PowerPoint Presentation

2018 SundayImage Interpretation Session

<div class="sg" id="s12" data-sgid="Picture 2" style="z-index:2;left:31.55px;top:13.56px;width:473.05px;height:506.78px"> <img class="sg" src="EA97F325.jpg" id="s12_i" style="z-index:1;left:0px;top:0px;width:473.05px;height:506.78px" > </div> <div class="sg" id="s11" data-sgid="Rectangle 10" style="z-index:1;left:-4.08px;top:-2.16px;width:967.57px;height:547.57px" data-fillcolor="16777215"> <img class="sg" src="D397417E968x548.png" id="s11_i" style="z-index:1;left:0px;top:0px;width:967.57px;height:547.57px" > </div> <div class="sg" id="s13" data-sgid="Picture 9" style="z-index:3;left:554.24px;top:12.11px;width:365.72px;height:521.90px"> <img class="sg" src="9A8C24A0.jpg" id="s13_i" style="z-index:1;left:0px;top:0px;width:365.72px;height:521.90px" > </div> <div class="sg" id="s19" data-sgid="TextBox 2" style="z-index:1;left:439.35px;top:93.42px;width:504.60px;height:59.83px" data-valign="top"> <div id="s19_t" class="sg" style="z-index:2;left:-18.46px;top:-9.22px;width:523.06px;height:90.41px;"><div><p><span data-textwidth="412.32" class="sg nowrap f1" style="z-index:2;color:#FFD70A;font-weight:bold; font-size:239%; left:26.35px;top:19.24px;">Donald P. Frush, MD</span></p></div></div></div> <div class="sg" id="s20" data-sgid="TextBox 4" style="z-index:2;left:439.35px;top:195.83px;width:496.56px;height:150.38px" data-valign="top"> <div id="s20_t" class="sg" style="z-index:2;left:-10.56px;top:-5.16px;width:507.12px;height:168.26px;"><div><p><span data-textwidth="296.16" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:161%; left:18.45px;top:13.89px;">Professor of Radiology</span></p><p><span data-textwidth="385.32" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:161%; left:18.45px;top:49.05px;">Stanford University School of </span><span data-textwidth="117.24" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:161%; left:18.45px;top:84.21px;">Medicine</span></p><p><span data-textwidth="443.40" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:161%; left:18.45px;top:119.49px;">Lucile Packard Children’s Hospital</span></p></div></div></div> <div class="sg" id="s21" data-sgid="Picture 9" style="z-index:3;left:39.45px;top:31.18px;width:360.79px;height:481.96px"> <img class="sg" src="8FF9948B.jpg" id="s21_i" style="z-index:1;left:0px;top:0px;width:360.79px;height:481.96px" > </div> <div class="sg" id="s23" data-sgid="Picture 15" style="z-index:5;left:527.26px;top:370.44px;width:109.51px;height:131.06px"> <img class="sg" src="2FA9C29D.png" id="s23_i" style="z-index:1;left:0px;top:0px;width:109.51px;height:131.06px" > </div> <div class="sg" id="s22" data-sgid="Picture 11" style="z-index:4;left:679.22px;top:370.92px;width:128.83px;height:131.21px"> <img class="sg" src="9AD75296.png" id="s22_i" style="z-index:1;left:0px;top:0px;width:128.83px;height:131.21px" > </div> <div class="sg" id="s24" data-sgid="Picture 6" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s24_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s30" data-sgid="Title 1" style="z-index:1;left:49.16px;top:37.53px;width:560.62px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s30_t" class="sg" style="z-index:2;left:-18.46px;top:0.00px;width:579.08px;height:96.91px;"><div><p><span data-textwidth="412.32" class="sg nowrap f1" style="z-index:2;color:#FFD70A;font-weight:bold; font-size:239%; left:26.30px;top:25.71px;">Donald P. Frush, MD</span></p></div></div></div> <div class="sg" id="s33" data-sgid="TextBox 3" style="z-index:4;left:823.17px;top:28.17px;width:120.78px;height:124.48px" data-valign="top"> <div id="s33_t" class="sg" style="z-index:2;left:-7.34px;top:-3.46px;width:128.12px;height:137.53px;"><div><p><span data-textwidth="72.00" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.41px;top:10.49px;">RSNA </span><span data-textwidth="93.48" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:133%; left:15.41px;top:39.29px;">Editorial </span><span data-textwidth="81.48" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:15.41px;top:68.09px;">Fellow, </span><span data-textwidth="53.28" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:15.41px;top:96.89px;">1998</span></p></div></div></div> <div class="sg" id="s32" data-sgid="Picture 4" style="z-index:3;left:655.23px;top:13.56px;width:160.01px;height:264.65px"> <img class="sg" src="C222DB76.jpg" id="s32_i" style="z-index:1;left:0px;top:0px;width:160.01px;height:264.65px" > </div> <div class="sg" id="s31" data-sgid="Content Placeholder 2" style="z-index:2;left:49.16px;top:129.50px;width:910.73px;height:410.50px" data-valign="top" data-pointer-events="none"> <div id="s31_t" class="sg" style="z-index:2;left:-15.09px;top:-8.37px;width:925.83px;height:430.38px;"><div><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="449.88" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:222%; left:22.93px;top:17.67px;"><span class="f2" ><span style="letter-spacing:6.60px"> </span>BS (psych)<span style="letter-spacing:38.64px"> </span>UC Davis</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="97.92" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:222%; left:22.93px;top:75.27px;"><span class="f2" ><span style="letter-spacing:6.60px"> </span>MD</span></span><span data-textwidth="93.24" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:222%; left:304.09px;top:75.03px;">Duke</span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="374.28" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:222%; left:22.93px;top:132.87px;"><span class="f2" ><span style="letter-spacing:6.60px"> </span>Residency<span style="letter-spacing:47.52px"> </span>Duke</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="800.40" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:222%; left:22.93px;top:190.47px;"><span class="f2" ><span style="letter-spacing:6.60px"> </span>Fellowship<span style="letter-spacing:45.48px"> </span>Cincinnati Children’s Hospital</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="164.76" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;font-size:222%; left:22.93px;top:248.07px;"><span class="f2" ><span style="letter-spacing:6.60px"> </span>Faculty</span></span><span data-textwidth="595.32" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:222%; left:304.09px;top:247.83px;">Duke (radiology, medical physics)</span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="374.28" class="sg nowrap f3" style="z-index:17;color:#FFFFFF;font-size:222%; left:22.93px;top:305.67px;"><span class="f2" ><span style="letter-spacing:6.60px"> </span>Professor<span style="letter-spacing:62.52px"> </span>Duke</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="432.12" class="sg nowrap f3" style="z-index:20;color:#FFFFFF;font-size:222%; left:22.93px;top:363.27px;"><span class="f2" ><span style="letter-spacing:6.60px"> </span>Professor<span style="letter-spacing:62.52px"> </span>Stanford</span></span></p></div></div></div> <div class="sg" id="s34" data-sgid="Picture 5" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s34_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s43" data-sgid="Title 1" style="z-index:2;left:31.55px;top:29.50px;width:560.62px;height:90.78px" data-valign="middle"> <div id="s43_t" class="sg" style="z-index:2;left:-16.09px;top:0.00px;width:576.70px;height:96.91px;"><div><p><span data-textwidth="412.32" class="sg nowrap f1" style="z-index:2;color:#FFD70A;font-weight:bold; font-size:239%; left:26.18px;top:25.82px;">Donald P. Frush, MD</span></p></div></div></div> <div class="sg" id="s44" data-sgid="Picture 1" style="z-index:3;left:647.22px;top:29.62px;width:264.70px;height:153.62px"> <img class="sg" src="A9340B1C.jpg" id="s44_i" style="z-index:1;left:0px;top:0px;width:264.70px;height:153.62px" > </div> <div class="sg" id="s42" data-sgid="Content Placeholder 2" style="z-index:1;left:15.46px;top:109.50px;width:928.49px;height:424.51px" data-valign="top" data-pointer-events="none"> <div id="s42_t" class="sg" style="z-index:2;left:-10.53px;top:-6.01px;width:939.02px;height:436.40px;"><div><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="496.80" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.23px;top:14.43px;"><span class="f2" ><span style="letter-spacing:12.48px"> </span>>260 peer-reviewed publications</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="299.88" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:178%; left:18.23px;top:60.51px;"><span class="f2" ><span style="letter-spacing:12.48px"> </span>>35 book chapters</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="663.96" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:178%; left:18.23px;top:106.59px;"><span class="f2" ><span style="letter-spacing:12.48px"> </span>>400 national & international invited lectures</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="560.04" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:178%; left:18.23px;top:152.67px;"><span class="f2" ><span style="letter-spacing:12.48px"> </span>Chief, Division of Pediatric Radiology</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="639.96" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:178%; left:18.23px;top:198.75px;"><span class="f2" ><span style="letter-spacing:12.48px"> </span>Chair, RSNA Refresher Course Committee</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="624.00" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;font-size:178%; left:18.23px;top:244.83px;"><span class="f2" ><span style="letter-spacing:12.48px"> </span>President, Society for Pediatric Radiology</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="453.60" class="sg nowrap f3" style="z-index:16;color:#FFFFFF;font-size:178%; left:18.23px;top:290.91px;"><span class="f2" ><span style="letter-spacing:12.48px"> </span>Chair, ABR Board of Trustees</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="885.00" class="sg nowrap f3" style="z-index:18;color:#FFFFFF;font-size:178%; left:18.23px;top:336.99px;"><span class="f2" ><span style="letter-spacing:12.48px"> </span>Board of Directors, National Council on Radiation Protection</span></span></p><p para="{bl:{ch:167},spbf:0.20}"><span data-textwidth="737.40" class="sg nowrap f3" style="z-index:20;color:#FFFFFF;font-size:178%; left:18.23px;top:383.07px;"><span class="f2" ><span style="letter-spacing:12.48px"> </span>Chair, Steering Committee, Image Gently Alliance</span></span></p></div></div></div> <div class="sg" id="s45" data-sgid="Picture 4" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s45_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s51" data-sgid="Title 1" style="z-index:1;left:47.49px;top:13.56px;width:864.43px;height:57.19px" data-valign="middle" data-pointer-events="none"> <div id="s51_t" class="sg" style="z-index:2;left:0.00px;top:-5.65px;width:864.43px;height:79.38px;"><div><p para="{al:2}"><span data-textwidth="682.56" class="sg nowrap f2" style="z-index:2;color:#FFD70A;font-size:206%; left:91.11px;top:16.41px;">2018 RSNA Image Interpretation Session</span></p></div></div></div> <div class="sg" id="s52" data-sgid="TextBox 2" style="z-index:2;left:219.36px;top:101.45px;width:520.69px;height:59.86px" data-valign="top"> <div id="s52_t" class="sg" style="z-index:2;left:0.00px;top:-9.22px;width:520.69px;height:90.41px;"><div><p para="{al:2}"><span data-textwidth="412.32" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:239%; left:54.48px;top:19.25px;">Donald P. Frush, MD</span></p></div></div></div> <div class="sg" id="s53" data-sgid="Picture 6" style="z-index:3;left:359.35px;top:191.63px;width:240.72px;height:321.53px"> <img class="sg" src="E0B6D2A9.jpg" id="s53_i" style="z-index:1;left:0px;top:0px;width:240.72px;height:321.53px" > </div> <div class="sg" id="s54" data-sgid="Picture 4" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s54_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s62" data-sgid="Subtitle 2" style="z-index:2;left:135.06px;top:-0.48px;width:689.30px;height:98.58px" data-valign="top"> <div id="s62_t" class="sg" style="z-index:2;left:-25.32px;top:-20.14px;width:739.94px;height:189.70px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="268.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.46px;top:22.54px;">2018 RSNA </span></p><p para="{al:2,spbf:10.00}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.26px;top:93.22px;">Image Interpretation Session</span></p></div></div></div> <div class="sg" id="s63" data-sgid="Content Placeholder 2" style="z-index:3;left:325.39px;top:146.89px;width:308.74px;height:345.76px"> <img class="sg" src="DA508F45.png" id="s63_i" style="z-index:1;left:0px;top:0px;width:308.74px;height:345.76px" > </div> <div class="sg" id="s61" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s61_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s64" data-sgid="Rectangle 3" style="z-index:4;left:299.37px;top:521.08px;width:360.68px;height:18.92px" data-valign="top" data-pointer-events="none"> <div id="s64_t" class="sg" style="z-index:2;left:0.00px;top:-0.74px;width:360.68px;height:21.96px;"><div><p para="{al:2}"><span data-textwidth="312.36" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:56%; left:24.39px;top:4.82px;">http://ffffound.com/image/c35f51a2931e9d21a7bfa7550b7905bc9a13cafc</span></p></div></div></div> <div class="sg sgTitle" id="s75" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s76" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:79.63px;width:828.46px;height:343.21px" data-valign="top" data-pointer-events="none"> <div id="s76_t" class="sg" style="z-index:2;left:-15.84px;top:-16.79px;width:861.43px;height:442.75px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="551.40" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:267%; left:160.12px;top:19.32px;">To view the Sunday Imaging </span><span data-textwidth="793.68" class="sg nowrap f6" style="z-index:3;color:#FFFFFF;font-size:267%; left:38.92px;top:71.16px;">Interpretation – Final Presentation (with </span><span data-textwidth="681.72" class="sg nowrap f6" style="z-index:6;color:#FFFFFF;font-size:267%; left:94.96px;top:123.00px;">diagnosis) visit the online program </span><span data-textwidth="747.96" class="sg nowrap f6" style="z-index:7;color:#FFFFFF;font-size:267%; left:61.72px;top:174.84px;">starting Monday, November 26, 2018. </span><span data-textwidth="535.20" class="sg nowrap f6" style="z-index:8;color:#FFFFFF;font-size:267%; left:162.64px;top:226.68px;">Click the “Information” tab.</span></p><p></p><p para="{al:2,spbf:10.00}"><span data-textwidth="794.64" class="sg nowrap f6" style="z-index:9;color:#FFFFFF;font-size:300%; left:32.92px;top:350.68px;">https://rsna2018.rsna.org/program/</span></p></div></div></div> <div class="sg" id="s83" data-sgid="TextBox 1" style="z-index:2;left:394.01px;top:8.40px;width:279.57px;height:72.79px" data-valign="top"> <div id="s83_t" class="sg" style="z-index:2;left:-24.83px;top:-12.37px;width:304.41px;height:112.85px;"><div><p><span data-textwidth="105.96" class="sg nowrap f6" style="z-index:2;font-size:294%; left:32.82px;top:21.61px;">PS12</span></p></div></div></div> <div class="sg" id="s82" data-sgid="Picture 4" style="z-index:1;left:0.00px;top:-0.48px;width:960.38px;height:540.48px"> <img class="sg" src="55DC442C.png" id="s82_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s98" data-sgid="Subtitle 2" style="z-index:7;left:135.06px;top:-0.48px;width:689.30px;height:98.58px" data-valign="top"> <div id="s98_t" class="sg" style="z-index:2;left:-25.32px;top:-20.14px;width:739.94px;height:189.70px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="268.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.46px;top:22.54px;">2018 RSNA </span></p><p para="{al:2,spbf:10.00}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.26px;top:93.22px;">Image Interpretation Session</span></p></div></div></div> <div class="sg" id="s94" data-sgid="TextBox 1" style="z-index:3;left:36.70px;top:159.15px;width:251.51px;height:58.98px" data-valign="top"> <div id="s94_t" class="sg" style="z-index:2;left:-17.98px;top:-9.25px;width:269.49px;height:89.22px;"><div><p><span data-textwidth="131.52" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.68px;top:17.82px;">Process</span></p></div></div></div> <div class="sg" id="s96" data-sgid="Picture 6" style="z-index:5;left:720.37px;top:138.98px;width:207.02px;height:334.72px"> <img class="sg" src="1B57D5F7.jpg" id="s96_i" style="z-index:1;left:0px;top:0px;width:207.02px;height:334.72px" > </div> <div class="sg sgSubtitle" id="s97" data-sgid="Subtitle 7" style="z-index:6;left:119.45px;top:282.89px;width:720.51px;height:131.21px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s93" data-sgid="TextBox 4" style="z-index:2;left:105.07px;top:209.87px;width:748.57px;height:371.40px" data-valign="top"> <div id="s93_t" class="sg" style="z-index:2;left:-14.50px;top:-7.32px;width:763.07px;height:378.72px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="306.36" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:22.23px;top:14.61px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.80px"> </span>Identify moderator</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="435.36" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:200%; left:22.23px;top:57.81px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.80px"> </span>Moderator selects panelists</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="517.56" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:200%; left:22.23px;top:101.01px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.80px"> </span>Unknown case(s) sent in summer</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="307.08" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:200%; left:22.23px;top:144.21px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.80px"> </span>We all come here…</span></span></p><p></p><p><span data-textwidth="574.80" class="sg nowrap f5" style="z-index:10;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:22.23px;top:230.93px;">This educational opportunity is for you</span></p></div></div></div> <div class="sg" id="s95" data-sgid="Rectangle 5" style="z-index:4;left:360.91px;top:506.67px;width:503.86px;height:25.08px" data-valign="top" data-pointer-events="none"> <div id="s95_t" class="sg" style="z-index:2;left:0.00px;top:-0.60px;width:503.86px;height:30.21px;"><div><p para="{al:2}"><span data-textwidth="483.36" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:78%; left:10.61px;top:6.77px;">https://i.pinimg.com/originals/d9/58/87/d958873b1d7a697aee720eb895951377.jpg</span></p></div></div></div> <div class="sg" id="s92" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s92_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s111" data-sgid="Subtitle 2" style="z-index:13;left:135.06px;top:-0.48px;width:689.30px;height:98.58px" data-valign="top"> <div id="s111_t" class="sg" style="z-index:2;left:-25.32px;top:-20.14px;width:739.94px;height:189.70px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="268.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.46px;top:22.54px;">2018 RSNA </span></p><p para="{al:2,spbf:10.00}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.26px;top:93.22px;">Image Interpretation Session</span></p></div></div></div> <div class="sg" id="s101" data-sgid="TextBox 1" style="z-index:3;left:32.74px;top:141.50px;width:475.69px;height:59.01px" data-valign="top"> <div id="s101_t" class="sg" style="z-index:2;left:-17.99px;top:-9.10px;width:502.93px;height:89.11px;"><div><p><span data-textwidth="451.