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Atrial Lead Dislodgement in Dual-Chamber Permanent Pacemaker
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


Takayasu Arteritis
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).


Scimitar Syndrome on Chest X-Ray
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.


Left Atrial Myxoma Presenting with Splenic Infarct
66 year old female with abdominal pain. Diagnosis? • Xray of the Week Figure 1. What are the important findings? Figure 2. Axial CT - A:...


Subcutaneous Implantable Cardioverter Defibrillator
36 year old male. Chronic renal failure, on dialysis. Name the device and location • Xray of the Week Figure 1. Name the device and...


Lung Herniation
56M with new chest mass after recent cardiac surgery • Xray of the Week 56 yo M with complaints of new chest mass, cough and chest pain....


Vasa Previa
32 F with Vaginal Bleeding • Xray of the Week Patient at 25 weeks gestational age. Figure 1. Sagittal transvaginal ultrasound of the...


Methamphetamine Associated Cardiomyopathy
34 year old male with chest pain and shortness of breath • Xray of the Week Figure 1. 34 year old male with chest pain and shortness of...


Biventricular Pacemaker Malposition - Twiddler's Syndrome
Biventricular Pacemaker Dysfunction • Xray of the Week Figure 1. Abnormal position of pacemaker. Figure 2. CXR done 19 days after...


SVC Occlusion with Portal Vein Collaterals
Why is there contrast in the liver? • Xray of the Week Pt with renal failure and multiple prior hemodialysis catheters resulting in SVC...


























