. 1).	F1	PMC5320041_01	PMC5320041	file_0064469	PMC5320041_01	CC BY-NC-SA
PMC5320041_01_AnnGastroenterol-30-251-g002.jpg	PMC5320041_AnnGastroenterol-30-251-g002_undivided_1_1.webp	Immunohistochemical stain reveals that the inlet patch gastric mucosa is positive for Helicobacter pylori microorganisms (immunoperoxidase 20x)	The biopsy of the esophageal lesion confirmed the gastric mucosa, showing mild chronic inflammation and a positive immunohistochemical stain for H. pylori (Fig. 2).	F2	PMC5320041_01	PMC5320041	file_0064470	PMC5320041_01	CC BY-NC-SA
PMC10201373_01_acc-10-10243-g001.jpg	PMC10201373_acc-10-10243-g001_undivided_1_1.webp	Fetal MRI image demonstrates a retroperitoneal, suprarenal, 20 x13 mm, homogeneous, high T2 signal intensity, non-calcified, cystic mass (arrow).	The fetal magnetic resonance imaging (MRI) showed a 20x13 mm non-calcified cystic mass of the left adrenal gland, compatible with a neuroblastoma (Figure 1).	f1	PMC10201373_01	PMC10201373	file_0005058	PMC10201373_01	CC BY-NC
PMC10201373_01_acc-10-10243-g002.jpg	PMC10201373_acc-10-10243-g002_undivided_1_1.webp	US of the left adrenal, one month after birth (arrow).	Ultrasonography at 1 months of life showed an anechogenic image of the left adrenal gland of 17x12 mm, with thin walls (Figure 2).	f2	PMC10201373_01	PMC10201373	file_0005059	PMC10201373_01	CC BY-NC
PMC10201373_02_acc-10-10243-g003.jpg	PMC10201373_acc-10-10243-g003_undivided_1_1.webp	Preoperative CT showing a partially cystic 20 x 22 mm mass in the left adrenal region without calcification (arrow).	We performed a preoperative CT which showed a partially cystic 20 x 22 mm mass in the left adrenal region, non-enhanced, without calcification (Figure 3).	f3	PMC10201373_02	PMC10201373	file_0005060	PMC10201373_02	CC BY-NC
PMC10201373_02_acc-10-10243-g004.jpg	PMC10201373_acc-10-10243-g004_undivided_1_1.webp	Microscopic image of the adrenal teratoma showing mixed composition of ciliated columnar epithelium of respiratory type, well differentiated cartilaginous structures and seromucous glands (HE, x50).	The specimen was diagnosed as a mature cystic adrenal teratoma, without any suspicious sign of malignancy, which was completely resected (Figure 4).	f4	PMC10201373_02	PMC10201373	file_0005061	PMC10201373_02	CC BY-NC
PMC7406448_01_PAMJ-36-120-g001.jpg	PMC7406448_PAMJ-36-120-g001_undivided_1_1.webp	coronal MRI T1 inversion recovery showing a round cystic lesion of the right choroidal fissure compressing the hippocampus, hyposignal T1 (arrow)	The signal intensity of the cyst was hyposignal T1 (Figure 1), hypersignal T2 (Figure 2), no restriction of apparent diffusion coefficient (ADC), identical to that of the cerebrospinal fluid (CSF). There was no peripheral contrast enhancement or surrounding edema (Figure 3).	F1	PMC7406448_01	PMC7406448	file_0106475	PMC7406448_01	CC BY
PMC7406448_01_PAMJ-36-120-g002.jpg	PMC7406448_PAMJ-36-120-g002_undivided_1_1.webp	coronal MRI T2: same lesion, hypersignal T2 (arrow)	The signal intensity of the cyst was hyposignal T1 (Figure 1), hypersignal T2 (Figure 2), no restriction of apparent diffusion coefficient (ADC), identical to that of the cerebrospinal fluid (CSF). There was no peripheral contrast enhancement or surrounding edema (Figure 3).	F2	PMC7406448_01	PMC7406448	file_0106476	PMC7406448_01	CC BY
PMC7406448_01_PAMJ-36-120-g003.jpg	PMC7406448_PAMJ-36-120-g003_undivided_1_1.webp	axial MRI T1 after injection of gadolinium: cystic lesion without peripheral enhancement (arrow)	The signal intensity of the cyst was hyposignal T1 (Figure 1), hypersignal T2 (Figure 2), no restriction of apparent diffusion coefficient (ADC), identical to that of the cerebrospinal fluid (CSF). There was no peripheral contrast enhancement or surrounding edema (Figure 3).	F3	PMC7406448_01	PMC7406448	file_0106477	PMC7406448_01	CC BY
PMC5757404_01_amjcaserep-19-1-g001.jpg	PMC5757404_amjcaserep-19-1-g001_A_1_4.webp	(A, B) Frontal chest section at 12 weeks of gestation: hyperechoic aspect of the right lung. (C) Axial chest section at 25 weeks of gestation: hyperechoic image of the right lung parenchyma. Left lung of usual appearance and heart deviation to the left. (D) Longitudinal section at 25 weeks of gestation: hyperechoic aspect of the lung with inversion of the right diaphragmatic dome.	The first-trimester ultrasound screening at 12 weeks and 4 days of gestation revealed a hyperechoic aspect of the entire right lung, which led us to suspect a unilateral pulmonary pathology (Figure 1A, 1B). The left lung was compressed by mass effect (27x14 mm) (Figure 1C, 1D).	f1-amjcaserep-19-1	PMC5757404_01	PMC5757404	file_0075494	PMC5757404_01	CC BY-NC-ND
PMC3924740_01_ogs-57-70-g001.jpg	PMC3924740_ogs-57-70-g001_A_1_2.webp	(A) Speculum examination revealed a blind-ending vaginal cavity with a thick wall. (B) Transvaginal ultrasonography revealed a 3.42x1.44 cm fluid-filled cavity 0.94 cm beyond the thick septum.	As a result of a thick transverse vaginal septum blocking her vaginal cavity, we could insert a speculum only 2 to 3 cm into her vagina (Fig. 1A). Transvaginal ultrasonography (Voluson 730 Expert, GE Medical Systems, Zipf, Austria) showed a transverse vaginal septum measuring 0.94 cm thick and a fluid-filled cavity beyond it (Fig. 1B).	F1	PMC3924740_01	PMC3924740	file_0030789	PMC3924740_01	CC BY-NC
PMC3924740_01_ogs-57-70-g002.jpg	PMC3924740_ogs-57-70-g002_undivided_1_1.webp	The septal wall was excised, a window was made, and the remnant edge was sutured to the vaginal sidewall in all directions using interrupted 2-0 Vicryl suture.	With this aspiration, we excised the vaginal septum and sutured the remained edge of this septum to the vaginal wall using 2-0 Vicryl (Ethicon Inc., Somerville, NJ, USA) (Fig. 2).	F2	PMC3924740_01	PMC3924740	file_0030791	PMC3924740_01	CC BY-NC
PMC8571307_01_SNI-12-492-g001.jpg	PMC8571307_SNI-12-492-g001_undivided_1_1.webp	T1-weighted brain MRI (axial view) with contrast showing diffuse pachymeningeal enhancement.	The enhanced MRI of the brain showed diffuse pachymeningeal enhancement consistent with SIH [Figure 1].	F1	PMC8571307_01	PMC8571307	file_0126629	PMC8571307_01	CC BY-NC-SA
PMC8571307_01_SNI-12-492-g002.jpg	PMC8571307_SNI-12-492-g002_undivided_1_1.webp	Xpert CT during digital subtraction myelogram showing contrast enhancement along the right L2 nerve root (dashed line) concerning for cerebrospinal fluid venous fistula.	However, the MR myelogram with digital subtraction images finally correctly documented a right-sided CVF at the L2 level [Figure 2].	F2	PMC8571307_01	PMC8571307	file_0126630	PMC8571307_01	CC BY-NC-SA
PMC8571307_01_SNI-12-492-g003.jpg	PMC8571307_SNI-12-492-g003_undivided_1_1.webp	Angiographic images (AP view [a] and lateral view [b]) that show the embolization of the cerebrospinal fluid-venous fistula using ONYX. The dashed circle on the lateral view indicates the location of the nerve root.	The patient successfully underwent endovascular transvenous embolization (i.e., through the Azygous vein), and within two post procedural weeks, was asymptomatic [Figure 3].	F3	PMC8571307_01	PMC8571307	file_0126631	PMC8571307_01	CC BY-NC-SA
PMC4492508_01_poljradiol-80-337-g001.jpg	PMC4492508_poljradiol-80-337-g001_A_1_4.webp	Sagittal T2-weighted (TR=3000 ms, TE=88 ms) images (A-D) of the spine demonstrate bulky lower dorsolumbar cord and conus medullaris with increased signal intensity and multiple intradural extramedullary areas of signal void. Grade 1 anterolisthesis of L4 over L5 vertebral body is noted.	S1 level (Figure 1), more abundantly on the left side of Th10-Th12, causing rightward displacement of the lower part of the spinal cord.	f1-poljradiol-80-337	PMC4492508_01	PMC4492508	file_0043268	PMC4492508_01	NO-CC CODE
PMC4492508_01_poljradiol-80-337-g002.jpg	PMC4492508_poljradiol-80-337-g002_A_1_4.webp	Axial T1-weighted (TR=640 ms, TE=9.4 ms) noncontrast image at lower dorsal level (A) and following intravenous gadolinium administration, fat saturated, T1-weighted (TR=640 ms, TE=9.4 ms) axial (B), sagittal (C) and coronal (D) images demonstrate significant post-contrast enhancement of the lower cord and conus medullaris.	Spinal cord exhibited intense, relatively homogenous enhancement after intravenous gadolinium injection (Figure 2). Subsequent spinal computed tomography angiography (CTA) was performed with a 16-slice scanner (Philips Brilliance 16, Philips Medical Systems) with nonionic iodinated contrast agent (Iohexol, 350 mg/mL) at dose of 2 mL/kg injected into the antecubital vein through pressure injector at a rate of 4 mL/sec with bolus tracking, with ROI placed over the abdominal aorta (scanning parameters: increment 1.0 mm, reconstruction interval 0.75 mm, slice thickness 2.0 mm, pitch 1.188, rotation time 0.75s, kVp 120, mA 200) CTA revealed an intradural extramedullary arteriovenous malformation (AVM) from Th10 to Th12 level (Figure 3) supplied by a branch of a great radicular artery (artery of Adamkiewicz).	f2-poljradiol-80-337	PMC4492508_01	PMC4492508	file_0043272	PMC4492508_01	NO-CC CODE
PMC4492508_01_poljradiol-80-337-g003.jpg	PMC4492508_poljradiol-80-337-g003_A_1_4.webp	Sagittal (A), coronal (B) and axial (C, D) spinal computed tomography angiography images, maximum-intensity projection showing intradural AVM with cord displacement.	Spinal cord exhibited intense, relatively homogenous enhancement after intravenous gadolinium injection (Figure 2). Subsequent spinal computed tomography angiography (CTA) was performed with a 16-slice scanner (Philips Brilliance 16, Philips Medical Systems) with nonionic iodinated contrast agent (Iohexol, 350 mg/mL) at dose of 2 mL/kg injected into the antecubital vein through pressure injector at a rate of 4 mL/sec with bolus tracking, with ROI placed over the abdominal aorta (scanning parameters: increment 1.0 mm, reconstruction interval 0.75 mm, slice thickness 2.0 mm, pitch 1.188, rotation time 0.75s, kVp 120, mA 200) CTA revealed an intradural extramedullary arteriovenous malformation (AVM) from Th10 to Th12 level (Figure 3) supplied by a branch of a great radicular artery (artery of Adamkiewicz).	f3-poljradiol-80-337	PMC4492508_01	PMC4492508	file_0043276	PMC4492508_01	NO-CC CODE
PMC4492508_01_poljradiol-80-337-g004.jpg	PMC4492508_poljradiol-80-337-g004_A_1_3.webp	Sagittal curved planar reformat of (A) and volume rendered image of CTA (B) demonstrate the artery of Adamkiewicz feeding the AVM. Coronal curved reformat (C) showing drainage of the AVM through right 1st sacral foramen via an elongated tortuous vein.	Th12-L1 intervertebral foramen (Figures 4-6). The	f4-poljradiol-80-337	PMC4492508_01	PMC4492508	file_0043280	PMC4492508_01	NO-CC CODE
