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Clinical Cases

A vast collection of interactive patient cases to test your diagnostic skills and help you deal with CT imaging challenges you may face in your practice.

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Photon-counting CT angiography showing coronary calcium scoring and RCA stenosis in a patient with multiple myeloma and suspected cardiac amyloidosis.

Suspected left ventricular hypertrophy and slightly reduced left ventricular function in a patient with multiple myeloma

Man, 57 years old
A 57-year-old man with a history of kappa light-chain multiple myeloma was found to have mild left ventricular (LV) hypertrophy and a slightly reduced LV function on echocardiography

Unenhanced axial CT scan showing an exophytic gastric GIST along the lesser curvature near the pyloric region in an elderly patient with upper gastrointestinal bleeding

A patient with fatigue and upper gastrointestinal hemorrhage

An 82-year-old man presented with fatigue and multiple episodes of upper gastrointestinal bleeding
Male, 82 years old

CT angiography showing acute perirenal hemorrhage caused by a renal artery pseudoaneurysm after partial nephrectomy

Acute abdominal bleeding after partial nephrectomy

Woman, 62 years old
A 62-year-old woman with a history of right partial nephrectomy presented with clinical signs suggestive of active bleeding.

Femoral Hernia Causing Small-Bowel Obstruction: CT Case

Acute abdominal pain and vomiting in an elderly woman

Female, 86 years old
An 86-year-old woman presented to the Emergency Department with abdominal pain and vomiting. Her medical history included Parkinson’s disease.

CT angiography case of Stanford type B aortic dissection with retrograde intramural hematoma involving the thoracic aorta, treated with TEVAR.

Patient with severe dorsal chest pain unresponsive to pharmacological treatment

Man, 73 years old
A 73-year-old male patient was referred to the hospital because of severe dorsal chest pain with reported onset a few hours earlier.

Coronary artery plaque and CAD-RADS™ 2.0 classification system Clinical Case - MDCT.net

Coronary artery plaque and CAD-RADS™ 2.0 classification system

Woman, 78 years old
A 78-year-old woman with a known history of cerebral arterial occlusive disease — including left carotid artery stenosis — and hyperlipidemia presented complaining of occasional episodes of chest pain.

Spectral CT Case: Small Bowel Carcinoid Tumor Diagnosis - MDCT.net

Abdominal pain and diarrhea in a middle-aged man

Man, 51 years old
A 51-year-old man was referred for a CT scan to investigate abdominal pain and diarrhea.

Respiratory distress in a newborn with Tetralogy of Fallot

Respiratory distress in a newborn with Tetralogy of Fallot

15-day-old male
A male newborn with a prenatal diagnosis of Tetralogy of Fallot was admitted to the Neonatal Intensive Care Unit for respiratory distress and subsequently required intubation due to clinical deterioration.

Echogenic left posterobasal lung mass observed on fetal ultrasound and MRI: postnatal characterization with contrast-enhanced chest CT

Echogenic left posterobasal lung mass observed on fetal ultrasound and MRI: postnatal characterization with contrast-enhanced chest CT

3-month-old male
Fetal ultrasound detected an echogenic pulmonary mass in the left posterobasal region in a 3-month-old male, a finding subsequently confirmed on fetal MRI.

Clinical case: Acute chest pain in a healthy woman Woman, 43 years old

Acute chest pain in a healthy woman

Woman, 43 years old
A 43-year-old woman developed oppressive central chest pain accompanied by vegetative symptoms

CT angiography shows an aortic arch entry tear with retrograde extension into the ascending aorta; initial surgery missed the causative lesion. MDCT.net

Intramural hematoma or dissection of aortic arch?

Man, 49 years old
A 49-year-old male patient, previously healthy and with no significant medical history, presented with severe, acute chest pain.

Clinical case: Patient with abdominal pain and distension with diarrhea

Patient with abdominal pain and distension with diarrhea

Woman, 55 years old
A 55-year-old woman presented with non-specific abdominal pain, abdominal distension, and diarrhea.

Non-contrast CT, multiphase CT angiography, and CT perfusion to evaluate loss of consciousness in a 76-year-old patient

Man, 76 years old
A 76-year-old man with a past medical history of high blood pressure, diabetes, and chronic renal failure reported falling asleep at 10:00 pm the previous night. At 4:00 am he experienced involuntary movements and detachment from reality.

A healthy woman with intermittent chest pain on exertion

A healthy woman with intermittent chest pain on exertion

Woman, 44 years old
A previously healthy 44-year-old woman with no relevant medical history, complained of intermittent chest pain during physical exertion

Diffuse abdominal pain and frequent diarrhea in a young man

Diffuse abdominal pain and frequent diarrhea in a young man

Male, 32 years old
A 32-year-old man presented with diffuse abdominal pain and frequent diarrhea. Superficial and deep abdominal palpation revealed tenderness, primarily over the left flank and iliac fossa.

Cardiac CT reveals high-grade stenoses and high-risk plaques in a 58-year-old male. Expert CAD-RADS™ 2.0 interpretation and imaging protocol included.

Coronary artery disease

Man, 58 years old
A 58-year-old male patient with a history of hyperlipidemia and arterial hypertension was admitted to the Cardiology Department for evaluation of newly developed atypical chest pain.

Syncopal episodes with cardiac arrest

Man, 44 years old
A 44-year-old man was admitted to the emergency department following a recent syncopal episode with resuscitated cardiac arrest.

Learn how dual-layer spectral CT aids in diagnosing intestinal abnormalities and guiding clinical management.

Diffuse abdominal pain, vomiting, and diarrhea in an immunocompromised patient

Woman, 62 years old
A 77-year-old woman presented to the Pulmonology Department with neck and facial edema, shortness of breath and fever.

Local treatment in HCC. Man, 64 years old

Local treatment in HCC

Man, 64 years old
A 64-year-old male patient with hepatic cirrhosis and preserved liver function developed a large hepatocellular carcinoma in segment V (Figure 1; portal venous phase is not shown).

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