2017 SUNDAYIMAGE INTERPRETATION SESSION

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<div class="sg" id="s10" data-sgid="s10" style="z-index:1;left:0.00px;top:-0.48px;width:720.48px;height:405.59px"> <img class="sg" src="AD064D2B.png" id="s10_i" title="" alt="horizon.png" style="z-index:1;left:0px;top:0px;width:720.48px;height:405.59px" > </div> <div class="sg" id="s39" data-sgid="Straight Connector 6" style="z-index:4;left:0.00px;top:86.84px;width:721.70px;height:3.09px" data-pointer-events="none"> <img class="sg" src="BB30FFA5.png" id="s39_i" style="z-index:1;left:0px;top:0px;width:721.70px;height:2.09px" > </div> <div class="sg" id="s40" data-sgid="Picture 8" style="z-index:5;left:635.21px;top:379.43px;width:74.59px;height:20.26px"> <img class="sg" src="E89247D2.png" id="s40_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.26px" > </div> <div class="sg" id="s9" data-sgid="TextBox 6" style="z-index:2;left:12.35px;top:9.96px;width:219.25px;height:66.18px" data-valign="top"> <div id="s9_t" class="sg" style="z-index:2;left:-7.20px;top:-3.61px;width:226.44px;height:80.00px;"><div><p><span data-textwidth="172.83" class="sg nowrap f2" style="z-index:2;color:#FFFF00;font-size:133%; left:15.01px;top:11.25px;">1938’s “Innovation”:</span></p><p><span data-textwidth="153.27" class="sg nowrap f2" style="z-index:3;color:#FFFF00;font-size:133%; left:15.01px;top:40.06px;">refresher courses</span></p></div></div></div> <div class="sg" id="s8" data-sgid="Picture 5" style="z-index:1;left:12.35px;top:-0.48px;width:694.82px;height:405.59px"> <img class="sg" src="C7284C19.jpg" id="s8_i" title="" alt="IMG_1848e.jpg" style="z-index:1;left:0px;top:0px;width:694.82px;height:405.59px" > </div> <div class="sg" id="s19" data-sgid="TextBox 2" style="z-index:1;left:329.36px;top:17.28px;width:378.66px;height:46.75px" data-valign="top"> <div id="s19_t" class="sg" style="z-index:2;left:-11.98px;top:-6.02px;width:390.64px;height:68.11px;"><div><p><span data-textwidth="284.33" class="sg nowrap f1" style="z-index:2;color:#FFD70A;font-weight:bold; font-size:178%; left:19.88px;top:13.55px;">Desiree E. Morgan, MD</span></p></div></div></div> <div class="sg" id="s20" data-sgid="TextBox 4" style="z-index:2;left:329.36px;top:83.23px;width:372.66px;height:136.34px" data-valign="top"> <div id="s20_t" class="sg" style="z-index:2;left:-7.31px;top:-3.71px;width:379.97px;height:140.06px;"><div><p><span data-textwidth="205.59" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.21px;top:11.30px;">Vice Chair of Education</span></p><p><span data-textwidth="199.23" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:133%; left:15.21px;top:40.11px;">Professor of Radiology</span></p><p para="{spbf:12.00}"><span data-textwidth="323.33" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:15.21px;top:80.92px;">University of Alabama at Birmingham</span></p></div></div></div> <div class="sg" id="s21" data-sgid="Picture 8" style="z-index:3;left:7.67px;top:16.06px;width:304.52px;height:368.65px"> <img class="sg" src="9B4E3C6E.jpg" id="s21_i" title="" alt="Dr Morgan 5x7 600 dpi.jpg" style="z-index:1;left:0px;top:0px;width:304.52px;height:368.65px" > </div> <div class="sg" id="s22" data-sgid="Picture 1" style="z-index:4;left:557.25px;top:239.12px;width:97.28px;height:96.65px"> <img class="sg" src="8CEB851.png" id="s22_i" title="" alt="University_of_Alabama_at_Birmingham_seal.png" style="z-index:1;left:0px;top:0px;width:97.28px;height:96.65px" > </div> <div class="sg" id="s23" data-sgid="Group 5" style="z-index:5;left:360.00px;top:256.93px;width:156.00px;height:61.77px" data-shape="group"> <div class="sg" id="s24" data-sgid="ss23_shd" style="z-index:1;left:-4.62px;top:-1.38px;width:164.79px;height:70.89px"> <img class="sg" src="A0FB4662.png" id="s24_i" style="z-index:1;left:0px;top:0px;width:164.79px;height:70.89px" > </div> <div class="sg" id="s25" data-sgid="Picture 3" style="z-index:2;left:18.89px;top:3.07px;width:117.67px;height:55.29px"> <img class="sg" src="C4321618.png" id="s25_i" title="" alt="UAB_MONOGRAM.pdf" style="z-index:1;left:0px;top:0px;width:117.67px;height:55.29px" > </div> <div class="sg" id="s26" data-sgid="Rectangle 7" style="z-index:1;left:-4.62px;top:-1.38px;width:164.79px;height:70.89px" data-fillcolor="16777215"> <img class="sg" src="9F9D45B8.png" id="s26_i" style="z-index:1;left:0px;top:0px;width:164.79px;height:70.89px" > </div> </div> <div class="sg" id="s28" data-sgid="Title 1" style="z-index:2;left:23.51px;top:21.96px;width:420.63px;height:68.34px" data-valign="middle"> <div id="s28_t" class="sg" style="z-index:2;left:-11.98px;top:0.00px;width:432.61px;height:73.13px;"><div><p><span data-textwidth="284.33" class="sg nowrap f1" style="z-index:2;color:#FFD70A;font-weight:bold; font-size:178%; left:19.68px;top:18.57px;">Desiree E. Morgan, MD</span></p></div></div></div> <div class="sg" id="s29" data-sgid="Picture 1" style="z-index:3;left:492.96px;top:7.69px;width:218.29px;height:164.40px"> <img class="sg" src="3249375.jpg" id="s29_i" title="" alt="DEM_Brewer_Heslin_Award_2016.jpg" style="z-index:1;left:0px;top:0px;width:218.29px;height:164.40px" > </div> <div class="sg" id="s27" data-sgid="Content Placeholder 2" style="z-index:1;left:0.00px;top:105.90px;width:696.49px;height:294.75px" data-valign="top" data-pointer-events="none"> <div id="s27_t" class="sg" style="z-index:2;left:-6.23px;top:-6.50px;width:702.72px;height:303.06px;"><div><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="321.17" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.91px;top:10.70px;">&#61607;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:10.45px"> </span>&gt;100 peer-reviewed publications</span></span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="195.40" class="sg nowrap f3" style="z-index:6;color:#DC9E1F;font-size:133%; left:13.91px;top:48.39px;">&#61607;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:10.45px"> </span>&gt;15 book chapters</span></span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="429.20" class="sg nowrap f3" style="z-index:8;color:#DC9E1F;font-size:133%; left:13.91px;top:86.08px;">&#61607;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:10.45px"> </span>&gt;130 national &amp; international invited lectures</span></span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="648.83" class="sg nowrap f3" style="z-index:10;color:#DC9E1F;font-size:133%; left:13.91px;top:123.77px;">&#61607;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:10.45px"> </span>Director MRI, Vice Chair Clinical Research, Director Human Imaging </span></span><span data-textwidth="406.63" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:133%; left:40.92px;top:150.34px;">Shared Facility, Residency Program Director </span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="536.49" class="sg nowrap f3" style="z-index:13;color:#DC9E1F;font-size:133%; left:13.91px;top:187.38px;">&#61607;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:10.45px"> </span>Service: SAR, ABR, ACR, RSNA, ARRS, AUR, SCBTMR</span></span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="305.22" class="sg nowrap f3" style="z-index:15;color:#DC9E1F;font-size:133%; left:13.91px;top:225.07px;">&#61607;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:10.45px"> </span>&gt;20 teaching &amp; service awards</span></span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="448.64" class="sg nowrap f3" style="z-index:17;color:#DC9E1F;font-size:133%; left:13.91px;top:262.76px;">&#61607;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:10.45px"> </span>Brewer-Heslin Award for Professionalism, UAB</span></span></p></div></div></div> <div class="sg" id="s33" data-sgid="Picture 7" style="z-index:4;left:467.16px;top:2.75px;width:219.99px;height:228.11px"> <img class="sg" src="6F538B5D.png" id="s33_i" title="" alt="IMG_6529.JPG" style="z-index:1;left:0px;top:0px;width:219.99px;height:228.11px" > </div> <div class="sg" id="s30" data-sgid="Picture 4" style="z-index:1;left:22.54px;top:32.99px;width:200.79px;height:303.26px"> <img class="sg" src="4FE80D0D.png" id="s30_i" title="" alt="IMG_0789.JPG" style="z-index:1;left:0px;top:0px;width:200.79px;height:303.26px" > </div> <div class="sg" id="s31" data-sgid="Picture 5" style="z-index:2;left:233.41px;top:2.75px;width:218.77px;height:393.48px"> <img class="sg" src="DCF7134F.png" id="s31_i" title="" alt="IMG_1475.JPG" style="z-index:1;left:0px;top:0px;width:218.77px;height:393.48px" > </div> <div class="sg" id="s32" data-sgid="Picture 6" style="z-index:3;left:485.29px;top:236.85px;width:182.80px;height:152.43px"> <img class="sg" src="CAC350C6.png" id="s32_i" title="" alt="IMG_3210e.jpg" style="z-index:1;left:0px;top:0px;width:182.80px;height:152.43px" > </div> <div class="sg sgTitle" id="s34" data-sgid="Title 1" style="z-index:1;left:36.70px;top:27.94px;width:420.75px;height:68.37px" data-valign="bottom" data-pointer-events="none"> <div id="s34_t" class="sg" style="z-index:2;left:-12.01px;top:0.00px;width:432.75px;height:84.06px;"><div><p><span data-textwidth="339.90" class="sg nowrap f1" style="z-index:2;color:#FFD70A;font-weight:bold; font-size:178%; left:19.84px;top:29.51px;">DESIREE E. MORGAN, MD</span></p></div></div></div> <div class="sg" id="s35" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:123.89px;width:648.52px;height:294.75px" data-valign="top" data-pointer-events="none"> <div id="s35_t" class="sg" style="z-index:2;left:-2.29px;top:-1.34px;width:650.81px;height:296.09px;"><div><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="290.57" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:94%; left:9.99px;top:7.96px;">&#61607;<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.36px"> </span>BS, </span><span class="f4" style="font-style:italic; color:#FFFFFF;">Magna Cum Laude</span><span class="f2" style="color:#FFFFFF;">, Univ. of Georgia</span></span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="233.91" class="sg nowrap f3" style="z-index:6;color:#DC9E1F;font-size:94%; left:9.99px;top:38.45px;">&#61607;<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.36px"> </span>MD, Medical College of Georgia</span></span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="291.76" class="sg nowrap f3" style="z-index:8;color:#DC9E1F;font-size:94%; left:9.99px;top:68.93px;">&#61607;<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.36px"> </span>Residency, U. of Alabama at Birmingham</span></span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="111.13" class="sg nowrap f3" style="z-index:10;color:#DC9E1F;font-size:94%; left:9.99px;top:99.42px;">&#61607;<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.36px"> </span>Faculty, UAB</span></span></p><p para="{bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="281.20" class="sg nowrap f3" style="z-index:12;color:#DC9E1F;font-size:94%; left:9.99px;top:129.91px;">&#61607;<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.36px"> </span>Professor &amp; Vice Chair Education, UAB</span></span></p></div></div></div> <div class="sg sgTitle" id="s41" data-sgid="Title 1" style="z-index:1;left:35.51px;top:9.96px;width:648.52px;height:43.18px" data-valign="bottom" data-pointer-events="none"> <div id="s41_t" class="sg" style="z-index:2;left:-9.60px;top:-3.35px;width:658.12px;height:59.83px;"><div><p><span data-textwidth="531.45" class="sg nowrap f2" style="z-index:2;color:#FFD70A;font-size:156%; left:17.30px;top:12.43px;">2017 RSNA IMAGE INTERPRETATION SESSION</span></p></div></div></div> <div class="sg" id="s42" data-sgid="TextBox 2" style="z-index:2;left:164.45px;top:75.91px;width:390.64px;height:46.89px" data-valign="top"> <div id="s42_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:390.64px;height:68.11px;"><div><p para="{al:2}"><span data-textwidth="284.33" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:53.39px;top:13.58px;">Desiree E. Morgan, MD</span></p></div></div></div> <div class="sg" id="s43" data-sgid="Picture 4" style="z-index:3;left:259.66px;top:141.99px;width:200.19px;height:242.24px"> <img class="sg" src="B4592F0.jpg" id="s43_i" title="" alt="Dr Morgan 5x7 600 dpi.jpg" style="z-index:1;left:0px;top:0px;width:200.19px;height:242.24px" > </div> <div class="sg" id="s48" data-sgid="Title 1" style="z-index:1;left:53.50px;top:118.01px;width:612.56px;height:87.66px" data-valign="bottom" data-pointer-events="none"> <div id="s48_t" class="sg" style="z-index:2;left:0.00px;top:-3.23px;width:612.56px;height:106.47px;"><div><p para="{al:2}"><span data-textwidth="469.52" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:75.52px;top:14.09px;">RSNA SUNDAY AFTERNOON IMAGE </span><span data-textwidth="428.23" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:178%; left:92.32px;top:52.50px;">INTERPRETATION SESSION 2017</span></p></div></div></div> <div class="sg sgSubtitle" id="s49" data-sgid="Subtitle 4" style="z-index:2;left:95.13px;top:228.45px;width:505.31px;height:60.20px" data-valign="top"> <img class="sg" src="667550C4.png" id="s49_i" style="z-index:1;left:0px;top:0px;width:505.31px;height:60.20px" > <div id="s49_t" class="sg" style="z-index:2;left:0.00px;top:-0.96px;width:505.31px;height:67.04px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="156.99" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:94%; left:174.31px;top:7.56px;">RSNA Diagnosis Live<span class="f2" style="font-size:65%; position:relative;bottom:6px;">TM</span>-</span></p><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="367.74" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:94%; left:68.94px;top:38.05px;">Go to: <span class="f1" style="font-weight:bold; color:#DC9E1F;">live.rsna.org </span><span class="f1" style="font-weight:bold; ">→</span><span class="f1" style="font-weight:bold; color:#DC9E1F;"><span style="letter-spacing:4.56px"> </span>Sign on </span><span class="f1" style="font-weight:bold; ">→ </span>Join session <span class="f1" style="font-weight:bold; color:#DC9E1F;">PS12</span></span></p></div></div></div> <div class="sg sgTitle" id="s50" data-sgid="Title 1" style="z-index:1;left:0.00px;top:15.72px;width:720.48px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s50_t" class="sg" style="z-index:2;left:-9.60px;top:0.00px;width:735.12px;height:81.67px;"><div><p><span data-textwidth="700.44" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.28px;top:34.29px;">RSNA SUNDAY AFTERNOON IMAGE INTERPRETATION PANEL</span></p></div></div></div> <div class="sg" id="s51" data-sgid="Content Placeholder 2" style="z-index:2;left:11.53px;top:88.74px;width:690.49px;height:243.69px" data-valign="top" data-pointer-events="none"> <div id="s51_t" class="sg" style="z-index:2;left:-3.97px;top:-2.39px;width:694.46px;height:275.57px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="150.39" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.64px;top:9.11px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>The PROCESS:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="418.75" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:111%; left:47.65px;top:43.92px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:11.04px"> </span>Invite panelists, convince them this will be fun….</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="633.71" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:111%; left:47.65px;top:78.73px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:11.04px"> </span>Assure that cases will be gettable and once they agree- maybe not so much</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="580.89" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:111%; left:47.65px;top:113.53px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:11.04px"> </span>Gave panelists a single slide from each case as a sneak peek in June</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="286.84" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:111%; left:47.65px;top:148.34px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:11.04px"> </span>Provide full case material in July</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="604.66" class="sg nowrap f5" style="z-index:14;color:#DC9E1F;font-size:111%; left:47.65px;top:183.15px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:11.04px"> </span>Hear the sweat, try to be supportive, work on nice photos, select dinner </span></span><span data-textwidth="131.90" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:111%; left:70.21px;top:206.67px;">menu and wines</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="600.95" class="sg nowrap f5" style="z-index:17;color:#DC9E1F;font-size:111%; left:11.64px;top:241.96px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>The result: This afternoon’s adventure……..AND you will be a part of it!</span></span></p></div></div></div> <div class="sg" id="s52" data-sgid="TextBox 4" style="z-index:3;left:65.14px;top:357.36px;width:568.15px;height:30.84px" data-valign="top"> <img class="sg" src="99672FAD.png" id="s52_i" style="z-index:1;left:0px;top:0px;width:568.15px;height:30.84px" > <div id="s52_t" class="sg" style="z-index:2;left:-2.41px;top:-1.42px;width:570.56px;height:38.84px;"><div><p para="{bl:{ch:118}}"><span data-textwidth="542.50" class="sg nowrap f3" style="z-index:2;color:#FFC000;left:10.48px;top:8.86px;">&#61558;<span class="f2" style="position:relative;bottom:1px;">RSNA Diagnosis Live - Go to: </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;">live.rsna.org </span><span class="f1" style="font-weight:bold; position:relative;bottom:1px;">→ </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;">Sign on </span><span class="f1" style="font-weight:bold; position:relative;bottom:1px;">→ </span><span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;">Join session </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;">PS12</span></span></p></div></div></div> <div class="sg" id="s84" data-sgid="TextBox 38" style="z-index:32;left:74.25px;top:10.55px;width:568.15px;height:30.70px" data-valign="top"> <img class="sg" src="D1A01FCA.png" id="s84_i" style="z-index:1;left:0px;top:0px;width:568.15px;height:30.70px" > <div id="s84_t" class="sg" style="z-index:2;left:-2.40px;top:-1.56px;width:570.56px;height:38.87px;"><div><p para="{bl:{ch:118}}"><span data-textwidth="542.50" class="sg nowrap f3" style="z-index:2;color:#FFC000;left:10.48px;top:8.57px;">&#61558;<span class="f2" style="position:relative;bottom:1px;">RSNA Diagnosis Live - Go to: </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;">live.rsna.org </span><span class="f1" style="font-weight:bold; position:relative;bottom:1px;">→ </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;">Sign on </span><span class="f1" style="font-weight:bold; position:relative;bottom:1px;">→ </span><span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;">Join session </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;">PS12</span></span></p></div></div></div> <div class="sg sgTitle" id="s53" data-sgid="Title 1" style="z-index:1;left:0.00px;top:15.72px;width:720.48px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s53_t" class="sg" style="z-index:2;left:-9.60px;top:0.00px;width:735.12px;height:81.67px;"><div><p><span data-textwidth="700.44" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.28px;top:34.29px;">RSNA SUNDAY AFTERNOON IMAGE INTERPRETATION PANEL</span></p></div></div></div> <div class="sg" id="s58" data-sgid="Picture 7" style="z-index:6;left:103.51px;top:165.84px;width:50.01px;height:68.85px"> <img class="sg" src="21B0D526.png" id="s58_i" style="z-index:1;left:0px;top:0px;width:50.01px;height:68.85px" > </div> <div class="sg" id="s75" data-sgid="Picture 24" style="z-index:23;left:573.67px;top:165.99px;width:46.19px;height:68.82px"> <img class="sg" src="729806F6.png" id="s75_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\berland.jpg" style="z-index:1;left:0px;top:0px;width:46.19px;height:68.82px" > </div> <div class="sg" id="s60" data-sgid="Picture 2" style="z-index:8;left:412.48px;top:165.99px;width:52.65px;height:69.05px"> <img class="sg" src="62B8FF87.png" id="s60_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\susan.jpg" style="z-index:1;left:0px;top:0px;width:52.65px;height:69.05px" > </div> <div class="sg" id="s62" data-sgid="Picture 4" style="z-index:10;left:620.46px;top:166.10px;width:46.08px;height:68.94px"> <img class="sg" src="7D7A791A.png" id="s62_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\dubovksy.jpg" style="z-index:1;left:0px;top:0px;width:46.08px;height:68.94px" > </div> <div class="sg" id="s66" data-sgid="Picture 10" style="z-index:14;left:360.79px;top:165.99px;width:52.05px;height:69.05px"> <img class="sg" src="7734028E.png" id="s66_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\selwyn.jpg" style="z-index:1;left:0px;top:0px;width:52.05px;height:69.05px" > </div> <div class="sg" id="s59" data-sgid="Picture 8" style="z-index:7;left:0.00px;top:166.10px;width:53.27px;height:68.94px"> <img class="sg" src="44B2F04B.png" id="s59_i" style="z-index:1;left:0px;top:0px;width:53.27px;height:68.94px" > </div> <div class="sg" id="s57" data-sgid="Picture 6" style="z-index:5;left:306.82px;top:166.10px;width:55.28px;height:68.94px"> <img class="sg" src="19620FF3.png" id="s57_i" style="z-index:1;left:0px;top:0px;width:55.28px;height:68.94px" > </div> <div class="sg" id="s56" data-sgid="Picture 5" style="z-index:4;left:207.13px;top:166.10px;width:47.52px;height:68.94px"> <img class="sg" src="A4716969.png" id="s56_i" style="z-index:1;left:0px;top:0px;width:47.52px;height:68.94px" > </div> <div class="sg" id="s61" data-sgid="Picture 3" style="z-index:9;left:510.60px;top:166.70px;width:63.32px;height:68.34px"> <img class="sg" src="FA085894.png" id="s61_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\colleen.jpg" style="z-index:1;left:0px;top:0px;width:63.32px;height:68.34px" > </div> <div class="sg" id="s67" data-sgid="Picture 11" style="z-index:15;left:253.80px;top:165.84px;width:58.65px;height:70.30px"> <img class="sg" src="6CE327F8.png" id="s67_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\TB.jpg" style="z-index:1;left:0px;top:0px;width:58.65px;height:70.30px" > </div> <div class="sg" id="s74" data-sgid="Picture 22" style="z-index:22;left:53.38px;top:165.99px;width:50.49px;height:70.50px"> <img class="sg" src="10949F70.png" id="s74_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\shuman.jpg" style="z-index:1;left:0px;top:0px;width:50.49px;height:70.50px" > </div> <div class="sg" id="s73" data-sgid="Picture 12" style="z-index:21;left:153.15px;top:165.99px;width:54.94px;height:72.79px"> <img class="sg" src="CE6965D0.png" id="s73_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\judy.jpg" style="z-index:1;left:0px;top:0px;width:54.94px;height:72.79px" > </div> <div class="sg" id="s78" data-sgid="Picture 2 (2)" style="z-index:26;left:464.78px;top:166.21px;width:49.53px;height:73.87px"> <img class="sg" src="2820F189.png" id="s78_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\stu.jpg" style="z-index:1;left:0px;top:0px;width:49.53px;height:73.87px" > </div> <div class="sg" id="s76" data-sgid="Picture 3 (2)" style="z-index:24;left:665.20px;top:165.99px;width:53.86px;height:74.81px"> <img class="sg" src="32A970F9.png" id="s76_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\cheri.jpg" style="z-index:1;left:0px;top:0px;width:53.86px;height:74.81px" > </div> <div class="sg" id="s54" data-sgid="Content Placeholder 2" style="z-index:2;left:14.39px;top:87.91px;width:696.52px;height:264.77px" data-valign="top" data-pointer-events="none"> <div id="s54_t" class="sg" style="z-index:2;left:-3.49px;top:-6.61px;width:700.01px;height:271.38px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="189.52" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:106%; left:11.18px;top:8.88px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>The Theme: Mentoring</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="608.51" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:106%; left:11.18px;top:37.69px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>A mentor is defined as “someone who teaches or gives help and advice to a less </span></span><span data-textwidth="286.24" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:106%; left:38.19px;top:55.33px;">experienced and often younger person.”</span></p><p></p><p></p><p></p><p></p><p></p><p></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="655.91" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:106%; left:11.18px;top:239.57px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>“The price of having an effective mentor or sponsor is an obligation to pay that forward.”</span></span></p></div></div></div> <div class="sg" id="s77" data-sgid="Picture 14 (2)" style="z-index:25;left:0.00px;top:232.77px;width:55.90px;height:74.13px"> <img class="sg" src="7101AB79.png" id="s77_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\rich.jpg" style="z-index:1;left:0px;top:0px;width:55.90px;height:74.13px" > </div> <div class="sg" id="s63" data-sgid="Picture 5 (2)" style="z-index:11;left:257.40px;top:232.77px;width:59.50px;height:74.13px"> <img class="sg" src="9C8FDF01.png" id="s63_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\frank scholz.jpg" style="z-index:1;left:0px;top:0px;width:59.50px;height:74.13px" > </div> <div class="sg" id="s68" data-sgid="Picture 14" style="z-index:16;left:315.93px;top:233.73px;width:51.57px;height:73.16px"> <img class="sg" src="5088691F.png" id="s68_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\ron.jpg" style="z-index:1;left:0px;top:0px;width:51.57px;height:73.16px" > </div> <div class="sg" id="s64" data-sgid="Picture 6 (2)" style="z-index:12;left:207.39px;top:233.73px;width:54.69px;height:73.16px"> <img class="sg" src="BA3F45CC.png" id="s64_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\parvi.jpg" style="z-index:1;left:0px;top:0px;width:54.69px;height:73.16px" > </div> <div class="sg" id="s65" data-sgid="Picture 9" style="z-index:13;left:53.50px;top:233.84px;width:61.06px;height:73.05px"> <img class="sg" src="91429FAD.png" id="s65_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\disantis.jpg" style="z-index:1;left:0px;top:0px;width:61.06px;height:73.05px" > </div> <div class="sg" id="s83" data-sgid="Picture 8 (2)" style="z-index:31;left:114.07px;top:234.21px;width:49.05px;height:73.39px"> <img class="sg" src="CFF12B44.png" id="s83_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\dennis.jpg" style="z-index:1;left:0px;top:0px;width:49.05px;height:73.39px" > </div> <div class="sg" id="s71" data-sgid="Picture 18" style="z-index:19;left:364.39px;top:235.18px;width:55.76px;height:71.72px"> <img class="sg" src="85505392.png" id="s71_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\anne roberts.jpg" style="z-index:1;left:0px;top:0px;width:55.76px;height:71.72px" > </div> <div class="sg" id="s80" data-sgid="Picture 21" style="z-index:28;left:566.14px;top:233.62px;width:50.24px;height:75.06px"> <img class="sg" src="D65E54F3.png" id="s80_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\rendon.jpg" style="z-index:1;left:0px;top:0px;width:50.24px;height:75.06px" > </div> <div class="sg" id="s72" data-sgid="Picture 19" style="z-index:20;left:415.59px;top:235.52px;width:51.34px;height:71.38px"> <img class="sg" src="6328B86C.png" id="s72_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\george.jpg" style="z-index:1;left:0px;top:0px;width:51.34px;height:71.38px" > </div> <div class="sg" id="s82" data-sgid="Picture 7 (2)" style="z-index:30;left:155.08px;top:235.52px;width:53.75px;height:71.38px"> <img class="sg" src="4E4F6FFD.png" id="s82_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\alec.jpg" style="z-index:1;left:0px;top:0px;width:53.75px;height:71.38px" > </div> <div class="sg" id="s70" data-sgid="Picture 17" style="z-index:18;left:513.35px;top:233.73px;width:56.72px;height:74.95px"> <img class="sg" src="47D1A2C0.png" id="s70_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\val.jpg" style="z-index:1;left:0px;top:0px;width:56.72px;height:74.95px" > </div> <div class="sg" id="s69" data-sgid="Picture 16" style="z-index:17;left:465.60px;top:235.18px;width:54.35px;height:72.43px"> <img class="sg" src="34531B2.png" id="s69_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\reed.jpg" style="z-index:1;left:0px;top:0px;width:54.35px;height:72.43px" > </div> <div class="sg" id="s81" data-sgid="Picture 23" style="z-index:29;left:614.82px;top:234.70px;width:49.53px;height:73.99px"> <img class="sg" src="7A071CD5.png" id="s81_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\erik.jpg" style="z-index:1;left:0px;top:0px;width:49.53px;height:73.99px" > </div> <div class="sg" id="s79" data-sgid="Picture 2 (3)" style="z-index:27;left:662.20px;top:235.66px;width:55.90px;height:73.02px"> <img class="sg" src="4F71049B.png" id="s79_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\lockhart.jpg" style="z-index:1;left:0px;top:0px;width:55.90px;height:73.02px" > </div> <div class="sg" id="s55" data-sgid="TextBox 3" style="z-index:3;left:29.51px;top:351.74px;width:726.49px;height:73.62px" data-valign="top"> <div id="s55_t" class="sg" style="z-index:2;left:-3.60px;top:-1.81px;width:730.08px;height:75.43px;"><div><p><span data-textwidth="495.32" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:11.30px;top:8.27px;">McGinty G. Choosing Wisely: Mentors, Sponsors, and Your Kitchen Cabinet</span></p><p><span data-textwidth="394.50" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;left:11.30px;top:29.87px;">JACR 2017 DOI:<span style="color:#646464;"><a target=_blank class="sga" href="http://dx.doi.org/10.1016/j.jacr.2017.07.006"> <u>http://dx.doi.org/10.1016/j.jacr.2017.07.006</u></a></span></span></p></div></div><img class="sg" src="27EEC76F.png" id="s55_tt" style="left:-3.60px;top:-1.81px;width:730.08px;height:75.43px;z-index:1" > </div> <div class="sg" id="s146" data-sgid="TextBox 67" style="z-index:62;left:74.25px;top:10.55px;width:568.15px;height:30.70px" data-valign="top"> <img class="sg" src="D1A01FCA.png" id="s146_i" style="z-index:1;left:0px;top:0px;width:568.15px;height:30.70px" > <div id="s146_t" class="sg" style="z-index:2;left:-2.40px;top:-1.56px;width:570.56px;height:38.87px;"><div><p para="{bl:{ch:118}}"><span data-textwidth="542.50" class="sg nowrap f3" style="z-index:2;color:#FFC000;left:10.48px;top:8.57px;">&#61558;<span class="f2" style="position:relative;bottom:1px;">RSNA Diagnosis Live - Go to: </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;">live.rsna.org </span><span class="f1" style="font-weight:bold; position:relative;bottom:1px;">→ </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;">Sign on </span><span class="f1" style="font-weight:bold; position:relative;bottom:1px;">→ </span><span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;">Join session </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;">PS12</span></span></p></div></div></div> <div class="sg sgTitle" id="s85" data-sgid="Title 1" style="z-index:1;left:0.00px;top:15.72px;width:720.48px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s85_t" class="sg" style="z-index:2;left:-9.60px;top:0.00px;width:735.12px;height:81.67px;"><div><p><span data-textwidth="700.44" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.28px;top:34.29px;">RSNA SUNDAY AFTERNOON IMAGE INTERPRETATION PANEL</span></p></div></div></div> <div class="sg" id="s143" data-sgid="Picture 2 (3)" style="z-index:59;left:434.79px;top:165.25px;width:29.40px;height:43.55px"> <img class="sg" src="6145D5CE.png" id="s143_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\stu.jpg" style="z-index:1;left:0px;top:0px;width:29.40px;height:43.55px" > </div> <div class="sg" id="s106" data-sgid="Picture 24" style="z-index:22;left:507.49px;top:164.17px;width:31.52px;height:46.78px"> <img class="sg" src="725761BA.png" id="s106_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\berland.jpg" style="z-index:1;left:0px;top:0px;width:31.52px;height:46.78px" > </div> <div class="sg" id="s92" data-sgid="Picture 3" style="z-index:8;left:464.41px;top:164.65px;width:43.07px;height:46.64px"> <img class="sg" src="6504CA9D.png" id="s92_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\colleen.jpg" style="z-index:1;left:0px;top:0px;width:43.07px;height:46.64px" > </div> <div class="sg" id="s114" data-sgid="Picture 7 (2)" style="z-index:30;left:637.84px;top:163.94px;width:33.22px;height:49.39px"> <img class="sg" src="2B81E56E.png" id="s114_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\jaffe.jpg" style="z-index:1;left:0px;top:0px;width:33.22px;height:49.39px" > </div> <div class="sg" id="s93" data-sgid="Picture 4" style="z-index:9;left:539.01px;top:165.13px;width:31.55px;height:47.01px"> <img class="sg" src="7901BE02.png" id="s93_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\dubovksy.jpg" style="z-index:1;left:0px;top:0px;width:31.55px;height:47.01px" > </div> <div class="sg" id="s96" data-sgid="Picture 11" style="z-index:12;left:293.73px;top:165.84px;width:38.51px;height:46.18px"> <img class="sg" src="FE15A095.png" id="s96_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\TB.jpg" style="z-index:1;left:0px;top:0px;width:38.51px;height:46.18px" > </div> <div class="sg" id="s118" data-sgid="Picture 12 (2)" style="z-index:34;left:14.50px;top:168.00px;width:36.70px;height:41.87px"> <img class="sg" src="49E86D5D.png" id="s118_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\dan.jpg" style="z-index:1;left:0px;top:0px;width:36.70px;height:41.87px" > </div> <div class="sg" id="s113" data-sgid="Picture 6 (2)" style="z-index:29;left:605.22px;top:164.77px;width:32.88px;height:48.94px"> <img class="sg" src="AF5443C5.png" id="s113_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\giles.jpg" style="z-index:1;left:0px;top:0px;width:32.88px;height:48.94px" > </div> <div class="sg" id="s91" data-sgid="Picture 2" style="z-index:7;left:400.50px;top:165.99px;width:35.74px;height:46.75px"> <img class="sg" src="CA9F40F0.png" id="s91_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\susan.jpg" style="z-index:1;left:0px;top:0px;width:35.74px;height:46.75px" > </div> <div class="sg" id="s130" data-sgid="Picture 5 (4)" style="z-index:46;left:670.36px;top:164.17px;width:36.59px;height:50.87px"> <img class="sg" src="F554D0E8.png" id="s130_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\jonny.jpg" style="z-index:1;left:0px;top:0px;width:36.59px;height:50.87px" > </div> <div class="sg" id="s89" data-sgid="Picture 6" style="z-index:5;left:329.13px;top:166.10px;width:37.67px;height:46.89px"> <img class="sg" src="57785156.png" id="s89_i" style="z-index:1;left:0px;top:0px;width:37.67px;height:46.89px" > </div> <div class="sg" id="s88" data-sgid="Picture 5" style="z-index:4;left:262.07px;top:166.10px;width:32.51px;height:46.89px"> <img class="sg" src="AE446917.png" id="s88_i" style="z-index:1;left:0px;top:0px;width:32.51px;height:46.89px" > </div> <div class="sg" id="s108" data-sgid="Picture 3 (2)" style="z-index:24;left:569.48px;top:164.91px;width:36.59px;height:50.58px"> <img class="sg" src="5D912C36.png" id="s108_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\cheri.jpg" style="z-index:1;left:0px;top:0px;width:36.59px;height:50.58px" > </div> <div class="sg" id="s90" data-sgid="Picture 7" style="z-index:6;left:192.26px;top:166.81px;width:34.18px;height:46.78px"> <img class="sg" src="197A444A.png" id="s90_i" style="z-index:1;left:0px;top:0px;width:34.18px;height:46.78px" > </div> <div class="sg" id="s95" data-sgid="Picture 10" style="z-index:11;left:365.95px;top:166.81px;width:35.37px;height:47.01px"> <img class="sg" src="F86A4700.png" id="s95_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\selwyn.jpg" style="z-index:1;left:0px;top:0px;width:35.37px;height:47.01px" > </div> <div class="sg" id="s115" data-sgid="Picture 8 (2)" style="z-index:31;left:51.20px;top:168.14px;width:38.51px;height:44.60px"> <img class="sg" src="1E0F2C6D.png" id="s115_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\ben.jpg" style="z-index:1;left:0px;top:0px;width:38.51px;height:44.60px" > </div> <div class="sg" id="s116" data-sgid="Picture 9" style="z-index:32;left:90.68px;top:168.00px;width:35.51px;height:45.48px"> <img class="sg" src="D7710D05.png" id="s116_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\bill.jpg" style="z-index:1;left:0px;top:0px;width:35.51px;height:45.48px" > </div> <div class="sg" id="s104" data-sgid="Picture 22" style="z-index:20;left:159.04px;top:167.06px;width:34.07px;height:47.49px"> <img class="sg" src="CED2A358.png" id="s104_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\shuman.jpg" style="z-index:1;left:0px;top:0px;width:34.07px;height:47.49px" > </div> <div class="sg" id="s107" data-sgid="Picture 43" style="z-index:23;left:125.34px;top:167.77px;width:36.22px;height:46.89px"> <img class="sg" src="CBB10F0F.png" id="s107_i" style="z-index:1;left:0px;top:0px;width:36.22px;height:46.89px" > </div> <div class="sg" id="s102" data-sgid="Picture 12" style="z-index:18;left:225.48px;top:166.81px;width:37.55px;height:49.53px"> <img class="sg" src="436B2378.png" id="s102_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\judy.jpg" style="z-index:1;left:0px;top:0px;width:37.55px;height:49.53px" > </div> <div class="sg" id="s86" data-sgid="Content Placeholder 2" style="z-index:2;left:14.39px;top:87.91px;width:696.52px;height:264.77px" data-valign="top" data-pointer-events="none"> <div id="s86_t" class="sg" style="z-index:2;left:-3.49px;top:-6.61px;width:700.01px;height:271.38px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="189.52" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:106%; left:11.18px;top:8.88px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>The Theme: Mentoring</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="608.51" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:106%; left:11.18px;top:37.69px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>A mentor is defined as “someone who teaches or gives help and advice to a less </span></span><span data-textwidth="286.24" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:106%; left:38.19px;top:55.33px;">experienced and often younger person.”</span></p><p></p><p></p><p></p><p></p><p></p><p></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="655.91" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:106%; left:11.18px;top:239.57px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>“The price of having an effective mentor or sponsor is an obligation to pay that forward.”</span></span></p></div></div></div> <div class="sg" id="s97" data-sgid="Picture 14" style="z-index:13;left:322.39px;top:207.57px;width:35.03px;height:49.90px"> <img class="sg" src="9617580F.png" id="s97_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\ron.jpg" style="z-index:1;left:0px;top:0px;width:35.03px;height:49.90px" > </div> <div class="sg" id="s94" data-sgid="Picture 5 (2)" style="z-index:10;left:280.90px;top:206.64px;width:41.97px;height:52.40px"> <img class="sg" src="E6A12384.png" id="s94_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\frank scholz.jpg" style="z-index:1;left:0px;top:0px;width:41.97px;height:52.40px" > </div> <div class="sg" id="s99" data-sgid="Picture 17" style="z-index:15;left:460.59px;top:207.57px;width:38.60px;height:50.98px"> <img class="sg" src="B584864D.png" id="s99_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\val.jpg" style="z-index:1;left:0px;top:0px;width:38.60px;height:50.98px" > </div> <div class="sg" id="s117" data-sgid="Picture 11 (2)" style="z-index:33;left:42.93px;top:209.02px;width:40.55px;height:48.45px"> <img class="sg" src="9D2EECD1.png" id="s117_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\cookie.jpg" style="z-index:1;left:0px;top:0px;width:40.55px;height:48.45px" > </div> <div class="sg" id="s126" data-sgid="Picture 9 (2)" style="z-index:42;left:138.06px;top:207.72px;width:42.71px;height:51.06px"> <img class="sg" src="51D6BF9.png" id="s126_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\disantis.jpg" style="z-index:1;left:0px;top:0px;width:42.71px;height:51.06px" > </div> <div class="sg" id="s124" data-sgid="Picture 6 (3)" style="z-index:40;left:242.28px;top:207.72px;width:38.63px;height:51.69px"> <img class="sg" src="F48D2931.png" id="s124_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\parvi.jpg" style="z-index:1;left:0px;top:0px;width:38.63px;height:51.69px" > </div> <div class="sg" id="s100" data-sgid="Picture 18" style="z-index:16;left:351.31px;top:209.28px;width:38.15px;height:48.68px"> <img class="sg" src="A0D32E02.png" id="s100_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\anne roberts.jpg" style="z-index:1;left:0px;top:0px;width:38.15px;height:48.68px" > </div> <div class="sg" id="s127" data-sgid="Picture 14 (2)" style="z-index:43;left:107.47px;top:207.83px;width:38.85px;height:51.57px"> <img class="sg" src="AD3D0136.png" id="s127_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\rich.jpg" style="z-index:1;left:0px;top:0px;width:38.85px;height:51.57px" > </div> <div class="sg" id="s119" data-sgid="Picture 13" style="z-index:35;left:14.27px;top:209.02px;width:36.33px;height:49.53px"> <img class="sg" src="EB16254B.png" id="s119_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\dean.jpg" style="z-index:1;left:0px;top:0px;width:36.33px;height:49.53px" > </div> <div class="sg" id="s123" data-sgid="Picture 10 (2)" style="z-index:39;left:75.56px;top:209.13px;width:38.26px;height:49.42px"> <img class="sg" src="209E80BA.png" id="s123_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\chip.jpg" style="z-index:1;left:0px;top:0px;width:38.26px;height:49.42px" > </div> <div class="sg" id="s103" data-sgid="Picture 21" style="z-index:19;left:496.56px;top:207.46px;width:35.26px;height:52.88px"> <img class="sg" src="7E319F9A.png" id="s103_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\rendon.jpg" style="z-index:1;left:0px;top:0px;width:35.26px;height:52.88px" > </div> <div class="sg" id="s110" data-sgid="Picture 2 (2)" style="z-index:26;left:563.25px;top:207.72px;width:40.30px;height:52.51px"> <img class="sg" src="DC443212.png" id="s110_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\lockhart.jpg" style="z-index:1;left:0px;top:0px;width:40.30px;height:52.51px" > </div> <div class="sg" id="s144" data-sgid="Picture 17 (3)" style="z-index:60;left:669.51px;top:209.13px;width:37.67px;height:49.79px"> <img class="sg" src="C4B9294D.png" id="s144_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\matt.jpg" style="z-index:1;left:0px;top:0px;width:37.67px;height:49.79px" > </div> <div class="sg" id="s109" data-sgid="Picture 8" style="z-index:25;left:174.39px;top:207.72px;width:35.40px;height:52.62px"> <img class="sg" src="8FC65951.png" id="s109_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\dennis.jpg" style="z-index:1;left:0px;top:0px;width:35.40px;height:52.62px" > </div> <div class="sg" id="s101" data-sgid="Picture 19" style="z-index:17;left:388.60px;top:209.39px;width:35.74px;height:49.87px"> <img class="sg" src="D95603B8.png" id="s101_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\george.jpg" style="z-index:1;left:0px;top:0px;width:35.74px;height:49.87px" > </div> <div class="sg" id="s125" data-sgid="Picture 7 (3)" style="z-index:41;left:207.27px;top:209.39px;width:37.64px;height:50.01px"> <img class="sg" src="DBC0EAE.png" id="s125_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\alec.jpg" style="z-index:1;left:0px;top:0px;width:37.64px;height:50.01px" > </div> <div class="sg" id="s112" data-sgid="Picture 5 (3)" style="z-index:28;left:602.70px;top:208.65px;width:35.40px;height:51.83px"> <img class="sg" src="40EA95A5.png" id="s112_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\federle.jpg" style="z-index:1;left:0px;top:0px;width:35.40px;height:51.83px" > </div> <div class="sg" id="s105" data-sgid="Picture 23" style="z-index:21;left:529.30px;top:208.65px;width:34.80px;height:52.06px"> <img class="sg" src="452DF20D.png" id="s105_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\erik.jpg" style="z-index:1;left:0px;top:0px;width:34.80px;height:52.06px" > </div> <div class="sg" id="s98" data-sgid="Picture 16" style="z-index:14;left:423.15px;top:209.28px;width:38.51px;height:50.95px"> <img class="sg" src="E61AFEAD.png" id="s98_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\reed.jpg" style="z-index:1;left:0px;top:0px;width:38.51px;height:50.95px" > </div> <div class="sg" id="s111" data-sgid="Picture 4 (2)" style="z-index:27;left:635.21px;top:211.18px;width:35.63px;height:48.94px"> <img class="sg" src="8A3E4857.png" id="s111_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\dushyant.jpg" style="z-index:1;left:0px;top:0px;width:35.63px;height:48.94px" > </div> <div class="sg" id="s121" data-sgid="Picture 16 (2)" style="z-index:37;left:668.43px;top:258.33px;width:39.59px;height:49.39px"> <img class="sg" src="604E4F72.png" id="s121_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\dkim.jpg" style="z-index:1;left:0px;top:0px;width:39.59px;height:49.39px" > </div> <div class="sg" id="s138" data-sgid="Picture 14 (3)" style="z-index:54;left:344.82px;top:256.88px;width:39.36px;height:52.51px"> <img class="sg" src="83FCD031.png" id="s138_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\levine.jpg" style="z-index:1;left:0px;top:0px;width:39.36px;height:52.51px" > </div> <div class="sg" id="s137" data-sgid="Picture 13 (2)" style="z-index:53;left:598.40px;top:258.33px;width:37.67px;height:50.13px"> <img class="sg" src="43BE4795.png" id="s137_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\matt.jpg" style="z-index:1;left:0px;top:0px;width:37.67px;height:50.13px" > </div> <div class="sg" id="s134" data-sgid="Picture 10 (3)" style="z-index:50;left:524.14px;top:258.44px;width:35.99px;height:50.01px"> <img class="sg" src="89461116.png" id="s134_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\andrew.jpg" style="z-index:1;left:0px;top:0px;width:35.99px;height:50.01px" > </div> <div class="sg" id="s120" data-sgid="Picture 15" style="z-index:36;left:635.21px;top:259.52px;width:36.82px;height:48.09px"> <img class="sg" src="4C49DA65.png" id="s120_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\claude.jpg" style="z-index:1;left:0px;top:0px;width:36.82px;height:48.09px" > </div> <div class="sg" id="s139" data-sgid="Picture 15 (2)" style="z-index:55;left:311.74px;top:257.70px;width:34.66px;height:51.69px"> <img class="sg" src="F7336FD9.png" id="s139_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\frush.jpg" style="z-index:1;left:0px;top:0px;width:34.66px;height:51.69px" > </div> <div class="sg" id="s129" data-sgid="Picture 4 (3)" style="z-index:45;left:151.11px;top:256.03px;width:42.00px;height:55.18px"> <img class="sg" src="7065816E.png" id="s129_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\kay.jpg" style="z-index:1;left:0px;top:0px;width:42.00px;height:55.18px" > </div> <div class="sg" id="s140" data-sgid="Picture 16 (3)" style="z-index:56;left:115.86px;top:255.69px;width:40.44px;height:56.23px"> <img class="sg" src="18774C51.png" id="s140_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\tamm.jpg" style="z-index:1;left:0px;top:0px;width:40.44px;height:56.23px" > </div> <div class="sg" id="s131" data-sgid="Picture 6 (4)" style="z-index:47;left:449.55px;top:257.96px;width:38.85px;height:51.80px"> <img class="sg" src="196478BB.png" id="s131_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\schnall.jpg" style="z-index:1;left:0px;top:0px;width:38.85px;height:51.80px" > </div> <div class="sg" id="s142" data-sgid="Picture 18 (3)" style="z-index:58;left:414.40px;top:257.96px;width:42.56px;height:51.80px"> <img class="sg" src="53B9CEFB.png" id="s142_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\duane.jpg" style="z-index:1;left:0px;top:0px;width:42.56px;height:51.80px" > </div> <div class="sg" id="s135" data-sgid="Picture 11 (3)" style="z-index:51;left:560.02px;top:259.89px;width:40.30px;height:48.20px"> <img class="sg" src="268CE88C.png" id="s135_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\hersh.jpg" style="z-index:1;left:0px;top:0px;width:40.30px;height:48.20px" > </div> <div class="sg" id="s128" data-sgid="Picture 3 (3)" style="z-index:44;left:383.34px;top:258.33px;width:36.33px;height:51.43px"> <img class="sg" src="4E03F799.png" id="s128_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\marta.jpg" style="z-index:1;left:0px;top:0px;width:36.33px;height:51.43px" > </div> <div class="sg" id="s122" data-sgid="Picture 18 (2)" style="z-index:38;left:187.59px;top:258.67px;width:41.01px;height:51.09px"> <img class="sg" src="DF9E67B1.png" id="s122_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\perry.jpg" style="z-index:1;left:0px;top:0px;width:41.01px;height:51.09px" > </div> <div class="sg" id="s132" data-sgid="Picture 7 (4)" style="z-index:48;left:485.29px;top:258.67px;width:41.15px;height:51.09px"> <img class="sg" src="3E2E8811.png" id="s132_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\tublin.jpg" style="z-index:1;left:0px;top:0px;width:41.15px;height:51.09px" > </div> <div class="sg" id="s133" data-sgid="Picture 8 (3)" style="z-index:49;left:78.56px;top:256.51px;width:53.75px;height:56.85px"> <img class="sg" src="8668EDD9.png" id="s133_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\macari.jpg" style="z-index:1;left:0px;top:0px;width:53.75px;height:56.85px" > </div> <div class="sg" id="s136" data-sgid="Picture 12 (3)" style="z-index:52;left:13.31px;top:256.62px;width:70.18px;height:56.74px"> <img class="sg" src="210E00D5.png" id="s136_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\kings of pancreas.jpg" style="z-index:1;left:0px;top:0px;width:70.18px;height:56.74px" > </div> <div class="sg" id="s145" data-sgid="Picture 9 (3)" style="z-index:61;left:225.62px;top:259.15px;width:47.61px;height:52.06px"> <img class="sg" src="262B8616.png" id="s145_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\lakshmi.jpg" style="z-index:1;left:0px;top:0px;width:47.61px;height:52.06px" > </div> <div class="sg" id="s141" data-sgid="Picture 17 (2)" style="z-index:57;left:265.67px;top:260.60px;width:49.19px;height:49.16px"> <img class="sg" src="951A3588.png" id="s141_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\brooke.jpg" style="z-index:1;left:0px;top:0px;width:49.19px;height:49.16px" > </div> <div class="sg" id="s87" data-sgid="TextBox 3" style="z-index:3;left:29.51px;top:351.74px;width:726.49px;height:73.62px" data-valign="top"> <div id="s87_t" class="sg" style="z-index:2;left:-3.60px;top:-1.81px;width:730.08px;height:75.43px;"><div><p><span data-textwidth="495.32" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:11.30px;top:8.27px;">McGinty G. Choosing Wisely: Mentors, Sponsors, and Your Kitchen Cabinet</span></p><p><span data-textwidth="394.50" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;left:11.30px;top:29.87px;">JACR 2017 DOI:<span style="color:#646464;"><a target=_blank class="sga" href="http://dx.doi.org/10.1016/j.jacr.2017.07.006"> <u>http://dx.doi.org/10.1016/j.jacr.2017.07.006</u></a></span></span></p></div></div><img class="sg" src="27EEC76F.png" id="s87_tt" style="left:-3.60px;top:-1.81px;width:730.08px;height:75.43px;z-index:1" > </div> <div class="sg sgTitle" id="s147" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s147_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="280.00" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">RSNA DIAGNOSIS LIVE</span></p></div></div></div> <div class="sg" id="s148" data-sgid="Content Placeholder 2" style="z-index:2;left:11.53px;top:93.90px;width:480.59px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s148_t" class="sg" style="z-index:2;left:-6.26px;top:-3.60px;width:486.84px;height:247.40px;"><div><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="458.00" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.93px;top:10.80px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:-1px;"> Get out your phones and tablets and sign on</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="215.68" class="sg nowrap f3" style="z-index:4;color:#DC9E1F;font-size:133%; left:13.93px;top:51.37px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Go to: </span><span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:-1px;">live.rsna.org</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="89.30" class="sg nowrap f3" style="z-index:7;color:#DC9E1F;font-size:133%; left:13.93px;top:91.82px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Sign in</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="206.68" class="sg nowrap f3" style="z-index:9;color:#DC9E1F;font-size:133%; left:13.93px;top:134.59px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Join session </span><span class="f1" style="font-weight:bold; font-size:125%; color:#FFFFFF;position:relative;bottom:-1px;">PS12</span></span></p></div></div></div> <div class="sg" id="s149" data-sgid="Picture 2" style="z-index:3;left:379.63px;top:134.07px;width:304.63px;height:191.52px"> <img class="sg" src="BA3FF24D.jpg" id="s149_i" title="" alt="C:\Users\dmorgan\Desktop\#2 2017 Panelists - Image Interp\comentoring.jpg" style="z-index:1;left:0px;top:0px;width:304.63px;height:191.52px" > </div> <div class="sg sgTitle" id="s150" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s150_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="350.82" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS LIVE QUESTION:</span></p></div></div></div> <div class="sg" id="s152" data-sgid="Rectangle 3" style="z-index:3;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s152_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s151" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s151_t" class="sg" style="z-index:2;left:-11.98px;top:-5.99px;width:636.51px;height:249.79px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="539.25" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:178%; left:19.70px;top:14.07px;">What is your subspecialty area of Radiology?</span></p></div></div></div> <div class="sg" id="s153" data-sgid="Content Placeholder 7" style="z-index:4;left:377.33px;top:144.88px;width:294.69px;height:207.80px" data-valign="top"> <div id="s153_t" class="sg" style="z-index:2;left:0.00px;top:-4.82px;width:294.69px;height:212.62px;"><div><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="139.22" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:43.94px;top:8.81px;">Molecular Imaging</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="121.58" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:111%; left:43.94px;top:41.22px;">Musculoskeletal</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="46.57" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:43.94px;top:73.63px;">Neuro</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="66.97" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:111%; left:43.94px;top:106.03px;">Pediatric</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="148.70" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:111%; left:43.94px;top:138.44px;">Radiation Oncology</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="42.85" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:111%; left:43.94px;top:170.85px;">Other</span></p></div></div></div> <div class="sg" id="s154" data-sgid="Content Placeholder 2 (2)" style="z-index:5;left:47.49px;top:144.88px;width:294.69px;height:207.80px" data-valign="top"> <div id="s154_t" class="sg" style="z-index:2;left:0.00px;top:-4.82px;width:294.69px;height:212.62px;"><div><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="125.54" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:43.73px;top:8.81px;">General practice</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="89.89" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:111%; left:43.73px;top:41.22px;">Abdominal </span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="49.57" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:111%; left:43.73px;top:73.63px;">Breast</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="110.42" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:43.73px;top:106.03px;">Cardiothoracic</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="86.17" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:111%; left:43.73px;top:138.44px;">Emergency</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="122.18" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:111%; left:43.73px;top:170.85px;">Medical Physics</span></p></div></div></div> <div class="sg" id="s155" data-sgid="Rectangle 6" style="z-index:6;left:216.50px;top:358.70px;width:151.85px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s155_t" class="sg" style="z-index:2;left:-3.59px;top:-1.93px;width:157.71px;height:53.62px;"><div><p><span data-textwidth="134.54" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.53px;top:8.27px;"><a target=_blank class="sga" href="https://goo.gl/16jb5A"><u>https://goo.gl/16jb5A</u></a></span></p></div></div><img class="sg" src="F6A99B5A.png" id="s155_tt" style="left:-3.59px;top:-1.93px;width:157.71px;height:53.62px;z-index:1" > </div> <div class="sg sgTitle" id="s156" data-sgid="Title 6" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s156_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="358.13" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS LIVE QUESTION: </span></p></div></div></div> <div class="sg" id="s158" data-sgid="Rectangle 8" style="z-index:3;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s158_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s157" data-sgid="Content Placeholder 7" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s157_t" class="sg" style="z-index:2;left:-11.98px;top:-5.99px;width:636.51px;height:249.79px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="494.12" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:178%; left:19.70px;top:14.07px;">Which term best describes your practice?