PMC7796826_01_10-1055-s-0040-1717128-i200525cr-1.jpg	PMC7796826_10-1055-s-0040-1717128-i200525cr-1_undivided_1_1.webp	Postevacuation film showing a twist of the pull-through demonstrated by a shift in the mesenteric border of the pull through segment.	Our review of the post pull-through contrast enema ( Fig. 1 ) came to a different conclusion. We felt the study showed a 180-degree twist in the distal pull-through ( Fig. 1 ).	FI200525cr-1	PMC7796826_01	PMC7796826	file_0114142	PMC7796826_01	CC BY
PMC7796826_01_10-1055-s-0040-1717128-i200525cr-2.jpg	PMC7796826_10-1055-s-0040-1717128-i200525cr-2_undivided_1_1.webp	Contrast enema with absence of haustrations in the distal segment denoted by "}." The arrow denotes widening of the presacral space.	Since this patient had a previous Soave pull-through, it was also important to note the presence of presacral space widening ( Fig. 2 ), which could be indicative of a Soave cuff; however, this was not evident on the physical exam.	FI200525cr-2	PMC7796826_01	PMC7796826	file_0114143	PMC7796826_01	CC BY
PMC7796826_01_10-1055-s-0040-1717128-i200525cr-3.jpg	PMC7796826_10-1055-s-0040-1717128-i200525cr-3_undivided_1_1.webp	Twist in the pull-through segment with the mesentery noted on the anterior aspect (the patient is in prone position).	We performed a Swenson type redo transanal only pull-through and upon transanal mobilization the distal pull-through was noted to have a 180-degree twist, with the mesentery on the anterior side when it should have been either medial or posterior ( Fig. 3 ).	FI200525cr-3	PMC7796826_01	PMC7796826	file_0114144	PMC7796826_01	CC BY
PMC6491627_01_fped-07-00130-g0001.jpg	PMC6491627_fped-07-00130-g0001_A_1_2.webp	Pulmonary imaging during an acute respiratory infection at age 5 years. (A) The patient had numerous, enhancing cavitary lung lesions (black arrow) noted using CT scan of the chest, which improved after drainage and prolonged antibiotic therapy. (B) Several of the pneumatoceles were fluid-filled (short white arrow) and a parapneumonic effusion was present (long white arrow).	At age 5 he was admitted to the hospital with pneumonia complicated by a parapneumonic effusion and multiple cavitary lung lesions (Figure 1).	F1	PMC6491627_01	PMC6491627	file_0092500	PMC6491627_01	CC BY
PMC3862226_01_gr1.jpg	PMC3862226_gr1_a_1_2.webp	(a) CT scan showing swellings in the lymph nodes (arrows). (b) Low-density areas in the spleen were also observed (arrows), suggesting metastasis from a malignant tumor of the left ovary.	The CT scan also revealed a > 10-mm lymph node swelling in the dorsal pancreas (Fig. 1a) and multiple low-density areas in the spleen (Fig. 1b).	f0005	PMC3862226_01	PMC3862226	file_0028607	PMC3862226_01	CC BY
PMC3862226_01_gr2.jpg	PMC3862226_gr2_a_1_2.webp	(a) 18FDG avidity was observed in the lymph nodes (arrows) and (b) in the spleen (arrows).	Following whole body 18F-fluorodeoxyglucose positron emission tomography (FDG-PET), elevated FDG uptake was reported in the left adnexa, in the lymph nodes along the iliac arteries, in the dorsal pancreas and spleen (Fig. 2a,b).	f0010	PMC3862226_01	PMC3862226	file_0028609	PMC3862226_01	CC BY
PMC3862226_01_gr3.jpg	PMC3862226_gr3_a_1_2.webp	(a) Microscopic findings of the resected ovarian tumor and lymph nodes. Atypical cells with clear cytoplasm grew papillary, tubulocystic, and focally solid pattern (hematoxylin and eosin [HE]). (b) Non-caseating epithelioid granulomas were observed in the pelvic lymph node as well as in the spleen where there were no metastatic lesions (HE).	Specifically, a distinct hobnail pattern was observed (Fig. 3a). Histopathological examination of the resected lymph nodes and spleen revealed a non-caseating epithelioid cell granuloma (Fig. 3b), wherein no tumor cells were identified.	f0015	PMC3862226_01	PMC3862226	file_0028611	PMC3862226_01	CC BY
PMC7737542_01_IJGM-13-1435-g0001.jpg	PMC7737542_IJGM-13-1435-g0001_A_1_8.webp	Non-contrast head CT showing bilateral basal ganglia hemorrhages. (A) Hemorrhage volume was about 18 mL on the right and 27 mL on the left side. (B) Markers applied to the patient's head before MIS to indicate puncture points and allow tracking. Hemorrhage volume was about 19 mL on the right and 29 mL on the left side. (C, D) Immediate postoperative head CT scan showing a reduced hematoma volume. Hemorrhage volume was about 14 mL on the right and 11 mL on the left side. (E, F) Postoperative day 3 CT scan showing residual clots (10 mL on the right and 2 mL on the left side). (G, H) Postoperative day 19 CT scan showing that the intracranial hematoma was absorbed.	Head CT showed bilateral basal ganglia hemorrhages of about 18 mL on the right and 27 mL on the left side (Figure 1A). We pasted CT markers on the frontal and temporal areas of the patient's head for head CT to indicate the puncture points for aspiration (Figure 1B). Immediate postoperative head CT confirmed the catheter track and residual hematomas (Figure 1C and D). On postoperative day 3, head CT showed a residual clot (10 mL on the right and 2 mL on the left side) and the patient was extubated (Figure 1E and F). On postoperative day 19, the ventilator was removed and head CT revealed absorption of the intracranial hematoma (Figure 1G and H).	f0001	PMC7737542_01	PMC7737542	file_0113091	PMC7737542_01	CC BY-NC
PMC6585220_01_AMS-9-208-g001.jpg	PMC6585220_AMS-9-208-g001_undivided_1_1.webp	Preoperative image showing nasomaxillary mass causing cheilo-nasal dysmorphism	There was considerable elevation of the alar base and obliteration of the right nasal cavity [Figure 1].	F1	PMC6585220_01	PMC6585220	file_0094092	PMC6585220_01	CC BY-NC-SA
PMC6585220_01_AMS-9-208-g002.jpg	PMC6585220_AMS-9-208-g002_a_1_3.webp	(a) Preoperative magnetic resonance imaging showing soft-tissue mass in the nasomaxillary region. (b) Delivery of the excised mass. (c) Closure of the defect	T-high-field magnetic resonance imaging (MRI) revealed a soft-tissue mass in the central aspect of the right maxilla extending into nasal cavity with cranial displacement of the deciduous central incisor [Figure 2a]. The child was subsequently taken up for excision of the nasomaxillary mass under general anesthesia [Figure 2b and c].	F2	PMC6585220_01	PMC6585220	file_0094093	PMC6585220_01	CC BY-NC-SA
PMC6585220_01_AMS-9-208-g003.jpg	PMC6585220_AMS-9-208-g003_undivided_1_1.webp	Photomicrograph showing cellular spindle cell lesion arranged in fascicles with "herringbone pattern"	Microscopy revealed densely packed spindle cells arranged in fascicles and demonstrating herringbone pattern [Figure 3].	F3	PMC6585220_01	PMC6585220	file_0094096	PMC6585220_01	CC BY-NC-SA
PMC6585220_01_AMS-9-208-g004.jpg	PMC6585220_AMS-9-208-g004_undivided_1_1.webp	Photomicrograph showing vimentin positivity in neoplastic cells	Immunohistochemical staining reported positivity for vimentin [Figure 4], smooth muscle actin, and CD 34 while being negative for S100, CD99, BCL-2 myogenin, and desmine.	F4	PMC6585220_01	PMC6585220	file_0094097	PMC6585220_01	CC BY-NC-SA
PMC6585220_01_AMS-9-208-g005.jpg	PMC6585220_AMS-9-208-g005_undivided_1_1.webp	Eighteen months' postoperative follow-up showing complete regain of facial architecture	The patient is being followed up for the last 2 years and has remained disease free so far [Figure 5].	F5	PMC6585220_01	PMC6585220	file_0094098	PMC6585220_01	CC BY-NC-SA
PMC10166216_01_jchimp-13-02-059f1.jpg	PMC10166216_jchimp-13-02-059f1_undivided_1_1.webp	EKG with arrows pointing toward biphasic T waves in V2 and V3 consistent with Type-A pattern in Wellens syndrome.	A-V block, incomplete right bundle branch block, and biphasic T waves in V2 and V3 which in that clinical setting was consistent with Type-A T waves seen in Wellens syndrome (Fig. 1). An echocardiogram was also performed, and it revealed a left ventricular ejection fraction of 50-55% and mildly hypokinetic changes on the apical septal and apical anterior segments.	f1-jchimp-13-02-059	PMC10166216_01	PMC10166216	file_0004042	PMC10166216_01	CC BY-NC
PMC7680930_01_CMRCR-06-01-251-g001.jpg	PMC7680930_CMRCR-06-01-251-g001_undivided_1_1.webp	Image of the parasite identified as Hymenolepis nana. This picture was taken using a mobile phone facing the eyepiece whilst the object remains focused on the microscope stage with x 40 objective. Eggs were 30-50 pm and egg morphology was confirmed as representative of H.nana eggs based on CDC guidelines (https://www.cdc.gov/dpdx/hymenolepiasis/index.html).	The child with the stool sample harbouring H. nana eggs (Figure 1) was unique amongst the 72 children out of 340 (21%) in whom intestinal parasites were present.	f0001	PMC7680930_01	PMC7680930	file_0111922	PMC7680930_01	CC BY
PMC5066193_01_gr1.jpg	PMC5066193_gr1_undivided_1_1.webp	Patient's wound at time of presentation.	Histology revealed full thickness epidermal keratinocyte atypia consistent with squamous cell carcinoma in-situ (SCCis) and it resolved with excision (Fig. 1, Fig. 2).	fig0005	PMC5066193_01	PMC5066193	file_0059439	PMC5066193_01	CC BY-NC-ND
PMC8110827_03_fneur-12-643805-g0001.jpg	PMC8110827_fneur-12-643805-g0001_A_1_4.webp	Electron microscopy of the sural nerve of patient I. Electron microscopy showed neurodegenerative processes and inclusions in the Schwann cells of myelinated axons of the sural nerve (A-D). Some of these inclusions can be identified as myelin-like figures with concentric lamellar material and periodicity of about 10 nm (A). The inclusions are often mixed with glycogen-like granules (C). Membranous vacuolized and optically empty bodies, as well as isolated irregularly contoured electron-dense and sharply delimitable "tufa"-like inclusions (B,C). These inclusions lead to the suspicion of a lysosomal storage disease.		F1	PMC8110827_03	PMC8110827	file_0117410	PMC8110827_03	CC BY
PMC8110827_08_fneur-12-643805-g0003.jpg	PMC8110827_fneur-12-643805-g0003_A_1_2.webp	Phenotype of patient I at the age of 15 years. (A) Severe global muscular hypotonia, scoliosis, talipes equinus. (B) Facial dysmorphias: Long drawn face with a high forehead, hypertelorism and exophtalmus, opened mouth, macroglossia, gingiva hyperplasia with teeth anomalies, small philtrum, and prominent eyebrows.	Moreover, he has a vertical and horizontal gaze palsy and hypertelorism (Figure 3).	F3	PMC8110827_08	PMC8110827	file_0117414	PMC8110827_08	CC BY
PMC4131002_01_PBA-4-24824-g001.jpg	PMC4131002_PBA-4-24824-g001_a_1_4.webp	Tumors from long-distance runners had decreased labeling for macrophages and vascular endothelial cells compared to short-distance runners. (a) and (b) Reddish brown stains show greatly reduced F4/80 positive macrophages in tumor tissue from a long-distance runner, but increased cell numbers in tumor tissue from a short-distance runner, respectively. (c) and (d) Reddish brown stain shows greatly reduced CD34 positive vascular endothelial cells in tumor tissue from a long-distance runner, but an extensive increase in these cells in tumor tissue from a short-distance runner, respectively.	It can be seen that macrophages are much less frequent in a tumor from a long-distance runner (Fig. 1a) compared to a tumor from a short-distance runner (Fig. 1b). The decrease in CD34 labeling in a long-distance runner (Fig. 1c) compared to a short-distance runner (Fig. 1d) suggests that increased running distance was also associated with decreased vascularization.	F0001	PMC4131002_01	PMC4131002	file_0035514	PMC4131002_01	CC BY-NC-ND
