Coronal CT- of the chest shows an arrow-shaped thrombus (arr | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Coronal CT- of the chest shows an arrow-shaped thrombus (arrow) in the left subclavian vein. Risk factors for venous thrombus include indwelling venous catheters and prothrombotic states or conditions. On CT, it is important to make sure that the thrombus is a true finding and not an artifact related to mixing of non-contrast opacified blood. #ThoraxThursday #ThoracicThursday

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Coronal head US in an extremely premature newborn shows right Grade IV intraventricular hemorrhage (black arrow) with adjacent white matter venous infarction (white arrow). The left lateral ventricle is dilated with layering hemorrhagic debris (blue arrow), a grade III hemorrhage. #NeuroWednesday

Image description Coronal MR angiogram (image 1) of the upper chest and coronal CT (image 2) show thrombus (arrow) within the left subclavian vein.

Teaching point Thoracic outlet syndrome encompasses venous, arterial, and neurogenic forms caused by compression of the neurovascular bundle at the thoracic outlet. Predisposing factors include congenital anomalies such as a cervical rib or elongated transverse process, acquired narrowing from clavicular or first-rib abnormalities, and dynamic compression related to posture or repetitive overhead activity. In the venous form, chronic compression of the subclavian vein leads to endothelial injury and stasis, predisposing to thrombosis.

Cor and Sag head CT in a preschooler with headaches shows heterogeneously increased attenuation and expansion of the superior sagittal sinus, concerning for thrombus. Note the length of nonocclusive thrombus in the SSS. Cerebral venous thrombosis can be due to a variety of local and systemic causes. #NeuroWednesday

Sagittal postcontrast CT image child with a closed head injury shows injury to the anterior portion of the superior sagittal sinus with extravasation of contrast (arrow) into the extracranial soft tissues and partial thrombus (arrowhead) of the anterior aspect of the superior sagittal sinus. The most common site of dural venous sinus injury is the anterior and middle third of the superior sagittal sinus. Because of the rich collateral venous drainage at this location, patients can be treated with sinus ligation. #NeuroWednesday

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?