</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="94.69" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:111%; left:55.71px;top:61.56px;">A. Academic</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="74.29" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:55.71px;top:96.37px;">B. Private</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="115.34" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:111%; left:55.71px;top:131.18px;">C. Government</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="75.73" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:111%; left:55.71px;top:165.99px;">D. Hybrid </span></p></div></div></div> <div class="sg" id="s159" data-sgid="Rectangle 1" style="z-index:4;left:233.41px;top:355.46px;width:165.64px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s159_t" class="sg" style="z-index:2;left:-3.60px;top:-1.93px;width:169.24px;height:53.62px;"><div><p><span data-textwidth="143.42" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.43px;top:8.27px;"><a target=_blank class="sga" href="https://goo.gl/CfNWxh"><u>https://goo.gl/CfNWxh</u></a></span></p></div></div><img class="sg" src="33971195.png" id="s159_tt" style="left:-3.60px;top:-1.93px;width:169.24px;height:53.62px;z-index:1" > </div> <div class="sg sgTitle" id="s160" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s160_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="203.31" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">THE PANELISTS:</span></p></div></div></div> <div class="sg" id="s161" data-sgid="Content Placeholder 2" style="z-index:2;left:11.53px;top:93.90px;width:690.49px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s161_t" class="sg" style="z-index:2;left:0.00px;top:-12.60px;width:694.20px;height:256.40px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="547.05" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:300%; left:78.24px;top:23.88px;">All play a critical role in the </span><span data-textwidth="619.78" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:300%; left:41.88px;top:88.70px;">development and mentoring of </span><span data-textwidth="485.12" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:300%; left:102.85px;top:153.51px;">our trainees and beyond</span></p></div></div></div> <div class="sg sgTitle" id="s162" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s162_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="353.70" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ANGELISA<span style="letter-spacing:7.68px"> </span>PALADIN, MD, MS</span></p></div></div></div> <div class="sg" id="s164" data-sgid="Content Placeholder 3 (2)" style="z-index:3;left:546.46px;top:-1.56px;width:172.61px;height:240.79px"> <img class="sg" src="D6E48942.jpg" id="s164_i" style="z-index:1;left:0px;top:0px;width:172.61px;height:240.79px" > </div> <div class="sg" id="s163" data-sgid="Content Placeholder 3" style="z-index:2;left:11.53px;top:87.91px;width:690.49px;height:312.74px" data-valign="top" data-pointer-events="none"> <div id="s163_t" class="sg" style="z-index:2;left:-3.97px;top:-7.20px;width:694.46px;height:319.94px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="388.87" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.64px;top:9.23px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Program Director DR, U Washington since 2007</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="493.88" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:111%; left:11.64px;top:39.24px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Prof of Rad at U Washington and Children’s Regional Med Ctr</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="165.39" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:111%; left:11.64px;top:69.24px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>BA, Smith College</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="313.14" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:111%; left:11.64px;top:99.25px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>MS and MD, Chicago Medical School </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="326.82" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:111%; left:11.64px;top:129.26px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Diagnostic Radiology, UT Southwestern</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="526.77" class="sg nowrap f5" style="z-index:14;color:#DC9E1F;font-size:111%; left:11.64px;top:159.26px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Pediatric Radiology Fellowship U Washington, Children’s Hospital </span></span><span data-textwidth="165.50" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:111%; left:38.65px;top:177.99px;">and Regional Med Ctr</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="510.57" class="sg nowrap f5" style="z-index:18;color:#DC9E1F;font-size:111%; left:11.64px;top:208.47px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>ABR 1998; CAQ Peds in 2000; assistant PD U Wash 2000-2007</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="505.29" class="sg nowrap f5" style="z-index:22;color:#DC9E1F;font-size:111%; left:11.64px;top:238.48px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Board of Directors, AUR, APDR; Exec Committee ACER, ARRS</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="429.44" class="sg nowrap f5" style="z-index:24;color:#DC9E1F;font-size:111%; left:11.64px;top:268.49px;">•<span class="f2" ><span style="letter-spacing:15.49px"> </span>*Award-winning Educator and Mentor Extraordinaire! </span></span></p></div></div></div> <div class="sg sgTitle" id="s165" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s165_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="353.70" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ANGELISA<span style="letter-spacing:7.68px"> </span>PALADIN, MD, MS</span></p></div></div></div> <div class="sg" id="s166" data-sgid="Content Placeholder 3" style="z-index:2;left:11.53px;top:87.91px;width:696.49px;height:282.78px" data-valign="top" data-pointer-events="none"> <div id="s166_t" class="sg" style="z-index:2;left:-3.97px;top:-4.79px;width:700.46px;height:287.57px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="403.03" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.64px;top:9.22px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2011- Mentor of the Year, U Wash Dept Radiology</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="629.87" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:111%; left:11.64px;top:41.63px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2012- Stauffer Award, </span><span class="f4" style="font-style:italic; color:#FFFFFF;">Academic Radiology</span><span class="f2" style="color:#FFFFFF;">, Co-author of Best Education Paper </span></span><span data-textwidth="133.82" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:111%; left:38.65px;top:62.75px;">published in 2012</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="546.58" class="sg nowrap f5" style="z-index:15;color:#DC9E1F;font-size:111%; left:11.64px;top:95.64px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2013 American Roentgen Ray Society Distinguished Educator Award</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="662.75" class="sg nowrap f5" style="z-index:17;color:#DC9E1F;font-size:111%; left:11.64px;top:128.05px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2014 ACGME Parker J. Palmer Courage to Teach Award- Bestowed on 10 program </span></span><span data-textwidth="249.40" class="sg nowrap f2" style="z-index:21;color:#FFFFFF;font-size:111%; left:38.65px;top:149.17px;">directors <span style="color:#FFC000;">(out of 9200 nationally!)</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="503.25" class="sg nowrap f5" style="z-index:24;color:#DC9E1F;font-size:111%; left:11.64px;top:182.06px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2014 Whitley Award (AUR) Co-author of Best Education Paper</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="302.82" class="sg nowrap f5" style="z-index:28;color:#DC9E1F;font-size:111%; left:11.64px;top:214.47px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2014 Gold Humanism Honor Society</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="274.13" class="sg nowrap f5" style="z-index:30;color:#DC9E1F;font-size:111%; left:11.64px;top:246.87px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2016 ACER Achievement Award </span></span></p></div></div></div> <div class="sg sgTitle" id="s167" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s167_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="353.70" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ANGELISA<span style="letter-spacing:7.68px"> </span>PALADIN, MD, MS</span></p></div></div></div> <div class="sg" id="s171" data-sgid="Picture 3" style="z-index:5;left:431.31px;top:9.96px;width:224.29px;height:168.85px"> <img class="sg" src="E4790681.jpg" id="s171_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:168.85px" > </div> <div class="sg" id="s170" data-sgid="Picture 8" style="z-index:4;left:204.75px;top:129.16px;width:230.04px;height:172.79px" data-rotation = "90"> <img class="sg" src="82C242DE.jpg" id="s170_i" style="z-index:1;left:0px;top:0px;width:230.04px;height:172.79px" > </div> <div class="sg" id="s169" data-sgid="Picture 6" style="z-index:3;left:53.13px;top:100.62px;width:169.13px;height:229.87px"> <img class="sg" src="DE71A179.jpg" id="s169_i" style="z-index:1;left:0px;top:0px;width:169.13px;height:229.87px" > </div> <div class="sg" id="s168" data-sgid="Content Placeholder 2" style="z-index:2;left:542.97px;top:188.17px;width:144.77px;height:147.97px"> <img class="sg" src="BC73FD77.jpg" id="s168_i" style="z-index:1;left:0px;top:0px;width:144.77px;height:147.97px" > </div> <div class="sg sgTitle" id="s172" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s172_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="264.40" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ANGELISA’S MENTOR</span></p></div></div></div> <div class="sg" id="s173" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s173_t" class="sg" style="z-index:2;left:-3.96px;top:-2.41px;width:628.50px;height:246.21px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="598.30" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.68px;top:9.25px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.48px"> </span>My most influential mentor is Norm Beauchamp. He instills in everyone that </span></span><span data-textwidth="577.78" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:111%; left:38.68px;top:32.78px;">works for him to strive for excellence and make an impact in everything they </span><span data-textwidth="507.20" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:38.68px;top:56.78px;">do. His leadership style is one inspired by confidence, humility and </span><span data-textwidth="100.22" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:111%; left:38.68px;top:80.79px;">compassion. </span></p></div></div></div> <div class="sg sgTitle" id="s174" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s174_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="455.83" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">PEDIATRICS CASE 1-NEWBORN GIRL</span></p></div></div></div> <div class="sg" id="s177" data-sgid="Rectangle 5" style="z-index:4;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s177_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s175" data-sgid="Content Placeholder 3" style="z-index:2;left:210.98px;top:93.90px;width:297.58px;height:243.80px"> <img class="sg" src="1BE6C5AB.jpg" id="s175_i" style="z-index:1;left:0px;top:0px;width:297.58px;height:243.80px" > </div> <div class="sg" id="s176" data-sgid="Rounded Rectangle 4" style="z-index:3;left:8.04px;top:285.42px;width:193.59px;height:49.76px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="9C0203EC.png" id="s176_i" style="z-index:1;left:0px;top:0px;width:193.59px;height:49.76px" > <div id="s176_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:193.59px;height:49.76px;"><div><p para="{al:2}"><span data-textwidth="167.19" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:13.32px;top:17.57px;">Difficulty breathing at birth</span></p></div></div></div> <div class="sg sgTitle" id="s178" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s178_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="358.26" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS LIVE QUESTION: </span></p></div></div></div> <div class="sg" id="s180" data-sgid="Rectangle 4" style="z-index:3;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s180_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s179" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s179_t" class="sg" style="z-index:2;left:-11.98px;top:-5.99px;width:636.51px;height:249.79px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="302.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:178%; left:19.70px;top:14.07px;">What would you do next?</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="219.16" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:111%; left:55.71px;top:61.56px;">A. Resign from the film panel</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="87.97" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:111%; left:55.71px;top:96.37px;">B. Neck US</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="142.58" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:55.71px;top:131.18px;">C. Neck/chest CT </span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="96.50" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:111%; left:55.71px;top:165.99px;">D. Neck MRI</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="180.39" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:111%; left:55.71px;top:200.79px;">E. Lab test of some sort</span></p></div></div></div> <div class="sg" id="s181" data-sgid="Rectangle 5" style="z-index:4;left:239.41px;top:358.81px;width:164.08px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s181_t" class="sg" style="z-index:2;left:-3.59px;top:-1.93px;width:167.68px;height:53.62px;"><div><p><span data-textwidth="144.14" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.42px;top:8.28px;"><a target=_blank class="sga" href="https://goo.gl/RvdZbM"><u>https://goo.gl/RvdZbM</u></a></span></p></div></div><img class="sg" src="36F95CEE.png" id="s181_tt" style="left:-3.59px;top:-1.93px;width:167.68px;height:53.62px;z-index:1" > </div> <div class="sg sgTitle" id="s182" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s182_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="455.83" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">PEDIATRICS CASE 1-NEWBORN GIRL</span></p></div></div></div> <div class="sg" id="s184" data-sgid="Right Arrow 6" style="z-index:3;left:167.09px;top:144.74px;width:78.93px;height:41.13px" data-fillcolor="555604"> <img class="sg" src="30372B0A.png" id="s184_i" style="z-index:1;left:0px;top:0px;width:78.93px;height:41.13px" > </div> <div class="sg" id="s185" data-sgid="Right Arrow 7" style="z-index:4;left:388.38px;top:159.97px;width:77.23px;height:50.13px" data-fillcolor="555604"> <img class="sg" src="1736DC7D.png" id="s185_i" style="z-index:1;left:0px;top:0px;width:77.23px;height:50.13px" > </div> <div class="sg" id="s183" data-sgid="Content Placeholder 3" style="z-index:2;left:184.96px;top:93.90px;width:358.98px;height:294.30px"> <img class="sg" src="32948DB3.jpg" id="s183_i" style="z-index:1;left:0px;top:0px;width:358.98px;height:294.30px" > </div> <div class="sg sgTitle" id="s186" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s186_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="337.02" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">NECK SONOGRAPHY DAY 1</span></p></div></div></div> <div class="sg" id="s188" data-sgid="Down Arrow 9" style="z-index:3;left:262.44px;top:103.26px;width:23.51px;height:47.49px" data-fillcolor="555604"> <img class="sg" src="B60BD5C2.png" id="s188_i" style="z-index:1;left:0px;top:0px;width:23.51px;height:47.49px" > </div> <div class="sg" id="s191" data-sgid="Down Arrow 12" style="z-index:6;left:434.20px;top:187.09px;width:23.62px;height:47.49px" data-rotation = "201" data-fillcolor="555604"> <img class="sg" src="C01DEC04.png" id="s191_i" style="z-index:1;left:0px;top:0px;width:23.62px;height:47.49px" > </div> <div class="sg" id="s190" data-sgid="Picture 11" style="z-index:5;left:392.45px;top:100.96px;width:225.59px;height:245.73px"> <img class="sg" src="6169BF88.jpg" id="s190_i" style="z-index:1;left:0px;top:0px;width:225.59px;height:245.73px" > </div> <div class="sg" id="s187" data-sgid="Picture 6" style="z-index:2;left:47.86px;top:90.07px;width:312.34px;height:289.36px"> <img class="sg" src="CF62DA56.png" id="s187_i" style="z-index:1;left:0px;top:0px;width:312.34px;height:289.36px" > </div> <div class="sg" id="s189" data-sgid="Right Arrow 10" style="z-index:4;left:205.46px;top:260.00px;width:37.41px;height:55.89px" data-fillcolor="555604"> <img class="sg" src="8BDFF513.png" id="s189_i" style="z-index:1;left:0px;top:0px;width:37.41px;height:55.89px" > </div> <div class="sg sgTitle" id="s192" data-sgid="Title 1" style="z-index:1;left:17.50px;top:15.72px;width:684.52px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s192_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:695.42px;height:82.75px;"><div><p><span data-textwidth="654.11" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.60px;top:32.01px;">CONTRAST ENHANCED CT NECK AND CHEST, T2 MRI</span></p></div></div></div> <div class="sg" id="s195" data-sgid="Right Arrow 13" style="z-index:4;left:415.00px;top:143.06px;width:39.93px;height:80.71px" data-fillcolor="555604"> <img class="sg" src="B808B027.png" id="s195_i" style="z-index:1;left:0px;top:0px;width:39.93px;height:80.71px" > </div> <div class="sg" id="s196" data-sgid="Right Arrow 22" style="z-index:5;left:210.39px;top:167.40px;width:74.85px;height:53.02px" data-fillcolor="555604"> <img class="sg" src="D32E3A16.png" id="s196_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:53.02px" > </div> <div class="sg" id="s194" data-sgid="Picture 11" style="z-index:3;left:351.08px;top:97.73px;width:247.91px;height:247.77px"> <img class="sg" src="787A4EE7.jpg" id="s194_i" style="z-index:1;left:0px;top:0px;width:247.91px;height:247.77px" > </div> <div class="sg" id="s193" data-sgid="Picture 3" style="z-index:2;left:65.48px;top:99.06px;width:222.73px;height:246.44px"> <img class="sg" src="5494EA9F.jpg" id="s193_i" style="z-index:1;left:0px;top:0px;width:222.73px;height:246.44px" > </div> <div class="sg" id="s197" data-sgid="Right Arrow 23" style="z-index:6;left:476.28px;top:273.53px;width:60.58px;height:67.40px" data-fillcolor="555604"> <img class="sg" src="84AE6FE3.png" id="s197_i" style="z-index:1;left:0px;top:0px;width:60.58px;height:67.40px" > </div> <div class="sg sgTitle" id="s200" data-sgid="Title 1" style="z-index:3;left:48.94px;top:1.19px;width:621.67px;height:79.29px" data-valign="bottom" data-pointer-events="none"> <div id="s200_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:621.67px;height:93.79px;"><div><p para="{al:2}"><span data-textwidth="64.93" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:278.59px;top:42.94px;">LABS</span></p></div></div></div> <div class="sg" id="s198" data-sgid="TextBox 6" style="z-index:1;left:9.49px;top:92.57px;width:214.69px;height:137.08px" data-valign="top"> <img class="sg" src="C7D42988.png" id="s198_tt" style="left:0.00px;top:0.00px;width:214.69px;height:137.08px;z-index:1" > </div> <div class="sg" id="s199" data-sgid="Rounded Rectangle 7" style="z-index:2;left:94.16px;top:116.20px;width:505.08px;height:213.70px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="3F9681F4.png" id="s199_i" style="z-index:1;left:0px;top:0px;width:505.08px;height:213.70px" > <div id="s199_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:505.08px;height:213.70px;"><div><p para="{al:2}"><span data-textwidth="306.89" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:250%; left:99.31px;top:58.08px;">AFP 45418 ng/mL</span></p><p para="{al:2}"><span data-textwidth="309.53" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:250%; left:97.99px;top:112.09px;">HCG 1.79 mIU/mL</span></p></div></div></div> <div class="sg sgTitle" id="s205" data-sgid="Title 1" style="z-index:5;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s205_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:624.53px;height:82.75px;"><div><p para="{al:2}"><span data-textwidth="299.69" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:162.67px;top:32.01px;">SUMMARY OF FINDINGS</span></p></div></div></div> <div class="sg" id="s204" data-sgid="TextBox 8" style="z-index:4;left:24.47px;top:93.79px;width:677.55px;height:79.04px" data-valign="top"> <div id="s204_t" class="sg" style="z-index:2;left:-6.71px;top:-3.38px;width:684.26px;height:91.04px;"><div><p><span data-textwidth="432.31" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.61px;top:8.77px;">Right neck heterogeneous avascular mass involving thyroid</span></p><p><span data-textwidth="239.92" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:111%; left:12.61px;top:32.78px;">Deviates esophagus and trachea</span></p><p><span data-textwidth="235.84" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:111%; left:12.61px;top:56.78px;">Contains cysts and calcifications</span></p></div></div></div> <div class="sg" id="s203" data-sgid="Picture 7" style="z-index:3;left:505.45px;top:184.91px;width:196.57px;height:214.18px"> <img class="sg" src="6E8CD72A.jpg" id="s203_i" style="z-index:1;left:0px;top:0px;width:196.57px;height:214.18px" > </div> <div class="sg" id="s202" data-sgid="Picture 6" style="z-index:2;left:252.47px;top:183.49px;width:239.16px;height:221.62px"> <img class="sg" src="8E19AF56.png" id="s202_i" style="z-index:1;left:0px;top:0px;width:239.16px;height:221.62px" > </div> <div class="sg" id="s201" data-sgid="Content Placeholder 3" style="z-index:1;left:3.85px;top:184.91px;width:268.67px;height:220.20px"> <img class="sg" src="8D5ED37D.jpg" id="s201_i" style="z-index:1;left:0px;top:0px;width:268.67px;height:220.20px" > </div> <div class="sg sgTitle" id="s210" data-sgid="Title 1" style="z-index:5;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s210_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:624.53px;height:82.75px;"><div><p para="{al:2}"><span data-textwidth="299.69" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:162.67px;top:32.01px;">SUMMARY OF FINDINGS</span></p></div></div></div> <div class="sg" id="s206" data-sgid="TextBox 8" style="z-index:1;left:23.51px;top:87.91px;width:672.51px;height:54.78px" data-valign="top"> <div id="s206_t" class="sg" style="z-index:2;left:-6.60px;top:-3.37px;width:679.11px;height:67.04px;"><div><p><span data-textwidth="188.55" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.49px;top:8.76px;">Thin septal enhancement </span></p><p><span data-textwidth="265.84" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:111%; left:12.49px;top:32.77px;">Normal AFP and HCG for a newborn</span></p></div></div></div> <div class="sg" id="s209" data-sgid="Rounded Rectangle 5" style="z-index:4;left:0.00px;top:229.05px;width:213.62px;height:50.98px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="2929E5C7.png" id="s209_i" style="z-index:1;left:0px;top:0px;width:213.62px;height:50.98px" > <div id="s209_t" class="sg" style="z-index:2;left:0.00px;top:-2.04px;width:213.62px;height:60.45px;"><div><p para="{al:2}"><span data-textwidth="122.90" class="sg nowrap f1" style="z-index:2;font-weight:bold; left:45.37px;top:8.16px;">AFP 45418 ng/mL</span></p><p para="{al:2}"><span data-textwidth="123.73" class="sg nowrap f1" style="z-index:3;font-weight:bold; left:44.89px;top:29.77px;">HCG 1.79 mIU/mL</span></p></div></div></div> <div class="sg" id="s207" data-sgid="Content Placeholder 9" style="z-index:2;left:211.46px;top:147.63px;width:228.85px;height:253.39px"> <img class="sg" src="873C6EA5.jpg" id="s207_i" style="z-index:1;left:0px;top:0px;width:228.85px;height:253.39px" > </div> <div class="sg" id="s208" data-sgid="Picture 10" style="z-index:3;left:415.00px;top:147.38px;width:209.06px;height:257.73px"> <img class="sg" src="90B1886D.jpg" id="s208_i" style="z-index:1;left:0px;top:0px;width:209.06px;height:257.73px" > </div> <div class="sg sgTitle" id="s211" data-sgid="Title 1" style="z-index:1;left:47.49px;top:8.51px;width:624.53px;height:68.37px" data-valign="bottom" data-pointer-events="none"> <div id="s211_t" class="sg" style="z-index:2;left:0.00px;top:-17.76px;width:624.53px;height:99.18px;"><div><p para="{al:2}"><span data-textwidth="349.74" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:137.58px;top:14.01px;">DIFFERENTIAL DIAGNOSIS</span><span data-textwidth="277.13" class="sg nowrap f1" style="z-index:3;color:#DC9E1F;font-weight:bold; font-size:156%; left:173.95px;top:52.06px;">NEONATAL NECK MASS</span></p></div></div></div> <div class="sg" id="s213" data-sgid="Picture 4" style="z-index:3;left:422.30px;top:90.67px;width:275.04px;height:254.95px"> <img class="sg" src="C53E1D18.png" id="s213_i" style="z-index:1;left:0px;top:0px;width:275.04px;height:254.95px" > </div> <div class="sg" id="s212" data-sgid="Content Placeholder 3" style="z-index:2;left:23.51px;top:87.91px;width:384.78px;height:286.01px" data-valign="top" data-pointer-events="none"> <div id="s212_t" class="sg" style="z-index:2;left:-11.50px;top:-5.75px;width:396.28px;height:291.77px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="112.22" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.39px;top:12.50px;">Congenital</span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="266.68" class="sg nowrap f5" style="z-index:3;color:#DC9E1F;font-size:156%; left:89.41px;top:59.67px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:1.92px"> </span>Lymphatic malformation</span></span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="109.70" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:17.39px;top:105.16px;">Neoplastic</span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="176.79" class="sg nowrap f5" style="z-index:7;color:#DC9E1F;font-size:156%; left:89.41px;top:152.33px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:1.92px"> </span>Neuroblastoma</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="115.34" class="sg nowrap f5" style="z-index:9;color:#DC9E1F;font-size:156%; left:89.41px;top:198.66px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:1.92px"> </span>Teratoma</span></span></p></div></div></div> <div class="sg sgTitle" id="s222" data-sgid="Title 1" style="z-index:17;left:47.49px;top:8.51px;width:624.53px;height:68.37px" data-valign="bottom" data-pointer-events="none"> <div id="s222_t" class="sg" style="z-index:2;left:0.00px;top:-17.76px;width:624.53px;height:99.18px;"><div><p para="{al:2}"><span data-textwidth="349.74" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:137.58px;top:14.01px;">DIFFERENTIAL DIAGNOSIS</span><span data-textwidth="277.13" class="sg nowrap f1" style="z-index:3;color:#DC9E1F;font-weight:bold; font-size:156%; left:173.95px;top:52.06px;">NEONATAL NECK MASS</span></p></div></div></div> <div class="sg" id="s215" data-sgid="Group 5" style="z-index:2;left:16.76px;top:130.50px;width:25.76px;height:26.94px" data-shape="group"> <div class="sg" id="s224" data-sgid="Straight Connector 7" style="z-index:2;left:9.97px;top:-2.78px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="F681C7CB.png" id="s224_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s225" data-sgid="Straight Connector 6" style="z-index:1;left:-1.89px;top:13.90px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="79C4461F.png" id="s225_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s216" data-sgid="Group 8" style="z-index:5;left:14.91px;top:160.96px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s226" data-sgid="Straight Connector 10" style="z-index:2;left:9.93px;top:-2.78px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="8B20F3F2.png" id="s226_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s227" data-sgid="Straight Connector 9" style="z-index:1;left:-1.97px;top:12.69px;width:18.49px;height:15.60px" data-pointer-events="none"> <img class="sg" src="4373AD48.png" id="s227_i" style="z-index:1;left:0px;top:0px;width:18.49px;height:14.60px" > </div> </div> <div class="sg" id="s219" data-sgid="Group 19" style="z-index:10;left:14.74px;top:186.40px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s228" data-sgid="Straight Connector 21" style="z-index:2;left:9.95px;top:-2.91px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="80BF0704.png" id="s228_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s229" data-sgid="Straight Connector 20" style="z-index:1;left:-1.91px;top:12.66px;width:18.35px;height:15.72px" data-pointer-events="none"> <img class="sg" src="8F5F4007.png" id="s229_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.72px" > </div> </div> <div class="sg" id="s223" data-sgid="Picture 25" style="z-index:18;left:422.30px;top:90.67px;width:275.04px;height:254.95px"> <img class="sg" src="C53E1D18.png" id="s223_i" style="z-index:1;left:0px;top:0px;width:275.04px;height:254.95px" > </div> <div class="sg" id="s220" data-sgid="Group 15" style="z-index:13;left:14.74px;top:218.17px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s230" data-sgid="Straight Connector 22" style="z-index:2;left:9.95px;top:-2.91px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="2B3BFD93.png" id="s230_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s231" data-sgid="Straight Connector 16" style="z-index:1;left:-1.91px;top:12.70px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="D06FF0F8.png" id="s231_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s214" data-sgid="Content Placeholder 3" style="z-index:1;left:13.68px;top:91.86px;width:396.76px;height:290.81px" data-valign="top" data-pointer-events="none"> <div id="s214_t" class="sg" style="z-index:2;left:-9.12px;top:-4.68px;width:405.88px;height:295.49px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="233.68" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.88px;top:11.44px;">Lymphatic Malformation</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="200.55" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:41.89px;top:46.13px;">Congenital neck mass</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="51.01" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:41.89px;top:76.98px;">Cysts</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="195.03" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:41.89px;top:107.82px;">Thin enhancing septa</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="89.17" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:133%; left:41.89px;top:138.55px;">Avascular</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="110.54" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:133%; left:41.89px;top:169.40px;">Calcification</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="222.16" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:133%; left:41.89px;top:200.24px;">Large solid components </span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="68.05" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:133%; left:41.89px;top:230.97px;">Thyroid</span></p></div></div></div> <div class="sg" id="s218" data-sgid="Multiply 18" style="z-index:9;left:14.50px;top:255.21px;width:25.69px;height:24.23px" data-fillcolor="16711680"> <img class="sg" src="6128F4EE.png" id="s218_i" style="z-index:1;left:0px;top:0px;width:25.69px;height:24.23px" > </div> <div class="sg" id="s217" data-sgid="Multiply 17" style="z-index:8;left:13.90px;top:288.06px;width:26.99px;height:27.57px" data-fillcolor="16711680"> <img class="sg" src="24EC0CD0.png" id="s217_i" style="z-index:1;left:0px;top:0px;width:26.99px;height:27.57px" > </div> <div class="sg" id="s221" data-sgid="Multiply 23" style="z-index:16;left:14.75px;top:318.87px;width:26.88px;height:27.72px" data-rotation = "3" data-fillcolor="16711680"> <img class="sg" src="D90425CF.png" id="s221_i" style="z-index:1;left:0px;top:0px;width:26.88px;height:27.72px" > </div> <div class="sg sgTitle" id="s237" data-sgid="Title 1" style="z-index:10;left:47.49px;top:8.51px;width:624.53px;height:68.37px" data-valign="bottom" data-pointer-events="none"> <div id="s237_t" class="sg" style="z-index:2;left:0.00px;top:-17.76px;width:624.53px;height:99.18px;"><div><p para="{al:2}"><span data-textwidth="349.74" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:137.58px;top:14.01px;">DIFFERENTIAL DIAGNOSIS</span><span data-textwidth="277.13" class="sg nowrap f1" style="z-index:3;color:#DC9E1F;font-weight:bold; font-size:156%; left:173.95px;top:52.06px;">NEONATAL NECK MASS</span></p></div></div></div> <div class="sg" id="s233" data-sgid="Group 5" style="z-index:2;left:16.76px;top:130.50px;width:25.76px;height:26.94px" data-shape="group"> <div class="sg" id="s240" data-sgid="Straight Connector 7" style="z-index:2;left:9.97px;top:-2.78px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="F681C7CB.png" id="s240_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s241" data-sgid="Straight Connector 6" style="z-index:1;left:-1.89px;top:13.90px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="79C4461F.png" id="s241_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s234" data-sgid="Group 8" style="z-index:5;left:14.91px;top:160.96px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s242" data-sgid="Straight Connector 10" style="z-index:2;left:9.93px;top:-2.78px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="8B20F3F2.png" id="s242_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s243" data-sgid="Straight Connector 9" style="z-index:1;left:-1.97px;top:12.69px;width:18.49px;height:15.60px" data-pointer-events="none"> <img class="sg" src="4373AD48.png" id="s243_i" style="z-index:1;left:0px;top:0px;width:18.49px;height:14.60px" > </div> </div> <div class="sg" id="s239" data-sgid="Multiply 26" style="z-index:12;left:11.64px;top:194.04px;width:25.91px;height:24.23px" data-fillcolor="16711680"> <img class="sg" src="8315DE2B.png" id="s239_i" style="z-index:1;left:0px;top:0px;width:25.91px;height:24.23px" > </div> <div class="sg" id="s238" data-sgid="Picture 25" style="z-index:11;left:422.30px;top:90.67px;width:275.04px;height:254.95px"> <img class="sg" src="C53E1D18.png" id="s238_i" style="z-index:1;left:0px;top:0px;width:275.04px;height:254.95px" > </div> <div class="sg" id="s236" data-sgid="Multiply 18" style="z-index:9;left:14.50px;top:224.03px;width:25.69px;height:24.20px" data-fillcolor="16711680"> <img class="sg" src="B6C7D1F0.png" id="s236_i" style="z-index:1;left:0px;top:0px;width:25.69px;height:24.20px" > </div> <div class="sg" id="s232" data-sgid="Content Placeholder 3" style="z-index:1;left:13.68px;top:91.86px;width:396.76px;height:290.81px" data-valign="top" data-pointer-events="none"> <div id="s232_t" class="sg" style="z-index:2;left:-9.12px;top:-4.68px;width:405.88px;height:295.49px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="147.62" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.88px;top:11.44px;">Neuroblastoma</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="200.55" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:133%; left:41.89px;top:46.13px;">Congenital neck mass</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="120.74" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:41.89px;top:76.98px;">Calcifications</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="230.91" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:41.89px;top:107.82px;">Elevated Catecholamines</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="51.01" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:133%; left:41.89px;top:138.55px;">Cysts</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="77.89" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:133%; left:41.89px;top:169.40px;">Vascular</span></p></div></div></div> <div class="sg" id="s235" data-sgid="Multiply 17" style="z-index:8;left:13.90px;top:256.88px;width:26.99px;height:27.46px" data-fillcolor="16711680"> <img class="sg" src="A4D2BAAB.png" id="s235_i" style="z-index:1;left:0px;top:0px;width:26.99px;height:27.46px" > </div> <div class="sg sgTitle" id="s249" data-sgid="Title 1" style="z-index:14;left:47.49px;top:8.51px;width:624.53px;height:68.37px" data-valign="bottom" data-pointer-events="none"> <div id="s249_t" class="sg" style="z-index:2;left:0.00px;top:-17.76px;width:624.53px;height:99.18px;"><div><p para="{al:2}"><span data-textwidth="349.74" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:137.58px;top:14.01px;">DIFFERENTIAL DIAGNOSIS</span><span data-textwidth="277.13" class="sg nowrap f1" style="z-index:3;color:#DC9E1F;font-weight:bold; font-size:156%; left:173.95px;top:52.06px;">NEONATAL NECK MASS</span></p></div></div></div> <div class="sg" id="s245" data-sgid="Group 5" style="z-index:2;left:16.76px;top:130.50px;width:25.76px;height:26.94px" data-shape="group"> <div class="sg" id="s252" data-sgid="Straight Connector 7" style="z-index:2;left:9.97px;top:-2.78px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="F681C7CB.png" id="s252_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s253" data-sgid="Straight Connector 6" style="z-index:1;left:-1.89px;top:13.90px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="79C4461F.png" id="s253_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s246" data-sgid="Group 8" style="z-index:5;left:14.91px;top:160.96px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s254" data-sgid="Straight Connector 10" style="z-index:2;left:9.93px;top:-2.78px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="8B20F3F2.png" id="s254_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s255" data-sgid="Straight Connector 9" style="z-index:1;left:-1.97px;top:12.69px;width:18.49px;height:15.60px" data-pointer-events="none"> <img class="sg" src="4373AD48.png" id="s255_i" style="z-index:1;left:0px;top:0px;width:18.49px;height:14.60px" > </div> </div> <div class="sg" id="s247" data-sgid="Group 19" style="z-index:8;left:14.74px;top:186.40px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s256" data-sgid="Straight Connector 21" style="z-index:2;left:9.95px;top:-2.91px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="80BF0704.png" id="s256_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s257" data-sgid="Straight Connector 20" style="z-index:1;left:-1.91px;top:12.66px;width:18.35px;height:15.72px" data-pointer-events="none"> <img class="sg" src="8F5F4007.png" id="s257_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.72px" > </div> </div> <div class="sg" id="s250" data-sgid="Picture 25" style="z-index:15;left:422.30px;top:90.67px;width:275.04px;height:254.95px"> <img class="sg" src="C53E1D18.png" id="s250_i" style="z-index:1;left:0px;top:0px;width:275.04px;height:254.95px" > </div> <div class="sg" id="s248" data-sgid="Group 15" style="z-index:11;left:14.74px;top:218.17px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s258" data-sgid="Straight Connector 22" style="z-index:2;left:9.95px;top:-2.91px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="2B3BFD93.png" id="s258_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s259" data-sgid="Straight Connector 16" style="z-index:1;left:-1.91px;top:12.70px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="D06FF0F8.png" id="s259_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s244" data-sgid="Content Placeholder 3" style="z-index:1;left:13.68px;top:91.86px;width:396.76px;height:290.81px" data-valign="top" data-pointer-events="none"> <div id="s244_t" class="sg" style="z-index:2;left:-9.12px;top:-4.68px;width:405.88px;height:295.49px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="89.89" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.88px;top:11.44px;">Teratoma</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="200.55" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:133%; left:41.89px;top:46.13px;">Congenital neck mass</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="120.74" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:41.89px;top:76.98px;">Calcifications</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="51.01" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:41.89px;top:107.82px;">Cysts</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="89.17" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:41.89px;top:138.55px;">Avascular</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="176.43" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:133%; left:41.89px;top:169.40px;">Involves the thyroid</span></p></div></div></div> <div class="sg" id="s251" data-sgid="Group 26" style="z-index:16;left:12.00px;top:248.74px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s260" data-sgid="Straight Connector 28" style="z-index:2;left:9.95px;top:-2.90px;width:18.46px;height:29.99px" data-pointer-events="none"> <img class="sg" src="E685A748.png" id="s260_i" style="z-index:1;left:0px;top:0px;width:17.46px;height:29.99px" > </div> <div class="sg" id="s261" data-sgid="Straight Connector 27" style="z-index:1;left:-1.92px;top:12.68px;width:18.46px;height:15.60px" data-pointer-events="none"> <img class="sg" src="7ED52097.png" id="s261_i" style="z-index:1;left:0px;top:0px;width:18.46px;height:14.60px" > </div> </div> <div class="sg sgTitle" id="s262" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s262_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="422.96" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:100.97px;top:21.52px;">THYROID TERATOMA</span></p></div></div></div> <div class="sg" id="s263" data-sgid="Content Placeholder 3" style="z-index:2;left:23.51px;top:88.14px;width:672.51px;height:305.82px" data-valign="top" data-pointer-events="none"> <div id="s263_t" class="sg" style="z-index:2;left:-11.50px;top:-5.64px;width:685.45px;height:311.46px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="639.71" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.39px;top:12.40px;">Symptoms: Stridor, dyspnea, dysphagia and polyhydramnios </span><span data-textwidth="62.17" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.39px;top:46.01px;">(30%)</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="646.20" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:17.39px;top:92.34px;">Germ cell tumors consist ectoderm, mesoderm and endoderm</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="651.23" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:156%; left:17.39px;top:138.67px;">Presence of multiple calcified foci and or fat highly suggestive </span><span data-textwidth="118.59" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:17.39px;top:172.28px;">of teratoma</span></p></div></div></div> <div class="sg sgTitle" id="s264" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s264_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="422.96" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:100.97px;top:21.52px;">THYROID TERATOMA</span></p></div></div></div> <div class="sg" id="s265" data-sgid="Content Placeholder 3" style="z-index:2;left:22.66px;top:87.91px;width:682.48px;height:320.54px" data-valign="top" data-pointer-events="none"> <div id="s265_t" class="sg" style="z-index:2;left:-11.50px;top:-5.75px;width:705.98px;height:326.30px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="557.62" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.28px;top:12.50px;">Serum alpha feta protein can be used as a marker of </span><span data-textwidth="118.58" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.28px;top:46.11px;">malignancy</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="671.76" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:17.28px;top:92.44px;">Majority of neonate teratomas are mature or immature histology </span><span data-textwidth="77.90" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:156%; left:17.28px;top:126.05px;">-benign</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="636.83" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:17.28px;top:172.38px;">If cervical teratomas present within thyroid gland or if thyroid </span><span data-textwidth="467.36" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:156%; left:17.28px;top:205.98px;">gland is continuous with tumor -thyroid origin</span></p></div></div></div> <div class="sg sgTitle" id="s266" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s266_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="541.05" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:41.92px;top:21.52px;">DR. PALADIN’S DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s267" data-sgid="Content Placeholder 3" style="z-index:2;left:48.94px;top:107.32px;width:621.67px;height:257.62px" data-valign="top" data-pointer-events="none"> <div id="s267_t" class="sg" style="z-index:2;left:0.00px;top:-9.82px;width:621.67px;height:267.43px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="548.96" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:228%; left:41.32px;top:18.33px;">Cervical Teratoma of Thyroid Origin </span></p></div></div></div> <div class="sg sgTitle" id="s268" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s268_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s269" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s269_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:624.53px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="414.55" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:105.18px;top:20.70px;">Right Thyroid Teratoma</span></p></div></div></div> <div class="sg sgTitle" id="s270" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s270_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="410.11" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:107.34px;top:20.66px;">THYROID TERATOMA</span></p></div></div></div> <div class="sg" id="s271" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:654.52px;height:264.79px" data-valign="top" data-pointer-events="none"> <div id="s271_t" class="sg" style="z-index:2;left:-5.04px;top:-8.14px;width:659.57px;height:272.94px;"><div><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="81.49" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:122%; left:12.76px;top:9.82px;">&#61558;<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:2.28px"> </span>Origin:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="580.30" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:122%; left:48.77px;top:42.35px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:9.72px"> </span>Cervical teratomas most common neck tumor in infants, but thyroid </span></span><span data-textwidth="234.28" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:122%; left:71.33px;top:62.87px;">primary site of teratoma rare</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="491.12" class="sg nowrap f5" style="z-index:11;color:#DC9E1F;font-size:122%; left:48.77px;top:95.88px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:9.72px"> </span>Conundrum- ? arising within or adjacent to thryroid gland</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="617.87" class="sg nowrap f3" style="z-index:17;color:#DC9E1F;font-size:122%; left:12.76px;top:128.17px;">&#61558;<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:2.28px"> </span>Intimate intermingling of thyroid tissue with teratoma and presence of a </span></span><span data-textwidth="445.76" class="sg nowrap f2" style="z-index:21;color:#FFFFFF;font-size:122%; left:39.76px;top:148.81px;">pseudocapsule = criteria for establishing thyroid origin</span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="282.29" class="sg nowrap f3" style="z-index:25;color:#DC9E1F;font-size:122%; left:12.76px;top:181.70px;">&#61558;<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:2.28px"> </span>Neuroglial tissue predominates</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="606.34" class="sg nowrap f3" style="z-index:28;color:#DC9E1F;font-size:122%; left:12.76px;top:214.11px;">&#61558;<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:2.28px"> </span>Immaturity of histology NOT harbinger of adverse behavior as seen in </span></span><span data-textwidth="195.88" class="sg nowrap f2" style="z-index:31;color:#FFFFFF;font-size:122%; left:39.76px;top:234.75px;">adolescents and adults </span></p></div></div></div> <div class="sg" id="s272" data-sgid="TextBox 2" style="z-index:3;left:77.48px;top:369.73px;width:348.67px;height:22.67px" data-valign="top"> <div id="s272_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:348.67px;height:26.13px;"><div><p><span data-textwidth="252.88" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.73px;top:6.11px;">Reidlinger et al. Am J Surg Pathol. 2005 May;29(5):700-6.</span></p></div></div></div> <div class="sg sgTitle" id="s273" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s273_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="244.48" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">JIM ANDERSON, MD</span></p></div></div></div> <div class="sg" id="s275" data-sgid="Picture 2" style="z-index:3;left:527.26px;top:2.16px;width:192.74px;height:269.59px"> <img class="sg" src="804A6B63.jpg" id="s275_i" title="" alt="H:\My Documents\MY DOCUMENTS\Backup 3_13\Jim Anderson\Dropbox\Work\Promotion\Anderson, Jim_15.jpg" style="z-index:1;left:0px;top:0px;width:192.74px;height:269.59px" > </div> <div class="sg" id="s274" data-sgid="Content Placeholder 2" style="z-index:2;left:11.53px;top:87.91px;width:738.46px;height:330.72px" data-valign="top" data-pointer-events="none"> <div id="s274_t" class="sg" style="z-index:2;left:-3.97px;top:-2.04px;width:742.43px;height:332.77px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="499.40" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:106%; left:11.64px;top:8.87px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Program Director, Oregon Health &amp; Science University since 2006</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="205.60" class="sg nowrap f5" style="z-index:7;color:#DC9E1F;font-size:106%; left:11.64px;top:42.24px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Prof of Radiology, OHSU</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="220.36" class="sg nowrap f5" style="z-index:9;color:#DC9E1F;font-size:106%; left:11.64px;top:75.61px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>BS, University of Nebraska</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="365.22" class="sg nowrap f5" style="z-index:11;color:#DC9E1F;font-size:106%; left:11.64px;top:108.97px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>MD, University of Nebraska School of Medicine</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="476.60" class="sg nowrap f5" style="z-index:14;color:#DC9E1F;font-size:106%; left:11.64px;top:142.34px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Diagnostic Radiology, University Kansas Med Center – Wichita</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="483.20" class="sg nowrap f5" style="z-index:20;color:#DC9E1F;font-size:106%; left:11.64px;top:175.71px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Neuroradiology Fellowship Vanderbilt University Medical Center</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="666.72" class="sg nowrap f5" style="z-index:24;color:#DC9E1F;font-size:106%; left:11.64px;top:209.08px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>ABR 1997; CAQ Neuro 2002/2012; Assoc PD 2001-2006 + Neuro PD 2003-2017@OHSU</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="320.22" class="sg nowrap f5" style="z-index:34;color:#DC9E1F;font-size:106%; left:11.64px;top:242.44px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Section Chief Neuroradiology since 2006</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="376.26" class="sg nowrap f5" style="z-index:36;color:#DC9E1F;font-size:111%; left:11.64px;top:276.05px;">•<span class="f2" ><span style="letter-spacing:15.49px"> </span>*Chair, Radiology Review Committee ACGME </span></span></p></div></div></div> <div class="sg sgTitle" id="s276" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s276_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="244.48" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">JIM ANDERSON, MD</span></p></div></div></div> <div class="sg" id="s277" data-sgid="Content Placeholder 3" style="z-index:2;left:11.27px;top:86.84px;width:696.75px;height:349.82px" data-valign="top" data-pointer-events="none"> <div id="s277_t" class="sg" style="z-index:2;left:-4.08px;top:-2.41px;width:700.83px;height:352.23px;"><div><p para="{bl:{ch:8226},spbf:6.00,spaf:6.00}"><span data-textwidth="676.67" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.77px;top:9.11px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2001 Radiology Teacher of the Year Award, Vanderbilt University Medical Center</span></span></p><p para="{bl:{ch:8226},spbf:6.00,spaf:6.00}"><span data-textwidth="597.11" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:111%; left:11.77px;top:45.12px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2001 Silver Hammer Teaching Award, Department of Neurology, OHSU</span></span></p><p para="{bl:{ch:8226},spbf:6.00,spaf:6.00}"><span data-textwidth="625.42" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:111%; left:11.77px;top:81.13px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2003 Outstanding Teacher of the Year Award, Diagnostic Radiology, OHSU</span></span></p><p para="{bl:{ch:8226},spbf:6.00,spaf:6.00}"><span data-textwidth="593.50" class="sg nowrap f5" style="z-index:18;color:#DC9E1F;font-size:111%; left:11.77px;top:117.13px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2004 Silver Hammer Teaching Award, Department of Neurology OHSU</span></span></p><p para="{bl:{ch:8226},spbf:6.00,spaf:6.00}"><span data-textwidth="662.28" class="sg nowrap f5" style="z-index:23;color:#DC9E1F;font-size:111%; left:11.77px;top:153.14px;">•<span class="f1" style="font-weight:bold; color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>2008 Chief Resident’s Teaching Award, Department of Internal Medicine OHSU</span></span></p><p para="{bl:{ch:8226},spbf:6.00,spaf:6.00}"><span data-textwidth="618.11" class="sg nowrap f5" style="z-index:29;color:#DC9E1F;font-size:111%; left:11.77px;top:189.15px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Committees: ASNR (including Fellowship Directors Committee), ARRS, APDR </span></span></p></div></div></div> <div class="sg sgTitle" id="s278" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s278_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="244.48" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">JIM ANDERSON, MD</span></p></div></div></div> <div class="sg" id="s279" data-sgid="Picture 2" style="z-index:2;left:407.32px;top:1.08px;width:312.68px;height:201.70px"> <img class="sg" src="67AB655C.jpg" id="s279_i" title="" alt="C:\Users\andejame\Pictures\Hordville.jpg" style="z-index:1;left:0px;top:0px;width:312.68px;height:201.70px" > </div> <div class="sg" id="s281" data-sgid="Content Placeholder 3" style="z-index:4;left:11.27px;top:86.84px;width:396.90px;height:349.82px" data-valign="top" data-pointer-events="none"> <div id="s281_t" class="sg" style="z-index:2;left:-4.30px;top:-2.19px;width:401.21px;height:352.00px;"><div><p para="{spaf:6.00}"><span data-textwidth="109.34" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:106%; left:11.99px;top:8.29px;">2012 ACGME: </span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="217.96" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:106%; left:11.99px;top:37.70px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>RRC Diagnostic Radiology</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="317.82" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:106%; left:11.99px;top:66.50px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Chair, Residency Review Committee for </span></span><span data-textwidth="151.58" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:106%; left:39.00px;top:88.71px;">Diagnostic Radiology</span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="320.46" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:106%; left:11.99px;top:118.11px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Subcommittee on Program Requirement </span></span><span data-textwidth="225.51" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:106%; left:39.00px;top:140.32px;">Development for Interventional </span><span data-textwidth="228.28" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:106%; left:39.00px;top:163.12px;">Radiology/Diagnostic Radiology</span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="342.54" class="sg nowrap f5" style="z-index:18;color:#DC9E1F;font-size:106%; left:11.99px;top:192.53px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Chair, Milestones Writing Subcommittee for </span></span><span data-textwidth="108.86" class="sg nowrap f2" style="z-index:24;color:#FFFFFF;font-size:106%; left:39.00px;top:214.74px;">Neuroradiology</span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="370.87" class="sg nowrap f5" style="z-index:25;color:#DC9E1F;font-size:106%; left:11.99px;top:244.14px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Chair, Hospital Based Committee of RRC chairs</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="314.57" class="sg nowrap f5" style="z-index:28;color:#DC9E1F;font-size:106%; left:11.99px;top:272.95px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Committee of Review Committee Chairs</span></span></p></div></div></div> <div class="sg" id="s280" data-sgid="Picture 2 (2)" style="z-index:3;left:392.34px;top:159.86px;width:297.70px;height:212.85px"> <img class="sg" src="30F12D8C.jpg" id="s280_i" title="" alt="C:\Users\andejame\Pictures\kayak family.jpg" style="z-index:1;left:0px;top:0px;width:297.70px;height:212.85px" > </div> <div class="sg sgTitle" id="s282" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s282_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="180.51" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">JIM’S MENTOR</span></p></div></div></div> <div class="sg" id="s283" data-sgid="Content Placeholder 2" style="z-index:2;left:17.50px;top:93.90px;width:624.56px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s283_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:630.79px;height:247.40px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="155.55" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.93px;top:10.80px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.09px"> </span>Tom Dina, MD</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="392.94" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:133%; left:49.94px;top:51.37px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Radiology Program Director at Vanderbilt</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="541.53" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:133%; left:49.94px;top:91.94px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Inspired me to become a program director and commit to </span></span><span data-textwidth="507.80" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:133%; left:72.50px;top:121.27px;">developing a strong program training excellent residents</span></p></div></div></div> <div class="sg sgTitle" id="s284" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s284_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="541.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">NEURO CASE 1- 23 YEAR OLD MALE IN MVC</span></p></div></div></div> <div class="sg" id="s290" data-sgid="Rectangle 9" style="z-index:7;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s290_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s286" data-sgid="Picture 4" style="z-index:3;left:179.43px;top:111.66px;width:187.36px;height:231.80px"> <img class="sg" src="B53C6261.jpg" id="s286_i" style="z-index:1;left:0px;top:0px;width:187.36px;height:231.80px" > </div> <div class="sg" id="s287" data-sgid="Picture 6" style="z-index:4;left:352.16px;top:111.66px;width:191.78px;height:231.80px"> <img class="sg" src="DE17A6D8.jpg" id="s287_i" style="z-index:1;left:0px;top:0px;width:191.78px;height:231.80px" > </div> <div class="sg" id="s285" data-sgid="Picture 2" style="z-index:2;left:0.00px;top:113.82px;width:178.10px;height:229.65px"> <img class="sg" src="FCF9707C.jpg" id="s285_i" style="z-index:1;left:0px;top:0px;width:178.10px;height:229.65px" > </div> <div class="sg" id="s288" data-sgid="Picture 7" style="z-index:5;left:530.63px;top:111.89px;width:189.37px;height:234.10px"> <img class="sg" src="DACEBEDC.jpg" id="s288_i" style="z-index:1;left:0px;top:0px;width:189.37px;height:234.10px" > </div> <div class="sg" id="s289" data-sgid="Rounded Rectangle 8" style="z-index:6;left:5.52px;top:333.76px;width:347.60px;height:66.89px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="79907850.png" id="s289_i" style="z-index:1;left:0px;top:0px;width:347.60px;height:66.89px" > <div id="s289_t" class="sg" style="z-index:2;left:0.00px;top:-0.74px;width:350.12px;height:73.16px;"><div><p para="{al:2}"><span data-textwidth="328.98" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:11.04px;top:7.78px;">He sustained several fractures including left clavicle </span><span data-textwidth="303.66" class="sg nowrap f1" style="z-index:5;font-weight:bold; font-size:89%; left:23.76px;top:26.98px;">and femur; on arrival patient was conscious and </span><span data-textwidth="264.77" class="sg nowrap f1" style="z-index:7;font-weight:bold; font-size:89%; left:41.53px;top:46.18px;">oriented with a Glasgow Coma Scale 15/15</span></p></div></div></div> <div class="sg sgTitle" id="s291" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s291_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="343.62" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS LIVE QUESTION</span></p></div></div></div> <div class="sg" id="s294" data-sgid="Rectangle 5" style="z-index:4;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s294_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s293" data-sgid="Content Placeholder 5" style="z-index:3;left:294.33px;top:95.57px;width:426.78px;height:243.69px" data-valign="top" data-pointer-events="none"> <div id="s293_t" class="sg" style="z-index:2;left:-12.10px;top:-6.09px;width:438.87px;height:249.79px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="371.23" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:178%; left:19.98px;top:14.06px;">Does the brain appear normal?