Search Results for: "acpjournals_annals"

We present the images of a 67-year-old man who came to the emergency department with bilateral lower extremity pain and shortness of breath. Our images include an intraoperative transesophageal echocardiogram that shows a large, continuous free-floating right atrial mass and a large 31 cm × 1 cm thrombus that was successfully extracted. The thrombus likely could not embolize because of the patient's severe heart failure.

Correction: Diffuse Necrosis: A Rare Case of Idiopathic Black Esophagus, Duodenum, and Jejunum | Annals of Internal Medicine: Clinical Cases

Pleural and Pericardial Plaques in Asbestos Exposure | Annals of Internal Medicine: Clinical Cases

Asbestos is a generic term for a group of naturally occurring fibers composed of hydrated magnesium silicate minerals. Transported worldwide to shipyards and factories, it is a material that was widely used in construction, mining, and manufacturing. Exposure to asbestos can cause significant benign and malignant lung, pleural, and pericardial disease. Usually asymptomatic, pleural plaques are the most common radiologic manifestation of asbestos exposure. We report a case of a man who presented with heart failure exacerbation and was incidentally found to have pleural and pericardial plaques from asbestos exposure.

Painless Neck Mass in a 47-Year-Old Man | Annals of Internal Medicine: Clinical Cases

A 47-year-old man presents for evaluation of a painless neck mass.

Correction: Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta | Annals of Internal Medicine: Clinical Cases

Transient Perivascular Inflammation of the Carotid Artery Syndrome | Annals of Internal Medicine: Clinical Cases

A previously healthy 52-year-old woman presented with left anterior cervical pain that had persisted for 10 days. Cervical magnetic resonance imaging revealed a high-intensity signal in the region exhibiting short-inversion-time inversion recovery; therefore, the patient was diagnosed with transient perivascular inflammation of the carotid artery (TIPIC) syndrome. TIPIC syndrome is a nonspecific inflammatory finding in the soft tissues surrounding the carotid arteries and should be included in the differential diagnoses of patients with acute anterior cervical pain.

Intercostal Retraction With Pleural Effusion | Annals of Internal Medicine: Clinical Cases

An 80-year-old man presented to our hospital with a cough for 2 weeks and a 2-day history of fever. On physical examination, a localized intercostal retraction was observed in his right lower thorax. The most intriguing point in this case is that when a localized intercostal retraction on inspiration is found, clinicians should consider pleural effusion.

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