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Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
21 topics, 34 min.
Introduction to ED Practice Cases
2 m.Wk 1, Case 1 - Practice
Wk 1, Case 1 - Review
2 m.Wk 1, Case 2 - Practice
Wk 1, Case 2 - Review
3 m.Wk 1, Case 3 - Practice
Wk 1, Case 3 - Review
11 m.Wk 1, Case 4 - Practice
Wk 1, Case 4 - Review
6 m.Wk 1, Case 5 - Practice
Wk 1, Case 5 - Review
2 m.Wk 1, Case 6 - Practice
Wk 1, Case 6 - Review
4 m.Wk 1, Case 7 - Practice
Wk 1, Case 7 - Review
2 m.Wk 1, Case 8 - Practice
Wk 1, Case 8 - Review
3 m.Wk 1, Case 9 - Practice
Wk 1, Case 9 - Review
4 m.Wk 1, Case 10 - Practice
Wk 1, Case 10 - Review
2 m.20 topics, 35 min.
Wk 2, Case 11 - Practice
Wk 2, Case 11 - Review
10 m.Wk 2, Case 12 - Practice
Wk 2, Case 12 - Review
3 m.Wk 2, Case 13 - Practice
Wk 2, Case 13 - Review
3 m.Wk 2, Case 14 - Practice
Wk 2, Case 14 - Review
2 m.Wk 2, Case 15 - Practice
Wk 2, Case 15 - Review
10 m.Wk 2, Case 16 - Practice
Wk 2, Case 16 - Review
2 m.Wk 2, Case 17 - Practice
Wk 2, Case 17 - Review
1 m.Wk 2, Case 18 - Practice
Wk 2, Case 18 - Review
2 m.Wk 2, Case 19 - Practice
Wk 2, Case 19 - Review
3 m.Wk 2, Case 20 - Practice
Wk 2, Case 20 - Review
4 m.20 topics, 40 min.
Wk 3, Case 21 - Practice
Wk 3, Case 21 - Review
8 m.Wk 3, Case 22 - Practice
Wk 3, Case 22 - Review
4 m.Wk 3, Case 23 - Practice
Wk 3, Case 23 - Review
9 m.Wk 3, Case 24 - Practice
Wk 3, Case 24 - Review
2 m.Wk 3, Case 25 - Practice
Wk 3, Case 25 - Review
6 m.Wk 3, Case 26 - Practice
Wk 3, Case 26 - Review
2 m.Wk 3, Case 27 - Practice
Wk 3, Case 27 - Review
3 m.Wk 3, Case 28 - Practice
Wk 3, Case 28 - Review
4 m.Wk 3, Case 29 - Practice
Wk 3, Case 29 - Review
3 m.Wk 3, Case 30 - Practice
Wk 3, Case 30 - Review
5 m.20 topics, 39 min.
Wk 4, Case 31 - Practice
Wk 4, Case 31- Review
2 m.Wk 4, Case 32 - Practice
Wk 4, Case 32 - Review
7 m.Wk 4, Case 33 - Practice
Wk 4, Case 33 - Review
3 m.Wk 4, Case 34 - Practice
Wk 4, Case 34 - Review
5 m.Wk 4, Case 35 - Practice
Wk 4, Case 35 - Review
5 m.Wk 4, Case 36 - Practice
Wk 4, Case 36 - Review
5 m.Wk 4, Case 37 - Practice
Wk 4, Case 37 - Review
3 m.Wk 4, Case 38 - Practice
Wk 4, Case 38 - Review
6 m.Wk 4, Case 39 - Practice
Wk 4, Case 39 - Review
3 m.Wk 4, Case 40 - Practice
Wk 4, Case 40 - Review
5 m.20 topics, 41 min.
Wk 5, Case 41 - Practice
Wk 5, Case 41 - Review
6 m.Wk 5, Case 42 - Practice
Wk 5, Case 42 - Review
8 m.Wk 5, Case 43 - Practice
Wk 5, Case 43 - Review
2 m.Wk 5, Case 44 - Practice
Wk 5, Case 44 - Review
3 m.Wk 5, Case 45 - Practice
Wk 5, Case 45 - Review
7 m.Wk 5, Case 46 - Practice
Wk 5, Case 46 - Review
3 m.Wk 5, Case 47 - Practice
Wk 5, Case 47 - Review
2 m.Wk 5, Case 48 - Practice
Wk 5, Case 48 - Review
6 m.Wk 5, Case 49 - Practice
Wk 5, Case 49 - Review
4 m.Wk 5, Case 50 - Practice
Wk 5, Case 50 - Review
6 m.Interactive Transcript
Report
EXAM: XR Chest 2 Views PA + Lateral
CLINICAL INDICATION: Pneumothorax HIV positive, cough
FINDINGS: Small left pneumothorax is unchanged. There is a nodular, cavitary lesion in the left upper lobe, unchanged from yesterday's exam. Surrounding nodular, bronchocentric opacities are concerning for endobronchial spread of infection. The heart and pulmonary vasculature is normal. No effusions.
IMPRESSION: Cavitary lesion in the left upper lobe concerning for active pulmonary tuberculosis.
Important findings were identified, read back and verified.
EXAM: CT Chest without contrast
CLINICAL INDICATION: Pneumothorax. Cough, fever, immunocompromised
FINDINGS:
SUPPORT DEVICES: None.
VASCULAR: No acute abnormality.
MEDIASTINUM: The heart, trachea and other mobile mediastinal structures are shifted to the right with concern for tension pneumothorax. The thyroid is normal.
LYMPH NODES: No abnormality.
AIRWAYS/LUNGS/PLEURA: The airways are patent. Redemonstrated numerous cavitary nodules and tree-in-bud opacities seen throughout the left upper and bilateral lower lobes. Previously indexed left upper lobe cavitary lesion now measures 1.7 x 1.6 cm (series 2, image 46). There is a large left-sided pneumothorax involving greater than 60% of the left hemithorax with deviation of the mobile mediastinal structures to the right concerning for tension pneumothorax. Pleural tethering is noted in 2 locations superiorly.
VISUALIZED ABDOMEN: No acute abnormality.
BONES/SOFT TISSUES: No acute abnormality.
IMPRESSION:
1. Large left-sided tension pneumothorax. Correlate clinically for signs of tamponade physiology.
2. Redemonstrated multiple left upper and bilateral lower lobe cavitary lesions with tree in bud opacities concerning for likely tuberculosis given the clinical history. Again, other differential considerations would include atypical mycobacteria, fungal, and bacterial etiologies.
RECOMMENDATION: As above.
COMMUNICATION: Important information was identified.
Faculty
Jamlik-Omari Johnson, MD, FASER
Chair, Department of Radiology
University of Southern California
Tags
X-Ray (Plain Films)
Lungs
Infectious
Chest
CT
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