Clinical Image

A 44-year-old woman was admitted to hospital with a history of fever, low back pain, paraesthesia and paresis with evolution to paraplegia, loss of esficter control. At the examination: Oriented in time and space, isocoric pupils, paraplegia level T12, hypoesthesia level T10, anesthesia level T12, positive Babinski. Positive HIV test. Magnetic resonance column (Figure 1):

A 41-year-old man, previously healthy, presented to his primary medical doctor complaining of cold symptoms lasting for a week. After performed an x-ray, it suggested a large mediastinum. To clarify this finding, he was subjected to a thoracic computed tomography (CT), revealing an extensive oesophageal dilatation (transverse diameter of 10 cm – Figure 1). This

Intracranial aneurysms are high-pressure vascular lesions that may rupture and present with acute symptomatology that requires urgent surgical intervention. However, not all unruptured intracranial aneurysms must be treated. Thus, patients who present with diffuse subarachnoid hemorrhage in the presence of multiple intracranial aneurysms may require extensive analysis to determine the status and optimal management strategy

Coronary artery anomalies (CAAs) are present at birth, but are usually asymptomatic and are found during coronary angiography (CAG) or multi-slice computed tomography (MSCT) detection. Their prevalence is less than 1.3% based published series [1-4]. The most common coronary anomaly is separate origination of the left anterior descending coronary artery (LAD) and left circumflex coronary

12 years old girl with gestro-esophageal reflux disease (GERD) presented with persisten heartburn, vomiting and dysphagia for few years despite being on appropriate dose of omeprazole twice daily and ranitidine before bed time. She underwent esophagogastroduodenoscopy (EGD) which showed significant esophagitis in the lower two thirds of the esophagus (Figure 1). Imped-ance probe testing showed