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

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

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

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

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

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).

Quick summary From Hotel Chinzanso Tokyo to Tokyo Station:  Taxi (≈30 mins) ~ ¥5,000 ($34). Tokyo to Kyoto on Shinkansen:  Nozomi train, ~ 2 hr 15 min, reserved seat ~ ¥14,500 ($95) per adult. Book early as the seats may be limited. Japan Rail Pass - JRailPass.com スマートEX Carry-On Rules for Shinkansen: Suitcases under 160 cm (sum of L+W+H) can be brought onboard. Larger luggage requires reservation or baggage forwarding. Baggage forwarding (Tokyo→Kyoto):  Most services are nex

Cervical ribs are supernumerary ribs arising from C7 and are more frequent than commonly appreciated on CT, where they may be overlooked without deliberate scrutiny of the thoracic inlet. Recognition matters because their morphology, length, and articulation vary and can predispose to local compressive phenomena.

Hyphema refers to hemorrhage into the anterior chamber of the eye, most often secondary to blunt or penetrating trauma. On non-contrast orbital CT, hyphema appears as a hyperdense collection filling or layering in the anterior chamber, anterior to the lens.

Scimitar Syndrome is a rare congenital condition characterized by partial anomalous pulmonary venous return (PAPVR), where pulmonary veins from the right lung drain into systemic veins—most commonly the inferior vena cava—creating a curvilinear “scimitar” appearance on chest radiographs.