Mohammad Osama Yonso, M.D.

Case submitted by Mohammad Osama Yonso M.D.

For more coverage based on industry expert insights and research, subscribe to the Diagnostic Imaging e-Newsletter 

A 17-year-old male presented for evaluation of scoliosis. His physical exam showed high riding medially rotated scapula with similar findings demonstrated on chest radiograph.

Sprengel deformity is a rare disorder, congenital variant, in which the scapula is high riding on one side of the body. The affected abnormal scapula is also connected to spine abnormally, often restricting movement of the shoulder.

Articles

What is your diagnosis in this patient who presents for evaluation of scoliosis?

Image IQ Quiz: Patient Presents for an Evaluation of Scoliosis

Case submitted by Mohammad Osama Yonso, M.D., radiologist, to

 Asymptomatic 35-year-old male presents with respiratory symptoms to rule out pneumonia. No focal airspace opacities are seen to suggest pneumonia, but there is a congenital variant of right-sided aortic arch and knob visualized. No aneurysm or other vascular variant are identified. No situs inversus is seen.

 Right-sided aortic arch is a variant characterized by the aortic arch with course to right of the airway. Various patterns can be seen with patterns of right-sided aortic arch associated with mirror image branching or right-sided aortic arch associated with with aberrant left subclavian artery (ALSA). 

On chest X-ray, look for the absence of left-sided aortic contour. The trachea tends to bow towards the left slightly. Right-sided descending aorta is also visualized adjacent or overlying the spine. Finding can be mistaken as a mass in the right paratracheal region.

What is your diagnosis on this patient who got a CXR to rule out pneumonia?






Mohammad Osama Yonso, M.D.

Articles

Image IQ Quiz: Patient Presents for an Evaluation of Scoliosis

Image IQ Quiz: Asymptomatic Patient Presents with Respiratory Symptoms