</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="76.45" class="sg nowrap f2" style="z-index:4;color:#FFC000;font-size:178%; left:55.99px;top:66.15px;">A. Yes</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="67.21" class="sg nowrap f2" style="z-index:5;color:#FFC000;font-size:178%; left:55.99px;top:118.25px;">B. No</span></p></div></div></div> <div class="sg" id="s292" data-sgid="Picture 7" style="z-index:2;left:29.51px;top:111.89px;width:189.37px;height:234.10px"> <img class="sg" src="E3F2ACE1.jpg" id="s292_i" style="z-index:1;left:0px;top:0px;width:189.37px;height:234.10px" > </div> <div class="sg" id="s295" data-sgid="Rectangle 2" style="z-index:5;left:263.40px;top:348.03px;width:160.83px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s295_t" class="sg" style="z-index:2;left:-3.60px;top:-1.93px;width:166.46px;height:53.62px;"><div><p><span data-textwidth="143.54" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.45px;top:8.38px;"><a target=_blank class="sga" href="https://goo.gl/AJvREY"><u>https://goo.gl/AJvREY</u></a></span></p></div></div><img class="sg" src="FB532679.png" id="s295_tt" style="left:-3.60px;top:-1.93px;width:166.46px;height:53.62px;z-index:1" > </div> <div class="sg sgTitle" id="s296" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s296_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="541.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">NEURO CASE 1- 23 YEAR OLD MALE IN MVC</span></p></div></div></div> <div class="sg" id="s298" data-sgid="Picture 4" style="z-index:3;left:179.43px;top:111.66px;width:187.36px;height:231.80px"> <img class="sg" src="B53C6261.jpg" id="s298_i" style="z-index:1;left:0px;top:0px;width:187.36px;height:231.80px" > </div> <div class="sg" id="s299" data-sgid="Picture 6" style="z-index:4;left:352.16px;top:111.66px;width:191.78px;height:231.80px"> <img class="sg" src="DE17A6D8.jpg" id="s299_i" style="z-index:1;left:0px;top:0px;width:191.78px;height:231.80px" > </div> <div class="sg" id="s297" data-sgid="Picture 2" style="z-index:2;left:0.00px;top:113.82px;width:178.10px;height:229.65px"> <img class="sg" src="FCF9707C.jpg" id="s297_i" style="z-index:1;left:0px;top:0px;width:178.10px;height:229.65px" > </div> <div class="sg" id="s300" data-sgid="Picture 7" style="z-index:5;left:530.63px;top:111.89px;width:189.37px;height:234.10px"> <img class="sg" src="DACEBEDC.jpg" id="s300_i" style="z-index:1;left:0px;top:0px;width:189.37px;height:234.10px" > </div> <div class="sg" id="s301" data-sgid="Rounded Rectangle 8" style="z-index:6;left:5.52px;top:333.76px;width:347.60px;height:66.89px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="79907850.png" id="s301_i" style="z-index:1;left:0px;top:0px;width:347.60px;height:66.89px" > <div id="s301_t" class="sg" style="z-index:2;left:0.00px;top:-0.74px;width:350.12px;height:73.16px;"><div><p para="{al:2}"><span data-textwidth="329.09" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:11.04px;top:7.78px;">He sustained several fractures including left clavicle </span><span data-textwidth="303.66" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:23.76px;top:26.98px;">and femur; on arrival patient was conscious and </span><span data-textwidth="264.77" class="sg nowrap f1" style="z-index:8;font-weight:bold; font-size:89%; left:41.53px;top:46.18px;">oriented with a Glasgow Coma Scale 15/15</span></p></div></div></div> <div class="sg sgTitle" id="s302" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s302_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="234.88" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">INITIAL THOUGHTS</span></p></div></div></div> <div class="sg" id="s303" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:276.79px" data-valign="top" data-pointer-events="none"> <div id="s303_t" class="sg" style="z-index:2;left:-6.23px;top:-6.47px;width:630.76px;height:283.26px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="365.82" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.79px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>No readily apparent intracranial injury</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="597.45" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:133%; left:13.95px;top:48.48px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>History indicates significant other injuries. However, GCS is 15</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="588.93" class="sg nowrap f5" style="z-index:7;color:#DC9E1F;font-size:133%; left:13.95px;top:86.17px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Subtle abnormality possible in frontal bone +/- scalp contusion</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="548.13" class="sg nowrap f5" style="z-index:11;color:#DC9E1F;font-size:133%; left:49.96px;top:123.86px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Would need to see soft tissue and bone windows to see if </span></span><span data-textwidth="261.52" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:133%; left:72.52px;top:150.30px;">that is real or something else</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="569.37" class="sg nowrap f5" style="z-index:14;color:#DC9E1F;font-size:133%; left:13.95px;top:187.47px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>At this point with no clinical findings to indicate neurological </span></span><span data-textwidth="503.61" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:133%; left:40.95px;top:213.92px;">abnormality would get a standard &quot;no acute intracranial </span><span data-textwidth="194.91" class="sg nowrap f2" style="z-index:19;color:#FFFFFF;font-size:133%; left:40.95px;top:239.84px;">abnormality&quot; dictation</span></p></div></div></div> <div class="sg sgTitle" id="s304" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s304_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="133.46" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">CHEST CT </span></p></div></div></div> <div class="sg" id="s305" data-sgid="Picture 4" style="z-index:2;left:246.13px;top:119.21px;width:471.38px;height:179.89px"> <img class="sg" src="5744939F.jpg" id="s305_i" style="z-index:1;left:0px;top:0px;width:471.38px;height:179.89px" > </div> <div class="sg" id="s306" data-sgid="Rounded Rectangle 5" style="z-index:3;left:5.15px;top:160.45px;width:229.56px;height:97.62px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="B99C6C08.png" id="s306_i" style="z-index:1;left:0px;top:0px;width:229.56px;height:97.62px" > <div id="s306_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:229.56px;height:97.62px;"><div><p para="{al:2}"><span data-textwidth="177.99" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:27.74px;top:12.43px;">The patient became short of </span><span data-textwidth="198.51" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:17.41px;top:31.63px;">breath within 24 hours and was </span><span data-textwidth="154.83" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:39.26px;top:50.84px;">intubated; mental status </span><span data-textwidth="129.62" class="sg nowrap f1" style="z-index:5;font-weight:bold; font-size:89%; left:50.06px;top:70.04px;">deteriorated→ coma</span></p></div></div></div> <div class="sg" id="s309" data-sgid="AutoShape 2" style="z-index:3;left:11.75px;top:-11.89px;width:24.84px;height:24.85px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg sgTitle" id="s307" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s307_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="204.27" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">CHEST CT ?????</span></p></div></div></div> <div class="sg" id="s308" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s308_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:630.76px;height:247.40px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="304.13" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.80px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Am I suppose to interpret this?</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="567.93" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:133%; left:13.95px;top:51.37px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Looks worse, hope it doesn’t need some special pulmonary </span></span><span data-textwidth="97.10" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:40.95px;top:80.70px;">knowledge</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="519.20" class="sg nowrap f5" style="z-index:7;color:#DC9E1F;font-size:133%; left:49.96px;top:120.75px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>That knowledge jumped off the iceberg a long time ago</span></span></p></div></div></div> <div class="sg" id="s310" data-sgid="Picture 4" style="z-index:4;left:215.43px;top:242.84px;width:240.72px;height:160.94px"> <img class="sg" src="6D3407BC.jpg" id="s310_i" title="" alt="C:\Users\andejame\Dropbox\RSNA 2017\Image Interpretation Session\114489-004-CD2F954C.jpg" style="z-index:1;left:0px;top:0px;width:240.72px;height:160.94px" > </div> <div class="sg" id="s311" data-sgid="TextBox 4" style="z-index:5;left:431.31px;top:380.40px;width:169.61px;height:22.55px" data-valign="top"> <div id="s311_t" class="sg" style="z-index:2;left:0.00px;top:-0.12px;width:169.61px;height:26.24px;"><div><p><span data-textwidth="153.03" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-style:italic; font-size:67%; left:7.96px;top:6.13px;">© Comstock Images/Jupiterimages</span></p></div></div></div> <div class="sg sgTitle" id="s312" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s312_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="461.72" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MENTAL STATUS CHANGE AND COMA</span></p></div></div></div> <div class="sg" id="s313" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s313_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:630.76px;height:247.40px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="557.73" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.80px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>With chest findings and clinical deterioration and the initial </span></span><span data-textwidth="429.55" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:40.95px;top:40.13px;">history of fractures I would be wondering about:</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="342.17" class="sg nowrap f5" style="z-index:9;color:#DC9E1F;font-size:133%; left:49.96px;top:80.18px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Fat emboli – history is good for that</span></span></p></div></div></div> <div class="sg sgTitle" id="s314" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s314_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="461.72" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MENTAL STATUS CHANGE AND COMA</span></p></div></div></div> <div class="sg" id="s315" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:282.78px" data-valign="top" data-pointer-events="none"> <div id="s315_t" class="sg" style="z-index:2;left:-5.15px;top:-8.14px;width:631.13px;height:290.92px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="173.66" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:122%; left:12.87px;top:9.94px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:14.16px"> </span>Other thoughts …</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="58.69" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:122%; left:48.88px;top:42.35px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:9.72px"> </span>DAI </span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="463.16" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:133%; left:84.88px;top:74.88px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:4.08px"> </span>Can have a normal appearance initially or not be </span></span><span data-textwidth="139.22" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:133%; left:102.88px;top:98.44px;">detected on CT</span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="531.69" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:133%; left:84.88px;top:132.73px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:4.08px"> </span>Would be highly unlikely with initial GCS of 15 (usually 8 </span></span><span data-textwidth="67.21" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:133%; left:102.88px;top:156.29px;">or less)</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="529.89" class="sg nowrap f5" style="z-index:15;color:#DC9E1F;font-size:122%; left:48.88px;top:190.46px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:9.72px"> </span>There could have been occult SAH with subsequent vascular </span></span><span data-textwidth="146.66" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:122%; left:71.44px;top:210.99px;">spasm and infarct</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="449.47" class="sg nowrap f5" style="z-index:19;color:#DC9E1F;font-size:122%; left:48.88px;top:243.99px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:9.72px"> </span>Vascular injury with subsequent intracranial findings</span></span></p></div></div></div> <div class="sg sgTitle" id="s316" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s316_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="567.70" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">REPEAT NONCONTRAST HEAD CT, GADO MRI</span></p></div></div></div> <div class="sg" id="s317" data-sgid="Picture 3" style="z-index:2;left:12.35px;top:93.90px;width:184.25px;height:223.66px"> <img class="sg" src="4C17EAF1.jpg" id="s317_i" style="z-index:1;left:0px;top:0px;width:184.25px;height:223.66px" > </div> <div class="sg" id="s322" data-sgid="Picture 8" style="z-index:7;left:371.33px;top:99.89px;width:179.09px;height:222.58px"> <img class="sg" src="C59F2DC8.jpg" id="s322_i" style="z-index:1;left:0px;top:0px;width:179.09px;height:222.58px" > </div> <div class="sg" id="s319" data-sgid="Picture 5" style="z-index:4;left:544.42px;top:93.90px;width:175.58px;height:234.81px"> <img class="sg" src="544CB1B4.jpg" id="s319_i" style="z-index:1;left:0px;top:0px;width:175.58px;height:234.81px" > </div> <div class="sg" id="s318" data-sgid="Picture 4" style="z-index:3;left:191.44px;top:93.90px;width:189.37px;height:234.81px"> <img class="sg" src="9022C243.jpg" id="s318_i" style="z-index:1;left:0px;top:0px;width:189.37px;height:234.81px" > </div> <div class="sg" id="s321" data-sgid="TextBox 7" style="z-index:6;left:449.29px;top:316.71px;width:78.81px;height:29.99px" data-valign="top"> <div id="s321_t" class="sg" style="z-index:2;left:-0.71px;top:-1.90px;width:80.12px;height:38.84px;"><div><p para="{al:2}"><span data-textwidth="57.49" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:11.70px;top:8.22px;">24 hours</span></p></div></div></div> <div class="sg" id="s320" data-sgid="TextBox 6" style="z-index:5;left:65.48px;top:321.76px;width:78.81px;height:29.99px" data-valign="top"> <div id="s320_t" class="sg" style="z-index:2;left:-0.71px;top:-1.82px;width:80.12px;height:38.87px;"><div><p para="{al:2}"><span data-textwidth="57.49" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:11.44px;top:8.25px;">24 hours</span></p></div></div></div> <div class="sg sgTitle" id="s327" data-sgid="Title 1" style="z-index:5;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s327_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="217.95" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">BRAIN MRI, CONT</span></p></div></div></div> <div class="sg" id="s326" data-sgid="Picture 8" style="z-index:4;left:514.43px;top:-0.48px;width:159.78px;height:203.26px"> <img class="sg" src="3E3AA81B.png" id="s326_i" style="z-index:1;left:0px;top:0px;width:159.78px;height:203.26px" > </div> <div class="sg" id="s323" data-sgid="Picture 5" style="z-index:1;left:1.19px;top:122.33px;width:187.11px;height:170.04px"> <img class="sg" src="9BCDF6AB.jpg" id="s323_i" style="z-index:1;left:0px;top:0px;width:187.11px;height:170.04px" > </div> <div class="sg" id="s324" data-sgid="Picture 6" style="z-index:2;left:167.43px;top:122.33px;width:174.28px;height:170.16px"> <img class="sg" src="772BD63C.jpg" id="s324_i" style="z-index:1;left:0px;top:0px;width:174.28px;height:170.16px" > </div> <div class="sg" id="s325" data-sgid="Picture 7" style="z-index:3;left:335.36px;top:122.55px;width:180.74px;height:170.78px"> <img class="sg" src="5527B3C.jpg" id="s325_i" style="z-index:1;left:0px;top:0px;width:180.74px;height:170.78px" > </div> <div class="sg" id="s328" data-sgid="Picture 10" style="z-index:6;left:521.28px;top:192.00px;width:158.68px;height:198.35px"> <img class="sg" src="1949B836.jpg" id="s328_i" style="z-index:1;left:0px;top:0px;width:158.68px;height:198.35px" > </div> <div class="sg sgTitle" id="s329" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s329_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="488.36" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">CT AND MR IMAGES – 24 HOURS LATER</span></p></div></div></div> <div class="sg" id="s330" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:264.79px" data-valign="top" data-pointer-events="none"> <div id="s330_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:637.14px;height:268.40px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="179.07" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.80px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>CT – still nothing</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="586.29" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:133%; left:13.95px;top:51.37px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>MRI – T2 hyperintensities in white matter primarily in centrum </span></span><span data-textwidth="581.74" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:133%; left:40.95px;top:80.70px;">semiovale, mostly a watershed distribution. Micro hemorrhages </span><span data-textwidth="84.97" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:133%; left:40.95px;top:109.50px;">diffusely. </span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="518.72" class="sg nowrap f5" style="z-index:14;color:#DC9E1F;font-size:133%; left:49.96px;top:149.55px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>No images suggesting corpus callosal injury or lesions </span></span><span data-textwidth="325.97" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:133%; left:72.52px;top:178.88px;">predominately at grey/white junction</span></p></div></div></div> <div class="sg sgTitle" id="s331" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s331_t" class="sg" style="z-index:2;left:-10.90px;top:-17.28px;width:635.44px;height:100.03px;"><div><p><span data-textwidth="306.53" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:13.28px;">ANDERSON DIAGNOSIS: </span><span data-textwidth="481.88" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:167%; left:18.62px;top:49.29px;">CEREBRAL FAT EMBOLISM SYNDROME</span></p></div></div></div> <div class="sg" id="s332" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:276.79px" data-valign="top" data-pointer-events="none"> <div id="s332_t" class="sg" style="z-index:2;left:-6.23px;top:-6.47px;width:638.92px;height:283.26px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="255.28" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.79px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Fat Embolism Syndrome:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="200.55" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:133%; left:49.96px;top:48.48px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Often initially stable</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="448.03" class="sg nowrap f5" style="z-index:7;color:#DC9E1F;font-size:133%; left:49.96px;top:86.17px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Pulmonary findings often precede neurological </span></span><span data-textwidth="168.99" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:133%; left:72.52px;top:112.61px;">findings/symptoms</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="130.70" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:133%; left:13.95px;top:149.78px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Differential:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="548.25" class="sg nowrap f5" style="z-index:13;color:#DC9E1F;font-size:133%; left:49.96px;top:187.47px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>DAI would still be a potential consideration however initial </span></span><span data-textwidth="551.97" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:133%; left:72.52px;top:213.92px;">GCS, lack of CC involvement, and the concurrent pulmonary </span><span data-textwidth="414.07" class="sg nowrap f2" style="z-index:20;color:#FFFFFF;font-size:133%; left:72.52px;top:239.84px;">involvement suggest Fat Embolism Syndrome</span></p></div></div></div> <div class="sg sgTitle" id="s333" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s333_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="481.76" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">CEREBRAL FAT EMBOLISM SYNDROME</span></p></div></div></div> <div class="sg" id="s334" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s334_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:630.76px;height:259.15px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="163.59" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.80px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>2 mechanisms </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="484.76" class="sg nowrap f5" style="z-index:5;color:#DC9E1F;font-size:133%; left:49.96px;top:51.37px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Fat emboli (fat globules) causing microinfarcts and </span></span><span data-textwidth="267.64" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:133%; left:72.52px;top:80.70px;">potentially microhemorrhages</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="533.49" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:133%; left:49.96px;top:120.75px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Free fatty acids cause cytotoxic effects cause increased </span></span><span data-textwidth="525.09" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:133%; left:72.52px;top:150.07px;">capillary permeability which can also lead to microinfarcts </span><span data-textwidth="209.19" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:133%; left:72.52px;top:178.88px;">and microhemorrhages</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="368.22" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:133%; left:13.95px;top:218.93px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Findings often in watershed territories</span></span></p></div></div></div> <div class="sg sgTitle" id="s336" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s336_t" class="sg" style="z-index:2;left:-14.75px;top:-9.59px;width:654.04px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="594.34" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:30.03px;top:21.52px;">DR. ANDERSON’S DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s337" data-sgid="Rectangle 3" style="z-index:3;left:17.50px;top:140.20px;width:678.51px;height:66.18px" data-valign="top" data-pointer-events="none"> <div id="s337_t" class="sg" style="z-index:2;left:0.00px;top:-10.92px;width:678.51px;height:101.70px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="602.26" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:43.95px;top:20.75px;">Cerebral Fat Embolism Syndrome</span></p></div></div></div> <div class="sg" id="s335" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <img class="sg" src="18750D6B.png" id="s335_tt" style="left:0.00px;top:0.00px;width:624.53px;height:243.80px;z-index:1" > </div> <div class="sg sgTitle" id="s338" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s338_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s339" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s339_t" class="sg" style="z-index:2;left:-17.61px;top:-10.78px;width:659.79px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="602.26" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:28.93px;top:20.70px;">Cerebral Fat Embolism Syndrome</span></p></div></div></div> <div class="sg sgTitle" id="s342" data-sgid="Title 3" style="z-index:3;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s342_t" class="sg" style="z-index:2;left:-19.17px;top:-8.17px;width:674.29px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="615.94" class="sg nowrap f2" style="z-index:2;color:#DC9E1F;font-size:267%; left:29.41px;top:20.66px;">CEREBRAL FAT EMBOLISM MRI </span></p></div></div></div> <div class="sg" id="s343" data-sgid="Text Placeholder 4" style="z-index:4;left:47.49px;top:93.90px;width:294.69px;height:34.89px" data-valign="bottom" data-pointer-events="none"> <div id="s343_t" class="sg" style="z-index:2;left:0.00px;top:-17.76px;width:294.69px;height:68.11px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="53.65" class="sg nowrap f2" style="z-index:2;color:#DC9E1F;font-size:178%; left:120.66px;top:14.08px;">CFE</span></p></div></div></div> <div class="sg" id="s344" data-sgid="Text Placeholder 5" style="z-index:5;left:377.33px;top:93.90px;width:294.69px;height:34.89px" data-valign="bottom" data-pointer-events="none"> <div id="s344_t" class="sg" style="z-index:2;left:0.00px;top:-17.76px;width:294.69px;height:68.11px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="44.89" class="sg nowrap f2" style="z-index:2;color:#DC9E1F;font-size:178%; left:125.19px;top:14.08px;">DAI</span></p></div></div></div> <div class="sg" id="s340" data-sgid="Content Placeholder 6" style="z-index:1;left:377.33px;top:121.59px;width:360.68px;height:207.72px" data-valign="top" data-pointer-events="none"> <div id="s340_t" class="sg" style="z-index:2;left:-8.49px;top:-4.91px;width:369.18px;height:232.17px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="261.89" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:156%; left:16.42px;top:13.39px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.93px"> </span>Lesser # hemorrhages</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="227.20" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:156%; left:16.42px;top:59.72px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.93px"> </span>White/gray junction</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="317.34" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:156%; left:16.42px;top:106.05px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.93px"> </span>Small to medium linear foci </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="233.80" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:156%; left:16.42px;top:152.38px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.93px"> </span>Few scattered DWI </span></span><span data-textwidth="139.82" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:43.43px;top:185.15px;">abnormalities</span></p></div></div></div> <div class="sg" id="s341" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:129.87px;width:312.71px;height:207.83px" data-valign="top" data-pointer-events="none"> <div id="s341_t" class="sg" style="z-index:2;left:-8.52px;top:-8.14px;width:321.23px;height:218.84px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="271.00" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:156%; left:16.24px;top:13.38px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.92px"> </span>Greater # hemorrhages</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="249.52" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:156%; left:16.24px;top:56.35px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.92px"> </span>Predominantly frontal</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="236.67" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:156%; left:16.24px;top:99.32px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.92px"> </span>Punctate, round foci</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="186.75" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:156%; left:16.24px;top:142.29px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.92px"> </span>Confluent DWI </span></span><span data-textwidth="139.82" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:43.24px;top:171.69px;">abnormalities</span></p></div></div></div> <div class="sg" id="s345" data-sgid="TextBox 8" style="z-index:6;left:29.51px;top:363.72px;width:690.49px;height:51.83px" data-valign="top"> <div id="s345_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:690.49px;height:51.83px;"><div><p><span data-textwidth="392.34" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.70px;top:6.12px;">Rutman et al. J Comput Assist Tomogr. 2017 Jul 13. Epub ahead of print PMID:<span style="color:#646464;"> 28708729</span></span></p><p><span data-textwidth="423.30" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:67%; left:7.70px;top:20.53px;">Goenka et al. N Engl J Med 2012; 367:1045<span style="color:#646464;"><a target=_blank class="sga" href="http://www.nejm.org/toc/nejm/367/11/"><u>September 13, 2012</u></a></span>DOI: 10.1056/NEJMicm1100944</span></p></div></div><a class="sga aempty" target="_blank" href="https://www.ncbi.nlm.nih.gov/pubmed/28708729" style="z-index:100;left:353.23px;top:-0.62px;width:51.75px;height:19.40px"></a><img class="sg" src="28339311.png" id="s345_tt" style="left:0.00px;top:0.00px;width:690.49px;height:51.83px;z-index:1" > </div> <div class="sg sgTitle" id="s354" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s354_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="197.79" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">EVA LLOPIS, MD</span></p></div></div></div> <div class="sg" id="s356" data-sgid="Imagen 6" style="z-index:3;left:551.72px;top:-0.48px;width:168.28px;height:239.26px"> <img class="sg" src="6E724826.jpg" id="s356_i" title="" alt="P1010029.JPG" style="z-index:1;left:0px;top:0px;width:168.28px;height:239.26px" > </div> <div class="sg" id="s355" data-sgid="Content Placeholder 3" style="z-index:2;left:11.53px;top:87.91px;width:768.45px;height:330.72px" data-valign="top" data-pointer-events="none"> <div id="s355_t" class="sg" style="z-index:2;left:-3.49px;top:-6.61px;width:771.94px;height:337.33px;"><div><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="306.30" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:106%; left:11.16px;top:8.88px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Facultad<span style="letter-spacing:0.96px"> </span>de Medicina, Valencia, Spain </span></span></p><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="299.21" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:106%; left:11.16px;top:35.05px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Radiology, Hospital La Fe de Valencia</span></span></p><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="197.43" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:106%; left:11.16px;top:61.33px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>MD, Valencia University</span></span></p><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="323.57" class="sg nowrap f5" style="z-index:16;color:#DC9E1F;font-size:106%; left:11.16px;top:87.62px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Diagnostic Radiology, Valencia University</span></span></p><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="439.52" class="sg nowrap f5" style="z-index:19;color:#DC9E1F;font-size:106%; left:11.16px;top:113.78px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Chair MSK section, Hospital de la Ribera, Alzira, Spain </span></span></p><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="527.13" class="sg nowrap f5" style="z-index:24;color:#DC9E1F;font-size:106%; left:11.16px;top:140.07px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>President, of Spanish Musculoskeletal Radiology Society (2015-2019)</span></span></p><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="379.63" class="sg nowrap f5" style="z-index:30;color:#DC9E1F;font-size:106%; left:11.16px;top:166.35px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Executive Board ERASMUS COURSES ON MRI </span></span></p><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="560.01" class="sg nowrap f5" style="z-index:34;color:#DC9E1F;font-size:106%; left:11.16px;top:192.52px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>2017 Secretary of European Society of Musculoskeletal Radiology (ESSR)</span></span></p><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="336.06" class="sg nowrap f5" style="z-index:37;color:#DC9E1F;font-size:106%; left:11.16px;top:218.81px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Scientific Committee: SERAM, ESR, ESSR</span></span></p><p para="{bl:{ch:8226},spbf:2.00,spaf:6.00}"><span data-textwidth="205.60" class="sg nowrap f5" style="z-index:41;color:#DC9E1F;font-size:106%; left:11.16px;top:245.09px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>ECR Program committee</span></span></p><p para="{bl:{ch:8226},spbf:4.80,spaf:6.00}"><span data-textwidth="683.52" class="sg nowrap f5" style="z-index:43;color:#DC9E1F;font-size:106%; left:11.16px;top:274.26px;">•<span class="f2" style="position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Faculty who started a new department in a new hospital and has 25 years of seeing it grow!</span></span></p></div></div></div> <div class="sg sgTitle" id="s357" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s357_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="197.79" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">EVA LLOPIS, MD</span></p></div></div></div> <div class="sg" id="s360" data-sgid="Imagen 1" style="z-index:4;left:197.42px;top:99.40px;width:132.79px;height:86.24px"> <img class="sg" src="5305C700.jpg" id="s360_i" title="" alt="o3.jpg" style="z-index:1;left:0px;top:0px;width:132.79px;height:86.24px" > </div> <div class="sg" id="s364" data-sgid="Imagen 2 (5)" style="z-index:8;left:325.17px;top:94.27px;width:125.09px;height:166.07px" data-rotation = "90"> <img class="sg" src="E61DA42F.jpg" id="s364_i" title="" alt="IMG_7354.JPG" style="z-index:1;left:0px;top:0px;width:125.09px;height:166.07px" > </div> <div class="sg" id="s361" data-sgid="Imagen 2 (3)" style="z-index:5;left:471.01px;top:100.26px;width:231.00px;height:154.10px"> <img class="sg" src="B7C393FA.jpg" id="s361_i" title="" alt="despedida M.Angel 002.jpg" style="z-index:1;left:0px;top:0px;width:231.00px;height:154.10px" > </div> <div class="sg" id="s358" data-sgid="Imagen 2" style="z-index:2;left:17.50px;top:99.40px;width:217.35px;height:163.35px"> <img class="sg" src="2951A41.jpg" id="s358_i" title="" alt="FOTO AEREA DEL HOSPITAL DE LA RIBERA.JPG" style="z-index:1;left:0px;top:0px;width:217.35px;height:163.35px" > </div> <div class="sg" id="s363" data-sgid="Imagen 2 (4)" style="z-index:7;left:218.66px;top:218.01px;width:173.54px;height:109.36px"> <img class="sg" src="78F1F006.jpg" id="s363_i" title="" alt="Copia de L1000269.JPG" style="z-index:1;left:0px;top:0px;width:173.54px;height:109.36px" > </div> <div class="sg" id="s359" data-sgid="Imagen 2 (2)" style="z-index:3;left:16.54px;top:211.91px;width:219.51px;height:132.74px"> <img class="sg" src="A078B4AD.jpg" id="s359_i" title="" alt="L1010396.JPG" style="z-index:1;left:0px;top:0px;width:219.51px;height:132.74px" > </div> <div class="sg" id="s362" data-sgid="Imagen 3" style="z-index:6;left:525.36px;top:213.82px;width:176.66px;height:132.88px"> <img class="sg" src="E4728679.jpg" id="s362_i" title="" alt="IMG_0776.JPG" style="z-index:1;left:0px;top:0px;width:176.66px;height:132.88px" > </div> <div class="sg" id="s365" data-sgid="Picture 12" style="z-index:9;left:386.82px;top:238.52px;width:141.29px;height:106.13px"> <img class="sg" src="E5160FD6.jpg" id="s365_i" title="" alt="DSC00889" style="z-index:1;left:0px;top:0px;width:141.29px;height:106.13px" > </div> <div class="sg" id="s369" data-sgid="Imagen 3 (2)" style="z-index:4;left:600.55px;top:6.24px;width:108.92px;height:78.18px"> <img class="sg" src="B546BB5F.png" id="s369_i" title="" alt="DSC_0162.JPG" style="z-index:1;left:0px;top:0px;width:108.92px;height:78.18px" > </div> <div class="sg sgTitle" id="s366" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s366_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="203.31" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">EVA’S MENTORS</span></p></div></div></div> <div class="sg" id="s368" data-sgid="Imagen 3" style="z-index:3;left:527.26px;top:91.63px;width:168.76px;height:251.57px"> <img class="sg" src="7545D944.jpg" id="s368_i" title="" alt="DSC_0162.JPG" style="z-index:1;left:0px;top:0px;width:168.76px;height:251.57px" > </div> <div class="sg" id="s367" data-sgid="Content Placeholder 2" style="z-index:2;left:17.50px;top:87.91px;width:474.61px;height:402.70px" data-valign="top" data-pointer-events="none"> <div id="s367_t" class="sg" style="z-index:2;left:0.00px;top:-2.41px;width:483.39px;height:405.11px;"><div><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="179.55" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:111%; left:43.71px;top:9.24px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:11.04px"> </span>Dr. Francisco Aparisi</span></span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="284.08" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:106%; left:79.72px;top:33.25px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:7.08px"> </span>For involving me in skeletal radiology</span></span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="371.70" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:106%; left:79.72px;top:56.05px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:7.08px"> </span>For inspiring me to keep innovating and enjoying </span></span><span data-textwidth="38.65" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:106%; left:97.72px;top:78.26px;">work </span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="381.30" class="sg nowrap f5" style="z-index:11;color:#DC9E1F;font-size:106%; left:79.72px;top:101.66px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:7.08px"> </span>For teaching me a different way of interacting with </span></span><span data-textwidth="65.65" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:106%; left:97.72px;top:123.87px;">clinicians</span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="151.47" class="sg nowrap f5" style="z-index:14;color:#DC9E1F;font-size:111%; left:43.71px;top:147.27px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:11.04px"> </span>Dr. Mario Padron</span></span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="392.10" class="sg nowrap f5" style="z-index:17;color:#DC9E1F;font-size:106%; left:79.72px;top:171.28px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:7.08px"> </span>For promoting me in the international societies and </span></span><span data-textwidth="161.79" class="sg nowrap f2" style="z-index:19;color:#FFFFFF;font-size:106%; left:97.72px;top:193.48px;">his continuous support</span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="144.26" class="sg nowrap f5" style="z-index:20;color:#DC9E1F;font-size:111%; left:43.71px;top:216.89px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:11.04px"> </span>Dr. Luis Cerezal</span></span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="320.57" class="sg nowrap f5" style="z-index:24;color:#DC9E1F;font-size:106%; left:79.72px;top:240.89px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:7.08px"> </span>To keep pushing to get the best out of me </span></span></p></div></div></div> <div class="sg sgTitle" id="s370" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s370_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="402.91" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MSK CASE 1- 23 YEAR OLD MAN </span></p></div></div></div> <div class="sg" id="s371" data-sgid="Content Placeholder 3" style="z-index:2;left:268.44px;top:93.90px;width:182.78px;height:243.80px"> <img class="sg" src="BCA7F72C.jpg" id="s371_i" style="z-index:1;left:0px;top:0px;width:182.78px;height:243.80px" > </div> <div class="sg" id="s372" data-sgid="Rounded Rectangle 4" style="z-index:3;left:5.15px;top:327.38px;width:229.56px;height:73.76px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="D1330371.png" id="s372_i" style="z-index:1;left:0px;top:0px;width:229.56px;height:73.76px" > <div id="s372_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:229.56px;height:75.80px;"><div><p para="{al:2}"><span data-textwidth="190.59" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:21.49px;top:10.41px;">He awoke 3 weeks earlier with </span><span data-textwidth="177.99" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:27.62px;top:29.62px;">spontaneous swelling in his </span><span data-textwidth="149.06" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:40.34px;top:48.82px;">ankle, no injury recalled</span></p></div></div></div> <div class="sg" id="s380" data-sgid="Content Placeholder 3" style="z-index:8;left:623.23px;top:7.21px;width:97.62px;height:72.17px"> <img class="sg" src="2CE65F04.png" id="s380_i" style="z-index:1;left:0px;top:0px;width:97.62px;height:72.17px" > </div> <div class="sg sgTitle" id="s373" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s373_t" class="sg" style="z-index:2;left:-10.90px;top:-17.28px;width:635.44px;height:100.03px;"><div><p><span data-textwidth="569.13" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:13.28px;">US 4 WEEKS LATER- MORE ANKLE SWELLING </span><span data-textwidth="559.29" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:167%; left:18.62px;top:49.29px;">AND CC “BLOOD COMING OUT OF MY ANKLE”</span></p></div></div></div> <div class="sg" id="s376" data-sgid="Picture 9" style="z-index:4;left:1.81px;top:90.18px;width:247.43px;height:166.92px"> <img class="sg" src="A652B298.jpg" id="s376_i" style="z-index:1;left:0px;top:0px;width:247.43px;height:166.92px" > </div> <div class="sg" id="s374" data-sgid="Picture 7" style="z-index:2;left:472.68px;top:90.18px;width:247.32px;height:166.92px"> <img class="sg" src="D21C3939.jpg" id="s374_i" style="z-index:1;left:0px;top:0px;width:247.32px;height:166.92px" > </div> <div class="sg" id="s375" data-sgid="Picture 8" style="z-index:3;left:225.85px;top:90.89px;width:248.28px;height:167.06px"> <img class="sg" src="7B4EEE07.jpg" id="s375_i" style="z-index:1;left:0px;top:0px;width:248.28px;height:167.06px" > </div> <div class="sg" id="s378" data-sgid="Picture 15" style="z-index:6;left:233.41px;top:222.33px;width:264.70px;height:178.47px"> <img class="sg" src="87C5A42F.jpg" id="s378_i" style="z-index:1;left:0px;top:0px;width:264.70px;height:178.47px" > </div> <div class="sg" id="s379" data-sgid="Picture 16" style="z-index:7;left:5.75px;top:224.26px;width:259.69px;height:174.61px"> <img class="sg" src="43588742.jpg" id="s379_i" style="z-index:1;left:0px;top:0px;width:259.69px;height:174.61px" > </div> <div class="sg" id="s377" data-sgid="Picture 13" style="z-index:5;left:447.25px;top:224.48px;width:266.77px;height:180.51px"> <img class="sg" src="32AA1832.jpg" id="s377_i" style="z-index:1;left:0px;top:0px;width:266.77px;height:180.51px" > </div> <div class="sg sgTitle" id="s381" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s381_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="482.48" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">REPEAT RADIOGRAPHS AT TIME OF US</span></p></div></div></div> <div class="sg" id="s383" data-sgid="Picture 4" style="z-index:3;left:240.72px;top:102.78px;width:311.38px;height:215.86px"> <img class="sg" src="6071DC92.jpg" id="s383_i" style="z-index:1;left:0px;top:0px;width:311.38px;height:215.86px" > </div> <div class="sg" id="s384" data-sgid="Content Placeholder 3 (2)" style="z-index:4;left:11.53px;top:93.90px;width:182.89px;height:243.80px"> <img class="sg" src="343D184C.jpg" id="s384_i" style="z-index:1;left:0px;top:0px;width:182.89px;height:243.80px" > </div> <div class="sg" id="s382" data-sgid="Content Placeholder 3" style="z-index:2;left:551.24px;top:94.75px;width:144.77px;height:242.95px"> <img class="sg" src="4DAA93A9.png" id="s382_i" style="z-index:1;left:0px;top:0px;width:144.77px;height:242.95px" > </div> <div class="sg" id="s385" data-sgid="TextBox 7" style="z-index:5;left:71.48px;top:316.71px;width:102.80px;height:29.99px" data-valign="top"> <div id="s385_t" class="sg" style="z-index:2;left:-3.60px;top:-1.90px;width:106.40px;height:38.84px;"><div><p><span data-textwidth="82.57" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:11.33px;top:8.22px;">Presentation</span></p></div></div></div> <div class="sg" id="s386" data-sgid="TextBox 8" style="z-index:6;left:451.95px;top:317.08px;width:102.77px;height:29.99px" data-valign="top"> <div id="s386_t" class="sg" style="z-index:2;left:0.00px;top:-1.93px;width:102.77px;height:38.87px;"><div><p para="{al:2}"><span data-textwidth="54.25" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:24.53px;top:8.24px;">4 weeks</span></p></div></div></div> <div class="sg sgTitle" id="s387" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s387_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="269.20" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ANKLE MRI NEXT DAY</span></p></div></div></div> <div class="sg" id="s389" data-sgid="Picture 8" style="z-index:3;left:12.35px;top:93.90px;width:158.56px;height:158.52px"> <img class="sg" src="BA6A11FB.jpg" id="s389_i" style="z-index:1;left:0px;top:0px;width:158.56px;height:158.52px" > </div> <div class="sg" id="s395" data-sgid="Picture 16" style="z-index:9;left:156.78px;top:95.83px;width:157.34px;height:157.22px"> <img class="sg" src="61D57696.jpg" id="s395_i" style="z-index:1;left:0px;top:0px;width:157.34px;height:157.22px" > </div> <div class="sg" id="s397" data-sgid="Content Placeholder 3" style="z-index:11;left:295.18px;top:95.57px;width:161.79px;height:161.79px"> <img class="sg" src="B7AD703E.jpg" id="s397_i" style="z-index:1;left:0px;top:0px;width:161.79px;height:161.79px" > </div> <div class="sg" id="s390" data-sgid="Picture 2" style="z-index:4;left:584.49px;top:89.11px;width:112.37px;height:174.72px"> <img class="sg" src="C8CC369C.png" id="s390_i" title="" alt="C:\Users\dmorgan\Desktop\RSNA Image Interpretation Session\MSK_Monghan ankle fat pad crypto\MRcorPDfs.jpg" style="z-index:1;left:0px;top:0px;width:112.37px;height:174.72px" > </div> <div class="sg" id="s391" data-sgid="Picture 3" style="z-index:5;left:456.15px;top:91.15px;width:105.18px;height:174.84px"> <img class="sg" src="189A6A97.png" id="s391_i" title="" alt="C:\Users\dmorgan\Desktop\RSNA Image Interpretation Session\MSK_Monghan ankle fat pad crypto\MRcorT1TSE.jpg" style="z-index:1;left:0px;top:0px;width:105.18px;height:174.84px" > </div> <div class="sg" id="s396" data-sgid="Picture 17" style="z-index:10;left:294.81px;top:226.41px;width:161.82px;height:161.79px"> <img class="sg" src="40BCC4DA.jpg" id="s396_i" style="z-index:1;left:0px;top:0px;width:161.82px;height:161.79px" > </div> <div class="sg" id="s388" data-sgid="Picture 7" style="z-index:2;left:12.35px;top:229.76px;width:158.56px;height:158.44px"> <img class="sg" src="F458A889.jpg" id="s388_i" style="z-index:1;left:0px;top:0px;width:158.56px;height:158.44px" > </div> <div class="sg" id="s394" data-sgid="Picture 15" style="z-index:8;left:156.30px;top:230.87px;width:157.49px;height:157.33px"> <img class="sg" src="CF1BE187.jpg" id="s394_i" style="z-index:1;left:0px;top:0px;width:157.49px;height:157.33px" > </div> <div class="sg" id="s392" data-sgid="Picture 4" style="z-index:6;left:579.31px;top:237.82px;width:122.71px;height:155.89px"> <img class="sg" src="B33BD668.png" id="s392_i" title="" alt="C:\Users\dmorgan\Desktop\RSNA Image Interpretation Session\MSK_Monghan ankle fat pad crypto\MRaxT1post.jpg" style="z-index:1;left:0px;top:0px;width:122.71px;height:155.89px" > </div> <div class="sg" id="s393" data-sgid="Picture 5" style="z-index:7;left:456.15px;top:237.82px;width:129.17px;height:158.52px"> <img class="sg" src="A3B5CB58.png" id="s393_i" title="" alt="C:\Users\dmorgan\Desktop\RSNA Image Interpretation Session\MSK_Monghan ankle fat pad crypto\MRaxT1pre.jpg" style="z-index:1;left:0px;top:0px;width:129.17px;height:158.52px" > </div> <div class="sg sgTitle" id="s398" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s398_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="343.37" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">CHEST CT- NONCONTRAST </span></p></div></div></div> <div class="sg" id="s401" data-sgid="Rounded Rectangle 5" style="z-index:4;left:465.12px;top:27.57px;width:241.71px;height:81.19px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="C42ABA7C.png" id="s401_i" style="z-index:1;left:0px;top:0px;width:241.71px;height:81.19px" > <div id="s401_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:241.71px;height:81.19px;"><div><p para="{al:2}"><span data-textwidth="187.59" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:29.24px;top:13.88px;">He had been on therapy for a </span><span data-textwidth="184.59" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:30.68px;top:33.08px;">chronic skin condition, and a </span><span data-textwidth="141.98" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:50.25px;top:52.29px;">chest CT was obtained</span></p></div></div></div> <div class="sg" id="s399" data-sgid="Content Placeholder 3" style="z-index:2;left:353.34px;top:99.89px;width:240.72px;height:240.82px"> <img class="sg" src="D9B12EDC.jpg" id="s399_i" style="z-index:1;left:0px;top:0px;width:240.72px;height:240.82px" > </div> <div class="sg" id="s400" data-sgid="Picture 4" style="z-index:3;left:71.48px;top:99.89px;width:262.92px;height:242.50px"> <img class="sg" src="2DC8AE0F.jpg" id="s400_i" style="z-index:1;left:0px;top:0px;width:262.92px;height:242.50px" > </div> <div class="sg" id="s402" data-sgid="TextBox 2" style="z-index:5;left:121.63px;top:357.73px;width:174.73px;height:29.99px" data-valign="top"> <div id="s402_t" class="sg" style="z-index:2;left:0.00px;top:-1.79px;width:174.73px;height:38.84px;"><div><p para="{al:2}"><span data-textwidth="117.26" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:29.00px;top:8.26px;">CXR 5 years prior</span></p></div></div></div> <div class="sg" id="s403" data-sgid="TextBox 6" style="z-index:6;left:407.32px;top:357.73px;width:174.76px;height:29.99px" data-valign="top"> <div id="s403_t" class="sg" style="z-index:2;left:0.00px;top:-1.79px;width:174.76px;height:38.84px;"><div><p para="{al:2}"><span data-textwidth="118.10" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:28.59px;top:8.26px;">Present CT chest</span></p></div></div></div> <div class="sg" id="s404" data-sgid="Title 1" style="z-index:1;left:41.49px;top:9.96px;width:624.56px;height:68.34px" data-valign="bottom"> <div id="s404_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.47px;height:82.87px;"><div><p><span data-textwidth="290.09" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MSK CASE 1-FINDINGS </span></p></div></div></div> <div class="sg" id="s411" data-sgid="ZoneTexte 18" style="z-index:10;left:41.49px;top:99.89px;width:240.75px;height:76.03px" data-valign="middle"> <div id="s411_t" class="sg" style="z-index:2;left:-11.27px;top:-4.43px;width:252.02px;height:93.42px;"><div><p><span data-textwidth="81.85" class="sg nowrap f2" style="z-index:2;color:#3AB933;font-size:156%; left:17.43px;top:12.52px;">ANKLE </span></p><p><span data-textwidth="204.27" class="sg nowrap f2" style="z-index:3;color:#3AB933;font-size:156%; left:17.43px;top:46.13px;">S<span class="f2" style="font-size:79%; position:relative;bottom:2px;">OFT<span style="letter-spacing:1.08px"> </span>TISSUE</span> &amp; <span class="f2" style="font-size:79%; position:relative;bottom:2px;">BONE</span></span></p></div></div></div> <div class="sg" id="s408" data-sgid="ZoneTexte 12" style="z-index:7;left:485.29px;top:96.91px;width:234.71px;height:104.94px" data-valign="middle"> <div id="s408_t" class="sg" style="z-index:2;left:-17.99px;top:-4.94px;width:252.70px;height:120.88px;"><div><p><span data-textwidth="89.65" class="sg nowrap f2" style="z-index:2;color:#FF0000;font-size:167%; left:18.78px;top:13.13px;">CHEST </span><span data-textwidth="196.11" class="sg nowrap f2" style="z-index:3;color:#FF0000;font-size:139%; left:18.78px;top:48.90px;">INTRAPULMONARY </span><span data-textwidth="59.17" class="sg nowrap f2" style="z-index:4;color:#FF0000;font-size:139%; left:18.78px;top:78.91px;">NODE</span></p></div></div></div> <div class="sg" id="s406" data-sgid="Connecteur droit 21" style="z-index:5;left:503.27px;top:237.45px;width:155.56px;height:1.67px" data-pointer-events="none"> <img class="sg" src="BF56BF69.png" id="s406_i" style="z-index:1;left:0px;top:0px;width:155.56px;height:1.00px;-webkit-transform:scaleY(0.75);transform:scaleY(0.75)" > </div> <div class="sg" id="s412" data-sgid="Agrupar 32" style="z-index:11;left:222.00px;top:100.50px;width:284.52px;height:283.50px" data-shape="group"> <div class="sg" id="s415" data-sgid="Ellipse 11" style="z-index:5;left:-1.08px;top:128.18px;width:27.13px;height:26.64px" data-fillcolor="16763143"> <img class="sg" src="45EBFC62.png" id="s415_i" style="z-index:1;left:0px;top:0px;width:27.13px;height:26.64px" > </div> <div class="sg" id="s416" data-sgid="Ellipse 10" style="z-index:4;left:126.08px;top:258.31px;width:27.10px;height:26.61px" data-fillcolor="2596568"> <img class="sg" src="E4690696.png" id="s416_i" style="z-index:1;left:0px;top:0px;width:27.10px;height:26.61px" > </div> <div class="sg" id="s417" data-sgid="Ellipse 9" style="z-index:3;left:126.08px;top:-1.80px;width:27.10px;height:26.64px" data-fillcolor="8754433"> <img class="sg" src="45926223.png" id="s417_i" style="z-index:1;left:0px;top:0px;width:27.10px;height:26.64px" > </div> <div class="sg" id="s418" data-sgid="Ellipse 1" style="z-index:2;left:253.46px;top:128.18px;width:26.99px;height:26.64px" data-fillcolor="12458523"> <img class="sg" src="326F3318.png" id="s418_i" style="z-index:1;left:0px;top:0px;width:26.99px;height:26.64px" > </div> <div class="sg" id="s419" data-sgid="Groupe 2" style="z-index:1;left:0.00px;top:3.31px;width:284.52px;height:275.10px" data-shape="group"> <div class="sg" id="s420" data-sgid="Freeform 142" style="z-index:4;left:112.40px;top:53.78px;width:193.00px;height:192.94px" data-fillcolor="15415341"> <img class="sg" src="C62919BD.png" id="s420_i" style="z-index:1;left:0px;top:0px;width:193.00px;height:192.94px" > </div> <div class="sg" id="s421" data-sgid="Freeform 144" style="z-index:3;left:28.69px;top:95.62px;width:205.20px;height:205.19px" data-fillcolor="44783"> <img class="sg" src="2080E6B2.png" id="s421_i" style="z-index:1;left:0px;top:0px;width:205.20px;height:205.19px" > </div> <div class="sg" id="s422" data-sgid="Freeform 117" style="z-index:2;left:47.52px;top:-25.37px;width:210.13px;height:210.10px" data-fillcolor="9357119"> <img class="sg" src="7E8035DF.png" id="s422_i" style="z-index:1;left:0px;top:0px;width:210.13px;height:210.10px" > </div> <div class="sg" id="s423" data-sgid="Freeform 119" style="z-index:1;left:-23.37px;top:30.74px;width:194.05px;height:194.04px" data-fillcolor="16430898"> <img class="sg" src="C5677229.png" id="s423_i" style="z-index:1;left:0px;top:0px;width:194.05px;height:194.04px" > </div> </div> </div> <div class="sg" id="s407" data-sgid="Connecteur droit 35" style="z-index:6;left:35.51px;top:243.43px;width:184.47px;height:1.70px" data-pointer-events="none"> <img class="sg" src="2787649C.png" id="s407_i" style="z-index:1;left:0px;top:0px;width:184.47px;height:1.00px;-webkit-transform:scaleY(0.75);transform:scaleY(0.75)" > </div> <div class="sg" id="s410" data-sgid="ZoneTexte 17" style="z-index:9;left:35.51px;top:258.78px;width:174.73px;height:74.84px" data-valign="middle"> <div id="s410_t" class="sg" style="z-index:2;left:-12.37px;top:-5.02px;width:187.11px;height:90.89px;"><div><p><span data-textwidth="97.94" class="sg nowrap f2" style="z-index:2;color:#D3D309;font-size:167%; left:18.51px;top:13.38px;">KIDNEY </span></p><p><span data-textwidth="28.44" class="sg nowrap f2" style="z-index:3;color:#D3D309;font-size:139%; left:18.51px;top:49.15px;">US</span></p></div></div></div> <div class="sg" id="s409" data-sgid="ZoneTexte 16" style="z-index:8;left:449.29px;top:313.48px;width:270.71px;height:41.99px" data-valign="middle"> <div id="s409_t" class="sg" style="z-index:2;left:-16.90px;top:-4.80px;width:287.61px;height:59.83px;"><div><p><span data-textwidth="248.44" class="sg nowrap f2" style="z-index:2;color:#279ED8;font-size:156%; left:17.69px;top:12.71px;">CUTANEOUS LESIONS</span></p></div></div></div> <div class="sg" id="s405" data-sgid="Ellipse 256" style="z-index:2;left:185.63px;top:361.00px;width:348.63px;height:51.00px" data-shape="group"> <div class="sg" id="s413" data-sgid="Text Box 369" style="z-index:2;left:50.90px;top:7.06px;width:246.01px;height:36.31px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s414" data-sgid="Ellipse 256" style="z-index:1;left:-0.56px;top:-0.74px;width:349.27px;height:51.91px"> <img class="sg" src="84ACADA1.png" id="s414_i" style="z-index:1;left:0px;top:0px;width:349.27px;height:51.91px" > </div> </div> <div class="sg" id="s442" data-sgid="Freeform 117" style="z-index:19;left:327.32px;top:2.04px;width:96.91px;height:75.06px" data-fillcolor="9357119"> <img class="sg" src="D5405FC4.png" id="s442_i" style="z-index:1;left:0px;top:0px;width:96.91px;height:75.06px" > </div> <div class="sg" id="s430" data-sgid="Conector recto de flecha 16" style="z-index:7;left:649.60px;top:31.89px;width:41.63px;height:30.13px" data-pointer-events="none"> <img class="sg" src="C67BCC89.png" id="s430_i" style="z-index:1;left:0px;top:0px;width:41.63px;height:30.13px" > </div> <div class="sg" id="s425" data-sgid="Title 1" style="z-index:2;left:0.00px;top:9.96px;width:624.53px;height:68.34px" data-valign="bottom"> <div id="s425_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.87px;"><div><p><span data-textwidth="161.07" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.58px;top:32.01px;">MSK CASE 1-</span></p></div></div></div> <div class="sg" id="s441" data-sgid="ZoneTexte 18" style="z-index:18;left:173.43px;top:33.93px;width:204.75px;height:44.51px" data-valign="middle"> <div id="s441_t" class="sg" style="z-index:2;left:-12.35px;top:-5.14px;width:217.10px;height:63.91px;"><div><p><span data-textwidth="87.37" class="sg nowrap f2" style="z-index:2;color:#3AB933;font-size:167%; left:18.59px;top:13.06px;">ANKLE </span></p></div></div></div> <div class="sg" id="s443" data-sgid="Ellipse 9" style="z-index:20;left:387.53px;top:41.99px;width:36.70px;height:36.57px" data-fillcolor="8754433"> <img class="sg" src="C53F05C1.png" id="s443_i" style="z-index:1;left:0px;top:0px;width:36.70px;height:36.57px" > </div> <div class="sg" id="s438" data-sgid="Picture 4" style="z-index:15;left:426.04px;top:-0.48px;width:173.91px;height:137.30px"> <img class="sg" src="E752E74E.png" id="s438_i" style="z-index:1;left:0px;top:0px;width:173.91px;height:137.30px" > </div> <div class="sg" id="s424" data-sgid="Content Placeholder 3" style="z-index:1;left:593.24px;top:-0.48px;width:122.45px;height:139.46px"> <img class="sg" src="4078861F.png" id="s424_i" style="z-index:1;left:0px;top:0px;width:122.45px;height:139.46px" > </div> <div class="sg" id="s440" data-sgid="Conector recto de flecha 38" style="z-index:17;left:556.06px;top:76.88px;width:35.85px;height:35.86px" data-pointer-events="none"> <img class="sg" src="1A3C2EB2.png" id="s440_i" style="z-index:1;left:0px;top:0px;width:35.85px;height:35.86px" > </div> <div class="sg" id="s432" data-sgid="Conector recto de flecha 20" style="z-index:9;left:669.99px;top:76.88px;width:41.74px;height:35.97px" data-pointer-events="none"> <img class="sg" src="7652AB05.png" id="s432_i" style="z-index:1;left:0px;top:0px;width:41.74px;height:35.97px" > </div> <div class="sg" id="s439" data-sgid="Conector recto de flecha 13" style="z-index:16;left:488.03px;top:88.85px;width:47.27px;height:27.12px" data-pointer-events="none"> <img class="sg" src="63340195.png" id="s439_i" style="z-index:1;left:0px;top:0px;width:47.27px;height:27.12px" > </div> <div class="sg" id="s429" data-sgid="Conector recto de flecha 14" style="z-index:6;left:652.00px;top:140.06px;width:41.86px;height:41.87px" data-pointer-events="none"> <img class="sg" src="56CB7510.png" id="s429_i" style="z-index:1;left:0px;top:0px;width:41.86px;height:41.87px" > </div> <div class="sg" id="s431" data-sgid="Conector recto de flecha 18" style="z-index:8;left:508.08px;top:148.82px;width:47.86px;height:35.97px" data-pointer-events="none"> <img