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.
Results
Incidental hypervascular small-bowel abnormalities in an asymptomatic patient
Man, 57 years oldA 57-year-old asymptomatic man with no significant abdominal history underwent CT angiography (CTA) of the abdominal aorta and lower limbs as part of a vascular screen.
Abdominal pain, nausea, and weight loss in an elderly woman
Woman, 70 years oldA 70-year-old woman presented with intermittent abdominal pain over the preceding month, associated with nausea and unintentional weight loss. She also reported progressive asthenia and decreased appetite.
Incidental colonic mass with peritoneal involvement in a patient with intermittent right-sided abdominal pain
Male, 65 years oldA 65-year-old man presented complaining of progressive abdominal distension, early satiety, and intermittent right-sided abdominal pain for the past few weeks.
Right-sided colon cancer presenting with perivisceral infiltration and colliquated lymph nodes
Male, 62 years oldA 62-year-old man presented with progressive fatigue, unintentional weight loss, and intermittent right lower quadrant abdominal discomfort. He also reported recent changes in bowel habits, including alternating episodes of constipation and loose stools.
Suspected left ventricular hypertrophy and slightly reduced left ventricular function in a patient with multiple myeloma
Man, 57 years oldA 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
A patient with fatigue and upper gastrointestinal hemorrhage
An 82-year-old man presented with fatigue and multiple episodes of upper gastrointestinal bleedingMale, 82 years old
Acute abdominal bleeding after partial nephrectomy
Woman, 62 years oldA 62-year-old woman with a history of right partial nephrectomy presented with clinical signs suggestive of active bleeding.
Acute abdominal pain and vomiting in an elderly woman
Female, 86 years oldAn 86-year-old woman presented to the Emergency Department with abdominal pain and vomiting. Her medical history included Parkinson’s disease.
Patient with severe dorsal chest pain unresponsive to pharmacological treatment
Man, 73 years oldA 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
Woman, 78 years oldA 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.
Abdominal pain and diarrhea in a middle-aged man
Man, 51 years oldA 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
15-day-old maleA 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
3-month-old maleFetal ultrasound detected an echogenic pulmonary mass in the left posterobasal region in a 3-month-old male, a finding subsequently confirmed on fetal MRI.
Acute chest pain in a healthy woman
Woman, 43 years oldA 43-year-old woman developed oppressive central chest pain accompanied by vegetative symptoms
Intramural hematoma or dissection of aortic arch?
Man, 49 years oldA 49-year-old male patient, previously healthy and with no significant medical history, presented with severe, acute chest pain.
Patient with abdominal pain and distension with diarrhea
Woman, 55 years oldA 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 oldA 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
Woman, 44 years oldA 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
Male, 32 years oldA 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.
Coronary artery disease
Man, 58 years oldA 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.