All Cases

Friday, June 5th, 2026

Abdomen / Pelvis

Newborn infant, female, born at 39 weeks. Prenatal diagnosis of a voluminous cyst in the right flank, 4.4 x 2.8 x 4.7 cm. After birth, clinical examination was unremarkable, no abdominal pain was found. Sonography was performed at 3 days old and showed a large cystic mass with echogenic wall and a m...

Chest / Cardiac

14-year-old female presents to the cardiologist with sharp, stabbing left sided chest pain. D-dimer 0.57. EKG, troponin and echo were normal.

32-week pregnant mother, referred for MRI for suspected placenta accreta.

Neuro / Head & Neck

18-year-old female with history of genitourinary abnormalities and facial dysmorphisms presenting with abnormal movements. Specifically, when she moves one hand intentionally, the other hand unintentionally mirrors the movement.

9-year-old boy with progressive gait abnormality and lower extremity deformity. Normal cognition.

F. 14 yo. Lose weight 10 kg / low intake→ Eating disorder. Anemia → Mild dysmenorrea without acute uterine bleeding and bloody stools.

Thursday, June 4th, 2026

Abdomen / Pelvis

11-year-old female presenting initially with 1 week history of incontinence treated for a UTI, returning to the emergency department with abdominal distension, abdominopelvic pain, irregular menses and hypertension.Laboratory analysis significant for a normal RBC and WBC, an unremarkable CMP, marked...

Chest / Cardiac

6-year-old with pectus excavatum and history of recurrent pneumonias with right upper lobe hyperinflation and right middle lobe and right lower lobe volume loss on imaging. Referring clinical service considering endoscopic lung volume reduction surgery or lobectomy.

Two-week-old male with a large left foot mass detected prenatally; postnatally there is a plantar–hindfoot mass, skin dimples, a right groin node, and an intracardiac echogenic mass.

Neuro / Head & Neck

History: a 15-year-old male with a one-year history of urinary frequency, sensation of incomplete bladder emptying and constipation. Notably, there is no saddle paresthesia.

Neuro / Head & Neck

6-day-old neonate with episodes of apnea associated with oxygen desaturation, with a maximum recorded decrease of 45% from baseline saturation.Video electroencephalogram (VEEG) and metabolic screening within normal parameters.

A 16 year old female presented with a symptomatic right triceps intramuscular vascular malformation. MRI demonstrated a 2.4 x 3.1 x 5.1 cm predominantly T2 hyperintense, mildly T1 hyperintense, heterogeneous enhancing mass at the mid-to-distal triceps muscle, with focal T2 hypointense areas suggesti...

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Rigardus Rijnhout (April 21st 1922 tot April 13th 1959), was known as the ‘Giant of Rotterdam’.

6-week-old full-term and immunized female with recently diagnosed milk protein allergy presenting with lethargy, recurrent emesis, poor oral intake, decreased urine output, bloody stools, and a new onset high pitched cry.

A 2-year-old child presented with a palpable abdominal mass. Initial ultrasound examination demonstrated a large heterogeneous abdominal tumorous lesion of uncertain origin. Clinical examination revealed associated aniridia, cryptorchidism, and hypospadias. Further imaging evaluation was performed...

Wednesday, June 3rd, 2026

Abdomen / Pelvis

A 10-year-old male with Down syndrome presented with intermittent right groin pain for several weeks. Patient was afebrile.

Chest / Cardiac

Female neonate born at term by cesarean section for meconium-stained amniotic fluid, with a prenatal diagnosis of suspected right-sided congenital pulmonary airway malformation (CPAM). At birth, she presented with cardiorespiratory depression and hypotonia and subsequently required intubation.

A 28-year-old multigravida was referred to our department for the evaluation of a fetal abdominal cyst detected incidentally at 28 +5 weeks. During the first trimester examination, the nucal translucency was normal. A fetal morphological ultrasound performed at 26 weeks revealed left renal pelvis ec...

Neuro / Head & Neck

Adolescent female presented with a history of congenital panhypopituitarism, short statute and delayed bone age.

Neuro / Head & Neck

A 5-year-old girl presented with intermittent right-sided facial swelling since birth, with exacerbations during upper respiratory tract infections. Physical examination revealed right parotid swelling and bilateral cervical lymphadenopathy.

13-year-old male with persistent neck pain and dysphagia following blunt neck trauma 3 weeks earlier after being grabbed by his younger sister.

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Boston was originally home to two Major League Baseball teams. One team was from the American League and one was from the National League.

