Case Presentation: Mycosis fungoides (MF) is a rare cutaneous T-cell lymphoma that progresses from patch-stage dermatitis to tumor-stage lesions. While primarily a dermatologic malignancy, MF can involve systemic organs or transform into more aggressive malignancies. Composite lymphomas (CL), characterized by the coexistence of two distinct lymphomas in one patient, are rare and diagnostically challenging. We [...]

Case Presentation: A 32-year-old female of Chinese descent with no past medical history presented with abdominal pain, nausea and bloating 1 month in duration. Initial labs remarkable for normal blood counts, positive CA 125 of 1118 U/mL and CA 19-9 of 53 U/mL. Abdominal CT demonstrated bilateral ovarian masses, peritoneal carcinomatosis with omental caking and [...]

Case Presentation: A 64-year-old man with a history of apical hypertrophic cardiomyopathy and nonobstructive coronary artery disease (CAD) presented with acute onset non-radiating exertional chest pain localized to the precordium. His symptoms had progressed to the point of occurring even at rest. On arrival, his vital signs included a blood pressure of 112/65 mm Hg, [...]

Case Presentation: The patient is a 37-year-old male with medical history significant for HIV infection. He was admitted for evaluation of a rapidly enlarging, left maxillary mass over the previous 6 months. At the time of presentation, it was estimated that he had not been on highly active antiretroviral therapy (HAART) for 12 months. His [...]

Case Presentation: A 29-year-old male with no medical history presented with abdominal pain and diarrhea after a trip to Key West. He described 2 days of constant epigastric pressure and cramping with no relation to food intake or bowel movements, along with 1 night of black, watery diarrhea. He denied fever, weight loss, night sweats, [...]

Case Presentation: A 68-year-old male with hypertension and benign prostatic hyperplasia presented with progressive abdominal distension and pain. He denied fever, weight loss, gastrointestinal bleeding, or any history of gastrointestinal diseases. Physical examination revealed a distended, non-tender abdomen with normal bowel sounds.Laboratory tests showed elevated lactate dehydrogenase (LDH) at 750 U/L, hyperuricemia at 9.0 mg/dL, [...]

Case Presentation: A 50-year-old male with history of HIV with undetectable viral load on ART presented to the emergency department for evaluation of left eye blurriness, ptosis, and ophthalmoplegia. History was notable for emergency department and outpatient ophthalmology visits one month prior resulting in a diagnosis of cranial nerve six palsy. MR angiography was unremarkable. [...]

Case Presentation: An 81-year-old woman was referred with a 1-month history of subacute progressive bilateral leg edema and a 1-week history of pain and inflammation in both lower legs. She had no history of fever or weight loss. Physical examination revealed pitting bilateral edema with tenderness. No heart murmurs or jugular venous distention were noted. [...]

Case Presentation: A 65-year-old female with a history of iron deficiency and acute blood loss anemia, schizophrenia, asthma, and hypothyroidism presented with shortness of breath and weight loss for three months. On arrival, her temperature was 101.1 F, blood pressure 84/40, heart rate 129, and spO2 97% on room air. Laboratory studies showed a white [...]

Case Presentation: A 79 year old male presented to the hospital for evaluation of acute worsening testicular pain/swelling that had been ongoing for 3 months. When symptoms first began three months prior, he was evaluated by Urology and diagnosed with epididymitis; however, he completed two courses of antibiotics without symptomatic improvement. Testicular and abdominal ultrasound [...]