Author name: Clinical and Medical Images

1. Clinical Image A 62-year-old lady with history of left renal stones, hypertension and impaired fasting glycemia was emergently admitted because of acute onset of abdominal pain. Physical examinations found left-sided abdominal tenderness and ballotable left kidney. Laboratory investigations found impaired renal func- tion and leukocytosis

An 83-year-old woman with primary hypothyroidism and multinodular goiter had maintained euthyroid status for many years under Eltroxin supplementation. Patient was asymptomatic, however during routine follow-up, ultrasonography of the thyroid revealed numerous hyperechoic ‘jelly-like’ pseudo-calcifications at the right thyroid (Figure 1A). Fine needle aspiration cytology to rule-out cancer reported only a fewmacrophage cells. Further survey

Retinitis pigmentosa and choroidal coloboma are known to usually exist as two separate entities. The fundus photo shows features of Retinitis pigmentosa, with an isolated coloboma inferior to disc, in a 30 years old lady, who, presented with decreased peripheral vision and nyctalopia. On evaluation she was found to have 6/6 vision bilaterally. Anterior segment

A 68-year-old recently widowed woman with a negative past medical history, was brought to the clinic reluctantly by her daughter for a medical check-up. The patient comes from a middle-class socioeco- nomic status, has a high school degree, and has worked as a practical nurse for many years up until her retirement. She had consistently