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.69px;top:17.80px;">What this session brings…</span></p></div></div></div> <div class="sg" id="s106" data-sgid="Immagine 2" style="z-index:8;left:723.74px;top:130.84px;width:68.48px;height:95.94px"> <img class="sg" src="9B745331.png" id="s106_i" style="z-index:1;left:0px;top:0px;width:68.48px;height:95.94px" > </div> <div class="sg" id="s102" data-sgid="Picture 7" style="z-index:4;left:654.16px;top:131.69px;width:74.37px;height:95.91px"> <img class="sg" src="4D0F0DBD.png" id="s102_i" style="z-index:1;left:0px;top:0px;width:74.37px;height:95.91px" > </div> <div class="sg" id="s108" data-sgid="Picture 13" style="z-index:10;left:725.18px;top:223.40px;width:67.03px;height:97.39px"> <img class="sg" src="66B47B9D.png" id="s108_i" style="z-index:1;left:0px;top:0px;width:67.03px;height:97.39px" > </div> <div class="sg" id="s103" data-sgid="Picture 8" style="z-index:5;left:655.23px;top:225.45px;width:73.29px;height:97.28px"> <img class="sg" src="B3E98AAB.png" id="s103_i" style="z-index:1;left:0px;top:0px;width:73.29px;height:97.28px" > </div> <div class="sg" id="s110" data-sgid="Rectangle 15" style="z-index:12;left:650.81px;top:126.75px;width:146.67px;height:401.76px" data-pointer-events="none"> <img class="sg" src="5567D42D147x402.png" id="s110_i" style="z-index:1;left:0px;top:0px;width:146.67px;height:401.76px" > </div> <div class="sg" id="s109" data-sgid="Picture 14" style="z-index:11;left:724.33px;top:317.30px;width:68.85px;height:103.97px"> <img class="sg" src="49EF43BF.png" id="s109_i" style="z-index:1;left:0px;top:0px;width:68.85px;height:103.97px" > </div> <div class="sg" id="s104" data-sgid="Imagen 8" style="z-index:6;left:654.89px;top:320.57px;width:73.89px;height:100.71px"> <img class="sg" src="19E1B0C0.png" id="s104_i" style="z-index:1;left:0px;top:0px;width:73.89px;height:100.71px" > </div> <div class="sg" id="s100" data-sgid="TextBox 4" style="z-index:2;left:86.60px;top:193.93px;width:748.69px;height:444.06px" data-valign="top"> <div id="s100_t" class="sg" style="z-index:2;left:-12.97px;top:-7.32px;width:761.66px;height:451.38px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="201.00" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:20.69px;top:14.59px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.80px"> </span>new staging</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="435.12" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:200%; left:20.69px;top:57.79px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.80px"> </span>8 panelists, 8 subspecialties</span></span></p><p para="{in:2,bl:{ch:111}}"><span data-textwidth="174.96" class="sg nowrap f7" style="z-index:7;color:#FFFFFF;font-size:133%; left:56.69px;top:100.55px;">o<span class="f4" style="font-weight:bold; position:relative;bottom:3px;"><span style="letter-spacing:16.20px"> </span>one case each</span></span></p><p para="{in:2,bl:{ch:111}}"><span data-textwidth="316.08" class="sg nowrap f7" style="z-index:9;color:#FFFFFF;font-size:133%; left:56.69px;top:129.35px;">o<span class="f4" style="font-weight:bold; position:relative;bottom:3px;"><span style="letter-spacing:16.20px"> </span>they don’t know the answer</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="412.68" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:200%; left:20.69px;top:158.59px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.80px"> </span>will be brisk and informed</span></span></p><p para="{in:2,bl:{ch:111}}"><span data-textwidth="270.36" class="sg nowrap f7" style="z-index:13;color:#FFFFFF;font-size:133%; left:56.69px;top:201.35px;">o<span class="f4" style="font-weight:bold; position:relative;bottom:3px;"><span style="letter-spacing:7.20px"> </span>some slides as resources</span></span></p><p para="{in:2,bl:{ch:111}}"><span data-textwidth="246.00" class="sg nowrap f7" style="z-index:15;color:#FFFFFF;font-size:133%; left:56.69px;top:230.15px;">o<span class="f4" style="font-weight:bold; position:relative;bottom:3px;"><span style="letter-spacing:7.20px"> </span>I am a mere facilitator</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="527.16" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:200%; left:20.69px;top:259.39px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.80px"> </span>no fancy slides: “black and white”</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="265.20" class="sg nowrap f2" style="z-index:19;color:#FFFFFF;font-size:200%; left:20.69px;top:302.59px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.80px"> </span>Diagnosis Live</span><span class="f4" style="font-weight:bold; font-size:67%; position:relative;bottom:12px;">TM</span></span></p></div></div></div> <div class="sg" id="s107" data-sgid="Picture 12" style="z-index:9;left:725.18px;top:417.45px;width:68.96px;height:108.28px"> <img class="sg" src="D7DEBCA8.png" id="s107_i" style="z-index:1;left:0px;top:0px;width:68.96px;height:108.28px" > </div> <div class="sg" id="s105" data-sgid="Content Placeholder 3" style="z-index:7;left:655.23px;top:419.12px;width:73.29px;height:107.46px"> <img class="sg" src="F73FF8BC.png" id="s105_i" style="z-index:1;left:0px;top:0px;width:73.29px;height:107.46px" > </div> <div class="sg" id="s99" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s99_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s118" data-sgid="TextBox 7" style="z-index:7;left:224.07px;top:16.31px;width:339.78px;height:32.37px" data-valign="top"> <div id="s118_t" class="sg" style="z-index:2;left:-3.63px;top:-2.27px;width:343.40px;height:42.92px;"><div><p><span data-textwidth="311.64" class="sg nowrap f6" style="z-index:2;color:#FFD966;left:11.40px;top:10.04px;">Login at live.rsna.org and join course <span class="f4" style="font-weight:bold; font-size:111%; color:#FFFFFF;">PS12</span></span></p></div></div></div> <div class="sg" id="s114" data-sgid="Subtitle 2" style="z-index:3;left:135.06px;top:-0.48px;width:689.30px;height:98.58px" data-valign="top"> <img class="sg" src="4C1C1191379x197.png" id="s114_tt" style="left:0.00px;top:0.00px;width:689.30px;height:98.58px;z-index:1" > </div> <div class="sg" id="s115" data-sgid="Rectangle 5" style="z-index:4;left:185.78px;top:77.11px;width:491.06px;height:86.84px" data-valign="top" data-pointer-events="none"> <div id="s115_t" class="sg" style="z-index:2;left:-31.89px;top:-15.95px;width:522.95px;height:137.42px;"><div><p><span data-textwidth="438.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:361%; left:39.67px;top:26.00px;">Diagnosis Live<span class="f4" style="font-size:66%; position:relative;bottom:23px;">TM</span></span></p></div></div></div> <div class="sg" id="s117" data-sgid="TextBox 1" style="z-index:6;left:13.90px;top:106.87px;width:298.77px;height:49.28px" data-valign="top"> <div id="s117_t" class="sg" style="z-index:2;left:-2.52px;top:-1.34px;width:301.29px;height:50.61px;"><div><p><span data-textwidth="131.76" class="sg nowrap f6" style="z-index:2;color:#0563C1;font-size:89%; left:10.22px;top:7.23px;"><a target=_blank class="sga" href="http://bit.ly/2Biavc4"><u>http://bit.ly/2Biavc4</u></a></span></p></div></div><img class="sg" src="CE896EEF603x101.png" id="s117_tt" style="left:-2.52px;top:-1.34px;width:301.29px;height:50.61px;z-index:1" > </div> <div class="sg" id="s116" data-sgid="TextBox 6" style="z-index:5;left:37.55px;top:181.08px;width:475.57px;height:59.12px" data-valign="top"> <div id="s116_t" class="sg" style="z-index:2;left:-18.01px;top:-9.11px;width:493.58px;height:89.11px;"><div><p><span data-textwidth="165.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.70px;top:17.83px;">Warm Up</span></p></div></div></div> <div class="sg" id="s113" data-sgid="TextBox 3" style="z-index:2;left:116.22px;top:254.35px;width:748.43px;height:284.23px" data-valign="top"> <div id="s113_t" class="sg" style="z-index:2;left:-14.86px;top:-8.02px;width:763.30px;height:292.26px;"><div><p para="{bl:{nbr:1,val:1,st:1}}"><span data-textwidth="318.12" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.60px;top:15.67px;">A.<span style="letter-spacing:18.96px"> </span>Select this option</span></p><p para="{bl:{nbr:2,val:1,st:1}}"><span data-textwidth="318.36" class="sg nowrap f4" style="z-index:4;color:#FF0000;font-weight:bold; font-size:200%; left:22.60px;top:58.87px;">B.<span style="letter-spacing:20.64px"> </span>Do not <span style="color:#FFFFFF;">select this</span></span></p><p para="{bl:{nbr:3,val:1,st:1}}"><span data-textwidth="318.36" class="sg nowrap f4" style="z-index:7;color:#FF0000;font-weight:bold; font-size:200%; left:22.60px;top:102.07px;">C.<span style="letter-spacing:21.72px"> </span>Do not <span style="color:#FFFFFF;">select this</span></span></p><p para="{bl:{nbr:4,val:1,st:1}}"><span data-textwidth="318.36" class="sg nowrap f4" style="z-index:10;color:#FF0000;font-weight:bold; font-size:200%; left:22.60px;top:145.27px;">D.<span style="letter-spacing:18.00px"> </span>Do not <span style="color:#FFFFFF;">select this</span></span></p></div></div></div> <div class="sg" id="s112" data-sgid="Picture 2" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s112_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s124" data-sgid="Straight Connector 8" style="z-index:6;left:180.14px;top:106.50px;width:126.31px;height:6.84px" data-pointer-events="none"> <img class="sg" src="FAFDCB52126x7.png" id="s124_i" style="z-index:1;left:0px;top:0px;width:126.31px;height:5.84px" > </div> <div class="sg" id="s122" data-sgid="Picture 2" style="z-index:4;left:403.61px;top:30.21px;width:289.17px;height:287.57px"> <img class="sg" src="6D274DF3.png" id="s122_i" style="z-index:1;left:0px;top:0px;width:289.17px;height:287.57px" > </div> <div class="sg" id="s126" data-sgid="Straight Connector 10" style="z-index:8;left:180.14px;top:170.52px;width:126.31px;height:6.84px" data-pointer-events="none"> <img class="sg" src="E0096036126x7.png" id="s126_i" style="z-index:1;left:0px;top:0px;width:126.31px;height:5.84px" > </div> <div class="sg" id="s125" data-sgid="Straight Connector 9" style="z-index:7;left:180.14px;top:189.84px;width:126.31px;height:6.95px" data-pointer-events="none"> <img class="sg" src="8087B989126x7.png" id="s125_i" style="z-index:1;left:0px;top:0px;width:126.31px;height:5.95px" > </div> <div class="sg" id="s127" data-sgid="Straight Connector 11" style="z-index:9;left:180.62px;top:204.11px;width:126.31px;height:6.84px" data-pointer-events="none"> <img class="sg" src="86B8D4A4126x7.png" id="s127_i" style="z-index:1;left:0px;top:0px;width:126.31px;height:5.84px" > </div> <div class="sg" id="s128" data-sgid="Straight Connector 12" style="z-index:10;left:180.62px;top:223.40px;width:126.31px;height:6.84px" data-pointer-events="none"> <img class="sg" src="6970C459126x7.png" id="s128_i" style="z-index:1;left:0px;top:0px;width:126.31px;height:5.84px" > </div> <div class="sg" id="s120" data-sgid="Picture 1" style="z-index:2;left:12.01px;top:9.96px;width:459.60px;height:459.66px"> <img class="sg" src="5DE9C9AB.png" id="s120_i" style="z-index:1;left:0px;top:0px;width:459.60px;height:459.66px" > </div> <div class="sg" id="s129" data-sgid="Straight Connector 17" style="z-index:11;left:180.88px;top:245.73px;width:126.42px;height:6.84px" data-pointer-events="none"> <img class="sg" src="498345AC126x7.png" id="s129_i" style="z-index:1;left:0px;top:0px;width:126.42px;height:5.84px" > </div> <div class="sg" id="s123" data-sgid="Picture 6" style="z-index:5;left:632.80px;top:213.11px;width:247.68px;height:245.36px"> <img class="sg" src="4D9528A1.png" id="s123_i" style="z-index:1;left:0px;top:0px;width:247.68px;height:245.36px" > </div> <div class="sg" id="s121" data-sgid="Rectangle 5" style="z-index:3;left:623.34px;top:458.35px;width:266.63px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s121_t" class="sg" style="z-index:2;left:-2.63px;top:-1.92px;width:271.78px;height:60.45px;"><div><p para="{al:2}"><span data-textwidth="249.00" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;left:11.81px;top:7.93px;">https://www.megapixl.com/vitruv</span><span data-textwidth="224.28" class="sg nowrap f6" style="z-index:3;color:#FFFFFF;left:24.05px;top:29.53px;">ian-child-illustration-15947406</span></p></div></div></div> <div class="sg" id="s119" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s119_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s142" data-sgid="TextBox 13" style="z-index:13;left:282.94px;top:10.78px;width:469.46px;height:32.28px" data-valign="top"> <div id="s142_t" class="sg" style="z-index:2;left:-3.59px;top:-2.38px;width:473.05px;height:42.92px;"><div><p><span data-textwidth="311.64" class="sg nowrap f6" style="z-index:2;color:#FFD966;left:11.53px;top:10.04px;">Login at live.rsna.org and join course <span class="f4" style="font-weight:bold; font-size:111%; color:#FFFFFF;">PS12</span></span></p></div></div></div> <div class="sg" id="s139" data-sgid="Rectangle 11" style="z-index:10;left:250.91px;top:35.38px;width:457.59px;height:86.84px" data-valign="top" data-pointer-events="none"> <div id="s139_t" class="sg" style="z-index:2;left:-31.89px;top:-15.83px;width:503.86px;height:137.30px;"><div><p><span data-textwidth="438.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:361%; left:39.70px;top:25.85px;">Diagnosis Live<span class="f4" style="font-size:66%; position:relative;bottom:23px;">TM</span></span></p></div></div></div> <div class="sg" id="s141" data-sgid="TextBox 2" style="z-index:12;left:104.84px;top:62.24px;width:205.20px;height:46.89px" data-valign="top"> <div id="s141_t" class="sg" style="z-index:2;left:-1.22px;top:-0.59px;width:206.42px;height:47.49px;"><div><p><span data-textwidth="118.44" class="sg nowrap f6" style="z-index:2;color:#0563C1;font-size:78%; left:8.94px;top:6.47px;"><a target=_blank class="sga" href="http://bit.ly/2BiaQLS"><u>http://bit.ly/2BiaQLS</u></a></span></p></div></div><img class="sg" src="B82F89A7413x95.png" id="s141_tt" style="left:-1.22px;top:-0.59px;width:206.42px;height:47.49px;z-index:1" > </div> <div class="sg" id="s140" data-sgid="TextBox 12" style="z-index:11;left:35.51px;top:111.04px;width:877.26px;height:95.35px" data-valign="top"> <div id="s140_t" class="sg" style="z-index:2;left:0.00px;top:-7.30px;width:877.26px;height:119.80px;"><div><p para="{al:2}"><span data-textwidth="761.40" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:62.17px;top:14.86px;">Which of the following do you feel best represents </span><span data-textwidth="331.20" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:200%; left:273.37px;top:58.06px;">panelists’ experience?</span></p></div></div></div> <div class="sg" id="s132" data-sgid="Picture 5" style="z-index:3;left:264.70px;top:205.42px;width:188.67px;height:246.21px"> <img class="sg" src="5788C4A0.png" id="s132_i" style="z-index:1;left:0px;top:0px;width:188.67px;height:246.21px" > </div> <div class="sg" id="s131" data-sgid="Picture 4" style="z-index:2;left:35.26px;top:205.42px;width:188.07px;height:247.29px"> <img class="sg" src="D7EB3511.png" id="s131_i" style="z-index:1;left:0px;top:0px;width:188.07px;height:247.29px" > </div> <div class="sg" id="s134" data-sgid="Picture 1" style="z-index:5;left:725.52px;top:205.42px;width:198.27px;height:249.22px"> <img class="sg" src="3E7D4F45.png" id="s134_i" style="z-index:1;left:0px;top:0px;width:198.27px;height:249.22px" > </div> <div class="sg" id="s133" data-sgid="Picture 6" style="z-index:4;left:488.29px;top:237.45px;width:202.34px;height:200.14px"> <img class="sg" src="35F36F74.png" id="s133_i" style="z-index:1;left:0px;top:0px;width:202.34px;height:200.14px" > </div> <div class="sg" id="s135" data-sgid="TextBox 1" style="z-index:6;left:91.53px;top:441.08px;width:65.11px;height:98.92px" data-valign="top"> <div id="s135_t" class="sg" style="z-index:2;left:-35.63px;top:-18.95px;width:136.36px;height:158.41px;"><div><p para="{al:2}"><span data-textwidth="45.48" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:417%; left:45.62px;top:30.11px;">A</span></p></div></div></div> <div class="sg" id="s136" data-sgid="TextBox 8" style="z-index:7;left:323.35px;top:441.08px;width:65.39px;height:98.92px" data-valign="top"> <div id="s136_t" class="sg" style="z-index:2;left:-33.70px;top:-18.95px;width:132.90px;height:158.41px;"><div><p para="{al:2}"><span data-textwidth="42.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:417%; left:45.63px;top:30.11px;">B</span></p></div></div></div> <div class="sg" id="s138" data-sgid="TextBox 10" style="z-index:9;left:787.43px;top:441.08px;width:65.25px;height:98.92px" data-valign="top"> <div id="s138_t" class="sg" style="z-index:2;left:-36.48px;top:-18.95px;width:138.29px;height:158.41px;"><div><p para="{al:2}"><span data-textwidth="47.28" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:417%; left:45.85px;top:30.11px;">D</span></p></div></div></div> <div class="sg" id="s137" data-sgid="TextBox 9" style="z-index:8;left:555.32px;top:441.08px;width:65.39px;height:98.92px" data-valign="top"> <div id="s137_t" class="sg" style="z-index:2;left:-32.62px;top:-18.95px;width:130.75px;height:158.41px;"><div><p para="{al:2}"><span data-textwidth="39.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:417%; left:45.86px;top:30.11px;">C</span></p></div></div></div> <div class="sg" id="s130" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s130_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgSubtitle" id="s143" data-sgid="Subtitle 2" style="z-index:1;left:127.86px;top:89.70px;width:689.30px;height:98.58px" data-valign="top" data-pointer-events="none"> <div id="s143_t" class="sg" style="z-index:2;left:-25.54px;top:-20.14px;width:740.02px;height:311.06px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="268.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.56px;top:22.60px;">2018 RSNA </span></p><p para="{al:2,spbf:10.00}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.36px;top:93.28px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:10.00}"><span data-textwidth="145.20" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:297.76px;top:214.60px;">Neuro</span></p></div></div></div> <div class="sg" id="s144" data-sgid="Picture 3" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s144_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s148" data-sgid="TextBox 4" style="z-index:4;left:335.36px;top:10.55px;width:611.34px;height:61.39px" data-valign="top"> <div id="s148_t" class="sg" style="z-index:2;left:0.00px;top:-9.70px;width:630.42px;height:93.28px;"><div><p para="{al:3}"><span data-textwidth="480.84" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:123.16px;top:18.07px;">Christopher Hess, MD PhD</span></p></div></div></div> <div class="sg" id="s146" data-sgid="Picture 2" style="z-index:2;left:38.74px;top:41.50px;width:214.10px;height:324.03px"> <img class="sg" src="63F5BA76.png" id="s146_i" style="z-index:1;left:0px;top:0px;width:214.10px;height:324.03px" > </div> <div class="sg" id="s147" data-sgid="TextBox 1" style="z-index:3;left:279.12px;top:86.84px;width:661.46px;height:482.81px" data-valign="top"> <div id="s147_t" class="sg" style="z-index:2;left:-9.74px;top:-4.94px;width:677.44px;height:487.74px;"><div><p><span data-textwidth="284.40" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:11.58px;">Professor and Chairman </span></p><p><span data-textwidth="534.48" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:45.18px;">Alexander R. Margulis Distinguished Professor</span></p><p><span data-textwidth="642.72" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:78.78px;">UCSF Department of Radiology and Biomedical Imaging</span></p><p></p><p para="{bl:{ch:8226}}"><span data-textwidth="577.44" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:156%; left:17.54px;top:146.54px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>PhD: Electrical Engineering, University of Illinois</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="309.12" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:156%; left:17.54px;top:180.14px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>MD: University of Illinois</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="212.16" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:156%; left:17.54px;top:213.74px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>Residency: UCSF</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="219.60" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:156%; left:17.54px;top:247.34px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>Fellowship: UCSF</span></span></p><p></p><p para="{al:2}"><span data-textwidth="625.68" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:156%; left:31.46px;top:313.98px;">Expertise/research contributions: Neurodegenerative </span><span data-textwidth="606.12" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:156%; left:40.94px;top:347.58px;">disorders, vascular disease, MRI especially diffusion </span><span data-textwidth="78.24" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:156%; left:301.70px;top:381.18px;">and 7T</span></p></div></div></div> <div class="sg" id="s150" data-sgid="Picture 7" style="z-index:6;left:19.06px;top:383.40px;width:252.02px;height:133.33px"> <img class="sg" src="A8646F50.png" id="s150_i" style="z-index:1;left:0px;top:0px;width:252.02px;height:133.33px" > </div> <div class="sg" id="s149" data-sgid="TextBox 5" style="z-index:5;left:43.19px;top:398.61px;width:203.90px;height:102.78px"> <img class="sg" src="F712D1AC204x103.png" id="s149_i" style="z-index:1;left:0px;top:0px;width:203.90px;height:102.78px" > </div> <div class="sg" id="s145" data-sgid="Picture 8" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s145_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s163" data-sgid="Picture 2" style="z-index:2;left:576.19px;top:8.51px;width:374.70px;height:229.42px"> <img class="sg" src="E14CCDF1.png" id="s163_i" style="z-index:1;left:0px;top:0px;width:374.70px;height:229.42px" > </div> <div class="sg" id="s166" data-sgid="Picture 12" style="z-index:5;left:390.30px;top:50.50px;width:229.56px;height:145.45px" data-rotation = "90"> <img class="sg" src="3BA366FC.png" id="s166_i" style="z-index:1;left:0px;top:0px;width:229.56px;height:145.45px" > </div> <div class="sg" id="s165" data-sgid="Picture 10" style="z-index:4;left:12.46px;top:8.51px;width:420.77px;height:229.53px" data-rotation = "180"> <img class="sg" src="3A7E9B0D.png" id="s165_i" style="z-index:1;left:0px;top:0px;width:420.77px;height:229.53px" > </div> <div class="sg" id="s164" data-sgid="Picture 3" style="z-index:3;left:500.27px;top:251.01px;width:433.12px;height:246.67px"> <img class="sg" src="D7B8B6B3.png" id="s164_i" style="z-index:1;left:0px;top:0px;width:433.12px;height:246.67px" > </div> <div class="sg" id="s167" data-sgid="Picture 14" style="z-index:6;left:239.41px;top:269.48px;width:247.80px;height:209.62px" data-rotation = "90"> <img class="sg" src="A8D28F2D.png" id="s167_i" style="z-index:1;left:0px;top:0px;width:247.80px;height:209.62px" > </div> <div class="sg" id="s162" data-sgid="Picture 1" style="z-index:1;left:37.07px;top:250.52px;width:189.26px;height:249.90px"> <img class="sg" src="4C270769.png" id="s162_i" style="z-index:1;left:0px;top:0px;width:189.26px;height:249.90px" > </div> <div class="sg" id="s168" data-sgid="Picture 8" style="z-index:7;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s168_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s170" data-sgid="Rectangle 3" style="z-index:2;left:59.50px;top:129.05px;width:840.42px;height:356.88px" data-valign="top" data-pointer-events="none"> <div id="s170_t" class="sg" style="z-index:2;left:0.00px;top:-6.13px;width:840.42px;height:363.01px;"><div><p para="{al:2}"><span data-textwidth="726.72" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:61.34px;top:14.32px;">10 y.o. old boy with fevers and fatigue x 5 days, </span><span data-textwidth="566.16" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:137.30px;top:52.72px;">admitted due to altered mental status</span></p><p></p><p para="{in:2}"><span data-textwidth="205.80" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:144%; left:43.70px;top:120.80px;">HR 123, BP 140/90 </span></p><p para="{in:2}"><span data-textwidth="185.76" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:144%; left:43.70px;top:152.00px;">Lumbar puncture</span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="287.88" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:122%; left:79.70px;top:182.64px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>Opening pressure 35 cm H20</span></span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="407.04" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:122%; left:79.70px;top:209.04px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>194 nucleated cells/mL, 99% lymphocytes</span></span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="196.44" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:122%; left:79.70px;top:235.44px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>protein 234 mg/dL</span></span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="186.96" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:122%; left:79.70px;top:261.84px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>glucose 45 mg/dL</span></span></p><p para="{in:2}"><span data-textwidth="499.92" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:144%; left:43.70px;top:288.80px;">Started acyclovir & broad spectrum antibiotics</span></p></div></div></div> <div class="sg" id="s169" data-sgid="Picture 6" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s169_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s172" data-sgid="Rectangle 5" style="z-index:2;left:456.97px;top:90.30px;width:486.73px;height:299.94px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="4397116487x300.png" id="s172_i" style="z-index:1;left:0px;top:0px;width:486.73px;height:299.94px" > <div