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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
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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.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
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 5, Case 46 - Review
HIDEInteractive Transcript
Report
Report
CT of the abdomen and pelvis WITH intravenous contrast.
Scans were continued into the pelvis to evaluate for ischemia.
COMPARISON: None available.
FINDINGS:
LOWER THORAX: Filling defects in the subsegmental pulmonary arteries consistent with pulmonary emboli of indeterminate age.
HEPATOBILIARY: No focal hepatic lesions. No biliary ductal dilatation. Cholelithiasis without cholecystitis.
SPLEEN: No splenomegaly.
PANCREAS: No focal masses or ductal dilatation.
ADRENALS: No adrenal nodules.
KIDNEYS/URETERS: There is a large right extrarenal pelvis. There is stable right hydronephrosis.
PELVIC ORGANS/BLADDER: Calcifications in a fibroid uterus.
PERITONEUM / RETROPERITONEUM: No free air or fluid.
LYMPH NODES: No lymphadenopathy.
VESSELS: There is stenosis at the celiac origin. The proximal SMA is completely occluded with threadlike reconstitution distally on delayed phase. The IMA is occluded. The native bilateral common iliac arteries are completely occluded. There is a patent aortobifemoral bypass graft present. Extensive atherosclerotic changes in the aorta.
GI TRACT: There is bowel wall thickening of the ileum, which is non-specific but in the setting of SMA/IMA occlusion is strongly suggestive of mesenteric ischemic bowel disease. There is cecal wall enhancement which may also be related to ischemic changes. The sigmoid colon is decompressed and also possibly thickened. The patient is status post low abdominal resection with end to side reanastomosis. There is a hiatal hernia.
BONES AND SOFT TISSUES: No acute or aggressive osseous abnormality.
IMPRESSION:
Bowel wall thickening of the ileum with occlusion of the SMA/IMA concerning for mesenteric ischemia.
Faculty
Laura L Avery, MD
Assistant Professor of Emergency Radiology Harvard Medical School
Massachusetts General Hosptial
Tags
Vascular Imaging
Vascular
Small Bowel
Gastrointestinal (GI)
CT
Body
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