A typical picture of aspergilloma (invasive pulmonary infect | Figure 1

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Nuclear Medicine

A typical picture of aspergilloma (invasive pulmonary infection by the fungus species Aspergillus). Round mass is in the cavity inside the lung with an air layer and resemble a meniscus or whisk - called "halo sign".

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43 y/o lady of Bedouin origin with asthma, was admitted and treated for pneumonia with Levofloxacin. First CXR was obtained on admission, second picture is to compare the recent x ray to the one obtained by her family dr. 27 days before admission. During the night her breathing deteriorated, saturation dropped to 68% and it seemed she was suffering from an acute severe asthma exacerbation so she was intubated. Chest CT was obtained the next day. What do u think? Do u see anything on the CXR? What's your DD? Ask for more details](https://app.figure1.com/case-detail/063fa179-77ba-4352-95fc-432e18c33ed9)

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29 y/o F presents with 1cm lesion on left foot. Pt returned from trip to Thailand two weeks ago. Began as blister on trip, remained open for duration of trip. Walked barefoot on beaches, swam in pools and ocean, walked in mud near elephants, barefoot on streets. Getting worse- more red, pitted, painful and swollen over past two weeks upon returning to US. Negative fever or associated sx. Thoughts on what this could be?](https://app.figure1.com/case-detail/15dd4130-7254-45fd-9219-4457812e2eb8)

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43 years old male patient without any previous diseases came in to our ENT emergency department 1 week ago with a swollen neck , swollen lymph nodes, difficulty of breathing and swallowing. Covid PCR negative.
Physically we saw that the tonsills, the uvula and the neck is swollen and painful. We started IV Augmentin at this point which later was changed to Tazobactam/piperacillin. First Blood work showed high d-dimer, GOT, GPT, GGT, CRP and a low GFR (see picture). Chest x ray was negative. Neck ultrasound showed fluid in between the fascia of the neck. Neck and Chest CT with contrast showed inflammation in the tonsils and the supraglortic area and an oedema in the neck, also showed no embolism in the lungs. Second blood work showed a higher CRP, high procalcitonin and a low thrombocyta number Meanwhile the patient status was keep getting worst so we decided to move the patient to the ICU. Artery blood gas examination showed extreme hyperkaliamia. Meanwhile trying to fix it patient heart stopped and needed to be resuscitated, was put on monitoring and intubation, but later was successfully extubated. Haemoculture was negative. Culture from pharynx showed Pseudomonas Aeruginosa. Bone marrow biopsy came back no proof of any type of leukemia. Repeated neck ultrasound showed no abscess or thrombosis. Repeated CTA showed minimal regression, still no sign of any thrombosis. At this point there is some regression but still no diagnosis.](https://app.figure1.com/case-detail/4c8deb26-93a9-4862-b06c-6243d1686e5f)

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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.\
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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.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

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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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

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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?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)