id="s172_t" class="sg" style="z-index:2;left:-14.39px;top:-7.18px;width:501.12px;height:317.53px;"><div><p para="{spaf:24.00}"><span data-textwidth="250.44" class="sg nowrap f4" style="z-index:2;color:#73FEFF;font-weight:bold; font-size:200%; left:22.30px;top:14.72px;">Initial Evaluation</span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="305.04" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:156%; left:22.30px;top:81.60px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>History – viral prodrome</span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="378.36" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:22.30px;top:133.20px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>Exam - Fever, HTN, tachycardia</span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="429.96" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:156%; left:22.30px;top:184.80px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>LP – lymphocytic pleocytosis, high </span></span><span data-textwidth="200.28" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.86px;top:217.84px;">opening pressure</span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="315.48" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:156%; left:22.30px;top:270.00px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>RX – acyclovir, antibiotics</span></span></p></div></div></div> <div class="sg" id="s173" data-sgid="Picture 9" style="z-index:3;left:47.49px;top:41.50px;width:357.31px;height:456.77px"> <img class="sg" src="14D63A58.jpg" id="s173_i" style="z-index:1;left:0px;top:0px;width:357.31px;height:456.77px" > </div> <div class="sg" id="s171" data-sgid="Picture 6" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s171_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s176" data-sgid="Rectangle 2" style="z-index:3;left:584.97px;top:17.50px;width:203.28px;height:49.30px" data-valign="top" data-pointer-events="none"> <div id="s176_t" class="sg" style="z-index:2;left:-12.12px;top:-6.46px;width:227.63px;height:72.20px;"><div><p para="{al:2,spaf:6.00}"><span data-textwidth="185.88" class="sg nowrap f4" style="z-index:2;color:#73FEFF;font-weight:bold; font-size:189%; left:21.27px;top:14.08px;">2 days later…</span></p></div></div></div> <div class="sg" id="s177" data-sgid="Picture 9" style="z-index:4;left:47.49px;top:41.50px;width:357.31px;height:456.77px"> <img class="sg" src="14D63A58.jpg" id="s177_i" style="z-index:1;left:0px;top:0px;width:357.31px;height:456.77px" > </div> <div class="sg" id="s178" data-sgid="Right Arrow 10" style="z-index:5;left:418.37px;top:260.82px;width:63.32px;height:35.86px" data-fillcolor="16777215"> <img class="sg" src="1FE5DBA663x36.png" id="s178_i" style="z-index:1;left:0px;top:0px;width:63.32px;height:35.86px" > </div> <div class="sg" id="s174" data-sgid="Picture 14" style="z-index:1;left:497.29px;top:53.48px;width:378.63px;height:462.55px"> <img class="sg" src="98B534A5.jpg" id="s174_i" style="z-index:1;left:0px;top:0px;width:378.63px;height:462.55px" > </div> <div class="sg" id="s175" data-sgid="Picture 6" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s175_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s180" data-sgid="Rectangle 7" style="z-index:2;left:11.53px;top:-0.48px;width:755.14px;height:211.55px" data-valign="top" data-pointer-events="none"> <div id="s180_t" class="sg" style="z-index:2;left:-12.01px;top:-5.87px;width:771.94px;height:217.42px;"><div><p para="{spaf:6.00}"><span data-textwidth="732.84" class="sg nowrap f4" style="z-index:2;color:#73FEFF;font-weight:bold; font-size:178%; left:19.68px;top:13.47px;">1 day later… <span class="f5" style="font-style:italic; color:#FFFFFF;">CSF cultures and PCR come back negative; </span></span></p><p para="{spaf:6.00}"><span data-textwidth="532.08" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:178%; left:48.72px;top:57.87px;">continued tachycardia and hypertension</span></p><p para="{in:3,bl:{ch:8226},spaf:6.00}"><span data-textwidth="476.76" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:144%; left:91.68px;top:101.71px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:21.00px"> </span>Subtle central perivascular enhancement</span></span></p><p para="{in:3,bl:{ch:8226},spaf:6.00}"><span data-textwidth="209.64" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:144%; left:91.68px;top:138.91px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:21.00px"> </span>Leptomeningitis</span></span></p></div></div></div> <div class="sg" id="s181" data-sgid="Group 1" style="z-index:3;left:12.00px;top:186.00px;width:925.49px;height:273.59px" data-shape="group"> <div class="sg" id="s186" data-sgid="Picture 13" style="z-index:4;left:-0.47px;top:-0.61px;width:232.56px;height:274.27px"> <img class="sg" src="92485F8E.jpg" id="s186_i" style="z-index:1;left:0px;top:0px;width:232.56px;height:274.27px" > </div> <div class="sg" id="s187" data-sgid="Picture 12" style="z-index:3;left:703.70px;top:-0.61px;width:221.77px;height:274.27px"> <img class="sg" src="3598D984.jpg" id="s187_i" style="z-index:1;left:0px;top:0px;width:221.77px;height:274.27px" > </div> <div class="sg" id="s188" data-sgid="Picture 11" style="z-index:2;left:476.51px;top:-0.61px;width:222.99px;height:274.27px"> <img class="sg" src="2DD92BA6.jpg" id="s188_i" style="z-index:1;left:0px;top:0px;width:222.99px;height:274.27px" > </div> <div class="sg" id="s189" data-sgid="Picture 8" style="z-index:1;left:223.08px;top:-0.61px;width:240.60px;height:274.27px"> <img class="sg" src="615BAF24.jpg" id="s189_i" style="z-index:1;left:0px;top:0px;width:240.60px;height:274.27px" > </div> </div> <div class="sg" id="s183" data-sgid="Rectangle 16" style="z-index:9;left:320.83px;top:454.87px;width:76.07px;height:39.57px" data-valign="top" data-pointer-events="none"> <div id="s183_t" class="sg" style="z-index:2;left:-8.27px;top:-4.32px;width:92.35px;height:55.63px;"><div><p para="{al:2}"><span data-textwidth="60.48" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.24px;top:11.21px;">FLAIR</span></p></div></div></div> <div class="sg" id="s184" data-sgid="Rectangle 17" style="z-index:10;left:578.60px;top:454.87px;width:54.69px;height:39.57px" data-valign="top" data-pointer-events="none"> <div id="s184_t" class="sg" style="z-index:2;left:-8.27px;top:-4.32px;width:71.25px;height:55.63px;"><div><p para="{al:2}"><span data-textwidth="39.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.47px;top:11.21px;">T1+</span></p></div></div></div> <div class="sg" id="s185" data-sgid="Rectangle 18" style="z-index:11;left:794.62px;top:454.87px;width:76.04px;height:39.57px" data-valign="top" data-pointer-events="none"> <div id="s185_t" class="sg" style="z-index:2;left:-8.27px;top:-4.32px;width:92.35px;height:55.63px;"><div><p para="{al:2}"><span data-textwidth="60.48" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.45px;top:11.21px;">FLAIR</span></p></div></div></div> <div class="sg" id="s182" data-sgid="Rectangle 4" style="z-index:8;left:108.92px;top:455.23px;width:54.80px;height:39.57px" data-valign="top" data-pointer-events="none"> <div id="s182_t" class="sg" style="z-index:2;left:-8.16px;top:-4.31px;width:71.11px;height:55.63px;"><div><p para="{al:2}"><span data-textwidth="39.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.24px;top:11.20px;">T1+</span></p></div></div></div> <div class="sg" id="s179" data-sgid="Picture 6" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s179_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s198" data-sgid="Rectangle 26" style="z-index:11;left:4.93px;top:17.50px;width:605.81px;height:171.60px" data-valign="top" data-pointer-events="none"> <div id="s198_t" class="sg" style="z-index:2;left:-12.01px;top:-5.98px;width:617.82px;height:188.03px;"><div><p para="{spaf:18.00}"><span data-textwidth="566.52" class="sg nowrap f1" style="z-index:2;color:#73FEFF;font-weight:bold; font-size:178%; left:19.68px;top:14.12px;">3 days later… <span class="f8" style="font-style:italic; color:#FFFFFF;">coma, flaccid paralysis</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="512.04" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:144%; left:19.68px;top:70.40px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Periventricular T2 worse, reduced DWI</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="443.64" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:144%; left:19.68px;top:107.60px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Longitudinally extensive myelitis</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="578.52" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:144%; left:19.68px;top:144.80px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Subtle spinal leptomeningeal enhancement </span></span></p></div></div></div> <div class="sg" id="s194" data-sgid="Picture 20" style="z-index:7;left:768.34px;top:17.50px;width:168.90px;height:476.94px"> <img class="sg" src="B177C710.jpg" id="s194_i" style="z-index:1;left:0px;top:0px;width:168.90px;height:476.94px" > </div> <div class="sg" id="s195" data-sgid="Picture 21" style="z-index:8;left:588.43px;top:17.50px;width:162.89px;height:476.94px"> <img class="sg" src="35EBE6C8.jpg" id="s195_i" style="z-index:1;left:0px;top:0px;width:162.89px;height:476.94px" > </div> <div class="sg" id="s199" data-sgid="Picture 12" style="z-index:12;left:767.52px;top:209.50px;width:185.30px;height:156.37px"> <img class="sg" src="ED86E0EB.png" id="s199_i" style="z-index:1;left:0px;top:0px;width:185.30px;height:156.37px" > </div> <div class="sg" id="s200" data-sgid="Picture 13" style="z-index:13;left:563.62px;top:209.50px;width:198.12px;height:156.37px"> <img class="sg" src="6061CB3B.png" id="s200_i" style="z-index:1;left:0px;top:0px;width:198.12px;height:156.37px" > </div> <div class="sg" id="s190" data-sgid="Group 2" style="z-index:1;left:30.00px;top:203.65px;width:503.23px;height:306.53px" data-shape="group"> <div class="sg" id="s201" data-sgid="Picture 19" style="z-index:2;left:-0.49px;top:1.17px;width:246.47px;height:295.01px"> <img class="sg" src="42809515.jpg" id="s201_i" style="z-index:1;left:0px;top:0px;width:246.47px;height:295.01px" > </div> <div class="sg" id="s202" data-sgid="Picture 14" style="z-index:1;left:257.39px;top:-0.61px;width:245.98px;height:307.12px"> <img class="sg" src="B28AE0B.jpg" id="s202_i" style="z-index:1;left:0px;top:0px;width:245.98px;height:307.12px" > </div> </div> <div class="sg" id="s197" data-sgid="Rectangle 23" style="z-index:10;left:823.88px;top:490.84px;width:57.83px;height:37.19px" data-valign="top" data-pointer-events="none"> <div id="s197_t" class="sg" style="z-index:2;left:-7.08px;top:-3.46px;width:71.73px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="42.00" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.40px;top:10.06px;">T1+</span></p></div></div></div> <div class="sg" id="s192" data-sgid="Rectangle 4" style="z-index:5;left:131.46px;top:490.84px;width:43.67px;height:37.19px" data-valign="top" data-pointer-events="none"> <div id="s192_t" class="sg" style="z-index:2;left:-7.19px;top:-3.46px;width:57.80px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="27.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:10.06px;">T2</span></p></div></div></div> <div class="sg" id="s193" data-sgid="Rectangle 16" style="z-index:6;left:371.33px;top:490.84px;width:62.50px;height:37.19px" data-valign="top" data-pointer-events="none"> <div id="s193_t" class="sg" style="z-index:2;left:-6.94px;top:-3.46px;width:76.26px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="46.68" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:10.06px;">DWI</span></p></div></div></div> <div class="sg" id="s196" data-sgid="Rectangle 22" style="z-index:9;left:648.04px;top:490.84px;width:43.67px;height:37.19px" data-valign="top" data-pointer-events="none"> <div id="s196_t" class="sg" style="z-index:2;left:-7.08px;top:-3.46px;width:57.72px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="27.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:10.06px;">T2</span></p></div></div></div> <div class="sg" id="s191" data-sgid="Picture 6" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s191_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s211" data-sgid="Rectangle 26" style="z-index:11;left:4.93px;top:17.50px;width:605.81px;height:171.60px" data-valign="top" data-pointer-events="none"> <div id="s211_t" class="sg" style="z-index:2;left:-12.01px;top:-5.98px;width:617.82px;height:188.03px;"><div><p para="{spaf:18.00}"><span data-textwidth="566.52" class="sg nowrap f1" style="z-index:2;color:#73FEFF;font-weight:bold; font-size:178%; left:19.68px;top:14.12px;">3 days later… <span class="f8" style="font-style:italic; color:#FFFFFF;">coma, flaccid paralysis</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="512.04" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:144%; left:19.68px;top:70.40px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Periventricular T2 worse, reduced DWI</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="443.64" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:144%; left:19.68px;top:107.60px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Longitudinally extensive myelitis</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="578.52" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:144%; left:19.68px;top:144.80px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Subtle spinal leptomeningeal enhancement </span></span></p></div></div></div> <div class="sg" id="s207" data-sgid="Picture 20" style="z-index:7;left:768.34px;top:17.50px;width:168.90px;height:476.94px"> <img class="sg" src="B177C710.jpg" id="s207_i" style="z-index:1;left:0px;top:0px;width:168.90px;height:476.94px" > </div> <div class="sg" id="s208" data-sgid="Picture 21" style="z-index:8;left:588.43px;top:17.50px;width:162.89px;height:476.94px"> <img class="sg" src="35EBE6C8.jpg" id="s208_i" style="z-index:1;left:0px;top:0px;width:162.89px;height:476.94px" > </div> <div class="sg" id="s212" data-sgid="Rectangle 15" style="z-index:12;left:51.57px;top:233.02px;width:856.27px;height:224.48px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="1614F2A4856x224.png" id="s212_i" style="z-index:1;left:0px;top:0px;width:856.27px;height:224.48px" > <div id="s212_t" class="sg" style="z-index:2;left:-7.42px;top:-5.64px;width:871.14px;height:245.59px;"><div><p para="{al:2,spaf:12.00}"><span data-textwidth="832.44" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.57px;top:14.26px;"><u>Diagnostic Considerations: Meningoencephalomyelitis</u></span></p><p></p><p para="{al:2}"><span data-textwidth="663.36" class="sg nowrap f8" style="z-index:4;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:178%; left:104.17px;top:103.06px;">Viral, Inflammatory, Vasculitis, Autoimmune</span></p><p></p><p para="{al:2}"><span data-textwidth="769.92" class="sg nowrap f8" style="z-index:5;color:#73FEFF;font-style:italic; font-weight:bold; font-size:200%; left:50.89px;top:185.02px;">What would you do next to treat this patient?</span></p></div></div><img class="sg" src="D3303C81742x491.png" id="s212_tt" style="left:-7.42px;top:-5.64px;width:871.14px;height:245.59px;z-index:1" > </div> <div class="sg" id="s203" data-sgid="Group 2" style="z-index:1;left:30.00px;top:203.65px;width:503.23px;height:306.53px" data-shape="group"> <div class="sg" id="s213" data-sgid="Picture 19" style="z-index:2;left:-0.49px;top:1.17px;width:246.47px;height:295.01px"> <img class="sg" src="42809515.jpg" id="s213_i" style="z-index:1;left:0px;top:0px;width:246.47px;height:295.01px" > </div> <div class="sg" id="s214" data-sgid="Picture 14" style="z-index:1;left:257.39px;top:-0.61px;width:245.98px;height:307.12px"> <img class="sg" src="B28AE0B.jpg" id="s214_i" style="z-index:1;left:0px;top:0px;width:245.98px;height:307.12px" > </div> </div> <div class="sg" id="s209" data-sgid="Rectangle 22" style="z-index:9;left:648.04px;top:490.84px;width:43.67px;height:37.19px" data-valign="top" data-pointer-events="none"> <div id="s209_t" class="sg" style="z-index:2;left:-7.08px;top:-3.46px;width:57.72px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="27.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:10.06px;">T2</span></p></div></div></div> <div class="sg" id="s210" data-sgid="Rectangle 23" style="z-index:10;left:823.88px;top:490.84px;width:57.83px;height:37.19px" data-valign="top" data-pointer-events="none"> <div id="s210_t" class="sg" style="z-index:2;left:-7.08px;top:-3.46px;width:71.73px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="42.00" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.40px;top:10.06px;">T1+</span></p></div></div></div> <div class="sg" id="s205" data-sgid="Rectangle 4" style="z-index:5;left:131.46px;top:490.84px;width:43.67px;height:37.19px" data-valign="top" data-pointer-events="none"> <div id="s205_t" class="sg" style="z-index:2;left:-7.19px;top:-3.46px;width:57.80px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="27.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:10.06px;">T2</span></p></div></div></div> <div class="sg" id="s206" data-sgid="Rectangle 16" style="z-index:6;left:371.33px;top:490.84px;width:62.50px;height:37.19px" data-valign="top" data-pointer-events="none"> <div id="s206_t" class="sg" style="z-index:2;left:-6.94px;top:-3.46px;width:76.26px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="46.68" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:10.06px;">DWI</span></p></div></div></div> <div class="sg" id="s204" data-sgid="Picture 6" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s204_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s216" data-sgid="Rectangle 7" style="z-index:2;left:3.12px;top:24.94px;width:966.98px;height:209.28px" data-valign="top" data-pointer-events="none"> <div id="s216_t" class="sg" style="z-index:2;left:-12.13px;top:-5.99px;width:979.10px;height:225.33px;"><div><p para="{spaf:18.00}"><span data-textwidth="874.56" class="sg nowrap f1" style="z-index:2;color:#73FEFF;font-weight:bold; font-size:178%; left:19.81px;top:14.25px;">Steroids, IVIG, Plasmapheresis… <span class="f8" style="font-style:italic; color:#FFFFFF;">dramatic improvement !</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="504.24" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:144%; left:19.81px;top:70.53px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Walking with assistance 2 weeks later</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="942.96" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:144%; left:19.81px;top:107.73px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Maintained on IV steroids – deficits resolve (mild difficulty concentrating)</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="521.76" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:144%; left:19.81px;top:144.93px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Brain MRI normal on 6 month follow-up</span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="369.48" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:144%; left:19.81px;top:182.13px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:19.68px"> </span>Normal CAP CT, scrotal US</span></span></p></div></div></div> <div class="sg" id="s222" data-sgid="Picture 8" style="z-index:8;left:546.83px;top:165.50px;width:265.19px;height:134.55px"> <img class="sg" src="43F4F68C.png" id="s222_i" style="z-index:1;left:0px;top:0px;width:265.19px;height:134.55px" > </div> <div class="sg" id="s219" data-sgid="Picture 15" style="z-index:5;left:41.49px;top:246.81px;width:210.76px;height:257.82px"> <img class="sg" src="7873CFBB.jpg" id="s219_i" style="z-index:1;left:0px;top:0px;width:210.76px;height:257.82px" > </div> <div class="sg" id="s220" data-sgid="Picture 17" style="z-index:6;left:269.38px;top:251.35px;width:205.23px;height:253.28px"> <img class="sg" src="662A52F3.jpg" id="s220_i" style="z-index:1;left:0px;top:0px;width:205.23px;height:253.28px" > </div> <div class="sg" id="s221" data-sgid="Rectangle 26" style="z-index:7;left:485.77px;top:312.28px;width:385.26px;height:214.78px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="8B94D863385x215.png" id="s221_i" style="z-index:1;left:0px;top:0px;width:385.26px;height:214.78px" > <div id="s221_t" class="sg" style="z-index:2;left:0.00px;top:-5.64px;width:385.26px;height:233.62px;"><div><p para="{al:2,spaf:12.00}"><span data-textwidth="328.68" class="sg nowrap f1" style="z-index:2;color:#73FEFF;font-weight:bold; font-size:178%; left:28.55px;top:14.44px;">Differential Diagnosis</span></p><p para="{al:2}"><span data-textwidth="68.16" class="sg nowrap f8" style="z-index:3;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:178%; left:158.87px;top:64.84px;">Viral</span></p><p para="{al:2}"><span data-textwidth="200.88" class="sg nowrap f8" style="z-index:4;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:178%; left:92.51px;top:103.24px;">Inflammatory</span></p><p para="{al:2}"><span data-textwidth="148.08" class="sg nowrap f8" style="z-index:5;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:178%; left:118.91px;top:141.64px;">Vasculitis</span></p><p para="{al:2}"><span data-textwidth="195.60" class="sg nowrap f8" style="z-index:7;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:178%; left:94.91px;top:180.04px;">Autoimmune</span></p></div></div></div> <div class="sg" id="s215" data-sgid="Picture 6" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s215_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s217" data-sgid="Rectangle 4" style="z-index:3;left:113.48px;top:501.99px;width:57.80px;height:37.30px" data-valign="top" data-pointer-events="none"> <div id="s217_t" class="sg" style="z-index:2;left:-6.97px;top:-3.47px;width:71.59px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="42.00" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.93px;top:10.20px;">T1+</span></p></div></div></div> <div class="sg" id="s218" data-sgid="Rectangle 16" style="z-index:4;left:347.34px;top:501.99px;width:43.67px;height:37.30px" data-valign="top" data-pointer-events="none"> <div id="s218_t" class="sg" style="z-index:2;left:-7.19px;top:-3.47px;width:57.83px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="27.