Jillian Smith MD

What's the Diagnosis? By Dr. Katie Selman

A 67 yo M w/ a PMHx of IVDU presents to the ED w/ chest pain and fever of 101.5. His initial HR is 135. A CXR is obtained and he is started on broad spectrum antibiotics. An hour later, he begins complaining of worsening shortness of breath, and is found to be tachypneic and hypoxic, w/ a RR of 40 and SpO2 of 85 %. A repeat CXR is obtained (shown at R below, initial CXR on L).  What's the diagnosis? (scroll down for answer)

 

 

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What's the Diagnosis? By Dr. Erica Schramm

A 63 yo F w/ a history of colon cancer, prior PE (on lovenox) presents to the ED for a "mass" on her back x 3 days. The area has increased in size and become more painful. She denies trauma. She is well appearing and hemodynamically stable. Labs are significant for a Hgb of 4.3 and an INR of 2.3. A CT scan of the chest/abdomen/pelvis is shown below. What's the diagnosis?  (scroll down for answer)

 

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