PMC5925949_01_gr1.jpg	PMC5925949_gr1_undivided_1_1.webp	High Resolution computed tomography at diagnosis showing pattern with interlobular thickening and ground glass opacities, and not a classical crazy paving pattern.	High resolution computed tomography (HRCT) showed bilateral changes typical for PAP with not a classical crazy paving pattern (Fig. 1).	fig1	PMC5925949_01	PMC5925949	file_0080181	PMC5925949_01	CC BY-NC-ND
PMC7711970_01_j_med-2020-0201-fig001.jpg	PMC7711970_j_med-2020-0201-fig001_a_1_3.webp	Platelet count changes during trastuzumab therapy: (a) before each trastuzumab infusion; (b) during the 10th infusion of trastuzumab; and (c) during the 11th infusion of trastuzumab.	Before the 10th treatment, the platelet count of the patient was 99 x 109/L (Figure 1a). TPO, and corticosteroids, the platelet count returned to the normal level (Figure 1b). Trastuzumab alone was used for the 11th treatment. Dental bleeding, diffuse petechiae and ecchymosis occurred again in 24 h after the infusion and the platelet count decreased to 5 x 109/L (Figure 1c).	j_med-2020-0201_fig_001	PMC7711970_01	PMC7711970	file_0112579	PMC7711970_01	CC BY
PMC7218215_01_gr3.jpg	PMC7218215_gr3_undivided_1_1.webp	Proliferation of follicular epithelium surrounded by a perifollicular fibrous sheath.	BHDS. Biopsy of the skin lesions revealed follicular epithelium proliferation surrounded by perifollicular fibrous sheaths, diagnostic of fibrofolliculomas (Fig. 3).	fig3	PMC7218215_01	PMC7218215	file_0102159	PMC7218215_01	CC BY-NC-ND
PMC4744614_01_emerg-4-041-g001.jpg	PMC4744614_emerg-4-041-g001_undivided_1_1.webp	Chest computed tomography angiography of patient, arrow pointed the location of embolus in the right main pulmonary artery.	During her admission, dyspnea was developed; so pulmonary computed tomography angiography (CTA) was performed and pulmonary emboli was demonstrated (Figure 1).	F1	PMC4744614_01	PMC4744614	file_0049671	PMC4744614_01	CC BY-NC
PMC4744614_01_emerg-4-041-g002.jpg	PMC4744614_emerg-4-041-g002_left_1_2.webp	Colonoscopy views of patient's sigmoid (left) and rectum (right), arrow pointed to location of patchy ulceration compatible with inflammatory bowel disease	Unexpectedly, patchy ulceration was seen coincident of IBD (Figure 2).	F2	PMC4744614_01	PMC4744614	file_0049672	PMC4744614_01	CC BY-NC
PMC4821156_02_cnd-0006-0040-g02.jpg	PMC4821156_cnd-0006-0040-g02_undivided_1_1.webp	Clinical course of case 2. CPFX = Ciprofloxacin; CAM = clarithromycin; P = phosphate.	After administration of ciprofloxacin at 600 mg/day, the levels of serum CRP, U-NAG, and U-beta2-MG improved (fig. 2).	F2	PMC4821156_02	PMC4821156	file_0052293	PMC4821156_02	CC BY-NC
PMC3551515_01_JCIS-2-78-g002.jpg	PMC3551515_JCIS-2-78-g002_a_1_2.webp	(a) Ultrasound of mid abdomen shows superior mesentery vein (arrow) and superior mesentery artery to the left (b) The doppler flow study confirms arterial flow in the superior mesentery artery (arrowhead) and the venous flow in the uncompressed superior mesenteric vein (arrow).	The superior mesenteric artery (SMA) and superior mesenteric vein (SMV) were visualized with the SMA lying to the left of the SMV with normal anatomic alignment [Figure 1].	F1	PMC3551515_01	PMC3551515	file_0022898	PMC3551515_01	CC BY-NC-SA
PMC3551515_01_JCIS-2-78-g003.jpg	PMC3551515_JCIS-2-78-g003_undivided_1_1.webp	Single contrast upper gastrointestinal series shows on a single view plain radiograph the contrast abruptly cutting off approximately at the mid abdomen (arrow).	There was an abrupt cutoff with no contrast extending beyond approximately the mid abdomen [Figure 2].	F2	PMC3551515_01	PMC3551515	file_0022900	PMC3551515_01	CC BY-NC-SA
PMC3551515_01_JCIS-2-78-g006.jpg	PMC3551515_JCIS-2-78-g006_undivided_1_1.webp	Additional delayed image following several minutes of prone position demonstrates a small amount of contrast progressing to the jejunum (arrow). There is persistent dilatation of the proximal duodenum (asterisk).	Thirty minute delayed prone images demonstrated contrast in the proximal small bowel, however proximal duodenum remained markedly dilated and contrast/debris filled [Figure 5].	F5	PMC3551515_01	PMC3551515	file_0022901	PMC3551515_01	CC BY-NC-SA
PMC3551515_01_JCIS-2-78-g007.jpg	PMC3551515_JCIS-2-78-g007_undivided_1_1.webp	Delayed abdominal radiograph following the upper gastrointestinal series after patient had been upright for greater than 30mins demonstrates further progression of contrast into the jejunum and ileum (star). Distal most extent of contrast near the cecum (arrow).	Additionally delayed overhead images demonstrated contrast extending to the distal small bowel after patient had been upright for greater than 30 minutes [Figure 6].	F6	PMC3551515_01	PMC3551515	file_0022902	PMC3551515_01	CC BY-NC-SA
PMC3551515_01_JCIS-2-78-g008.jpg	PMC3551515_JCIS-2-78-g008_a_1_5.webp	Computed tomography (CT) of the abdomen and pelvis shows dilated fluid filled duodenum (asterisk, a). Duodenum tented medially (black arrow, b) and downward (white arrow, c, black arrow, e). Duodenum severely narrowed as it crosses anterior to right femoral vein below the bifurcation (white arrow, d).	The duodenum was distended with the third part of the duodenum tented downward [Figure 7]. The duodenal/jejunal junction was severely narrowed and coursed distally anterior to the right common femoral artery below the bifurcation [Figure 7].	F7	PMC3551515_01	PMC3551515	file_0022903	PMC3551515_01	CC BY-NC-SA
PMC5771727_01_gr1.jpg	PMC5771727_gr1_A_1_4.webp	A, Dotted outline of biopsy site and white, linear, lichenified plaque lateral to biopsy site. B, Two-centimeter ulcer with exposure of porous polyethylene implant. C, Continued expansion of the ulcer, which raised concern for infection, recurrent squamous cell carcinoma, acitretin complication, or an inflammatory dermatosis such as pyoderma gangrenosum or erosive pustular dermatosis. D, Patient after hardware removal, left orbital exenteration, and free flap reconstruction.	Given concern for possible SCC recurrence with supratrochlear nerve involvement, a shave biopsy was obtained at the site of the patient's pain (Fig 1, A). He soon developed a 2-cm ulcer with clear exposure of the implant (Fig 1, B). Continued expansion of the ulcer while awaiting surgical resection raised concern for infection, recurrent SCC (assuming sampling error of the previous biopsy), poor wound healing secondary to prior usage of acitretin, and inflammatory dermatoses such as pyoderma gangrenosum or a variant of erosive pustular dermatosis (Fig 1, C). Treatment consisted of removal of hardware, left orbital exenteration, and free-flap reconstruction (Fig 1, D).	fig1	PMC5771727_01	PMC5771727	file_0076022	PMC5771727_01	CC BY-NC-ND
PMC4831491_01_JPP-7-41-g001.jpg	PMC4831491_JPP-7-41-g001_a_1_2.webp	(a) Chest radiograph showing pulmonary edema and bilateral pleural effusion. (b) Computed tomography chest showing ground glass opacities, interlobular septal thickening, and bilateral effusion	Chest X-ray revealed picture of pulmonary edema with evidence of bilateral pleural effusion [Figure 1a]. A contrast-enhanced computed tomography (CECT) of chest done in a secondary care hospital was brought by the patient, which revealed ground glass opacities, particularly in the perihilar area, thickened interlobular septa, and bilateral pleural effusion [Figure 1b].	F1	PMC4831491_01	PMC4831491	file_0052521	PMC4831491_01	CC BY-NC-SA
PMC4831491_01_JPP-7-41-g002.jpg	PMC4831491_JPP-7-41-g002_a_1_2.webp	(a) Chest radiograph and (b) computed tomography chest showing resolution of ground glass opacities, interlobular septal thickening, and bilateral effusion	Serial chest X-rays and repeat CECT chest showed radiological clearance [Figure 2a and b].	F2	PMC4831491_01	PMC4831491	file_0052523	PMC4831491_01	CC BY-NC-SA
PMC8415387_01_14-229f1a.jpg	PMC8415387_14-229f1a_undivided_1_1.webp	ECG Illustration 1 with torso limb leads placement showed ST elevation in leads III, mimicking acute MI.	The initial 12-lead ECG (Figure 1A) was obtained with limb leads placed on the torso position and reported as "ST elevation and possible acute inferior wall myocardial infarction (MI)". Repeat ECG with limb leads placed in standard, distal limb positions showed resolution of "ST elevation" in the inferior leads (Figure 1B).	f1a-14-229	PMC8415387_01	PMC8415387	file_0123385	PMC8415387_01	CC BY-NC-ND
PMC8415387_02_14-229f1b.jpg	PMC8415387_14-229f1b_undivided_1_1.webp	ECG Illustration 1 with standard limb leads placement showed no ST elevation in lead III.	This ECG (Figure 2A) with torso limb leads placement was obtained in a 76-year-old patient which showed the presence of a Q wave in lead aVL suggestive of an old lateral wall MI. When the limb leads were moved from torso position to standard distal limb positions, a repeat ECG (Figure 2B) showed resolution of Q waves in lead aVL.	f1b-14-229	PMC8415387_02	PMC8415387	file_0123386	PMC8415387_02	CC BY-NC-ND
PMC4531616_01_kjim-18-2-119-10f1.jpg	PMC4531616_kjim-18-2-119-10f1_A_1_3.webp	Photography shows poorly defined mass lesion at laterally to semi-membranous tendon, anterior to gastrocnemius and along joint space. This mass demonstrates low signal intensity with high signal foci on T1WI/PDWI (A) and patch peripheral enhancement on Gadolium-enhanced T1WI (B, C).	Ultrasonography and magnetic resonance image (MRI) around the right knee showed a poorly defined mass lesion laterally to the semi-membranous tendon, anteriorly to the gastrocnemius muscle on the right leg (Figure 1).	f1-kjim-18-2-119-10	PMC4531616_01	PMC4531616	file_0044118	PMC4531616_01	CC BY-NC
PMC4531616_01_kjim-18-2-119-10f2.jpg	PMC4531616_kjim-18-2-119-10f2_undivided_1_1.webp	Microphotography shows prominent caseous necrosis and surrounding granuloma composed of epitheloid histiocytes and inflammatory cells (big box). The AFB stain shows Mycro-bacterium organisms (arrows, small box).	Pathologic findings of the specimen disclosed caseous central necrosis surrounding the granuloma (Figure 2).	f2-kjim-18-2-119-10	PMC4531616_01	PMC4531616	file_0044121	PMC4531616_01	CC BY-NC
PMC8010170_01_fonc-11-577939-g0001.jpg	PMC8010170_fonc-11-577939-g0001_A_1_2.webp	Colonoscopy. There are multiple irregular ulcers in the colon. (A) Ascending colon. (B) Sigmoid colon.	A total of three colonoscopes and biopsies were performed for the patient, and the results showed multiple irregular ulcers in the whole colon (Figure 1).	F1	PMC8010170_01	PMC8010170	file_0115099	PMC8010170_01	CC BY