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.17px;top:10.20px;">T2</span></p></div></div></div> <div class="sg" id="s224" data-sgid="Rectangle 7" style="z-index:2;left:23.51px;top:29.50px;width:924.41px;height:56.60px" data-valign="top" data-pointer-events="none"> <div id="s224_t" class="sg" style="z-index:2;left:0.00px;top:-8.51px;width:924.41px;height:84.91px;"><div><p para="{al:2,spaf:24.00}"><span data-textwidth="831.48" class="sg nowrap f5" style="z-index:2;color:#73FEFF;font-style:italic; font-weight:bold; font-size:222%; left:46.57px;top:16.01px;">My Diagnosis -<span class="f4" style="font-style:normal; "> Autoimmune GFAP Astrocytopathy</span></span></p></div></div></div> <div class="sg" id="s225" data-sgid="Rectangle 1" style="z-index:3;left:64.65px;top:129.39px;width:842.11px;height:331.60px" data-valign="top" data-pointer-events="none"> <div id="s225_t" class="sg" style="z-index:2;left:-10.79px;top:-5.87px;width:852.90px;height:349.93px;"><div><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="496.68" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.50px;top:13.12px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:17.52px"> </span>GFAP - Glial fibrillary acidic protein</span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="576.24" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:178%; left:18.50px;top:69.52px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:17.52px"> </span>Autoimmune meningoencephalomyelitis</span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="545.52" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:178%; left:18.50px;top:125.92px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:17.52px"> </span>Diagnosis by GFAP-IgG in CSF or serum</span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="704.16" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:178%; left:18.50px;top:182.32px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:17.52px"> </span>Associated w/ cancer, other neural autoantibodies</span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="675.36" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:178%; left:18.50px;top:238.72px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:17.52px"> </span>Immune response to neoplastic or viral antigen?</span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="557.40" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:178%; left:18.50px;top:295.12px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:17.52px"> </span>Responds to steroids but risk of relapse</span></span></p></div></div></div> <div class="sg" id="s223" data-sgid="Picture 6" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s223_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s228" data-sgid="TextBox 4" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s228_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="382.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:37.92px;top:25.26px;">Final Diagnosis</span></p></div></div></div> <div class="sg" id="s227" data-sgid="CuadroTexto 6" style="z-index:2;left:18.72px;top:241.53px;width:921.98px;height:105.05px" data-valign="top"> <div id="s227_t" class="sg" style="z-index:2;left:0.00px;top:-8.51px;width:921.98px;height:132.85px;"><div><p para="{al:2}"><span data-textwidth="826.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:52.32px;top:16.14px;">Autoimmune Glial Fibrillary Acidic Protein (GFAP) </span><span data-textwidth="253.80" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:222%; left:334.32px;top:64.14px;">Astrocytopathy</span></p></div></div></div> <div class="sg" id="s226" data-sgid="Picture 5" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s226_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s240" data-sgid="TextBox 4" style="z-index:2;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s240_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="194.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:132.12px;top:25.26px;">Answer</span></p></div></div></div> <div class="sg" id="s241" data-sgid="CuadroTexto 6" style="z-index:3;left:18.72px;top:241.53px;width:921.98px;height:105.05px" data-valign="top"> <div id="s241_t" class="sg" style="z-index:2;left:0.00px;top:-8.51px;width:921.98px;height:132.85px;"><div><p para="{al:2}"><span data-textwidth="826.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:52.32px;top:16.14px;">Autoimmune Glial Fibrillary Acidic Protein (GFAP) </span><span data-textwidth="253.80" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:222%; left:334.32px;top:64.14px;">Astrocytopathy</span></p></div></div></div> <div class="sg" id="s239" data-sgid="Picture 5" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s239_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s242" data-sgid="Content Placeholder 2" style="z-index:1;left:34.07px;top:20.51px;width:891.28px;height:498.52px" data-valign="top" data-pointer-events="none"> <div id="s242_t" class="sg" style="z-index:2;left:-12.01px;top:-5.87px;width:903.29px;height:504.40px;"><div><p para="{spbf:0.20}"><span data-textwidth="864.48" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.82px;top:13.48px;">Autoimmune Glial Fibrillary Acidic Protein (GFAP) Astrocytopathy</span></p><p></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="661.56" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:55.82px;top:104.24px;">–<span class="f4" style="font-weight:bold; "> Non-vasculitic autoimmune meningoencephalomyelitis</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="229.32" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:156%; left:55.82px;top:144.56px;">–<span class="f4" style="font-weight:bold; "> Described in 2017</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="284.04" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:156%; left:55.82px;top:184.88px;">–<span class="f4" style="font-weight:bold; "> Clinical manifestations</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="445.08" class="sg nowrap f2" style="z-index:19;color:#FFFFFF;font-size:111%; left:91.82px;top:221.92px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>Headache, encephalopathy, seizure, ataxia, myelitis</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="376.32" class="sg nowrap f2" style="z-index:21;color:#FFFFFF;font-size:111%; left:91.82px;top:250.72px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>CSF with elevated lymphocytes and protein</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="349.68" class="sg nowrap f2" style="z-index:24;color:#FFFFFF;font-size:156%; left:55.82px;top:282.80px;">–<span class="f4" style="font-weight:bold; "> Imaging findings of this case</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="420.72" class="sg nowrap f2" style="z-index:27;color:#FFFFFF;left:91.82px;top:319.24px;">•<span class="f5" style="font-style:italic; font-weight:bold; "><span style="letter-spacing:7.68px"> </span><u>Prominent perivascular enhancement present in ~50%</u></span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="416.52" class="sg nowrap f2" style="z-index:33;color:#FFFFFF;left:91.82px;top:345.16px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:7.68px"> </span>Periventricular white matter T2 hyperintensity typical</span></span></p><p para="{in:4,bl:{ch:8211},spbf:0.20}"><span data-textwidth="285.36" class="sg nowrap f2" style="z-index:38;color:#FFFFFF;font-size:89%; left:127.82px;top:370.72px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.52px"> </span>Restricted diffusion seen here is unusual</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="420.48" class="sg nowrap f2" style="z-index:40;color:#FFFFFF;font-size:111%; left:91.82px;top:394.72px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>Leptomeningeal enhancement (present in ~35%)</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="678.24" class="sg nowrap f2" style="z-index:42;color:#FFFFFF;font-size:111%; left:91.82px;top:423.52px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>Long-segment, T2-hyperintense, enhancing spinal cord lesion (present in ~ 30%)</span></span></p></div></div><img class="sg" src="DF6C49A2.png" id="s242_tt" style="left:-12.01px;top:-5.87px;width:903.29px;height:504.40px;z-index:1" > </div> <div class="sg" id="s249" data-sgid="Content Placeholder 2" style="z-index:1;left:34.07px;top:20.51px;width:891.28px;height:498.52px" data-valign="top" data-pointer-events="none"> <div id="s249_t" class="sg" style="z-index:2;left:-12.01px;top:-5.87px;width:903.29px;height:504.40px;"><div><p para="{spbf:0.20}"><span data-textwidth="864.48" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.82px;top:13.48px;">Autoimmune Glial Fibrillary Acidic Protein (GFAP) Astrocytopathy</span></p><p></p><p></p><p para="{spbf:0.20}"><span data-textwidth="153.72" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.82px;top:151.72px;">Importance</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="590.40" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:144%; left:55.82px;top:195.80px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:2.16px"> </span>Radiologist may suggest CSF/serum antibody testing </span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="767.64" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:144%; left:55.82px;top:233.24px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:2.16px"> </span>Responds to steroids; chronic immunosuppression to prevent relapse</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="577.44" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:144%; left:55.82px;top:270.68px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:2.16px"> </span>Paraneoplastic in ~40%; gonadal teratoma common</span></span></p></div></div></div> <div class="sg" id="s251" data-sgid="Rectangle 7" style="z-index:2;left:23.51px;top:29.50px;width:924.41px;height:59.01px" data-valign="top" data-pointer-events="none"> <div id="s251_t" class="sg" style="z-index:2;left:0.00px;top:-9.10px;width:924.41px;height:89.11px;"><div><p para="{al:2,spaf:24.00}"><span data-textwidth="191.04" class="sg nowrap f4" style="z-index:2;color:#73FEFF;font-weight:bold; font-size:233%; left:366.85px;top:17.60px;">References</span></p></div></div></div> <div class="sg" id="s252" data-sgid="Rectangle 1" style="z-index:3;left:23.51px;top:114.30px;width:912.40px;height:361.79px" data-valign="top" data-pointer-events="none"> <div id="s252_t" class="sg" style="z-index:2;left:-8.53px;top:-4.80px;width:920.93px;height:376.31px;"><div><p para="{bl:{ch:8226},spaf:24.00}"><span data-textwidth="760.20" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.22px;top:13.22px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:18.48px"> </span>Fang B et al, Autoimmune glial fibrillary acidic protein </span></span><span data-textwidth="793.08" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.22px;top:45.98px;">astrocytopathy: a novel meningoencephalitis. <span class="f8" style="font-style:italic; ">JAMA Neurol</span></span><span data-textwidth="269.88" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.22px;top:79.58px;">2016; 73: 1297-1307.</span></p><p para="{bl:{ch:8226},spaf:24.00}"><span data-textwidth="885.00" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:156%; left:16.22px;top:138.02px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:18.48px"> </span>Flanagan EP et al, Glial fibrillary acidic protein immunoglobulin </span></span><span data-textwidth="846.00" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.22px;top:170.78px;">G as biomarker of autoimmune astrocytopathy: analysis of 102 </span><span data-textwidth="520.56" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.22px;top:204.38px;">patients. <span class="f8" style="font-style:italic; ">Ann Neurol</span> 2017; 81: 298-309.</span></p><p para="{bl:{ch:8226},spaf:24.00}"><span data-textwidth="874.08" class="sg nowrap f2" style="z-index:22;color:#FFFFFF;font-size:156%; left:16.22px;top:262.82px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:18.48px"> </span>Dubey D et al, Autoimmune GFAP astrocytopathy: prospective </span></span><span data-textwidth="832.08" class="sg nowrap f1" style="z-index:26;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.22px;top:295.58px;">evaluation of 90 patients in 1 year. <span class="f8" style="font-style:italic; ">J Neuroimm</span> 2018; 321: 157-</span><span data-textwidth="54.60" class="sg nowrap f1" style="z-index:31;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.22px;top:329.18px;">163.</span></p></div></div></div> <div class="sg" id="s250" data-sgid="Picture 6" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s250_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgSubtitle" id="s253" data-sgid="Subtitle 2" style="z-index:1;left:127.86px;top:89.70px;width:689.30px;height:98.58px" data-valign="top" data-pointer-events="none"> <div id="s253_t" class="sg" style="z-index:2;left:-25.80px;top:-20.03px;width:740.53px;height:331.35px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="268.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.82px;top:22.49px;">2018 RSNA </span></p><p para="{al:2,spbf:10.00}"><span data-textwidth="672.24" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.50px;top:93.29px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:10.00}"><span data-textwidth="148.56" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:296.34px;top:234.89px;">Breast</span></p></div></div></div> <div class="sg" id="s254" data-sgid="Picture 3" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s254_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s257" data-sgid="TextBox 4" style="z-index:3;left:335.36px;top:10.55px;width:611.34px;height:61.39px" data-valign="top"> <div id="s257_t" class="sg" style="z-index:2;left:0.00px;top:-9.70px;width:630.42px;height:93.28px;"><div><p para="{al:3}"><span data-textwidth="385.20" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:218.92px;top:18.07px;">Elizabeth Morris, MD</span></p></div></div></div> <div class="sg" id="s256" data-sgid="TextBox 1" style="z-index:2;left:289.54px;top:13.19px;width:660.16px;height:298.84px" data-valign="top"> <div id="s256_t" class="sg" style="z-index:2;left:-9.71px;top:0.00px;width:669.87px;height:298.84px;"><div><p></p><p></p><p><span data-textwidth="601.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.53px;top:64.33px;">Chief of the Breast Imaging Service Memorial Sloan </span><span data-textwidth="388.68" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.53px;top:97.93px;">Kettering Cancer Center (MSKCC) </span></p><p></p><p><span data-textwidth="612.12" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.53px;top:165.13px;">Professor of Radiology Weill Cornell Medical College </span></p><p><span data-textwidth="329.76" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.53px;top:198.73px;">Larry Norton Endowed Chair</span></p></div></div></div> <div class="sg" id="s258" data-sgid="Picture 3" style="z-index:4;left:35.74px;top:79.15px;width:224.89px;height:309.76px"> <img class="sg" src="8A250FF9.png" id="s258_i" style="z-index:1;left:0px;top:0px;width:224.89px;height:309.76px" > </div> <div class="sg" id="s261" data-sgid="TextBox 10" style="z-index:7;left:335.36px;top:223.55px;width:660.05px;height:206.72px" data-valign="top"> <div id="s261_t" class="sg" style="z-index:2;left:-8.52px;top:0.00px;width:668.57px;height:206.72px;"><div><p></p><p para="{bl:{ch:8226}}"><span data-textwidth="137.76" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.36px;top:40.89px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>MD: UCSF</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="556.92" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:16.36px;top:74.49px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>Residency: Cornell University Medical College </span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="434.40" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:156%; left:16.36px;top:108.09px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.48px"> </span>Breast Imaging Fellowship: MSKCC </span></span></p></div></div></div> <div class="sg" id="s259" data-sgid="Picture 6" style="z-index:5;left:9.01px;top:407.49px;width:278.38px;height:69.33px"> <img class="sg" src="89008B5B.png" id="s259_i" style="z-index:1;left:0px;top:0px;width:278.38px;height:69.33px" > </div> <div class="sg" id="s260" data-sgid="TextBox 9" style="z-index:6;left:274.56px;top:356.77px;width:660.16px;height:172.82px" data-valign="top"> <div id="s260_t" class="sg" style="z-index:2;left:-2.89px;top:0.00px;width:672.17px;height:172.82px;"><div><p></p><p para="{al:2}"><span data-textwidth="585.60" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:43.57px;top:40.43px;">Expertise/research contributions: how best to use </span><span data-textwidth="625.32" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:23.77px;top:74.03px;">newer techniques such as MRI for early breast cancer </span><span data-textwidth="637.80" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.53px;top:107.63px;">detection and to improve the workup of breast lesions </span></p></div></div></div> <div class="sg" id="s255" data-sgid="Picture 8" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s255_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s263" data-sgid="Picture 10" style="z-index:2;left:6.71px;top:21.22px;width:286.31px;height:273.56px"> <img class="sg" src="FBDE13A2.png" id="s263_i" style="z-index:1;left:0px;top:0px;width:286.31px;height:273.56px" > </div> <div class="sg" id="s262" data-sgid="Content Placeholder 4" style="z-index:1;left:296.14px;top:21.48px;width:246.61px;height:273.30px"> <img class="sg" src="F5C3E167.png" id="s262_i" style="z-index:1;left:0px;top:0px;width:246.61px;height:273.30px" > </div> <div class="sg sgTitle" id="s266" data-sgid="Title 1" style="z-index:5;left:548.86px;top:142.24px;width:341.59px;height:35.72px" data-valign="middle" data-pointer-events="none"> <div id="s266_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:341.59px;height:72.31px;"><div><p para="{al:2}"><span data-textwidth="263.76" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:189%; left:43.10px;top:14.28px;">Back in urban NYC </span></p></div></div></div> <div class="sg" id="s265" data-sgid="Picture 5" style="z-index:4;left:466.94px;top:195.46px;width:457.33px;height:307.60px"> <img class="sg" src="B84604EA.png" id="s265_i" style="z-index:1;left:0px;top:0px;width:457.33px;height:307.60px" > </div> <div class="sg" id="s264" data-sgid="TextBox 1" style="z-index:3;left:67.66px;top:328.94px;width:352.16px;height:172.71px" data-valign="top"> <div id="s264_t" class="sg" style="z-index:2;left:0.00px;top:-6.59px;width:356.23px;height:194.52px;"><div><p para="{al:2}"><span data-textwidth="271.68" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:189%; left:44.06px;top:14.29px;">A year in Hawaii at </span><span data-textwidth="199.32" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:189%; left:80.30px;top:55.09px;">Lanikai Beach </span></p><p para="{al:2}"><span data-textwidth="311.16" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:189%; left:24.38px;top:95.89px;">reading examinations </span><span data-textwidth="147.36" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:189%; left:102.50px;top:136.69px;">for MSKCC</span></p></div></div></div> <div class="sg" id="s267" data-sgid="Picture 8" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s267_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s268" data-sgid="Title 1" style="z-index:1;left:75.33px;top:9.36px;width:828.44px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s268_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.44px;height:114.64px;"><div><p para="{al:2}"><span data-textwidth="151.08" class="sg nowrap f9" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:338.91px;top:22.32px;">History</span></p></div></div></div> <div class="sg" id="s269" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:125.45px;width:864.43px;height:406.30px" data-valign="top" data-pointer-events="none"> <div id="s269_t" class="sg" style="z-index:2;left:-12.94px;top:-11.63px;width:880.74px;height:417.93px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="669.96" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:20.65px;top:14.54px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:21.60px"> </span>37 yo woman with no contributing history</span></span></p><p para="{bl:{ch:8226},spbf:18.00}"><span data-textwidth="835.68" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:200%; left:20.65px;top:71.42px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:21.60px"> </span>Presents with painless enlarging left breast over last </span></span><span data-textwidth="723.96" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:200%; left:92.65px;top:110.62px;">12 months. Left now 2 bra sizes asymmetric c/w </span><span data-textwidth="78.36" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:200%; left:92.65px;top:149.50px;">right </span></p><p para="{bl:{ch:8226},spbf:18.00}"><span data-textwidth="276.48" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:200%; left:20.65px;top:206.06px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:21.60px"> </span>Physical exam: </span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="300.60" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:150%; left:92.65px;top:250.94px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:2.40px"> </span>right breast normal exam</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="714.00" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:150%; left:92.65px;top:285.14px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:2.40px"> </span>left breast diffusely firm, no skin changes, no axillary or supra-</span></span><span data-textwidth="753.72" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:150%; left:110.65px;top:313.86px;">clavicular adenopathy; prominent veins visible throughout the left </span><span data-textwidth="70.44" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:150%; left:110.65px;top:343.02px;">breast</span></p></div></div></div> <div class="sg" id="s270" data-sgid="Picture 4" style="z-index:3;left:876.66px;top:512.06px;width:74.59px;height:20.40px"> <img class="sg" src="A84F2FBD75x20.png" id="s270_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s274" data-sgid="Picture 4" style="z-index:14;left:494.89px;top:67.89px;width:174.02px;height:401.25px"> <img class="sg" src="E3802091.jpg" id="s274_i" style="z-index:1;left:0px;top:0px;width:174.02px;height:401.25px" > </div> <div class="sg" id="s272" data-sgid="Group 16" style="z-index:2;left:678.67px;top:73.77px;width:276.00px;height:389.83px" data-shape="group"> <div class="sg" id="s276" data-sgid="Picture 15" style="z-index:4;left:93.64px;top:203.96px;width:13.68px;height:10.44px" data-rotation = "336"> <img class="sg" src="553F796514x10.png" id="s276_i" style="z-index:1;left:0px;top:0px;width:13.68px;height:10.44px" > </div> <div class="sg" id="s277" data-sgid="Picture 14" style="z-index:3;left:151.21px;top:335.17px;width:9.23px;height:11.04px"> <img