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Bilateral HeRO Grafts
52 year old Male on dialysis. What are the devices? • Xray of the Week Figure 2: Frontal chest radiograph in a dialysis patient . What are the devices? Figure 2: Frontal chest radiograph in a dialysis patient with bilateral HeRO grafts. The green arrow indicates the proximal aspect of the right-sided nitinol-reinforced venous component entering the central circulation via the internal jugular vein. The red arrow highlights the left-sided system entering via the subclavian v


Brachydactyly Type A3
50-year-old female presenting with short 5th finger . What is the diagnosis? • Xray of the Week Figure 1. Frontal bilateral hand X-ray. What is the diagnosis? Figure 2. Frontal bilateral hand X-ray: Severe shortening of the middle phalanx of the fifth digit (red arrows). The phalanx measures less than 50% of the length of the adjacent fourth middle phalanx, satisfying the Hertzog criteria for Brachydactyly Type A3. A mild radial clinodactyly is present, secondary to the wedg


Atrial Lead Dislodgement in Dual-Chamber Permanent Pacemaker
An 88-year-old male status post dual-lead permanent pacemaker placement presented with symptoms of pacemaker malfunction, including bradycardia and fatigue. What is the diagnosis? • Xray of the Week Figure 1. Frontal chest X-ray. What is the diagnosis? Figure 2. Frontal chest X-ray: Both pacemaker leads project over the right ventricle (red and green arrows), with the intended atrial lead dislodged from the right atrium and positioned in the right ventricle alongside the vent


Arachnoiditis Ossificans
An 74-year-old male with chronic low back pain and progressive lower extremity weakness. What is the diagnosis? • Xray of the Week Figure 1. Non-contrast CT of the lumbar spine. What is the diagnosis? Figure 2. Non-contrast CT of the lumbar spine (axial, sagittal, and coronal reconstructions): Central pattern of arachnoiditis ossificans demonstrating dagger-like ossification within the central spinal canal at the L5 level (red arrows). The linear, hyperdense bony bar courses


Active Bleeding in the Ascending Colon
An 83-year-old male with rectal bleeding. What is the diagnosis? • Xray of the Week Figure 1. CTA abdomen/pelvis. What is the diagnosis? Figure 2. CT angiogram: A. Non-contrast images are normal (yellow arrow) . B. Arterial phase image: Hyperdense extravasation of contrast within the lumen of the ascending colon (blue arrow), indicating active bleeding. C and D. Note the dependent layering of contrast on portal venous phase images, confirming active extravasation. Diagnosis A


Takayasu Arteritis
25-Year-Old Female with Abdominal Pain and Weight Loss: Diagnosis? • Xray of the Week Figure 1. 25-Year-Old Female with Abdominal Pain and Weight Loss: Diagnosis? Figure 2. CTA through the thoracic and abdominal aorta. A. Axial image through the descending thoracic aorta demonstrates concentric mural thickening and mild stenosis (yellow arrow). B. Axial image through the infra-renal abdominal aorta demonstrates mild concentric mural thickening and severe stenosis (red arrow).


























