Radiologists and Detectives Blastic Metastases and nephrostomy prostate or breast CaThe Wagging tongue SignAshley DavidoffTheCommonVein.net Tell the Story Tell the StoryAshley DavidoffTheCommonVein.net Tell the SroryAshley DavidoffTheCommonVein.net Tell the StoryAshley DavidoffTheCommonVein.net Tell the StoryAshley DavidoffTheCommonVein.net The Lung Nodule in the Breast LLL noduleAshley Davidoff MD TheCommonVein.net LLL noduleAshley Davidoff MD TheCommonVein.net LLL noduleAshley Davidoff MD TheCommonVein.net LLL noduleAshley Davidoff MD TheCommonVein.net A Young man End Stage Renal Failure 45 year old male with long standing diabetes and stage 4 chronic renal failureCT shows diabeteic arteriopathy and normal/large kidneysconsistent with a diagnosis ofKimmelsteil Wilson syndrome – Path showed nodular glomerulosclerosisAshley DAvidoff MD TheCommonVein.net 45 year old male with long standing diabetes and stage 4 chronic renal failureCT shows diabeteic arteriopathy and normal/large kidneysconsistent with a diagnosis ofKimmelsteil Wilson syndrome – Path showed nodular glomerulosclerosisAshley DAvidoff MD TheCommonVein.net 45 year old male with long standing diabetes and stage 4 chronic renal failureCT shows diabeteic arteriopathy and normal/large kidneysconsistent with a diagnosis ofKimmelsteil Wilson syndrome – Path showed nodular glomerulosclerosisAshley DAvidoff MD TheCommonVein.net Breast CA Gynecomastia Tell the Story 16year old male with gunshot would to the left lung Entry point appears to be in the left supraclavicular with diffuse ground glass changesAshley Davidoff TheCommonVein.net What is the Diagnosis RelationsThis is an autopsy specimen of a heart and lungs from a young patient with congenital heart disease who died following surgery. The image is taken from above showing the trachea and the two-mainstem bronchi before the bronchi enter the lungs. Note the pink color of the lungs of this young patient, the surgical shunt from aorta to right pulmonary artery, the ductus from aorta to left pulmonary artery and the presence of bilateral hyparterial bronchi suggesting bilateral left sidedness and the polysplenia syndrome.Courtesy Ashley Davidoff MD 07236 Polysplenia Syndrome with Bilateral Hyparterial bronchiThis is an autopsy specimen of a heart and lungs from a young patient with polysplenia and congenital heart disease who died following surgery. The important diagnostic feature in this specimen is the finding that both pulmonary arteries lie above the mainstem bronchi (dark blue dot)– ie bilateral hyparterial bronchi – a feature of bilateral left sidedness seen in polysplenia syndrome The image is taken from above showing the trachea (light blue dot) and the two-mainstem bronchi before the bronchi enter the lungs. Note the pink color of the lungs of this young patient, the surgical shunt from aorta to right pulmonary artery (green dot) , and the ductus from aorta to left pulmonary artery (white dot). The patient had a hypoplastic pulmonary valve with critical pulmonary stenosis.Ashley Davidoff TheCommonVein.net 07236L