class="sg" src="E6ACA7369x11.png" id="s277_i" style="z-index:1;left:0px;top:0px;width:9.23px;height:11.04px" > </div> <div class="sg" id="s278" data-sgid="Picture 13" style="z-index:2;left:146.06px;top:356.87px;width:6.49px;height:14.87px" data-rotation = "352"> <img class="sg" src="560AF00D6x15.png" id="s278_i" style="z-index:1;left:0px;top:0px;width:6.49px;height:14.87px" > </div> <div class="sg" id="s279" data-sgid="Picture 6" style="z-index:1;left:-0.87px;top:-0.61px;width:276.68px;height:390.58px"> <img class="sg" src="8AF5775E.jpg" id="s279_i" style="z-index:1;left:0px;top:0px;width:276.68px;height:390.58px" > </div> </div> <div class="sg" id="s271" data-sgid="Picture 2" style="z-index:1;left:4.08px;top:73.16px;width:195.52px;height:390.58px"> <img class="sg" src="1E05BD38.jpg" id="s271_i" style="z-index:1;left:0px;top:0px;width:195.52px;height:390.58px" > </div> <div class="sg" id="s273" data-sgid="Group 27" style="z-index:7;left:201.86px;top:74.22px;width:327.90px;height:400.53px" data-shape="group"> <div class="sg" id="s280" data-sgid="Picture 20" style="z-index:2;left:169.35px;top:170.55px;width:12.35px;height:10.92px" data-rotation = "33"> <img class="sg" src="4D7B7E0B12x11.png" id="s280_i" style="z-index:1;left:0px;top:0px;width:12.35px;height:10.92px" > </div> <div class="sg" id="s281" data-sgid="Group 12" style="z-index:1;left:0.00px;top:0.00px;width:327.90px;height:400.53px" data-shape="group"> <div class="sg" id="s282" data-sgid="Picture 10" style="z-index:4;left:181.11px;top:347.20px;width:10.56px;height:8.40px" data-rotation = "329"> <img class="sg" src="9FB90BBE11x8.png" id="s282_i" style="z-index:1;left:0px;top:0px;width:10.56px;height:8.40px" > </div> <div class="sg" id="s283" data-sgid="Picture 9" style="z-index:3;left:139.62px;top:84.93px;width:12.35px;height:11.01px" data-rotation = "33"> <img class="sg" src="614313EC12x11.png" id="s283_i" style="z-index:1;left:0px;top:0px;width:12.35px;height:11.01px" > </div> <div class="sg" id="s284" data-sgid="Picture 8" style="z-index:2;left:212.17px;top:299.34px;width:14.39px;height:13.08px"> <img class="sg" src="7DAA3BFD14x13.png" id="s284_i" style="z-index:1;left:0px;top:0px;width:14.39px;height:13.08px" > </div> <div class="sg" id="s285" data-sgid="Picture 5" style="z-index:1;left:-0.59px;top:-0.46px;width:328.65px;height:401.02px"> <img class="sg" src="4B6DCF26.jpg" id="s285_i" style="z-index:1;left:0px;top:0px;width:328.65px;height:401.02px" > </div> </div> </div> <div class="sg" id="s275" data-sgid="Picture 17" style="z-index:15;left:877.85px;top:512.06px;width:74.48px;height:20.40px"> <img class="sg" src="3194198E74x20.png" id="s275_i" style="z-index:1;left:0px;top:0px;width:74.48px;height:20.40px" > </div> <div class="sg" id="s289" data-sgid="Picture 7" style="z-index:4;left:85.16px;top:-0.48px;width:263.51px;height:258.81px"> <img class="sg" src="8C2495D9.jpg" id="s289_i" style="z-index:1;left:0px;top:0px;width:263.51px;height:258.81px" > </div> <div class="sg" id="s288" data-sgid="Picture 6" style="z-index:3;left:347.82px;top:6.72px;width:266.52px;height:257.33px"> <img class="sg" src="9E196BE3.jpg" id="s288_i" style="z-index:1;left:0px;top:0px;width:266.52px;height:257.33px" > </div> <div class="sg" id="s290" data-sgid="Picture 8" style="z-index:5;left:610.52px;top:6.72px;width:263.26px;height:257.33px"> <img class="sg" src="2C421921.jpg" id="s290_i" style="z-index:1;left:0px;top:0px;width:263.26px;height:257.33px" > </div> <div class="sg" id="s291" data-sgid="Picture 10" style="z-index:6;left:81.33px;top:260.11px;width:267.34px;height:279.06px"> <img class="sg" src="9DE71105.jpg" id="s291_i" style="z-index:1;left:0px;top:0px;width:267.34px;height:279.06px" > </div> <div class="sg" id="s287" data-sgid="Picture 4" style="z-index:2;left:620.34px;top:265.87px;width:267.22px;height:271.15px"> <img class="sg" src="C7BDFB7.jpg" id="s287_i" style="z-index:1;left:0px;top:0px;width:267.22px;height:271.15px" > </div> <div class="sg" id="s286" data-sgid="Picture 2" style="z-index:1;left:347.82px;top:265.87px;width:273.37px;height:273.30px"> <img class="sg" src="F849A4FD.jpg" id="s286_i" style="z-index:1;left:0px;top:0px;width:273.37px;height:273.30px" > </div> <div class="sg" id="s292" data-sgid="Picture 9" style="z-index:7;left:877.85px;top:512.06px;width:74.48px;height:20.40px"> <img class="sg" src="3194198E74x20.png" id="s292_i" style="z-index:1;left:0px;top:0px;width:74.48px;height:20.40px" > </div> <div class="sg" id="s294" data-sgid="TextBox 12" style="z-index:2;left:456.63px;top:20.03px;width:179.66px;height:85.62px" data-valign="top"> <div id="s294_t" class="sg" style="z-index:2;left:-1.56px;top:-5.99px;width:189.97px;height:106.47px;"><div><p para="{al:2}"><span data-textwidth="150.72" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:178%; left:20.01px;top:13.60px;">simple cyst </span><span data-textwidth="102.36" class="sg nowrap f6" style="z-index:3;color:#FFFFFF;font-size:178%; left:40.53px;top:52.00px;">(ignore)</span></p></div></div></div> <div class="sg" id="s295" data-sgid="Straight Arrow Connector 16" style="z-index:3;left:413.21px;top:78.07px;width:74.11px;height:95.21px" data-pointer-events="none"> <img class="sg" src="7EB30D5274x95.png" id="s295_i" style="z-index:1;left:0px;top:0px;width:74.11px;height:95.21px" > </div> <div class="sg" id="s293" data-sgid="Picture 5" style="z-index:1;left:88.64px;top:6.35px;width:786.81px;height:505.11px"> <img class="sg" src="F4F53CD0.jpg" id="s293_i" style="z-index:1;left:0px;top:0px;width:786.81px;height:505.11px" > </div> <div class="sg" id="s296" data-sgid="Picture 4" style="z-index:4;left:877.85px;top:512.06px;width:74.48px;height:20.40px"> <img class="sg" src="3194198E74x20.png" id="s296_i" style="z-index:1;left:0px;top:0px;width:74.48px;height:20.40px" > </div> <div class="sg sgTitle" id="s297" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s297_t" class="sg" style="z-index:2;left:-16.91px;top:-7.91px;width:845.37px;height:128.20px;"><div><p><span data-textwidth="789.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.63px;top:16.14px;">Large painless mass in a young woman without </span><span data-textwidth="761.64" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.63px;top:59.34px;">adenopathy/skin changes growing over a year</span></p></div></div></div> <div class="sg" id="s298" data-sgid="Content Placeholder 2" style="z-index:2;left:71.25px;top:180.37px;width:828.44px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s298_t" class="sg" style="z-index:2;left:-10.79px;top:-9.85px;width:839.23px;height:353.19px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="445.44" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.50px;top:13.16px;">•<span class="f4" style="font-weight:bold; "> Lipofibroadenoma (hamartoma)</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="539.40" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:178%; left:18.50px;top:57.68px;">•<span class="f4" style="font-weight:bold; "> Giant Fibroadenoma / Phyllodes Tumor</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="325.68" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:178%; left:18.50px;top:102.20px;">•<span class="f4" style="font-weight:bold; "> Cancer / Angiosarcoma</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="288.72" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:178%; left:18.50px;top:146.84px;">•<span class="f4" style="font-weight:bold; "> Lymphangiomatosis </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="739.08" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:178%; left:18.50px;top:191.36px;">•<span class="f4" style="font-weight:bold; "> Giant Pseudoangiomatous Stromal Hyperplasia (PASH)</span></span></p></div></div></div> <div class="sg" id="s299" data-sgid="Content Placeholder 2" style="z-index:1;left:75.56px;top:220.65px;width:766.08px;height:311.09px" data-valign="top" data-pointer-events="none"> <div id="s299_t" class="sg" style="z-index:2;left:-4.42px;top:-20.03px;width:787.40px;height:331.12px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="719.64" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:33.98px;top:22.58px;">Biopsy performed at this point </span></p></div></div></div> <div class="sg" id="s300" data-sgid="Picture 3" style="z-index:2;left:877.85px;top:512.79px;width:74.48px;height:20.37px"> <img class="sg" src="3A4346F674x20.png" id="s300_i" style="z-index:1;left:0px;top:0px;width:74.48px;height:20.37px" > </div> <div class="sg" id="s303" data-sgid="Picture 5" style="z-index:3;left:314.24px;top:-0.48px;width:293.39px;height:254.47px"> <img class="sg" src="700F491F.jpg" id="s303_i" style="z-index:1;left:0px;top:0px;width:293.39px;height:254.47px" > </div> <div class="sg" id="s305" data-sgid="Picture 7" style="z-index:5;left:613.04px;top:-0.48px;width:291.10px;height:254.47px"> <img class="sg" src="D886B57.jpg" id="s305_i" style="z-index:1;left:0px;top:0px;width:291.10px;height:254.47px" > </div> <div class="sg" id="s301" data-sgid="Picture 2" style="z-index:1;left:0.00px;top:-0.48px;width:309.93px;height:254.95px"> <img class="sg" src="31928E3E.jpg" id="s301_i" style="z-index:1;left:0px;top:0px;width:309.93px;height:254.95px" > </div> <div class="sg" id="s307" data-sgid="TextBox 8" style="z-index:7;left:184.70px;top:210.70px;width:580.78px;height:85.65px" data-valign="top"> <img class="sg" src="F1613A67581x86.png" id="s307_i" style="z-index:1;left:0px;top:0px;width:580.78px;height:85.65px" > <div id="s307_t" class="sg" style="z-index:2;left:0.00px;top:-5.99px;width:580.78px;height:106.61px;"><div><p para="{al:2}"><span data-textwidth="520.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:30.70px;top:13.73px;">multiple slices from superior to inferior</span></p><p para="{al:2}"><span data-textwidth="184.32" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:178%; left:198.58px;top:52.13px;">2<span class="f4" style="font-size:66%; position:relative;bottom:12px;">nd</span> pass T1 +C</span></p></div></div></div> <div class="sg" id="s304" data-sgid="Picture 6" style="z-index:4;left:310.89px;top:281.45px;width:328.40px;height:257.62px"> <img class="sg" src="342249B8.jpg" id="s304_i" style="z-index:1;left:0px;top:0px;width:328.40px;height:257.62px" > </div> <div class="sg" id="s306" data-sgid="Picture 10" style="z-index:6;left:638.44px;top:282.41px;width:330.94px;height:256.65px"> <img class="sg" src="9AB3F496.jpg" id="s306_i" style="z-index:1;left:0px;top:0px;width:330.94px;height:256.65px" > </div> <div class="sg" id="s302" data-sgid="Picture 4" style="z-index:2;left:-12.35px;top:282.41px;width:324.09px;height:257.59px"> <img class="sg" src="55800B96.jpg" id="s302_i" style="z-index:1;left:0px;top:0px;width:324.09px;height:257.59px" > </div> <div class="sg" id="s308" data-sgid="Picture 9" style="z-index:8;left:887.20px;top:512.06px;width:74.62px;height:20.40px"> <img class="sg" src="2A8DBA6975x20.png" id="s308_i" style="z-index:1;left:0px;top:0px;width:74.62px;height:20.40px" > </div> <div class="sg" id="s312" data-sgid="Picture 9" style="z-index:4;left:140.47px;top:6.72px;width:338.48px;height:256.88px"> <img class="sg" src="E88E2149.jpg" id="s312_i" style="z-index:1;left:0px;top:0px;width:338.48px;height:256.88px" > </div> <div class="sg" id="s309" data-sgid="Picture 1" style="z-index:1;left:485.88px;top:6.24px;width:362.24px;height:268.85px"> <img class="sg" src="2754E0A6.jpg" id="s309_i" style="z-index:1;left:0px;top:0px;width:362.24px;height:268.85px" > </div> <div class="sg" id="s313" data-sgid="TextBox 5" style="z-index:5;left:191.89px;top:183.23px;width:580.89px;height:85.76px" data-valign="top"> <img class="sg" src="921F4823581x86.png" id="s313_i" style="z-index:1;left:0px;top:0px;width:580.89px;height:85.76px" > <div id="s313_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:580.89px;height:106.50px;"><div><p para="{al:2}"><span data-textwidth="520.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:30.71px;top:13.72px;">multiple slices from superior to inferior</span></p><p para="{al:2}"><span data-textwidth="351.36" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:178%; left:115.07px;top:52.12px;">2<span class="f4" style="font-size:66%; position:relative;bottom:12px;">nd</span> pass T1 +C, subtraction</span></p></div></div></div> <div class="sg" id="s310" data-sgid="Picture 3" style="z-index:2;left:485.88px;top:262.75px;width:362.24px;height:276.06px"> <img class="sg" src="F493F2BA.jpg" id="s310_i" style="z-index:1;left:0px;top:0px;width:362.24px;height:276.06px" > </div> <div class="sg" id="s311" data-sgid="Picture 8" style="z-index:3;left:140.47px;top:262.98px;width:338.48px;height:275.83px"> <img class="sg" src="95FDA77.jpg" id="s311_i" style="z-index:1;left:0px;top:0px;width:338.48px;height:275.83px" > </div> <div class="sg" id="s314" data-sgid="Picture 6" style="z-index:6;left:877.85px;top:512.79px;width:74.48px;height:20.37px"> <img class="sg" src="3A4346F674x20.png" id="s314_i" style="z-index:1;left:0px;top:0px;width:74.48px;height:20.37px" > </div> <div class="sg" id="s317" data-sgid="Picture 5" style="z-index:3;left:8.64px;top:99.55px;width:341.00px;height:291.63px"> <img class="sg" src="B3809F1B.jpg" id="s317_i" style="z-index:1;left:0px;top:0px;width:341.00px;height:291.63px" > </div> <div class="sg" id="s315" data-sgid="Picture 2" style="z-index:1;left:359.46px;top:122.70px;width:290.14px;height:245.36px"> <img class="sg" src="FE9C32FA.jpg" id="s315_i" style="z-index:1;left:0px;top:0px;width:290.14px;height:245.36px" > </div> <div class="sg" id="s316" data-sgid="Picture 4" style="z-index:2;left:662.91px;top:118.84px;width:287.16px;height:252.94px"> <img class="sg" src="18B3692D.jpg" id="s316_i" style="z-index:1;left:0px;top:0px;width:287.16px;height:252.94px" > </div> <div class="sg" id="s319" data-sgid="TextBox 7" style="z-index:5;left:350.71px;top:367.09px;width:291.58px;height:46.89px" data-valign="top"> <img class="sg" src="4BF21EBC292x47.png" id="s319_i" style="z-index:1;left:0px;top:0px;width:291.58px;height:46.89px" > <div id="s319_t" class="sg" style="z-index:2;left:0.00px;top:-6.01px;width:291.58px;height:68.11px;"><div><p para="{al:2}"><span data-textwidth="183.60" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:54.17px;top:13.84px;">T1 non fat-sat</span></p></div></div></div> <div class="sg" id="s318" data-sgid="TextBox 6" style="z-index:4;left:0.48px;top:367.09px;width:349.75px;height:46.89px" data-valign="top"> <img class="sg" src="41A765E9350x47.png" id="s318_i" style="z-index:1;left:0px;top:0px;width:349.75px;height:46.89px" > <div id="s318_t" class="sg" style="z-index:2;left:0.00px;top:-6.01px;width:349.75px;height:68.11px;"><div><p para="{al:2}"><span data-textwidth="302.76" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:23.64px;top:13.84px;">T1 fat-sat, pre-contrast</span></p></div></div></div> <div class="sg" id="s320" data-sgid="TextBox 8" style="z-index:6;left:650.67px;top:370.92px;width:283.90px;height:46.89px" data-valign="top"> <img class="sg" src="3B9859FA284x47.png" id="s320_i" style="z-index:1;left:0px;top:0px;width:283.90px;height:46.89px" > <div id="s320_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:283.90px;height:68.11px;"><div><p para="{al:2}"><span data-textwidth="69.60" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:107.49px;top:13.71px;">T2WI</span></p></div></div></div> <div class="sg" id="s321" data-sgid="Picture 9" style="z-index:7;left:877.85px;top:514.24px;width:74.48px;height:20.37px"> <img class="sg" src="3C22362B74x20.png" id="s321_i" style="z-index:1;left:0px;top:0px;width:74.48px;height:20.37px" > </div> <div class="sg" id="s322" data-sgid="Content Placeholder 4" style="z-index:1;left:144.77px;top:32.26px;width:669.87px;height:496.96px"> <img class="sg" src="8B1C9FDB.jpg" id="s322_i" style="z-index:1;left:0px;top:0px;width:669.87px;height:496.96px" > </div> <div class="sg sgTitle" id="s323" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s323_t" class="sg" style="z-index:2;left:-25.29px;top:0.00px;width:853.75px;height:114.78px;"><div><p><span data-textwidth="308.88" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:33.01px;top:22.35px;">Based on MRI</span></p></div></div></div> <div class="sg" id="s324" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:143.18px;width:886.15px;height:343.23px" data-valign="top" data-pointer-events="none"> <div id="s324_t" class="sg" style="z-index:2;left:-12.95px;top:-11.63px;width:899.09px;height:354.87px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="323.16" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:20.67px;top:14.57px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-2.76px"> </span>Lymphangiomatosis </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="830.04" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:200%; left:20.67px;top:63.41px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-2.76px"> </span>Giant Pseudoangiomatous Stromal Hyperplasia (PASH)</span></span></p></div></div></div> <div class="sg" id="s340" data-sgid="TextBox 15" style="z-index:16;left:180.14px;top:15.35px;width:66.47px;height:25.19px" data-valign="top"> <div id="s340_t" class="sg" style="z-index:2;left:-1.19px;top:-0.60px;width:67.66px;height:30.21px;"><div><p><span data-textwidth="24.36" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:78%; left:8.97px;top:6.45px;">STIR</span></p></div></div></div> <div class="sg" id="s341" data-sgid="TextBox 16" style="z-index:17;left:290.87px;top:15.83px;width:120.78px;height:25.19px" data-valign="top"> <div id="s341_t" class="sg" style="z-index:2;left:-1.22px;top:-0.60px;width:122.00px;height:30.21px;"><div><p><span data-textwidth="64.92" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:78%; left:9.03px;top:6.45px;">Post gad T1</span></p></div></div></div> <div class="sg" id="s336" data-sgid="TextBox 12" style="z-index:12;left:827.47px;top:19.32px;width:121.15px;height:25.05px" data-valign="top"> <div id="s336_t" class="sg" style="z-index:2;left:-1.07px;top:-0.74px;width:122.23px;height:30.35px;"><div><p><span data-textwidth="88.32" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:78%; left:9.28px;top:6.58px;">Post gad T1 sub</span></p></div></div></div> <div class="sg" id="s335" data-sgid="TextBox 11" style="z-index:11;left:717.14px;top:20.62px;width:72.92px;height:24.94px" data-valign="top"> <div id="s335_t" class="sg" style="z-index:2;left:-1.22px;top:-0.71px;width:74.14px;height:30.33px;"><div><p><span data-textwidth="13.80" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:78%; left:9.24px;top:6.57px;">T2</span></p></div></div></div> <div class="sg sgTitle" id="s325" data-sgid="Title 1" style="z-index:1;left:65.62px;top:28.17px;width:828.44px;height:105.30px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s338" data-sgid="Picture 13" style="z-index:14;left:169.47px;top:18.24px;width:127.27px;height:128.43px"> <img class="sg" src="68D82222.png" id="s338_i" style="z-index:1;left:0px;top:0px;width:127.27px;height:128.43px" > </div> <div class="sg" id="s339" data-sgid="Picture 17" style="z-index:15;left:6.12px;top:18.84px;width:164.20px;height:127.83px"> <img class="sg" src="A7C29E63.jpg" id="s339_i" style="z-index:1;left:0px;top:0px;width:164.20px;height:127.83px" > </div> <div class="sg" id="s337" data-sgid="Picture 14" style="z-index:13;left:293.99px;top:18.84px;width:122.45px;height:127.94px"> <img class="sg" src="673472CB.png" id="s337_i" style="z-index:1;left:0px;top:0px;width:122.45px;height:127.94px" > </div> <div class="sg" id="s334" data-sgid="Picture 10" style="z-index:10;left:509.53px;top:23.15px;width:159.27px;height:120.99px"> <img class="sg" src="1716A7FE.jpg" id="s334_i" style="z-index:1;left:0px;top:0px;width:159.27px;height:120.99px" > </div> <div class="sg" id="s333" data-sgid="Picture 8" style="z-index:9;left:828.44px;top:23.15px;width:120.19px;height:120.99px"> <img class="sg" src="561B81DF.png" id="s333_i" style="z-index:1;left:0px;top:0px;width:120.19px;height:120.99px" > </div> <div class="sg" id="s332" data-sgid="Picture 9" style="z-index:8;left:657.89px;top:23.15px;width:181.33px;height:120.99px"> <img class="sg" src="85CF12FB.png" id="s332_i" style="z-index:1;left:0px;top:0px;width:181.33px;height:120.99px" > </div> <div class="sg" id="s330" data-sgid="TextBox 6" style="z-index:6;left:0.48px;top:142.70px;width:147.04px;height:25.08px" data-valign="top"> <div id="s330_t" class="sg" style="z-index:2;left:-1.19px;top:-0.71px;width:148.23px;height:30.35px;"><div><p><span data-textwidth="129.96" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:78%; left:8.87px;top:6.65px;">Rare tumors 2012;12:4</span></p></div></div></div> <div class="sg" id="s331" data-sgid="TextBox 7" style="z-index:7;left:504.71px;top:141.16px;width:241.94px;height:47.01px" data-valign="top"> <div id="s331_t" class="sg" style="z-index:2;left:-1.19px;top:-0.62px;width:243.12px;height:47.63px;"><div><p><span data-textwidth="160.56" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:78%; left:9.24px;top:6.66px;">Breast Care 2010;5:250–252</span></p></div></div></div> <div class="sg" id="s328" data-sgid="Text Placeholder 4" style="z-index:4;left:483.84px;top:143.32px;width:408.88px;height:65.70px" data-valign="bottom" data-pointer-events="none"> <div id="s328_t" class="sg" style="z-index:2;left:-7.19px;top:0.00px;width:416.07px;height:76.51px;"><div><p para="{spbf:10.00}"><span data-textwidth="198.12" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.23px;top:35.60px;">Lymphangiomatosis</span></p></div></div></div> <div class="sg" id="s326" data-sgid="Text Placeholder 2" style="z-index:2;left:26.03px;top:150.87px;width:440.31px;height:65.70px" data-valign="bottom" data-pointer-events="none"> <div id="s326_t" class="sg" style="z-index:2;left:-7.31px;top:-0.60px;width:447.62px;height:77.22px;"><div><p para="{spbf:10.00}"><span data-textwidth="350.64" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.00px;top:10.41px;">Giant Pseudoangiomatous Stromal </span><span data-textwidth="190.32" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.00px;top:36.33px;">Hyperplasia (PASH)</span></p></div></div></div> <div class="sg" id="s327" data-sgid="Content Placeholder 3" style="z-index:3;left:44.63px;top:204.71px;width:440.17px;height:290.81px" data-valign="top" data-pointer-events="none"> <div id="s327_t" class="sg" style="z-index:2;left:-3.96px;top:-4.80px;width:445.10px;height:295.60px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="279.48" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:11.65px;top:8.45px;">•<span class="f6" ><span style="letter-spacing:11.04px"> </span>Benign tumor of