Section: Quizzes

  • Angiotropic large cell lymphoma of the superior vena cava

    Summary:  The patient was a 44-year-old woman who was transferred to our institution with a presumed diagnosis of superior vena cava syndrome (SVCS) secondary to thrombus formation. The patient experienced syncope, along with headache, bilateral facial, neck, and upper-extremity swelling, as well as shortness of breath that was progressive over several months. The review of systems was negative for fever, night sweats, chills, myalgias, weight loss or other constitutional symptoms. The patient appeared cyanotic and had edema of the face and upper extremities with engorgement of the superficial neck and chest veins. There was no palpable lymphadenopathy or organomegaly.

  • Epiploic appendagitis

    Summary:  A 62-year-old man presented with acute onset of right lower-quadrant pain that was made somewhat worse by motion. The patient was afebrile and had a normal white blood cell count.

  • 53-year-old male with a mass on chest X-ray

    Summary:  A 53-year-old male presents to the emergency department with 4 days of cough and low-grade fevers. A mass is seen on chest X-ray.

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