May Case of the Month

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Authors: John Daniel Bisges, MD, PGY-5, Radiology Resident, Department of Radiology, University of Mississippi Medical Center, Jackson, MS, Melanie Christine Dahse, MD, PGY-5, Radiology Resident, Department of Radiology, University of Mississippi Medical Center, Jackson, MS, and Anson Thaggard, MD,Associate Professor of Radiology, Nuclear Radiology,Department of Radiology, University of Mississippi Medical Center, Jackson, MS

Why did you select this case for submission?

To start, it was a case with some great images. More importantly though, it was a case with a great history, and making the diagnosis will have a substantial impact on the life of a young patient who had already been substantially affected by his condition.

What should readers learn from this case?

There’s a lot of information regarding the diagnosis and the incidental findings in the conclusion, of course. Also, one of the most important parts of the case was the initial noncontrast CT that started the entire workup. Spending a bit of extra attention on that odd, somewhat subtle finding can pay off.

What did you learn from working on the case?

I learned a good deal about PET/CT and how good patient preparation can impact the quality of a study.

How did guidance from senior staff at your institution impact your learning and case development?

Dr. Thaggard and Dr. Green had a very positive impact on my learning, always happy to answer whatever (often silly) questions I had with friendly patience.

Why did you choose Case in Point for submission of your case?

I often did Case in Point during my residency, and it seemed like a natural fit as a case.

What is the appeal of online learning tools such as Case in Point as opposed to print learning venues?

Ha, let me count the ways. It’s accessible everywhere, and it’s easy to keep track of what you’ve done online. Also it’s so much easier to carry an electronic tablet around rather than a stack of papers.

Are you a regular reader of Case in Point? What are your favorite types of cases?

Pretty regular, would always like to have time to do more. I’m a particular fan of the body and neuro cases.

Is there anything else you'd like readers to know about your case?

I’m very proud of the work that we did in creating the case, and I hope that people enjoy it.

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