class="sg" src="37CA81B6.png" id="s431_i" style="z-index:1;left:0px;top:0px;width:47.86px;height:35.97px" > </div> <div class="sg" id="s428" data-sgid="Picture 16" style="z-index:5;left:424.97px;top:135.89px;width:157.12px;height:115.60px"> <img class="sg" src="B5D0103F.png" id="s428_i" style="z-index:1;left:0px;top:0px;width:157.12px;height:115.60px" > </div> <div class="sg" id="s427" data-sgid="Picture 15" style="z-index:4;left:567.56px;top:135.89px;width:151.26px;height:125.53px"> <img class="sg" src="C2B74042.jpg" id="s427_i" style="z-index:1;left:0px;top:0px;width:151.26px;height:125.53px" > </div> <div class="sg" id="s426" data-sgid="Content Placeholder 2" style="z-index:3;left:0.00px;top:87.91px;width:432.64px;height:300.77px" data-valign="top" data-pointer-events="none"> <div id="s426_t" class="sg" style="z-index:2;left:-15.24px;top:-24.36px;width:447.88px;height:325.13px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="14.04" class="sg nowrap f5" style="z-index:2;color:#4FFBFF;font-size:222%; left:22.92px;top:13.95px;"><span style="letter-spacing:0.3px">•</span></span><span data-textwidth="34.81" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:111%; left:49.93px;top:30.59px;"><span style="letter-spacing:0.3px">Lytic</span></span><span data-textwidth="44.89" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:89.65px;top:30.59px;"><span style="letter-spacing:0.3px">lesion</span></span><span data-textwidth="30.61" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:111%; left:139.46px;top:30.59px;"><span style="letter-spacing:0.3px">with</span></span><span data-textwidth="63.25" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:111%; left:174.87px;top:30.59px;"><span style="letter-spacing:0.3px">sclerotic</span></span><span data-textwidth="49.69" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:111%; left:242.92px;top:30.59px;"><span style="letter-spacing:0.3px">border</span></span><span data-textwidth="11.28" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:111%; left:297.41px;top:30.59px;"><span style="letter-spacing:0.3px">&</span></span><span data-textwidth="36.61" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:111%; left:313.73px;top:30.59px;"><span style="letter-spacing:0.3px">BME</span></span><span data-textwidth="14.04" class="sg nowrap f5" style="z-index:17;color:#FFFFFF;font-size:222%; left:22.92px;top:48.75px;"><span style="letter-spacing:0.3px">•</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="57.13" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:111%; left:49.93px;top:65.40px;"><span style="letter-spacing:0.3px">Rapidly</span></span><span data-textwidth="78.25" class="sg nowrap f2" style="z-index:20;color:#FFFFFF;font-size:111%; left:111.86px;top:65.40px;"><span style="letter-spacing:0.3px">increasing</span></span><span data-textwidth="27.84" class="sg nowrap f2" style="z-index:22;color:#FFFFFF;font-size:111%; left:194.91px;top:65.40px;"><span style="letter-spacing:0.3px">soft</span></span><span data-textwidth="44.89" class="sg nowrap f2" style="z-index:24;color:#FFFFFF;font-size:111%; left:227.56px;top:65.40px;"><span style="letter-spacing:0.3px">tissue</span></span><span data-textwidth="61.09" class="sg nowrap f2" style="z-index:26;color:#FFFFFF;font-size:111%; left:277.36px;top:65.40px;"><span style="letter-spacing:0.3px">swelling</span></span><span data-textwidth="12.60" class="sg nowrap f5" style="z-index:28;color:#FFFF00;font-size:200%; left:58.93px;top:87.04px;"><span style="letter-spacing:0.3px">•</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="107.06" class="sg nowrap f2" style="z-index:29;color:#FFFFFF;font-size:111%; left:81.49px;top:100.21px;"><span style="letter-spacing:0.3px">Heterogenous</span></span><span data-textwidth="30.61" class="sg nowrap f2" style="z-index:31;color:#FFFFFF;font-size:111%; left:193.35px;top:100.21px;"><span style="letter-spacing:0.3px">with</span></span><span data-textwidth="76.33" class="sg nowrap f2" style="z-index:33;color:#FFFFFF;font-size:111%; left:228.76px;top:100.21px;"><span style="letter-spacing:0.3px">peripheral</span></span><span data-textwidth="57.25" class="sg nowrap f2" style="z-index:35;color:#FFFFFF;font-size:111%; left:309.89px;top:100.21px;"><span style="letter-spacing:0.3px">doppler</span></span><span data-textwidth="23.52" class="sg nowrap f2" style="z-index:37;color:#FFFFFF;font-size:111%; left:371.82px;top:100.21px;"><span style="letter-spacing:0.3px">US</span></span><span data-textwidth="11.28" class="sg nowrap f2" style="z-index:39;color:#FFFFFF;font-size:111%; left:400.38px;top:100.21px;"><span style="letter-spacing:0.3px">&</span></span><span data-textwidth="35.41" class="sg nowrap f2" style="z-index:41;color:#FFFFFF;font-size:111%; left:81.49px;top:124.21px;"><span style="letter-spacing:0.3px">thick</span></span><span data-textwidth="29.64" class="sg nowrap f2" style="z-index:43;color:#FFFFFF;font-size:111%; left:121.82px;top:124.21px;"><span style="letter-spacing:0.3px">wall</span></span><span data-textwidth="103.10" class="sg nowrap f2" style="z-index:45;color:#FFFFFF;font-size:111%; left:156.38px;top:124.21px;"><span style="letter-spacing:0.3px">enhancement</span></span><span data-textwidth="18.96" class="sg nowrap f2" style="z-index:47;color:#FFFFFF;font-size:111%; left:264.16px;top:124.21px;"><span style="letter-spacing:0.3px">on</span></span><span data-textwidth="26.28" class="sg nowrap f2" style="z-index:49;color:#FFFFFF;font-size:111%; left:288.17px;top:124.21px;"><span style="letter-spacing:0.3px">MR</span></span><span data-textwidth="12.60" class="sg nowrap f5" style="z-index:51;color:#FF00FF;font-size:200%; left:58.93px;top:145.86px;"><span style="letter-spacing:0.3px">•</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="98.54" class="sg nowrap f2" style="z-index:52;color:#FFFFFF;font-size:111%; left:86.29px;top:159.02px;"><span style="letter-spacing:0.3px">Inflammatory</span></span><span data-textwidth="39.97" class="sg nowrap f2" style="z-index:54;color:#FFFFFF;font-size:111%; left:189.63px;top:159.02px;"><span style="letter-spacing:0.3px">signs</span></span><span data-textwidth="13.44" class="sg nowrap f2" style="z-index:56;color:#FFFFFF;font-size:111%; left:234.64px;top:159.02px;"><span style="letter-spacing:0.3px">in</span></span><span data-textwidth="23.88" class="sg nowrap f2" style="z-index:58;color:#FFFFFF;font-size:111%; left:253.12px;top:159.02px;"><span style="letter-spacing:0.3px">the</span></span><span data-textwidth="90.50" class="sg nowrap f2" style="z-index:60;color:#FFFFFF;font-size:111%; left:281.80px;top:159.02px;"><span style="letter-spacing:0.3px">surrounding</span></span><span data-textwidth="19.32" class="sg nowrap f2" style="z-index:62;color:#FFFFFF;font-size:111%; left:376.98px;top:159.02px;"><span style="letter-spacing:0.3px">fat</span></span><span data-textwidth="12.60" class="sg nowrap f5" style="z-index:64;color:#80FF00;font-size:200%; left:58.93px;top:180.66px;"><span style="letter-spacing:0.3px">•</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="50.77" class="sg nowrap f2" style="z-index:65;color:#FFFFFF;font-size:111%; left:81.49px;top:193.83px;"><span style="letter-spacing:0.3px">Fistula</span></span><span data-textwidth="60.85" class="sg nowrap f2" style="z-index:67;color:#FFFFFF;font-size:111%; left:136.94px;top:193.83px;"><span style="letter-spacing:0.3px">opening</span></span><span data-textwidth="14.40" class="sg nowrap f2" style="z-index:69;color:#FFFFFF;font-size:111%; left:202.59px;top:193.83px;"><span style="letter-spacing:0.3px">to</span></span><span data-textwidth="23.88" class="sg nowrap f2" style="z-index:71;color:#FFFFFF;font-size:111%; left:221.91px;top:193.83px;"><span style="letter-spacing:0.3px">the</span></span><span data-textwidth="30.49" class="sg nowrap f2" style="z-index:73;color:#FFFFFF;font-size:111%; left:250.60px;top:193.83px;"><span style="letter-spacing:0.3px">skin</span></span><span data-textwidth="12.60" class="sg nowrap f5" style="z-index:75;color:#FF0000;font-size:200%; left:58.93px;top:215.47px;"><span style="letter-spacing:0.3px">•</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="59.17" class="sg nowrap f2" style="z-index:76;color:#FFFFFF;font-size:111%; left:81.49px;top:228.63px;"><span style="letter-spacing:0.3px">Achilles</span></span><span data-textwidth="52.33" class="sg nowrap f2" style="z-index:78;color:#FFFFFF;font-size:111%; left:145.58px;top:228.63px;"><span style="letter-spacing:0.3px">tendon</span></span><span data-textwidth="81.73" class="sg nowrap f2" style="z-index:80;color:#FFFFFF;font-size:111%; left:202.71px;top:228.63px;"><span style="letter-spacing:0.3px">displaced </span></span></p></div></div></div> <div class="sg" id="s436" data-sgid="Conector recto de flecha 26" style="z-index:13;left:538.07px;top:283.97px;width:41.86px;height:41.84px" data-pointer-events="none"> <img class="sg" src="99E09D6E.png" id="s436_i" style="z-index:1;left:0px;top:0px;width:41.86px;height:41.84px" > </div> <div class="sg" id="s435" data-sgid="Picture 3" style="z-index:12;left:509.27px;top:249.79px;width:90.91px;height:144.88px"> <img class="sg" src="F31F84EB.png" id="s435_i" title="" alt="C:\Users\dmorgan\Desktop\RSNA Image Interpretation Session\MSK_Monghan ankle fat pad crypto\MRcorT1TSE.jpg" style="z-index:1;left:0px;top:0px;width:90.91px;height:144.88px" > </div> <div class="sg" id="s433" data-sgid="Picture 5" style="z-index:10;left:592.87px;top:249.79px;width:125.94px;height:154.72px"> <img class="sg" src="2CC622BF.png" id="s433_i" title="" alt="C:\Users\dmorgan\Desktop\RSNA Image Interpretation Session\MSK_Monghan ankle fat pad crypto\MRaxT1pre.jpg" style="z-index:1;left:0px;top:0px;width:125.94px;height:154.72px" > </div> <div class="sg" id="s445" data-sgid="Content Placeholder 3 (2)" style="z-index:22;left:377.33px;top:285.79px;width:104.10px;height:90.89px"> <img class="sg" src="CB01A204.png" id="s445_i" style="z-index:1;left:0px;top:0px;width:104.10px;height:90.89px" > </div> <div class="sg" id="s444" data-sgid="Rectángulo 1" style="z-index:21;left:0.00px;top:321.76px;width:360.68px;height:32.37px" data-valign="top" data-pointer-events="none"> <div id="s444_t" class="sg" style="z-index:2;left:-15.24px;top:-24.34px;width:375.92px;height:79.26px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="251.33" class="sg nowrap f5" style="z-index:2;color:#FFCC00;font-size:222%; left:22.92px;top:14.25px;">•<span class="f2" style="font-size:50%; color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:3.96px"> </span>Skin: ulcerations &amp; bluish areas</span></span></p></div></div></div> <div class="sg" id="s437" data-sgid="Conector recto de flecha 30" style="z-index:14;left:604.03px;top:346.70px;width:47.27px;height:27.09px" data-pointer-events="none"> <img class="sg" src="48945510.png" id="s437_i" style="z-index:1;left:0px;top:0px;width:47.27px;height:27.09px" > </div> <div class="sg" id="s434" data-sgid="Conector recto de flecha 22" style="z-index:11;left:664.01px;top:355.80px;width:41.71px;height:36.00px" data-pointer-events="none"> <img class="sg" src="5521B273.png" id="s434_i" style="z-index:1;left:0px;top:0px;width:41.71px;height:36.00px" > </div> <div class="sg" id="s447" data-sgid="ZoneTexte 17" style="z-index:2;left:425.31px;top:15.94px;width:150.77px;height:44.51px" data-valign="middle"> <div id="s447_t" class="sg" style="z-index:2;left:-12.35px;top:-5.16px;width:165.76px;height:63.94px;"><div><p><span data-textwidth="128.90" class="sg nowrap f2" style="z-index:2;color:#FF0000;font-size:167%; left:18.75px;top:13.06px;">CHEST CT </span></p></div></div></div> <div class="sg" id="s450" data-sgid="Ellipse 1" style="z-index:5;left:678.29px;top:24.23px;width:37.41px;height:37.53px" data-fillcolor="12458523"> <img class="sg" src="12E0F8E5.png" id="s450_i" style="z-index:1;left:0px;top:0px;width:37.41px;height:37.53px" > </div> <div class="sg" id="s449" data-sgid="Freeform 142" style="z-index:4;left:579.19px;top:-3.97px;width:137.69px;height:94.75px" data-fillcolor="15415341"> <img class="sg" src="73C51B39.png" id="s449_i" style="z-index:1;left:0px;top:0px;width:137.69px;height:94.75px" > </div> <div class="sg" id="s446" data-sgid="Title 1" style="z-index:1;left:35.51px;top:9.96px;width:624.53px;height:68.34px" data-valign="bottom"> <div id="s446_t" class="sg" style="z-index:2;left:-10.93px;top:0.00px;width:635.47px;height:82.87px;"><div><p><span data-textwidth="330.77" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.63px;top:32.01px;">MSK CASE 1-CT FINDINGS </span></p></div></div></div> <div class="sg" id="s453" data-sgid="Conector recto 2" style="z-index:8;left:107.47px;top:170.78px;width:475.80px;height:3.12px" data-pointer-events="none"> <img class="sg" src="9212DD38.png" id="s453_i" style="z-index:1;left:0px;top:0px;width:475.80px;height:2.12px" > </div> <div class="sg" id="s448" data-sgid="Content Placeholder 2" style="z-index:3;left:47.49px;top:93.90px;width:624.53px;height:258.78px" data-valign="top" data-pointer-events="none"> <div id="s448_t" class="sg" style="z-index:2;left:-3.48px;top:-4.31px;width:628.02px;height:263.09px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="272.81" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:106%; left:11.20px;top:8.87px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.08px"> </span>Chest X-ray, 5 years ago, normal. </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="87.61" class="sg nowrap f5" style="z-index:7;color:#DC9E1F;font-size:106%; left:11.20px;top:39.96px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.08px"> </span>Location</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="494.71" class="sg nowrap f5" style="z-index:9;color:#DC9E1F;font-size:106%; left:47.21px;top:71.05px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:11.64px"> </span>Anterior mediastinum (lymph nodes, ectopic parathyroid, thymus) </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="151.94" class="sg nowrap f5" style="z-index:14;color:#DC9E1F;font-size:106%; left:47.21px;top:102.13px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:11.64px"> </span>Intraparenchymal </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="218.79" class="sg nowrap f5" style="z-index:16;color:#DC9E1F;font-size:106%; left:11.20px;top:133.22px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.08px"> </span>Solitary pulmonary nodule </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="194.91" class="sg nowrap f5" style="z-index:21;color:#DC9E1F;font-size:106%; left:47.21px;top:164.31px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:11.64px"> </span>No calcifications, no fat </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="111.13" class="sg nowrap f5" style="z-index:23;color:#DC9E1F;font-size:106%; left:47.21px;top:195.39px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:11.64px"> </span>Well defined</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="365.94" class="sg nowrap f5" style="z-index:25;color:#DC9E1F;font-size:106%; left:47.21px;top:226.48px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:11.64px"> </span>Central low density (non contrast CT) thick wall </span></span></p></div></div></div> <div class="sg" id="s452" data-sgid="Conector recto de flecha 3" style="z-index:7;left:260.40px;top:220.77px;width:364.87px;height:27.12px" data-pointer-events="none"> <img class="sg" src="52EF26C1.png" id="s452_i" style="z-index:1;left:0px;top:0px;width:364.87px;height:27.12px" > </div> <div class="sg" id="s451" data-sgid="Content Placeholder 3" style="z-index:6;left:519.72px;top:183.83px;width:200.28px;height:186.87px"> <img class="sg" src="3938D3D6.jpg" id="s451_i" style="z-index:1;left:0px;top:0px;width:200.28px;height:186.87px" > </div> <div class="sg" id="s454" data-sgid="Title 1" style="z-index:1;left:35.51px;top:9.96px;width:624.53px;height:68.34px" data-valign="bottom"> <div id="s454_t" class="sg" style="z-index:2;left:-10.93px;top:0.00px;width:635.47px;height:82.87px;"><div><p><span data-textwidth="290.08" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.63px;top:32.01px;">MSK CASE 1-FINDINGS </span></p></div></div></div> <div class="sg" id="s456" data-sgid="Freeform 119" style="z-index:3;left:601.40px;top:-0.23px;width:118.86px;height:93.42px" data-fillcolor="16430898"> <img class="sg" src="BA3C047F.png" id="s456_i" style="z-index:1;left:0px;top:0px;width:118.86px;height:93.42px" > </div> <div class="sg" id="s457" data-sgid="Ellipse 11" style="z-index:4;left:603.44px;top:29.13px;width:37.52px;height:37.42px" data-fillcolor="16763143"> <img class="sg" src="39C98E8E.png" id="s457_i" style="z-index:1;left:0px;top:0px;width:37.52px;height:37.42px" > </div> <div class="sg" id="s455" data-sgid="ZoneTexte 17" style="z-index:2;left:377.33px;top:27.94px;width:228.74px;height:44.48px" data-valign="middle"> <div id="s455_t" class="sg" style="z-index:2;left:-12.35px;top:-5.16px;width:241.31px;height:63.91px;"><div><p><span data-textwidth="204.75" class="sg nowrap f2" style="z-index:2;color:#FFFF00;font-size:167%; left:18.72px;top:13.07px;">KIDNEY DISEASE</span></p></div></div></div> <div class="sg" id="s459" data-sgid="Picture 13" style="z-index:6;left:491.04px;top:87.91px;width:228.96px;height:132.85px"> <img class="sg" src="AFBF8C6.png" id="s459_i" style="z-index:1;left:0px;top:0px;width:228.96px;height:132.85px" > </div> <div class="sg" id="s458" data-sgid="Content Placeholder 2" style="z-index:5;left:29.51px;top:93.90px;width:624.53px;height:258.78px" data-valign="top" data-pointer-events="none"> <div id="s458_t" class="sg" style="z-index:2;left:-3.97px;top:-2.41px;width:628.50px;height:261.19px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="385.38" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.67px;top:9.25px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.48px"> </span>Normal corticomedullary differentiation &amp; shape</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="413.22" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:111%; left:11.67px;top:44.06px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.48px"> </span>Normal doppler, normal resistance index ratio, 0.59</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="323.93" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:111%; left:11.67px;top:78.87px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.48px"> </span>Abnormal location: too close to the skin</span></span></p></div></div></div> <div class="sg" id="s464" data-sgid="Group 11" style="z-index:13;left:25.91px;top:213.11px;width:220.81px;height:84.91px"> <div id="s464_t" class="sg" style="z-index:2;left:0px;top:0px;width:220.81px;height:84.91px;"><div><p><span data-textwidth="154.71" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; left:11.30px;top:8.38px;">RENAL TRANSPLANT</span></p></div></div><img class="sg" src="AC3FCBF1.png" id="s464_i" style="left: -1px;top: -1px;width:221.81px;height:85.91px" > </div> <div class="sg" id="s467" data-sgid="Rounded Rectangle 35" style="z-index:18;left:219.51px;top:233.25px;width:65.84px;height:75.55px" data-fillcolor="16760832"> <img class="sg" src="647E2B6F.png" id="s467_i" style="z-index:1;left:0px;top:0px;width:65.84px;height:75.55px" > </div> <div class="sg" id="s466" data-sgid="Rounded Rectangle 1" style="z-index:17;left:194.90px;top:236.74px;width:66.21px;height:75.77px" data-fillcolor="45296"> <img class="sg" src="46CCE9EC.png" id="s466_i" style="z-index:1;left:0px;top:0px;width:66.21px;height:75.77px" > </div> <div class="sg" id="s465" data-sgid="Pentagon 55" style="z-index:16;left:246.01px;top:244.99px;width:341.93px;height:38.38px" data-valign="middle" data-fillcolor="16777215"> <img class="sg" src="B237A9BC.png" id="s465_i" style="z-index:1;left:0px;top:0px;width:341.93px;height:38.38px" > <div id="s465_t" class="sg" style="z-index:2;left:0.00px;top:-3.94px;width:341.93px;height:53.48px;"><div><p para="{al:2}"><span data-textwidth="257.08" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:139%; left:38.20px;top:11.69px;">IMMUNOSUPPRESSED PT</span></p></div></div></div> <div class="sg" id="s468" data-sgid="Picture 37" style="z-index:19;left:566.37px;top:217.67px;width:56.24px;height:93.87px"> <img class="sg" src="8607B1B6.png" id="s468_i" style="z-index:1;left:0px;top:0px;width:56.24px;height:93.87px" > </div> <div class="sg" id="s463" data-sgid="Group 12" style="z-index:10;left:25.91px;top:248.85px;width:223.22px;height:86.44px"> <div id="s463_t" class="sg" style="z-index:2;left:0px;top:0px;width:223.22px;height:86.44px;"><div><p><span data-textwidth="122.30" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; left:11.30px;top:42.37px;">SKIN CONDITION</span></p></div></div><img class="sg" src="695910B8.png" id="s463_i" style="left: -1px;top: -1px;width:224.22px;height:87.44px" > </div> <div class="sg" id="s461" data-sgid="Freeform 144" style="z-index:8;left:619.75px;top:273.30px;width:100.39px;height:85.87px" data-fillcolor="44783"> <img class="sg" src="4DA5248D.png" id="s461_i" style="z-index:1;left:0px;top:0px;width:100.39px;height:85.87px" > </div> <div class="sg" id="s460" data-sgid="ZoneTexte 16" style="z-index:7;left:363.54px;top:311.91px;width:288.10px;height:41.99px" data-valign="middle"> <div id="s460_t" class="sg" style="z-index:2;left:-16.79px;top:-4.79px;width:304.89px;height:59.83px;"><div><p><span data-textwidth="248.44" class="sg nowrap f2" style="z-index:2;color:#279ED8;font-size:156%; left:17.51px;top:12.83px;">CUTANEOUS LESIONS</span></p></div></div></div> <div class="sg" id="s462" data-sgid="Ellipse 10" style="z-index:9;left:673.58px;top:318.52px;width:37.33px;height:37.53px" data-fillcolor="2596568"> <img class="sg" src="99FE9DE7.png" id="s462_i" style="z-index:1;left:0px;top:0px;width:37.33px;height:37.53px" > </div> <div class="sg" id="s470" data-sgid="Title 1" style="z-index:2;left:0.00px;top:9.96px;width:210.73px;height:68.34px" data-valign="bottom"> <div id="s470_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:221.63px;height:82.87px;"><div><p><span data-textwidth="161.07" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.58px;top:32.01px;">MSK CASE 1-</span></p></div></div></div> <div class="sg" id="s471" data-sgid="CuadroTexto 1" style="z-index:3;left:159.04px;top:40.28px;width:565.18px;height:37.19px" data-valign="top"> <div id="s471_t" class="sg" style="z-index:2;left:-7.19px;top:-3.71px;width:574.04px;height:51.35px;"><div><p><span data-textwidth="544.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:14.98px;top:11.28px;">Immunosuppressed patient sec. to renal transplant medication</span></p></div></div></div> <div class="sg" id="s473" data-sgid="Conector recto de flecha 3" style="z-index:5;left:278.27px;top:92.23px;width:94.98px;height:27.09px" data-pointer-events="none"> <img class="sg" src="886FBE22.png" id="s473_i" style="z-index:1;left:0px;top:0px;width:94.98px;height:27.09px" > </div> <div class="sg" id="s474" data-sgid="Content Placeholder 2 (2)" style="z-index:6;left:365.21px;top:85.28px;width:342.70px;height:42.92px" data-valign="top"> <div id="s474_t" class="sg" style="z-index:2;left:-3.60px;top:-1.82px;width:346.29px;height:44.74px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="226.12" class="sg nowrap f2" style="z-index:2;color:#FFC000;left:11.53px;top:8.04px;"><u>renal osteodystrophy vs steroids</u> </span></p></div></div><img class="sg" src="B9A75F3D.png" id="s474_tt" style="left:-3.60px;top:-1.82px;width:346.29px;height:44.74px;z-index:1" > </div> <div class="sg" id="s472" data-sgid="Content Placeholder 2" style="z-index:4;left:23.39px;top:85.28px;width:678.51px;height:114.87px" data-valign="top" data-pointer-events="none"> <div id="s472_t" class="sg" style="z-index:2;left:-4.08px;top:0.00px;width:682.59px;height:114.87px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="216.63" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;left:11.78px;top:8.62px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.68px"> </span>Horizontal metaphyseal line</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="650.50" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:111%; left:11.78px;top:41.63px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.48px"> </span>Rapidly progressive granulomatous lesion in the ankle in bone &amp; soft tissue &amp; skin </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="299.33" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:111%; left:11.78px;top:76.44px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.48px"> </span>Pulmonary solitary low density node</span></span></p></div></div></div> <div class="sg" id="s469" data-sgid="Rectángulo redondeado 2" style="z-index:1;left:15.83px;top:116.45px;width:675.76px;height:75.77px" data-pointer-events="none"> <img class="sg" src="E8122CBB.png" id="s469_i" style="z-index:1;left:0px;top:0px;width:675.76px;height:75.77px" > </div> <div class="sg" id="s481" data-sgid="Flowchart: Decision 14" style="z-index:13;left:171.39px;top:212.99px;width:144.29px;height:65.82px" data-fillcolor="16777215"> <div id="s481_t" class="sg" style="z-index:2;left:0px;top:0px;width:144.29px;height:65.82px;"><div><p para="{al:2}"><span data-textwidth="25.44" class="sg nowrap f2" style="z-index:2;color:#000000;font-size:61%; left:60.85px;top:12.46px;">LESS </span><span data-textwidth="48.61" class="sg nowrap f2" style="z-index:3;color:#000000;font-size:61%; left:48.13px;top:25.66px;">PROBABLE</span></p></div></div><img class="sg" src="CE416746.png" id="s481_i" style="left: -1px;top: -1px;width:145.29px;height:66.82px" > </div> <div class="sg" id="s477" data-sgid="Curved Connector 56" style="z-index:9;left:337.63px;top:156.14px;width:43.30px;height:160.57px" data-pointer-events="none"> <img class="sg" src="B9ED62B2.png" id="s477_i" style="z-index:1;left:0px;top:0px;width:43.30px;height:160.57px" > </div> <div class="sg" id="s476" data-sgid="Curved Connector 36" style="z-index:8;left:337.63px;top:156.14px;width:271.67px;height:160.57px" data-pointer-events="none"> <img class="sg" src="3235B9CD.png" id="s476_i" style="z-index:1;left:0px;top:0px;width:271.67px;height:160.57px" > </div> <div class="sg" id="s475" data-sgid="Curved Connector 8" style="z-index:7;left:109.74px;top:156.14px;width:271.19px;height:160.57px" data-pointer-events="none"> <img class="sg" src="6E220BB1.png" id="s475_i" style="z-index:1;left:0px;top:0px;width:271.19px;height:160.57px" > </div> <div class="sg" id="s479" data-sgid="Rounded Rectangle 4" style="z-index:11;left:281.87px;top:255.43px;width:155.45px;height:153.99px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="E8E017C9.png" id="s479_i" style="z-index:1;left:0px;top:0px;width:155.45px;height:153.99px" > <div id="s479_t" class="sg" style="z-index:2;left:-1.08px;top:-1.08px;width:154.60px;height:122.81px;"><div><p></p><p><span data-textwidth="94.22" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:106%; left:12.06px;top:8.43px;">INFECTIONS</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="60.13" class="sg nowrap f5" style="z-index:3;font-size:83%; left:12.06px;top:27.87px;">•<span class="f2" style="position:relative;bottom:1px;"><span style="letter-spacing:13.80px"> </span>Fungal</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="101.65" class="sg nowrap f5" style="z-index:5;font-size:83%; left:12.06px;top:42.28px;">•<span class="f2" style="position:relative;bottom:1px;"><span style="letter-spacing:13.80px"> </span>Mycobacterias</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="114.26" class="sg nowrap f5" style="z-index:7;font-size:83%; left:12.06px;top:56.68px;">•<span class="f2" style="position:relative;bottom:1px;"><span style="letter-spacing:13.80px"> </span>Other: nocardia, </span></span><span data-textwidth="48.61" class="sg nowrap f2" style="z-index:11;font-size:83%; left:34.62px;top:70.36px;">bacillary </span><span data-textwidth="72.49" class="sg nowrap f2" style="z-index:12;font-size:83%; left:34.62px;top:84.77px;">angiomatosis</span></p></div></div></div> <div class="sg" id="s480" data-sgid="Rounded Rectangle 5" style="z-index:12;left:527.74px;top:255.43px;width:155.45px;height:153.99px" data-valign="middle" data-fillcolor="8453888"> <img class="sg" src="BD28A74D.png" id="s480_i" style="z-index:1;left:0px;top:0px;width:155.45px;height:153.99px" > <div id="s480_t" class="sg" style="z-index:2;left:-1.45px;top:0.48px;width:154.97px;height:121.25px;"><div><p><span data-textwidth="72.25" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:111%; left:12.84px;top:20.43px;">TUMOUR</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="94.69" class="sg nowrap f5" style="z-index:3;left:12.84px;top:40.48px;">•<span class="f2" ><span style="letter-spacing:12.24px"> </span>Lymphoma</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="67.45" class="sg nowrap f5" style="z-index:5;left:12.84px;top:57.76px;">•<span class="f2" ><span style="letter-spacing:12.24px"> </span>Kaposi</span></span></p></div></div></div> <div class="sg" id="s478" data-sgid="Rounded Rectangle 3" style="z-index:10;left:35.99px;top:255.43px;width:155.45px;height:153.99px" data-valign="middle" data-fillcolor="16760832"> <img class="sg" src="D70422F0.png" id="s478_i" style="z-index:1;left:0px;top:0px;width:155.45px;height:153.99px" > <div id="s478_t" class="sg" style="z-index:2;left:-1.69px;top:0.48px;width:155.81px;height:121.25px;"><div><p></p><p><span data-textwidth="131.18" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:111%; left:12.63px;top:29.31px;">INFLAMMATORY</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="80.89" class="sg nowrap f5" style="z-index:3;left:12.63px;top:53.68px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:16.68px"> </span>Sarcoid</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="108.73" class="sg nowrap f5" style="z-index:5;left:12.63px;top:75.28px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:16.68px"> </span>Wegener G </span></span></p></div></div></div> <div class="sg" id="s482" data-sgid="Title 1" style="z-index:1;left:5.52px;top:9.96px;width:210.73px;height:68.34px" data-valign="bottom"> <div id="s482_t" class="sg" style="z-index:2;left:-10.93px;top:0.00px;width:221.66px;height:82.87px;"><div><p><span data-textwidth="161.07" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.61px;top:32.01px;">MSK CASE 1-</span></p></div></div></div> <div class="sg" id="s483" data-sgid="CuadroTexto 6" style="z-index:2;left:239.41px;top:33.93px;width:255.22px;height:44.51px" data-valign="top"> <div id="s483_t" class="sg" style="z-index:2;left:-10.93px;top:-5.39px;width:274.56px;height:63.91px;"><div><p><span data-textwidth="237.76" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.76px;top:13.19px;">Complications in SOT</span></p></div></div></div> <div class="sg" id="s485" data-sgid="CuadroTexto 28" style="z-index:4;left:29.51px;top:87.91px;width:256.18px;height:42.07px" data-valign="top"> <div id="s485_t" class="sg" style="z-index:2;left:-9.60px;top:-4.79px;width:273.12px;height:59.83px;"><div><p><span data-textwidth="238.36" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.30px;top:12.50px;">Skin &amp; bone granuloma</span></p></div></div></div> <div class="sg" id="s486" data-sgid="CuadroTexto 29" style="z-index:5;left:393.53px;top:87.91px;width:410.44px;height:42.07px" data-valign="top"> <div id="s486_t" class="sg" style="z-index:2;left:-3.23px;top:-4.79px;width:413.67px;height:59.83px;"><div><p><span data-textwidth="278.21" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.65px;top:12.50px;">Solitary nodule low density</span></p></div></div></div> <div class="sg" id="s487" data-sgid="Rectángulo redondeado 10" style="z-index:6;left:15.83px;top:92.45px;width:279.94px;height:45.82px" data-pointer-events="none"> <img class="sg" src="CFC02857.png" id="s487_i" style="z-index:1;left:0px;top:0px;width:279.94px;height:45.82px" > </div> <div class="sg" id="s488" data-sgid="Rectángulo redondeado 11" style="z-index:7;left:369.77px;top:92.45px;width:345.81px;height:45.82px" data-pointer-events="none"> <img class="sg" src="81357AE.png" id="s488_i" style="z-index:1;left:0px;top:0px;width:345.81px;height:45.82px" > </div> <div class="sg" id="s491" data-sgid="Stage 1 - TextBox" style="z-index:10;left:59.50px;top:141.87px;width:273.71px;height:60.91px" data-valign="top"> <div id="s491_t" class="sg" style="z-index:2;left:-7.93px;top:-3.97px;width:281.64px;height:64.88px;"><div><p><span data-textwidth="141.26" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:15.64px;top:11.61px;">FUNGAL, 47% </span></p><p><span data-textwidth="255.41" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:78%; left:15.64px;top:40.14px;">Blastomycosis, mucormycosis, coccidiodomycosis</span></p></div></div></div> <div class="sg" id="s495" data-sgid="Stage 1 - TextBox (2)" style="z-index:20;left:431.31px;top:141.87px;width:273.71px;height:60.91px" data-valign="top"> <div id="s495_t" class="sg" style="z-index:2;left:-7.90px;top:-3.97px;width:281.61px;height:64.88px;"><div><p><span data-textwidth="141.26" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:15.86px;top:11.61px;">FUNGAL, 33% </span></p><p><span data-textwidth="226.60" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:78%; left:15.86px;top:40.14px;">Actinomycosis, Aspergillus, coccidio., blasto.</span></p></div></div></div> <div class="sg" id="s484" data-sgid="Oval 37" style="z-index:3;left:506.16px;top:209.39px;width:12.83px;height:12.82px" data-fillcolor="16777215"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s492" data-sgid="Grupo 10" style="z-index:11;left:10.54px;top:148.50px;width:43.46px;height:162.00px" data-shape="group"> <div class="sg" id="s497" data-sgid="Stage 1 - Number" style="z-index:6;left:7.92px;top:3.81px;width:25.91px;height:32.48px" data-pointer-events="none"> <div id="s497_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.91px;height:32.48px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.62px;top:6.77px;">1</span></p></div></div></div> <div class="sg" id="s498" data-sgid="Stage 1 - Circle" style="z-index:5;left:-0.57px;top:-0.64px;width:42.93px;height:36.94px" data-fillcolor="16763904"> <img class="sg" src="AADDED8D.png" id="s498_i" style="z-index:1;left:0px;top:0px;width:42.93px;height:36.94px" > </div> <div class="sg" id="s499" data-sgid="Stage 2 - Number" style="z-index:4;left:9.48px;top:64.61px;width:25.80px;height:32.48px" data-pointer-events="none"> <div id="s499_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.80px;height:32.48px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.62px;top:6.82px;">2</span></p></div></div></div> <div class="sg" id="s500" data-sgid="Stage 2 - Circle" style="z-index:3;left:1.10px;top:60.29px;width:42.71px;height:35.97px" data-fillcolor="3368703"> <img class="sg" src="B9B4BA4C.png" id="s500_i" style="z-index:1;left:0px;top:0px;width:42.71px;height:35.97px" > </div> <div class="sg" id="s501" data-sgid="Stage 3 - Number" style="z-index:2;left:7.92px;top:125.17px;width:25.91px;height:32.48px" data-pointer-events="none"> <div id="s501_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.91px;height:32.48px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.50px;top:6.99px;">3</span></p></div></div></div> <div class="sg" id="s502" data-sgid="Stage 3 - Circle" style="z-index:1;left:-0.57px;top:125.29px;width:43.05px;height:36.94px" data-fillcolor="8453888"> <img class="sg" src="5A026AB6.png" id="s502_i" style="z-index:1;left:0px;top:0px;width:43.05px;height:36.94px" > </div> </div> <div class="sg" id="s496" data-sgid="Grupo 10 (2)" style="z-index:21;left:382.54px;top:148.50px;width:42.08px;height:162.00px" data-shape="group"> <div class="sg" id="s503" data-sgid="Stage 1 - Number" style="z-index:6;left:7.76px;top:3.81px;width:25.88px;height:32.48px" data-pointer-events="none"> <div id="s503_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.88px;height:32.48px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.85px;top:6.77px;">1</span></p></div></div></div> <div class="sg" id="s504" data-sgid="Stage 1 - Circle" style="z-index:5;left:-0.76px;top:-0.64px;width:42.93px;height:36.94px" data-fillcolor="16763904"> <img class="sg" src="E21E13A3.png" id="s504_i" style="z-index:1;left:0px;top:0px;width:42.93px;height:36.94px" > </div> <div class="sg" id="s505" data-sgid="Stage 2 - Number" style="z-index:4;left:7.76px;top:63.76px;width:25.88px;height:32.51px" data-pointer-events="none"> <div id="s505_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.88px;height:32.51px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.85px;top:6.83px;">2</span></p></div></div></div> <div class="sg" id="s506" data-sgid="Stage 2 - Circle" style="z-index:3;left:-0.76px;top:59.33px;width:42.93px;height:35.97px" data-fillcolor="3368703"> <img class="sg" src="473B3062.png" id="s506_i" style="z-index:1;left:0px;top:0px;width:42.93px;height:35.97px" > </div> <div class="sg" id="s507" data-sgid="Stage 3 - Number" style="z-index:2;left:7.76px;top:125.17px;width:25.88px;height:32.48px" data-pointer-events="none"> <div id="s507_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.88px;height:32.48px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.73px;top:6.99px;">3</span></p></div></div></div> <div class="sg" id="s508" data-sgid="Stage 3 - Circle" style="z-index:1;left:-0.76px;top:125.29px;width:43.05px;height:36.94px" data-fillcolor="8453888"> <img class="sg" src="C0E52514.png" id="s508_i" style="z-index:1;left:0px;top:0px;width:43.05px;height:36.94px" > </div> </div> <div class="sg" id="s490" data-sgid="Stage 2 - TextBox" style="z-index:9;left:60.32px;top:207.83px;width:305.85px;height:73.28px" data-valign="top"> <div id="s490_t" class="sg" style="z-index:2;left:-7.79px;top:-14.04px;width:313.64px;height:87.32px;"><div><p para="{al:4}"><span data-textwidth="154.46" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:15.52px;top:11.54px;">BACTERIA, 28%</span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="105.02" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;font-size:89%; left:15.52px;top:39.58px;">•<span class="f2" ><span style="letter-spacing:17.77px"> </span>Mycobacteria</span></span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="79.46" class="sg nowrap f5" style="z-index:7;color:#FFFFFF;font-size:89%; left:15.52px;top:58.55px;">•<span class="f2" ><span style="letter-spacing:17.77px"> </span>Nocardia</span></span></p></div></div></div> <div class="sg" id="s494" data-sgid="Stage 2 - TextBox (2)" style="z-index:19;left:432.16px;top:207.83px;width:305.85px;height:73.28px" data-valign="top"> <div id="s494_t" class="sg" style="z-index:2;left:-7.82px;top:-14.04px;width:313.67px;height:87.32px;"><div><p para="{al:4}"><span data-textwidth="154.47" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:15.77px;top:11.54px;">BACTERIA, 22%</span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="105.02" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;font-size:89%; left:15.77px;top:39.58px;">•<span class="f2" ><span style="letter-spacing:17.77px"> </span>Mycobacteria</span></span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="79.46" class="sg nowrap f5" style="z-index:7;color:#FFFFFF;font-size:89%; left:15.77px;top:58.55px;">•<span class="f2" ><span style="letter-spacing:17.77px"> </span>Nocardia</span></span></p></div></div></div> <div class="sg" id="s493" data-sgid="Stage 3 - TextBox (2)" style="z-index:18;left:431.31px;top:279.77px;width:300.70px;height:72.91px" data-valign="top"> <div id="s493_t" class="sg" style="z-index:2;left:-7.90px;top:-14.01px;width:308.60px;height:86.92px;"><div><p para="{al:4}"><span data-textwidth="165.99" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:15.86px;top:11.58px;">NEOPLASM, 30%</span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="260.33" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;font-size:89%; left:15.86px;top:39.63px;">•<span class="f2" ><span style="letter-spacing:13.33px"> </span>Postranplant lymphoproliferative disorder</span></span></p></div></div></div> <div class="sg" id="s489" data-sgid="Stage 3 - TextBox" style="z-index:8;left:59.50px;top:279.77px;width:300.70px;height:72.91px" data-valign="top"> <div id="s489_t" class="sg" style="z-index:2;left:-7.93px;top:-14.01px;width:308.63px;height:86.92px;"><div><p para="{al:4}"><span data-textwidth="225.16" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:15.64px;top:11.58px;">NEOPLASM, unknown%</span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="260.33" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;font-size:89%; left:15.64px;top:39.63px;">•<span class="f2" ><span style="letter-spacing:13.32px"> </span>Postranplant lymphoproliferative disorder</span></span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="268.01" class="sg nowrap f5" style="z-index:9;color:#FFFFFF;font-size:89%; left:15.64px;top:58.59px;">•<span class="f2" ><span style="letter-spacing:13.32px"> </span>Others SCS, BCS, MELANOMA , KAPOSI</span></span></p></div></div></div> <div class="sg" id="s513" data-sgid="Group 11" style="z-index:11;left:59.24px;top:2.27px;width:326.13px;height:79.52px"> <img class="sg" src="7581D89D.png" id="s513_i" style="z-index:1;left:0px;top:0px;width:326.13px;height:79.52px" > </div> <div class="sg" id="s514" data-sgid="Group 30" style="z-index:15;left:64.52px;top:9.71px;width:273.32px;height:67.86px" data-shape="group"> <div class="sg" id="s527" data-sgid="TextBox 25" style="z-index:3;left:52.89px;top:6.97px;width:220.70px;height:59.83px"> <div id="s527_t" class="sg" style="z-index:2;left:0px;top:0px;width:220.70px;height:59.83px;"><div><p><span data-textwidth="131.54" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:156%; left:17.49px;top:12.57px;">LYMPHOMA</span></p></div></div></div> <div class="sg" id="s528" data-sgid="Straight Connector 23" style="z-index:2;left:55.41px;top:3.37px;width:3.37px;height:52.51px" data-pointer-events="none"> <img class="sg" src="70A8A46C.png" id="s528_i" style="z-index:1;left:0px;top:0px;width:2.37px;height:52.51px" > </div> <div class="sg" id="s529" data-sgid="TextBox 21" style="z-index:1;left:-12.58px;top:-11.98px;width:83.71px;height:106.01px"> <div id="s529_t" class="sg" style="z-index:2;left:0px;top:0px;width:83.71px;height:106.01px;"><div><p para="{al:2}"><span data-textwidth="22.80" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:278%; left:30.51px;top:21.87px;">1</span></p></div></div></div> </div> <div class="sg" id="s510" data-sgid="Group 38" style="z-index:2;left:63.32px;top:9.96px;width:368.58px;height:67.26px"> <img class="sg" src="FCE8A334.png" id="s510_i" style="z-index:1;left:0px;top:0px;width:368.58px;height:67.26px" > </div> <div class="sg" id="s512" data-sgid="Group 42" style="z-index:6;left:281.16px;top:6.61px;width:411.99px;height:82.01px"> <div id="s512_t" class="sg" style="z-index:2;left:0px;top:0px;width:411.99px;height:82.01px;"><div><p><span data-textwidth="181.71" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;left:109.87px;top:8.43px;">•<span class="f2" ><span style="letter-spacing:12.24px"> </span>Less rapidly progressive</span></span><span data-textwidth="110.54" class="sg nowrap f5" style="z-index:4;color:#FFFFFF;left:109.87px;top:30.04px;">•<span class="f2" ><span style="letter-spacing:12.24px"> </span>Lymph nodes</span></span><span data-textwidth="187.34" class="sg nowrap f5" style="z-index:8;color:#FFFFFF;left:109.87px;top:51.64px;">•<span class="f2" ><span style="letter-spacing:12.24px"> </span>Homogenous attenuation</span></span></p></div></div><img class="sg" src="192BF2DB.png" id="s512_i" style="left: -1px;top: -1px;width:412.99px;height:83.01px" > </div> <div class="sg" id="s511" data-sgid="Picture 36" style="z-index:5;left:263.15px;top:2.04px;width:459.52px;height:88.03px"> <img class="sg" src="D360D7D3.png" id="s511_i" style="z-index:1;left:0px;top:0px;width:459.52px;height:88.03px" > </div> <div class="sg" id="s525" data-sgid="CuadroTexto 3" style="z-index:53;left:75.56px;top:117.87px;width:45.34px;height:68.74px" data-valign="top"> <img class="sg" src="911CD68E.png" id="s525_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:68.74px" > <div id="s525_t" class="sg" style="z-index:2;left:-22.66px;top:-11.37px;width:90.54px;height:105.90px;"><div><p><span data-textwidth="29.64" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:278%; left:30.51px;top:21.97px;">A</span></p></div></div></div> <div class="sg" id="s519" data-sgid="Group 103" style="z-index:32;left:67.87px;top:105.47px;width:274.26px;height:100.19px" data-shape="group"> <div class="sg" id="s536" data-sgid="TextBox 106" style="z-index:3;left:60.36px;top:4.63px;width:214.10px;height:95.32px" data-valign="top"> <div id="s536_t" class="sg" style="z-index:2;left:-9.60px;top:-5.05px;width:223.70px;height:109.02px;"><div><p><span data-textwidth="118.46" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:156%; left:17.35px;top:12.66px;">BACTERIA</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="112.82" class="sg nowrap f5" style="z-index:3;font-size:122%; left:17.35px;top:45.74px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:23.17px"> </span>Nocardia</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="160.71" class="sg nowrap f5" style="z-index:5;font-size:122%; left:17.35px;top:72.03px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:23.17px"> </span>Mycobacterias</span></span></p></div></div></div> <div class="sg" id="s537" data-sgid="Straight Connector 105" style="z-index:2;left:56.28px;top:5.23px;width:3.46px;height:96.54px" data-pointer-events="none"> <img class="sg" src="101659EB.png" id="s537_i" style="z-index:1;left:0px;top:0px;width:2.46px;height:96.54px" > </div> <div class="sg" id="s538" data-sgid="TextBox 104" style="z-index:1;left:-12.22px;top:-12.05px;width:83.71px;height:106.01px"> <div id="s538_t" class="sg" style="z-index:2;left:0px;top:0px;width:83.71px;height:106.01px;"><div><p para="{al:2}"><span data-textwidth="22.80" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:278%; left:30.64px;top:21.96px;">2</span></p></div></div></div> </div> <div class="sg" id="s517" data-sgid="Group 94" style="z-index:23;left:288.58px;top:106.72px;width:389.45px;height:102.07px"> <div id="s517_t" class="sg" style="z-index:2;left:0px;top:0px;width:389.45px;height:102.07px;"><div><p><span data-textwidth="185.19" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-size:89%; left:114.09px;top:9.87px;">•<span class="f2" ><span style="letter-spacing:13.32px"> </span>Indolent course, dot in circle</span></span><span data-textwidth="174.99" class="sg nowrap f5" style="z-index:4;color:#FFFFFF;font-size:89%; left:114.09px;top:30.99px;">•<span class="f2" ><span style="letter-spacing:13.32px"> </span>Solitary nodule: cavitation </span></span><span data-textwidth="197.91" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:89%; left:136.65px;top:51.63px;">uncommon, calcium, lymph nodes</span><span data-textwidth="184.59" class="sg nowrap f5" style="z-index:7;color:#FFFFFF;font-size:89%; left:114.09px;top:73.00px;">•<span class="f2" ><span style="letter-spacing:13.32px"> </span>Extrapulmonary (ankle rare)</span></span></p></div></div><img class="sg" src="3E9C2BCD.png" id="s517_i" style="left: -1px;top: -1px;width:390.45px;height:103.07px" > </div> <div class="sg" id="s515" data-sgid="Group 90" style="z-index:19;left:61.06px;top:107.27px;width:353.25px;height:101.27px" data-shape="group"> <div class="sg" id="s530" data-sgid="Freeform: Shape 92" style="z-index:2;left:-0.60px;top:-0.55px;width:320.72px;height:102.07px" data-fillcolor="16763904"> <img class="sg" src="5286C196.png" id="s530_i" style="z-index:1;left:0px;top:0px;width:320.72px;height:102.07px" > </div> <div class="sg" id="s531" data-sgid="Freeform: Shape 91" style="z-index:1;left:319.28px;top:-0.55px;width:34.07px;height:102.07px" data-fillcolor="16763904"> <img class="sg" src="C52CE39A.png" id="s531_i" style="z-index:1;left:0px;top:0px;width:34.07px;height:102.07px" > </div> </div> <div class="sg" id="s518" data-sgid="Group 99" style="z-index:28;left:59.29px;top:99.47px;width:323.14px;height:120.16px" data-shape="group"> <div class="sg" id="s532" data-sgid="ss518_shd" style="z-index:1;left:-0.53px;top:-0.52px;width:330.80px;height:120.88px"> <img class="sg" src="7858518D.png" id="s532_i" style="z-index:1;left:0px;top:0px;width:330.80px;height:120.88px" > </div> <div class="sg" id="s533" data-sgid="Freeform: Shape 102" style="z-index:3;left:8.59px;top:4.87px;width:321.68px;height:110.07px" data-fillcolor="16763904"> <img class="sg" src="7C67FAD0.png" id="s533_i" style="z-index:1;left:0px;top:0px;width:321.68px;height:110.07px" > </div> <div class="sg" id="s534" data-sgid="Freeform: Shape 101" style="z-index:2;left:2.59px;top:4.02px;width:317.86px;height:111.18px" data-fillcolor="16763904"> <img class="sg" src="3CCD7018.png" id="s534_i" style="z-index:1;left:0px;top:0px;width:317.86px;height:111.18px" > </div> <div class="sg" id="s535" data-sgid="Freeform: Shape 100" style="z-index:1;left:-0.53px;top:-0.52px;width:323.86px;height:120.88px" data-fillcolor="16763904"> <img class="sg" src="90372D5D.png" id="s535_i" style="z-index:1;left:0px;top:0px;width:323.86px;height:120.88px" > </div> </div> <div class="sg" id="s516" data-sgid="Picture 93" style="z-index:22;left:255.25px;top:93.90px;width:461.89px;height:138.64px"> <img class="sg" src="1B4C4150.png" id="s516_i" style="z-index:1;left:0px;top:0px;width:461.89px;height:138.64px" > </div> <div class="sg" id="s524" data-sgid="Imagen 2" style="z-index:52;left:402.00px;top:64.50px;width:336.00px;height:235.20px"> <img class="sg" style="z-index:5;left:0.00px;top:0.00px;width:336px;height:235.2px" id="s524_g" src="s524.gif" > </div> <div class="sg" id="s526" data-sgid="CuadroTexto 55" style="z-index:54;left:69.10px;top:243.80px;width:45.20px;height:68.71px" data-valign="top"> <img class="sg" src="79C3315B.png" id="s526_i" style="z-index:1;left:0px;top:0px;width:45.20px;height:68.71px" > <div id="s526_t" class="sg" style="z-index:2;left:-22.91px;top:-11.40px;width:90.65px;height:105.90px;"><div><p><span data-textwidth="29.64" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:278%; left:30.62px;top:22.10px;">B</span></p></div></div></div> <div class="sg" id="s521" data-sgid="Group 110" style="z-index:39;left:281.02px;top:228.57px;width:433.01px;height:109.02px"> <div id="s521_t" class="sg" style="z-index:2;left:0px;top:0px;width:433.01px;height:109.02px;"><div><p><span data-textwidth="209.19" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;left:119.85px;top:8.64px;">•<span class="f2" ><span style="letter-spacing:12.24px"> </span>Time elapsed &amp; geographics</span></span><span data-textwidth="109.69" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;left:119.85px;top:30.25px;">•<span class="f2" ><span style="letter-spacing:12.24px"> </span>Target organ </span></span><span data-textwidth="131.66" class="sg nowrap f5" style="z-index:7;color:#FFFFFF;left:155.85px;top:51.85px;">•<span class="f2" ><span style="letter-spacing:12.25px"> </span>Lung, mycetoma</span></span><span data-textwidth="195.39" class="sg nowrap f5" style="z-index:10;color:#FFFFFF;left:155.85px;top:73.46px;">•<span class="f2" ><span style="letter-spacing:12.25px"> </span>Osteoarticular granulomas</span></span></p></div></div><img class="sg" src="63D6F633.png" id="s521_i" style="left: -1px;top: -1px;width:434.01px;height:110.02px" > </div> <div class="sg" id="s520" data-sgid="Group 107" style="z-index:36;left:58.89px;top:233.56px;width:359.90px;height:103.90px" data-shape="group"> <div class="sg" id="s539" data-sgid="Freeform: Shape 109" style="z-index:2;left:-0.61px;top:-0.68px;width:326.72px;height:104.82px" data-fillcolor="3368703"> <img class="sg" src="1B220B27.png" id="s539_i" style="z-index:1;left:0px;top:0px;width:326.72px;height:104.82px" > </div> <div class="sg" id="s540" data-sgid="Freeform: Shape 108" style="z-index:1;left:325.30px;top:-0.68px;width:34.78px;height:104.82px" data-fillcolor="3368703"> <img class="sg" src="AF64401C.png" id="s540_i" style="z-index:1;left:0px;top:0px;width:34.78px;height:104.82px" > </div> </div> <div class="sg" id="s523" data-sgid="Group 119" style="z-index:48;left:58.89px;top:235.11px;width:282.61px;height:102.15px" data-shape="group"> <div class="sg" id="s545" data-sgid="TextBox 122" style="z-index:3;left:53.85px;top:13.37px;width:228.96px;height:63.91px"> <div id="s545_t" class="sg" style="z-index:2;left:0px;top:0px;width:228.96px;height:63.91px;"><div><p><span data-textwidth="108.86" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:167%; left:18.68px;top:13.38px;">FUNGAL </span></p></div></div></div> <div class="sg" id="s546" data-sgid="Straight Connector 121" style="z-index:2;left:56.97px;top:5.20px;width:3.96px;height:98.35px" data-pointer-events="none"> <img class="sg" src="129D6D59.png" id="s546_i" style="z-index:1;left:0px;top:0px;width:2.96px;height:98.35px" > </div> <div class="sg" id="s547" data-sgid="TextBox 120" style="z-index:1;left:-11.51px;top:-12.16px;width:83.71px;height:105.99px"> <div id="s547_t" class="sg" style="z-index:2;left:0px;top:0px;width:83.71px;height:105.99px;"><div><p para="{al:2}"><span data-textwidth="22.80" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:278%; left:30.39px;top:22.06px;">3</span></p></div></div></div> </div> <div class="sg" id="s522" data-sgid="Group 115" style="z-index:44;left:54.77px;top:225.76px;width:329.23px;height:123.28px" data-shape="group"> <div class="sg" id="s541" data-sgid="ss522_shd" style="z-index:1;left:-0.57px;top:-0.65px;width:337.06px;height:124.11px"> <img class="sg" src="6C56A3C5.png" id="s541_i" style="z-index:1;left:0px;top:0px;width:337.06px;height:124.11px" > </div> <div class="sg" id="s542" data-sgid="Freeform: Shape 118" style="z-index:3;left:8.67px;top:4.96px;width:327.83px;height:112.85px" data-fillcolor="3368703"> <img class="sg" src="461EA9EF.png" id="s542_i" style="z-index:1;left:0px;top:0px;width:327.83px;height:112.85px" > </div> <div class="sg" id="s543" data-sgid="Freeform: Shape 117" style="z-index:2;left:2.69px;top:4.14px;width:323.61px;height:113.93px" data-fillcolor="3368703"> <img class="sg" src="4CBD21D.png" id="s543_i" style="z-index:1;left:0px;top:0px;width:323.61px;height:113.93px" > </div> <div class="sg" id="s544" data-sgid="Freeform: Shape 116" style="z-index:1;left:-0.57px;top:-0.65px;width:329.98px;height:124.11px" data-fillcolor="3368703"> <img class="sg" src="1B91AF00.png" id="s544_i" style="z-index:1;left:0px;top:0px;width:329.98px;height:124.11px" > </div> </div> <div class="sg" id="s509" data-sgid="Picture 123" style="z-index:1;left:256.80px;top:217.67px;width:463.34px;height:145.33px"> <img class="sg" src="A1801B27.png" id="s509_i" style="z-index:1;left:0px;top:0px;width:463.34px;height:145.33px" > </div> <div class="sg" id="s548" data-sgid="Title 1" style="z-index:1;left:5.52px;top:9.96px;width:210.73px;height:68.34px" data-valign="bottom"> <div id="s548_t" class="sg" style="z-index:2;left:-10.93px;top:0.00px;width:221.66px;height:82.87px;"><div><p><span data-textwidth="161.07" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.61px;top:32.01px;">MSK CASE 1-</span></p></div></div></div> <div class="sg" id="s549" data-sgid="CuadroTexto 1" style="z-index:2;left:185.44px;top:33.93px;width:422.42px;height:42.10px" data-valign="top"> <div id="s549_t" class="sg" style="z-index:2;left:-9.60px;top:-4.80px;width:437.68px;height:59.86px;"><div><p><span data-textwidth="403.03" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.39px;top:12.48px;">Post transplant invasive fungal infection</span></p></div></div></div> <div class="sg" id="s550" data-sgid="Content Placeholder 2" style="z-index:3;left:29.51px;top:93.90px;width:678.51px;height:264.79px" data-valign="top" data-pointer-events="none"> <div id="s550_t" class="sg" style="z-index:2;left:0.00px;top:-2.41px;width:678.51px;height:267.21px;"><div><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="180.16" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:111%; left:43.70px;top:9.25px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:11.05px"> </span>Immunosuppression </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="128.91" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:111%; left:43.70px;top:44.06px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:11.05px"> </span>Time elapsed </span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="272.09" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:111%; left:79.71px;top:78.87px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:6.48px"> </span>Early candida &gt; aspergillus (90d) </span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="544.65" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:111%; left:79.71px;top:113.68px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:6.48px"> </span>&gt;6m (coccidioidomycosis; histoplasma; blastomycosis; cryptococcus) </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="109.46" class="sg nowrap f5" style="z-index:20;color:#DC9E1F;font-size:111%; left:43.70px;top:148.48px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:11.05px"> </span>Medication </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="472.40" class="sg nowrap f5" style="z-index:22;color:#DC9E1F;font-size:111%; left:43.70px;top:183.29px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:11.05px"> </span>Geographic location (coccidioidomycosis; histoplasmosis )</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="357.55" class="sg nowrap f5" style="z-index:28;color:#DC9E1F;font-size:111%; left:43.70px;top:218.10px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:11.05px"> </span>Target organ: lung; CNS; osteoarticular; skin</span></span></p></div></div></div> <div class="sg sgTitle" id="s552" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s552_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="480.44" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:72.17px;top:21.52px;">DR. LLOPIS’ DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s553" data-sgid="Rectangle 3" style="z-index:3;left:17.50px;top:140.20px;width:678.51px;height:124.23px" data-valign="top" data-pointer-events="none"> <div id="s553_t" class="sg" style="z-index:2;left:0.00px;top:-10.92px;width:678.51px;height:159.26px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="584.02" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:58.59px;top:20.75px;">Post-Transplant Invasive Fungal </span><span data-textwidth="151.83" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:267%; left:263.59px;top:78.37px;">Infection</span></p></div></div></div> <div class="sg" id="s551" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <img class="sg" src="18750D6B.png" id="s551_tt" style="left:0.00px;top:0.00px;width:624.53px;height:243.80px;z-index:1" > </div> <div class="sg sgTitle" id="s554" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s554_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s555" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s555_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:624.53px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="552.82" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:41.56px;top:20.70px;">Post-Transplant Ankle Fat Pad </span><span data-textwidth="271.73" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:267%; left:176.59px;top:78.32px;">Cryptococcosis</span></p></div></div></div> <div class="sg sgTitle" id="s556" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s556_t" class="sg" style="z-index:2;left:-1.19px;top:-8.17px;width:626.80px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="568.06" class="sg nowrap f2" style="z-index:2;color:#DC9E1F;font-size:267%; left:29.55px;top:20.66px;">CRYPTOCOCCAL CELLULITIS</span></p></div></div></div> <div class="sg" id="s557" data-sgid="Content Placeholder 1" style="z-index:2;left:11.53px;top:93.90px;width:696.49px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s557_t" class="sg" style="z-index:2;left:-3.97px;top:-2.41px;width:702.98px;height:273.30px;"><div><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="666.23" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.64px;top:9.25px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Fungal infections account for 5% of all infections in renal transplant recipients</span><span class="f6" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"> </span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="679.19" class="sg nowrap f3" style="z-index:6;color:#DC9E1F;font-size:111%; left:11.64px;top:44.18px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Type of infection and risk factors differ depending on the period after the kidney </span></span><span data-textwidth="87.01" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:111%; left:38.65px;top:67.59px;">transplant </span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="652.31" class="sg nowrap f3" style="z-index:10;color:#DC9E1F;font-size:111%; left:11.64px;top:102.99px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Aspergillus species, Mucorales species, Candida species, and Cryptococcus </span></span><span data-textwidth="407.35" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:111%; left:38.65px;top:126.40px;">neoformans are most common opportunistic fungi</span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="500.37" class="sg nowrap f3" style="z-index:23;color:#DC9E1F;font-size:111%; left:11.64px;top:161.81px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Cryptococcal disease in solid organ transplant recipients: </span></span></p><p para="{in:2,bl:{ch:118}}"><span data-textwidth="368.22" class="sg nowrap f3" style="z-index:28;color:#DC9E1F;font-size:111%; left:47.65px;top:191.81px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"> disseminated or involves the CNS 53−72% </span></span></p><p para="{in:2,bl:{ch:118}}"><span data-textwidth="152.31" class="sg nowrap f3" style="z-index:32;color:#DC9E1F;font-size:111%; left:47.65px;top:215.82px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"> pulmonary 54% </span></span></p><p para="{in:2,bl:{ch:118}}"><span data-textwidth="339.65" class="sg nowrap f3" style="z-index:35;color:#DC9E1F;font-size:111%; left:47.65px;top:239.82px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"> skin, soft-tissue or osteoarticular 8.1% </span></span></p></div></div></div> <div class="sg" id="s558" data-sgid="TextBox 2" style="z-index:3;left:5.52px;top:363.72px;width:672.51px;height:37.30px" data-valign="top"> <div id="s558_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:672.51px;height:40.54px;"><div><p><span data-textwidth="476.12" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.68px;top:6.12px;">Patel et al. Infections in solid-organ transplant recipients. Clinical Microbiology Reviews 1997; 10, (1), 86–124</span></p><p><span data-textwidth="623.38" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:67%; left:7.68px;top:20.53px;">Singh et al. Cryptococcosis in Solid Organ Transplant Recipients: Current State-of-the-ScienceClin Infect Dis. 2008 Nov 15; 47(10): 1321–1327</span></p></div></div></div> <div class="sg sgTitle" id="s559" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s559_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="327.