PMC8010170_01_fonc-11-577939-g0002.jpg	PMC8010170_fonc-11-577939-g0002_A_1_2.webp	Whole abdominal CT. CT scan showing wall thickening of the colon (arrows). CT scan showing a large amount of free gas in abdominal cavity (arrow). (A) Coronal view. (B) Sagittal view.	CT images of chest and neck were normal. Contrast-enhanced CT scan of the whole abdomen revealed multi-segmental intestinal wall thickening and enhancement (Figure 2A). 18F-FDG PET/CT demonstrated increased FDG uptake in the whole colon, bone marrow and spleen (Figure 3). DNA fragment of Mycobacterium tuberculosis was found by qPCR. During the hospitalization, the patient developed a fierce abdominal pain, CT indicated gastrointestinal perforation (Figure 2B).	F2	PMC8010170_01	PMC8010170	file_0115101	PMC8010170_01	CC BY
PMC7472830_01_fimmu-11-02076-g002.jpg	PMC7472830_fimmu-11-02076-g002_undivided_1_1.webp	Changes of fasting plasma glucose level during the hospital stay because of diabetic ketoacidosis.	The patient's plasma glucose returned to normal levels gradually and he was discharged 10 days later (Figure 2).	F2	PMC7472830_01	PMC7472830	file_0107699	PMC7472830_01	CC BY
PMC7700966_01_gr1.jpg	PMC7700966_gr1_undivided_1_1.webp	A tubular blind-ended structure in inguinal canal.	Urgent computed tomography of the abdomen and pelvic demonstrated a tubular blind-ended structure originated from the cecum wall and extends to the hernia sac which made suspicion of inguinal hernia (Fig. 1).	fig0005	PMC7700966_01	PMC7700966	file_0112262	PMC7700966_01	CC BY-NC-ND
PMC7700966_01_gr2.jpg	PMC7700966_gr2_undivided_1_1.webp	Appendix in inguinal canal.	The patient underwent a diagnostic laparoscopy and operative finding was an inflamed appendix in the right inguinal canal suggesting amyand hernia (Fig. 2, Fig. 3).	fig0010	PMC7700966_01	PMC7700966	file_0112263	PMC7700966_01	CC BY-NC-ND
PMC6026916_01_ott-11-3685Fig1.jpg	PMC6026916_ott-11-3685Fig1_undivided_1_1.webp	Mammogram showing a round mass with well-defined, irregular margins in the superior lateral quadrant of the right breast.	Several axillary lymph nodes could be observed on the right side, the largest being ~1.9 cm in diameter (Figure 1).	f1-ott-11-3685	PMC6026916_01	PMC6026916	file_0082569	PMC6026916_01	CC BY-NC
PMC6026916_01_ott-11-3685Fig3.jpg	PMC6026916_ott-11-3685Fig3_A_1_4.webp	Immunohistochemical results for the resected tumor tissue.. Notes: (A) Hematoxylin-eosin staining; (B) Myeloperoxidase; (C) CD43; and (D) human leukocyte common antigen. Magnification: 20x.	Immunohistochemical examination demonstrated that the tumor was strongly positive for myeloperoxidase, CD43, and human leukocyte common antigen (Figure 3); weakly positive for CD20, kappa, lambda, and progesterone receptor; and negative for CD79-alpha, CD3, CD38, CD10, CD5, CD56, AE1/AE3, estrogen receptor, and C-erbB-2.	f3-ott-11-3685	PMC6026916_01	PMC6026916	file_0082570	PMC6026916_01	CC BY-NC
PMC8097002_01_fimmu-12-613502-g002.jpg	PMC8097002_fimmu-12-613502-g002_A_1_6.webp	Anti-SARS-CoV-2 antibody and SARS-CoV-2 mRNA follow-up before and after plasma transfusions. (A, B), Timeline showing absolute CD4 and CD8 T cell counts, including effector-memory subsets and NK cell counts (A), and absolute B cell counts (B). (C, D), Anti-SARS-CoV-2 S protein IgG, IgA and IgM antibody levels as assessed by an in-house developed Luminex assay for each plasma (C) as well as in the patient's serum before and following plasma transfusions (D). (E), Activity of neutralizing antibodies was assessed by a SARS-CoV-2 pseudovirus neutralization assay for each plasma and in patient's serum at different time-points. (F), Over-time follow-up of SARS-CoV-2 RNA detection in nasopharyngeal swabs. The cytopathic effect on VeroE6 cells was evaluated after inoculation with SARS-CoV-2 from nasopharyngeal swabs: C+, successful virus isolation; C-, absence of virus isolation. (A-F), The arrows indicate the 4 cycles of plasma transfusion (two units given on two consecutive days of each cycle).	Chest computed tomography (CT) revealed bilateral multifocal subpleural and peribronchial ground-glass opacities typical of COVID-19 pneumonia (Figure 1B and Supplementary Figure 2).	f2	PMC8097002_01	PMC8097002	file_0117211	PMC8097002_01	CC BY
PMC6744724_01_SNI-10-110-g002.jpg	PMC6744724_SNI-10-110-g002_undivided_1_1.webp	Patient was placed in prone position between the arms of cone-beam computed tomography machine.	The CT myelogram revealed a CSF leak at C7-T1 level [Figures 1 and 2].	F2	PMC6744724_01	PMC6744724	file_0096575	PMC6744724_01	CC BY-NC-SA
PMC6744724_01_SNI-10-110-g003.jpg	PMC6744724_SNI-10-110-g003_undivided_1_1.webp	Costal, blade bones, bulky soft tissue, and air around the thin neck disturb correct interpretation of position of epidural needle under radiographic observation.	The distance from the entry point on the skin to the spinolaminar line was measured and the epidural needle was advanced up to 10 mm behind the spinolaminar line [Figures 3 and 4].	F3	PMC6744724_01	PMC6744724	file_0096576	PMC6744724_01	CC BY-NC-SA
PMC6744724_01_SNI-10-110-g005.jpg	PMC6744724_SNI-10-110-g005_undivided_1_1.webp	Digital subtraction epidural imaging confirmed that the epidural needle was punctured correctly.	The needle position was then confirmed with biplane epidurography (i.e., documenting the spread of contrast dye evenly and symmetrically) [Figure 5].	F5	PMC6744724_01	PMC6744724	file_0096577	PMC6744724_01	CC BY-NC-SA
PMC4900306_01_ACA-18-108-g003.jpg	PMC4900306_ACA-18-108-g003_undivided_1_1.webp	Trans thoracic Mmode showing FT1 with fine diastolic fluttering	However, postoperative TTE showed that the midcavity FT was still intact (Figure: 3). These vibrations are seen as fine fibrillations on M-mode images [Figure 3].	F3	PMC4900306_01	PMC4900306	file_0055745	PMC4900306_01	CC BY-NC-SA
PMC4367057_01_JNSBM-6-264-g001.jpg	PMC4367057_JNSBM-6-264-g001_undivided_1_1.webp	Photograph of the baby showing fusion of lower limbs, hypoplastic thumb, absent external genitalia and features of Potter's facies	On physical examination, the infant showed narrow chest, bilateral hypoplastic thumb, fused lower limbs with a single foot and 5 toes, absent external genitalia, imperforate anus and umbilical cord with single umbilical artery [Figure 1].	F1	PMC4367057_01	PMC4367057	file_0040849	PMC4367057_01	CC BY-NC-SA
PMC4367057_01_JNSBM-6-264-g002.jpg	PMC4367057_JNSBM-6-264-g002_undivided_1_1.webp	Sirenomeliac baby with narrow chest and Potter's facies (prominent infraorbital folds, small slit-like mouth, receding chin, downward curved nose, and low-set soft dysplastic ears)	There were also prominent epicanthal folds, hypertelorism, downward curved nose, receding chin, low-set soft dysplastic ears and small slit-like mouth suggestive of Potter's facies [Figure 2].	F2	PMC4367057_01	PMC4367057	file_0040850	PMC4367057_01	CC BY-NC-SA
PMC4367057_02_JNSBM-6-264-g003.jpg	PMC4367057_JNSBM-6-264-g003_undivided_1_1.webp	Sirenomeliac baby with fused lower limbs containing 10 toes, Potter's facies, narrow chest, and absent external genitalia	The new born baby had gross anomalies like narrow chest indicating lung hypoplasia, fused both lower limbs and feet with 10 toes, absence of external genitalia, imperforate anus and single umbilical artery [Figures 3 and 4].	F3	PMC4367057_02	PMC4367057	file_0040851	PMC4367057_02	CC BY-NC-SA
PMC4367057_02_JNSBM-6-264-g004.jpg	PMC4367057_JNSBM-6-264-g004_undivided_1_1.webp	Photograph of baby showing imperforate anus	The new born baby had gross anomalies like narrow chest indicating lung hypoplasia, fused both lower limbs and feet with 10 toes, absence of external genitalia, imperforate anus and single umbilical artery [Figures 3 and 4].	F4	PMC4367057_02	PMC4367057	file_0040852	PMC4367057_02	CC BY-NC-SA
PMC8184239_01_IMCRJ-14-371-g0003.jpg	PMC8184239_IMCRJ-14-371-g0003_undivided_1_1.webp	Bacilloscopy of smear showing positive bacillus (black arrow).	A slit-skin smear showed a bacterial index of 4.38+ (Figure 3) and a morphological index of 79%.	f0003	PMC8184239_01	PMC8184239	file_0118653	PMC8184239_01	CC BY-NC
PMC8184239_01_IMCRJ-14-371-g0004.jpg	PMC8184239_IMCRJ-14-371-g0004_A_1_2.webp	(A) Synovial fluid aspiration from the interphalangeal joint of the hand. (B) Acid-fast staining of synovial material from the interphalangeal joint of the hand showed numerous acid-fast bacilli (black arrow).	We referred the patient to the Department of Orthopedic and Traumatology to perform synovial fluid aspiration from the interphalangeal joint of the hand (Figure 4A). Acid-fast staining of synovial fluid from the interphalangeal joint of the hand revealed numerous acid-fast bacilli (Figure 4B).	f0004	PMC8184239_01	PMC8184239	file_0118654	PMC8184239_01	CC BY-NC
PMC4330689_01_num-07-01-22297-g001.jpg	PMC4330689_num-07-01-22297-g001_undivided_1_1.webp	NCCT KUB Showing Multiple Large Vesicle Calculi	Further imaging studies such as ultrasonography, X-ray, and computed tomography of abdomen and pelvic showed the massive stone burden in urinary bladder (Figure 1).	fig14943	PMC4330689_01	PMC4330689	file_0039531	PMC4330689_01	CC BY-NC
PMC4330689_01_num-07-01-22297-g002.jpg	PMC4330689_num-07-01-22297-g002_undivided_1_1.webp	Intraoperative Picture Showing Bladder Calculi	Stone were sent for chemical analysis and they turned out to be of struvite type (Figure 2).	fig14944	PMC4330689_01	PMC4330689	file_0039532	PMC4330689_01	CC BY-NC
PMC5315209_02_cia-12-367Fig1.jpg	PMC5315209_cia-12-367Fig1_undivided_1_1.webp	Family tree of the AD patient with R62C mutation.. Notes: Family members refused the genetic tests and declined to provide detailed information on their age. However, none of them presented any type of dementia symptoms.. Abbreviation: AD, Alzheimer's disease.	However, his 14-year-old daughter was mentally handicapped (Figure 1).	f1-cia-12-367	PMC5315209_02	PMC5315209	file_0064343	PMC5315209_02	CC BY-NC
PMC5315209_02_cia-12-367Fig3.jpg	PMC5315209_cia-12-367Fig3_undivided_1_1.webp	Clock drawing test.. Note: The contour and time setting are incorrect in the task of clock drawing.	The delayed word recall score was 1 out of 3, and he scored 1 out of 3 in the task of clock drawing (Figure 3).	f3-cia-12-367	PMC5315209_02	PMC5315209	file_0064344	PMC5315209_02	CC BY-NC
PMC4711340_01_eplasty16e02_fig1.jpg	PMC4711340_eplasty16e02_fig1_undivided_1_1.webp	Case 1 on the first day of onset. She presented with a diffuse rash on her upper extremities, while the site of operation (left breast) showed no symptoms.	On postoperative day 10, the patient presented with a fever of 39.3 C, a diffuse rash on her upper extremities, hypotension, and diarrhea (Fig 1).	F1	PMC4711340_01	PMC4711340	file_0048234	PMC4711340_01	CC BY

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Computed tomography angiography of the carotid arteries. A large embolus in the left carotid artery (arrowhead) is present.

Contrast-enhanced computed tomography of the neck revealed collateral blood flow around a large embolus in the left carotid artery (fig. 2).

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Echocardiogram of the left carotid artery. a An embolus in the left carotid artery (arrowhead). b Color Doppler shows peripheral blood flow of the carotid artery.

Ultrasound of the left carotid revealed the embolus without any plaques or ulcers at the vessel wall (fig. 3).

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The clinical picture showed a rocker-bottom foot and the disappearance of foot tripod on the right foot.

Physical examination revealed rocker-bottom deformity, but there was no edema, ulceration, or local rise in temperature (Fig. 1).

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Radiographic result of the right foot demonstrated a deformity of the forefoot bone.

CT-scan and plain radiographs revealed the bone deformity of the forefoot with Meary's angle of 22 , Bohler angle of 88 , and Gissane angle of 125 (Fig. 2).

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Plain radiograph in six months after forefoot arthrodesis showed the bony union and good improvement of Meary's angle measurement at 8 from 22 before surgery.

The foot pain was absent sixth months after the surgery while physical and radiological examination showed improvement of the foot arch and the Meary's angle improved to 8 (Fig. 5).

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Irradiation field of palliative radiation therapy.. (A and B) Irradiation field of 2nd lumber vertebra (L2) and 2nd sacral vertebra (S2). (C) Irradiation region of S2 with around 2 Gy including right iliopsoas muscle.

Since pelvic pain, caused by bone metastases in 2nd lumber vertebra (L2) and 2nd sacral vertebra (S2), was occurred in 2013, irradiation of L2 and S2 was performed with a total dose of 30 Gy, respectively (Fig. 2).

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Location of radiation-induced sarcoma. (A) The lesion (red arrow) with abnormally enhanced signal in right iliopsoas muscle in computed tomogramphy (CT). (B) The lesion (red arrow) with highly enhanced signal in right iliopsoas muscle in positron emission tomography (PET)-CT. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)

In 2018, the patient, now aged 70 years, complained of right mild back pain, caused by the lesion with abnormally enhanced signals in right iliopsoas muscle in CT (Fig. 3A). Positron emission tomography (PET)-CT also confirmed the lesion with highly enhanced signals (Fig. 3B).

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Pathological and immunohistochemical examination.. (A) Tumor cells displaying proliferation of atypical spindle cells in a random growth pattern [Hematoxylin and eosin (H&E)]. (B) Most of the tumor cells displaying positive staining for CD34.

A pathological examination revealed proliferation of atypical spindle cells in a random growth pattern (Fig. 4A). On immunohistochemical examination, most of the tumor cells were positive for CD34 (Fig. 4B), and only limited number of the tumor cells was faintly positive for EMA or desmin.

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(A) Computed tomography (CT) scan (coronal plane) of the chest and upper abdomen showing elevated right hemi-diaphragm (arrowhead), right-sided diaphragmatic herniation of ascending colon (star), and mediastinal shift to the left side (arrow). (B) CT scan (axial plane) of the chest showing herniated right-sided ascending colon (star), pleural effusion (arrowhead), and mediastinal shift to the left side (arrow). (C) Intra-operative abdominal situs showing the right posterolateral defect (arrow) of the bulged diaphragm (star) with herniation of the ascending colon (arrowhead). (D) Intra-operative situs showing the colon perforation (arrow).

Computed tomography (CT) imaging was added and showed a right-sided Bochdalek hernia with right-sided lung compression, pleural effusion on the right, and mediastinal shift to the left (Figures 1A,B). A 2 cm right posterolateral diaphragmatic hernial orifice containing an incarcerated and partially necrotic loop of the ascending colon without any intraabdominal signs of infection was detected (Figure 1C). Right-sided hemicolectomy and a side-to-side anastomosis from the ileum to the transverse colon was necessary due to intestinal ischemia and colon perforation (Figure 1D).

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(A,B) Computed tomography (CT) scan [axial (A) and coronal plane (B)] of the chest showing pleural effusion rim enhancement (arrow) with distributed gas (arrowhead) suspicious of pleural empyema. (C,D) Intra-operative thoracic situs showing the pleural empyema (star) before (C) and after (D) intrathoracic lavages were performed.

As laboratory infection signs remained elevated and the patient became febrile a further thoracic CT scan was performed, which showed increasing rim enhancement now suspicious of pleural empyema (Figures 2A,B). Due to solid pleuritic formations this approach had to be converted to open thoracotomy following empyema (stage II-III) evacuation (Figures 2C,D) and right-sided pleural decortication.

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(A,B) Posteroanterior (A) and lateral (B) chest X-ray one month after right-sided Bochdalek hernia repair and empyema evacuation. A right-sided pleural effusion (arrowhead) and opacity due to basal hypoventilation (star) accompanied by a moderate elevation of the right hemidiaphragm without any signs of hernia recurrence can be detected. (C,D) Posteroanterior (C) and lateral (D) chest X-ray one year after right-sided Bochdalek hernia repair and empyema evacuation. No signs of hernia recurrence and only a slight right-basal hypoventilation (star) can be detected.

No signs of residual empyema or hernia recurrence were detected (Figures 3A,B). Follow-up clinical examination and chest X-ray one year after initial surgical repair of right-sided Bochdalek hernia did not show any signs of recurrence and only slight right-basal hypoventilation (Figures 3C,D).

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(A) Absence of CAD prior to the procedure. (B) Thrombus in RCA post-TAVI. (C) RCA post-stenting.

Pre-procedural cardiac catheterization showed non-obstructive coronary artery disease (Figure 1A). Emergent coronary angiography revealed a thrombus occluding the second segment of the right coronary artery (RCA) (Figure 1B). Angioplasty was performed with implantation of one drug-eluting stent (Figure 1C).

