Emergency #24 – Flashcard

A 43-year-old man with inflammation and lower abdominal pain:

What do you see?

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* Inflammatory wall thickening of the sigmoid colon.
* Multiple diverticula, but one enlarged with thickened enhancing wall (arrow).
* Surrounding haziness of the mesosigmoid fat.
* Peritoneal accentuation

Typical image of diverticulitis, in a typical location with typical presentation

Teaching point

Look for signs of perforation or abscess formation

Head and Neck – Flashcard #1

Axial CT bone window

What do you see on this image?

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Otosclerosis

There is a small lucency anterior to the vestibule, just lateral to the basal turn of the cochlea. Consistent with fenestral otosclerosis.

There are two types of otosclerosis:

1- Fenestral: is the most common type. It involves the bone anterior to the oval window and causes conductive hearing loss.
2- Retro-fenestral: involves the cochlear capsule and causes sensorineural hearing loss.
The two types can occur simultaneously.