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MARTA HEILBRUN, MD, MS</span></p></div></div></div> <div class="sg" id="s560" data-sgid="Content Placeholder 3" style="z-index:2;left:539.26px;top:1.33px;width:178.58px;height:245.59px"> <img class="sg" src="9B3562A1.jpg" id="s560_i" style="z-index:1;left:0px;top:0px;width:178.58px;height:245.59px" > </div> <div class="sg" id="s561" data-sgid="Content Placeholder 3 (2)" style="z-index:3;left:11.53px;top:87.91px;width:708.47px;height:336.74px" data-valign="top"> <div id="s561_t" class="sg" style="z-index:2;left:-3.97px;top:-7.20px;width:712.44px;height:343.94px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="451.16" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.64px;top:9.23px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Vice Chair for Quality Emory University (October 2017!!)</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="298.38" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:111%; left:11.64px;top:39.24px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Assoc Prof of Rad Emory University</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="375.67" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:111%; left:11.64px;top:69.24px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>(Former) Program Director, U Utah 2014-2017</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="184.35" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:111%; left:11.64px;top:99.25px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>BA, Amherst College</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="115.70" class="sg nowrap f5" style="z-index:15;color:#DC9E1F;font-size:111%; left:11.64px;top:129.26px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>MD, U Utah</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="320.34" class="sg nowrap f5" style="z-index:17;color:#DC9E1F;font-size:111%; left:11.64px;top:159.26px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Abdominal Imaging Fellowship, U Utah</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="413.48" class="sg nowrap f5" style="z-index:19;color:#DC9E1F;font-size:111%; left:11.64px;top:189.27px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>Masters of Science in Clinical Investigation, U Utah</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="667.08" class="sg nowrap f5" style="z-index:22;color:#DC9E1F;font-size:111%; left:11.64px;top:219.28px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:15.49px"> </span>ABR 2006; 2007 Assistant Prof Radiology; Adjunct Assist Prof Bioinformatics U Utah </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="689.40" class="sg nowrap f5" style="z-index:24;color:#DC9E1F;font-size:106%; left:11.64px;top:249.28px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>AUR Board of Directors, Executive Committee AAWR; Committees ABR, ACR, RSNA, AUR </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="365.71" class="sg nowrap f5" style="z-index:26;color:#DC9E1F;font-size:106%; left:11.64px;top:278.09px;">•<span class="f2" style="position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>*Research mentoring of students and trainees! </span></span></p></div></div></div> <div class="sg sgTitle" id="s562" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s562_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="327.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MARTA HEILBRUN, MD, MS</span></p></div></div></div> <div class="sg" id="s563" data-sgid="Content Placeholder 3" style="z-index:2;left:11.53px;top:130.95px;width:372.66px;height:132.77px" data-valign="top" data-pointer-events="none"> <div id="s563_t" class="sg" style="z-index:2;left:-2.89px;top:-1.90px;width:382.00px;height:134.67px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="350.22" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;left:10.56px;top:8.54px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>Research Focus: Works with data visualization </span></span><span data-textwidth="289.37" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;left:37.57px;top:29.67px;">scientists and experts in natural language </span><span data-textwidth="333.30" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;left:37.57px;top:51.27px;">processing and machine learning to explore and </span><span data-textwidth="322.13" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;left:37.57px;top:72.87px;">define the impact that diagnostic imaging tests </span><span data-textwidth="183.39" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;left:37.57px;top:94.48px;">have on disease outcomes</span></p></div></div></div> <div class="sg" id="s564" data-sgid="Picture 7" style="z-index:3;left:396.05px;top:93.90px;width:309.68px;height:206.75px"> <img class="sg" src="23D0BB4C.jpg" id="s564_i" style="z-index:1;left:0px;top:0px;width:309.68px;height:206.75px" > </div> <div class="sg sgTitle" id="s565" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s565_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="327.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MARTA HEILBRUN, MD, MS</span></p></div></div></div> <div class="sg" id="s568" data-sgid="Picture 7" style="z-index:4;left:463.34px;top:-0.48px;width:256.66px;height:192.71px"> <img class="sg" src="E63827B8.jpg" id="s568_i" style="z-index:1;left:0px;top:0px;width:256.66px;height:192.71px" > </div> <div class="sg" id="s566" data-sgid="Content Placeholder 3" style="z-index:2;left:0.00px;top:87.91px;width:696.49px;height:336.74px" data-valign="top" data-pointer-events="none"> <div id="s566_t" class="sg" style="z-index:2;left:-2.89px;top:-1.81px;width:699.38px;height:338.55px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="446.47" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;left:10.57px;top:8.52px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>1993 Echoing Green Public Service Entrepreneur Fellowship </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="400.99" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;left:10.57px;top:40.45px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>2005 American College of Radiology Thorwarth Award </span></span><span data-textwidth="201.15" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;left:37.58px;top:61.57px;">for Socioeconomic Research </span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="417.79" class="sg nowrap f5" style="z-index:15;color:#DC9E1F;left:10.57px;top:93.98px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>2006 RSNA Roentgen Resident/Fellow Research Award </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="328.38" class="sg nowrap f5" style="z-index:19;color:#DC9E1F;left:10.57px;top:125.91px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>2006 Radiological Society of North America </span></span><span data-textwidth="165.63" class="sg nowrap f2" style="z-index:22;color:#FFFFFF;left:37.58px;top:147.03px;">Trainee Research Prize </span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="137.67" class="sg nowrap f5" style="z-index:25;color:#DC9E1F;left:10.57px;top:179.44px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>2007 GERRAF </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="384.42" class="sg nowrap f5" style="z-index:27;color:#DC9E1F;left:10.57px;top:211.37px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>2009 Scientific Paper Award Society of Uroradiology</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="375.06" class="sg nowrap f5" style="z-index:33;color:#DC9E1F;left:10.57px;top:243.29px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>2014 Fellow of the Society of Abdominal Radiology</span></span></p></div></div></div> <div class="sg" id="s567" data-sgid="Picture 6" style="z-index:3;left:463.57px;top:183.83px;width:256.69px;height:192.85px"> <img class="sg" src="846AC3AC.jpg" id="s567_i" style="z-index:1;left:0px;top:0px;width:256.69px;height:192.85px" > </div> <div class="sg sgTitle" id="s569" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s569_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="240.76" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MARTA’S MENTORS</span></p></div></div></div> <div class="sg" id="s570" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s570_t" class="sg" style="z-index:2;left:-1.78px;top:-5.05px;width:630.65px;height:248.85px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="583.54" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:89%; left:9.50px;top:7.81px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.76px"> </span>My mentors are those who have pushed me to go beyond learning and truly think about the </span></span><span data-textwidth="233.92" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:89%; left:36.50px;top:22.69px;">problems we are being asked to solve.</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="610.66" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:89%; left:9.50px;top:48.38px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.76px"> </span>1. Village concept- I have many many mentors, some have been in the institutions where I have </span></span><span data-textwidth="557.61" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:89%; left:36.50px;top:63.26px;">trained and worked, and many I have met through my involvement in radiology professional </span><span data-textwidth="549.22" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:89%; left:36.50px;top:78.63px;">societies: Limiting myself to radiologist mentors: Felix Chew, Ron Zagoria, Jeff Carr, Dave </span><span data-textwidth="564.21" class="sg nowrap f2" style="z-index:21;color:#FFFFFF;font-size:89%; left:36.50px;top:93.99px;">Avrin, Jerry Jarvik, Paula Woodward, Anne Kennedy, Akram Shaaban, Kathryn Morton, John </span><span data-textwidth="553.78" class="sg nowrap f2" style="z-index:28;color:#FFFFFF;font-size:89%; left:36.50px;top:109.35px;">Leyendecker, Julia Fielding, Mark Lockhart, Curt Langlotz, Chuck Kahn ….<span style="letter-spacing:4.32px"> </span>The list is truly </span><span data-textwidth="567.81" class="sg nowrap f2" style="z-index:35;color:#FFFFFF;font-size:89%; left:36.50px;top:124.72px;">endless. I am still meeting mentors and now growing the peer mentoring relationships, where </span><span data-textwidth="526.29" class="sg nowrap f2" style="z-index:36;color:#FFFFFF;font-size:89%; left:36.50px;top:140.08px;">we are supporting eachother in our research and academic career development, while </span><span data-textwidth="236.44" class="sg nowrap f2" style="z-index:37;color:#FFFFFF;font-size:89%; left:36.50px;top:155.44px;">increasing my role in mentoring others.</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="584.86" class="sg nowrap f5" style="z-index:39;color:#DC9E1F;font-size:89%; left:9.50px;top:181.13px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.76px"> </span>2: Paula Woodward.<span style="letter-spacing:4.69px"> </span>While I have certainly learned a tremendous amount of radiology from </span></span><span data-textwidth="584.50" class="sg nowrap f2" style="z-index:42;color:#FFFFFF;font-size:89%; left:36.50px;top:196.01px;">Paula, following in her footsteps as a GU imager, she has also strategically and actively pushed </span><span data-textwidth="578.50" class="sg nowrap f2" style="z-index:43;color:#FFFFFF;font-size:89%; left:36.50px;top:211.38px;">me outside of my comfort zone and into growth opportunities and my entire professional career.</span></p></div></div></div> <div class="sg sgTitle" id="s571" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s571_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="532.53" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ABDOMINAL CASE 1- 65 YEAR OLD WOMAN</span></p></div></div></div> <div class="sg" id="s574" data-sgid="Rectangle 5" style="z-index:4;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s574_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s572" data-sgid="Content Placeholder 3" style="z-index:2;left:179.92px;top:93.90px;width:359.72px;height:243.80px"> <img class="sg" src="4BD3DFEA.jpg" id="s572_i" style="z-index:1;left:0px;top:0px;width:359.72px;height:243.80px" > </div> <div class="sg" id="s573" data-sgid="Rounded Rectangle 4" style="z-index:3;left:5.15px;top:327.38px;width:229.56px;height:73.76px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="D1330371.png" id="s573_i" style="z-index:1;left:0px;top:0px;width:229.56px;height:73.76px" > <div id="s573_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:229.56px;height:75.80px;"><div><p para="{al:2}"><span data-textwidth="194.79" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:19.21px;top:10.41px;">She presented with pelvic pain </span><span data-textwidth="175.11" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:29.06px;top:29.62px;">and had history of a remote </span><span data-textwidth="85.33" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:72.26px;top:48.82px;">hysterectomy</span></p></div></div></div> <div class="sg sgTitle" id="s575" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s575_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="358.26" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS LIVE QUESTION: </span></p></div></div></div> <div class="sg" id="s577" data-sgid="Rectangle 5" style="z-index:3;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s577_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s576" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s576_t" class="sg" style="z-index:2;left:-11.98px;top:-5.99px;width:636.51px;height:249.79px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="302.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:178%; left:19.70px;top:14.07px;">What would you do next?</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="397.26" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:111%; left:55.71px;top:61.56px;">A. Doppler US to detect presence or absence of flow</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="199.35" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:55.71px;top:96.37px;">B. Review of prior imaging</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="317.21" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:111%; left:55.71px;top:131.18px;">C. Surgical consultation before pelvic MRI</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="132.37" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:111%; left:55.71px;top:165.99px;">D. Check CA-125</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="293.45" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:111%; left:55.71px;top:200.79px;">E. Find out why she had hysterectomy </span></p></div></div></div> <div class="sg" id="s578" data-sgid="Rectangle 3" style="z-index:4;left:245.39px;top:356.06px;width:149.33px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s578_t" class="sg" style="z-index:2;left:-3.60px;top:-1.93px;width:155.11px;height:53.62px;"><div><p><span data-textwidth="132.02" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.45px;top:8.27px;"><a target=_blank class="sga" href="https://goo.gl/Sqr2f8"><u>https://goo.gl/Sqr2f8</u></a></span></p></div></div><img class="sg" src="BF2728B5.png" id="s578_tt" style="left:-3.60px;top:-1.93px;width:155.11px;height:53.62px;z-index:1" > </div> <div class="sg sgTitle" id="s582" data-sgid="Title 2" style="z-index:4;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s582_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="503.60" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">65 YEAR OLD WOMAN WITH PELVIC PAIN</span></p></div></div></div> <div class="sg" id="s580" data-sgid="Picture 4" style="z-index:2;left:350.48px;top:93.79px;width:366.88px;height:246.92px"> <img class="sg" src="361EB885.jpg" id="s580_i" style="z-index:1;left:0px;top:0px;width:366.88px;height:246.92px" > </div> <div class="sg" id="s579" data-sgid="Content Placeholder 3" style="z-index:1;left:3.23px;top:95.69px;width:359.60px;height:243.69px"> <img class="sg" src="A3B2615.jpg" id="s579_i" style="z-index:1;left:0px;top:0px;width:359.60px;height:243.69px" > </div> <div class="sg" id="s581" data-sgid="TextBox 6" style="z-index:3;left:287.39px;top:357.73px;width:144.77px;height:29.99px" data-valign="top"> <div id="s581_t" class="sg" style="z-index:2;left:0.00px;top:-1.79px;width:144.77px;height:38.84px;"><div><p para="{al:2}"><span data-textwidth="32.65" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:56.23px;top:8.26px;">2015</span></p></div></div></div> <div class="sg sgTitle" id="s583" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s583_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="568.65" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">CONTRAST ENHANCED ABDOMINOPELVIC CT </span></p></div></div></div> <div class="sg" id="s593" data-sgid="TextBox 21" style="z-index:11;left:293.39px;top:91.63px;width:144.77px;height:29.96px" data-valign="top"> <img class="sg" src="7E16C1EF.png" id="s593_i" style="z-index:1;left:0px;top:0px;width:144.77px;height:29.96px" > <div id="s593_t" class="sg" style="z-index:2;left:0.00px;top:-1.93px;width:144.77px;height:38.87px;"><div><p para="{al:2}"><span data-textwidth="32.65" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:56.23px;top:8.04px;">2015</span></p></div></div></div> <div class="sg" id="s594" data-sgid="Rounded Rectangle 22" style="z-index:12;left:5.15px;top:165.50px;width:240.12px;height:101.93px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="F30A5F21.png" id="s594_i" style="z-index:1;left:0px;top:0px;width:240.12px;height:101.93px" > <div id="s594_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:240.12px;height:101.93px;"><div><p para="{al:2}"><span data-textwidth="201.27" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:21.13px;top:33.90px;">She developed gross hematuria </span><span data-textwidth="193.23" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:23.41px;top:53.11px;">and was scanned 2 weeks later</span></p></div></div></div> <div class="sg" id="s595" data-sgid="Rectangular Callout 23" style="z-index:13;left:383.93px;top:166.10px;width:282.60px;height:174.47px" data-fillcolor="16777215"> <div id="s595_t" class="sg" style="z-index:2;left:0px;top:0px;width:282.60px;height:174.47px;"><div><p para="{al:2}"><span data-textwidth="144.73" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:127.00px;top:10.50px;">Cystoscopic biopsy/TUR: benign </span><span data-textwidth="142.82" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:67%; left:127.96px;top:24.90px;">urothelial tissue, no malignancy; </span><span data-textwidth="149.78" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:67%; left:124.59px;top:39.31px;">chronic inflammation; pelvic mass </span><span data-textwidth="150.75" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:67%; left:123.99px;top:53.71px;">biopsy: similar histomorphology to </span><span data-textwidth="86.90" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:67%; left:154.60px;top:68.11px;">a 2012 pelvic mass</span><span data-textwidth="104.30" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:67%; left:145.96px;top:82.52px;">CD 10 and ER positivity</span></p></div></div><img class="sg" src="9158E6A4.png" id="s595_i" style="left: -1px;top: -1px;width:283.60px;height:175.47px" > </div> <div class="sg" id="s585" data-sgid="Picture 13" style="z-index:3;left:252.61px;top:91.63px;width:213.96px;height:299.69px"> <img class="sg" src="B1EFC666.jpg" id="s585_i" style="z-index:1;left:0px;top:0px;width:213.96px;height:299.69px" > </div> <div class="sg" id="s584" data-sgid="Content Placeholder 12" style="z-index:2;left:252.61px;top:91.63px;width:213.25px;height:299.69px"> <img class="sg" src="81757A31.jpg" id="s584_i" style="z-index:1;left:0px;top:0px;width:213.25px;height:299.69px" > </div> <div class="sg" id="s590" data-sgid="Picture 18" style="z-index:8;left:252.61px;top:91.63px;width:211.92px;height:299.69px"> <img class="sg" src="95818D62.jpg" id="s590_i" style="z-index:1;left:0px;top:0px;width:211.92px;height:299.69px" > </div> <div class="sg" id="s587" data-sgid="Picture 15" style="z-index:5;left:252.61px;top:91.63px;width:212.88px;height:299.69px"> <img class="sg" src="14325344.jpg" id="s587_i" style="z-index:1;left:0px;top:0px;width:212.88px;height:299.69px" > </div> <div class="sg" id="s592" data-sgid="Picture 20" style="z-index:10;left:253.43px;top:91.63px;width:214.21px;height:300.51px"> <img class="sg" src="92728E05.jpg" id="s592_i" style="z-index:1;left:0px;top:0px;width:214.21px;height:300.51px" > </div> <div class="sg" id="s588" data-sgid="Picture 16" style="z-index:6;left:252.61px;top:91.63px;width:210.73px;height:300.88px"> <img class="sg" src="7A118707.jpg" id="s588_i" style="z-index:1;left:0px;top:0px;width:210.73px;height:300.88px" > </div> <div class="sg" id="s591" data-sgid="Picture 19" style="z-index:9;left:252.61px;top:91.63px;width:214.44px;height:300.88px"> <img class="sg" src="2BAEE426.jpg" id="s591_i" style="z-index:1;left:0px;top:0px;width:214.44px;height:300.88px" > </div> <div class="sg" id="s586" data-sgid="Picture 14" style="z-index:4;left:252.61px;top:91.63px;width:212.88px;height:300.88px"> <img class="sg" src="F82CA116.jpg" id="s586_i" style="z-index:1;left:0px;top:0px;width:212.88px;height:300.88px" > </div> <div class="sg" id="s589" data-sgid="Picture 17" style="z-index:7;left:252.61px;top:91.63px;width:212.77px;height:300.88px"> <img class="sg" src="B43C00C7.jpg" id="s589_i" style="z-index:1;left:0px;top:0px;width:212.77px;height:300.88px" > </div> <div class="sg sgTitle" id="s596" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s596_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:637.36px;height:82.75px;"><div><p><span data-textwidth="600.70" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MRI 3 MONTHS LATER, PERSISTENT HEMATURIA</span></p></div></div></div> <div class="sg" id="s597" data-sgid="Content Placeholder 3" style="z-index:2;left:-3.48px;top:95.09px;width:243.72px;height:243.69px"> <img class="sg" src="C072382A.jpg" id="s597_i" style="z-index:1;left:0px;top:0px;width:243.72px;height:243.69px" > </div> <div class="sg" id="s598" data-sgid="Picture 4" style="z-index:3;left:227.41px;top:93.90px;width:246.72px;height:246.81px"> <img class="sg" src="29554137.jpg" id="s598_i" style="z-index:1;left:0px;top:0px;width:246.72px;height:246.81px" > </div> <div class="sg" id="s599" data-sgid="Picture 5" style="z-index:4;left:473.28px;top:93.90px;width:246.72px;height:246.81px"> <img class="sg" src="58F62175.jpg" id="s599_i" style="z-index:1;left:0px;top:0px;width:246.72px;height:246.81px" > </div> <div class="sg" id="s600" data-sgid="TextBox 6" style="z-index:5;left:287.39px;top:357.73px;width:144.77px;height:29.99px" data-valign="top"> <div id="s600_t" class="sg" style="z-index:2;left:0.00px;top:-1.79px;width:144.77px;height:38.84px;"><div><p para="{al:2}"><span data-textwidth="32.65" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:56.23px;top:8.26px;">2015</span></p></div></div></div> <div class="sg sgTitle" id="s601" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s601_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="188.31" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">COMPARISONS</span></p></div></div></div> <div class="sg" id="s607" data-sgid="Rounded Rectangle 12" style="z-index:7;left:382.97px;top:12.48px;width:240.12px;height:101.93px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="525D435.png" id="s607_i" style="z-index:1;left:0px;top:0px;width:240.12px;height:101.93px" > <div id="s607_t" class="sg" style="z-index:2;left:0.00px;top:-2.52px;width:240.12px;height:111.52px;"><div><p para="{al:2}"><span data-textwidth="208.71" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:17.66px;top:7.48px;">In total, there were four biopsies, </span><span data-textwidth="197.67" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:23.18px;top:26.69px;">two of them surgical excisions, </span><span data-textwidth="98.66" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:72.51px;top:45.89px;">from 2012-2015 </span></p><p para="{al:2}"><span data-textwidth="169.71" class="sg nowrap f1" style="z-index:8;font-weight:bold; font-size:89%; left:37.22px;top:65.10px;">A definitive procedure was </span><span data-textwidth="112.82" class="sg nowrap f1" style="z-index:9;font-weight:bold; font-size:89%; left:63.86px;top:84.30px;">performed in 2016</span></p></div></div></div> <div class="sg" id="s605" data-sgid="Picture 3" style="z-index:5;left:488.51px;top:111.77px;width:225.14px;height:195.46px"> <img class="sg" src="A34C363D.jpg" id="s605_i" title="" alt="C:\Users\dmorgan\Desktop\RSNA Image Interpretation Session\Abd_Kirk endometrioma-adenosarcoma\CT9.16Lpelvis.jpg" style="z-index:1;left:0px;top:0px;width:225.14px;height:195.46px" > </div> <div class="sg" id="s602" data-sgid="Content Placeholder 5" style="z-index:2;left:5.75px;top:111.89px;width:237.60px;height:195.35px"> <img class="sg" src="E95F5C13.jpg" id="s602_i" style="z-index:1;left:0px;top:0px;width:237.60px;height:195.35px" > </div> <div class="sg" id="s604" data-sgid="Picture 2" style="z-index:4;left:263.40px;top:111.89px;width:225.11px;height:195.60px"> <img class="sg" src="316740F9.jpg" id="s604_i" title="" alt="C:\Users\dmorgan\Desktop\RSNA Image Interpretation Session\Abd_Kirk endometrioma-adenosarcoma\CT9.16umbilicus.jpg" style="z-index:1;left:0px;top:0px;width:225.11px;height:195.60px" > </div> <div class="sg" id="s606" data-sgid="TextBox 9" style="z-index:6;left:415.73px;top:314.92px;width:144.77px;height:29.99px" data-valign="top"> <div id="s606_t" class="sg" style="z-index:2;left:0.00px;top:-1.93px;width:144.77px;height:38.87px;"><div><p para="{al:2}"><span data-textwidth="32.65" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:56.31px;top:8.36px;">2016</span></p></div></div></div> <div class="sg" id="s603" data-sgid="TextBox 6" style="z-index:3;left:47.49px;top:314.92px;width:144.77px;height:29.99px" data-valign="top"> <div id="s603_t" class="sg" style="z-index:2;left:0.00px;top:-1.93px;width:144.77px;height:38.87px;"><div><p para="{al:2}"><span data-textwidth="32.65" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:56.09px;top:8.36px;">2012</span></p></div></div></div> <div class="sg sgTitle" id="s608" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s608_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="121.46" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">FINDINGS</span></p></div></div></div> <div class="sg" id="s609" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s609_t" class="sg" style="z-index:2;left:-1.78px;top:-5.05px;width:626.32px;height:248.85px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="97.33" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:89%; left:9.50px;top:7.81px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.76px"> </span>Initial 2015:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="463.75" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:89%; left:45.51px;top:33.02px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:13.32px"> </span>US: 7 cm hetergeneous cystic and solid adnexal mass with vascular flow</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="507.80" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:89%; left:45.51px;top:58.22px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:13.32px"> </span>CT: Mass is inseparable from vaginal cuff on L, L ureter is encased but no hydro</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="358.62" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:89%; left:45.51px;top:83.43px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:13.32px"> </span>MRI: Mass has grown rapidly, no fat is present in lesion</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="106.93" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:89%; left:9.50px;top:108.63px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.76px"> </span>Comparisons</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="452.59" class="sg nowrap f5" style="z-index:14;color:#DC9E1F;font-size:89%; left:45.51px;top:133.84px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:13.32px"> </span>2012: More solid, clearly arising from L vaginal fornix, not ovarian/tubal</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="289.72" class="sg nowrap f5" style="z-index:16;color:#DC9E1F;font-size:89%; left:45.51px;top:159.04px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:13.32px"> </span>2016: Recurrence along laparotomy incision</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="451.03" class="sg nowrap f5" style="z-index:18;color:#DC9E1F;font-size:89%; left:9.86px;top:184.25px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.76px"> </span>Clinical: Post menopausal, remote hysterectomy, mass is ER+/CD10+</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="338.33" class="sg nowrap f5" style="z-index:22;color:#DC9E1F;font-size:89%; left:9.86px;top:209.46px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.76px"> </span>Recommendations:<span style="letter-spacing:4.80px"> </span>Surgical consultation/resection</span></span></p></div></div></div> <div class="sg sgTitle" id="s610" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s610_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="556.90" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DISCUSSION: WHERE DID THE MASS START?</span></p></div></div></div> <div class="sg" id="s611" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s611_t" class="sg" style="z-index:2;left:-0.59px;top:-3.83px;width:625.13px;height:247.63px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="399.78" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:78%; left:8.31px;top:6.83px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.84px"> </span>If Adnexa: What benign/low malignant potential lesions could this be?</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="503.84" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:78%; left:44.32px;top:29.64px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:14.40px"> </span>Endometrioma with malignant transformation: Most commonly will be clear cell carcinoma</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="122.90" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:78%; left:80.32px;top:52.44px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:9.84px"> </span>Will be CD10+/ER+</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="352.62" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:78%; left:80.32px;top:75.25px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:9.84px"> </span>Tends to occur in younger women, need a hx of endometriosis</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="398.82" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:78%; left:8.31px;top:98.05px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.84px"> </span>If Uterine: What benign/low malignant potential lesions could this be?</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="184.35" class="sg nowrap f5" style="z-index:14;color:#DC9E1F;font-size:78%; left:44.32px;top:120.86px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:14.40px"> </span>Endometrial Stromal Sarcoma</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="122.90" class="sg nowrap f5" style="z-index:16;color:#DC9E1F;font-size:78%; left:80.32px;top:143.66px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:9.84px"> </span>Will be CD10+/ER+</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="319.13" class="sg nowrap f5" style="z-index:18;color:#DC9E1F;font-size:78%; left:80.32px;top:166.47px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:9.84px"> </span>Tends to occur in younger women, with late recurrences</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="305.08" class="sg nowrap f5" style="z-index:20;color:#DC9E1F;font-size:78%; left:44.32px;top:189.27px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:14.40px"> </span>Cervical CA/Endometrial Ca/Uterine carcinosarcoma</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="116.78" class="sg nowrap f5" style="z-index:23;color:#DC9E1F;font-size:78%; left:80.32px;top:212.08px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:9.84px"> </span>Will be aggressive</span></span></p></div></div></div> <div class="sg sgTitle" id="s613" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s613_t" class="sg" style="z-index:2;left:-4.44px;top:-9.59px;width:633.43px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="573.46" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:30.16px;top:21.52px;">DR. HEILBRUN’S DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s612" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s612_t" class="sg" style="z-index:2;left:-2.41px;top:-1.33px;width:626.94px;height:245.13px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="509.24" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:94%; left:10.13px;top:7.93px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.16px"> </span>Surgical lesion: Will need detailed histopathology to determine the etiology</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="330.90" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:94%; left:10.13px;top:38.42px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.16px"> </span>My best assessment, based on all the imaging:</span></span></p><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="529.16" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:244%; left:55.26px;top:78.47px;">Late Recurrence of Endometrial </span><span data-textwidth="283.73" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:244%; left:173.00px;top:131.28px;">Stromal Sarcoma</span></p></div></div></div> <div class="sg sgTitle" id="s614" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s614_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s615" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s615_t" class="sg" style="z-index:2;left:-2.52px;top:-10.78px;width:641.10px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="582.70" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:29.08px;top:20.70px;">Müllerian Adenosarcoma Arising </span><span data-textwidth="357.90" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:267%; left:136.02px;top:78.32px;">From Endometriosis</span></p></div></div></div> <div class="sg sgTitle" id="s616" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s616_t" class="sg" style="z-index:2;left:-8.75px;top:-8.17px;width:642.06px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="583.78" class="sg nowrap f2" style="z-index:2;color:#DC9E1F;font-size:267%; left:29.31px;top:20.66px;">MÜLLERIAN ADENOSARCOMA</span></p></div></div></div> <div class="sg" id="s617" data-sgid="Content Placeholder 1" style="z-index:2;left:11.53px;top:93.90px;width:690.49px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s617_t" class="sg" style="z-index:2;left:-6.26px;top:-3.60px;width:696.75px;height:259.15px;"><div><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="639.23" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.93px;top:10.68px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Müllerian adenosarcoma was first reported in 1974 by Clement and </span></span><span data-textwidth="54.49" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:40.94px;top:40.13px;">Scully</span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="645.47" class="sg nowrap f3" style="z-index:7;color:#DC9E1F;font-size:133%; left:13.93px;top:80.06px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Mixture of a benign glandular epithelium and malignant sarcomatous</span></span><span data-textwidth="447.19" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:133%; left:40.94px;top:109.62px;">stroma, mainly in the uterus of postmenopausal<span class="f1" style="font-weight:bold; ">♀</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="652.91" class="sg nowrap f3" style="z-index:20;color:#DC9E1F;font-size:133%; left:13.93px;top:149.43px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Extrauterine Müllerian adenosarcoma is rare, arises in ectopic foci of </span></span><span data-textwidth="127.10" class="sg nowrap f2" style="z-index:27;color:#FFFFFF;font-size:133%; left:40.94px;top:178.88px;">endometriosis</span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="574.18" class="sg nowrap f3" style="z-index:28;color:#DC9E1F;font-size:133%; left:13.93px;top:218.81px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> This patient had TAH BSO for endometriosis 15 years earlier</span></span></p></div></div></div> <div class="sg" id="s618" data-sgid="TextBox 2" style="z-index:3;left:11.53px;top:351.74px;width:648.52px;height:51.80px" data-valign="top"> <div id="s618_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:54.92px;"><div><p><span data-textwidth="629.87" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.67px;top:6.10px;">Huang et al. Extragenital adenosarcoma: a case report, review of the literature, and management discussion. Gynecol Oncol. 2009;115:472–475</span></p><p><span data-textwidth="623.38" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:67%; left:7.67px;top:20.50px;">Clement PB, Scully RE. Müllerian adenosarcoma of the uterus. A clinicopathologic analysis of ten cases of a distinctive type of müllerian mixed </span><span data-textwidth="156.51" class="sg nowrap f2" style="z-index:23;color:#FFFFFF;font-size:67%; left:7.67px;top:34.91px;">tumor. Cancer. 1974;34:1138–1149.</span></p></div></div></div> <div class="sg sgTitle" id="s619" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s619_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="316.61" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">FRANK RYBICKI, MD, PHD</span></p></div></div></div> <div class="sg" id="s620" data-sgid="Content Placeholder 3" style="z-index:2;left:556.54px;top:-0.48px;width:162.75px;height:243.43px"> <img class="sg" src="4FE5845F.jpg" id="s620_i" style="z-index:1;left:0px;top:0px;width:162.75px;height:243.43px" > </div> <div class="sg" id="s621" data-sgid="Content Placeholder 3 (2)" style="z-index:3;left:11.53px;top:87.91px;width:702.50px;height:336.74px" data-valign="top"> <div id="s621_t" class="sg" style="z-index:2;left:-4.70px;top:-4.34px;width:707.20px;height:341.08px;"><div><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="492.32" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:106%; left:12.37px;top:8.89px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Chair and Prof of Radiology U of Ottawa Faculty of Medicine and</span></span><span data-textwidth="146.30" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:106%; left:39.38px;top:28.81px;">The Ottawa Hospital</span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="208.24" class="sg nowrap f5" style="z-index:9;color:#DC9E1F;font-size:106%; left:12.37px;top:55.94px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>BA, Univ of Pennsylvania</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="521.73" class="sg nowrap f5" style="z-index:13;color:#DC9E1F;font-size:106%; left:12.37px;top:82.47px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>MD PhD, Harvard-MIT(Division of Health Sciences and Technology) </span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="412.75" class="sg nowrap f5" style="z-index:18;color:#DC9E1F;font-size:106%; left:12.37px;top:108.99px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Diagnostic Radiology, Brigham and Women’s Hospital</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="479.97" class="sg nowrap f5" style="z-index:20;color:#DC9E1F;font-size:106%; left:12.37px;top:135.52px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Brigham and Women’s Cardiovascular Imaging-<span style="letter-spacing:0.97px"> </span>Section Chief </span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="446.83" class="sg nowrap f5" style="z-index:25;color:#DC9E1F;font-size:106%; left:12.37px;top:162.04px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Founder and Director, Applied Imaging Science Laboratory</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="215.68" class="sg nowrap f5" style="z-index:28;color:#DC9E1F;font-size:106%; left:12.37px;top:188.57px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Board of Directors, NASCI</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="215.92" class="sg nowrap f5" style="z-index:30;color:#DC9E1F;font-size:106%; left:12.37px;top:215.10px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Fellow AHA, ACR, NASCI </span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="517.89" class="sg nowrap f5" style="z-index:32;color:#DC9E1F;font-size:106%; left:12.37px;top:241.62px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Founder and first Chair, RSNA Special Interest Group on 3D Printing</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="659.63" class="sg nowrap f5" style="z-index:36;color:#DC9E1F;font-size:106%; left:12.37px;top:268.15px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>2004 RSNA </span><span class="f4" style="font-style:italic; color:#FFFFFF;position:relative;bottom:1px;">Cum Laude Education Award </span><span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;">for globally introducing standard-compliant AR</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="591.82" class="sg nowrap f5" style="z-index:43;color:#DC9E1F;font-size:117%; left:12.37px;top:294.55px;">•<span class="f2" ><span style="letter-spacing:14.89px"> </span>* Mentor and teacher of physicians and physician scientists world wide!</span></span></p></div></div></div> <div class="sg sgTitle" id="s622" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s622_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="316.73" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">FRANK RYBICKI, MD, PHD</span></p></div></div></div> <div class="sg" id="s624" data-sgid="Picture 2" style="z-index:3;left:388.97px;top:-0.48px;width:331.03px;height:157.93px"> <img class="sg" src="6DEB804E.jpg" id="s624_i" style="z-index:1;left:0px;top:0px;width:331.03px;height:157.93px" > </div> <div class="sg" id="s625" data-sgid="TextBox 5" style="z-index:4;left:81.33px;top:63.91px;width:556.88px;height:253.99px"> <img class="sg" src="F9AD2638.png" id="s625_i" style="left: -1px;top: -1px;width:557.88px;height:254.99px" > </div> <div class="sg" id="s623" data-sgid="Content Placeholder 3" style="z-index:2;left:11.53px;top:87.29px;width:708.47px;height:324.65px" data-valign="top" data-pointer-events="none"> <div id="s623_t" class="sg" style="z-index:2;left:-3.49px;top:-6.58px;width:711.96px;height:331.23px;"><div><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="284.21" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:106%; left:11.16px;top:8.75px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Started off as a Quincy House Tutor</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="358.15" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:106%; left:11.16px;top:33.00px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>1999 Resident Research Trainee Prize RSNA</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="313.02" class="sg nowrap f5" style="z-index:9;color:#DC9E1F;font-size:106%; left:11.16px;top:57.24px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>2001 Roentgen Research Award RSNA</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="549.46" class="sg nowrap f5" style="z-index:13;color:#DC9E1F;font-size:106%; left:11.16px;top:81.49px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:16.09px"> </span>Numerous individual awards for research, education, mentored research:</span></span></p><p para="{in:2,bl:{ch:8226},spaf:6.00}"><span data-textwidth="278.44" class="sg nowrap f5" style="z-index:15;color:#DC9E1F;font-size:72%; left:47.17px;top:106.69px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:15.12px"> </span>RSNA Medical Student Research Grant 2005, 2006</span></span></p><p para="{in:2,bl:{ch:8226},spaf:6.00}"><span data-textwidth="283.36" class="sg nowrap f5" style="z-index:18;color:#DC9E1F;font-size:72%; left:47.17px;top:125.18px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:15.12px"> </span>RSNA Resident Research Trainee Prize 2010, 2011 </span></span></p><p para="{in:2,bl:{ch:8226},spaf:6.00}"><span data-textwidth="329.33" class="sg nowrap f5" style="z-index:21;color:#DC9E1F;font-size:72%; left:47.17px;top:143.66px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:15.12px"> </span>RSNA Fellow Student Research Trainee Prize 2012, 2014 x 2</span></span></p><p para="{in:2,bl:{ch:8226},spaf:6.00}"><span data-textwidth="282.89" class="sg nowrap f5" style="z-index:24;color:#DC9E1F;left:11.16px;top:161.30px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>RSNA Honored Educator Award 2016</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="454.52" class="sg nowrap f5" style="z-index:26;color:#DC9E1F;left:11.16px;top:184.59px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>25 Course Director roles, plus 2 multiyear course directorships</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="661.20" class="sg nowrap f5" style="z-index:28;color:#DC9E1F;left:11.16px;top:207.87px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>Chair, ACR Quality and Safety Commission – Appropriateness Criteria©, involved since 2007</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="483.21" class="sg nowrap f5" style="z-index:34;color:#DC9E1F;left:11.16px;top:231.16px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>Active grant reviewer since 2007, including RSNA R&amp;E Foundation</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="619.79" class="sg nowrap f5" style="z-index:36;color:#DC9E1F;left:11.16px;top:254.44px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>Reviews for every journal related to CV imaging; Editor in chief 3D Printing in Medicine</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="671.64" class="sg nowrap f5" style="z-index:38;color:#DC9E1F;left:11.16px;top:277.73px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:16.69px"> </span>Introduced wide area detector CT in radiology RSNA 2007; 1</span><span class="f2" style="font-size:67%; color:#FFFFFF;position:relative;bottom:6px;">st</span><span class="f2" style="color:#FFFFFF;"> described “CT flow” RSNA 2008</span></span></p></div></div></div> <div class="sg sgTitle" id="s626" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s626_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="316.61" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">FRANK RYBICKI, MD, PHD</span></p></div></div></div> <div class="sg" id="s628" data-sgid="Content Placeholder 4" style="z-index:3;left:485.29px;top:26.50px;width:234.71px;height:176.28px"> <img class="sg" src="2C336208.jpg" id="s628_i" style="z-index:1;left:0px;top:0px;width:234.71px;height:176.28px" > </div> <div class="sg" id="s629" data-sgid="Picture 6" style="z-index:4;left:9.97px;top:107.32px;width:368.92px;height:221.39px"> <img class="sg" src="F09F19B0.jpg" id="s629_i" style="z-index:1;left:0px;top:0px;width:368.92px;height:221.39px" > </div> <div class="sg" id="s627" data-sgid="Content Placeholder 3" style="z-index:2;left:11.53px;top:87.91px;width:702.50px;height:336.74px" data-valign="top"> <img class="sg" src="3F7A734A.png" id="s627_tt" style="left:0.00px;top:0.00px;width:702.50px;height:336.74px;z-index:1" > </div> <div class="sg" id="s630" data-sgid="Picture 7" style="z-index:5;left:419.33px;top:171.86px;width:224.77px;height:168.85px"> <img class="sg" src="5CF0C933.jpg" id="s630_i" style="z-index:1;left:0px;top:0px;width:224.77px;height:168.85px" > </div> <div class="sg sgTitle" id="s631" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:648.52px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s631_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:659.42px;height:82.75px;"><div><p><span data-textwidth="615.23" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">CARDIOTHORACIC CASE 1- 39 YEAR OLD WOMAN</span></p></div></div></div> <div class="sg" id="s638" data-sgid="Rectangle 10" style="z-index:8;left:556.06px;top:142.58px;width:73.52px;height:32.26px" data-valign="top" data-pointer-events="none"> <div id="s638_t" class="sg" style="z-index:2;left:-4.56px;top:-2.38px;width:82.41px;height:42.92px;"><div><p para="{al:2}"><span data-textwidth="57.38" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.95px;top:8.67px;">4-6 mm</span></p></div></div></div> <div class="sg" id="s637" data-sgid="Straight Arrow Connector 12" style="z-index:7;left:584.35px;top:176.54px;width:29.51px;height:27.57px" data-pointer-events="none"> <img class="sg" src="63368DAD.png" id="s637_i" style="z-index:1;left:0px;top:0px;width:29.51px;height:27.57px" > </div> <div class="sg" id="s636" data-sgid="Straight Arrow Connector 7" style="z-index:6;left:568.04px;top:176.54px;width:30.84px;height:27.57px" data-pointer-events="none"> <img class="sg" src="CB96029A.png" id="s636_i" style="z-index:1;left:0px;top:0px;width:30.84px;height:27.57px" > </div> <div class="sg" id="s632" data-sgid="Content Placeholder 5" style="z-index:2;left:218.40px;top:93.90px;width:243.75px;height:243.80px"> <img class="sg" src="E5A8684D.jpg" id="s632_i" style="z-index:1;left:0px;top:0px;width:243.75px;height:243.80px" > </div> <div class="sg" id="s633" data-sgid="Rounded Rectangle 3" style="z-index:3;left:5.15px;top:177.48px;width:199.60px;height:85.76px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="DED5CEF8.png" id="s633_i" style="z-index:1;left:0px;top:0px;width:199.60px;height:85.76px" > <div id="s633_t" class="sg" style="z-index:2;left:0.00px;top:-0.94px;width:199.60px;height:92.20px;"><div><p para="{al:2}"><span data-textwidth="139.70" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:31.70px;top:7.62px;">Transfer from another </span><span data-textwidth="141.02" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:31.10px;top:26.82px;">hospital in respiratory </span><span data-textwidth="135.14" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:33.98px;top:46.03px;">failure and malignant </span><span data-textwidth="135.38" class="sg nowrap f1" style="z-index:5;font-weight:bold; font-size:89%; left:32.06px;top:65.23px;">hypertensive urgency</span></p></div></div></div> <div class="sg" id="s634" data-sgid="Arrow: Right 2" style="z-index:4;left:474.38px;top:206.87px;width:66.44px;height:32.99px" data-fillcolor="16777215"> <img class="sg" src="B574F892.png" id="s634_i" style="z-index:1;left:0px;top:0px;width:66.44px;height:32.99px" > </div> <div class="sg" id="s635" data-sgid="Picture 4" style="z-index:5;left:551.24px;top:177.84px;width:126.42px;height:108.88px"> <img class="sg" src="7430D8F0.png" id="s635_i" style="z-index:1;left:0px;top:0px;width:126.42px;height:108.88px" > </div> <div class="sg sgTitle" id="s639" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s639_t" class="sg" style="z-index:2;left:-7.30px;top:0.00px;width:631.84px;height:76.85px;"><div><p><span data-textwidth="285.77" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.02px;top:15.09px;">MALIGNANT HYPERTENSION</span><span data-textwidth="189.87" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:111%; left:15.02px;top:42.53px;">39 YEAR OLD FEMALE </span></p></div></div></div> <div class="sg" id="s641" data-sgid="Rectangle 4" style="z-index:3;left:377.33px;top:37.79px;width:348.67px;height:56.60px" data-valign="top" data-pointer-events="none"> <div id="s641_t" class="sg" style="z-index:2;left:-4.90px;top:-2.53px;width:353.57px;height:59.12px;"><div><p><span data-textwidth="296.81" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.83px;top:8.71px;">+ “small caliber aorta” + cardiomyopathy</span></p></div></div></div> <div class="sg" id="s640" data-sgid="Content Placeholder 2" style="z-index:2;left:128.46px;top:93.42px;width:462.63px;height:294.78px" data-valign="top" data-pointer-events="none"> <div id="s640_t" class="sg" style="z-index:2;left:0.00px;top:-3.01px;width:462.63px;height:297.79px;"><div><p para="{al:2,spaf:6.00}"><span data-textwidth="297.