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Timeline of imaging, symptoms, and procedures.

She was doing well until 10 days after the procedure when she presented with acute severe chest pain (Figure 2).

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CT angiography showing a small thrombus between the right coronary and left coronary cusp.

The CT showed a small thrombus between the right coronary and left coronary cusp (Figure 3).

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(a) Tumor proliferation image by H and E coloring, (b) chromogranin A demarcates cytoplasm of ganglion cells, (c) negativity synaptophysin immunoreactivity of ganglion cells (x10)

Microscopically, we showed lobulated cells with eosinophilic cytoplasms, sharply demarcated, with dense and rounded nuclei, pointing in immunohistochemistry neuron-specific enolase (NSE) and chromogranin A (CgA) [Figure 2].

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Genetic testing results of the infant and the parents.

A genetic verification of the infant's parents was also performed; the father had a point mutation and the mother had a CFTR gene exon 2-3 heterozygous deletion mutation (shown in Figure 1).

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Weight change of the infant.

Two weeks after the oral pancreatic enzyme tablets were administered, the color of the infant's stool changed to yellow and his weight increased (shown in Figure 2).

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Postoperative sagittal images demonstrating posterior cervicothoracic instrumentation and fusion from C4 to T2 at midline. (a) And lateral views. (b and c) With the facets at the respective side.

A postoperative CT scan demonstrated adequate localization of the instrumentation and alignment despite slight unilateral facet subluxation at C6/C7 and minor unilateral facet subluxation at C7/T1 [Figure 2].

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Muscle biopsy performed at the age of 9 months. (A) Modified Gomori Trichrome staining showing round and small muscle fibers separated by increased connective tissue and containing several cytoplasmic vacuoles. (B) Non-specific esterase (NSE) staining displaying swelled NMJs.

In addition, using specific staining, we also detected enlargement and abnormality on the shape of the neuromuscular junctions (NMJ; Figure 2).

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Axial CT scan of the chest showing anterior chest wall cystic lesion with nearly similar lesion in the anterior mediastinum.

CT scan of chest revealed a cystic lesion with fluid content measuring 12 x 8 cm in size connecting with a similar cystic lesion in the substernal area through a hole in the fifth rib (Fig. 1, Fig. 2).

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Intraoperative finding revealing a hole in the fifth rib.

TB. The wound was closed in layers after insertion of intrathoracic drain (Fig. 3).

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Narrow-band imaging of the gastric-like mucosa in the upper esophagus

Esophagogastroduodenoscopy revealed gastric-like mucosa 2 cm in diameter in the proximal esophagus, suggestive of an inlet patch (Fig. 1).

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Immunohistochemical stain reveals that the inlet patch gastric mucosa is positive for Helicobacter pylori microorganisms (immunoperoxidase 20x)

The biopsy of the esophageal lesion confirmed the gastric mucosa, showing mild chronic inflammation and a positive immunohistochemical stain for H. pylori (Fig. 2).

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Fetal MRI image demonstrates a retroperitoneal, suprarenal, 20 x13 mm, homogeneous, high T2 signal intensity, non-calcified, cystic mass (arrow).

The fetal magnetic resonance imaging (MRI) showed a 20x13 mm non-calcified cystic mass of the left adrenal gland, compatible with a neuroblastoma (Figure 1).

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US of the left adrenal, one month after birth (arrow).

Ultrasonography at 1 months of life showed an anechogenic image of the left adrenal gland of 17x12 mm, with thin walls (Figure 2).

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Preoperative CT showing a partially cystic 20 x 22 mm mass in the left adrenal region without calcification (arrow).

We performed a preoperative CT which showed a partially cystic 20 x 22 mm mass in the left adrenal region, non-enhanced, without calcification (Figure 3).

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Microscopic image of the adrenal teratoma showing mixed composition of ciliated columnar epithelium of respiratory type, well differentiated cartilaginous structures and seromucous glands (HE, x50).

The specimen was diagnosed as a mature cystic adrenal teratoma, without any suspicious sign of malignancy, which was completely resected (Figure 4).

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coronal MRI T1 inversion recovery showing a round cystic lesion of the right choroidal fissure compressing the hippocampus, hyposignal T1 (arrow)

The signal intensity of the cyst was hyposignal T1 (Figure 1), hypersignal T2 (Figure 2), no restriction of apparent diffusion coefficient (ADC), identical to that of the cerebrospinal fluid (CSF). There was no peripheral contrast enhancement or surrounding edema (Figure 3).

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coronal MRI T2: same lesion, hypersignal T2 (arrow)

The signal intensity of the cyst was hyposignal T1 (Figure 1), hypersignal T2 (Figure 2), no restriction of apparent diffusion coefficient (ADC), identical to that of the cerebrospinal fluid (CSF). There was no peripheral contrast enhancement or surrounding edema (Figure 3).

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axial MRI T1 after injection of gadolinium: cystic lesion without peripheral enhancement (arrow)

The signal intensity of the cyst was hyposignal T1 (Figure 1), hypersignal T2 (Figure 2), no restriction of apparent diffusion coefficient (ADC), identical to that of the cerebrospinal fluid (CSF). There was no peripheral contrast enhancement or surrounding edema (Figure 3).

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(A, B) Frontal chest section at 12 weeks of gestation: hyperechoic aspect of the right lung. (C) Axial chest section at 25 weeks of gestation: hyperechoic image of the right lung parenchyma. Left lung of usual appearance and heart deviation to the left. (D) Longitudinal section at 25 weeks of gestation: hyperechoic aspect of the lung with inversion of the right diaphragmatic dome.

The first-trimester ultrasound screening at 12 weeks and 4 days of gestation revealed a hyperechoic aspect of the entire right lung, which led us to suspect a unilateral pulmonary pathology (Figure 1A, 1B). The left lung was compressed by mass effect (27x14 mm) (Figure 1C, 1D).

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(A) Speculum examination revealed a blind-ending vaginal cavity with a thick wall. (B) Transvaginal ultrasonography revealed a 3.42x1.44 cm fluid-filled cavity 0.94 cm beyond the thick septum.

As a result of a thick transverse vaginal septum blocking her vaginal cavity, we could insert a speculum only 2 to 3 cm into her vagina (Fig. 1A). Transvaginal ultrasonography (Voluson 730 Expert, GE Medical Systems, Zipf, Austria) showed a transverse vaginal septum measuring 0.94 cm thick and a fluid-filled cavity beyond it (Fig. 1B).

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The septal wall was excised, a window was made, and the remnant edge was sutured to the vaginal sidewall in all directions using interrupted 2-0 Vicryl suture.

With this aspiration, we excised the vaginal septum and sutured the remained edge of this septum to the vaginal wall using 2-0 Vicryl (Ethicon Inc., Somerville, NJ, USA) (Fig. 2).

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T1-weighted brain MRI (axial view) with contrast showing diffuse pachymeningeal enhancement.

The enhanced MRI of the brain showed diffuse pachymeningeal enhancement consistent with SIH [Figure 1].

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Xpert CT during digital subtraction myelogram showing contrast enhancement along the right L2 nerve root (dashed line) concerning for cerebrospinal fluid venous fistula.

However, the MR myelogram with digital subtraction images finally correctly documented a right-sided CVF at the L2 level [Figure 2].

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Angiographic images (AP view [a] and lateral view [b]) that show the embolization of the cerebrospinal fluid-venous fistula using ONYX. The dashed circle on the lateral view indicates the location of the nerve root.

The patient successfully underwent endovascular transvenous embolization (i.e., through the Azygous vein), and within two post procedural weeks, was asymptomatic [Figure 3].

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Sagittal T2-weighted (TR=3000 ms, TE=88 ms) images (A-D) of the spine demonstrate bulky lower dorsolumbar cord and conus medullaris with increased signal intensity and multiple intradural extramedullary areas of signal void. Grade 1 anterolisthesis of L4 over L5 vertebral body is noted.

S1 level (Figure 1), more abundantly on the left side of Th10-Th12, causing rightward displacement of the lower part of the spinal cord.

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Axial T1-weighted (TR=640 ms, TE=9.4 ms) noncontrast image at lower dorsal level (A) and following intravenous gadolinium administration, fat saturated, T1-weighted (TR=640 ms, TE=9.4 ms) axial (B), sagittal (C) and coronal (D) images demonstrate significant post-contrast enhancement of the lower cord and conus medullaris.

Spinal cord exhibited intense, relatively homogenous enhancement after intravenous gadolinium injection (Figure 2). Subsequent spinal computed tomography angiography (CTA) was performed with a 16-slice scanner (Philips Brilliance 16, Philips Medical Systems) with nonionic iodinated contrast agent (Iohexol, 350 mg/mL) at dose of 2 mL/kg injected into the antecubital vein through pressure injector at a rate of 4 mL/sec with bolus tracking, with ROI placed over the abdominal aorta (scanning parameters: increment 1.0 mm, reconstruction interval 0.75 mm, slice thickness 2.0 mm, pitch 1.188, rotation time 0.75s, kVp 120, mA 200) CTA revealed an intradural extramedullary arteriovenous malformation (AVM) from Th10 to Th12 level (Figure 3) supplied by a branch of a great radicular artery (artery of Adamkiewicz).

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Sagittal (A), coronal (B) and axial (C, D) spinal computed tomography angiography images, maximum-intensity projection showing intradural AVM with cord displacement.

Spinal cord exhibited intense, relatively homogenous enhancement after intravenous gadolinium injection (Figure 2). Subsequent spinal computed tomography angiography (CTA) was performed with a 16-slice scanner (Philips Brilliance 16, Philips Medical Systems) with nonionic iodinated contrast agent (Iohexol, 350 mg/mL) at dose of 2 mL/kg injected into the antecubital vein through pressure injector at a rate of 4 mL/sec with bolus tracking, with ROI placed over the abdominal aorta (scanning parameters: increment 1.0 mm, reconstruction interval 0.75 mm, slice thickness 2.0 mm, pitch 1.188, rotation time 0.75s, kVp 120, mA 200) CTA revealed an intradural extramedullary arteriovenous malformation (AVM) from Th10 to Th12 level (Figure 3) supplied by a branch of a great radicular artery (artery of Adamkiewicz).

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Sagittal curved planar reformat of (A) and volume rendered image of CTA (B) demonstrate the artery of Adamkiewicz feeding the AVM. Coronal curved reformat (C) showing drainage of the AVM through right 1st sacral foramen via an elongated tortuous vein.

Th12-L1 intervertebral foramen (Figures 4-6). The

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Postevacuation film showing a twist of the pull-through demonstrated by a shift in the mesenteric border of the pull through segment.

Our review of the post pull-through contrast enema ( Fig. 1 ) came to a different conclusion. We felt the study showed a 180-degree twist in the distal pull-through ( Fig. 1 ).

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Contrast enema with absence of haustrations in the distal segment denoted by "}." The arrow denotes widening of the presacral space.

Since this patient had a previous Soave pull-through, it was also important to note the presence of presacral space widening ( Fig. 2 ), which could be indicative of a Soave cuff; however, this was not evident on the physical exam.