myofibroblasts</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="315.48" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:111%; left:11.65px;top:40.01px;">•<span class="f6" ><span style="letter-spacing:11.04px"> </span>Hormonal influence / young women</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="307.92" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:111%; left:11.65px;top:71.69px;">•<span class="f6" ><span style="letter-spacing:11.04px"> </span>Microscopic foci or discrete tumors</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="338.40" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:111%; left:11.65px;top:103.25px;">•<span class="f6" ><span style="letter-spacing:11.04px"> </span>Described 1986 /   ̴100 cases as masses</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="397.80" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:111%; left:11.65px;top:134.81px;">•<span class="f6" ><span style="letter-spacing:11.04px"> </span>Dense, collagenous proliferation of mammary </span></span><span data-textwidth="398.64" class="sg nowrap f6" style="z-index:16;color:#FFFFFF;font-size:111%; left:34.21px;top:156.33px;">stroma forming inter-anastomosing capillary-like </span><span data-textwidth="54.24" class="sg nowrap f6" style="z-index:21;color:#FFFFFF;font-size:111%; left:34.21px;top:177.93px;">spaces</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="381.84" class="sg nowrap f2" style="z-index:22;color:#FFFFFF;font-size:111%; left:11.65px;top:209.69px;">•<span class="f6" ><span style="letter-spacing:11.04px"> </span>Differentiated from low grade angiosarcoma</span></span></p></div></div></div> <div class="sg" id="s329" data-sgid="Content Placeholder 5" style="z-index:5;left:499.79px;top:215.63px;width:448.84px;height:290.81px" data-valign="top" data-pointer-events="none"> <div id="s329_t" class="sg" style="z-index:2;left:-4.20px;top:-4.79px;width:454.96px;height:295.60px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="430.80" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.13px;top:8.44px;">•<span class="f6" ><span style="letter-spacing:6.48px"> </span>Congenital – dilated lymphatic channels lined with </span></span><span data-textwidth="97.08" class="sg nowrap f6" style="z-index:6;color:#FFFFFF;font-size:111%; left:30.13px;top:29.96px;">epithelium </span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="354.60" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:111%; left:48.13px;top:56.68px;">•<span class="f6" ><span style="letter-spacing:6.48px"> </span>Simple – small capillary-sized thin-walled </span></span><span data-textwidth="228.48" class="sg nowrap f6" style="z-index:15;color:#FFFFFF;font-size:111%; left:66.13px;top:78.20px;">vessels w/ connective tissue</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="362.88" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:111%; left:48.13px;top:104.80px;">•<span class="f6" ><span style="letter-spacing:6.48px"> </span>Cystic – well defined large communicating </span></span><span data-textwidth="39.48" class="sg nowrap f6" style="z-index:20;color:#FFFFFF;font-size:111%; left:66.13px;top:126.32px;">cysts</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="377.16" class="sg nowrap f2" style="z-index:21;color:#FFFFFF;font-size:111%; left:48.13px;top:153.04px;">•<span class="f6" ><span style="letter-spacing:6.48px"> </span>Cavernous – sponge-like areas composed of </span></span><span data-textwidth="356.76" class="sg nowrap f6" style="z-index:27;color:#FFFFFF;font-size:111%; left:66.13px;top:174.56px;">small cavernous spaces & dilated lymphatic </span><span data-textwidth="296.40" class="sg nowrap f6" style="z-index:28;color:#FFFFFF;font-size:111%; left:66.13px;top:196.16px;">channels – cyst walls have lymphoid </span><span data-textwidth="88.20" class="sg nowrap f6" style="z-index:31;color:#FFFFFF;font-size:111%; left:66.13px;top:217.76px;">aggregates</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="395.40" class="sg nowrap f2" style="z-index:32;color:#FFFFFF;font-size:111%; left:12.13px;top:249.40px;">•<span class="f6" ><span style="letter-spacing:6.48px"> </span>Rapid expansion can occur due to hemorrhage</span></span></p></div></div></div> <div class="sg" id="s342" data-sgid="Picture 18" style="z-index:18;left:28.77px;top:439.40px;width:288.24px;height:94.01px"> <img class="sg" src="8B2D65CD.png" id="s342_i" style="z-index:1;left:0px;top:0px;width:288.24px;height:94.01px" > </div> <div class="sg" id="s343" data-sgid="TextBox 19" style="z-index:19;left:325.39px;top:507.74px;width:103.76px;height:25.08px" data-valign="top"> <div id="s343_t" class="sg" style="z-index:2;left:-1.30px;top:-0.70px;width:105.29px;height:30.33px;"><div><p><span data-textwidth="87.36" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:78%; left:9.15px;top:6.88px;">Radiology 1996</span></p></div></div></div> <div class="sg" id="s354" data-sgid="TextBox 4" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s354_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="382.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:37.92px;top:25.26px;">Final Diagnosis</span></p></div></div></div> <div class="sg" id="s353" data-sgid="CuadroTexto 6" style="z-index:2;left:18.72px;top:241.53px;width:921.98px;height:56.48px" data-valign="top"> <div id="s353_t" class="sg" style="z-index:2;left:-14.53px;top:-8.51px;width:951.15px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="902.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.61px;top:16.14px;">Giant Pseudoangiomatous Stromal Hyperplasia (PASH)</span></p></div></div></div> <div class="sg" id="s352" data-sgid="Picture 5" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s352_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s356" data-sgid="TextBox 6" style="z-index:2;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s356_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="194.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:132.12px;top:25.26px;">Answer</span></p></div></div></div> <div class="sg" id="s357" data-sgid="CuadroTexto 6" style="z-index:3;left:18.72px;top:241.53px;width:921.98px;height:56.48px" data-valign="top"> <div id="s357_t" class="sg" style="z-index:2;left:-14.53px;top:-8.51px;width:951.15px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="902.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.61px;top:16.14px;">Giant Pseudoangiomatous Stromal Hyperplasia (PASH)</span></p></div></div></div> <div class="sg" id="s355" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s355_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s358" data-sgid="Title 1" style="z-index:1;left:4.67px;top:22.67px;width:950.07px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s358_t" class="sg" style="z-index:2;left:-2.04px;top:-24.34px;width:954.15px;height:115.12px;"><div><p para="{al:2}"><span data-textwidth="897.96" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:256%; left:28.33px;top:18.79px;">Pseudangiomatous Stromal Hyperplasia (PASH)</span></p></div></div></div> <div class="sg" id="s359" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:95.46px;width:912.40px;height:414.58px" data-valign="top" data-pointer-events="none"> <div id="s359_t" class="sg" style="z-index:2;left:-10.79px;top:-9.70px;width:923.19px;height:434.95px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="763.68" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.50px;top:12.96px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Benign stromal condition: myofibroblastic proliferation</span></span></p><p para="{bl:{ch:8226},spbf:12.00}"><span data-textwidth="672.36" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:178%; left:18.50px;top:59.52px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Can mimic low grade angiosarcoma on histology </span></span><span data-textwidth="238.32" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:45.50px;top:94.72px;">(“pseudoangiomatous”)</span></p><p para="{bl:{ch:8226},spbf:12.00}"><span data-textwidth="683.52" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:178%; left:18.50px;top:132.00px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Occurs predominantly in pre-menopausal women</span></span></p><p para="{bl:{ch:8226},spbf:12.00}"><span data-textwidth="304.80" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:178%; left:18.50px;top:178.56px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Typical presentation:</span></span></p><p para="{in:2,bl:{nbr:1,val:1,st:3},spbf:0.20}"><span data-textwidth="494.28" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:156%; left:54.50px;top:219.88px;">1.<span style="letter-spacing:12.48px"> </span>Focal asymmetry or developing density</span></p><p para="{in:2,bl:{nbr:2,val:1,st:3},spbf:0.20}"><span data-textwidth="577.20" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:156%; left:54.50px;top:256.84px;">2.<span style="letter-spacing:12.48px"> </span>Similar in appearance to typical fibroadenoma</span></p><p para="{bl:{ch:8226},spbf:12.00}"><span data-textwidth="809.40" class="sg nowrap f2" style="z-index:23;color:#FFFFFF;font-size:178%; left:18.50px;top:299.04px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Uncommonly presents as massive enlargement of breast(s)</span></span></p><p para="{bl:{ch:8226},spbf:12.00}"><span data-textwidth="868.80" class="sg nowrap f2" style="z-index:25;color:#FFFFFF;font-size:178%; left:18.50px;top:345.60px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Benign; <u>no treatment needed</u> except in rare cases of massively </span></span><span data-textwidth="636.00" class="sg nowrap f4" style="z-index:30;color:#FFFFFF;font-weight:bold; font-size:178%; left:45.50px;top:380.72px;">involved unilateral or bilateral breast (cosmesis)</span></p></div></div><img class="sg" src="9C21FA55.png" id="s359_tt" style="left:-10.79px;top:-9.70px;width:923.19px;height:434.95px;z-index:1" > </div> <div class="sg" id="s360" data-sgid="Picture 3" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s360_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgSubtitle" id="s361" data-sgid="Subtitle 2" style="z-index:1;left:127.86px;top:89.70px;width:689.30px;height:98.58px" data-valign="top" data-pointer-events="none"> <div id="s361_t" class="sg" style="z-index:2;left:-25.54px;top:-20.14px;width:740.02px;height:311.06px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="268.20" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.56px;top:22.60px;">2018 RSNA </span></p><p para="{al:2,spbf:10.00}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.36px;top:93.28px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:10.00}"><span data-textwidth="195.84" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:311%; left:272.44px;top:214.60px;">Thoracic</span></p></div></div></div> <div class="sg" id="s362" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s362_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s363" data-sgid="TextBox 4" style="z-index:1;left:335.36px;top:10.55px;width:611.34px;height:61.39px" data-valign="top"> <div id="s363_t" class="sg" style="z-index:2;left:0.00px;top:-9.70px;width:630.42px;height:93.28px;"><div><p para="{al:3}"><span data-textwidth="463.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:140.56px;top:18.07px;">Tomás Franquet, MD PhD</span></p></div></div></div> <div class="sg" id="s365" data-sgid="Imagen 8" style="z-index:3;left:37.78px;top:62.61px;width:234.26px;height:334.33px"> <img class="sg" src="61F88246.png" id="s365_i" style="z-index:1;left:0px;top:0px;width:234.26px;height:334.33px" > </div> <div class="sg" id="s364" data-sgid="CuadroTexto 7" style="z-index:2;left:303.93px;top:88.62px;width:626.35px;height:424.54px" data-valign="top"> <div id="s364_t" class="sg" style="z-index:2;left:-9.72px;top:-4.90px;width:636.06px;height:429.45px;"><div><p para="{spaf:12.00}"><span data-textwidth="571.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:11.44px;">Chief Pulmonary Radiology, Hospital de Sant Pau </span><span data-textwidth="443.16" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:45.04px;">(Universidad Autónoma de Barcelona)</span></p><p></p><p para="{bl:{ch:8226},spaf:12.00}"><span data-textwidth="494.88" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:156%; left:17.55px;top:136.80px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>MD: Universidad de Navarra, Pamplona</span></span></p><p para="{bl:{ch:8226},spaf:12.00}"><span data-textwidth="533.76" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:156%; left:17.55px;top:182.40px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>Residency and PhD: Clinica Universidad de </span></span><span data-textwidth="98.28" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:156%; left:53.55px;top:215.44px;">Navarra </span></p><p para="{bl:{ch:8226},spaf:12.00}"><span data-textwidth="599.88" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:156%; left:17.55px;top:261.60px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>Fellowship: thoracic radiology (Nestor L. Müller) </span></span><span data-textwidth="122.40" class="sg nowrap f4" style="z-index:26;color:#FFFFFF;font-weight:bold; font-size:156%; left:53.55px;top:294.64px;">Vancouver</span></p></div></div></div> <div class="sg" id="s366" data-sgid="Picture 1" style="z-index:4;left:27.47px;top:419.97px;width:250.80px;height:82.75px"> <img class="sg" src="A8DF3C61.png" id="s366_i" style="z-index:1;left:0px;top:0px;width:250.80px;height:82.75px" > </div> <div class="sg" id="s367" data-sgid="Rectangle 2" style="z-index:5;left:375.29px;top:426.70px;width:470.19px;height:76.03px" data-valign="top" data-pointer-events="none"> <div id="s367_t" class="sg" style="z-index:2;left:0.00px;top:-4.80px;width:470.19px;height:93.16px;"><div><p para="{al:2,spaf:12.00}"><span data-textwidth="394.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:41.23px;top:11.66px;">Expertise/research contributions: </span><span data-textwidth="326.04" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:72.43px;top:45.26px;">Chest CT; thoracic infections</span></p></div></div></div> <div class="sg" id="s368" data-sgid="Picture 10" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s368_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s370" data-sgid="Imagen 6" style="z-index:2;left:176.43px;top:25.67px;width:263.63px;height:225.67px"> <img class="sg" src="F5E0D276.png" id="s370_i" style="z-index:1;left:0px;top:0px;width:263.63px;height:225.67px" > </div> <div class="sg" id="s369" data-sgid="Imagen 2" style="z-index:1;left:14.50px;top:22.07px;width:162.78px;height:234.81px"> <img class="sg" src="D7D11CF0.png" id="s369_i" style="z-index:1;left:0px;top:0px;width:162.78px;height:234.81px" > </div> <div class="sg" id="s372" data-sgid="Imagen 13" style="z-index:4;left:704.79px;top:72.20px;width:252.95px;height:186.72px"> <img class="sg" src="FA230DF6.png" id="s372_i" style="z-index:1;left:0px;top:0px;width:252.95px;height:186.72px" > </div> <div class="sg" id="s373" data-sgid="Imagen 7" style="z-index:5;left:442.84px;top:72.20px;width:259.18px;height:213.11px"> <img class="sg" src="6B462BD5.png" id="s373_i" style="z-index:1;left:0px;top:0px;width:259.18px;height:213.11px" > </div> <div class="sg" id="s374" data-sgid="CuadroTexto 12" style="z-index:6;left:178.10px;top:228.68px;width:108.69px;height:25.19px" data-valign="top"> <img class="sg" src="44C5609B109x25.png" id="s374_i" style="z-index:1;left:0px;top:0px;width:108.69px;height:25.19px" > <div id="s374_t" class="sg" style="z-index:2;left:-1.19px;top:-0.59px;width:110.11px;height:30.24px;"><div><p><span data-textwidth="92.28" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:8.97px;top:6.71px;">Summer (1976) </span></p></div></div></div> <div class="sg" id="s371" data-sgid="CuadroTexto 1" style="z-index:3;left:15.24px;top:231.69px;width:161.56px;height:25.19px" data-valign="top"> <img class="sg" src="EA5F2EC1162x25.png" id="s371_i" style="z-index:1;left:0px;top:0px;width:161.56px;height:25.19px" > <div id="s371_t" class="sg" style="z-index:2;left:-1.19px;top:-0.60px;width:162.75px;height:30.21px;"><div><p><span data-textwidth="144.60" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:8.87px;top:6.71px;">Running the bulls (1973) </span></p></div></div></div> <div class="sg" id="s376" data-sgid="CuadroTexto 18" style="z-index:8;left:707.77px;top:241.16px;width:207.75px;height:25.19px" data-valign="top"> <img class="sg" src="60E96D66208x25.png" id="s376_i" style="z-index:1;left:0px;top:0px;width:207.75px;height:25.19px" > <div id="s376_t" class="sg" style="z-index:2;left:-1.19px;top:-0.59px;width:208.94px;height:30.21px;"><div><p><span data-textwidth="190.44" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:9.22px;top:6.71px;">Fleischner Meeting. NYC (2016) </span></p></div></div></div> <div class="sg" id="s375" data-sgid="CuadroTexto 16" style="z-index:7;left:442.10px;top:262.16px;width:192.04px;height:25.19px" data-valign="top"> <img class="sg" src="397E0967192x25.png" id="s375_i" style="z-index:1;left:0px;top:0px;width:192.04px;height:25.19px" > <div id="s375_t" class="sg" style="z-index:2;left:-1.19px;top:-0.60px;width:193.23px;height:30.33px;"><div><p><span data-textwidth="135.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:9.09px;top:6.72px;">Jud Gurney. STR (2006) </span></p></div></div></div> <div class="sg" id="s377" data-sgid="Imagen 11" style="z-index:9;left:14.16px;top:268.03px;width:329.24px;height:249.45px"> <img class="sg" src="208F2B9.png" id="s377_i" style="z-index:1;left:0px;top:0px;width:329.24px;height:249.45px" > </div> <div class="sg" id="s378" data-sgid="Imagen 22" style="z-index:10;left:359.35px;top:286.50px;width:289.77px;height:218.98px"> <img class="sg" src="2409930.png" id="s378_i" style="z-index:1;left:0px;top:0px;width:289.77px;height:218.98px" > </div> <div class="sg" id="s379" data-sgid="Imagen 24" style="z-index:11;left:663.53px;top:284.82px;width:294.21px;height:222.33px"> <img class="sg" src="203911F1.png" id="s379_i" style="z-index:1;left:0px;top:0px;width:294.21px;height:222.33px" > </div> <div class="sg" id="s382" data-sgid="CuadroTexto 27" style="z-index:14;left:356.23px;top:494.07px;width:306.08px;height:25.08px" data-valign="top"> <img class="sg" src="86A27DDD306x25.png" id="s382_i" style="z-index:1;left:0px;top:0px;width:306.08px;height:25.08px" > <div id="s382_t" class="sg" style="z-index:2;left:-1.33px;top:-0.59px;width:307.41px;height:30.21px;"><div><p><span data-textwidth="274.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:9.18px;top:6.76px;">Wife Salome and daughter Elisa (Boston, 2012) </span></p></div></div></div> <div class="sg" id="s381" data-sgid="CuadroTexto 26" style="z-index:13;left:672.65px;top:494.21px;width:204.84px;height:24.94px" data-valign="top"> <img class="sg" src="F86B97A1205x25.png" id="s381_i" style="z-index:1;left:0px;top:0px;width:204.84px;height:24.94px" > <div id="s381_t" class="sg" style="z-index:2;left:-1.22px;top:-0.73px;width:206.05px;height:30.35px;"><div><p><span data-textwidth="115.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:9.33px;top:6.88px;">Alex and me (2012) </span></p></div></div></div> <div class="sg" id="s380" data-sgid="CuadroTexto 25" style="z-index:12;left:13.79px;top:494.21px;width:331.99px;height:41.96px" data-valign="top"> <img class="sg" src="7ED0720D332x42.png" id="s380_i" style="z-index:1;left:0px;top:0px;width:331.99px;height:41.96px" > <div id="s380_t" class="sg" style="z-index:2;left:0.00px;top:-0.73px;width:331.99px;height:47.01px;"><div><p para="{al:2}"><span data-textwidth="296.52" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:19.33px;top:6.88px;">Stanley Siegelman, Ana, Alberto & me (Hospital de </span><span data-textwidth="54.96" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:78%; left:138.73px;top:23.68px;">Sant Pau)</span></p></div></div></div> <div class="sg" id="s383" data-sgid="Picture 20" style="z-index:15;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s383_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s387" data-sgid="CuadroTexto 10" style="z-index:6;left:695.08px;top:119.43px;width:207.24px;height:25.08px" data-valign="top"> <img class="sg" src="17B7104207x25.png" id="s387_i" style="z-index:1;left:0px;top:0px;width:207.24px;height:25.08px" > <div id="s387_t" class="sg" style="z-index:2;left:-1.33px;top:-0.59px;width:209.54px;height:30.35px;"><div><p><span data-textwidth="191.76" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:9.33px;top:6.52px;">Wellesley , MA. September 2018 </span></p></div></div></div> <div class="sg" id="s384" data-sgid="Imagen 3" style="z-index:1;left:26.51px;top:110.44px;width:552.46px;height:370.44px"> <img class="sg" src="73F3B135.png" id="s384_i" style="z-index:1;left:0px;top:0px;width:552.46px;height:370.44px" > </div> <div class="sg" id="s385" data-sgid="Grupo 8" style="z-index:2;left:610.45px;top:119.75px;width:302.42px;height:369.48px" data-shape="group"> <div class="sg" id="s389" data-sgid="Imagen 7" style="z-index:2;left:62.79px;top:225.75px;width:176.06px;height:146.78px"> <img class="sg" src="5FD31C84.png" id="s389_i" style="z-index:1;left:0px;top:0px;width:176.06px;height:146.78px" > </div> <div class="sg" id="s390" data-sgid="Imagen 2" style="z-index:1;left:-3.79px;top:-3.55px;width:309.08px;height:233.62px"> <img class="sg" src="64548EF8.png" id="s390_i" style="z-index:1;left:0px;top:0px;width:309.08px;height:233.62px" > </div> </div> <div class="sg" id="s386" data-sgid="CuadroTexto 9" style="z-index:5;left:35.63px;top:446.72px;width:174.76px;height:25.05px" data-valign="top"> <img class="sg" src="E286D78B175x25.png" id="s386_i" style="z-index:1;left:0px;top:0px;width:174.76px;height:25.05px" > <div id="s386_t" class="sg" style="z-index:2;left:-1.33px;top:-0.62px;width:176.09px;height:30.24px;"><div><p><span data-textwidth="153.48" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:9.02px;top:6.74px;">Barcelona, Christmas 2016</span></p></div></div></div> <div class="sg" id="s388" data-sgid="Picture 14" style="z-index:7;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s388_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s393" data-sgid="TextBox 4" style="z-index:3;left:13.68px;top:5.50px;width:932.06px;height:95.35px" data-valign="top"> <div id="s393_t" class="sg" style="z-index:2;left:0.00px;top:-7.29px;width:932.06px;height:119.66px;"><div><p para="{al:2}"><span data-textwidth="259.