ECG case #01 | Figure 1

ECG case #01

Belongs to a patient with acute ischemic stroke


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Axial (image 1) and sagittal (image 2) head CT shows a hyperdense 4th ventricular mass (arrow). What is your presumed diagnosis?](https://app.figure1.com/case-detail/1cddfa55-fca2-4fbf-ac77-d032d8835b16)

Axial (image 1) and coronal (image 2) head CT shows a lobulated mass (arrow) in the right tectal region causing massive obstructive hydrocephalus. If this represents an atypical teratoid/rhabdoid tumor (ATRT), what other imaging is recommended?](https://app.figure1.com/case-detail/1e7c4607-5956-42e2-aabb-5619b58766c0)

Axial CT of the head (image 1) shows focal calcification (arrow) in the right temporal lobe. Axial FLAIR (image 2), T2 weighted (image 3), and T1 weighted postcontrast (image 4) MRI shows abnormal signal within the subcortical white matter of the posterior aspect of the superior right temporal gyrus consistent with focal cortical dysplasia. Focal cortical dysplasia is one of the most common causes of refractory epilepsy.](https://app.figure1.com/case-detail/2ff59180-eda7-4941-9886-6b2fa1828ee2)

Axial T1 FLAIR MRI shows subependymal gray matter heterotopia (arrowhead), the most commonly observed form of gray matter heterotopia. The differential diagnosis for this finding includes subependymal nodules that occur in tuberous sclerosis complex. Gray matter heterotopia is distinguished from subependymal nodules of tuberous sclerosis by the signal intensity of the nodule; in tuberous sclerosis, the T2 signal of subependymal nodules is higher than that of normal gray matter while nodules in gray matter heterotopia are isointense to gray matter. Patients with tuberous sclerosis may also have additional stigmata such as subcortical tubers and subependymal giant cell astrocytomas.](https://app.figure1.com/case-detail/32fdc2df-2998-4f2e-a189-f735e7634bde)

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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.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

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)

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)

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)