Oh...how I'm going to miss radiology (of course, because of the interesting cases and not just because the hours are so darn great):
- Chest Radiograph:
- Aortic Dissection
- Sarcoidosis
- TB???? - AFB has been negative
- Artificial heart (Syncardia) for L-transposition of the great arteries - looks REALLY intriguing on radiograph with valves and pneumatic pumps (1 of 2 ever done at BJC???)
- Huge broncholith (histo?blasto?), hemoptysis, right upper lobe collapse
- GI/GU
- Ischemic colitis (mesenteric embolic disease)
- Pancreatic cancer with common bile duct and SMA involvement (non-operative) - so sad!
- Adult polycystic kidney disease s/p transplant- ginormous grapes in place of kidneys!
- Torsion - midline cystic mass in female with "fallopian knuckle"
- Pancreas divisum - see two bile duct not connected to pancreatic duct
- Pericardial effusion (chronic) - possibly lupus, scleroderma, malignancy, or TB/infection
- Empyeme with abdominal abscess - split pleural sign
- PE/tumor
- RARE: S/p Nissen fundoplication, had ischemia of that portion that perfect, causing extravasation of stomach contents that fistulated with the bronchus - creating a bronchogram on the upper GI!
- S***kabob! - major booboo. This is as much as I'm gonna say about that...
- Pediatric:
- XR of nail through foot
- Heart transplant
- Severe limb malformations (syndactyle, etc.)
- Ureterocele --> obstruction
- Cystic fibrosis s/p lung transplant
- Tetralogy of Fallot
- Duodenal atresia
- Volvulus
- INtussusception
- Renal Agenesis
- Congenital Diaphragmatic Hernia
- Neuroblastoma
- GI/US:
- Ginormous thyroid nodule + biopsy
- Epidiymoorchitis - increased enhancement/vascularity/inflammation
- Schatzki's Ring
- Rotator cuff - trapezius atrophy and fluid in bursa, h/o lymphoma
- Gallbladder mass - likely adenocarcinoma
- Screw in intestine - psych patient
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