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Twist in the pull-through segment with the mesentery noted on the anterior aspect (the patient is in prone position).

We performed a Swenson type redo transanal only pull-through and upon transanal mobilization the distal pull-through was noted to have a 180-degree twist, with the mesentery on the anterior side when it should have been either medial or posterior ( Fig. 3 ).

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Pulmonary imaging during an acute respiratory infection at age 5 years. (A) The patient had numerous, enhancing cavitary lung lesions (black arrow) noted using CT scan of the chest, which improved after drainage and prolonged antibiotic therapy. (B) Several of the pneumatoceles were fluid-filled (short white arrow) and a parapneumonic effusion was present (long white arrow).

At age 5 he was admitted to the hospital with pneumonia complicated by a parapneumonic effusion and multiple cavitary lung lesions (Figure 1).

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(a) CT scan showing swellings in the lymph nodes (arrows). (b) Low-density areas in the spleen were also observed (arrows), suggesting metastasis from a malignant tumor of the left ovary.

The CT scan also revealed a > 10-mm lymph node swelling in the dorsal pancreas (Fig. 1a) and multiple low-density areas in the spleen (Fig. 1b).

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(a) 18FDG avidity was observed in the lymph nodes (arrows) and (b) in the spleen (arrows).

Following whole body 18F-fluorodeoxyglucose positron emission tomography (FDG-PET), elevated FDG uptake was reported in the left adnexa, in the lymph nodes along the iliac arteries, in the dorsal pancreas and spleen (Fig. 2a,b).

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(a) Microscopic findings of the resected ovarian tumor and lymph nodes. Atypical cells with clear cytoplasm grew papillary, tubulocystic, and focally solid pattern (hematoxylin and eosin [HE]). (b) Non-caseating epithelioid granulomas were observed in the pelvic lymph node as well as in the spleen where there were no metastatic lesions (HE).

Specifically, a distinct hobnail pattern was observed (Fig. 3a). Histopathological examination of the resected lymph nodes and spleen revealed a non-caseating epithelioid cell granuloma (Fig. 3b), wherein no tumor cells were identified.

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Non-contrast head CT showing bilateral basal ganglia hemorrhages. (A) Hemorrhage volume was about 18 mL on the right and 27 mL on the left side. (B) Markers applied to the patient's head before MIS to indicate puncture points and allow tracking. Hemorrhage volume was about 19 mL on the right and 29 mL on the left side. (C, D) Immediate postoperative head CT scan showing a reduced hematoma volume. Hemorrhage volume was about 14 mL on the right and 11 mL on the left side. (E, F) Postoperative day 3 CT scan showing residual clots (10 mL on the right and 2 mL on the left side). (G, H) Postoperative day 19 CT scan showing that the intracranial hematoma was absorbed.

Head CT showed bilateral basal ganglia hemorrhages of about 18 mL on the right and 27 mL on the left side (Figure 1A). We pasted CT markers on the frontal and temporal areas of the patient's head for head CT to indicate the puncture points for aspiration (Figure 1B). Immediate postoperative head CT confirmed the catheter track and residual hematomas (Figure 1C and D). On postoperative day 3, head CT showed a residual clot (10 mL on the right and 2 mL on the left side) and the patient was extubated (Figure 1E and F). On postoperative day 19, the ventilator was removed and head CT revealed absorption of the intracranial hematoma (Figure 1G and H).

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Preoperative image showing nasomaxillary mass causing cheilo-nasal dysmorphism

There was considerable elevation of the alar base and obliteration of the right nasal cavity [Figure 1].

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(a) Preoperative magnetic resonance imaging showing soft-tissue mass in the nasomaxillary region. (b) Delivery of the excised mass. (c) Closure of the defect

T-high-field magnetic resonance imaging (MRI) revealed a soft-tissue mass in the central aspect of the right maxilla extending into nasal cavity with cranial displacement of the deciduous central incisor [Figure 2a]. The child was subsequently taken up for excision of the nasomaxillary mass under general anesthesia [Figure 2b and c].

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Photomicrograph showing cellular spindle cell lesion arranged in fascicles with "herringbone pattern"

Microscopy revealed densely packed spindle cells arranged in fascicles and demonstrating herringbone pattern [Figure 3].

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Photomicrograph showing vimentin positivity in neoplastic cells

Immunohistochemical staining reported positivity for vimentin [Figure 4], smooth muscle actin, and CD 34 while being negative for S100, CD99, BCL-2 myogenin, and desmine.

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Eighteen months' postoperative follow-up showing complete regain of facial architecture

The patient is being followed up for the last 2 years and has remained disease free so far [Figure 5].

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EKG with arrows pointing toward biphasic T waves in V2 and V3 consistent with Type-A pattern in Wellens syndrome.

A-V block, incomplete right bundle branch block, and biphasic T waves in V2 and V3 which in that clinical setting was consistent with Type-A T waves seen in Wellens syndrome (Fig. 1). An echocardiogram was also performed, and it revealed a left ventricular ejection fraction of 50-55% and mildly hypokinetic changes on the apical septal and apical anterior segments.

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Image of the parasite identified as Hymenolepis nana. This picture was taken using a mobile phone facing the eyepiece whilst the object remains focused on the microscope stage with x 40 objective. Eggs were 30-50 pm and egg morphology was confirmed as representative of H.nana eggs based on CDC guidelines (https://www.cdc.gov/dpdx/hymenolepiasis/index.html).

The child with the stool sample harbouring H. nana eggs (Figure 1) was unique amongst the 72 children out of 340 (21%) in whom intestinal parasites were present.

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Patient's wound at time of presentation.

Histology revealed full thickness epidermal keratinocyte atypia consistent with squamous cell carcinoma in-situ (SCCis) and it resolved with excision (Fig. 1, Fig. 2).

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Electron microscopy of the sural nerve of patient I. Electron microscopy showed neurodegenerative processes and inclusions in the Schwann cells of myelinated axons of the sural nerve (A-D). Some of these inclusions can be identified as myelin-like figures with concentric lamellar material and periodicity of about 10 nm (A). The inclusions are often mixed with glycogen-like granules (C). Membranous vacuolized and optically empty bodies, as well as isolated irregularly contoured electron-dense and sharply delimitable "tufa"-like inclusions (B,C). These inclusions lead to the suspicion of a lysosomal storage disease.

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Phenotype of patient I at the age of 15 years. (A) Severe global muscular hypotonia, scoliosis, talipes equinus. (B) Facial dysmorphias: Long drawn face with a high forehead, hypertelorism and exophtalmus, opened mouth, macroglossia, gingiva hyperplasia with teeth anomalies, small philtrum, and prominent eyebrows.

Moreover, he has a vertical and horizontal gaze palsy and hypertelorism (Figure 3).

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Tumors from long-distance runners had decreased labeling for macrophages and vascular endothelial cells compared to short-distance runners. (a) and (b) Reddish brown stains show greatly reduced F4/80 positive macrophages in tumor tissue from a long-distance runner, but increased cell numbers in tumor tissue from a short-distance runner, respectively. (c) and (d) Reddish brown stain shows greatly reduced CD34 positive vascular endothelial cells in tumor tissue from a long-distance runner, but an extensive increase in these cells in tumor tissue from a short-distance runner, respectively.

It can be seen that macrophages are much less frequent in a tumor from a long-distance runner (Fig. 1a) compared to a tumor from a short-distance runner (Fig. 1b). The decrease in CD34 labeling in a long-distance runner (Fig. 1c) compared to a short-distance runner (Fig. 1d) suggests that increased running distance was also associated with decreased vascularization.

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High Resolution computed tomography at diagnosis showing pattern with interlobular thickening and ground glass opacities, and not a classical crazy paving pattern.

High resolution computed tomography (HRCT) showed bilateral changes typical for PAP with not a classical crazy paving pattern (Fig. 1).

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Platelet count changes during trastuzumab therapy: (a) before each trastuzumab infusion; (b) during the 10th infusion of trastuzumab; and (c) during the 11th infusion of trastuzumab.

Before the 10th treatment, the platelet count of the patient was 99 x 109/L (Figure 1a). TPO, and corticosteroids, the platelet count returned to the normal level (Figure 1b). Trastuzumab alone was used for the 11th treatment. Dental bleeding, diffuse petechiae and ecchymosis occurred again in 24 h after the infusion and the platelet count decreased to 5 x 109/L (Figure 1c).

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Proliferation of follicular epithelium surrounded by a perifollicular fibrous sheath.

BHDS. Biopsy of the skin lesions revealed follicular epithelium proliferation surrounded by perifollicular fibrous sheaths, diagnostic of fibrofolliculomas (Fig. 3).

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Chest computed tomography angiography of patient, arrow pointed the location of embolus in the right main pulmonary artery.

During her admission, dyspnea was developed; so pulmonary computed tomography angiography (CTA) was performed and pulmonary emboli was demonstrated (Figure 1).

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Colonoscopy views of patient's sigmoid (left) and rectum (right), arrow pointed to location of patchy ulceration compatible with inflammatory bowel disease

Unexpectedly, patchy ulceration was seen coincident of IBD (Figure 2).

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Clinical course of case 2. CPFX = Ciprofloxacin; CAM = clarithromycin; P = phosphate.

After administration of ciprofloxacin at 600 mg/day, the levels of serum CRP, U-NAG, and U-beta2-MG improved (fig. 2).

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(a) Ultrasound of mid abdomen shows superior mesentery vein (arrow) and superior mesentery artery to the left (b) The doppler flow study confirms arterial flow in the superior mesentery artery (arrowhead) and the venous flow in the uncompressed superior mesenteric vein (arrow).

The superior mesenteric artery (SMA) and superior mesenteric vein (SMV) were visualized with the SMA lying to the left of the SMV with normal anatomic alignment [Figure 1].

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Single contrast upper gastrointestinal series shows on a single view plain radiograph the contrast abruptly cutting off approximately at the mid abdomen (arrow).

There was an abrupt cutoff with no contrast extending beyond approximately the mid abdomen [Figure 2].

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Additional delayed image following several minutes of prone position demonstrates a small amount of contrast progressing to the jejunum (arrow). There is persistent dilatation of the proximal duodenum (asterisk).

Thirty minute delayed prone images demonstrated contrast in the proximal small bowel, however proximal duodenum remained markedly dilated and contrast/debris filled [Figure 5].

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Delayed abdominal radiograph following the upper gastrointestinal series after patient had been upright for greater than 30mins demonstrates further progression of contrast into the jejunum and ileum (star). Distal most extent of contrast near the cecum (arrow).

Additionally delayed overhead images demonstrated contrast extending to the distal small bowel after patient had been upright for greater than 30 minutes [Figure 6].

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Computed tomography (CT) of the abdomen and pelvis shows dilated fluid filled duodenum (asterisk, a). Duodenum tented medially (black arrow, b) and downward (white arrow, c, black arrow, e). Duodenum severely narrowed as it crosses anterior to right femoral vein below the bifurcation (white arrow, d).