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:122%; left:82.90px;top:9.37px;">Kidney Injury/ Renal Artery Stenosis</span></p><p para="{al:2,spaf:6.00}"><span data-textwidth="422.59" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:122%; left:20.12px;top:41.78px;">Aortic pathology (coarctation, dissection, vasculitis)</span></p><p para="{al:2,spaf:6.00}"><span data-textwidth="85.09" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:122%; left:188.99px;top:74.19px;">Eclampsia</span></p><p para="{al:2,spaf:6.00}"><span data-textwidth="122.30" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:122%; left:170.39px;top:106.59px;">Hypercalcemia</span></p><p para="{al:2,spaf:6.00}"><span data-textwidth="294.16" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:122%; left:84.34px;top:139.00px;">Hyperthyroidism and Thyrotoxicosis</span></p><p para="{al:2,spaf:6.00}"><span data-textwidth="164.19" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:122%; left:149.39px;top:171.41px;">Pheochromocytoma</span></p><p para="{al:2,spaf:6.00}"><span data-textwidth="222.40" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:122%; left:120.34px;top:203.82px;">Subarachnoid Hemorrhage</span></p><p para="{al:2,spaf:6.00}"><span data-textwidth="49.09" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:122%; left:207.00px;top:236.22px;">Drugs</span></p></div></div></div> <div class="sg sgTitle" id="s642" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:648.52px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s642_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:659.42px;height:82.75px;"><div><p><span data-textwidth="146.66" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">VASCULITIS</span></p></div></div></div> <div class="sg" id="s646" data-sgid="Rectangle 3" style="z-index:5;left:341.37px;top:103.49px;width:240.35px;height:32.26px" data-valign="top" data-pointer-events="none"> <div id="s646_t" class="sg" style="z-index:2;left:-4.93px;top:-2.53px;width:247.80px;height:42.95px;"><div><p><span data-textwidth="222.88" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.82px;top:8.66px;">LARGE VESSEL VASCULITIS</span></p></div></div></div> <div class="sg" id="s647" data-sgid="Rectangle 7" style="z-index:6;left:118.04px;top:111.29px;width:65.25px;height:46.89px" data-valign="top" data-pointer-events="none"> <div id="s647_t" class="sg" style="z-index:2;left:-2.04px;top:-1.45px;width:69.55px;height:53.96px;"><div><p para="{al:2}"><span data-textwidth="49.57" class="sg nowrap f1" style="z-index:2;color:#C00000;font-weight:bold; font-size:89%; left:10.02px;top:7.59px;">Medium</span></p><p para="{al:2}"><span data-textwidth="40.21" class="sg nowrap f1" style="z-index:3;color:#C00000;font-weight:bold; font-size:89%; left:14.70px;top:26.79px;"><u>vessel</u></span></p></div></div><img class="sg" src="AC27FDA4.png" id="s647_tt" style="left:-2.04px;top:-1.45px;width:69.55px;height:53.96px;z-index:1" > </div> <div class="sg" id="s648" data-sgid="Rectangle 8" style="z-index:7;left:40.19px;top:129.28px;width:55.76px;height:46.89px" data-valign="top" data-pointer-events="none"> <div id="s648_t" class="sg" style="z-index:2;left:-2.04px;top:-1.45px;width:60.09px;height:53.99px;"><div><p para="{al:2}"><span data-textwidth="34.93" class="sg nowrap f1" style="z-index:2;color:#C00000;font-weight:bold; font-size:89%; left:12.50px;top:7.60px;">Small</span></p><p para="{al:2}"><span data-textwidth="40.21" class="sg nowrap f1" style="z-index:3;color:#C00000;font-weight:bold; font-size:89%; left:9.86px;top:26.80px;"><u>vessel</u></span></p></div></div><img class="sg" src="BBCE90F8.png" id="s648_tt" style="left:-2.04px;top:-1.45px;width:60.09px;height:53.99px;z-index:1" > </div> <div class="sg" id="s651" data-sgid="Rectangle 11" style="z-index:10;left:199.12px;top:134.07px;width:55.65px;height:46.78px" data-valign="top" data-pointer-events="none"> <div id="s651_t" class="sg" style="z-index:2;left:-2.18px;top:-1.56px;width:60.09px;height:53.96px;"><div><p para="{al:2}"><span data-textwidth="35.77" class="sg nowrap f1" style="z-index:2;color:#C00000;font-weight:bold; font-size:89%; left:12.37px;top:7.60px;">Large</span></p><p para="{al:2}"><span data-textwidth="40.21" class="sg nowrap f1" style="z-index:3;color:#C00000;font-weight:bold; font-size:89%; left:10.09px;top:26.81px;">vessel</span></p></div></div></div> <div class="sg" id="s649" data-sgid="Rectangle 9" style="z-index:8;left:115.15px;top:153.87px;width:68.14px;height:44.48px" data-valign="top" data-pointer-events="none"> <div id="s649_t" class="sg" style="z-index:2;left:-0.96px;top:-0.48px;width:69.92px;height:50.61px;"><div><p para="{al:2}"><span data-textwidth="52.33" class="sg nowrap f1" style="z-index:2;color:#C00000;font-weight:bold; font-size:78%; left:8.95px;top:6.65px;">Kawasaki</span></p><p para="{al:2}"><span data-textwidth="26.76" class="sg nowrap f1" style="z-index:3;color:#C00000;font-weight:bold; font-size:89%; left:21.79px;top:23.45px;">PAN</span></p></div></div></div> <div class="sg" id="s650" data-sgid="Rectangle 10" style="z-index:9;left:35.51px;top:168.85px;width:62.47px;height:61.53px" data-valign="top" data-pointer-events="none"> <div id="s650_t" class="sg" style="z-index:2;left:-0.96px;top:-1.30px;width:64.29px;height:66.89px;"><div><p para="{al:2}"><span data-textwidth="37.93" class="sg nowrap f1" style="z-index:2;color:#C00000;font-weight:bold; font-size:89%; left:13.22px;top:7.49px;">ANCA</span></p><p para="{al:2}"><span data-textwidth="44.17" class="sg nowrap f1" style="z-index:3;color:#C00000;font-weight:bold; font-size:78%; left:10.10px;top:26.57px;">Immune</span></p><p para="{al:2}"><span data-textwidth="46.69" class="sg nowrap f1" style="z-index:4;color:#C00000;font-weight:bold; font-size:78%; left:8.90px;top:43.38px;">complex</span></p></div></div></div> <div class="sg" id="s643" data-sgid="Rectangle 5" style="z-index:2;left:335.36px;top:146.18px;width:378.66px;height:129.16px" data-valign="top" data-pointer-events="none"> <div id="s643_t" class="sg" style="z-index:2;left:-4.93px;top:-2.52px;width:387.78px;height:138.87px;"><div><p><span data-textwidth="349.13" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.83px;top:8.81px;">Takayasu: &lt;40 yo, granulomatous inflamm of Ao</span><span data-textwidth="362.82" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:111%; left:12.83px;top:32.82px;">and major branches, hypertension w emergencies</span></p><p></p><p><span data-textwidth="338.33" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:111%; left:12.83px;top:80.83px;">Giant Cell: &gt;50 yo, Ao and extracranial carotid </span><span data-textwidth="255.88" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:111%; left:12.83px;top:104.83px;">(temporal), polymyalgia rheumatica</span></p></div></div></div> <div class="sg" id="s644" data-sgid="Picture 2" style="z-index:3;left:7.19px;top:103.49px;width:323.01px;height:237.22px"> <img class="sg" src="7228F512.png" id="s644_i" style="z-index:1;left:0px;top:0px;width:323.01px;height:237.22px" > </div> <div class="sg" id="s652" data-sgid="Rectangle 12" style="z-index:11;left:164.20px;top:253.76px;width:107.11px;height:72.31px" data-valign="top" data-pointer-events="none"> <div id="s652_t" class="sg" style="z-index:2;left:0.00px;top:-0.60px;width:107.11px;height:76.51px;"><div><p para="{al:2}"><span data-textwidth="43.45" class="sg nowrap f1" style="z-index:2;color:#C00000;font-weight:bold; font-size:78%; left:33.59px;top:6.74px;">No size </span><span data-textwidth="78.73" class="sg nowrap f1" style="z-index:3;color:#C00000;font-weight:bold; font-size:78%; left:14.39px;top:23.54px;">predominance</span></p><p></p><p para="{al:2}"><span data-textwidth="74.29" class="sg nowrap f1" style="z-index:4;color:#C00000;font-weight:bold; font-size:72%; left:16.55px;top:54.39px;">“Complicated”</span></p></div></div></div> <div class="sg" id="s645" data-sgid="Rectangle 2" style="z-index:4;left:23.39px;top:345.50px;width:251.17px;height:25.19px" data-valign="top" data-pointer-events="none"> <div id="s645_t" class="sg" style="z-index:2;left:-1.33px;top:-0.59px;width:252.50px;height:30.21px;"><div><p><span data-textwidth="233.68" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:78%; left:9.03px;top:6.93px;">Watts RA et al. Rheumatology 50:643 (2011) </span></p></div></div></div> <div class="sg sgTitle" id="s653" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s653_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="433.63" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">CHEST CT ANGIOGRAM SAME DAY</span></p></div></div></div> <div class="sg" id="s654" data-sgid="Picture 7" style="z-index:2;left:239.41px;top:93.90px;width:243.72px;height:243.80px"> <img class="sg" src="9DD2F900.jpg" id="s654_i" style="z-index:1;left:0px;top:0px;width:243.72px;height:243.80px" > </div> <div class="sg" id="s655" data-sgid="Picture 10" style="z-index:3;left:-1.19px;top:93.90px;width:243.72px;height:243.80px"> <img class="sg" src="CB509F2D.jpg" id="s655_i" style="z-index:1;left:0px;top:0px;width:243.72px;height:243.80px" > </div> <div class="sg" id="s656" data-sgid="Picture 2" style="z-index:4;left:506.04px;top:126.16px;width:195.49px;height:220.54px"> <img class="sg" src="3EE35949.jpg" id="s656_i" style="z-index:1;left:0px;top:0px;width:195.49px;height:220.54px" > </div> <div class="sg sgTitle" id="s657" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s657_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="438.67" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ROLE OF RADIOLOGY IN TAKAYASU</span></p></div></div></div> <div class="sg" id="s658" data-sgid="Content Placeholder 4" style="z-index:2;left:47.49px;top:111.89px;width:624.53px;height:204.82px" data-valign="top" data-pointer-events="none"> <div id="s658_t" class="sg" style="z-index:2;left:-6.23px;top:-3.61px;width:630.76px;height:208.43px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="549.33" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.83px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Secure diagnosis – histopathology can be contraindicated</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="539.73" class="sg nowrap f5" style="z-index:7;color:#DC9E1F;font-size:133%; left:13.95px;top:51.40px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Differentiate inflammatory versus atherosclerotic disease</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="374.94" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:133%; left:13.95px;top:91.96px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Determine if a vascular lesion is active</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="457.40" class="sg nowrap f5" style="z-index:13;color:#DC9E1F;font-size:133%; left:13.95px;top:132.53px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Evaluate downstream ischemia &amp; complications</span></span></p></div></div></div> <div class="sg sgTitle" id="s669" data-sgid="Title 1" style="z-index:11;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s669_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="567.45" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ABDOMINOPELVIC CT ANGIOGRAM SAME DAY</span></p></div></div></div> <div class="sg" id="s670" data-sgid="Picture 29" style="z-index:12;left:221.40px;top:89.59px;width:182.21px;height:256.88px"> <img class="sg" src="981CA8A1.jpg" id="s670_i" style="z-index:1;left:0px;top:0px;width:182.21px;height:256.88px" > </div> <div class="sg" id="s671" data-sgid="Picture 30" style="z-index:13;left:377.33px;top:89.59px;width:182.21px;height:256.88px"> <img class="sg" src="7EDF6D70.jpg" id="s671_i" style="z-index:1;left:0px;top:0px;width:182.21px;height:256.88px" > </div> <div class="sg" id="s672" data-sgid="Picture 31" style="z-index:14;left:537.82px;top:89.59px;width:182.18px;height:256.88px"> <img class="sg" src="E0D74316.jpg" id="s672_i" style="z-index:1;left:0px;top:0px;width:182.18px;height:256.88px" > </div> <div class="sg" id="s659" data-sgid="Content Placeholder 13" style="z-index:1;left:35.51px;top:92.34px;width:147.77px;height:303.04px"> <img class="sg" src="CD967245.jpg" id="s659_i" style="z-index:1;left:0px;top:0px;width:147.77px;height:303.04px" > </div> <div class="sg" id="s664" data-sgid="Picture 18" style="z-index:6;left:35.51px;top:92.34px;width:151.11px;height:309.87px"> <img class="sg" src="8B64E935.jpg" id="s664_i" style="z-index:1;left:0px;top:0px;width:151.11px;height:309.87px" > </div> <div class="sg" id="s665" data-sgid="Picture 19" style="z-index:7;left:35.51px;top:92.34px;width:149.56px;height:309.87px"> <img class="sg" src="FD9E8DE9.jpg" id="s665_i" style="z-index:1;left:0px;top:0px;width:149.56px;height:309.87px" > </div> <div class="sg" id="s666" data-sgid="Picture 20" style="z-index:8;left:35.51px;top:92.34px;width:149.33px;height:309.87px"> <img class="sg" src="12484A1.jpg" id="s666_i" style="z-index:1;left:0px;top:0px;width:149.33px;height:309.87px" > </div> <div class="sg" id="s667" data-sgid="Picture 21" style="z-index:9;left:35.51px;top:92.34px;width:148.11px;height:309.87px"> <img class="sg" src="748422AF.jpg" id="s667_i" style="z-index:1;left:0px;top:0px;width:148.11px;height:309.87px" > </div> <div class="sg" id="s668" data-sgid="Picture 22" style="z-index:10;left:35.51px;top:92.34px;width:148.11px;height:309.87px"> <img class="sg" src="696AEA42.jpg" id="s668_i" style="z-index:1;left:0px;top:0px;width:148.11px;height:309.87px" > </div> <div class="sg" id="s660" data-sgid="Picture 14" style="z-index:2;left:35.51px;top:92.34px;width:149.92px;height:309.87px"> <img class="sg" src="4BF939BD.jpg" id="s660_i" style="z-index:1;left:0px;top:0px;width:149.92px;height:309.87px" > </div> <div class="sg" id="s661" data-sgid="Picture 15" style="z-index:3;left:35.51px;top:92.34px;width:148.00px;height:309.87px"> <img class="sg" src="E0B14B3E.jpg" id="s661_i" style="z-index:1;left:0px;top:0px;width:148.00px;height:309.87px" > </div> <div class="sg" id="s662" data-sgid="Picture 16" style="z-index:4;left:35.51px;top:92.34px;width:150.26px;height:309.87px"> <img class="sg" src="45D862A2.jpg" id="s662_i" style="z-index:1;left:0px;top:0px;width:150.26px;height:309.87px" > </div> <div class="sg" id="s663" data-sgid="Picture 17" style="z-index:5;left:35.51px;top:92.34px;width:148.37px;height:309.87px"> <img class="sg" src="64AAD260.jpg" id="s663_i" style="z-index:1;left:0px;top:0px;width:148.37px;height:309.87px" > </div> <div class="sg" id="s673" data-sgid="Rounded Rectangle 32" style="z-index:15;left:269.04px;top:315.29px;width:229.56px;height:85.73px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="F0C9FC14.png" id="s673_i" style="z-index:1;left:0px;top:0px;width:229.56px;height:85.73px" > <div id="s673_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:229.56px;height:85.73px;"><div><p para="{al:2}"><span data-textwidth="99.86" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:64.98px;top:16.38px;">Lactic Acid: 2.8;</span></p><p para="{al:2}"><span data-textwidth="198.39" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:17.45px;top:35.59px;">hypertension persisted; patient </span><span data-textwidth="201.87" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:17.45px;top:54.79px;">remained minimally responsive </span></p></div></div></div> <div class="sg sgTitle" id="s674" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s674_t" class="sg" style="z-index:2;left:-10.90px;top:-17.28px;width:635.44px;height:100.03px;"><div><p><span data-textwidth="537.93" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:13.28px;">2 WEEKS LATER: POSTERIOR REVERSIBLE </span><span data-textwidth="483.44" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:167%; left:18.62px;top:49.29px;">ENCEPHALOPATHY SYNDROME (PRES)</span></p></div></div></div> <div class="sg" id="s679" data-sgid="Picture 8" style="z-index:6;left:237.97px;top:92.23px;width:128.09px;height:161.28px"> <img class="sg" src="7DA312FF.png" id="s679_i" style="z-index:1;left:0px;top:0px;width:128.09px;height:161.28px" > </div> <div class="sg" id="s678" data-sgid="Picture 7" style="z-index:5;left:123.19px;top:92.23px;width:129.17px;height:162.13px"> <img class="sg" src="AD6E409D.png" id="s678_i" style="z-index:1;left:0px;top:0px;width:129.17px;height:162.13px" > </div> <div class="sg" id="s676" data-sgid="Picture 5" style="z-index:3;left:6.83px;top:91.26px;width:132.05px;height:165.99px"> <img class="sg" src="8807104B.png" id="s676_i" style="z-index:1;left:0px;top:0px;width:132.05px;height:165.99px" > </div> <div class="sg" id="s680" data-sgid="Content Placeholder 3" style="z-index:7;left:377.33px;top:90.89px;width:318.68px;height:276.79px" data-valign="top"> <div id="s680_t" class="sg" style="z-index:2;left:-3.59px;top:-1.78px;width:325.87px;height:278.58px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="282.89" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:11.52px;top:8.03px;">Predominant parieto-occipital subcortical </span><span data-textwidth="124.83" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;left:11.52px;top:29.64px;">vasogenic edema </span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="225.04" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;left:11.52px;top:61.56px;">Intraparenchimal / subarachnoid </span><span data-textwidth="207.51" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;left:11.52px;top:83.17px;">hemorrhage* in/ along edema</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="278.22" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;left:11.52px;top:115.10px;">Restricted diffusion* 11% - 26% of cases</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="234.16" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;left:11.52px;top:147.02px;">Contrast enhancement (gyriform / </span><span data-textwidth="109.82" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;left:11.52px;top:168.63px;">leptomeningeal)</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="203.32" class="sg nowrap f2" style="z-index:19;color:#FFFFFF;left:11.52px;top:200.55px;">Reversibility 70%- 90% cases</span></p><p para="{al:3,spbf:0.20,spaf:6.00}"><span data-textwidth="123.38" class="sg nowrap f2" style="z-index:22;color:#FFFFFF;left:191.67px;top:232.48px;">*Poorer outcomes</span></p></div></div></div> <div class="sg" id="s677" data-sgid="Picture 6" style="z-index:4;left:5.52px;top:240.09px;width:132.05px;height:157.33px"> <img class="sg" src="9034A172.png" id="s677_i" style="z-index:1;left:0px;top:0px;width:132.05px;height:157.33px" > </div> <div class="sg" id="s675" data-sgid="Content Placeholder 4" style="z-index:2;left:240.12px;top:242.84px;width:123.79px;height:155.91px"> <img class="sg" src="C0902515.png" id="s675_i" style="z-index:1;left:0px;top:0px;width:123.79px;height:155.91px" > </div> <div class="sg sgTitle" id="s682" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s682_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="529.05" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:47.93px;top:21.52px;">DR. RYBICKI’S DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s681" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <img class="sg" src="18750D6B.png" id="s681_tt" style="left:0.00px;top:0.00px;width:624.53px;height:243.80px;z-index:1" > </div> <div class="sg" id="s683" data-sgid="Rectangle 3" style="z-index:3;left:17.50px;top:140.20px;width:678.51px;height:200.14px" data-valign="top" data-pointer-events="none"> <div id="s683_t" class="sg" style="z-index:2;left:-18.83px;top:-10.92px;width:727.93px;height:234.33px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="422.11" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:147.99px;top:20.63px;">Takayasu’s Arteritis <span class="f4" style="font-style:italic; ">and</span></span></p><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="669.95" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:267%; left:28.81px;top:95.89px;">Posterior Reversible Encephalopathy </span><span data-textwidth="182.07" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:267%; left:267.29px;top:153.50px;">Syndrome</span></p></div></div></div> <div class="sg sgTitle" id="s684" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s684_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s685" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s685_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:624.53px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="365.23" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:140.94px;top:20.70px;">Takayasu’s Arteritis </span></p><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="23.40" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:267%; left:300.81px;top:95.84px;">+</span></p><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="360.18" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:267%; left:137.94px;top:170.98px;">MidAortic Syndrome</span></p></div></div></div> <div class="sg sgTitle" id="s686" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s686_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="476.84" class="sg nowrap f2" style="z-index:2;color:#DC9E1F;font-size:267%; left:74.09px;top:20.66px;">MID AORTIC SYNDROME</span></p></div></div></div> <div class="sg" id="s687" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:105.90px;width:648.52px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s687_t" class="sg" style="z-index:2;left:-3.96px;top:-7.20px;width:652.63px;height:251.01px;"><div><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="616.55" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.68px;top:9.36px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.56px"> </span>Mid Aortic Syndrome = Middle Aortic Syndrome = Abdominal Coarctation</span></span></p><p para="{in:2,bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="485.47" class="sg nowrap f3" style="z-index:5;color:#DC9E1F;font-size:111%; left:47.69px;top:39.37px;">&#61607;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:8.88px"> </span>Congenital- abn fusion of dorsal aortas in 4 week embryo</span></span></p><p para="{in:2,bl:{ch:167},spbf:0.20,spaf:6.00}"><span data-textwidth="593.02" class="sg nowrap f3" style="z-index:10;color:#DC9E1F;font-size:111%; left:47.69px;top:69.38px;">&#61607;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:8.88px"> </span>Acquired: Takayasu, Giant Cell arteritis, NF, FMD, William’s syndrome, </span></span><span data-textwidth="189.63" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:111%; left:70.25px;top:87.98px;">Alagille syndrome, RPF</span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="389.58" class="sg nowrap f3" style="z-index:16;color:#DC9E1F;font-size:111%; left:11.68px;top:118.59px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.56px"> </span>Inter-renal &gt; suprarenal &gt; infrarenal &gt; diffuse</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="364.50" class="sg nowrap f3" style="z-index:22;color:#DC9E1F;font-size:111%; left:11.68px;top:148.59px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.56px"> </span>Life expectancy if untreated = 30-40 years</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="606.82" class="sg nowrap f3" style="z-index:26;color:#DC9E1F;font-size:111%; left:11.68px;top:178.60px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.56px"> </span>Death due to cardiovascular complications of progressive hypertension</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="197.43" class="sg nowrap f3" style="z-index:28;color:#DC9E1F;font-size:111%; left:11.68px;top:208.61px;">&#61558;<span class="f1" style="font-weight:bold; color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.56px"> </span>Treatment is surgical</span></span></p></div></div></div> <div class="sg" id="s688" data-sgid="TextBox 2" style="z-index:3;left:51.83px;top:353.42px;width:582.68px;height:51.69px" data-valign="top"> <div id="s688_t" class="sg" style="z-index:2;left:0.00px;top:-0.12px;width:582.68px;height:54.92px;"><div><p><span data-textwidth="183.51" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.82px;top:6.10px;">Bhatti et al. JPMA 2011;61(10):1018-1020</span></p><p><span data-textwidth="281.56" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:67%; left:7.82px;top:20.50px;">Delis et al. Perspect Vasc Surg Endovasc Ther 2005;17:187-203</span></p><p><span data-textwidth="219.51" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:67%; left:7.82px;top:34.91px;">Gornik et al. Aortitis. Circulation 2008;117:3039-51</span></p></div></div></div> <div class="sg sgTitle" id="s689" data-sgid="Title 1" style="z-index:1;left:41.15px;top:21.96px;width:636.51px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s689_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:636.51px;height:71.94px;"><div><p para="{al:2}"><span data-textwidth="312.89" class="sg nowrap f1" style="z-index:2;color:#DC9E1F;font-weight:bold; font-size:167%; left:162.04px;top:21.21px;">WHERE ARE YOU FROM?</span></p></div></div></div> <div class="sg" id="s691" data-sgid="Rectangle 3" style="z-index:3;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s691_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s692" data-sgid="Content Placeholder 2 (2)" style="z-index:4;left:83.49px;top:98.47px;width:492.59px;height:207.69px" data-valign="top"> <img class="sg" src="5EADB10C.png" id="s692_tt" style="left:0.00px;top:0.00px;width:492.59px;height:207.69px;z-index:1" > </div> <div class="sg" id="s694" data-sgid="Picture 11" style="z-index:6;left:111.92px;top:90.55px;width:495.71px;height:248.23px"> <img class="sg" src="3F8042A0.jpg" id="s694_i" style="z-index:1;left:0px;top:0px;width:495.71px;height:248.23px" > </div> <div class="sg" id="s695" data-sgid="Picture 15" style="z-index:7;left:113.11px;top:92.11px;width:492.59px;height:246.67px"> <img class="sg" src="F3C897D6.jpg" id="s695_i" style="z-index:1;left:0px;top:0px;width:492.59px;height:246.67px" > </div> <div class="sg" id="s690" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <img class="sg" src="18750D6B.png" id="s690_tt" style="left:0.00px;top:0.00px;width:624.53px;height:243.80px;z-index:1" > </div> <div class="sg" id="s696" data-sgid="Picture 2" style="z-index:8;left:405.88px;top:292.14px;width:301.55px;height:46.64px"> <img class="sg" src="5D25E58B.png" id="s696_i" style="z-index:1;left:0px;top:0px;width:301.55px;height:46.64px" > </div> <div class="sg" id="s693" data-sgid="TextBox 10" style="z-index:5;left:17.50px;top:380.51px;width:612.56px;height:22.67px" data-valign="top"> <div id="s693_t" class="sg" style="z-index:2;left:0.00px;top:-0.11px;width:612.56px;height:26.27px;"><div><p><span data-textwidth="589.18" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.70px;top:6.13px;">Downloaded from: <span style="color:#646464;"><a target=_blank class="sga" href="https://visibleearth.nasa.gov/view.php?id=73580"><u>https://visibleearth.nasa.gov/view.php?id=73580</u></a></span><span style="letter-spacing:2.52px"> </span>and <span style="color:#646464;"><a target=_blank class="sga" href="https://visibleearth.nasa.gov/view.php?id=73751"><u>https://</u></a><a target=_blank class="sga" href="https://visibleearth.nasa.gov/view.php?id=73751"><u>visibleearth.nasa.gov/view.php?id=73751</u></a></span> on 11.6.2017</span></p></div></div><img class="sg" src="B6FED1B2.png" id="s693_tt" style="left:0.00px;top:-0.11px;width:612.56px;height:26.27px;z-index:1" > </div> <div class="sg sgTitle" id="s697" data-sgid="Title 1" style="z-index:1;left:41.49px;top:32.51px;width:636.54px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s697_t" class="sg" style="z-index:2;left:0.00px;top:-38.16px;width:636.54px;height:106.50px;"><div><p para="{al:2}"><span data-textwidth="289.84" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:176.71px;top:11.25px;">DIAGNOSIS LIVE QUESTION: </span><span data-textwidth="312.89" class="sg nowrap f1" style="z-index:5;color:#DC9E1F;font-weight:bold; font-size:167%; left:162.06px;top:40.30px;">WHERE ARE YOU FROM?</span><span data-textwidth="437.36" class="sg nowrap f2" style="z-index:6;color:#DC9E1F;font-size:89%; left:99.77px;top:74.47px;">(TOUCH YOUR HOME ON THE WORLD IMAGE AND HIT “<span class="f1" style="font-weight:bold; ">SUBMIT”)</span></span></p></div></div></div> <div class="sg" id="s699" data-sgid="Rectangle 3" style="z-index:3;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s699_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s700" data-sgid="Content Placeholder 2 (2)" style="z-index:4;left:83.49px;top:98.47px;width:492.59px;height:207.69px" data-valign="top"> <img class="sg" src="5EADB10C.png" id="s700_tt" style="left:0.00px;top:0.00px;width:492.59px;height:207.69px;z-index:1" > </div> <div class="sg" id="s703" data-sgid="Picture 11" style="z-index:7;left:111.92px;top:90.55px;width:495.71px;height:248.23px"> <img class="sg" src="3F8042A0.jpg" id="s703_i" style="z-index:1;left:0px;top:0px;width:495.71px;height:248.23px" > </div> <div class="sg" id="s698" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <img class="sg" src="18750D6B.png" id="s698_tt" style="left:0.00px;top:0.00px;width:624.53px;height:243.80px;z-index:1" > </div> <div class="sg" id="s704" data-sgid="Picture 2" style="z-index:8;left:405.88px;top:292.14px;width:301.55px;height:46.64px"> <img class="sg" src="5D25E58B.png" id="s704_i" style="z-index:1;left:0px;top:0px;width:301.55px;height:46.64px" > </div> <div class="sg" id="s701" data-sgid="Rectangle 6" style="z-index:5;left:278.98px;top:351.74px;width:152.44px;height:51.80px" data-valign="top" data-pointer-events="none"> <div id="s701_t" class="sg" style="z-index:2;left:-3.71px;top:-1.81px;width:158.34px;height:53.62px;"><div><p><span data-textwidth="135.26" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.58px;top:8.27px;"><a target=_blank class="sga" href="https://goo.gl/Mi7f6U"><u>https://goo.gl/Mi7f6U</u></a></span></p></div></div><a class="sga aempty" target="_blank" href="https://visibleearth.nasa.gov/view.php?id=73580" style="z-index:100;left:-167.19px;top:29.90px;width:214.47px;height:19.40px"></a><a class="sga aempty" target="_blank" href="https://visibleearth.nasa.gov/view.php?id=73751" style="z-index:100;left:69.77px;top:29.90px;width:214.47px;height:19.40px"></a><img class="sg" src="4CB98B08.png" id="s701_tt" style="left:-3.71px;top:-1.81px;width:158.34px;height:53.62px;z-index:1" > </div> <div class="sg" id="s702" data-sgid="TextBox 10" style="z-index:6;left:17.50px;top:380.51px;width:612.56px;height:22.67px" data-valign="top"> <div id="s702_t" class="sg" style="z-index:2;left:0.00px;top:-0.11px;width:612.56px;height:26.27px;"><div><p><span data-textwidth="589.18" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.70px;top:6.13px;">Downloaded from: <span style="color:#646464;"><a target=_blank class="sga" href="https://visibleearth.nasa.gov/view.php?id=73580"><u>https://visibleearth.nasa.gov/view.php?id=73580</u></a></span><span style="letter-spacing:2.52px"> </span>and <span style="color:#646464;"><a target=_blank class="sga" href="https://visibleearth.nasa.gov/view.php?id=73751"><u>https://</u></a><a target=_blank class="sga" href="https://visibleearth.nasa.gov/view.php?id=73751"><u>visibleearth.nasa.gov/view.php?id=73751</u></a></span> on 11.6.2017</span></p></div></div><img class="sg" src="B6FED1B2.png" id="s702_tt" style="left:0.00px;top:-0.11px;width:612.56px;height:26.27px;z-index:1" > </div> <div class="sg" id="s705" data-sgid="Oval 4" style="z-index:9;left:11.16px;top:389.99px;width:7.67px;height:5.39px" data-fillcolor="16777215"> <img class="sg" src="FCCAB1F4.png" id="s705_i" style="z-index:1;left:0px;top:0px;width:7.67px;height:5.39px" > </div> <div class="sg sgTitle" id="s706" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s706_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="501.80" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">PEDIATRICS CASE 2-<span style="letter-spacing:8.04px"> </span>7 YEAR OLD GIRL </span></p></div></div></div> <div class="sg" id="s708" data-sgid="Rounded Rectangle 3" style="z-index:3;left:5.15px;top:93.53px;width:229.56px;height:73.76px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="2359FA9A.png" id="s708_i" style="z-index:1;left:0px;top:0px;width:229.56px;height:73.76px" > <div id="s708_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:230.18px;height:75.80px;"><div><p para="{al:2}"><span data-textwidth="203.32" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:16.69px;top:10.21px;">Palpable upper abdominal mass </span><span data-textwidth="175.35" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:28.94px;top:29.42px;">discovered at pediatrician’s </span><span data-textwidth="171.51" class="sg nowrap f1" style="z-index:5;font-weight:bold; font-size:89%; left:29.18px;top:48.62px;">office during well child visit</span></p></div></div></div> <div class="sg" id="s707" data-sgid="Content Placeholder 5" style="z-index:2;left:176.06px;top:93.90px;width:367.39px;height:243.80px"> <img class="sg" src="6392460B.jpg" id="s707_i" style="z-index:1;left:0px;top:0px;width:367.39px;height:243.80px" > </div> <div class="sg sgTitle" id="s720" data-sgid="Title 1" style="z-index:12;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s720_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="306.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ABD US, CT ANGIOGRAM</span></p></div></div></div> <div class="sg" id="s710" data-sgid="Picture 4" style="z-index:2;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="4C20089F.jpg" id="s710_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s711" data-sgid="Picture 5" style="z-index:3;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="5B3CCB33.jpg" id="s711_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s712" data-sgid="Picture 6" style="z-index:4;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="EDAAC784.jpg" id="s712_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s713" data-sgid="Picture 7" style="z-index:5;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="92084E46.jpg" id="s713_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s714" data-sgid="Picture 8" style="z-index:6;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="D72F58D0.jpg" id="s714_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s715" data-sgid="Picture 9" style="z-index:7;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="308C7C70.jpg" id="s715_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s716" data-sgid="Picture 10" style="z-index:8;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="D0F3A287.jpg" id="s716_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s717" data-sgid="Picture 11" style="z-index:9;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="C33F1B5F.jpg" id="s717_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s718" data-sgid="Picture 12" style="z-index:10;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="A1FEA6A9.jpg" id="s718_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s719" data-sgid="Picture 13" style="z-index:11;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="B44CAFA5.jpg" id="s719_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s709" data-sgid="Content Placeholder 3" style="z-index:1;left:371.10px;top:-0.48px;width:347.23px;height:347.18px"> <img class="sg" src="6AAED9E5.jpg" id="s709_i" style="z-index:1;left:0px;top:0px;width:347.23px;height:347.18px" > </div> <div class="sg" id="s721" data-sgid="Content Placeholder 3 (2)" style="z-index:13;left:35.51px;top:93.90px;width:294.69px;height:242.95px"> <img class="sg" src="70A14A64.jpg" id="s721_i" style="z-index:1;left:0px;top:0px;width:294.69px;height:242.95px" > </div> <div class="sg sgTitle" id="s722" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s722_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="592.06" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ABDOMINAL ULTRASOUND AND CT ANGIOGRAM</span></p></div></div></div> <div class="sg" id="s724" data-sgid="Content Placeholder 4" style="z-index:3;left:383.34px;top:99.89px;width:320.83px;height:227.15px"> <img class="sg" src="27D97283.jpg" id="s724_i" style="z-index:1;left:0px;top:0px;width:320.83px;height:227.15px" > </div> <div class="sg" id="s723" data-sgid="Content Placeholder 3" style="z-index:2;left:35.51px;top:93.90px;width:294.69px;height:242.95px"> <img class="sg" src="70A14A64.jpg" id="s723_i" style="z-index:1;left:0px;top:0px;width:294.69px;height:242.95px" > </div> <div class="sg sgTitle" id="s728" data-sgid="Title 1" style="z-index:4;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s728_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="197.07" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">CT ANGIOGRAM</span></p></div></div></div> <div class="sg" id="s730" data-sgid="Right Arrow 10" style="z-index:6;left:135.91px;top:138.52px;width:34.30px;height:49.28px" data-fillcolor="555604"> <img class="sg" src="3E4A300.png" id="s730_i" style="z-index:1;left:0px;top:0px;width:34.30px;height:49.28px" > </div> <div class="sg" id="s731" data-sgid="Right Arrow 11" style="z-index:7;left:295.77px;top:173.53px;width:36.11px;height:39.32px" data-fillcolor="555604"> <img class="sg" src="CF6117EC.png" id="s731_i" style="z-index:1;left:0px;top:0px;width:36.11px;height:39.32px" > </div> <div class="sg" id="s729" data-sgid="Content Placeholder 3" style="z-index:5;left:503.27px;top:96.17px;width:165.05px;height:248.14px"> <img class="sg" src="5D6CD93.jpg" id="s729_i" style="z-index:1;left:0px;top:0px;width:165.05px;height:248.14px" > </div> <div class="sg" id="s727" data-sgid="Picture 7" style="z-index:3;left:35.51px;top:96.17px;width:128.68px;height:248.14px"> <img class="sg" src="1CFAABB8.png" id="s727_i" style="z-index:1;left:0px;top:0px;width:128.68px;height:248.14px" > </div> <div class="sg" id="s725" data-sgid="Content Placeholder 4" style="z-index:1;left:291.81px;top:96.17px;width:176.32px;height:248.14px"> <img class="sg" src="D9BAE65C.jpg" id="s725_i" style="z-index:1;left:0px;top:0px;width:176.32px;height:248.14px" > </div> <div class="sg" id="s726" data-sgid="Picture 6" style="z-index:2;left:167.43px;top:96.17px;width:142.28px;height:248.14px"> <img class="sg" src="E751ED75.jpg" id="s726_i" style="z-index:1;left:0px;top:0px;width:142.28px;height:248.14px" > </div> <div class="sg sgTitle" id="s733" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s733_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:624.53px;height:82.75px;"><div><p para="{al:2}"><span data-textwidth="299.69" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:162.67px;top:32.01px;">SUMMARY OF FINDINGS</span></p></div></div></div> <div class="sg" id="s732" data-sgid="TextBox 8" style="z-index:1;left:24.47px;top:93.79px;width:677.55px;height:103.23px" data-valign="top"> <div id="s732_t" class="sg" style="z-index:2;left:-6.71px;top:-3.38px;width:684.26px;height:106.61px;"><div><p><span data-textwidth="379.50" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.61px;top:8.77px;">11 cm well circumscribed mass with uniform density </span></p><p><span data-textwidth="357.90" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:111%; left:12.61px;top:32.78px;">Separate from liver, stomach, spleen and kidneys</span></p><p><span data-textwidth="210.52" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:12.61px;top:56.78px;">Large draining veins into IVC</span></p></div></div></div> <div class="sg" id="s735" data-sgid="Content Placeholder 3" style="z-index:4;left:575.60px;top:116.31px;width:144.40px;height:217.19px"> <img class="sg" src="1479B3BB.jpg" id="s735_i" style="z-index:1;left:0px;top:0px;width:144.40px;height:217.19px" > </div> <div class="sg" id="s734" data-sgid="Content Placeholder 8" style="z-index:3;left:245.39px;top:144.88px;width:114.81px;height:195.94px"> <img class="sg" src="EA5E1358.png" id="s734_i" style="z-index:1;left:0px;top:0px;width:114.81px;height:195.94px" > </div> <div class="sg" id="s736" data-sgid="Content Placeholder 4" style="z-index:5;left:358.98px;top:171.26px;width:229.11px;height:162.24px"> <img class="sg" src="98DE4746.jpg" id="s736_i" style="z-index:1;left:0px;top:0px;width:229.11px;height:162.24px" > </div> <div class="sg sgTitle" id="s738" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s738_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:624.53px;height:82.75px;"><div><p para="{al:2}"><span data-textwidth="293.81" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:165.55px;top:32.01px;">PERTINENT NEGATIVES</span></p></div></div></div> <div class="sg" id="s739" data-sgid="Content Placeholder 4" style="z-index:3;left:401.32px;top:109.50px;width:309.70px;height:219.21px"> <img class="sg" src="4ACE544E.jpg" id="s739_i" style="z-index:1;left:0px;top:0px;width:309.70px;height:219.21px" > </div> <div class="sg" id="s737" data-sgid="TextBox 8" style="z-index:1;left:24.47px;top:90.07px;width:677.55px;height:257.96px" data-valign="top"> <div id="s737_t" class="sg" style="z-index:2;left:-10.31px;top:-5.76px;width:687.86px;height:263.72px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="202.59" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:156%; left:16.21px;top:13.35px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.92px"> </span>No Calcifications</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="122.18" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:156%; left:16.21px;top:59.68px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.92px"> </span>No Cysts</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="190.71" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:156%; left:16.21px;top:106.01px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.92px"> </span>No Central scar</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="154.70" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:156%; left:16.21px;top:152.34px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.92px"> </span>No Necrosis</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="362.34" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:156%; left:16.21px;top:198.67px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:10.92px"> </span>No Abnormal arteries from aorta</span></span></p></div></div></div> <div class="sg sgTitle" id="s741" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s741_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:624.53px;height:82.75px;"><div><p para="{al:2}"><span data-textwidth="328.49" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:148.26px;top:32.01px;">DIFFERENTIAL DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s742" data-sgid="Content Placeholder 4" style="z-index:3;left:401.32px;top:109.50px;width:309.70px;height:219.21px"> <img class="sg" src="4ACE544E.jpg" id="s742_i" style="z-index:1;left:0px;top:0px;width:309.70px;height:219.21px" > </div> <div class="sg" id="s740" data-sgid="Content Placeholder 3" style="z-index:1;left:-48.46px;top:87.91px;width:384.78px;height:286.01px" data-valign="top" data-pointer-events="none"> <div id="s740_t" class="sg" style="z-index:2;left:0.00px;top:-5.75px;width:384.78px;height:291.77px;"><div><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="248.69" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:156%; left:77.86px;top:13.34px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:1.93px"> </span>Extralobar pulmonary </span></span><span data-textwidth="141.02" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:95.87px;top:46.11px;">sequestration</span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="216.40" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:156%; left:77.86px;top:93.28px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:1.93px"> </span>Pedunculated FNH</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="145.23" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:156%; left:77.86px;top:139.61px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:1.93px"> </span>Ectopic liver</span></span></p></div></div></div> <div class="sg sgTitle" id="s747" data-sgid="Title 1" style="z-index:9;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s747_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:624.53px;height:82.75px;"><div><p para="{al:2}"><span data-textwidth="328.49" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:148.26px;top:32.01px;">DIFFERENTIAL DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s744" data-sgid="Group 5" style="z-index:2;left:23.27px;top:130.50px;width:25.76px;height:26.94px" data-shape="group"> <div class="sg" id="s750" data-sgid="Straight Connector 7" style="z-index:2;left:9.95px;top:-2.78px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="3355EE31.png" id="s750_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s751" data-sgid="Straight Connector 6" style="z-index:1;left:-1.92px;top:13.90px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="90EADB6A.png" id="s751_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s745" data-sgid="Group 8" style="z-index:5;left:21.42px;top:160.96px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s752" data-sgid="Straight Connector 10" style="z-index:2;left:9.87px;top:-2.78px;width:18.49px;height:29.99px" data-pointer-events="none"> <img class="sg" src="E2DD94E8.png" id="s752_i" style="z-index:1;left:0px;top:0px;width:17.49px;height:29.99px" > </div> <div class="sg" id="s753" data-sgid="Straight Connector 9" style="z-index:1;left:-1.88px;top:12.69px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="615AEB57.png" id="s753_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s748" data-sgid="Multiply 27" style="z-index:10;left:22.54px;top:193.08px;width:26.99px;height:27.57px" data-fillcolor="16711680"> <img class="sg" src="7308B6B9.png" id="s748_i" style="z-index:1;left:0px;top:0px;width:26.99px;height:27.57px" > </div> <div class="sg" id="s749" data-sgid="Content Placeholder 4" style="z-index:11;left:401.32px;top:109.50px;width:309.70px;height:219.21px"> <img class="sg" src="4ACE544E.jpg" id="s749_i" style="z-index:1;left:0px;top:0px;width:309.70px;height:219.21px" > </div> <div class="sg" id="s746" data-sgid="Multiply 17" style="z-index:8;left:20.39px;top:222.81px;width:26.99px;height:27.72px" data-fillcolor="16711680"> <img class="sg" src="284885D.png" id="s746_i" style="z-index:1;left:0px;top:0px;width:26.99px;height:27.72px" > </div> <div class="sg" id="s743" data-sgid="Content Placeholder 3" style="z-index:1;left:23.39px;top:91.86px;width:396.76px;height:290.81px" data-valign="top" data-pointer-events="none"> <div id="s743_t" class="sg" style="z-index:2;left:-9.00px;top:-4.68px;width:405.76px;height:295.49px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="348.66" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.89px;top:11.44px;">Extralobar pulmonary sequestration</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="99.62" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:41.90px;top:46.13px;">Solid mass</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="238.96" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:41.90px;top:76.98px;">Systemic venous drainage</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="215.56" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:41.90px;top:107.82px;">Systemic arterial supply</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="145.94" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:133%; left:41.90px;top:138.55px;">Near diaphragm</span></p></div></div></div> <div class="sg sgTitle" id="s760" data-sgid="Title 1" style="z-index:13;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s760_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:624.53px;height:82.75px;"><div><p para="{al:2}"><span data-textwidth="328.49" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:148.26px;top:32.01px;">DIFFERENTIAL DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s759" data-sgid="Group 13" style="z-index:10;left:14.40px;top:130.50px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s766" data-sgid="Straight Connector 17" style="z-index:2;left:8.74px;top:-2.78px;width:19.68px;height:29.99px" data-pointer-events="none"> <img class="sg" src="EE498122.png" id="s766_i" style="z-index:1;left:0px;top:0px;width:18.68px;height:29.99px" > </div> <div class="sg" id="s767" data-sgid="Straight Connector 16" style="z-index:1;left:-1.94px;top:12.82px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="852BA559.png" id="s767_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s755" data-sgid="Group 5" style="z-index:2;left:13.50px;top:160.50px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s762" data-sgid="Straight Connector 7" style="z-index:2;left:10.01px;top:-2.80px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="CD245EA7.png" id="s762_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s763" data-sgid="Straight Connector 6" style="z-index:1;left:-1.86px;top:12.78px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="B443980E.png" id="s763_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s756" data-sgid="Group 8" style="z-index:5;left:12.53px;top:196.50px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s764" data-sgid="Straight Connector 10" style="z-index:2;left:10.01px;top:-2.83px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="EEC3EF05.png" id="s764_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s765" data-sgid="Straight Connector 9" style="z-index:1;left:-1.85px;top:12.78px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="C8286062.png" id="s765_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s761" data-sgid="Content Placeholder 4 (2)" style="z-index:14;left:401.32px;top:109.50px;width:309.70px;height:219.21px"> <img class="sg" src="4ACE544E.jpg" id="s761_i" style="z-index:1;left:0px;top:0px;width:309.70px;height:219.21px" > </div> <div class="sg" id="s758" data-sgid="Multiply 15" style="z-index:9;left:10.20px;top:227.49px;width:32.14px;height:34.07px" data-fillcolor="16711680"> <img class="sg" src="285A379F.png" id="s758_i" style="z-index:1;left:0px;top:0px;width:32.14px;height:34.07px" > </div> <div class="sg" id="s754" data-sgid="Content Placeholder 4" style="z-index:1;left:25.91px;top:91.63px;width:424.23px;height:345.02px" data-valign="top" data-pointer-events="none"> <div id="s754_t" class="sg" style="z-index:2;left:-9.12px;top:-4.57px;width:433.35px;height:349.59px;"><div><p para="{spaf:6.00}"><span data-textwidth="179.79" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.90px;top:11.32px;">Pedunculated FNH</span></p><p para="{in:2,spaf:6.00}"><span data-textwidth="99.62" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:41.90px;top:46.01px;">Solid mass</span></p><p para="{in:2,spaf:6.00}"><span data-textwidth="238.96" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:41.90px;top:80.82px;">Systemic venous drainage</span></p><p para="{in:2,spaf:6.00}"><span data-textwidth="194.79" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:41.90px;top:115.62px;">Enhancement pattern</span></p><p para="{in:2,spaf:6.00}"><span data-textwidth="230.44" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:133%; left:41.90px;top:150.43px;">Completely separate liver</span></p><p para="{in:2,spaf:6.00}"><span data-textwidth="113.42" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:133%; left:41.90px;top:185.24px;">Central Scar</span></p></div></div></div> <div class="sg" id="s757" data-sgid="Multiply 14" style="z-index:8;left:11.27px;top:269.48px;width:32.14px;height:34.04px" data-fillcolor="16711680"> <img class="sg" src="C2C529DC.png" id="s757_i" style="z-index:1;left:0px;top:0px;width:32.14px;height:34.04px" > </div> <div class="sg sgTitle" id="s771" data-sgid="Title 1" style="z-index:8;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s771_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:624.53px;height:82.75px;"><div><p para="{al:2}"><span data-textwidth="328.49" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:148.26px;top:32.01px;">DIFFERENTIAL DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s769" data-sgid="Group 5" style="z-index:2;left:23.27px;top:130.50px;width:25.76px;height:26.94px" data-shape="group"> <div class="sg" id="s775" data-sgid="Straight Connector 7" style="z-index:2;left:9.95px;top:-2.78px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="3355EE31.png" id="s775_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s776" data-sgid="Straight Connector 6" style="z-index:1;left:-1.92px;top:13.90px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="90EADB6A.png" id="s776_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s770" data-sgid="Group 8" style="z-index:5;left:21.42px;top:160.96px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s777" data-sgid="Straight Connector 10" style="z-index:2;left:9.87px;top:-2.78px;width:18.49px;height:29.99px" data-pointer-events="none"> <img class="sg" src="E2DD94E8.png" id="s777_i" style="z-index:1;left:0px;top:0px;width:17.49px;height:29.99px" > </div> <div class="sg" id="s778" data-sgid="Straight Connector 9" style="z-index:1;left:-1.88px;top:12.69px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="615AEB57.png" id="s778_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s772" data-sgid="Group 12" style="z-index:9;left:24.19px;top:190.96px;width:25.76px;height:26.94px" data-shape="group"> <div class="sg" id="s779" data-sgid="Straight Connector 14" style="z-index:2;left:9.99px;top:-2.79px;width:18.46px;height:29.96px" data-pointer-events="none"> <img class="sg" src="43032818.png" id="s779_i" style="z-index:1;left:0px;top:0px;width:17.46px;height:29.96px" > </div> <div class="sg" id="s780" data-sgid="Straight Connector 13" style="z-index:1;left:-1.87px;top:13.86px;width:18.46px;height:15.72px" data-pointer-events="none"> <img class="sg" src="ABC63549.png" id="s780_i" style="z-index:1;left:0px;top:0px;width:18.46px;height:14.72px" > </div> </div> <div class="sg" id="s774" data-sgid="Content Placeholder 4" style="z-index:15;left:401.32px;top:109.50px;width:309.70px;height:219.21px"> <img class="sg" src="4ACE544E.jpg" id="s774_i" style="z-index:1;left:0px;top:0px;width:309.70px;height:219.21px" > </div> <div class="sg" id="s773" data-sgid="Group 15" style="z-index:12;left:22.34px;top:221.42px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s781" data-sgid="Straight Connector 18" style="z-index:2;left:10.06px;top:-2.92px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="CD781447.png" id="s781_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s782" data-sgid="Straight Connector 16" style="z-index:1;left:-1.84px;top:12.68px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="B415E296.png" id="s782_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s768" data-sgid="Content Placeholder 3" style="z-index:1;left:23.39px;top:91.86px;width:396.76px;height:290.81px" data-valign="top" data-pointer-events="none"> <div id="s768_t" class="sg" style="z-index:2;left:-9.00px;top:-4.68px;width:405.76px;height:295.49px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="121.46" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.89px;top:11.44px;">Ectopic liver</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="99.62" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:133%; left:41.90px;top:46.13px;">Solid mass</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="238.96" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:41.90px;top:76.98px;">Systemic venous drainage</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="191.19" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:41.90px;top:107.82px;">Similar enhancement</span></p><p para="{in:2,spaf:2.00}"><span data-textwidth="230.44" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:41.90px;top:138.55px;">Completely separate liver</span></p></div></div></div> <div class="sg sgTitle" id="s783" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s783_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="313.37" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:155.82px;top:21.52px;">ECTOPIC LIVER</span></p></div></div></div> <div class="sg" id="s784" data-sgid="Content Placeholder 3" style="z-index:2;left:35.51px;top:99.89px;width:657.05px;height:222.84px"> <img class="sg" src="5A26E4EE.jpg" id="s784_i" style="z-index:1;left:0px;top:0px;width:657.05px;height:222.84px" > </div> <div class="sg" id="s785" data-sgid="TextBox 5" style="z-index:3;left:35.51px;top:358.70px;width:718.81px;height:29.99px" data-valign="top"> <div id="s785_t" class="sg" style="z-index:2;left:-3.59px;top:-1.93px;width:722.41px;height:38.87px;"><div><p><span data-textwidth="261.52" class="sg nowrap f2" style="z-index:2;color:#ECC577;left:11.29px;top:8.27px;">J. Visceral Surgery (2014) 151, 451-455</span></p></div></div></div> <div class="sg sgTitle" id="s786" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s786_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="313.37" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:155.82px;top:21.52px;">ECTOPIC LIVER</span></p></div></div></div> <div class="sg" id="s788" data-sgid="Rectangle 2" style="z-index:3;left:179.43px;top:176.40px;width:360.68px;height:51.83px" data-valign="top" data-pointer-events="none"> <div id="s788_t" class="sg" style="z-index:2;left:-3.59px;top:-1.90px;width:364.28px;height:60.31px;"><div><p><span data-textwidth="336.54" class="sg nowrap f2" style="z-index:2;left:11.39px;top:8.10px;">Histological findings = liver: regular lobules, central </span><span data-textwidth="197.31" class="sg nowrap f2" style="z-index:3;left:11.39px;top:29.71px;">vein and normal portal spaces</span></p></div></div></div> <div class="sg" id="s787" data-sgid="Content Placeholder 3" style="z-index:2;left:23.51px;top:88.14px;width:672.51px;height:305.82px" data-valign="top" data-pointer-events="none"> <div id="s787_t" class="sg" style="z-index:2;left:-11.50px;top:-5.64px;width:684.01px;height:311.46px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="594.10" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.39px;top:12.40px;">Increase in number of blood vessels on the outer surface</span></p><p></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="216.52" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.39px;top:105.06px;">Higher risk of torsion</span></p><p></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="196.59" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:17.39px;top:197.72px;">Higher risk of HCC</span></p></div></div></div> <div class="sg sgTitle" id="s789" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s789_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="541.05" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:41.92px;top:21.52px;">DR. PALADIN’S DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s790" data-sgid="Content Placeholder 3" style="z-index:2;left:48.94px;top:107.32px;width:621.67px;height:257.62px" data-valign="top" data-pointer-events="none"> <div id="s790_t" class="sg" style="z-index:2;left:0.00px;top:-9.82px;width:621.67px;height:267.43px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="196.95" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:228%; left:212.58px;top:18.33px;">Ectopic Liver</span></p></div></div></div> <div class="sg sgTitle" id="s791" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s791_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s792" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s792_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:624.53px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="427.75" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:98.57px;top:20.70px;">Accessory Lobe of Liver</span></p></div></div></div> <div class="sg sgTitle" id="s818" data-sgid="Title 3" style="z-index:26;left:185.44px;top:-8.03px;width:528.59px;height:90.89px" data-valign="bottom" data-pointer-events="none"> <div id="s818_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:528.59px;height:111.40px;"><div><p para="{al:2}"><span data-textwidth="471.20" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:222%; left:28.92px;top:44.28px;">ACCESSORY LOBE OF LIVER</span></p></div></div></div> <div class="sg" id="s795" data-sgid="Picture 7" style="z-index:3;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="1BF3C7AA.jpg" id="s795_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s796" data-sgid="Picture 8" style="z-index:4;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="62C86EE6.jpg" id="s796_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s797" data-sgid="Picture 9" style="z-index:5;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="2B463C69.jpg" id="s797_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s798" data-sgid="Picture 10" style="z-index:6;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="A61060CF.jpg" id="s798_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s799" data-sgid="Picture 11" style="z-index:7;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="6C97E7AE.jpg" id="s799_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s800" data-sgid="Picture 12" style="z-index:8;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="16E3C6BD.jpg" id="s800_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s801" data-sgid="Picture 13" style="z-index:9;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="27ADCFE.jpg" id="s801_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s802" data-sgid="Picture 14" style="z-index:10;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="F73ECB2C.jpg" id="s802_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s803" data-sgid="Picture 15" style="z-index:11;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="F2737551.jpg" id="s803_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s804" data-sgid="Picture 16" style="z-index:12;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="3D3D664D.jpg" id="s804_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s805" data-sgid="Picture 17" style="z-index:13;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="58BD669D.jpg" id="s805_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s806" data-sgid="Picture 18" style="z-index:14;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="99248E37.jpg" id="s806_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s807" data-sgid="Picture 19" style="z-index:15;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="3BD513A4.jpg" id="s807_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s808" data-sgid="Picture 20" style="z-index:16;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="7EC9BF75.jpg" id="s808_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s809" data-sgid="Picture 21" style="z-index:17;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="86280A95.jpg" id="s809_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s810" data-sgid="Picture 22" style="z-index:18;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="7C133310.jpg" id="s810_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s811" data-sgid="Picture 23" style="z-index:19;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="26C7F0D.jpg" id="s811_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s812" data-sgid="Picture 24" style="z-index:20;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="A15A54F3.jpg" id="s812_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s813" data-sgid="Picture 25" style="z-index:21;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="90D97E31.jpg" id="s813_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s814" data-sgid="Picture 26" style="z-index:22;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="37E0A47A.jpg" id="s814_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s815" data-sgid="Picture 27" style="z-index:23;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="341FB9C1.jpg" id="s815_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s816" data-sgid="Picture 28" style="z-index:24;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="100D1006.jpg" id="s816_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s794" data-sgid="Picture 6" style="z-index:2;left:6.71px;top:6.72px;width:264.36px;height:336.62px"> <img class="sg" src="4B963ABB.jpg" id="s794_i" style="z-index:1;left:0px;top:0px;width:264.36px;height:336.62px" > </div> <div class="sg" id="s793" data-sgid="Content Placeholder 5" style="z-index:1;left:6.71px;top:6.72px;width:265.33px;height:337.70px"> <img class="sg" src="DC069D7D.jpg" id="s793_i" style="z-index:1;left:0px;top:0px;width:265.33px;height:337.70px" > </div> <div class="sg" id="s817" data-sgid="Content Placeholder 1" style="z-index:25;left:191.44px;top:93.90px;width:552.57px;height:243.80px" data-valign="top"> <div id="s817_t" class="sg" style="z-index:2;left:-3.96px;top:-2.41px;width:556.54px;height:306.30px;"><div><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="211.36" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.75px;top:9.37px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Extremely rare condition</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="455.59" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:111%; left:47.76px;top:44.06px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:11.04px"> </span>“</span><span class="f2" style="font-size:80%; color:#FFFFFF;position:relative;bottom:1px;">Bulky” (&gt;31gm) and connected to liver by a stalk (typically perihepatic)</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="465.67" class="sg nowrap f5" style="z-index:9;color:#DC9E1F;font-size:89%; left:47.76px;top:77.67px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:13.32px"> </span>“Small” (10-30 gm) and connected on wide base to liver (typically R lobe)</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="262.00" class="sg nowrap f5" style="z-index:13;color:#DC9E1F;font-size:89%; left:47.76px;top:106.71px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:13.32px"> </span>Not connected to liver (thorax or pelvis)</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="263.80" class="sg nowrap f5" style="z-index:15;color:#DC9E1F;font-size:89%; left:47.76px;top:135.76px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:13.32px"> </span>Pinpoint and located around gallbladder</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="482.25" class="sg nowrap f3" style="z-index:17;color:#DC9E1F;font-size:111%; left:11.75px;top:166.13px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Complications: torsion, infarction, hemorrhage, acromphalus</span></span><span data-textwidth="459.80" class="sg nowrap f2" style="z-index:20;color:#FFFFFF;font-size:111%; left:38.76px;top:189.53px;">Symptoms: Most asymptomatic and discovered at surgery. If </span><span data-textwidth="461.36" class="sg nowrap f2" style="z-index:21;color:#FFFFFF;font-size:111%; left:38.76px;top:213.54px;">torsion, acute stomachaches, abdominal distension, nausea, </span><span data-textwidth="137.54" class="sg nowrap f2" style="z-index:22;color:#FFFFFF;font-size:111%; left:38.76px;top:237.54px;">vomiting, or shock</span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="376.63" class="sg nowrap f3" style="z-index:23;color:#DC9E1F;font-size:111%; left:11.75px;top:272.95px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Treatment: surgical resection if pedunculated </span></span></p></div></div></div> <div class="sg" id="s819" data-sgid="TextBox 1" style="z-index:27;left:29.51px;top:381.70px;width:366.66px;height:22.67px" data-valign="top"> <div id="s819_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:366.66px;height:26.16px;"><div><p><span data-textwidth="298.24" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.70px;top:6.15px;">Wang et al. <span class="f4" style="font-style:italic; ">Intractable &amp; Rare Diseases Research. 