Welcome to the Amazing Case Race!
The last two days seeing the cherry blossoms and sights in Washington D.C. are a blur! You find yourself with a small window of time. Now let's take an excursion to New England before you head home.
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This activity is timed. The winner will have the shortest time with the most correct answers. In the event of a tie the winner will be determined by blind-draw. Answers and feedback are not available in this activity but the complete cases will be available the last day of the event.
Begin your journey
Before you depart, an ACR colleague has requested your help with a case.
A 43-year-old woman with a medical history of squamous cell carcinoma of the cervix and remote history of nodal metastasis presents for a routine surveillance PET/CT. The patient has been in remission for the past 2 years. Which of the findings indicated on the image below is likely related to her recent COVID vaccination?
Using data from the patient's history, surveillance PET/CT, and the most recent mammography (below), which is the most likely diagnosis?
Primary malignancy of the breast
Recurrence and metastasis of cervical cancer
Lymphadenopathy following exposure to viral antigen
Which is the next step in management of this patient?
Referral to surgery for a lymph node biopsy
Reassurance and close clinical observation for resolution
Short-interval repeat PET/CT
Avoid further administration of the COVID vaccine
Obtain a CA-125 level
Go to Maine
Welcome to Maine
Before enjoying a walk on the coastline and a lobster roll, a colleague has requested your expertise.
A 36-year-old man with no significant medical history initially presents to the emergency department with a fever up to 103 °F and a 5-day history of chills, chest pain, dry cough, and generalized malaise. Which of the following disease entities may produce a pattern such as the one demonstrated on this followup image? (Choose all that apply)
Vaping-related lung injury
Which of the following radiographic and pathologic presentations can be seen in vaping-related lung injury?
Diffuse alveolar damage
Acute eosinophilic pneumonia
Usual interstitial pneumonia
The following chest radiograph was obtained one month later without any medication in the interval. Which of the following is the most likely diagnosis in this patient’s case?
Vaping-related lung injury
Heading for home
Answer one more question about for your colleague before heading home.
Which of the following are typical CT findings of patients infected with novel coronavirus 2019 (COVID-19)?
Multifocal ground-glass opacities with aperipheral distribution
Chest radiograph and CT often normal in theearly phase of infection
‘Crazy-paving’ and ‘reverse-halo’ signs as the disease progresses
Mediastinal and hilar adenopathy
Should be Empty: