Imaging

  • Deciding when a picture is worth a thousand words and several thousand dollars
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 509-510; DOI: https://doi.org/10.3949/ccjm.86b.08019

    Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.

  • Osteonecrosis of the femoral head with subchondral collapse
    Nicolas S. Piuzzi, MD, Hiba K. Anis, MD and George F. Muschler, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 511-512; DOI: https://doi.org/10.3949/ccjm.86a.19004

    A 45-year-old woman had been taking corticosteroids long-term after organ transplant.

  • When does acute pyelonephritis require imaging?
    Mary E. Lacy, MD, Navneet Sidhu, MD and Justin Miller, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 515-517; DOI: https://doi.org/10.3949/ccjm.86a.18096

    Imaging is recommended for those at risk of complications.

  • Infective endocarditis: Beyond the usual tests
    Infective endocarditis: Beyond the usual tests
    Nkemdilim Mgbojikwe, MD, Steven R. Jones, MD, Thorsten M. Leucker, MD, PhD and Daniel J. Brotman, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 559-567; DOI: https://doi.org/10.3949/ccjm.86a.18120

    Newer imaging tests are increasingly used as alternatives or adjuncts to echocardiography for selected patients.

  • Clinical trials: More to learn than the results
    Brian F. Mandell, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 437-438; DOI: https://doi.org/10.3949/ccjm.86b.07019

    The details of the GIACTA trial challenge and reaffirm some of our clinical impressions about giant cell arteritis.

  • A right atrial mass
    Zeel Shah, MD, M. Chadi Alraies, MD, Ameer Harp, MD, Salam Khalil, MD, Amir Kaki, MD and Mahir Elder, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 445-447; DOI: https://doi.org/10.3949/ccjm.86a.18131

    A woman with a history of endometrial adenocarcinoma presented with occasional shortness of breath and dizziness.

  • Giant cell arteritis: An updated review of an old disease
    Timothy Rinden, DO, Eric Miller, MD and Rawad Nasr, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 465-472; DOI: https://doi.org/10.3949/ccjm.86a.18103

    Glucocorticoids, the mainstay of treatment, should be started as soon as the disease is suspected.

  • Is chest radiography routinely needed after thoracentesis?
    Aibek E. Mirrakhimov, MD, Aram Barbaryan, MD, Taha Ayach, MD, Fabrizio Canepa Escaro, MD, Goutham Talari, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 371-373; DOI: https://doi.org/10.3949/ccjm.86a.17058

    No, it should be done only in certain situations, for example, if pneumothorax is suspected.

  • Gastric outlet obstruction: A red flag, potentially manageable
    Andree H. Koop, MD, William C. Palmer, MD and Fernando F. Stancampiano, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 345-353; DOI: https://doi.org/10.3949/ccjm.86a.18035

    Presume the cause to be a malignant tumor untill proven otherwise.

  • Gastroparesis in a patient with diabetic ketoacidosis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 238-239; DOI: https://doi.org/10.3949/ccjm.86a.18116

    Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.

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