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Active Bleeding in the Ascending Colon
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


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).


Fracture of the Right Cervical Rib
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 with Vitreous Hemorrhage
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.


Patency Capsule on X-Ray
The patency capsule is a dissolvable “dummy” capsule—matching the size of standard small‑bowel video capsule endoscopes—used to evaluate functional luminal patency of the small bowel prior to capsule endoscopy


Splenic Trauma with Contrast Extravasation
A 61-year-old female presented with left upper quadrant abdominal pain and hypotension following a motor vehicle collision. How would you...


Bravo pH Monitor
The Bravo pH monitoring system is a catheter-free, ambulatory device designed to evaluate esophageal acid exposure over 48–96 hours.


Lateral Subtalar Joint Dislocation
26 M jumped to catch a baseball and landed while rotating to the right. Diagnosis? • Xray of the Week


Percutaneous Cholecystostomy in Pregnancy
Right upper quadrant pain unstable patient. What procedure is indicated? • Xray of the Week Figure 1. What action should be taken for...


Lisfranc Fracture Dislocation
34 M. Trauma due to falling off a roof . Diagnosis? • Xray of the Week Figure 1. Trauma due to falling off a roof . Diagnosis? Figure 2. Type B2 Lisfranc injury. (A) AP radiograph demonstrates the circled “fleck sign” or Lisfranc ligament avulsion fracture fragment. (B) Arrow demonstrates the increase in distance between the first and second metatarsals. The red lines show the misalignment or lateral displacement of the 2nd metatarsal bone over the second cuneiform bone and


























