Woman With Finger Pain

A woman with back pain.

The Editorial Board of JNMA is proud to launch yet another reader-oriented monthly column entitled "Radiology Rounds", which will be orchestrated by Dr. James Collins, longtime NMA member and professor of radiology at UCLA. Dr Collins and his colleagues across the country will endeavor to bring us a variety of interesting cases with both an educational and clinical message that will undoubtedly...

49-year-old woman with chest pain.

A young woman with chest pain.

A case of a previously fit young woman admitted with chest pain, who was found at coronary angiography to have dissection of the left main stem which extended to the left anterior descending and circumflex coronary arteries, is presented. Emergency coronary artery bypass grafting was performed (vein grafts to the left anterior descending, the diagonal, and circumflex arteries). The patient made...

Middle-aged Woman With Recurrent Chest Pain

An initial ECG revealed striking ST-segment elevations and T-wave inversions in the anteroseptal leads; these findings appeared to be acute. The cardiac troponin levels and creatine kinase (CK) and MB CK fractions obtained during a "rule out myocardial infarction (MI)" protocol were all elevated. In the first 24 hours, no signs or symptoms of congestive heart failure appeared and oxygen saturat...

Woman With Sarcoidosis, Lymphoma, and Shoulder Pain

She described her shoulder pain as 5/10 in intensity, aching to sharp, mainly on the anterior and lateral aspect of the shoulder but radiating to the arm. The pain was intermittent, relieved by rest and aggravated by movement. Range of motion was decreased compared to the contralateral side, and she was unable to actively abduct her left arm above 90 degrees secondary to pain, which also reduce...