Imaging

  • Common benign breast concerns for the primary care physician
    Christine Lara Klassen, MD, Stephanie L. Hines, MD and Karthik Ghosh, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 57-65; DOI: https://doi.org/10.3949/ccjm.86a.17100

    Because breast cancer is so common, women with breast problems often fear the worst. They needn’t.

  • Acute-onset quadriplegia with hyperreflexia
    Nasreen Shaikh, MD, Muhammad Sardar, MD, Wahab Khan, MD and Wael Ghali, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 7-8; DOI: https://doi.org/10.3949/ccjm.86a.18049

    MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.

  • Lung complications of prescription drug abuse
    Josiah D. McCain, MD, Monia E. Werlang, MD, Andras Khoor, MD, PhD and Isabel Mira-Avendano, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 910-911; DOI: https://doi.org/10.3949/ccjm.85a.18050

    Opioid tablets crushed, then injected intravenously.

  • Which patients with pulmonary embolism need echocardiography?
    Rama Hritani, MD, Abdulah Alrifai, MD, Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 826-828; DOI: https://doi.org/10.3949/ccjm.85a.17094

    The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.

  • Renal vein thrombosis and pulmonary embolism
    Alice Chedid, MD, Mohamad Hanouneh, MD and C. John Sperati, MD, MHS
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 833-834; DOI: https://doi.org/10.3949/ccjm.85a.18064

    A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.

  • Back pain as a sign of inferior vena cava filter complications
    Michael Lause, BS, Alisha Kamboj, BS, Ryan Schwieterman, MD and Vijay Duggirala, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 835-836; DOI: https://doi.org/10.3949/ccjm.85a.18046

    Complications can include filter movement, fracture, occlusion, and penetration.

  • Pulmonary infarction due to pulmonary embolism
    Melda Sonmez, MD, Loutfi S. Aboussouan, MD, Carol Farver, MD, Sudish C. Murthy, MD, PhD and Roop Kaw, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 848-852; DOI: https://doi.org/10.3949/ccjm.85a.17132

    A 76-year-old man is admitted with pleuritic chest pain and shortness of breath 48 hours after undergoing surgery.

  • Bisphosphonate-related atypical femoral fracture: Managing a rare but serious complication
    Stuart Silverman, MD, Eli Kupperman, MD and Susan Bukata, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 885-893; DOI: https://doi.org/10.3949/ccjm.85a.17119

    Concern about this rare complication has led to a decrease in bisphosphonate use.

  • When stroke runs in the family
    Nellowe Candelario, MD and Kevin Bryan Lo, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 743-744; DOI: https://doi.org/10.3949/ccjm.85a.18055

    CADASIL—cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy—is due to a mutation in NOTCH3.

  • How long should we follow simple ovarian cysts with pelvic ultrasonography?
    Megan C. McNamara, MD, MS and Rachel Brook, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 745-747; DOI: https://doi.org/10.3949/ccjm.85a.17116

    Before menopause, most simple cysts smaller than 5 cm resolve in 2 to 3 menstrual cycles and need no further intervention.

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