The duodenum was distended with the third part of the duodenum tented downward [Figure 7]. The duodenal/jejunal junction was severely narrowed and coursed distally anterior to the right common femoral artery below the bifurcation [Figure 7].

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A, Dotted outline of biopsy site and white, linear, lichenified plaque lateral to biopsy site. B, Two-centimeter ulcer with exposure of porous polyethylene implant. C, Continued expansion of the ulcer, which raised concern for infection, recurrent squamous cell carcinoma, acitretin complication, or an inflammatory dermatosis such as pyoderma gangrenosum or erosive pustular dermatosis. D, Patient after hardware removal, left orbital exenteration, and free flap reconstruction.

Given concern for possible SCC recurrence with supratrochlear nerve involvement, a shave biopsy was obtained at the site of the patient's pain (Fig 1, A). He soon developed a 2-cm ulcer with clear exposure of the implant (Fig 1, B). Continued expansion of the ulcer while awaiting surgical resection raised concern for infection, recurrent SCC (assuming sampling error of the previous biopsy), poor wound healing secondary to prior usage of acitretin, and inflammatory dermatoses such as pyoderma gangrenosum or a variant of erosive pustular dermatosis (Fig 1, C). Treatment consisted of removal of hardware, left orbital exenteration, and free-flap reconstruction (Fig 1, D).

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(a) Chest radiograph showing pulmonary edema and bilateral pleural effusion. (b) Computed tomography chest showing ground glass opacities, interlobular septal thickening, and bilateral effusion

Chest X-ray revealed picture of pulmonary edema with evidence of bilateral pleural effusion [Figure 1a]. A contrast-enhanced computed tomography (CECT) of chest done in a secondary care hospital was brought by the patient, which revealed ground glass opacities, particularly in the perihilar area, thickened interlobular septa, and bilateral pleural effusion [Figure 1b].

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(a) Chest radiograph and (b) computed tomography chest showing resolution of ground glass opacities, interlobular septal thickening, and bilateral effusion

Serial chest X-rays and repeat CECT chest showed radiological clearance [Figure 2a and b].

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ECG Illustration 1 with torso limb leads placement showed ST elevation in leads III, mimicking acute MI.

The initial 12-lead ECG (Figure 1A) was obtained with limb leads placed on the torso position and reported as "ST elevation and possible acute inferior wall myocardial infarction (MI)". Repeat ECG with limb leads placed in standard, distal limb positions showed resolution of "ST elevation" in the inferior leads (Figure 1B).

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ECG Illustration 1 with standard limb leads placement showed no ST elevation in lead III.

This ECG (Figure 2A) with torso limb leads placement was obtained in a 76-year-old patient which showed the presence of a Q wave in lead aVL suggestive of an old lateral wall MI. When the limb leads were moved from torso position to standard distal limb positions, a repeat ECG (Figure 2B) showed resolution of Q waves in lead aVL.

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Photography shows poorly defined mass lesion at laterally to semi-membranous tendon, anterior to gastrocnemius and along joint space. This mass demonstrates low signal intensity with high signal foci on T1WI/PDWI (A) and patch peripheral enhancement on Gadolium-enhanced T1WI (B, C).

Ultrasonography and magnetic resonance image (MRI) around the right knee showed a poorly defined mass lesion laterally to the semi-membranous tendon, anteriorly to the gastrocnemius muscle on the right leg (Figure 1).

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Microphotography shows prominent caseous necrosis and surrounding granuloma composed of epitheloid histiocytes and inflammatory cells (big box). The AFB stain shows Mycro-bacterium organisms (arrows, small box).

Pathologic findings of the specimen disclosed caseous central necrosis surrounding the granuloma (Figure 2).

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Colonoscopy. There are multiple irregular ulcers in the colon. (A) Ascending colon. (B) Sigmoid colon.

A total of three colonoscopes and biopsies were performed for the patient, and the results showed multiple irregular ulcers in the whole colon (Figure 1).

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Whole abdominal CT. CT scan showing wall thickening of the colon (arrows). CT scan showing a large amount of free gas in abdominal cavity (arrow). (A) Coronal view. (B) Sagittal view.

CT images of chest and neck were normal. Contrast-enhanced CT scan of the whole abdomen revealed multi-segmental intestinal wall thickening and enhancement (Figure 2A). 18F-FDG PET/CT demonstrated increased FDG uptake in the whole colon, bone marrow and spleen (Figure 3). DNA fragment of Mycobacterium tuberculosis was found by qPCR. During the hospitalization, the patient developed a fierce abdominal pain, CT indicated gastrointestinal perforation (Figure 2B).

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Changes of fasting plasma glucose level during the hospital stay because of diabetic ketoacidosis.

The patient's plasma glucose returned to normal levels gradually and he was discharged 10 days later (Figure 2).

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A tubular blind-ended structure in inguinal canal.

Urgent computed tomography of the abdomen and pelvic demonstrated a tubular blind-ended structure originated from the cecum wall and extends to the hernia sac which made suspicion of inguinal hernia (Fig. 1).

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Appendix in inguinal canal.

The patient underwent a diagnostic laparoscopy and operative finding was an inflamed appendix in the right inguinal canal suggesting amyand hernia (Fig. 2, Fig. 3).

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Mammogram showing a round mass with well-defined, irregular margins in the superior lateral quadrant of the right breast.

Several axillary lymph nodes could be observed on the right side, the largest being ~1.9 cm in diameter (Figure 1).

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Immunohistochemical results for the resected tumor tissue.. Notes: (A) Hematoxylin-eosin staining; (B) Myeloperoxidase; (C) CD43; and (D) human leukocyte common antigen. Magnification: 20x.

Immunohistochemical examination demonstrated that the tumor was strongly positive for myeloperoxidase, CD43, and human leukocyte common antigen (Figure 3); weakly positive for CD20, kappa, lambda, and progesterone receptor; and negative for CD79-alpha, CD3, CD38, CD10, CD5, CD56, AE1/AE3, estrogen receptor, and C-erbB-2.

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Anti-SARS-CoV-2 antibody and SARS-CoV-2 mRNA follow-up before and after plasma transfusions. (A, B), Timeline showing absolute CD4 and CD8 T cell counts, including effector-memory subsets and NK cell counts (A), and absolute B cell counts (B). (C, D), Anti-SARS-CoV-2 S protein IgG, IgA and IgM antibody levels as assessed by an in-house developed Luminex assay for each plasma (C) as well as in the patient's serum before and following plasma transfusions (D). (E), Activity of neutralizing antibodies was assessed by a SARS-CoV-2 pseudovirus neutralization assay for each plasma and in patient's serum at different time-points. (F), Over-time follow-up of SARS-CoV-2 RNA detection in nasopharyngeal swabs. The cytopathic effect on VeroE6 cells was evaluated after inoculation with SARS-CoV-2 from nasopharyngeal swabs: C+, successful virus isolation; C-, absence of virus isolation. (A-F), The arrows indicate the 4 cycles of plasma transfusion (two units given on two consecutive days of each cycle).

Chest computed tomography (CT) revealed bilateral multifocal subpleural and peribronchial ground-glass opacities typical of COVID-19 pneumonia (Figure 1B and Supplementary Figure 2).

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Patient was placed in prone position between the arms of cone-beam computed tomography machine.

The CT myelogram revealed a CSF leak at C7-T1 level [Figures 1 and 2].

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Costal, blade bones, bulky soft tissue, and air around the thin neck disturb correct interpretation of position of epidural needle under radiographic observation.

The distance from the entry point on the skin to the spinolaminar line was measured and the epidural needle was advanced up to 10 mm behind the spinolaminar line [Figures 3 and 4].

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Digital subtraction epidural imaging confirmed that the epidural needle was punctured correctly.

The needle position was then confirmed with biplane epidurography (i.e., documenting the spread of contrast dye evenly and symmetrically) [Figure 5].

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Trans thoracic Mmode showing FT1 with fine diastolic fluttering

However, postoperative TTE showed that the midcavity FT was still intact (Figure: 3). These vibrations are seen as fine fibrillations on M-mode images [Figure 3].

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Photograph of the baby showing fusion of lower limbs, hypoplastic thumb, absent external genitalia and features of Potter's facies

On physical examination, the infant showed narrow chest, bilateral hypoplastic thumb, fused lower limbs with a single foot and 5 toes, absent external genitalia, imperforate anus and umbilical cord with single umbilical artery [Figure 1].

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Sirenomeliac baby with narrow chest and Potter's facies (prominent infraorbital folds, small slit-like mouth, receding chin, downward curved nose, and low-set soft dysplastic ears)

There were also prominent epicanthal folds, hypertelorism, downward curved nose, receding chin, low-set soft dysplastic ears and small slit-like mouth suggestive of Potter's facies [Figure 2].

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Sirenomeliac baby with fused lower limbs containing 10 toes, Potter's facies, narrow chest, and absent external genitalia

The new born baby had gross anomalies like narrow chest indicating lung hypoplasia, fused both lower limbs and feet with 10 toes, absence of external genitalia, imperforate anus and single umbilical artery [Figures 3 and 4].

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Photograph of baby showing imperforate anus

The new born baby had gross anomalies like narrow chest indicating lung hypoplasia, fused both lower limbs and feet with 10 toes, absence of external genitalia, imperforate anus and single umbilical artery [Figures 3 and 4].

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Bacilloscopy of smear showing positive bacillus (black arrow).

A slit-skin smear showed a bacterial index of 4.38+ (Figure 3) and a morphological index of 79%.

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(A) Synovial fluid aspiration from the interphalangeal joint of the hand. (B) Acid-fast staining of synovial material from the interphalangeal joint of the hand showed numerous acid-fast bacilli (black arrow).

We referred the patient to the Department of Orthopedic and Traumatology to perform synovial fluid aspiration from the interphalangeal joint of the hand (Figure 4A). Acid-fast staining of synovial fluid from the interphalangeal joint of the hand revealed numerous acid-fast bacilli (Figure 4B).

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NCCT KUB Showing Multiple Large Vesicle Calculi

Further imaging studies such as ultrasonography, X-ray, and computed tomography of abdomen and pelvic showed the massive stone burden in urinary bladder (Figure 1).

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Intraoperative Picture Showing Bladder Calculi

Stone were sent for chemical analysis and they turned out to be of struvite type (Figure 2).

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Family tree of the AD patient with R62C mutation.. Notes: Family members refused the genetic tests and declined to provide detailed information on their age. However, none of them presented any type of dementia symptoms.. Abbreviation: AD, Alzheimer's disease.

However, his 14-year-old daughter was mentally handicapped (Figure 1).

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Clock drawing test.. Note: The contour and time setting are incorrect in the task of clock drawing.

The delayed word recall score was 1 out of 3, and he scored 1 out of 3 in the task of clock drawing (Figure 3).

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Case 1 on the first day of onset. She presented with a diffuse rash on her upper extremities, while the site of operation (left breast) showed no symptoms.

On postoperative day 10, the patient presented with a fever of 39.3 C, a diffuse rash on her upper extremities, hypotension, and diarrhea (Fig 1).

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