2012; 1(2):86-91</span></span></p></div></div></div> <div class="sg sgTitle" id="s823" data-sgid="Title 3" style="z-index:4;left:-78.45px;top:20.74px;width:624.53px;height:68.37px" data-valign="bottom" data-pointer-events="none"> <div id="s823_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:624.53px;height:87.66px;"><div><p para="{al:2}"><span data-textwidth="448.27" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:211%; left:88.29px;top:23.91px;">ACCESSORY LOBE OF LIVER</span></p></div></div></div> <div class="sg" id="s824" data-sgid="Picture 3" style="z-index:5;left:479.28px;top:24.94px;width:240.72px;height:180.85px"> <img class="sg" src="C20B8A55.jpg" id="s824_i" title="" alt="D:\B16-66\B16-66f.tif" style="z-index:1;left:0px;top:0px;width:240.72px;height:180.85px" > </div> <div class="sg" id="s820" data-sgid="Picture 2" style="z-index:1;left:245.39px;top:99.89px;width:254.54px;height:210.84px"> <img class="sg" src="BDB98921.jpg" id="s820_i" title="" alt="D:\B16-66\B16-66d.tif" style="z-index:1;left:0px;top:0px;width:254.54px;height:210.84px" > </div> <div class="sg" id="s821" data-sgid="Picture 4" style="z-index:2;left:0.00px;top:99.89px;width:268.78px;height:210.84px"> <img class="sg" src="688FA620.jpg" id="s821_i" title="" alt="D:\B16-66\B16-66b.tif" style="z-index:1;left:0px;top:0px;width:268.78px;height:210.84px" > </div> <div class="sg" id="s822" data-sgid="Picture 5" style="z-index:3;left:479.28px;top:189.84px;width:240.72px;height:180.85px"> <img class="sg" src="D19FBD92.jpg" id="s822_i" title="" alt="D:\B16-66\B16-66g.tif" style="z-index:1;left:0px;top:0px;width:240.72px;height:180.85px" > </div> <div class="sg" id="s825" data-sgid="TextBox 3" style="z-index:6;left:41.49px;top:309.76px;width:458.44px;height:29.99px" data-valign="top"> <div id="s825_t" class="sg" style="z-index:2;left:0.00px;top:-1.79px;width:458.44px;height:38.84px;"><div><p><span data-textwidth="41.88" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; left:69.65px;top:8.22px;">414 g </span><span data-textwidth="127.59" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; left:268.40px;top:8.22px;">11.5 x 9.8 x 5.7 cm</span></p></div></div></div> <div class="sg" id="s826" data-sgid="TextBox 1" style="z-index:7;left:11.53px;top:369.73px;width:588.54px;height:29.99px" data-valign="top"> <div id="s826_t" class="sg" style="z-index:2;left:-3.60px;top:-1.82px;width:592.14px;height:38.87px;"><div><p><span data-textwidth="544.65" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:11.27px;top:8.29px;">Pathological slides courtesy David R. Kelly MD, The Children’s Hospital of Alabama</span></p></div></div></div> <div class="sg sgTitle" id="s827" data-sgid="Title 1" style="z-index:1;left:29.51px;top:15.72px;width:672.51px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s827_t" class="sg" style="z-index:2;left:-10.93px;top:0.00px;width:690.77px;height:82.75px;"><div><p><span data-textwidth="654.22" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.63px;top:32.01px;">NEURO CASE 2- 15 YO FEMALE W/ CEREBRAL PALSY</span></p></div></div></div> <div class="sg" id="s830" data-sgid="Rectangle 5" style="z-index:4;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="EFA76FC8.png" id="s830_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s828" data-sgid="Picture 3" style="z-index:2;left:101.47px;top:94.50px;width:509.05px;height:246.70px"> <img class="sg" src="12697BA0.jpg" id="s828_i" style="z-index:1;left:0px;top:0px;width:509.05px;height:246.70px" > </div> <div class="sg" id="s829" data-sgid="Rounded Rectangle 4" style="z-index:3;left:5.15px;top:351.38px;width:199.60px;height:49.76px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="335D2D99.png" id="s829_i" style="z-index:1;left:0px;top:0px;width:199.60px;height:49.76px" > <div id="s829_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:199.60px;height:54.07px;"><div><p para="{al:2}"><span data-textwidth="144.50" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:29.30px;top:8.02px;">She developed spastic </span><span data-textwidth="65.65" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:67.10px;top:27.22px;">paraplegia</span></p></div></div></div> <div class="sg sgTitle" id="s831" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:660.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s831_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:671.43px;height:82.75px;"><div><p><span data-textwidth="350.94" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS LIVE QUESTION:</span></p></div></div></div> <div class="sg" id="s834" data-sgid="Rectangle 6" style="z-index:4;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="EFA76FC8.png" id="s834_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s833" data-sgid="Content Placeholder 5" style="z-index:3;left:294.33px;top:95.57px;width:426.78px;height:243.69px" data-valign="top" data-pointer-events="none"> <div id="s833_t" class="sg" style="z-index:2;left:-12.10px;top:-6.09px;width:438.87px;height:249.79px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="313.01" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:178%; left:19.98px;top:14.06px;">Where is the abnormality?</span></p></div></div></div> <div class="sg" id="s832" data-sgid="Picture 4" style="z-index:2;left:101.47px;top:93.90px;width:186.74px;height:254.72px"> <img class="sg" src="D0393174.jpg" id="s832_i" style="z-index:1;left:0px;top:0px;width:186.74px;height:254.72px" > </div> <div class="sg" id="s835" data-sgid="Rectangle 3" style="z-index:5;left:233.41px;top:360.14px;width:163.23px;height:51.66px" data-valign="top" data-pointer-events="none"> <div id="s835_t" class="sg" style="z-index:2;left:-3.60px;top:-1.81px;width:168.98px;height:53.48px;"><div><p><span data-textwidth="145.94" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.43px;top:8.15px;"><a target=_blank class="sga" href="https://goo.gl/MYT4Pb"><u>https://goo.gl/MYT4Pb</u></a></span></p></div></div><img class="sg" src="33971195.png" id="s835_tt" style="left:-3.60px;top:-1.81px;width:168.98px;height:53.48px;z-index:1" > </div> <div class="sg sgTitle" id="s836" data-sgid="Title 1" style="z-index:1;left:29.51px;top:15.72px;width:672.51px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s836_t" class="sg" style="z-index:2;left:-10.93px;top:0.00px;width:690.77px;height:82.75px;"><div><p><span data-textwidth="654.22" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.63px;top:32.01px;">NEURO CASE 2- 15 YO FEMALE W/ CEREBRAL PALSY</span></p></div></div></div> <div class="sg" id="s837" data-sgid="Picture 3" style="z-index:2;left:101.47px;top:94.50px;width:509.05px;height:246.70px"> <img class="sg" src="12697BA0.jpg" id="s837_i" style="z-index:1;left:0px;top:0px;width:509.05px;height:246.70px" > </div> <div class="sg" id="s838" data-sgid="Rounded Rectangle 4" style="z-index:3;left:5.15px;top:351.38px;width:199.60px;height:49.76px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="335D2D99.png" id="s838_i" style="z-index:1;left:0px;top:0px;width:199.60px;height:49.76px" > <div id="s838_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:199.60px;height:54.07px;"><div><p para="{al:2}"><span data-textwidth="144.50" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:29.30px;top:8.02px;">She developed spastic </span><span data-textwidth="65.65" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:67.10px;top:27.22px;">paraplegia</span></p></div></div></div> <div class="sg sgTitle" id="s839" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s839_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="234.88" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">INITIAL THOUGHTS</span></p></div></div></div> <div class="sg" id="s840" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s840_t" class="sg" style="z-index:2;left:-5.15px;top:-3.01px;width:629.69px;height:246.81px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="107.89" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:122%; left:12.87px;top:10.09px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:14.16px"> </span>Findings: </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="547.53" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:122%; left:48.88px;top:47.78px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:9.72px"> </span>Indentation along the posterior cord in the upper thoracic region</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="561.33" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:122%; left:48.88px;top:85.47px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:9.72px"> </span>Increased posterior epidural fat, however this does not appear to </span></span><span data-textwidth="517.05" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:122%; left:71.44px;top:111.27px;">be causing thecal sac compromise and isn’t uncommon in this </span><span data-textwidth="36.85" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:122%; left:71.44px;top:137.68px;">area</span></p><p para="{in:3,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="513.80" class="sg nowrap f5" style="z-index:13;color:#DC9E1F;font-size:122%; left:84.88px;top:175.97px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:5.16px"> </span>If real: This could represent spinal lipomatosis or less likely, </span></span><span data-textwidth="476.49" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:122%; left:102.88px;top:201.77px;">given the relative uniform appearance, spinal angiolipoma</span></p></div></div></div> <div class="sg sgTitle" id="s841" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s841_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="234.88" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">INITIAL THOUGHTS</span></p></div></div></div> <div class="sg" id="s842" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s842_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:634.25px;height:247.40px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="562.17" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.80px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>I think the epidural fat is just that and the real finding is the </span></span><span data-textwidth="406.87" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:40.95px;top:40.13px;">displaced cord; so I would primarily consider:</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="422.95" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:133%; left:49.96px;top:80.18px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Arachnoid cyst (intradural) or arachnoid web</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="234.88" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:133%; left:49.96px;top:120.75px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Anterior cord herniation</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="570.33" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:133%; left:49.96px;top:161.32px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:8.64px"> </span>Less likely: other extra-medullary, intradural mass that is iso-</span></span><span data-textwidth="317.45" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:133%; left:72.52px;top:190.64px;">intense to CSF such as epidermoid</span></p></div></div></div> <div class="sg sgTitle" id="s843" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s843_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="130.22" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">SPINE MRI</span></p></div></div></div> <div class="sg" id="s844" data-sgid="Picture 3" style="z-index:2;left:377.33px;top:93.90px;width:258.73px;height:248.11px"> <img class="sg" src="3C7E376.jpg" id="s844_i" style="z-index:1;left:0px;top:0px;width:258.73px;height:248.11px" > </div> <div class="sg" id="s845" data-sgid="Picture 4" style="z-index:3;left:101.47px;top:93.90px;width:186.74px;height:254.72px"> <img class="sg" src="D0393174.jpg" id="s845_i" style="z-index:1;left:0px;top:0px;width:186.74px;height:254.72px" > </div> <div class="sg sgTitle" id="s846" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s846_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="224.68" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MORE THOUGHTS</span></p></div></div></div> <div class="sg" id="s847" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s847_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:637.62px;height:247.40px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="589.18" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.80px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Axial T2 image shows area of relatively higher signal intensity </span></span><span data-textwidth="582.34" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:40.95px;top:40.13px;">posterior to cord with lack of any CSF pulsation artifact. Nothing </span><span data-textwidth="248.81" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:40.95px;top:68.93px;">traversing through this area</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="593.01" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:133%; left:13.95px;top:108.98px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Cord is focally displaced on sagittal and there may be a syrinx </span></span><span data-textwidth="569.50" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:133%; left:40.95px;top:138.31px;">or minimal central cord edema in cord superior to displacement</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="604.06" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:133%; left:13.95px;top:178.36px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Neither image shows the cord abutting the ventral thecal sac or </span></span><span data-textwidth="245.33" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:133%; left:40.95px;top:207.69px;">herniating through the dura</span></p></div></div></div> <div class="sg sgTitle" id="s848" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s848_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="290.57" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">POSSIBLE NEXT STEPS</span></p></div></div></div> <div class="sg" id="s849" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s849_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:630.76px;height:247.40px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="582.10" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.80px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Could do a CSF flow study to look at CSF motion in this area </span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="527.00" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:133%; left:13.95px;top:51.37px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Hi-res thin T2 images might help to define or indicate if </span></span><span data-textwidth="259.00" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:133%; left:40.95px;top:80.70px;">walls/septations are present </span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="582.81" class="sg nowrap f5" style="z-index:15;color:#DC9E1F;font-size:133%; left:13.95px;top:120.75px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>FLAIR or DWI might be helpful to help exclude epidermoid or </span></span><span data-textwidth="286.37" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:133%; left:40.95px;top:150.07px;">other non-CSF containing mass</span></p></div></div></div> <div class="sg sgTitle" id="s850" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s850_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="454.04" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ADDITIONAL IMAGES NEURO CASE 2</span></p></div></div></div> <div class="sg" id="s851" data-sgid="Content Placeholder 3" style="z-index:2;left:317.38px;top:109.25px;width:216.73px;height:185.76px"> <img class="sg" src="7A28A697.jpg" id="s851_i" style="z-index:1;left:0px;top:0px;width:216.73px;height:185.76px" > </div> <div class="sg" id="s853" data-sgid="Picture 6" style="z-index:4;left:4.79px;top:98.95px;width:158.22px;height:240.68px"> <img class="sg" src="E1755868.jpg" id="s853_i" style="z-index:1;left:0px;top:0px;width:158.22px;height:240.68px" > </div> <div class="sg" id="s852" data-sgid="Picture 5" style="z-index:3;left:162.16px;top:99.06px;width:148.74px;height:240.68px"> <img class="sg" src="EC783BCD.jpg" id="s852_i" style="z-index:1;left:0px;top:0px;width:148.74px;height:240.68px" > </div> <div class="sg" id="s857" data-sgid="Picture 11" style="z-index:8;left:563.25px;top:99.89px;width:123.19px;height:239.86px"> <img class="sg" src="A5E975A9.jpg" id="s857_i" style="z-index:1;left:0px;top:0px;width:123.19px;height:239.86px" > </div> <div class="sg" id="s858" data-sgid="Picture 12" style="z-index:9;left:563.25px;top:99.89px;width:123.19px;height:239.86px"> <img class="sg" src="87C69B9D.jpg" id="s858_i" style="z-index:1;left:0px;top:0px;width:123.19px;height:239.86px" > </div> <div class="sg" id="s859" data-sgid="Picture 13" style="z-index:10;left:563.25px;top:99.89px;width:123.19px;height:239.86px"> <img class="sg" src="67C30F64.jpg" id="s859_i" style="z-index:1;left:0px;top:0px;width:123.19px;height:239.86px" > </div> <div class="sg" id="s860" data-sgid="Picture 14" style="z-index:11;left:563.25px;top:99.89px;width:123.19px;height:239.86px"> <img class="sg" src="3CE12EBE.jpg" id="s860_i" style="z-index:1;left:0px;top:0px;width:123.19px;height:239.86px" > </div> <div class="sg" id="s861" data-sgid="Picture 15" style="z-index:12;left:563.25px;top:99.89px;width:123.19px;height:239.86px"> <img class="sg" src="FDFB9786.jpg" id="s861_i" style="z-index:1;left:0px;top:0px;width:123.19px;height:239.86px" > </div> <div class="sg" id="s862" data-sgid="Picture 16" style="z-index:13;left:563.25px;top:99.89px;width:123.19px;height:239.86px"> <img class="sg" src="D3BC5D38.jpg" id="s862_i" style="z-index:1;left:0px;top:0px;width:123.19px;height:239.86px" > </div> <div class="sg" id="s855" data-sgid="TextBox 9" style="z-index:6;left:383.11px;top:295.12px;width:66.81px;height:30.10px" data-valign="top"> <div id="s855_t" class="sg" style="z-index:2;left:-0.48px;top:-1.67px;width:67.63px;height:38.75px;"><div><p para="{al:2}"><span data-textwidth="44.89" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:11.64px;top:8.10px;">1.4mm</span></p></div></div></div> <div class="sg" id="s854" data-sgid="TextBox 8" style="z-index:5;left:35.51px;top:342.87px;width:66.81px;height:37.28px" data-valign="top"> <div id="s854_t" class="sg" style="z-index:2;left:-3.25px;top:-3.61px;width:78.81px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="49.21" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:14.79px;top:11.42px;">4mm </span></p></div></div></div> <div class="sg" id="s856" data-sgid="TextBox 10" style="z-index:7;left:179.43px;top:344.17px;width:78.81px;height:37.19px" data-valign="top"> <div id="s856_t" class="sg" style="z-index:2;left:-5.52px;top:-3.60px;width:89.83px;height:51.23px;"><div><p para="{al:2}"><span data-textwidth="60.25" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:14.88px;top:11.43px;">1.4mm</span></p></div></div></div> <div class="sg sgTitle" id="s863" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s863_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="532.17" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ANDERSON DIAGNOSIS: ARACHNOID CYST</span></p></div></div></div> <div class="sg" id="s864" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s864_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:641.70px;height:247.40px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="613.30" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.95px;top:10.80px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>This is pretty typical of every proven arachnoid cyst I have come </span></span><span data-textwidth="401.83" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:40.95px;top:40.13px;">across and fits with descriptions in literature </span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="220.72" class="sg nowrap f5" style="z-index:6;color:#DC9E1F;font-size:133%; left:13.95px;top:80.18px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Can occur at any age</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="612.22" class="sg nowrap f5" style="z-index:9;color:#DC9E1F;font-size:133%; left:13.95px;top:120.75px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"><span style="letter-spacing:13.08px"> </span>Variable clinical presentation. Spastic paraplegia is one possible </span></span><span data-textwidth="183.39" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:133%; left:40.95px;top:150.07px;">presenting symptom</span></p></div></div></div> <div class="sg sgTitle" id="s866" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s866_t" class="sg" style="z-index:2;left:-14.75px;top:-9.59px;width:654.04px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="594.34" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:30.03px;top:21.52px;">DR. ANDERSON’S DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s867" data-sgid="Rectangle 3" style="z-index:3;left:17.50px;top:140.20px;width:678.51px;height:66.18px" data-valign="top" data-pointer-events="none"> <div id="s867_t" class="sg" style="z-index:2;left:0.00px;top:-10.92px;width:678.51px;height:101.70px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="572.38" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:53.19px;top:20.75px;">Intradural Spinal Arachnoid Cyst</span></p></div></div></div> <div class="sg" id="s865" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <img class="sg" src="18750D6B.png" id="s865_tt" style="left:0.00px;top:0.00px;width:624.53px;height:243.80px;z-index:1" > </div> <div class="sg sgTitle" id="s868" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s868_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s869" data-sgid="Content Placeholder 1" style="z-index:2;left:23.51px;top:93.90px;width:672.51px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s869_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:683.55px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="625.06" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:29.54px;top:20.70px;">Arachnoid web/adhesion along the </span><span data-textwidth="552.69" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:267%; left:60.14px;top:78.32px;">dorsal aspect of the upper cord</span></p></div></div></div> <div class="sg sgTitle" id="s870" data-sgid="Title 3" style="z-index:1;left:-12.46px;top:15.72px;width:732.46px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s870_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:732.46px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="343.26" class="sg nowrap f2" style="z-index:2;color:#DC9E1F;font-size:267%; left:194.77px;top:20.66px;">ARACHNOID WEB</span></p></div></div></div> <div class="sg" id="s871" data-sgid="Content Placeholder 1" style="z-index:2;left:11.53px;top:87.91px;width:660.50px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s871_t" class="sg" style="z-index:2;left:-6.26px;top:-3.60px;width:671.09px;height:282.52px;"><div><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="642.59" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.93px;top:10.67px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Intradural extramedullary bands of arachnoid tissue that can extend </span></span><span data-textwidth="329.10" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:40.94px;top:40.12px;">to the pial surface of the spinal cord </span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="421.40" class="sg nowrap f3" style="z-index:9;color:#DC9E1F;font-size:133%; left:13.93px;top:80.05px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Produce focal dorsal indentation of the cord</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="326.22" class="sg nowrap f3" style="z-index:13;color:#DC9E1F;font-size:133%; left:13.93px;top:120.62px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Upper thoracic location is typical </span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="570.10" class="sg nowrap f3" style="z-index:18;color:#DC9E1F;font-size:133%; left:13.93px;top:161.18px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Characteristic deformity of spinal cord termed “scalpel sign”</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="614.74" class="sg nowrap f3" style="z-index:22;color:#DC9E1F;font-size:133%; left:13.93px;top:201.75px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> May also have T2 signal-intensity changes in cord, syringomyelia</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="583.78" class="sg nowrap f3" style="z-index:27;color:#DC9E1F;font-size:133%; left:13.93px;top:242.32px;">&#61558;<span class="f2" style="color:#FFC000;position:relative;bottom:-1px;"> 17 yo girl’s life was changed with this Dx-walked after surgery</span></span></p></div></div></div> <div class="sg" id="s872" data-sgid="Picture 4" style="z-index:3;left:557.61px;top:201.96px;width:239.87px;height:72.43px" data-rotation = "90"> <img class="sg" src="D7B3DA9.png" id="s872_i" style="z-index:1;left:0px;top:0px;width:239.87px;height:72.43px" > </div> <div class="sg" id="s873" data-sgid="TextBox 2" style="z-index:4;left:29.51px;top:369.73px;width:366.66px;height:22.67px" data-valign="top"> <div id="s873_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:366.66px;height:26.13px;"><div><p><span data-textwidth="250.00" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.70px;top:6.11px;">Reardon et al. AJNR Am J Neuroradiol 2013;34:1104 –10</span></p></div></div></div> <div class="sg sgTitle" id="s874" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s874_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:645.89px;height:82.75px;"><div><p><span data-textwidth="608.98" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MSK CASE 2- 45 YEAR OLD MAN WITH KNEE PAIN</span></p></div></div></div> <div class="sg" id="s875" data-sgid="Content Placeholder 3" style="z-index:2;left:259.92px;top:93.90px;width:199.71px;height:243.80px"> <img class="sg" src="5169CA0F.jpg" id="s875_i" style="z-index:1;left:0px;top:0px;width:199.71px;height:243.80px" > </div> <div class="sg" id="s876" data-sgid="Rounded Rectangle 4" style="z-index:3;left:5.15px;top:357.36px;width:229.56px;height:43.77px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="2D0488EC.png" id="s876_i" style="z-index:1;left:0px;top:0px;width:229.56px;height:43.77px" > <div id="s876_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:229.56px;height:43.77px;"><div><p para="{al:2}"><span data-textwidth="128.06" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:50.90px;top:14.64px;">No history of trauma</span></p></div></div></div> <div class="sg sgTitle" id="s877" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s877_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="339.42" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">SAME DATE RADIOGRAPHS</span></p></div></div></div> <div class="sg" id="s882" data-sgid="Picture 8" style="z-index:6;left:601.03px;top:-2.04px;width:118.97px;height:190.33px"> <img class="sg" src="FEA497B0.png" id="s882_i" style="z-index:1;left:0px;top:0px;width:118.97px;height:190.33px" > </div> <div class="sg" id="s878" data-sgid="Content Placeholder 3" style="z-index:2;left:560.96px;top:91.86px;width:136.76px;height:244.88px"> <img class="sg" src="E918169B.png" id="s878_i" style="z-index:1;left:0px;top:0px;width:136.76px;height:244.88px" > </div> <div class="sg" id="s879" data-sgid="Picture 4" style="z-index:3;left:401.32px;top:92.45px;width:160.49px;height:244.88px"> <img class="sg" src="BBAE3728.jpg" id="s879_i" style="z-index:1;left:0px;top:0px;width:160.49px;height:244.88px" > </div> <div class="sg" id="s881" data-sgid="Content Placeholder 3 (2)" style="z-index:5;left:185.44px;top:94.27px;width:165.98px;height:243.80px"> <img class="sg" src="2EB7C8AF.jpg" id="s881_i" style="z-index:1;left:0px;top:0px;width:165.98px;height:243.80px" > </div> <div class="sg" id="s880" data-sgid="Picture 5" style="z-index:4;left:14.16px;top:93.90px;width:172.10px;height:244.88px"> <img class="sg" src="FE4B67B2.jpg" id="s880_i" style="z-index:1;left:0px;top:0px;width:172.10px;height:244.88px" > </div> <div class="sg sgTitle" id="s883" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s883_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="474.20" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">OUTSIDE MRI THREE WEEKS EARLIER</span></p></div></div></div> <div class="sg" id="s884" data-sgid="Content Placeholder 3" style="z-index:2;left:593.24px;top:90.78px;width:131.94px;height:288.77px"> <img class="sg" src="6C65E6AA.jpg" id="s884_i" style="z-index:1;left:0px;top:0px;width:131.94px;height:288.77px" > </div> <div class="sg" id="s888" data-sgid="Picture 9" style="z-index:6;left:233.41px;top:91.86px;width:136.50px;height:288.65px"> <img class="sg" src="3376DD25.jpg" id="s888_i" style="z-index:1;left:0px;top:0px;width:136.50px;height:288.65px" > </div> <div class="sg" id="s887" data-sgid="Picture 7" style="z-index:5;left:113.48px;top:91.97px;width:132.76px;height:288.65px"> <img class="sg" src="9189B13A.jpg" id="s887_i" style="z-index:1;left:0px;top:0px;width:132.76px;height:288.65px" > </div> <div class="sg" id="s889" data-sgid="Picture 10" style="z-index:7;left:-6.49px;top:90.89px;width:126.31px;height:290.70px"> <img class="sg" src="5467BC3A.jpg" id="s889_i" style="z-index:1;left:0px;top:0px;width:126.31px;height:290.70px" > </div> <div class="sg" id="s886" data-sgid="Picture 5" style="z-index:4;left:365.35px;top:92.94px;width:130.02px;height:288.65px"> <img class="sg" src="1033A74E.jpg" id="s886_i" style="z-index:1;left:0px;top:0px;width:130.02px;height:288.65px" > </div> <div class="sg" id="s885" data-sgid="Picture 4" style="z-index:3;left:467.30px;top:92.94px;width:144.77px;height:288.65px"> <img class="sg" src="C138D813.jpg" id="s885_i" style="z-index:1;left:0px;top:0px;width:144.77px;height:288.65px" > </div> <div class="sg sgTitle" id="s890" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s890_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="417.43" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">A PROCEDURE WAS PERFORMED</span></p></div></div></div> <div class="sg" id="s892" data-sgid="Picture 4" style="z-index:3;left:383.34px;top:123.89px;width:305.63px;height:181.19px"> <img class="sg" src="94E157DE.jpg" id="s892_i" style="z-index:1;left:0px;top:0px;width:305.63px;height:181.19px" > </div> <div class="sg" id="s891" data-sgid="Content Placeholder 3" style="z-index:2;left:101.47px;top:123.89px;width:244.20px;height:192.71px"> <img class="sg" src="8E77FF55.jpg" id="s891_i" style="z-index:1;left:0px;top:0px;width:244.20px;height:192.71px" > </div> <div class="sg sgTitle" id="s893" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s893_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="296.81" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MSK CASE 2-SUMMARY </span></p></div></div></div> <div class="sg" id="s901" data-sgid="Picture 9" style="z-index:19;left:461.30px;top:1.33px;width:84.79px;height:124.00px"> <img class="sg" src="70BCB8AA.png" id="s901_i" style="z-index:1;left:0px;top:0px;width:84.79px;height:124.00px" > </div> <div class="sg" id="s905" data-sgid="Content Placeholder 3 (2)" style="z-index:23;left:599.24px;top:1.33px;width:85.02px;height:124.45px"> <img class="sg" src="65C5BD97.png" id="s905_i" style="z-index:1;left:0px;top:0px;width:85.02px;height:124.45px" > </div> <div class="sg" id="s899" data-sgid="Stage 1 - TextBox" style="z-index:7;left:107.11px;top:98.70px;width:450.88px;height:47.86px" data-valign="top"> <div id="s899_t" class="sg" style="z-index:2;left:-4.93px;top:-2.39px;width:455.81px;height:50.24px;"><div><p><span data-textwidth="281.33" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.68px;top:8.75px;">Bone tumor with large soft tissue mass</span></p></div></div></div> <div class="sg" id="s898" data-sgid="Stage 2 - TextBox" style="z-index:6;left:108.29px;top:147.52px;width:377.84px;height:47.72px" data-valign="top"> <div id="s898_t" class="sg" style="z-index:2;left:-4.78px;top:-7.46px;width:387.53px;height:61.90px;"><div><p para="{al:4}"><span data-textwidth="362.70" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.55px;top:8.69px;">Central area in the mid diaphysis of the femur low</span><span data-textwidth="333.17" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:111%; left:12.55px;top:27.78px;">SI on MR, heterogeneous calcifications on CT</span></p></div></div></div> <div class="sg" id="s903" data-sgid="Picture 5" style="z-index:21;left:485.29px;top:118.13px;width:86.60px;height:131.91px"> <img class="sg" src="ABBC3103.png" id="s903_i" style="z-index:1;left:0px;top:0px;width:86.60px;height:131.91px" > </div> <div class="sg" id="s902" data-sgid="Content Placeholder 3" style="z-index:20;left:558.21px;top:121.13px;width:113.82px;height:127.94px"> <img class="sg" src="F0444594.png" id="s902_i" style="z-index:1;left:0px;top:0px;width:113.82px;height:127.94px" > </div> <div class="sg" id="s900" data-sgid="Grupo 10" style="z-index:8;left:54.00px;top:100.06px;width:43.46px;height:234.44px" data-shape="group"> <div class="sg" id="s906" data-sgid="Stage 1 - Number" style="z-index:10;left:8.61px;top:1.53px;width:25.91px;height:32.48px" data-pointer-events="none"> <div id="s906_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.91px;height:32.48px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.64px;top:6.71px;">1</span></p></div></div></div> <div class="sg" id="s907" data-sgid="Stage 1 - Circle" style="z-index:9;left:-0.50px;top:-0.51px;width:44.15px;height:35.38px" data-fillcolor="16776960"> <img class="sg" src="F2788EE7.png" id="s907_i" style="z-index:1;left:0px;top:0px;width:44.15px;height:35.38px" > </div> <div class="sg" id="s908" data-sgid="Stage 2 - Number" style="z-index:8;left:8.61px;top:51.51px;width:25.91px;height:32.40px" data-pointer-events="none"> <div id="s908_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.91px;height:32.40px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.64px;top:6.78px;">2</span></p></div></div></div> <div class="sg" id="s909" data-sgid="Stage 2 - Circle" style="z-index:7;left:-0.50px;top:49.36px;width:44.15px;height:35.49px" data-fillcolor="15962125"> <img class="sg" src="90297FC2.png" id="s909_i" style="z-index:1;left:0px;top:0px;width:44.15px;height:35.49px" > </div> <div class="sg" id="s910" data-sgid="Stage 3 - Number" style="z-index:6;left:8.61px;top:101.16px;width:25.91px;height:32.51px" data-pointer-events="none"> <div id="s910_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.91px;height:32.51px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.52px;top:6.95px;">3</span></p></div></div></div> <div class="sg" id="s911" data-sgid="Stage 3 - Circle" style="z-index:5;left:-0.50px;top:99.15px;width:44.38px;height:35.60px" data-fillcolor="16711680"> <img class="sg" src="531A1BF9.png" id="s911_i" style="z-index:1;left:0px;top:0px;width:44.38px;height:35.60px" > </div> <div class="sg" id="s912" data-sgid="Stage 4 - Number" style="z-index:4;left:8.61px;top:151.29px;width:25.91px;height:32.51px" data-pointer-events="none"> <div id="s912_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.91px;height:32.51px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.64px;top:6.87px;">4</span></p></div></div></div> <div class="sg" id="s913" data-sgid="Stage 4 - Circle" style="z-index:3;left:-0.50px;top:149.13px;width:44.15px;height:35.52px" data-fillcolor="3368703"> <img class="sg" src="B6F7D42B.png" id="s913_i" style="z-index:1;left:0px;top:0px;width:44.15px;height:35.52px" > </div> <div class="sg" id="s914" data-sgid="Stage 5 - Number" style="z-index:2;left:8.61px;top:201.30px;width:25.91px;height:32.40px" data-pointer-events="none"> <div id="s914_t" class="sg" style="z-index:2;left:0px;top:0px;width:25.91px;height:32.40px;"><div><p para="{al:2}"><span data-textwidth="6.84" class="sg nowrap f1" style="z-index:2;color:#000000;font-weight:bold; font-size:83%; left:9.64px;top:6.91px;">5</span></p></div></div></div> <div class="sg" id="s915" data-sgid="Stage 5 - Circle" style="z-index:1;left:-0.50px;top:199.15px;width:44.15px;height:35.49px" data-fillcolor="45136"> <img class="sg" src="F5448EB2.png" id="s915_i" style="z-index:1;left:0px;top:0px;width:44.15px;height:35.49px" > </div> </div> <div class="sg" id="s894" data-sgid="Connector Line" style="z-index:2;left:71.73px;top:117.53px;width:7.19px;height:211.06px" data-pointer-events="none"> <img class="sg" src="652B1A28.png" id="s894_i" style="z-index:1;left:0px;top:0px;width:6.19px;height:211.06px" > </div> <div class="sg" id="s897" data-sgid="Stage 3 - TextBox" style="z-index:5;left:111.44px;top:207.23px;width:425.05px;height:47.72px" data-valign="top"> <div id="s897_t" class="sg" style="z-index:2;left:-4.82px;top:-7.43px;width:429.86px;height:55.15px;"><div><p para="{al:4}"><span data-textwidth="218.44" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.56px;top:8.73px;">No matrix, osteoid or chondral</span></p></div></div></div> <div class="sg" id="s896" data-sgid="Stage 4 - TextBox" style="z-index:4;left:112.63px;top:254.47px;width:314.12px;height:47.86px" data-valign="top"> <div id="s896_t" class="sg" style="z-index:2;left:-4.93px;top:-7.43px;width:319.05px;height:55.29px;"><div><p para="{al:4}"><span data-textwidth="195.87" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.68px;top:8.78px;">Marked cortical destruction</span></p></div></div></div> <div class="sg" id="s904" data-sgid="Picture 4" style="z-index:22;left:525.59px;top:234.44px;width:89.97px;height:164.91px"> <img class="sg" src="1DDB6D4B.png" id="s904_i" style="z-index:1;left:0px;top:0px;width:89.97px;height:164.91px" > </div> <div class="sg" id="s895" data-sgid="Stage 5 - TextBox" style="z-index:3;left:112.63px;top:298.98px;width:314.12px;height:47.72px" data-valign="top"> <div id="s895_t" class="sg" style="z-index:2;left:-4.93px;top:-7.58px;width:319.05px;height:55.29px;"><div><p para="{al:4}"><span data-textwidth="180.27" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.68px;top:8.95px;">Proximal skip metastasis</span></p></div></div></div> <div class="sg sgTitle" id="s916" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s916_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="578.74" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">MSK CASE 2-DDX, AGRESSIVE BONE TUMOUR </span></p></div></div></div> <div class="sg" id="s917" data-sgid="Content Placeholder 2" style="z-index:2;left:11.53px;top:93.90px;width:654.52px;height:258.78px" data-valign="top" data-pointer-events="none"> <img class="sg" src="8E109CB5.png" id="s917_i" style="z-index:1;left:0px;top:0px;width:654.52px;height:258.78px" > <div id="s917_t" class="sg" style="z-index:2;left:-7.45px;top:-7.32px;width:661.97px;height:266.10px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="341.22" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:144%; left:15.12px;top:12.52px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:11.89px"> </span>UNDERLYING BONE INFARCT </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="586.54" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:144%; left:51.13px;top:52.85px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:7.44px"> </span>Malignant fibrous histiocytoma, fibrosarcoma (WHO 2013)</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="165.02" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:144%; left:51.13px;top:93.18px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:7.44px"> </span>Osteosarcoma</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="283.24" class="sg nowrap f5" style="z-index:12;color:#DC9E1F;font-size:144%; left:51.13px;top:133.51px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:7.44px"> </span>Others, angiosarcomas ….</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="356.22" class="sg nowrap f5" style="z-index:16;color:#DC9E1F;font-size:144%; left:15.12px;top:173.84px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:11.89px"> </span>Dedifferentiated Chondrosarcoma</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="159.03" class="sg nowrap f5" style="z-index:19;color:#DC9E1F;font-size:144%; left:15.12px;top:214.17px;">•<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:11.89px"> </span>Osteomyelitis</span></span></p></div></div></div> <div class="sg" id="s920" data-sgid="Rectángulo 12" style="z-index:5;left:431.31px;top:254.47px;width:143.47px;height:39.57px" data-valign="top" data-pointer-events="none"> <div id="s920_t" class="sg" style="z-index:2;left:-8.53px;top:-4.31px;width:159.04px;height:55.66px;"><div><p><span data-textwidth="126.87" class="sg nowrap f2" style="z-index:2;color:#FFCC00;font-size:144%; left:16.49px;top:12.06px;">No chondroid</span></p></div></div></div> <div class="sg" id="s918" data-sgid="Conector recto de flecha 3" style="z-index:3;left:41.38px;top:273.08px;width:396.90px;height:13.79px" data-pointer-events="none"> <img class="sg" src="4E58DFA5.png" id="s918_i" style="z-index:1;left:0px;top:0px;width:396.90px;height:13.79px" > </div> <div class="sg" id="s921" data-sgid="Rectángulo 13" style="z-index:6;left:431.31px;top:294.04px;width:206.42px;height:39.69px" data-valign="top" data-pointer-events="none"> <div id="s921_t" class="sg" style="z-index:2;left:-8.53px;top:-4.20px;width:221.43px;height:55.66px;"><div><p><span data-textwidth="189.27" class="sg nowrap f2" style="z-index:2;color:#FFCC00;font-size:144%; left:16.49px;top:12.11px;">Soft tissue mass…. </span></p></div></div></div> <div class="sg" id="s919" data-sgid="Conector recto de flecha 5" style="z-index:4;left:41.38px;top:314.33px;width:396.90px;height:13.05px" data-pointer-events="none"> <img class="sg" src="800AC2A5.png" id="s919_i" style="z-index:1;left:0px;top:0px;width:396.90px;height:13.05px" > </div> <div class="sg sgTitle" id="s922" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:150.77px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s922_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:173.20px;height:82.75px;"><div><p><span data-textwidth="136.22" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">FINDINGS, </span></p></div></div></div> <div class="sg" id="s924" data-sgid="CuadroTexto 70" style="z-index:3;left:185.44px;top:39.94px;width:392.94px;height:44.48px" data-valign="top"> <div id="s924_t" class="sg" style="z-index:2;left:-10.93px;top:-5.42px;width:410.81px;height:63.94px;"><div><p><span data-textwidth="374.22" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.72px;top:13.21px;">infarct-associated bone sarcomas </span></p></div></div></div> <div class="sg" id="s937" data-sgid="Group 35 (2)" style="z-index:57;left:420.52px;top:117.16px;width:240.35px;height:33.82px"> <img class="sg" src="80ED560C.png" id="s937_i" style="z-index:1;left:0px;top:0px;width:240.35px;height:33.82px" > </div> <div class="sg" id="s931" data-sgid="Group 35" style="z-index:29;left:41.38px;top:120.88px;width:241.57px;height:35.01px"> <img class="sg" src="23492CA.png" id="s931_i" style="z-index:1;left:0px;top:0px;width:241.57px;height:35.01px" > </div> <div class="sg" id="s934" data-sgid="Group 66" style="z-index:35;left:466.94px;top:93.19px;width:158.82px;height:505.48px"> <img class="sg" src="F83502CB.png" id="s934_i" style="z-index:1;left:0px;top:0px;width:158.82px;height:505.48px" > </div> <div class="sg" id="s926" data-sgid="Group 43" style="z-index:5;left:83.83px;top:94.75px;width:157.74px;height:503.29px"> <img class="sg" src="81F9FE15.png" id="s926_i" style="z-index:1;left:0px;top:0px;width:157.74px;height:503.29px" > </div> <div class="sg" id="s935" data-sgid="Group 33 (2)" style="z-index:49;left:587.12px;top:140.43px;width:122.09px;height:169.93px"> <img class="sg" src="C78D28ED.png" id="s935_i" style="z-index:1;left:0px;top:0px;width:122.09px;height:169.93px" > </div> <div class="sg" id="s936" data-sgid="Group 34 (2)" style="z-index:53;left:376.14px;top:140.43px;width:121.49px;height:172.23px"> <img class="sg" src="FDEF6D61.png" id="s936_i" style="z-index:1;left:0px;top:0px;width:121.49px;height:172.23px" > </div> <div class="sg" id="s930" data-sgid="Group 34" style="z-index:25;left:5.27px;top:147.26px;width:121.52px;height:164.91px"> <img class="sg" src="673584AE.png" id="s930_i" style="z-index:1;left:0px;top:0px;width:121.52px;height:164.91px" > </div> <div class="sg" id="s929" data-sgid="Group 33" style="z-index:21;left:209.06px;top:147.86px;width:120.19px;height:164.31px"> <img class="sg" src="25D3807A.png" id="s929_i" style="z-index:1;left:0px;top:0px;width:120.19px;height:164.31px" > </div> <div class="sg" id="s928" data-sgid="Oval 36" style="z-index:20;left:208.94px;top:215.97px;width:120.42px;height:93.08px" data-valign="top" data-fillcolor="3368703"> <img class="sg" src="ABC34CEE.png" id="s928_i" style="z-index:1;left:0px;top:0px;width:120.42px;height:93.08px" > <div id="s928_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:120.42px;height:93.08px;"><div><p para="{al:2}"><span data-textwidth="20.40" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:78%; left:51.74px;top:16.44px;">NO </span><span data-textwidth="51.85" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:78%; left:34.46px;top:33.25px;">OSTEOID</span></p></div></div></div> <div class="sg" id="s927" data-sgid="Oval 37" style="z-index:19;left:6.49px;top:215.97px;width:120.90px;height:94.04px" data-valign="top" data-fillcolor="15962125"> <img class="sg" src="B204A9A3.png" id="s927_i" style="z-index:1;left:0px;top:0px;width:120.90px;height:94.04px" > <div id="s927_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:120.90px;height:94.04px;"><div><p para="{al:2}"><span data-textwidth="29.76" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:78%; left:47.16px;top:16.56px;">SKIP </span><span data-textwidth="75.49" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:78%; left:24.12px;top:33.37px;">METASTASIS </span></p></div></div></div> <div class="sg" id="s933" data-sgid="Oval 36 (2)" style="z-index:34;left:589.28px;top:216.45px;width:118.74px;height:93.79px" data-valign="top" data-fillcolor="3368703"> <img class="sg" src="82BFDE68.png" id="s933_i" style="z-index:1;left:0px;top:0px;width:118.74px;height:93.79px" > <div id="s933_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:118.74px;height:93.79px;"><div><p para="{al:2}"><span data-textwidth="20.40" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:78%; left:51.15px;top:16.20px;">NO </span><span data-textwidth="51.85" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:78%; left:33.86px;top:33.01px;">OSTEOID</span></p></div></div></div> <div class="sg" id="s932" data-sgid="Oval 37 (2)" style="z-index:33;left:377.33px;top:216.45px;width:120.08px;height:95.46px" data-valign="top" data-fillcolor="15962125"> <img class="sg" src="53DC87B8.png" id="s932_i" style="z-index:1;left:0px;top:0px;width:120.08px;height:95.46px" > <div id="s932_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:120.08px;height:95.46px;"><div><p para="{al:2}"><span data-textwidth="33.01" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:78%; left:47.06px;top:16.44px;">SKIP </span><span data-textwidth="72.61" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:78%; left:24.14px;top:33.25px;">METASTASIS</span></p></div></div></div> <div class="sg" id="s923" data-sgid="Content Placeholder 2" style="z-index:2;left:447.88px;top:355.80px;width:198.86px;height:42.81px" data-valign="top"> <div id="s923_t" class="sg" style="z-index:2;left:-7.68px;top:-4.06px;width:206.54px;height:53.48px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="169.11" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:15.76px;top:11.78px;">FIBROSARCOMA</span></p></div></div></div> <div class="sg" id="s925" data-sgid="Content Placeholder 2 (2)" style="z-index:4;left:61.77px;top:356.06px;width:198.75px;height:42.81px" data-valign="top"> <div id="s925_t" class="sg" style="z-index:2;left:-7.91px;top:-4.09px;width:209.17px;height:53.48px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="178.23" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:15.63px;top:11.79px;">OSTEOSARCOMA</span></p></div></div></div> <div class="sg sgTitle" id="s938" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s938_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="358.13" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS LIVE QUESTION: </span></p></div></div></div> <div class="sg" id="s940" data-sgid="Rectangle 3" style="z-index:3;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s940_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s939" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s939_t" class="sg" style="z-index:2;left:-10.79px;top:-5.99px;width:635.32px;height:249.79px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="298.13" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:178%; left:18.51px;top:14.55px;">•<span class="f2" style="color:#FFC000;"><span style="letter-spacing:8.40px"> </span>What is the diagnosis?</span></span></p></div></div></div> <div class="sg" id="s941" data-sgid="Content Placeholder 2 (2)" style="z-index:4;left:47.49px;top:144.88px;width:294.69px;height:207.80px" data-valign="top"> <div id="s941_t" class="sg" style="z-index:2;left:0.00px;top:-3.60px;width:294.69px;height:211.40px;"><div><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="157.35" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:43.73px;top:11.35px;">A. Osteosarcoma</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="149.42" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:133%; left:43.73px;top:51.92px;">B. Fibrosarcoma</span></p><p para="{in:2,spbf:0.20,spaf:6.00}"><span data-textwidth="154.94" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:43.73px;top:92.49px;">C. Angiosarcoma</span></p></div></div></div> <div class="sg" id="s942" data-sgid="Rectangle 6" style="z-index:5;left:216.50px;top:358.70px;width:151.71px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s942_t" class="sg" style="z-index:2;left:-3.59px;top:-1.93px;width:157.60px;height:53.62px;"><div><p><span data-textwidth="134.54" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.53px;top:8.27px;"><a target=_blank class="sga" href="https://goo.gl/khurkK"><u>https://goo.gl/khurkK</u></a></span></p></div></div><img class="sg" src="F6A99B5A.png" id="s942_tt" style="left:-3.59px;top:-1.93px;width:157.60px;height:53.62px;z-index:1" > </div> <div class="sg sgTitle" id="s943" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:261.96px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s943_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:272.86px;height:82.75px;"><div><p><span data-textwidth="148.58" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS </span></p></div></div></div> <div class="sg" id="s951" data-sgid="Imagen 31" style="z-index:31;left:562.17px;top:-37.50px;width:156.00px;height:312.00px"> <img class="sg" style="z-index:5;left:0.00px;top:0.00px;width:156px;height:312px" id="s951_g" src="s951.gif" > </div> <div class="sg" id="s949" data-sgid="Group 35" style="z-index:26;left:258.59px;top:120.88px;width:241.68px;height:35.01px"> <img class="sg" src="F597E5D1.png" id="s949_i" style="z-index:1;left:0px;top:0px;width:241.68px;height:35.01px" > </div> <div class="sg" id="s950" data-sgid="Rounded Rectangle 56" style="z-index:30;left:9.23px;top:122.21px;width:190.82px;height:108.03px" data-valign="middle" data-fillcolor="16777215"> <img class="sg" src="6C188897.png" id="s950_i" style="z-index:1;left:0px;top:0px;width:190.82px;height:108.03px" > <div id="s950_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:190.82px;height:109.73px;"><div><p para="{bl:{nbr:1,val:1,st:3}}"><span data-textwidth="141.63" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.57px;top:10.70px;">1.<span style="letter-spacing:8.77px"> </span>Skip metastasis</span></p><p para="{bl:{nbr:2,val:1,st:3}}"><span data-textwidth="114.26" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:111%; left:13.57px;top:32.30px;">2.<span style="letter-spacing:8.77px"> </span>No osteoid, </span><span data-textwidth="102.74" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:111%; left:40.58px;top:53.91px;">fibrohistiocytic</span></p><p para="{bl:{nbr:3,val:1,st:3}}"><span data-textwidth="130.95" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:111%; left:13.57px;top:75.51px;">3.<span style="letter-spacing:8.77px"> </span>Less frequent!</span></p></div></div></div> <div class="sg" id="s944" data-sgid="Group 43" style="z-index:2;left:300.93px;top:94.75px;width:157.85px;height:503.29px"> <img class="sg" src="CB6DFAC8.png" id="s944_i" style="z-index:1;left:0px;top:0px;width:157.85px;height:503.29px" > </div> <div class="sg" id="s948" data-sgid="Group 34" style="z-index:22;left:197.08px;top:147.26px;width:158.56px;height:164.91px"> <img class="sg" src="E6DB9E9.png" id="s948_i" style="z-index:1;left:0px;top:0px;width:158.56px;height:164.91px" > </div> <div class="sg" id="s947" data-sgid="Group 33" style="z-index:18;left:401.09px;top:147.86px;width:162.05px;height:164.31px"> <img class="sg" src="6489E466.png" id="s947_i" style="z-index:1;left:0px;top:0px;width:162.05px;height:164.31px" > </div> <div class="sg" id="s946" data-sgid="Oval 36" style="z-index:17;left:400.84px;top:215.97px;width:162.41px;height:93.08px" data-valign="top" data-fillcolor="3368703"> <img class="sg" src="5194C71.png" id="s946_i" style="z-index:1;left:0px;top:0px;width:162.41px;height:93.08px" > <div id="s946_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:162.41px;height:93.08px;"><div><p para="{al:2}"></p><p para="{al:2}"><span data-textwidth="95.18" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:78%; left:33.87px;top:32.04px;">FIBROSARCOMA</span></p></div></div></div> <div class="sg" id="s945" data-sgid="Oval 37" style="z-index:16;left:196.94px;top:215.97px;width:160.26px;height:94.04px" data-valign="top" data-fillcolor="15962125"> <img class="sg" src="30964685.png" id="s945_i" style="z-index:1;left:0px;top:0px;width:160.26px;height:94.04px" > <div id="s945_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:160.26px;height:94.04px;"><div><p para="{al:2}"></p><p para="{al:2}"><span data-textwidth="99.50" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:78%; left:30.62px;top:30.96px;">OSTEOSARCOMA</span></p></div></div></div> <div class="sg sgTitle" id="s953" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s953_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="480.44" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:72.17px;top:21.52px;">DR. LLOPIS’ DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s954" data-sgid="Rectangle 3" style="z-index:3;left:5.52px;top:140.20px;width:702.50px;height:66.18px" data-valign="top" data-pointer-events="none"> <div id="s954_t" class="sg" style="z-index:2;left:0.00px;top:-10.92px;width:711.99px;height:101.70px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="652.67" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:30.73px;top:20.75px;">Osteosarcoma arising in bone infarct</span></p></div></div></div> <div class="sg" id="s952" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <img class="sg" src="18750D6B.png" id="s952_tt" style="left:0.00px;top:0.00px;width:624.53px;height:243.80px;z-index:1" > </div> <div class="sg sgTitle" id="s955" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s955_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s956" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s956_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:624.53px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="543.09" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:46.61px;top:20.70px;">Osteosarcoma arising in bone </span><span data-textwidth="109.58" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:267%; left:257.72px;top:78.32px;">infarct</span></p></div></div></div> <div class="sg sgTitle" id="s957" data-sgid="Title 3" style="z-index:1;left:5.52px;top:15.72px;width:708.50px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s957_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:716.40px;height:101.82px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="654.71" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:32.77px;top:20.66px;">BONE INFARCT OSTEOSARCOMA </span></p></div></div></div> <div class="sg" id="s958" data-sgid="Content Placeholder 1" style="z-index:2;left:11.53px;top:93.90px;width:702.50px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s958_t" class="sg" style="z-index:2;left:-6.26px;top:-6.47px;width:732.15px;height:253.62px;"><div><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="685.68" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:133%; left:13.93px;top:10.67px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Secondary sarcoma arising in association with a preexisting bone infarct </span></span><span data-textwidth="150.99" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:40.94px;top:37.24px;">is extremely rare</span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="615.58" class="sg nowrap f3" style="z-index:6;color:#DC9E1F;font-size:133%; left:13.93px;top:74.29px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Malignant fibrous histiocytoma &gt;&gt; osteosarcoma &gt; angiosarcoma</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="218.92" class="sg nowrap f3" style="z-index:11;color:#DC9E1F;font-size:133%; left:13.93px;top:111.97px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> M &gt; F, 5</span><span class="f2" style="font-size:67%; color:#FFFFFF;position:relative;bottom:8px;">th</span><span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> -6</span><span class="f2" style="font-size:67%; color:#FFFFFF;position:relative;bottom:8px;">th</span><span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> decade</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="328.26" class="sg nowrap f3" style="z-index:18;color:#DC9E1F;font-size:133%; left:13.93px;top:149.66px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> Typical location is about the knee</span></span></p><p para="{bl:{ch:118},spbf:0.20,spaf:6.00}"><span data-textwidth="703.93" class="sg nowrap f3" style="z-index:20;color:#DC9E1F;font-size:133%; left:13.93px;top:187.35px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:-1px;"> More than 50% of patients die of their disease;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;</span></span><span data-textwidth="434.35" class="sg nowrap f2" style="z-index:23;color:#FFFFFF;font-size:133%; left:40.94px;top:213.92px;">majority of patients who die do so within 2 years</span></p></div></div></div> <div class="sg" id="s961" data-sgid="Down Arrow 5" style="z-index:5;left:549.35px;top:197.02px;width:29.62px;height:68.37px" data-rotation = "253" data-fillcolor="555604"> <img class="sg" src="9F0C5CAE.png" id="s961_i" style="z-index:1;left:0px;top:0px;width:29.62px;height:68.37px" > </div> <div class="sg" id="s960" data-sgid="Picture 4" style="z-index:4;left:521.28px;top:201.84px;width:192.74px;height:169.45px"> <img class="sg" src="8DBE501B.jpg" id="s960_i" style="z-index:1;left:0px;top:0px;width:192.74px;height:169.45px" > </div> <div class="sg" id="s962" data-sgid="Down Arrow 6" style="z-index:6;left:629.35px;top:302.81px;width:29.62px;height:68.23px" data-rotation = "253" data-fillcolor="555604"> <img class="sg" src="77C7FB9F.png" id="s962_i" style="z-index:1;left:0px;top:0px;width:29.62px;height:68.23px" > </div> <div class="sg" id="s959" data-sgid="TextBox 2" style="z-index:3;left:29.51px;top:375.72px;width:516.58px;height:22.67px" data-valign="top"> <div id="s959_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:516.58px;height:26.16px;"><div><p><span data-textwidth="296.56" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.70px;top:6.12px;">Domson et al. <span style="color:#646464;"><a target=_blank class="sga" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690751/"><u>Clin Orthop Relat Res</u></a></span>. 