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:340.68px;top:14.79px;">Middle age man; </span></p><p para="{al:2}"><span data-textwidth="408.24" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:200%; left:262.20px;top:57.99px;">former smoker, hemoptysis</span></p></div></div></div> <div class="sg" id="s392" data-sgid="Picture 2" style="z-index:2;left:74.11px;top:120.28px;width:402.65px;height:394.07px"> <img class="sg" src="546E768C.png" id="s392_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:394.07px" > </div> <div class="sg" id="s391" data-sgid="Picture 3" style="z-index:1;left:488.29px;top:120.77px;width:342.67px;height:398.13px"> <img class="sg" src="D4E6B6D3.png" id="s391_i" style="z-index:1;left:0px;top:0px;width:342.67px;height:398.13px" > </div> <div class="sg" id="s394" data-sgid="Grupo 11" style="z-index:4;left:409.62px;top:310.35px;width:391.60px;height:62.95px"> <img class="sg" src="3E6E40B7392x63.png" id="s394_i" style="z-index:1;left:0px;top:0px;width:391.60px;height:62.95px" > </div> <div class="sg" id="s395" data-sgid="Picture 12" style="z-index:7;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s395_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s396" data-sgid="Grupo 7" style="z-index:1;left:147.00px;top:17.95px;width:666.00px;height:500.54px" data-shape="group"> <div class="sg" id="s399" data-sgid="Rectangle 5" style="z-index:5;left:-1.15px;top:-2.01px;width:668.68px;height:504.17px" data-pointer-events="none"> <img class="sg" src="4AF77CA669x504.png" id="s399_i" style="z-index:1;left:0px;top:0px;width:668.68px;height:504.17px" > </div> <div class="sg" id="s400" data-sgid="Picture 4" style="z-index:4;left:331.09px;top:240.38px;width:334.77px;height:260.94px"> <img class="sg" src="3598D618.jpg" id="s400_i" style="z-index:1;left:0px;top:0px;width:334.77px;height:260.94px" > </div> <div class="sg" id="s401" data-sgid="Picture 3" style="z-index:3;left:331.09px;top:-0.93px;width:334.77px;height:260.96px"> <img class="sg" src="A5DB0A3A.jpg" id="s401_i" style="z-index:1;left:0px;top:0px;width:334.77px;height:260.96px" > </div> <div class="sg" id="s402" data-sgid="Picture 2" style="z-index:2;left:-1.27px;top:240.38px;width:334.77px;height:260.94px"> <img class="sg" src="4813F272.jpg" id="s402_i" style="z-index:1;left:0px;top:0px;width:334.77px;height:260.94px" > </div> <div class="sg" id="s403" data-sgid="Picture 1" style="z-index:1;left:-1.27px;top:-0.93px;width:334.77px;height:260.96px"> <img class="sg" src="2086B905.jpg" id="s403_i" style="z-index:1;left:0px;top:0px;width:334.77px;height:260.96px" > </div> </div> <div class="sg" id="s397" data-sgid="Grupo 10" style="z-index:7;left:701.71px;top:426.21px;width:89.29px;height:67.72px" data-shape="group"> <div class="sg" id="s404" data-sgid="Flecha abajo 9" style="z-index:2;left:-0.77px;top:28.17px;width:13.57px;height:39.57px" data-rotation = "223" data-fillcolor="16760832"> <img class="sg" src="1D32C91114x40.png" id="s404_i" style="z-index:1;left:0px;top:0px;width:13.57px;height:39.57px" > </div> <div class="sg" id="s405" data-sgid="Flecha abajo 8" style="z-index:1;left:62.70px;top:-13.67px;width:13.65px;height:39.57px" data-rotation = "69" data-fillcolor="16760832"> <img class="sg" src="FF9DA38A14x40.png" id="s405_i" style="z-index:1;left:0px;top:0px;width:13.65px;height:39.57px" > </div> </div> <div class="sg" id="s398" data-sgid="Picture 12" style="z-index:10;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s398_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s409" data-sgid="Grupo 1" style="z-index:1;left:135.89px;top:19.14px;width:689.03px;height:494.54px" data-shape="group"> <div class="sg" id="s413" data-sgid="Rectangle 9" style="z-index:5;left:-2.02px;top:-1.98px;width:692.53px;height:498.01px" data-pointer-events="none"> <img class="sg" src="BF979C24693x498.png" id="s413_i" style="z-index:1;left:0px;top:0px;width:692.53px;height:498.01px" > </div> <div class="sg" id="s414" data-sgid="Picture 8" style="z-index:4;left:342.91px;top:238.34px;width:346.77px;height:256.99px"> <img class="sg" src="1310AED9.jpg" id="s414_i" style="z-index:1;left:0px;top:0px;width:346.77px;height:256.99px" > </div> <div class="sg" id="s415" data-sgid="Picture 7" style="z-index:3;left:342.91px;top:-0.90px;width:346.77px;height:256.99px"> <img class="sg" src="F3C10F29.jpg" id="s415_i" style="z-index:1;left:0px;top:0px;width:346.77px;height:256.99px" > </div> <div class="sg" id="s416" data-sgid="Picture 6" style="z-index:2;left:-1.31px;top:238.34px;width:347.00px;height:256.99px"> <img class="sg" src="48358721.jpg" id="s416_i" style="z-index:1;left:0px;top:0px;width:347.00px;height:256.99px" > </div> <div class="sg" id="s417" data-sgid="Picture 5" style="z-index:1;left:-1.31px;top:-0.90px;width:347.00px;height:256.99px"> <img class="sg" src="76B0B980.jpg" id="s417_i" style="z-index:1;left:0px;top:0px;width:347.00px;height:256.99px" > </div> </div> <div class="sg" id="s411" data-sgid="Grupo 2" style="z-index:10;left:344.16px;top:119.21px;width:363.83px;height:304.85px" data-shape="group"> <div class="sg" id="s420" data-sgid="Flecha abajo 16" style="z-index:3;left:342.28px;top:4.90px;width:21.58px;height:50.50px" data-rotation = "39" data-fillcolor="16777215"> <img class="sg" src="406CC0B22x50.png" id="s420_i" style="z-index:1;left:0px;top:0px;width:21.58px;height:50.50px" > </div> <div class="sg" id="s421" data-sgid="Flecha abajo 15" style="z-index:2;left:57.05px;top:254.58px;width:21.58px;height:50.38px" data-rotation = "39" data-fillcolor="16777215"> <img class="sg" src="278119122x50.png" id="s421_i" style="z-index:1;left:0px;top:0px;width:21.58px;height:50.38px" > </div> <div class="sg" id="s422" data-sgid="Flecha abajo 14" style="z-index:1;left:-0.64px;top:-0.49px;width:21.58px;height:50.35px" data-rotation = "39" data-fillcolor="16777215"> <img class="sg" src="32F7EADB22x50.png" id="s422_i" style="z-index:1;left:0px;top:0px;width:21.58px;height:50.35px" > </div> </div> <div class="sg" id="s410" data-sgid="Grupo 11" style="z-index:7;left:701.71px;top:426.21px;width:89.29px;height:67.72px" data-shape="group"> <div class="sg" id="s418" data-sgid="Flecha abajo 13" style="z-index:2;left:-3.29px;top:27.09px;width:18.61px;height:42.10px" data-rotation = "223" data-fillcolor="16777215"> <img class="sg" src="4C6B77E619x42.png" id="s418_i" style="z-index:1;left:0px;top:0px;width:18.61px;height:42.10px" > </div> <div class="sg" id="s419" data-sgid="Flecha abajo 12" style="z-index:1;left:60.17px;top:-14.75px;width:18.58px;height:42.10px" data-rotation = "69" data-fillcolor="16777215"> <img class="sg" src="5EB16B4F19x42.png" id="s419_i" style="z-index:1;left:0px;top:0px;width:18.58px;height:42.10px" > </div> </div> <div class="sg" id="s412" data-sgid="Picture 18" style="z-index:14;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s412_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s423" data-sgid="TextBox 4" style="z-index:1;left:0.00px;top:-0.48px;width:960.38px;height:66.21px" data-valign="top"> <div id="s423_t" class="sg" style="z-index:2;left:0.00px;top:-11.04px;width:960.38px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="334.32" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:267%; left:313.20px;top:19.28px;">Imaging Findings</span></p></div></div></div> <div class="sg" id="s424" data-sgid="CuadroTexto 20" style="z-index:2;left:17.50px;top:78.07px;width:924.41px;height:431.97px" data-valign="top"> <div id="s424_t" class="sg" style="z-index:2;left:-5.38px;top:-5.50px;width:946.33px;height:447.77px;"><div><p para="{bl:{ch:118},spaf:30.00}"><span data-textwidth="840.48" class="sg nowrap f3" style="z-index:2;color:#FFC000;font-size:128%; left:13.08px;top:12.95px;"><span class="f1" style="font-weight:bold; font-size:130%; color:#FFFF00;"><span style="letter-spacing:12.12px"> </span>CXR:</span><span class="f1" style="font-weight:bold; font-size:130%; color:#FFFFFF;"> Ill-defined mass in the LLL extending from the left </span></span><span data-textwidth="96.84" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:167%; left:53.64px;top:48.95px;">hilum. </span></p><p para="{bl:{ch:118},spaf:30.00}"><span data-textwidth="843.84" class="sg nowrap f3" style="z-index:8;color:#FFC000;font-size:128%; left:13.08px;top:114.95px;"><span class="f1" style="font-weight:bold; font-size:130%; color:#FFFF00;"><span style="letter-spacing:12.12px"> </span>Contrast enhanced CT</span><span class="f1" style="font-weight:bold; font-size:130%; color:#FFFFFF;">: Homogeneous non-cavitary soft-</span></span><span data-textwidth="793.08" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:167%; left:53.64px;top:150.95px;">tissue mass with left hilar adenopathy, displacement of </span><span data-textwidth="753.12" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:167%; left:53.64px;top:186.95px;">broncho-vascular structures and areas of peripheral </span><span data-textwidth="128.40" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:167%; left:53.64px;top:222.95px;">collapse </span></p><p para="{bl:{ch:118},spaf:30.00}"><span data-textwidth="884.16" class="sg nowrap f3" style="z-index:21;color:#FFC000;font-size:128%; left:13.08px;top:288.95px;"><span class="f1" style="font-weight:bold; font-size:130%; color:#FFFF00;"><span style="letter-spacing:12.12px"> </span>PET-CT: </span><span class="f1" style="font-weight:bold; font-size:130%; color:#7CFFF5;">Intense</span><span class="f1" style="font-weight:bold; font-size:130%; color:#FFFFFF;"> homogenous increased glucose uptake of </span></span><span data-textwidth="806.88" class="sg nowrap f1" style="z-index:27;color:#FFFFFF;font-weight:bold; font-size:167%; left:53.64px;top:324.95px;">the mass and increased abnormal glucose uptake in left </span><span data-textwidth="874.68" class="sg nowrap f1" style="z-index:28;color:#FFFFFF;font-weight:bold; font-size:167%; left:53.64px;top:360.95px;">lower paratracheal, subcarinal nodal station and left hilum <span style="color:#7CFFF5;">(> </span></span><span data-textwidth="299.88" class="sg nowrap f1" style="z-index:30;color:#7CFFF5;font-weight:bold; font-size:167%; left:53.64px;top:396.95px;">than reactive uptake)</span></p></div></div></div> <div class="sg" id="s425" data-sgid="Picture 5" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s425_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s427" data-sgid="TextBox 4" style="z-index:2;left:-7.79px;top:6.95px;width:974.88px;height:66.44px" data-valign="top"> <div id="s427_t" class="sg" style="z-index:2;left:0.00px;top:-10.92px;width:974.88px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="426.72" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:267%; left:274.31px;top:19.29px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s429" data-sgid="CuadroTexto 1" style="z-index:4;left:37.18px;top:96.06px;width:900.17px;height:46.89px" data-valign="top"> <div id="s429_t" class="sg" style="z-index:2;left:-9.60px;top:-6.13px;width:914.81px;height:68.26px;"><div><p><span data-textwidth="880.44" class="sg nowrap f1" style="z-index:2;color:#7CFFF5;font-weight:bold; font-size:156%; left:17.42px;top:14.31px;">Solitary lung mass with <span class="f1" style="font-size:114%; ">lymphadenopathies</span><span style="color:#FFFFFF;">: many possibilities</span></span></p></div></div></div> <div class="sg" id="s430" data-sgid="Imagen 5" style="z-index:5;left:55.90px;top:165.62px;width:208.21px;height:324.74px"> <img class="sg" src="663B79A1.jpg" id="s430_i" style="z-index:1;left:0px;top:0px;width:208.21px;height:324.74px" > </div> <div class="sg" id="s428" data-sgid="CuadroTexto 20" style="z-index:3;left:281.38px;top:179.40px;width:656.20px;height:320.57px" data-valign="top"> <div id="s428_t" class="sg" style="z-index:2;left:-10.79px;top:-5.98px;width:666.99px;height:339.12px;"><div><p para="{bl:{nbr:1,val:1,st:3},spaf:30.00}"><span data-textwidth="599.04" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:178%; left:18.61px;top:14.22px;">1.<span style="letter-spacing:5.04px"> </span>Neoplastic:<span class="f1" style="font-size:88%; color:#FFFFFF;"> Lung cancer (invasive ADK, </span></span><span data-textwidth="526.56" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:59.17px;top:51.90px;">undifferentiated neuroendocrine tumor </span><span data-textwidth="308.04" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:59.17px;top:85.50px;">(carcinoid), Maltoma,…</span></p><p para="{bl:{nbr:2,val:1,st:3},spaf:30.00}"><span data-textwidth="514.92" class="sg nowrap f1" style="z-index:9;color:#FFFF00;font-weight:bold; font-size:178%; left:18.61px;top:149.82px;">2.<span style="letter-spacing:5.04px"> </span>Inflammatory / Granulomatous:</span><span data-textwidth="436.80" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:59.17px;top:187.50px;">Sarcoidosis, IgG4 disease, GPA, </span><span data-textwidth="451.20" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:156%; left:59.17px;top:221.10px;">Bronchocentric granulomatosis…</span></p><p para="{bl:{nbr:3,val:1,st:3},spaf:30.00}"><span data-textwidth="481.56" class="sg nowrap f1" style="z-index:16;color:#FFFF00;font-weight:bold; font-size:178%; left:18.61px;top:285.42px;">3.<span style="letter-spacing:5.04px"> </span>Infectious: <span class="f1" style="font-size:88%; color:#FFFFFF;">Mycobacteria, Fungi</span></span></p></div></div></div> <div class="sg" id="s426" data-sgid="Picture 10" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s426_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s431" data-sgid="TextBox 1" style="z-index:1;left:113.48px;top:119.43px;width:720.48px;height:226.07px" data-valign="top"> <div id="s431_t" class="sg" style="z-index:2;left:-22.80px;top:-14.49px;width:779.50px;height:270.78px;"><div><p para="{al:2}"><span data-textwidth="638.88" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:70.60px;top:24.70px;">A diagnostic procedure is </span><span data-textwidth="707.04" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:333%; left:36.52px;top:96.70px;">performed and treatment is </span><span data-textwidth="176.76" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:333%; left:294.88px;top:168.70px;">started</span></p></div></div></div> <div class="sg" id="s432" data-sgid="Picture 2" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s432_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s433" data-sgid="TextBox 1" style="z-index:1;left:92.46px;top:173.42px;width:792.47px;height:153.36px" data-valign="top"> <div id="s433_t" class="sg" style="z-index:2;left:0.00px;top:-14.53px;width:792.47px;height:198.84px;"><div><p para="{al:2}"><span data-textwidth="666.48" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:69.90px;top:24.75px;">Increasing dyspnea after 4 </span><span data-textwidth="520.92" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:333%; left:136.02px;top:96.75px;">months of treatment</span></p></div></div></div> <div class="sg" id="s434" data-sgid="Picture 2" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s434_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s437" data-sgid="TextBox 5" style="z-index:3;left:137.46px;top:23.52px;width:702.50px;height:49.28px" data-valign="top"> <div id="s437_t" class="sg" style="z-index:2;left:-5.52px;top:-6.50px;width:713.66px;height:72.20px;"><div><p para="{al:2}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:20.94px;top:14.10px;">Increasing dyspnea after 4 months of treatment</span></p></div></div></div> <div class="sg" id="s435" data-sgid="Picture 1" style="z-index:1;left:28.77px;top:104.45px;width:901.87px;height:330.64px"> <img class="sg" src="9A6B97BD.png" id="s435_i" style="z-index:1;left:0px;top:0px;width:901.87px;height:330.64px" > </div> <div class="sg" id="s440" data-sgid="Flecha abajo 8" style="z-index:6;left:826.28px;top:287.35px;width:26.51px;height:52.99px" data-rotation = "39" data-fillcolor="16711680"> <img class="sg" src="CDAAF10027x53.png" id="s440_i" style="z-index:1;left:0px;top:0px;width:26.51px;height:52.99px" > </div> <div class="sg" id="s438" data-sgid="TextBox 6" style="z-index:4;left:617.23px;top:434.61px;width:210.61px;height:47.01px" data-valign="top"> <div id="s438_t" class="sg" style="z-index:2;left:-12.01px;top:-5.87px;width:232.82px;height:68.11px;"><div><p><span data-textwidth="193.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.98px;top:13.86px;">4 months later</span></p></div></div></div> <div class="sg" id="s436" data-sgid="TextBox 2" style="z-index:2;left:221.40px;top:434.61px;width:128.12px;height:47.01px" data-valign="top"> <div id="s436_t" class="sg" style="z-index:2;left:-11.98px;top:-5.87px;width:150.89px;height:68.11px;"><div><p><span data-textwidth="111.84" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.78px;top:13.86px;">Baseline</span></p></div></div></div> <div class="sg" id="s439" data-sgid="Picture 7" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s439_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s447" data-sgid="TextBox 5" style="z-index:7;left:137.46px;top:23.04px;width:702.50px;height:49.28px" data-valign="top"> <div id="s447_t" class="sg" style="z-index:2;left:-5.52px;top:-6.50px;width:713.66px;height:72.31px;"><div><p para="{al:2}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:20.94px;top:14.10px;">Increasing dyspnea after 4 months of treatment</span></p></div></div></div> <div class="sg" id="s441" data-sgid="Picture 1" style="z-index:1;left:12.72px;top:92.45px;width:936.02px;height:342.64px"> <img class="sg" src="EA4603CE.png" id="s441_i" style="z-index:1;left:0px;top:0px;width:936.02px;height:342.64px" > </div> <div class="sg" id="s445" data-sgid="Flecha abajo 9" style="z-index:5;left:844.63px;top:259.52px;width:26.62px;height:52.77px" data-rotation = "122" data-fillcolor="16776960"> <img class="sg" src="E12FD3A327x53.png" id="s445_i" style="z-index:1;left:0px;top:0px;width:26.62px;height:52.77px" > </div> <div class="sg" id="s446" data-sgid="Flecha abajo 10" style="z-index:6;left:645.52px;top:284.82px;width:26.65px;height:52.99px" data-rotation = "122" data-fillcolor="16776960"> <img class="sg" src="FB4598F327x53.png" id="s446_i" style="z-index:1;left:0px;top:0px;width:26.65px;height:52.99px" > </div> <div class="sg" id="s444" data-sgid="TextBox 6" style="z-index:4;left:617.23px;top:434.61px;width:210.61px;height:47.01px" data-valign="top"> <div id="s444_t" class="sg" style="z-index:2;left:-12.01px;top:-5.87px;width:232.82px;height:68.11px;"><div><p><span data-textwidth="193.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.98px;top:13.86px;">4 months later</span></p></div></div></div> <div class="sg" id="s443" data-sgid="TextBox 2" style="z-index:3;left:221.40px;top:434.61px;width:128.12px;height:47.01px" data-valign="top"> <div id="s443_t" class="sg" style="z-index:2;left:-11.98px;top:-5.87px;width:150.89px;height:68.11px;"><div><p><span data-textwidth="111.84" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.78px;top:13.86px;">Baseline</span></p></div></div></div> <div class="sg" id="s442" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s442_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s454" data-sgid="TextBox 5" style="z-index:7;left:137.46px;top:23.04px;width:702.50px;height:49.28px" data-valign="top"> <div id="s454_t" class="sg" style="z-index:2;left:-5.52px;top:-6.50px;width:713.66px;height:72.31px;"><div><p para="{al:2}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:20.94px;top:14.10px;">Increasing dyspnea after 4 months of treatment</span></p></div></div></div> <div class="sg" id="s452" data-sgid="Flecha abajo 8" style="z-index:5;left:814.16px;top:182.16px;width:26.39px;height:52.88px" data-rotation = "124" data-fillcolor="16776960"> <img class="sg" src="ECAF5B026x53.png" id="s452_i" style="z-index:1;left:0px;top:0px;width:26.39px;height:52.88px" > </div> <div class="sg" id="s448" data-sgid="Picture 1" style="z-index:1;left:16.20px;top:95.94px;width:930.76px;height:341.16px"> <img class="sg" src="B7C7231E.png" id="s448_i" style="z-index:1;left:0px;top:0px;width:930.76px;height:341.16px" > </div> <div class="sg" id="s453" data-sgid="Flecha abajo 10" style="z-index:6;left:591.91px;top:294.52px;width:26.51px;height:53.02px" data-rotation = "146" data-fillcolor="16776960"> <img class="sg" src="6F790D627x53.png" id="s453_i" style="z-index:1;left:0px;top:0px;width:26.51px;height:53.02px" > </div> <div class="sg" id="s450" data-sgid="TextBox 2" style="z-index:3;left:221.40px;top:433.28px;width:128.12px;height:46.78px" data-valign="top"> <div id="s450_t" class="sg" style="z-index:2;left:-11.98px;top:-5.99px;width:150.89px;height:68.00px;"><div><p><span data-textwidth="111.84" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.78px;top:13.75px;">Baseline</span></p></div></div></div> <div class="sg" id="s451" data-sgid="TextBox 6" style="z-index:4;left:617.23px;top:434.61px;width:210.61px;height:47.01px" data-valign="top"> <div id="s451_t" class="sg" style="z-index:2;left:-12.01px;top:-5.87px;width:232.82px;height:68.11px;"><div><p><span data-textwidth="193.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.98px;top:13.86px;">4 months later</span></p></div></div></div> <div class="sg" id="s449" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s449_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s459" data-sgid="TextBox 5" style="z-index:5;left:137.46px;top:23.04px;width:702.50px;height:49.28px" data-valign="top"> <div id="s459_t" class="sg" style="z-index:2;left:-5.52px;top:-6.50px;width:713.66px;height:72.31px;"><div><p para="{al:2}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:20.94px;top:14.10px;">Increasing dyspnea after 4 months of treatment</span></p></div></div></div> <div class="sg" id="s455" data-sgid="Picture 1" style="z-index:1;left:11.04px;top:98.47px;width:937.33px;height:343.09px"> <img class="sg" src="FDA98B33.png" id="s455_i" style="z-index:1;left:0px;top:0px;width:937.33px;height:343.09px" > </div> <div class="sg" id="s457" data-sgid="TextBox 2" style="z-index:3;left:221.40px;top:437.73px;width:128.12px;height:46.87px" data-valign="top"> <div id="s457_t" class="sg" style="z-index:2;left:-11.98px;top:-6.01px;width:150.89px;height:68.26px;"><div><p><span data-textwidth="111.84" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.78px;top:13.88px;">Baseline</span></p></div></div></div> <div class="sg" id="s458" data-sgid="TextBox 6" style="z-index:4;left:617.23px;top:439.29px;width:210.61px;height:46.75px" data-valign="top"> <div id="s458_t" class="sg" style="z-index:2;left:-12.01px;top:-6.01px;width:232.82px;height:68.00px;"><div><p><span data-textwidth="193.