18M no pmhx presents with #Hemoptysis and found to have ante | Figure 1

ajk266

Radiology

18M no pmhx presents with #Hemoptysis and found to have anterior mediastinal mass and lung mets on CT; last two images are pre and post fire biopsy images; Ddx?

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Looks for some guidance/advice on this lesion.. 34 yo male with HX of htn, paroxysmal AFib, OSA w/CPAP, and depression. Meds: perindopril, diltizaem, and desvenlafaxine.

They noticed this dark spot on the ventral aspect of the L great toe ~2 months ago. They have been monitoring it thinking it was a bruise but has not changed. No known injuries/trauma.

The first photo is a collage of the left image from around two months ago and the right side shows current. I have also attached a dermatoscopic image as well as a furrow ink test image. It is asymptomatic. He has no other known history with cancers. I am I wonder about an acral nevus but concerned about is being an acral melanoma with the pigment looking to run parallel along the ridges. Likely will have biopsied.

Just wondering what the community thinks about the images. If it is melanoma and it's at least 2 months old (could be a bit older but didn't notice it), is there much risk for metastasis?

Stroke thrombolysis call at 09:30. 76-year-old gentleman admitted with sudden-onset dysarthria and right-sided weakness, after collapsing in a car park. No head injury or LOC. He had fallen several times in the last few months, and felt generally weak. No other symptoms. Images 1 and 3 are from the initial non-contrast scan. Images 2 and 4 are the corresponding images with contrast, obtained when we saw the initial scan (we only do non-contrast scans during thrombolysis calls, to exclude a haemorrhage).

Can you diagnosis of this #skin condition based off of this image?

middle-aged female, new altered mental status. Post-gad MR from 13 days prior (images 1&3) and at presentation in ER (images 2&4). Key history withheld, but what would you consider here?

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.

He had a history of hypertension, long-term smoking, and a sedentary lifestyle.

On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.

Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?