2009 Jul; 467(7): 1820–1825 </span></p></div></div><img class="sg" src="11D6C552.png" id="s959_tt" style="left:0.00px;top:0.00px;width:516.58px;height:26.16px;z-index:1" > </div> <div class="sg sgTitle" id="s963" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s963_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="539.85" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ABDOMINAL CASE 2- 54 YEAR OLD WOMAN </span></p></div></div></div> <div class="sg" id="s966" data-sgid="Rectangle 5" style="z-index:4;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s966_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s964" data-sgid="Content Placeholder 3" style="z-index:2;left:237.86px;top:93.90px;width:243.83px;height:243.80px"> <img class="sg" src="EE1C559.jpg" id="s964_i" style="z-index:1;left:0px;top:0px;width:243.83px;height:243.80px" > </div> <div class="sg" id="s965" data-sgid="Rounded Rectangle 4" style="z-index:3;left:5.15px;top:315.40px;width:229.56px;height:85.73px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="9EB669C5.png" id="s965_i" style="z-index:1;left:0px;top:0px;width:229.56px;height:85.73px" > <div id="s965_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:229.56px;height:85.73px;"><div><p para="{al:2}"><span data-textwidth="181.83" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:25.70px;top:16.39px;">She presented for outpatient </span><span data-textwidth="197.79" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:17.65px;top:35.60px;">Barium esophagram for gastric </span><span data-textwidth="98.18" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:65.66px;top:54.80px;">sleeve planning</span></p></div></div></div> <div class="sg sgTitle" id="s967" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s967_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="350.94" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS LIVE QUESTION:</span></p></div></div></div> <div class="sg" id="s970" data-sgid="Rectangle 8" style="z-index:4;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s970_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s969" data-sgid="Content Placeholder 3" style="z-index:3;left:26.51px;top:93.90px;width:243.72px;height:243.80px"> <img class="sg" src="9D6EAE25.jpg" id="s969_i" style="z-index:1;left:0px;top:0px;width:243.72px;height:243.80px" > </div> <div class="sg" id="s968" data-sgid="Content Placeholder 5" style="z-index:2;left:294.33px;top:95.57px;width:426.78px;height:243.69px" data-valign="top" data-pointer-events="none"> <div id="s968_t" class="sg" style="z-index:2;left:-12.10px;top:-6.09px;width:438.87px;height:249.79px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="313.01" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:178%; left:19.98px;top:14.06px;">Where is the abnormality?</span></p></div></div></div> <div class="sg" id="s971" data-sgid="Rectangle 2" style="z-index:5;left:245.39px;top:349.11px;width:151.14px;height:51.80px" data-valign="top" data-pointer-events="none"> <div id="s971_t" class="sg" style="z-index:2;left:-3.60px;top:-1.82px;width:157.00px;height:53.62px;"><div><p><span data-textwidth="134.06" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.45px;top:8.27px;"><a target=_blank class="sga" href="https://goo.gl/raVLyk"><u>https://goo.gl/raVLyk</u></a></span></p></div></div><img class="sg" src="E4E9D362.png" id="s971_tt" style="left:-3.60px;top:-1.82px;width:157.00px;height:53.62px;z-index:1" > </div> <div class="sg sgTitle" id="s972" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s972_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="539.85" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">ABDOMINAL CASE 2- 54 YEAR OLD WOMAN </span></p></div></div></div> <div class="sg" id="s974" data-sgid="Content Placeholder 5" style="z-index:3;left:527.26px;top:96.65px;width:151.85px;height:241.76px"> <img class="sg" src="1C6B34DF.jpg" id="s974_i" style="z-index:1;left:0px;top:0px;width:151.85px;height:241.76px" > </div> <div class="sg" id="s975" data-sgid="Picture 6" style="z-index:4;left:365.35px;top:96.17px;width:151.23px;height:245.62px"> <img class="sg" src="74F6EE14.jpg" id="s975_i" style="z-index:1;left:0px;top:0px;width:151.23px;height:245.62px" > </div> <div class="sg" id="s973" data-sgid="IM_0001.avi" style="z-index:2;left:6.00px;top:94.50px;width:336.00px;height:252.00px" data-href=""> <div id="s973_crop" class="sg" style="-webkit-mask-box-image: url(E1FA4094.jpg) -0.48px -0.5999985px 336.66px 252.79px;width:334.00px;height:250.00px;top:1px;left:1px;z-index:2;overflow:hidden"><video controls loop autoplay class="sg" xmlns="video" src="sld149-s973.mp4" type="video/mp4" width="336" height="252" style="width:336.66px;height:252.79px;top:-0.60px;left:-0.48px;z-index:2;object-fit:fill"><strong>This device cannot play MP4 video.</strong></video></div><img class="sg" src="E1FA4094.jpg" style="z-index:1;width:336.66px;height:252.79px;top:-0.60px;left:-0.48px;"> </div> <div class="sg sgTitle" id="s976" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:702.50px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s976_t" class="sg" style="z-index:2;left:-10.90px;top:-17.28px;width:713.40px;height:100.03px;"><div><p><span data-textwidth="547.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:13.28px;">ABDOMINAL CASE 2- 54 YEAR OLD WOMAN </span><span data-textwidth="645.47" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:167%; left:18.62px;top:49.29px;">UNDERGOING PRE-BARIATRIC SURG ESOPHAGRAM</span></p></div></div></div> <div class="sg" id="s977" data-sgid="Content Placeholder 3" style="z-index:2;left:389.34px;top:92.11px;width:243.72px;height:243.66px"> <img class="sg" src="A966CBAC.jpg" id="s977_i" style="z-index:1;left:0px;top:0px;width:243.72px;height:243.66px" > </div> <div class="sg" id="s978" data-sgid="Picture 2" style="z-index:3;left:179.43px;top:87.91px;width:91.53px;height:260.57px"> <img class="sg" src="DCC37AC8.png" id="s978_i" style="z-index:1;left:0px;top:0px;width:91.53px;height:260.57px" > </div> <div class="sg" id="s979" data-sgid="Picture 5" style="z-index:4;left:77.48px;top:91.26px;width:94.02px;height:256.62px"> <img class="sg" src="D29D4E9A.png" id="s979_i" style="z-index:1;left:0px;top:0px;width:94.02px;height:256.62px" > </div> <div class="sg sgTitle" id="s980" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s980_t" class="sg" style="z-index:2;left:-10.90px;top:-17.28px;width:635.44px;height:100.03px;"><div><p><span data-textwidth="534.93" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:13.28px;">SHE REPORTED PRIOR SWALLOWING AND </span><span data-textwidth="304.25" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:167%; left:18.62px;top:49.29px;">BREATHING ISSUES…….</span></p></div></div></div> <div class="sg" id="s981" data-sgid="Content Placeholder 3" style="z-index:2;left:365.35px;top:95.83px;width:256.07px;height:250.87px"> <img class="sg" src="B3BF1C2B.jpg" id="s981_i" style="z-index:1;left:0px;top:0px;width:256.07px;height:250.87px" > </div> <div class="sg" id="s982" data-sgid="Picture 4" style="z-index:3;left:95.47px;top:99.89px;width:154.85px;height:246.81px"> <img class="sg" src="C6E0B092.jpg" id="s982_i" style="z-index:1;left:0px;top:0px;width:154.85px;height:246.81px" > </div> <div class="sg" id="s983" data-sgid="TextBox 5" style="z-index:4;left:236.75px;top:316.96px;width:144.77px;height:29.96px" data-valign="top"> <div id="s983_t" class="sg" style="z-index:2;left:0.00px;top:-1.92px;width:144.77px;height:38.87px;"><div><p para="{al:2}"><span data-textwidth="32.65" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:56.34px;top:8.23px;">2014</span></p></div></div></div> <div class="sg sgTitle" id="s984" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s984_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="121.46" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">FINDINGS</span></p></div></div></div> <div class="sg" id="s985" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s985_t" class="sg" style="z-index:2;left:-0.59px;top:-2.16px;width:625.13px;height:245.96px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="101.41" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:78%; left:8.31px;top:6.84px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.84px"> </span>Esophagrams</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="339.18" class="sg nowrap f5" style="z-index:4;color:#DC9E1F;font-size:78%; left:39.63px;top:31.33px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.85px"> </span>Smoothly marginated mass near the level of the vallecula.</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="250.01" class="sg nowrap f5" style="z-index:8;color:#DC9E1F;font-size:78%; left:39.63px;top:55.81px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.85px"> </span>Does not appear to infringe upon swallow</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="530.49" class="sg nowrap f5" style="z-index:10;color:#DC9E1F;font-size:78%; left:39.63px;top:80.30px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.85px"> </span>On double contrast esophagram, a Schatzki ring is noted. No intrinsic or extrinsic lesions. No </span></span><span data-textwidth="239.56" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:78%; left:66.64px;top:95.18px;">achalasia or otherwise patuluous esophagus</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="267.29" class="sg nowrap f5" style="z-index:19;color:#DC9E1F;font-size:78%; left:39.63px;top:119.91px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.85px"> </span>Findings on swallow were present previously</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="95.53" class="sg nowrap f5" style="z-index:21;color:#DC9E1F;font-size:78%; left:8.67px;top:144.39px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.84px"> </span>Radiographs</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="338.58" class="sg nowrap f5" style="z-index:23;color:#DC9E1F;font-size:78%; left:39.63px;top:168.88px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.85px"> </span>Bulky hilar adenopathy and right paratracheal adenopathy</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="316.62" class="sg nowrap f5" style="z-index:25;color:#DC9E1F;font-size:78%; left:39.63px;top:193.36px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.85px"> </span>No definite pulmonary abnormality. Normal heart size.</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="316.86" class="sg nowrap f5" style="z-index:27;color:#DC9E1F;font-size:78%; left:39.63px;top:217.85px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:18.85px"> </span>Adenopathy is minimally improved since initial workup</span></span></p></div></div></div> <div class="sg sgTitle" id="s986" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s986_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="158.07" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DISCUSSION</span></p></div></div></div> <div class="sg" id="s987" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s987_t" class="sg" style="z-index:2;left:-2.41px;top:-1.33px;width:626.94px;height:245.13px;"><div><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="568.29" class="sg nowrap f5" style="z-index:2;color:#DC9E1F;font-size:94%; left:10.13px;top:7.93px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.16px"> </span>Radiography suggests Sarcoid (ah – she knows that I have more thoracic radiology </span></span><span data-textwidth="447.79" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:94%; left:37.13px;top:27.86px;">experience than flouroscopy, even though I am an abdominal imager)</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="534.09" class="sg nowrap f5" style="z-index:9;color:#DC9E1F;font-size:94%; left:41.45px;top:58.82px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.17px"> </span>Other in DDX includes TB, Metastatic dz, Lymphoma, Multicentric Castleman’s</span></span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="562.18" class="sg nowrap f5" style="z-index:15;color:#DC9E1F;font-size:94%; left:41.45px;top:89.31px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.17px"> </span>These would not be expected to have such an indolent course, with persistent and </span></span><span data-textwidth="283.00" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:94%; left:68.46px;top:109.23px;">mildly improved adenopathy 2-3 years later.</span></p><p para="{bl:{ch:8226},spbf:0.20,spaf:6.00}"><span data-textwidth="567.70" class="sg nowrap f5" style="z-index:20;color:#DC9E1F;font-size:94%; left:10.49px;top:140.20px;">•<span class="f2" style="color:#FFFFFF;"><span style="letter-spacing:17.16px"> </span>Sarcoid is known to occur in larynx, usually with other manifestations of the disease</span></span></p></div></div></div> <div class="sg sgTitle" id="s989" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s989_t" class="sg" style="z-index:2;left:-4.44px;top:-9.59px;width:633.43px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="573.46" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:30.16px;top:21.52px;">DR. HEILBRUN’S DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s988" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s988_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:253.39px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="166.83" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:244%; left:229.04px;top:19.27px;">SARCOID</span></p></div></div></div> <div class="sg sgTitle" id="s990" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s990_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s991" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s991_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:624.53px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="381.30" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:121.74px;top:20.70px;">Epiglottic Sarcoidosis</span></p></div></div></div> <div class="sg sgTitle" id="s992" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s992_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="529.29" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:47.81px;top:20.66px;">EPIGLOTTIC SARCOIDOSIS</span></p></div></div></div> <div class="sg" id="s993" data-sgid="Content Placeholder 1" style="z-index:2;left:11.53px;top:81.90px;width:684.49px;height:283.38px" data-valign="top" data-pointer-events="none"> <div id="s993_t" class="sg" style="z-index:2;left:-3.97px;top:-2.38px;width:692.53px;height:307.94px;"><div><p para="{bl:{ch:118},spaf:6.00}"><span data-textwidth="662.99" class="sg nowrap f3" style="z-index:2;color:#DC9E1F;font-size:111%; left:11.64px;top:9.34px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Sarcoidosis- multisystem disorder characterized by noncaseating granulomas, most </span></span><span data-textwidth="296.09" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:111%; left:38.65px;top:32.74px;">commonly involving pulmonary system </span></p><p para="{bl:{ch:118},spaf:6.00}"><span data-textwidth="449.96" class="sg nowrap f3" style="z-index:9;color:#DC9E1F;font-size:111%; left:11.64px;top:63.35px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Upper airway is involved 6% of cases; laryngeal in 1.2%</span></span></p><p para="{bl:{ch:118},spaf:6.00}"><span data-textwidth="654.11" class="sg nowrap f3" style="z-index:15;color:#DC9E1F;font-size:111%; left:11.64px;top:93.36px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Laryngeal sarcoidosis more commonly supraglottic: epiglottis, arytenoids and false </span></span><span data-textwidth="255.64" class="sg nowrap f2" style="z-index:20;color:#FFFFFF;font-size:111%; left:38.65px;top:116.76px;">vocal cords -rich lymphatic supply</span></p><p para="{bl:{ch:118},spaf:6.00}"><span data-textwidth="460.28" class="sg nowrap f3" style="z-index:25;color:#DC9E1F;font-size:111%; left:11.64px;top:147.37px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Symptoms: dysphonia, irritating dry cough and dysphagia</span></span></p><p para="{bl:{ch:118},spaf:6.00}"><span data-textwidth="618.83" class="sg nowrap f3" style="z-index:29;color:#DC9E1F;font-size:111%; left:11.64px;top:177.38px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>DDx: </span><span class="f2" style="font-size:90%; color:#FFFFFF;position:relative;bottom:1px;">relapsing polychondritis, granulomatosis with polyangiitis (GPA), papillomatosis, </span></span><span data-textwidth="637.79" class="sg nowrap f2" style="z-index:41;color:#FFFFFF;left:38.65px;top:200.66px;">amyloidosis, histoplasmosis, blastomycosis, tuberculosis, syphilis, lymphoma, squamous cell </span><span data-textwidth="243.76" class="sg nowrap f2" style="z-index:45;color:#FFFFFF;left:38.65px;top:222.27px;">carcinoma and cartilaginous tumors</span></p><p para="{bl:{ch:118},spaf:6.00}"><span data-textwidth="668.76" class="sg nowrap f3" style="z-index:47;color:#DC9E1F;font-size:111%; left:11.64px;top:250.59px;">&#61558;<span class="f2" style="color:#FFFFFF;position:relative;bottom:1px;"><span style="letter-spacing:4.57px"> </span>Treatment: systemic steroids; combined modalities include intralesional steroids with </span></span><span data-textwidth="347.82" class="sg nowrap f2" style="z-index:56;color:#FFFFFF;font-size:111%; left:38.65px;top:274.00px;">mucosa sparing laser surgery or laser surgery</span></p></div></div></div> <div class="sg sgTitle" id="s994" data-sgid="Title 1" style="z-index:1;left:47.49px;top:-23.38px;width:678.51px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s994_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:689.41px;height:82.87px;"><div><p><span data-textwidth="631.55" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:31.98px;">CARDIOTHORACIC CASE 2- 32 Y.O. WOMAN IN MVC</span></p></div></div></div> <div class="sg" id="s995" data-sgid="Content Placeholder 3" style="z-index:2;left:19.20px;top:57.08px;width:288.10px;height:256.51px"> <img class="sg" src="A46352C0.jpg" id="s995_i" style="z-index:1;left:0px;top:0px;width:288.10px;height:256.51px" > </div> <div class="sg" id="s997" data-sgid="Rectangle 17" style="z-index:4;left:33.81px;top:219.69px;width:8.78px;height:7.43px" data-pointer-events="none"> <img class="sg" src="91058878.png" id="s997_i" style="z-index:1;left:0px;top:0px;width:8.78px;height:7.43px" > </div> <div class="sg" id="s998" data-sgid="Group 6" style="z-index:5;left:40.55px;top:81.90px;width:664.24px;height:316.85px"> <div id="s998_t" class="sg" style="z-index:2;left:0px;top:0px;width:664.24px;height:316.85px;"><div><p><span data-textwidth="236.08" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:309.91px;top:282.78px;">Figure courtesy Joao Inacio, MD</span><span data-textwidth="145.34" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:156%; left:451.53px;top:112.26px;"><u>Septal Pattern</u></span><span data-textwidth="115.10" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:451.53px;top:151.87px;">Lymphatics</span><span data-textwidth="81.49" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:451.53px;top:191.48px;">Venules</span><span data-textwidth="111.98" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:451.53px;top:231.09px;">Interstitium</span></p></div></div><img class="sg" src="E0EAE31B.png" id="s998_i" style="left: -1px;top: -1px;width:665.24px;height:317.85px" > </div> <div class="sg" id="s996" data-sgid="Rounded Rectangle 4" style="z-index:3;left:40.30px;top:315.40px;width:229.70px;height:85.73px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="8CADB072.png" id="s996_i" style="z-index:1;left:0px;top:0px;width:229.70px;height:85.73px" > <div id="s996_t" class="sg" style="z-index:2;left:0.00px;top:-0.96px;width:229.70px;height:92.23px;"><div><p para="{al:2}"><span data-textwidth="202.71" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:15.39px;top:7.75px;">She developed a headache after </span><span data-textwidth="170.79" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:31.23px;top:26.96px;">a low impact motor vehicle </span><span data-textwidth="159.75" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:36.75px;top:46.16px;">collision and came to the </span><span data-textwidth="144.02" class="sg nowrap f1" style="z-index:5;font-weight:bold; font-size:89%; left:42.87px;top:65.36px;">emergency department</span></p></div></div></div> <div class="sg sgTitle" id="s999" data-sgid="Title 1" style="z-index:1;left:47.49px;top:-23.38px;width:678.51px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s999_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:689.41px;height:82.87px;"><div><p><span data-textwidth="631.55" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:31.98px;">CARDIOTHORACIC CASE 2- 32 Y.O. WOMAN IN MVC</span></p></div></div></div> <div class="sg" id="s1000" data-sgid="Content Placeholder 3" style="z-index:2;left:19.20px;top:57.08px;width:288.10px;height:256.51px"> <img class="sg" src="A46352C0.jpg" id="s1000_i" style="z-index:1;left:0px;top:0px;width:288.10px;height:256.51px" > </div> <div class="sg" id="s1002" data-sgid="Rectangle 17" style="z-index:4;left:33.81px;top:219.69px;width:8.78px;height:7.43px" data-pointer-events="none"> <img class="sg" src="91058878.png" id="s1002_i" style="z-index:1;left:0px;top:0px;width:8.78px;height:7.43px" > </div> <div class="sg" id="s1003" data-sgid="Rectangle 18" style="z-index:5;left:329.24px;top:140.91px;width:142.62px;height:165.25px" data-pointer-events="none"> <img class="sg" src="84E5ED45.png" id="s1003_i" style="z-index:1;left:0px;top:0px;width:142.62px;height:165.25px" > </div> <div class="sg" id="s1006" data-sgid="Group 24" style="z-index:22;left:342.19px;top:173.65px;width:95.13px;height:112.37px"> <img class="sg" src="35DB1862.png" id="s1006_i" style="z-index:1;left:0px;top:0px;width:95.13px;height:112.37px" > </div> <div class="sg" id="s1004" data-sgid="Group 8" style="z-index:6;left:343.40px;top:174.98px;width:89.83px;height:110.07px"> <img class="sg" src="EB6AB252.png" id="s1004_i" style="z-index:1;left:0px;top:0px;width:89.83px;height:110.07px" > </div> <div class="sg" id="s1005" data-sgid="Group 6" style="z-index:14;left:41.33px;top:82.39px;width:663.36px;height:308.08px" data-shape="group"> <div class="sg" id="s1007" data-sgid="Picture 2" style="z-index:5;left:550.35px;top:-0.60px;width:113.11px;height:111.52px"> <img class="sg" src="A31B367E.png" id="s1007_i" style="z-index:1;left:0px;top:0px;width:113.11px;height:111.52px" > </div> <div class="sg" id="s1008" data-sgid="Rectangle 38" style="z-index:4;left:442.63px;top:104.08px;width:162.41px;height:161.90px" data-valign="top" data-pointer-events="none"> <div id="s1008_t" class="sg" style="z-index:2;left:-9.58px;top:-4.80px;width:180.03px;height:178.33px;"><div><p para="{spbf:6.00}"><span data-textwidth="145.34" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.70px;top:12.49px;"><u>Septal Pattern</u></span></p><p para="{spbf:6.00}"><span data-textwidth="115.10" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:156%; left:17.70px;top:52.10px;">Lymphatics</span></p><p para="{spbf:6.00}"><span data-textwidth="81.49" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.70px;top:91.71px;">Venules</span></p><p para="{spbf:6.00}"><span data-textwidth="111.98" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:17.70px;top:131.32px;">Interstitium</span></p></div></div><img class="sg" src="A9220666.png" id="s1008_tt" style="left:-9.58px;top:-4.80px;width:180.03px;height:178.33px;z-index:1" > </div> <div class="sg" id="s1009" data-sgid="Rectangle 37" style="z-index:3;left:301.23px;top:275.94px;width:253.69px;height:32.26px" data-valign="top" data-pointer-events="none"> <div id="s1009_t" class="sg" style="z-index:2;left:-4.79px;top:-2.53px;width:260.85px;height:42.95px;"><div><p><span data-textwidth="236.08" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.69px;top:8.88px;">Figure courtesy Joao Inacio, MD</span></p></div></div></div> <div class="sg" id="s1010" data-sgid="Trapezoid 36" style="z-index:2;left:62.89px;top:-5.03px;width:163.26px;height:290.81px" data-rotation = "270" data-fillcolor="12582912"> <img class="sg" src="43E9DEA6.png" id="s1010_i" style="z-index:1;left:0px;top:0px;width:163.26px;height:290.81px" > </div> <div class="sg" id="s1011" data-sgid="Group 20" style="z-index:1;left:290.06px;top:59.77px;width:138.82px;height:161.52px" data-shape="group"> <div class="sg" id="s1012" data-sgid="Picture 2300" style="z-index:2;left:1.82px;top:14.21px;width:126.42px;height:125.70px" data-rotation = "270"> <img class="sg" src="E711EBB8.png" id="s1012_i" title="" alt="Picture2" style="z-index:1;left:0px;top:0px;width:126.42px;height:125.70px" > </div> <div class="sg" id="s1013" data-sgid="Rectangle 5" style="z-index:1;left:-11.97px;top:10.75px;width:162.39px;height:139.72px" data-rotation = "270" data-fillcolor="16777215"> <img class="sg" src="A148997F.png" id="s1013_i" style="z-index:1;left:0px;top:0px;width:162.39px;height:139.72px" > </div> </div> </div> <div class="sg" id="s1001" data-sgid="Rounded Rectangle 4" style="z-index:3;left:40.30px;top:315.40px;width:229.70px;height:85.73px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="8CADB072.png" id="s1001_i" style="z-index:1;left:0px;top:0px;width:229.70px;height:85.73px" > <div id="s1001_t" class="sg" style="z-index:2;left:0.00px;top:-0.96px;width:229.70px;height:92.23px;"><div><p para="{al:2}"><span data-textwidth="202.71" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:15.39px;top:7.75px;">She developed a headache after </span><span data-textwidth="170.79" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:31.23px;top:26.96px;">a low impact motor vehicle </span><span data-textwidth="159.75" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:36.75px;top:46.16px;">collision and came to the </span><span data-textwidth="144.02" class="sg nowrap f1" style="z-index:5;font-weight:bold; font-size:89%; left:42.87px;top:65.36px;">emergency department</span></p></div></div></div> <div class="sg sgTitle" id="s1019" data-sgid="Title 1" style="z-index:6;left:47.49px;top:-23.38px;width:678.51px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s1019_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:689.41px;height:82.87px;"><div><p><span data-textwidth="631.55" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:31.98px;">CARDIOTHORACIC CASE 2- 32 Y.O. WOMAN IN MVC</span></p></div></div></div> <div class="sg" id="s1016" data-sgid="Picture 7" style="z-index:3;left:344.37px;top:101.11px;width:255.70px;height:211.77px"> <img class="sg" src="C39361A1.jpg" id="s1016_i" style="z-index:1;left:0px;top:0px;width:255.70px;height:211.77px" > </div> <div class="sg" id="s1014" data-sgid="Content Placeholder 3" style="z-index:1;left:113.96px;top:108.54px;width:223.33px;height:202.78px"> <img class="sg" src="FB9DC60F.jpg" id="s1014_i" style="z-index:1;left:0px;top:0px;width:223.33px;height:202.78px" > </div> <div class="sg" id="s1018" data-sgid="Oval 4" style="z-index:5;left:421.60px;top:182.52px;width:75.81px;height:97.36px" data-rotation = "319" data-pointer-events="none"> <img class="sg" src="52BC40B2.png" id="s1018_i" style="z-index:1;left:0px;top:0px;width:75.81px;height:97.36px" > </div> <div class="sg" id="s1017" data-sgid="TextBox 9" style="z-index:4;left:440.20px;top:315.74px;width:102.77px;height:29.99px" data-valign="top"> <div id="s1017_t" class="sg" style="z-index:2;left:0.00px;top:-1.78px;width:102.77px;height:38.87px;"><div><p para="{al:2}"><span data-textwidth="32.65" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:35.44px;top:8.23px;">2015</span></p></div></div></div> <div class="sg" id="s1015" data-sgid="TextBox 2" style="z-index:2;left:157.23px;top:315.74px;width:102.91px;height:37.30px" data-valign="top"> <div id="s1015_t" class="sg" style="z-index:2;left:0.00px;top:-3.57px;width:102.91px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="43.69" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:29.76px;top:11.50px;">2015</span></p></div></div></div> <div class="sg sgTitle" id="s1027" data-sgid="Title 1" style="z-index:8;left:47.49px;top:6.35px;width:624.53px;height:47.12px" data-valign="bottom" data-pointer-events="none"> <div id="s1027_t" class="sg" style="z-index:2;left:-10.90px;top:-2.38px;width:635.44px;height:64.03px;"><div><p><span data-textwidth="188.31" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:13.15px;">COMPARISONS</span></p></div></div></div> <div class="sg" id="s1026" data-sgid="Rounded Rectangle 9" style="z-index:7;left:454.93px;top:1.93px;width:229.59px;height:85.62px" data-valign="middle" data-fillcolor="555604"> <img class="sg" src="618E6B65.png" id="s1026_i" style="z-index:1;left:0px;top:0px;width:229.59px;height:85.62px" > <div id="s1026_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:229.59px;height:85.62px;"><div><p para="{al:2}"><span data-textwidth="168.63" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:89%; left:32.47px;top:15.99px;">Her pulmonary complaints </span><span data-textwidth="183.87" class="sg nowrap f1" style="z-index:3;font-weight:bold; font-size:89%; left:24.79px;top:35.20px;">began in 2005 with “choking </span><span data-textwidth="67.93" class="sg nowrap f1" style="z-index:4;font-weight:bold; font-size:89%; left:81.08px;top:54.40px;">sensation”</span></p></div></div></div> <div class="sg" id="s1021" data-sgid="Picture 4" style="z-index:2;left:467.30px;top:91.63px;width:252.70px;height:220.54px"> <img class="sg" src="41AD334C.jpg" id="s1021_i" style="z-index:1;left:0px;top:0px;width:252.70px;height:220.54px" > </div> <div class="sg" id="s1022" data-sgid="Picture 5" style="z-index:3;left:0.00px;top:93.53px;width:240.24px;height:217.19px"> <img class="sg" src="47285585.jpg" id="s1022_i" style="z-index:1;left:0px;top:0px;width:240.24px;height:217.19px" > </div> <div class="sg" id="s1020" data-sgid="Content Placeholder 3" style="z-index:1;left:235.08px;top:94.98px;width:243.72px;height:217.19px"> <img class="sg" src="C1048446.jpg" id="s1020_i" style="z-index:1;left:0px;top:0px;width:243.72px;height:217.19px" > </div> <div class="sg" id="s1024" data-sgid="TextBox 7" style="z-index:5;left:307.67px;top:311.32px;width:102.77px;height:37.16px" data-valign="top"> <div id="s1024_t" class="sg" style="z-index:2;left:0.00px;top:-3.60px;width:102.77px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="43.69" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:29.83px;top:11.39px;">2014</span></p></div></div></div> <div class="sg" id="s1023" data-sgid="TextBox 6" style="z-index:4;left:543.82px;top:311.32px;width:102.91px;height:37.16px" data-valign="top"> <div id="s1023_t" class="sg" style="z-index:2;left:0.00px;top:-3.60px;width:102.91px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="43.69" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:30.00px;top:11.39px;">2015</span></p></div></div></div> <div class="sg" id="s1025" data-sgid="TextBox 8" style="z-index:6;left:77.48px;top:311.32px;width:102.80px;height:37.16px" data-valign="top"> <div id="s1025_t" class="sg" style="z-index:2;left:0.00px;top:-3.60px;width:102.80px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="43.69" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:29.58px;top:11.39px;">2005</span></p></div></div></div> <div class="sg sgTitle" id="s1028" data-sgid="Title 2" style="z-index:1;left:47.49px;top:-10.67px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s1028_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.87px;"><div><p><span data-textwidth="571.78" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:31.99px;">DIFFERENTIAL FOR SEPTAL/ LINEAR PATTERN</span></p></div></div></div> <div class="sg" id="s1030" data-sgid="Rectangle 1" style="z-index:3;left:574.78px;top:108.40px;width:62.11px;height:32.40px" data-valign="top" data-pointer-events="none"> <div id="s1030_t" class="sg" style="z-index:2;left:-4.93px;top:-2.39px;width:71.37px;height:43.06px;"><div><p><span data-textwidth="46.21" class="sg nowrap f1" style="z-index:2;color:#D9D9D9;font-weight:bold; font-size:111%; left:12.97px;top:8.66px;">* rare </span></p></div></div></div> <div class="sg" id="s1029" data-sgid="Content Placeholder 5" style="z-index:2;left:87.68px;top:76.62px;width:612.67px;height:270.67px" data-valign="top" data-pointer-events="none"> <div id="s1029_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:612.67px;height:270.67px;"><div><p para="{spbf:0.20,spaf:6.00}"></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="124.58" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:28.32px;">Pulmonary edema</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="208.47" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:54.73px;">Lymphangitic spread of tumor</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="296.69" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:81.13px;">Chronic / recurrent pulmonary hemorrhage</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="255.76" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:107.54px;">Pulmonary fibrosis (e.g. sarcoidosis)</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="237.40" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:133.95px;">* Pulmonary venocclusive disease</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="206.55" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:160.35px;">* Lymphoproliferative disease</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="150.14" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:186.76px;">* Lymphangiomatosis</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="400.38" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:213.16px;">* Metabolic lung disease (e.g. amyloidosis, Niemann-Pick)</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="315.41" class="sg nowrap f1" style="z-index:26;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:239.57px;">* Histiocytic Disorders (e.g. Erdheim-Chester)</span></p></div></div></div> <div class="sg sgTitle" id="s1031" data-sgid="Title 2" style="z-index:1;left:47.49px;top:-10.67px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s1031_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.87px;"><div><p><span data-textwidth="571.78" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:31.99px;">DIFFERENTIAL FOR SEPTAL/ LINEAR PATTERN</span></p></div></div></div> <div class="sg" id="s1033" data-sgid="Rectangle 1" style="z-index:3;left:574.78px;top:108.40px;width:62.11px;height:32.40px" data-valign="top" data-pointer-events="none"> <div id="s1033_t" class="sg" style="z-index:2;left:-4.93px;top:-2.39px;width:71.37px;height:43.06px;"><div><p><span data-textwidth="46.21" class="sg nowrap f1" style="z-index:2;color:#D9D9D9;font-weight:bold; font-size:111%; left:12.97px;top:8.66px;">* rare </span></p></div></div></div> <div class="sg" id="s1032" data-sgid="Content Placeholder 5" style="z-index:2;left:87.68px;top:76.62px;width:612.67px;height:270.67px" data-valign="top" data-pointer-events="none"> <div id="s1032_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:612.67px;height:270.67px;"><div><p para="{spbf:0.20,spaf:6.00}"></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="124.58" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:28.32px;">Pulmonary edema</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="208.47" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:94%; left:13.14px;top:54.73px;">Lymphangitic spread of tumor</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="296.69" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:81.13px;">Chronic / recurrent pulmonary hemorrhage</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="255.76" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:107.54px;">Pulmonary fibrosis (e.g. sarcoidosis)</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="237.40" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:133.95px;">* Pulmonary venocclusive disease</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="206.43" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:160.35px;">* <span style="color:#FFFF00;">Lymphoproliferative disease</span></span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="150.14" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:186.76px;">* <span style="color:#FFFF00;">Lymphangiomatosis</span></span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="400.38" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:213.16px;">* Metabolic lung disease (e.g. amyloidosis, Niemann-Pick)</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="315.41" class="sg nowrap f1" style="z-index:27;color:#FFFFFF;font-weight:bold; font-size:94%; left:13.14px;top:239.57px;">* Histiocytic Disorders (e.g. <span style="color:#FFFF00;">Erdheim-Chester</span>)</span></p></div></div></div> <div class="sg sgTitle" id="s1034" data-sgid="Title 1" style="z-index:1;left:47.49px;top:-27.57px;width:624.53px;height:102.78px" data-valign="bottom" data-pointer-events="none"> <div id="s1034_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:117.28px;"><div><p><span data-textwidth="493.04" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:30.41px;">T SPINE, SAME POST TRAUMA CT EXAM</span><span data-textwidth="324.77" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:167%; left:18.62px;top:66.42px;">GORHAM-STOUT DISEASE</span></p></div></div></div> <div class="sg" id="s1038" data-sgid="Rectangle 7" style="z-index:5;left:427.60px;top:43.77px;width:238.45px;height:145.33px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="9D983D49.png" id="s1038_i" style="z-index:1;left:0px;top:0px;width:238.45px;height:145.33px" > <div id="s1038_t" class="sg" style="z-index:2;left:-4.93px;top:-2.41px;width:243.38px;height:154.95px;"><div><p para="{spbf:4.00}"><span data-textwidth="61.93" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.76px;top:8.61px;"><u>Findings</u></span></p><p para="{spbf:4.00}"><span data-textwidth="184.23" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:111%; left:12.76px;top:36.58px;">Nonaggressive bone loss</span></p><p para="{spbf:4.00}"><span data-textwidth="81.73" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:111%; left:12.76px;top:64.66px;">“Vanishing”</span></p><p para="{spbf:4.00}"><span data-textwidth="125.90" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:12.76px;top:92.63px;">Cortex preserved</span></p><p para="{spbf:4.00}"><span data-textwidth="200.55" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:111%; left:12.76px;top:120.60px;">Vertebral heights preserved</span></p></div></div><img class="sg" src="555A38F.png" id="s1038_tt" style="left:-4.93px;top:-2.41px;width:243.38px;height:154.95px;z-index:1" > </div> <div class="sg" id="s1035" data-sgid="Content Placeholder 4" style="z-index:2;left:8.75px;top:93.90px;width:150.41px;height:244.88px"> <img class="sg" src="ACFD44BC.jpg" id="s1035_i" style="z-index:1;left:0px;top:0px;width:150.41px;height:244.88px" > </div> <div class="sg" id="s1037" data-sgid="Picture 6" style="z-index:4;left:282.57px;top:93.90px;width:116.85px;height:244.88px"> <img class="sg" src="A09440DA.jpg" id="s1037_i" style="z-index:1;left:0px;top:0px;width:116.85px;height:244.88px" > </div> <div class="sg" id="s1036" data-sgid="Picture 5" style="z-index:3;left:160.97px;top:93.90px;width:115.86px;height:244.88px"> <img class="sg" src="481FC2D3.jpg" id="s1036_i" style="z-index:1;left:0px;top:0px;width:115.86px;height:244.88px" > </div> <div class="sg" id="s1041" data-sgid="Rectangle 8" style="z-index:8;left:404.69px;top:193.45px;width:282.35px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s1041_t" class="sg" style="z-index:2;left:0.00px;top:-1.93px;width:283.17px;height:60.31px;"><div><p><span data-textwidth="258.52" class="sg nowrap f2" style="z-index:2;color:#FFFF00;left:13.34px;top:8.12px;">Lymphangiomatosis (lymphangiectasia)</span></p><p><span data-textwidth="166.47" class="sg nowrap f2" style="z-index:6;color:#FFFF00;left:13.34px;top:29.73px;">Erdheim-Chester disease</span></p></div></div></div> <div class="sg" id="s1042" data-sgid="Picture 3" style="z-index:9;left:481.69px;top:240.09px;width:173.20px;height:105.42px"> <img class="sg" src="CC1F3579.png" id="s1042_i" style="z-index:1;left:0px;top:0px;width:173.20px;height:105.42px" > </div> <div class="sg" id="s1039" data-sgid="Picture 2" style="z-index:6;left:28.06px;top:354.87px;width:173.43px;height:37.05px"> <img class="sg" src="3EF1370B.png" id="s1039_i" title="" alt="C:\Users\Frank Rybicki\Desktop\NORD_Logo_wTag_Web_RGB.png" style="z-index:1;left:0px;top:0px;width:173.43px;height:37.05px" > </div> <div class="sg" id="s1040" data-sgid="Rectangle 2" style="z-index:7;left:218.54px;top:352.57px;width:495.48px;height:42.10px" data-valign="top" data-pointer-events="none"> <div id="s1040_t" class="sg" style="z-index:2;left:-1.33px;top:-0.71px;width:496.81px;height:47.23px;"><div><p><span data-textwidth="431.95" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:78%; left:9.15px;top:6.94px;">Gorham-Stout disease (GSD), aka vanishing bone disease …is a rare bone disorder </span><span data-textwidth="410.47" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:78%; left:9.15px;top:23.74px;">characterized by progressive bone loss and the overgrowth of lymphatic vessels.</span></p></div></div></div> <div class="sg sgTitle" id="s1043" data-sgid="Title 1" style="z-index:1;left:19.20px;top:8.51px;width:624.65px;height:68.37px" data-valign="bottom" data-pointer-events="none"> <div id="s1043_t" class="sg" style="z-index:2;left:-10.68px;top:-17.13px;width:635.32px;height:100.00px;"><div><p><span data-textwidth="523.05" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.48px;top:13.14px;">SHE HAS MULTIPLE MEDICAL PROBLEMS: </span><span data-textwidth="435.07" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:167%; left:18.48px;top:49.15px;">IN 2011, EVALUATED FOR DIPLOPIA</span></p></div></div></div> <div class="sg" id="s1053" data-sgid="Straight Arrow Connector 13" style="z-index:11;left:589.28px;top:77.22px;width:42.93px;height:27.60px" data-pointer-events="none"> <img class="sg" src="BF625B53.png" id="s1053_i" style="z-index:1;left:0px;top:0px;width:42.93px;height:27.60px" > </div> <div class="sg" id="s1049" data-sgid="TextBox 8" style="z-index:7;left:200.67px;top:94.87px;width:102.77px;height:32.26px" data-valign="top"> <div id="s1049_t" class="sg" style="z-index:2;left:0.00px;top:-2.42px;width:102.77px;height:42.95px;"><div><p para="{al:2}"><span data-textwidth="35.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:33.85px;top:8.65px;">2011</span></p></div></div></div> <div class="sg" id="s1047" data-sgid="Picture 6" style="z-index:5;left:514.43px;top:39.94px;width:205.57px;height:211.77px"> <img class="sg" src="321FA086.jpg" id="s1047_i" style="z-index:1;left:0px;top:0px;width:205.57px;height:211.77px" > </div> <div class="sg" id="s1052" data-sgid="Straight Arrow Connector 11" style="z-index:10;left:260.99px;top:158.78px;width:42.59px;height:27.57px" data-pointer-events="none"> <img class="sg" src="D93F2478.png" id="s1052_i" style="z-index:1;left:0px;top:0px;width:42.59px;height:27.57px" > </div> <div class="sg" id="s1054" data-sgid="Straight Arrow Connector 15" style="z-index:12;left:456.51px;top:180.00px;width:42.68px;height:27.57px" data-pointer-events="none"> <img class="sg" src="5F6E3EC5.png" id="s1054_i" style="z-index:1;left:0px;top:0px;width:42.68px;height:27.57px" > </div> <div class="sg" id="s1046" data-sgid="Picture 5" style="z-index:4;left:155.45px;top:93.90px;width:174.76px;height:200.74px"> <img class="sg" src="6645D39E.jpg" id="s1046_i" style="z-index:1;left:0px;top:0px;width:174.76px;height:200.74px" > </div> <div class="sg" id="s1044" data-sgid="Content Placeholder 3" style="z-index:2;left:0.00px;top:93.90px;width:173.20px;height:200.74px"> <img class="sg" src="1F929D25.jpg" id="s1044_i" style="z-index:1;left:0px;top:0px;width:173.20px;height:200.74px" > </div> <div class="sg" id="s1045" data-sgid="Picture 4" style="z-index:3;left:329.36px;top:93.90px;width:189.03px;height:200.74px"> <img class="sg" src="4929AD94.jpg" id="s1045_i" style="z-index:1;left:0px;top:0px;width:189.03px;height:200.74px" > </div> <div class="sg" id="s1048" data-sgid="Picture 7" style="z-index:6;left:453.99px;top:249.79px;width:266.01px;height:155.32px"> <img class="sg" src="3039AC7E.jpg" id="s1048_i" style="z-index:1;left:0px;top:0px;width:266.01px;height:155.32px" > </div> <div class="sg" id="s1051" data-sgid="Rectangle 10" style="z-index:9;left:19.20px;top:317.30px;width:431.65px;height:39.57px" data-valign="top" data-pointer-events="none"> <div id="s1051_t" class="sg" style="z-index:2;left:-8.30px;top:-4.31px;width:439.95px;height:55.66px;"><div><p para="{spbf:6.00}"><span data-textwidth="366.18" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:144%; left:16.10px;top:12.12px;">Progressive bone loss, very thin bones</span></p></div></div></div> <div class="sg" id="s1055" data-sgid="Straight Arrow Connector 16" style="z-index:13;left:524.03px;top:343.83px;width:43.30px;height:33.82px" data-pointer-events="none"> <img class="sg" src="87B2DF1B.png" id="s1055_i" style="z-index:1;left:0px;top:0px;width:43.30px;height:33.82px" > </div> <div class="sg" id="s1050" data-sgid="TextBox 9" style="z-index:8;left:342.44px;top:375.12px;width:224.04px;height:29.99px" data-valign="top"> <div id="s1050_t" class="sg" style="z-index:2;left:0.00px;top:-1.79px;width:224.04px;height:38.84px;"><div><p para="{al:2}"><span data-textwidth="144.74" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;left:39.94px;top:8.27px;">2015 (at time of MVC)</span></p></div></div></div> <div class="sg sgTitle" id="s1056" data-sgid="Title 1" style="z-index:1;left:47.49px;top:8.51px;width:624.53px;height:68.37px" data-valign="bottom" data-pointer-events="none"> <div id="s1056_t" class="sg" style="z-index:2;left:-10.90px;top:-17.13px;width:635.44px;height:100.00px;"><div><p><span data-textwidth="573.93" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:13.14px;">2012: EVALUATED FOR DECREASED HEARING </span><span data-textwidth="452.24" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:167%; left:18.62px;top:49.15px;">AND TRIGEMINAL MUSCLE WASTING</span></p></div></div></div> <div class="sg" id="s1057" data-sgid="Picture 13" style="z-index:2;left:591.68px;top:69.93px;width:111.07px;height:113.45px"> <img class="sg" src="4F011B4F.png" id="s1057_i" style="z-index:1;left:0px;top:0px;width:111.07px;height:113.45px" > </div> <div class="sg" id="s1060" data-sgid="Rectangle 5" style="z-index:5;left:570.22px;top:183.83px;width:148.59px;height:32.40px" data-valign="top" data-pointer-events="none"> <div id="s1060_t" class="sg" style="z-index:2;left:-4.82px;top:-2.38px;width:156.78px;height:42.92px;"><div><p><span data-textwidth="132.02" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.86px;top:8.83px;">Carlos Torres, MD</span></p></div></div></div> <div class="sg" id="s1059" data-sgid="Picture 2" style="z-index:4;left:8.52px;top:95.94px;width:521.73px;height:212.74px"> <img class="sg" src="D3ED1009.png" id="s1059_i" title="" alt="C:\Users\Frank Rybicki\Desktop\brain composite.png" style="z-index:1;left:0px;top:0px;width:521.73px;height:212.74px" > </div> <div class="sg" id="s1058" data-sgid="Rectangle 17" style="z-index:3;left:13.68px;top:308.09px;width:618.05px;height:88.85px" data-valign="top" data-pointer-events="none"> <div id="s1058_t" class="sg" style="z-index:2;left:-4.93px;top:-2.42px;width:622.98px;height:98.95px;"><div><p para="{spbf:4.00}"><span data-textwidth="152.90" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.61px;top:8.84px;">No retro-orbital mass</span></p><p para="{spbf:4.00}"><span data-textwidth="250.36" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:111%; left:12.61px;top:36.81px;">Bilateral petrous apex cephalocele</span></p><p para="{spbf:4.00}"><span data-textwidth="269.57" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:111%; left:12.61px;top:64.89px;">Borderline low lying cerebellar tonsils</span></p></div></div></div> <div class="sg" id="s1062" data-sgid="Title 1" style="z-index:4;left:30.59px;top:-23.38px;width:624.65px;height:68.34px" data-valign="bottom"> <div id="s1062_t" class="sg" style="z-index:2;left:-10.79px;top:0.00px;width:635.44px;height:82.87px;"><div><p><span data-textwidth="359.46" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.61px;top:31.98px;">GORHAM STOUT SYNDROME</span></p></div></div></div> <div class="sg" id="s1061" data-sgid="Group 12" style="z-index:1;left:283.49px;top:45.16px;width:435.77px;height:40.04px" data-shape="group"> <div class="sg" id="s1065" data-sgid="Picture 9" style="z-index:2;left:-0.66px;top:-0.54px;width:436.46px;height:40.99px"> <img class="sg" src="4DB68132.png" id="s1065_i" style="z-index:1;left:0px;top:0px;width:436.46px;height:40.99px" > </div> <div class="sg" id="s1066" data-sgid="Rectangle 10" style="z-index:1;left:-1.03px;top:-0.90px;width:437.31px;height:41.84px" data-fillcolor="16777215"> <img class="sg" src="8E1AAD54.png" id="s1066_i" style="z-index:1;left:0px;top:0px;width:437.31px;height:41.84px" > </div> </div> <div class="sg" id="s1063" data-sgid="Content Placeholder 2" style="z-index:5;left:30.59px;top:99.29px;width:677.32px;height:243.69px" data-valign="top" data-pointer-events="none"> <div id="s1063_t" class="sg" style="z-index:2;left:-4.79px;top:-2.52px;width:682.11px;height:264.91px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="611.61" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.61px;top:8.77px;">Diffuse or multicentric proliferation of sinusoidal channels of lymphatic origin and </span><span data-textwidth="266.92" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:111%; left:12.61px;top:32.78px;">progressive destruction of the bone</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="467.84" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:111%; left:12.61px;top:67.59px;">Multiple lytic lesions, heterogeneous bone density, osteopenia</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="461.83" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:111%; left:12.61px;top:102.39px;">Interstitial thickening at lung bases. Chylous pleural effusions</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="342.53" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:111%; left:12.61px;top:137.20px;">Cystic lesions in visceral organs (e.g. spleen)</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="614.38" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:111%; left:12.61px;top:172.01px;">Lymphangiomatosis of the petrous apex - lymphatic communication with the CSF </span><span data-textwidth="214.48" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:111%; left:12.61px;top:196.01px;">containing space (CSF leak)</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="351.54" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:111%; left:12.61px;top:230.82px;">Multiple&#160;infiltrating&#160;lesions&#160;in&#160;the&#160;soft&#160;tissues&#160;&#160;&#160;&#160;</span></p></div></div></div> <div class="sg" id="s1064" data-sgid="Rectangle 15" style="z-index:6;left:13.68px;top:354.87px;width:539.12px;height:58.98px" data-valign="top" data-pointer-events="none"> <div id="s1064_t" class="sg" style="z-index:2;left:-1.33px;top:-0.63px;width:540.45px;height:59.60px;"><div><p><span data-textwidth="250.72" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:78%; left:9.01px;top:6.84px;">Kotecha R et al. Clinical Radiology 67:782 (2012)</span></p><p><span data-textwidth="280.49" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:78%; left:9.01px;top:23.64px;">Cushing SL et al. Otology &amp; Neurotology 31:789 (2010)</span></p></div></div></div> <div class="sg sgTitle" id="s1068" data-sgid="Title 1" style="z-index:2;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s1068_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:624.53px;height:103.72px;"><div><p para="{al:2}"><span data-textwidth="529.05" class="sg nowrap f1" style="z-index:2;color:#92D050;font-weight:bold; font-size:272%; left:47.93px;top:21.52px;">DR. RYBICKI’S DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s1069" data-sgid="Rectangle 3" style="z-index:3;left:17.50px;top:140.20px;width:678.51px;height:66.18px" data-valign="top" data-pointer-events="none"> <div id="s1069_t" class="sg" style="z-index:2;left:0.00px;top:-10.92px;width:678.51px;height:101.70px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="442.15" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:118.36px;top:20.75px;">Gorham Stout Syndrome</span></p></div></div></div> <div class="sg" id="s1067" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <img class="sg" src="18750D6B.png" id="s1067_tt" style="left:0.00px;top:0.00px;width:624.53px;height:243.80px;z-index:1" > </div> <div class="sg sgTitle" id="s1070" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s1070_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="326.21" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:267%; left:149.34px;top:20.66px;">THE DIAGNOSIS:</span></p></div></div></div> <div class="sg" id="s1071" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s1071_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:624.53px;height:254.58px;"><div><p para="{al:2,spbf:0.20,spaf:6.00}"><span data-textwidth="404.71" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:267%; left:110.10px;top:20.70px;">Gorham Stout Disease</span></p></div></div></div> <div class="sg sgTitle" id="s1072" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s1072_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="511.52" class="sg nowrap f2" style="z-index:2;color:#DC9E1F;font-size:267%; left:56.69px;top:20.66px;">GORHAM STOUT DISEASE</span></p></div></div></div> <div class="sg" id="s1073" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s1073_t" class="sg" style="z-index:2;left:-9.60px;top:-4.79px;width:634.13px;height:248.60px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="495.80" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.32px;top:12.51px;">Dr. Rybicki already said it all……………………..</span></p></div></div></div> <div class="sg sgTitle" id="s1074" data-sgid="Title 3" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s1074_t" class="sg" style="z-index:2;left:0.00px;top:-8.17px;width:624.53px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="172.59" class="sg nowrap f7" style="z-index:2;color:#DC9E1F;font-style:italic; font-weight:bold; font-size:267%; left:226.16px;top:21.06px;">MENTOR</span></p></div></div></div> <div class="sg" id="s1075" data-sgid="Content Placeholder 1" style="z-index:2;left:47.49px;top:93.90px;width:624.53px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s1075_t" class="sg" style="z-index:2;left:-9.60px;top:-4.79px;width:634.13px;height:248.60px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="536.73" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.32px;top:12.51px;">“The delicate balance of mentoring someone is not </span><span data-textwidth="560.61" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:156%; left:17.32px;top:46.12px;">creating them in your own image, but giving them the </span><span data-textwidth="355.38" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.32px;top:79.73px;">opportunity to create themselves.”</span></p><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="208.95" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-style:italic; font-size:156%; left:371.14px;top:126.06px;">— Steven Spielberg</span></p></div></div></div> <div class="sg sgTitle" id="s1076" data-sgid="Title 1" style="z-index:1;left:47.49px;top:15.72px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s1076_t" class="sg" style="z-index:2;left:-10.90px;top:0.00px;width:635.44px;height:82.75px;"><div><p><span data-textwidth="350.82" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:18.62px;top:32.01px;">DIAGNOSIS LIVE QUESTION:</span></p></div></div></div> <div class="sg" id="s1078" data-sgid="Rectangle 8" style="z-index:3;left:-2.75px;top:-2.75px;width:725.04px;height:410.13px" data-pointer-events="none"> <img class="sg" src="3DA983BF.png" id="s1078_i" style="z-index:1;left:0px;top:0px;width:725.04px;height:410.13px" > </div> <div class="sg" id="s1077" data-sgid="Content Placeholder 5" style="z-index:2;left:32.51px;top:93.90px;width:669.51px;height:243.80px" data-valign="top" data-pointer-events="none"> <div id="s1077_t" class="sg" style="z-index:2;left:-12.01px;top:-5.99px;width:681.51px;height:249.79px;"><div><p para="{spbf:0.20,spaf:6.00}"><span data-textwidth="545.13" class="sg nowrap f2" style="z-index:2;color:#FFC000;font-size:178%; left:19.71px;top:14.07px;">Please type the name of your most influential </span><span data-textwidth="621.46" class="sg nowrap f2" style="z-index:3;color:#FFC000;font-size:178%; left:19.71px;top:52.48px;">MENTOR or great TEACHER in the space provided </span><span data-textwidth="191.79" class="sg nowrap f2" style="z-index:4;color:#FFC000;font-size:178%; left:19.71px;top:90.89px;">and hit “<span class="f1" style="font-weight:bold; font-size:75%; ">SUBMIT</span>”.</span></p></div></div></div> <div class="sg" id="s1079" data-sgid="Rectangle 2" style="z-index:4;left:245.39px;top:349.11px;width:161.56px;height:51.80px" data-valign="top" data-pointer-events="none"> <div id="s1079_t" class="sg" style="z-index:2;left:-3.60px;top:-1.82px;width:165.16px;height:53.62px;"><div><p><span data-textwidth="138.03" class="sg nowrap f2" style="z-index:2;color:#646464;left:11.45px;top:8.27px;"><a target=_blank class="sga" href="https://goo.gl/epYqLh"><u>https://goo.gl/epYqLh</u></a></span></p></div></div><img class="sg" src="969D9C34.png" id="s1079_tt" style="left:-3.60px;top:-1.82px;width:165.16px;height:53.62px;z-index:1" > </div> <div class="sg sgTitle" id="s1080" data-sgid="Title 1" style="z-index:1;left:35.51px;top:189.84px;width:624.53px;height:68.34px" data-valign="bottom" data-pointer-events="none"> <div id="s1080_t" class="sg" style="z-index:2;left:-6.26px;top:-88.99px;width:644.58px;height:171.86px;"><div><p para="{al:2}"><span data-textwidth="574.66" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:34.96px;top:13.13px;">THANK YOU TO OUR WONDERFUL PANELISTS </span><span data-textwidth="553.89" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:167%; left:45.52px;top:49.14px;">AND THANK YOU ALL IN THE AUDIENCE FOR </span><span data-textwidth="537.93" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:167%; left:53.44px;top:85.15px;">PARTICIPATING IN THE 2017 RSNA SUNDAY </span><span data-textwidth="607.90" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:167%; left:18.40px;top:121.16px;">AFTERNOON IMAGE INTERPRETATION SESSION! </span></p></div></div></div>