Background: Pulmonary nodules are among the most frequent and medically relevant incidental findings, but are easily overlooked – especially when discovered incidentally during hospitalization. While CT imaging has become an invaluable tool for expedited medical evaluation, its use has been associated with an increasing number of incidental findings, the handling of which creates both medical [...]

Background: While CT imaging has become an invaluable tool for expedited medical evaluation, its use has been associated with an increasing number of incidental findings, the handling of which creates both medical and logistical challenges.  Pulmonary nodules are among the most frequent and medically relevant incidental findings, but are easily overlooked – especially when discovered [...]

Case Presentation: A 50-year-old Filipino man with poorly controlled type 2 diabetes mellitus presented with 4 days of fever, abdominal pain and distention. He endorsed unintentional weight loss of 30lbs over the last year as well as a chronic cough. The physical exam was notable for bibasilar lung crackles and abdominal distention with diffuse tenderness [...]

Case Presentation: A 56-year-old smoking female presented to the emergency room with a two-month history of progressive shortness of breath, dry cough, and unintentional weight loss. Her vital signs included a temperature of 36.4°C, heart rate of 116 beats/minute, and a respiratory rate of 24 breaths/minute. Her general appearance was a thin and cachectic woman [...]

Case Presentation: The patient is a 59-year-old male with chronic heart failure found to have cardiac sarcoidosis and subsequently treated inpatient with high-dose steroids. In addition, computed tomography imaging revealed pulmonary nodules. Due to a suspected infection, empirical antibiotics and antifungals were administered, however, treatment failed to clear the nodules. Further, weeks of antibiotic therapy [...]

Case Presentation: Cryptococcus is known for causing meningoencephalitis in immunocompromised individuals. We present a case of cryptococcal infection outside the central nervous system in a relatively immunocompetent host. A 77 year-old male who immigrated from India at twenty years of age, with history of polycythemia vera, initially presented with hoarseness, occasional non-productive cough, weight loss [...]

Case Presentation: A 47 y/o male with history of known esophageal adenocarcinoma and end-stage renal disease on dialysis presented to the hospital with abdominal pain and melena. The patient was diagnosed with esophageal adenocarcinoma one year prior and has had gastrointestinal bleeding in the recent past. He had an upper endoscopy one month prior which [...]

Case Presentation: A 72-year-old Hispanic male with an unconfirmed history of alcohol-related cirrhosis presented to the hospital for rectal bleeding and dark stool for two days. Vitals included a heart rate of 90-120 bpm, blood pressure 90-140 over 50-60 mm Hg. A left thyroid nodule was appreciated on physical exam. His pertinent labs included TSH, [...]

Case Presentation: A 25-year-old man with a past medical history of Ulcerative Colitis (on mesalamine and non-compliant with steroid suppositories) presented as a transfer from an outside hospital (OSH) with fevers, left sided chest soreness, abdominal pain, and bloody diarrhea for 1 week. CT chest, abdomen, pelvis from OSH revealed diffuse colitis as well as [...]

Case Presentation: An 86-year-old woman with a history of COVID-19 and MRSA pneumonia six months prior to presentation and COPD, presented to a local emergency room for abdominal pain related to persistent cough. Other pertinent history included ovarian cancer cured 20 years ago and exposure to tuberculosis when the patient was younger. Computed tomography (CT) [...]