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Training Collections
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On-demand course library with video lectures, expert case reviews, and more
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Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Unlock access to our full Course Library and all self-paced Fellowships.
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Get access to free live lectures, every week, from top radiologists.
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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.
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Practice Cases
Worklist 1
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.Practice Cases
Worklist 2
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.Practice Cases
Worklist 3
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.Practice Cases
Worklist 4
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.Practice Cases
Worklist 5
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.Wk 2, Case 18 - Review
HIDEInteractive Transcript
Report
TECHNIQUE:
CT of the abdomen and pelvis with intravenous contrast.
COMPARISON: None.
FINDINGS:
LOWER THORAX: Mild bibasilar atelectasis.
HEPATOBILIARY: No focal hepatic lesions. No biliary ductal dilatation. Subcentimeter hypodensities in the left hepatic lobe and in the caudate lobe likely represent cysts. Gallbladder unremarkable.
SPLEEN: No splenomegaly.
PANCREAS: No focal masses or ductal dilatation. ADRENALS: No adrenal nodules.
KIDNEYS/URETERS: No hydronephrosis, stones, or solid mass lesions.
PELVIC ORGANS/BLADDER: Prostate is enlarged. Bladder unremarkable.
PERITONEUM / RETROPERITONEUM: There is free air within the peritoneum, the largest collections seen anterior to the liver as well as within the right lower abdomen. There is a small amount of free fluid as well as diffuse fat stranding throughout the peritoneum.
LYMPH NODES: No lymphadenopathy.
VESSELS: Atherosclerotic calcification within the abdominal aorta and its branches.
GI TRACT: There is a defect within the superior aspect of the duodenal bulb with leakage of free air, seen for instance on coronal image 25, consistent with a perforated ulcer. There is marked wall thickening and surrounding inflammatory fat stranding involving the distal stomach. There is no bowel distention. There is mild apparent wall thickening within the distal colon, which may reflect underdistention or may be reactive. The appendix is normal.
BONES AND SOFT TISSUES: There are lytic lesions within the sacrum and the left iliac bone as well as other lesions scattered throughout the spine, consistent with known multiple myeloma. There are degenerative changes of the visualized spine.
IMPRESSION:
Perforation of the duodenal bulb, likely reflecting a perforated ulcer, with intraperitoneal free air, free fluid, and diffuse fat stranding.
Faculty
Laura L Avery, MD
Assistant Professor of Emergency Radiology Harvard Medical School
Massachusetts General Hosptial
Tags
Vascular Imaging
Stomach
Gastrointestinal (GI)
CT
Body
Acquired/Developmental
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