Lymphatic malformation

Chest radiograph (image 1) in a newborn shows a massive lymphatic malformation involving the chest wall extending into the upper extremities. Focused ultrasound of the right chest (image 2) shows that the malformation has a heterogeneous appearance with cystic spaces, solid appearing spaces, and spaces with hypoechoic fluid. The hypoechoic fluid is shown to be layering and mobile on real-time imaging (image 3). Lymphatic malformations are benign congenital lesions. They most commonly occur in the head and neck region but can appear anywhere within the body. Typically, lymphatic malformations are classified according to the diameter of the largest cystic cavity and can be microcystic or macrocystic. Macrocystic lesions have cystic space is larger than 2 cm in diameter.

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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?