An 18-year-old female with hypercalcemia and lab findings consistent with primary hyperparathyroidism.

Lines, Tubes and Drains

Multiple renal anomalies, lower limb PICC placed by the vascular access team. Unusual course.

Newborn term male baby with imperforate anus, under VACTERL workup

Tuesday, June 2nd, 2026

Abdomen / Pelvis

•8 year old girl •Increasing abdominal pain since weeks, now admitted for severe abdominal pain •History of recurrent vomiting since birth

Abdomen / Pelvis

3-year-old male with epilepsy and recent inpatient admission for breakthrough seizures in the setting of RSV infection, now presenting to the ED with lethargy.

Chest / Cardiac

A 20-year-old previously well male presenting to the ED with hemoptysis and shortness of breath progressively worsening over 1 week, fatigue, 25-30 pound weight loss over a 2 month period, and left lower extremity discomfort. On admission, the patient has leukocytosis and mild anemia

A 23-year-old healthy primigravida female presented at 19 weeks gestation for a fetal anatomy scan. A review of her prenatal records was unremarkable with no family history of congenital malformations, birth defects, or chromosomal abnormalities. Abnormal findings on fetal anatomy ultrasound warrant...

Neuro / Head & Neck

4-month-old male infant with clinical concern for increased intracranial pressure.

Neuro / Head & Neck

A 21-month-old female with Dandy–Walker phenotype and global developmental delay presented with decreased oral intake, intermittent fevers, and reduced activity. Prior neonatal MRI showed congenital brain abnormalities without mass lesions.

18-year-old girl presents with left shoulder pain after a fall at wrestling practice and reports feeling a “popping” sensation followed by pain.

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Cute baby photos!

16-year-old boy with chronic right hip and knee pain, which began after a helmet impact during football and persists despite physical therapy

Lines, Tubes and Drains

Premature infant (born 29 weeks EGA) born emergently due to uterine rupture. UAC placement attempted. Now with hypovolemic shock and suspected DIC (disseminated intravascular coagulopathy).

A six-month-old boy was referred for evaluation due to congenital flexion contractures of both knees. Clinical examination revealed bilateral fixed knee flexion, absent patellar palpation and vertical splitted nail (onychoschizia) of both thumbnails.

Monday, June 1st, 2026

Abdomen / Pelvis

A 16-year-old male adolescent with an unremarkable medical history was referred by his general practitioner to the radiology department for lumbar spine radiography due to chronic low back pain. The symptoms had been present for approximately 4–5 months and showed no improvement despite conservative...

Abdomen / Pelvis

A male newborn presented with complex medical history including imperforate anus and multiple cysts in left kidney on prenatal imaging. He underwent colectomy and colostomy creation following pneumoperitoneum due to rectal perforation at D3 of life. The operative note also mentioned difficult intrao...

Chest / Cardiac

This is a 3-year-old boy born prematurely at 33 weeks who presented to the Emergency Department with 3 weeks of progressively worsening fatigue, cough, wheezing, and labored breathing. Chest radiographs was performed.

A 32-year-old pregnant female was referred at 26 weeks gestation for evaluation of a right upper quadrant fetal mass detected on routine prenatal ultrasound.

27 year old female. Abnormal gestational ultrasound with cervical mass.

Neuro / Head & Neck

15 year old female with worsening right sided ear pain, jaw pain and headaches since 9 days.

Neuro / Head & Neck

A 4-year-old child present with seizure and right-side hemiparesis.

A two-month-old boy was referred for a second opinion and ultrasound to evaluate a bluish subcutaneous mass on the right flank with initial clinical and ultrasonographic suspicion of a vascular lesion. Before scanning, we turned on the lights to have a closer look at the lesion. A painless blue-red...

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The average US household emits 4.1 metric tons of carbon dioxide equivalents annually.

3 year old male, with history of recurrent wheezing, global developmental delay, immunizations up to date. HPI: The patient presented with fever of 48 hours’ duration associated with chills and vomiting. PE: Cutaneous and mucosal pallor; otherwise unremarkable. Laboratory findings: Hb 7.3 (low MCV a...

A 13-day old full-term male with no pertinent birth history presents with respiratory stress, lethargy, loose stools, pale skin, and cold extremities.

Lines, Tubes and Drains

1-month-old female infant in the NICU, with a recently placed PICC.

A term neonate with unremarkable antenatal and perinatal history, presented with left lower limb swelling with overlying hyperpigmentation upon birth. Physical examination showed increased temperature, with preserved perfusion and pulse over left lower limb. Cardiovascular and neurological examinati...