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.98px;top:13.76px;">4 months later</span></p></div></div></div> <div class="sg" id="s456" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s456_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s464" data-sgid="TextBox 5" style="z-index:5;left:137.46px;top:23.04px;width:702.50px;height:49.28px" data-valign="top"> <div id="s464_t" class="sg" style="z-index:2;left:-5.52px;top:-6.50px;width:713.66px;height:72.31px;"><div><p para="{al:2}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:20.94px;top:14.10px;">Increasing dyspnea after 4 months of treatment</span></p></div></div></div> <div class="sg" id="s460" data-sgid="Picture 1" style="z-index:1;left:22.06px;top:98.58px;width:918.52px;height:336.62px"> <img class="sg" src="A42FC7CC.png" id="s460_i" style="z-index:1;left:0px;top:0px;width:918.52px;height:336.62px" > </div> <div class="sg" id="s462" data-sgid="TextBox 2" style="z-index:3;left:221.40px;top:437.25px;width:128.12px;height:46.89px" data-valign="top"> <div id="s462_t" class="sg" style="z-index:2;left:-11.98px;top:-5.87px;width:150.89px;height:68.11px;"><div><p><span data-textwidth="111.84" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.78px;top:13.74px;">Baseline</span></p></div></div></div> <div class="sg" id="s463" data-sgid="TextBox 6" style="z-index:4;left:617.23px;top:439.29px;width:210.61px;height:46.75px" data-valign="top"> <div id="s463_t" class="sg" style="z-index:2;left:-12.01px;top:-6.01px;width:232.82px;height:68.00px;"><div><p><span data-textwidth="193.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.98px;top:13.76px;">4 months later</span></p></div></div></div> <div class="sg" id="s461" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s461_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s467" data-sgid="TextBox 4" style="z-index:3;left:0.00px;top:-0.48px;width:960.38px;height:66.21px" data-valign="top"> <div id="s467_t" class="sg" style="z-index:2;left:0.00px;top:-11.04px;width:960.38px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="334.32" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:267%; left:313.20px;top:19.28px;">Imaging Findings</span></p></div></div></div> <div class="sg" id="s466" data-sgid="CuadroTexto 3" style="z-index:2;left:35.51px;top:125.45px;width:914.19px;height:261.53px" data-valign="top"> <div id="s466_t" class="sg" style="z-index:2;left:-14.53px;top:0.00px;width:943.84px;height:278.44px;"><div><p><span data-textwidth="858.36" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:22.22px;top:22.43px;">CT<span style="color:#FFFFFF;">: Multiple small nodules in peri-lymphatic distribution, </span></span><span data-textwidth="899.88" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.22px;top:87.23px;">subpleural, along the bronchovascular bundles, interlobular </span><span data-textwidth="850.68" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.22px;top:152.03px;">septum and in a <span class="f5" style="font-style:italic; color:#7CFFF5;">symmetric and upper zone predominant </span></span><span data-textwidth="172.92" class="sg nowrap f5" style="z-index:11;color:#7CFFF5;font-style:italic; font-weight:bold; font-size:200%; left:22.22px;top:216.83px;">distribution</span></p></div></div></div> <div class="sg" id="s465" data-sgid="Picture 5" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s465_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s468" data-sgid="TextBox 6" style="z-index:1;left:137.46px;top:23.52px;width:702.50px;height:49.28px" data-valign="top"> <div id="s468_t" class="sg" style="z-index:2;left:-5.52px;top:-6.50px;width:713.66px;height:72.20px;"><div><p para="{al:2}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:20.94px;top:14.10px;">Increasing dyspnea after 4 months of treatment</span></p></div></div></div> <div class="sg" id="s471" data-sgid="Grupo 1" style="z-index:7;left:513.21px;top:128.92px;width:407.79px;height:311.84px" data-shape="group"> <div class="sg" id="s475" data-sgid="Flecha abajo 16" style="z-index:4;left:94.42px;top:58.51px;width:29.51px;height:25.67px" data-fillcolor="16776960"> <img class="sg" src="59F0833230x26.png" id="s475_i" style="z-index:1;left:0px;top:0px;width:29.51px;height:25.67px" > </div> <div class="sg" id="s476" data-sgid="Flecha abajo 15" style="z-index:3;left:320.04px;top:228.81px;width:17.39px;height:52.99px" data-rotation = "39" data-fillcolor="16776960"> <img class="sg" src="7434B2CB17x53.png" id="s476_i" style="z-index:1;left:0px;top:0px;width:17.39px;height:52.99px" > </div> <div class="sg" id="s477" data-sgid="Elipse 14" style="z-index:2;left:-2.97px;top:138.14px;width:124.75px;height:119.32px" data-pointer-events="none"> <img class="sg" src="D52D9CF8125x119.png" id="s477_i" style="z-index:1;left:0px;top:0px;width:124.75px;height:119.32px" > </div> <div class="sg" id="s478" data-sgid="Picture 1" style="z-index:1;left:-3.68px;top:-3.59px;width:414.37px;height:318.50px"> <img class="sg" src="E3AC34C3.png" id="s478_i" style="z-index:1;left:0px;top:0px;width:414.37px;height:318.50px" > </div> </div> <div class="sg" id="s470" data-sgid="Grupo 43" style="z-index:3;left:18.91px;top:128.92px;width:491.30px;height:312.17px" data-shape="group"> <div class="sg" id="s472" data-sgid="Flecha abajo 46" style="z-index:3;left:140.36px;top:144.87px;width:32.88px;height:68.00px" data-rotation = "122" data-fillcolor="16776960"> <img class="sg" src="ABDD61233x68.png" id="s472_i" style="z-index:1;left:0px;top:0px;width:32.88px;height:68.00px" > </div> <div class="sg" id="s473" data-sgid="Flecha abajo 45" style="z-index:2;left:399.94px;top:111.65px;width:32.85px;height:68.11px" data-rotation = "122" data-fillcolor="16776960"> <img class="sg" src="D780F66433x68.png" id="s473_i" style="z-index:1;left:0px;top:0px;width:32.85px;height:68.11px" > </div> <div class="sg" id="s474" data-sgid="Picture 1" style="z-index:1;left:-3.56px;top:-3.59px;width:498.00px;height:318.87px"> <img class="sg" src="7344E9F6.png" id="s474_i" style="z-index:1;left:0px;top:0px;width:498.00px;height:318.87px" > </div> </div> <div class="sg" id="s469" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s469_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s479" data-sgid="TextBox 4" style="z-index:1;left:0.00px;top:-0.48px;width:960.38px;height:66.21px" data-valign="top"> <div id="s479_t" class="sg" style="z-index:2;left:0.00px;top:-11.04px;width:960.38px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="426.72" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:267%; left:267.00px;top:19.28px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s485" data-sgid="Conector recto 9 (2)" style="z-index:7;left:114.41px;top:152.17px;width:417.18px;height:7.91px" data-pointer-events="none"> <img class="sg" src="360F29B4417x8.png" id="s485_i" style="z-index:1;left:0px;top:0px;width:417.18px;height:6.91px" > </div> <div class="sg" id="s481" data-sgid="CuadroTexto 13" style="z-index:3;left:48.82px;top:72.20px;width:917.78px;height:243.06px" data-valign="top"> <div id="s481_t" class="sg" style="z-index:2;left:-13.19px;top:-6.47px;width:930.98px;height:260.45px;"><div><p para="{spaf:12.00}"><span data-textwidth="157.92" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:21.01px;top:14.11px;">Neoplastic:</span></p><p para="{bl:{nbr:1,val:1,st:3},spaf:12.00}"><span data-textwidth="867.48" class="sg nowrap f4" style="z-index:3;color:#FAC090;font-weight:bold; font-size:150%; left:21.01px;top:66.91px;">1.<span class="f4" style="font-size:126%; color:#7CFFF5;position:relative;bottom:-2px;"><span style="letter-spacing:29.88px"> </span>Lymphangitis carcinomatosa:</span><span class="f4" style="font-size:126%; color:#FFFFFF;position:relative;bottom:-2px;"> ADK (breast, lung, stomach)</span></span></p><p para="{bl:{nbr:2,val:1,st:3},spaf:12.00}"><span data-textwidth="463.20" class="sg nowrap f4" style="z-index:8;color:#FAC090;font-weight:bold; font-size:150%; left:21.01px;top:119.71px;">2.<span class="f4" style="font-size:126%; color:#7CFFF5;position:relative;bottom:-2px;"><span style="letter-spacing:29.88px"> </span>Lymphoproliferative disease </span></span></p><p para="{bl:{nbr:3,val:1,st:3},spaf:12.00}"><span data-textwidth="847.80" class="sg nowrap f4" style="z-index:10;color:#FAC090;font-weight:bold; font-size:150%; left:21.01px;top:172.51px;">3.<span class="f4" style="font-size:126%; color:#7CFFF5;position:relative;bottom:-2px;"><span style="letter-spacing:29.88px"> </span>Pulmonary tumor thrombotic microangiopathy (PTTM): </span></span><span data-textwidth="700.08" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:156%; left:79.57px;top:212.31px;">Gastric cancer is the most commonly associated malignancy </span></p></div></div></div> <div class="sg" id="s486" data-sgid="Conector recto 9 (3)" style="z-index:8;left:115.15px;top:200.51px;width:417.26px;height:8.03px" data-pointer-events="none"> <img class="sg" src="8547EF7B417x8.png" id="s486_i" style="z-index:1;left:0px;top:0px;width:417.26px;height:7.03px" > </div> <div class="sg" id="s482" data-sgid="Conector recto 9" style="z-index:4;left:114.41px;top:252.09px;width:788.17px;height:8.88px" data-pointer-events="none"> <img class="sg" src="D42972F2788x9.png" id="s482_i" style="z-index:1;left:0px;top:0px;width:788.17px;height:7.88px" > </div> <div class="sg" id="s483" data-sgid="CuadroTexto 12" style="z-index:5;left:48.82px;top:383.52px;width:858.17px;height:102.52px" data-valign="top"> <div id="s483_t" class="sg" style="z-index:2;left:-13.19px;top:-6.47px;width:871.37px;height:124.82px;"><div><p para="{spaf:12.00}"><span data-textwidth="134.40" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:21.01px;top:14.31px;">Infection:</span></p><p para="{bl:{nbr:1,val:1,st:3},spaf:12.00}"><span data-textwidth="357.60" class="sg nowrap f4" style="z-index:3;color:#FAC090;font-weight:bold; font-size:150%; left:21.01px;top:67.11px;">1.<span class="f4" style="font-size:126%; color:#7CFFF5;position:relative;bottom:-2px;"><span style="letter-spacing:29.88px"> </span>Mycobacteria / Fungi</span></span></p></div></div></div> <div class="sg" id="s484" data-sgid="Conector recto 14" style="z-index:6;left:111.44px;top:459.66px;width:326.36px;height:6.13px" data-pointer-events="none"> <img class="sg" src="C8FB61A7326x6.png" id="s484_i" style="z-index:1;left:0px;top:0px;width:326.36px;height:5.13px" > </div> <div class="sg" id="s480" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s480_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s487" data-sgid="TextBox 4" style="z-index:1;left:0.00px;top:-0.48px;width:960.38px;height:66.21px" data-valign="top"> <div id="s487_t" class="sg" style="z-index:2;left:0.00px;top:-11.04px;width:960.38px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="426.72" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:267%; left:267.00px;top:19.28px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s489" data-sgid="Conector recto 6" style="z-index:3;left:73.29px;top:153.13px;width:393.53px;height:8.03px" data-pointer-events="none"> <img class="sg" src="B915E38B394x8.png" id="s489_i" style="z-index:1;left:0px;top:0px;width:393.53px;height:7.03px" > </div> <div class="sg" id="s488" data-sgid="CuadroTexto 9" style="z-index:2;left:13.68px;top:71.94px;width:928.23px;height:221.39px" data-valign="top"> <div id="s488_t" class="sg" style="z-index:2;left:-13.31px;top:-6.58px;width:941.54px;height:242.72px;"><div><p para="{spaf:12.00}"><span data-textwidth="514.20" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:20.99px;top:15.24px;">Inflammatory / Granulomatous: </span></p><p para="{bl:{nbr:1,val:1,st:3},spaf:12.00}"><span data-textwidth="805.80" class="sg nowrap f1" style="z-index:3;color:#FAC090;font-weight:bold; font-size:150%; left:20.99px;top:68.40px;">1.<span class="f1" style="font-size:126%; color:#7CFFF5;"><span style="letter-spacing:26.40px"> </span>IgG4 related lung disease</span><span class="f1" style="font-size:148%; color:#FFFFFF;position:relative;bottom:-2px;">: </span><span class="f1" style="font-size:89%; color:#FFFFFF;">features are often</span><span class="f1" style="font-size:89%; color:#7CFFF5;"> excellent</span></span><span data-textwidth="767.64" class="sg nowrap f1" style="z-index:12;color:#7CFFF5;font-weight:bold; font-size:133%; left:79.55px;top:113.84px;">mimickers<span style="color:#FFFFFF;"> of malignancies, infections, and other immune-mediated</span></span><span data-textwidth="247.92" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:133%; left:79.55px;top:142.64px;">disorders (vasculitis) </span></p><p para="{bl:{nbr:2,val:1,st:3},spaf:6.00}"><span data-textwidth="545.64" class="sg nowrap f1" style="z-index:24;color:#FAC090;font-weight:bold; font-size:150%; left:20.99px;top:185.64px;">2.<span class="f1" style="font-size:126%; color:#7CFFF5;"><span style="letter-spacing:26.40px"> </span>Sarcoidosis / Sarcoid reaction</span></span></p></div></div></div> <div class="sg" id="s492" data-sgid="Grupo 1" style="z-index:9;left:23.63px;top:300.17px;width:904.13px;height:231.48px" data-shape="group"> <div class="sg" id="s496" data-sgid="CuadroTexto 19" style="z-index:4;left:521.02px;top:-0.71px;width:383.00px;height:29.96px" data-valign="top"> <img class="sg" src="18B9815A383x30.png" id="s496_i" style="z-index:1;left:0px;top:0px;width:383.00px;height:29.96px" > <div id="s496_t" class="sg" style="z-index:2;left:-3.71px;top:-2.41px;width:386.71px;height:38.87px;"><div><p><span data-textwidth="356.88" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.67px;top:8.03px;">2018 Nobel Prize in Physiology / Medicine</span></p></div></div></div> <div class="sg" id="s497" data-sgid="CuadroTexto 3" style="z-index:3;left:162.88px;top:200.51px;width:139.36px;height:29.99px" data-valign="top"> <div id="s497_t" class="sg" style="z-index:2;left:-3.59px;top:-1.81px;width:142.96px;height:38.75px;"><div><p><span data-textwidth="117.72" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; left:11.48px;top:8.17px;">Tasuku Honjo</span></p></div></div></div> <div class="sg" id="s498" data-sgid="CuadroTexto 2" style="z-index:2;left:8.51px;top:201.59px;width:161.79px;height:29.87px" data-valign="top"> <div id="s498_t" class="sg" style="z-index:2;left:-3.59px;top:-1.79px;width:165.39px;height:38.72px;"><div><p><span data-textwidth="139.68" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; left:11.29px;top:8.03px;">James P. Allison</span></p></div></div></div> <div class="sg" id="s499" data-sgid="Imagen 10" style="z-index:1;left:-0.49px;top:27.21px;width:294.47px;height:166.10px"> <img class="sg" src="F20F03B.jpg" id="s499_i" style="z-index:1;left:0px;top:0px;width:294.47px;height:166.10px" > </div> </div> <div class="sg" id="s491" data-sgid="Grupo 22" style="z-index:5;left:323.53px;top:328.13px;width:618.47px;height:184.81px" data-shape="group"> <div class="sg" id="s493" data-sgid="CuadroTexto 16" style="z-index:3;left:111.26px;top:163.44px;width:180.28px;height:21.33px" data-valign="top"> <div id="s493_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:180.28px;height:24.34px;"><div><p><span data-textwidth="163.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:61%; left:7.89px;top:5.15px;">Steve Gschmeissner/Science Source</span></p></div></div></div> <div class="sg" id="s494" data-sgid="Imagen 15" style="z-index:2;left:-0.66px;top:-0.75px;width:282.49px;height:166.10px"> <img class="sg" src="5EC9FFE4.jpg" id="s494_i" style="z-index:1;left:0px;top:0px;width:282.49px;height:166.10px" > </div> <div class="sg" id="s495" data-sgid="CuadroTexto 13" style="z-index:1;left:269.71px;top:46.74px;width:348.67px;height:73.65px" data-valign="top"> <div id="s495_t" class="sg" style="z-index:2;left:0.00px;top:-1.91px;width:353.09px;height:82.16px;"><div><p para="{al:2}"><span data-textwidth="318.36" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; left:15.52px;top:8.08px;">Cancer immunotherapy: <span style="color:#FFFFFF;">latent power</span></span><span data-textwidth="329.88" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; left:12.16px;top:29.68px;">of the immune system to attack tumor </span><span data-textwidth="39.96" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; left:154.72px;top:51.28px;">cells</span></p></div></div></div> </div> <div class="sg" id="s490" data-sgid="Picture 5" style="z-index:4;left:843.19px;top:500.43px;width:72.10px;height:19.80px"> <img class="sg" src="25CD3A9A72x20.png" id="s490_i" style="z-index:1;left:0px;top:0px;width:72.10px;height:19.80px" > </div> <div class="sg" id="s502" data-sgid="TextBox 4" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s502_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="382.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:37.92px;top:25.26px;">Final Diagnosis</span></p></div></div></div> <div class="sg" id="s501" data-sgid="CuadroTexto 6" style="z-index:2;left:18.72px;top:139.72px;width:921.98px;height:105.05px" data-valign="top"> <div id="s501_t" class="sg" style="z-index:2;left:0.00px;top:-8.40px;width:921.98px;height:132.88px;"><div><p para="{al:2,spaf:6.00}"><span data-textwidth="824.76" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:53.28px;top:15.96px;">Sarcoid-like granulomatosis of the lung related to </span><span data-textwidth="506.16" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:222%; left:212.88px;top:63.96px;">immune checkpoint inhibitors </span></p></div></div></div> <div class="sg" id="s500" data-sgid="Picture 5" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s500_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s505" data-sgid="TextBox 5" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s505_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="194.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:132.12px;top:25.26px;">Answer</span></p></div></div></div> <div class="sg" id="s509" data-sgid="TextBox 11" style="z-index:7;left:18.72px;top:51.09px;width:287.02px;height:53.36px" data-valign="top"> <img class="sg" src="2DA4246F287x53.png" id="s509_i" style="z-index:1;left:0px;top:0px;width:287.02px;height:53.36px" > <div id="s509_t" class="sg" style="z-index:2;left:-15.24px;top:-7.54px;width:302.26px;height:79.38px;"><div><p><span data-textwidth="253.56" class="sg nowrap f6" style="z-index:2;font-size:206%; left:23.04px;top:15.17px;">VATS Biopsy LUL:</span></p></div></div></div> <div class="sg" id="s504" data-sgid="CuadroTexto 6" style="z-index:2;left:18.72px;top:139.72px;width:921.98px;height:56.60px" data-valign="top"> <div id="s504_t" class="sg" style="z-index:2;left:0.00px;top:-8.40px;width:921.98px;height:84.91px;"><div><p para="{al:2,spaf:6.00}"><span data-textwidth="653.64" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:138.96px;top:15.96px;">Sarcoid-like granulomatosis of the lung </span></p></div></div></div> <div class="sg" id="s508" data-sgid="Picture 10" style="z-index:6;left:593.13px;top:253.87px;width:314.46px;height:236.96px" data-rotation = "270"> <img class="sg" src="29029BED.jpg" id="s508_i" style="z-index:1;left:0px;top:0px;width:314.46px;height:236.96px" > </div> <div class="sg" id="s507" data-sgid="Picture 9" style="z-index:5;left:322.53px;top:253.87px;width:314.35px;height:236.96px" data-rotation = "90"> <img class="sg" src="96E5D133.jpg" id="s507_i" style="z-index:1;left:0px;top:0px;width:314.35px;height:236.96px" > </div> <div class="sg" id="s506" data-sgid="Picture 8" style="z-index:4;left:57.69px;top:253.87px;width:314.49px;height:236.96px" data-rotation = "270"> <img class="sg" src="B20953DF.jpg" id="s506_i" style="z-index:1;left:0px;top:0px;width:314.49px;height:236.96px" > </div> <div class="sg" id="s503" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s503_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s514" data-sgid="Rectangle 3" style="z-index:5;left:0.00px;top:-0.48px;width:960.38px;height:78.78px" data-valign="middle"> <div id="s514_t" class="sg" style="z-index:2;left:0.00px;top:-16.68px;width:960.38px;height:122.70px;"><div><p para="{al:2}"><span data-textwidth="571.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:322%; left:195.00px;top:22.92px;">Sarcoid and Malignancy</span></p></div></div></div> <div class="sg" id="s512" data-sgid="Rectangle 7" style="z-index:3;left:312.20px;top:73.87px;width:480.61px;height:34.78px" data-valign="top" data-pointer-events="none"> <div id="s512_t" class="sg" style="z-index:2;left:0.00px;top:-3.00px;width:480.61px;height:47.01px;"><div><p para="{al:2,in:2,spbf:8.00}"><span data-textwidth="296.04" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:122%; left:102.52px;top:8.89px;">*Clinics Derm 2007; 25: 326–333</span></p></div></div></div> <div class="sg" id="s511" data-sgid="Rectangle 4 (2)" style="z-index:2;left:296.85px;top:105.16px;width:480.61px;height:34.89px" data-valign="top" data-pointer-events="none"> <div id="s511_t" class="sg" style="z-index:2;left:0.00px;top:-2.98px;width:480.61px;height:47.12px;"><div><p para="{al:2,in:2,spbf:8.00}"><span data-textwidth="290.28" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:122%; left:105.39px;top:8.90px;">**Respirology 2014:19:993–998</span></p></div></div></div> <div class="sg" id="s510" data-sgid="Rectangle 4" style="z-index:1;left:18.12px;top:83.57px;width:944.66px;height:375.49px" data-valign="top"> <div id="s510_t" class="sg" style="z-index:2;left:-12.48px;top:-7.91px;width:957.15px;height:383.40px;"><div><p para="{in:2,spbf:8.00}"><span data-textwidth="329.76" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:189%; left:20.88px;top:14.14px;">Pre-existing sarcoidosis</span></p><p para="{in:2,bl:{ch:8226},spbf:8.00}"><span data-textwidth="284.64" class="sg nowrap f10" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:117%; left:20.88px;top:61.98px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:9.24px"> </span>? increased incidence*</span></span></p><p para="{in:2,bl:{ch:8226},spbf:8.00}"><span data-textwidth="239.28" class="sg nowrap f10" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:117%; left:20.88px;top:103.62px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:9.24px"> </span>Especially HD, NHL</span></span></p><p para="{in:2,bl:{ch:8226},spbf:8.00}"><span data-textwidth="386.28" class="sg nowrap f10" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:117%; left:20.88px;top:145.14px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:9.24px"> </span>“sarcoid-lymphoma” syndrome</span></span></p><p para="{in:2,bl:{ch:8226},spbf:8.00}"><span data-textwidth="178.08" class="sg nowrap f10" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:117%; left:20.88px;top:186.78px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:9.24px"> </span>Controversial</span></span></p><p para="{in:2,bl:{ch:8226},spbf:8.00}"><span data-textwidth="423.72" class="sg nowrap f10" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:117%; left:20.88px;top:228.42px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:9.24px"> </span>Meta-analysis: no increased risk**</span></span></p><p></p><p para="{in:2,spbf:8.00}"><span data-textwidth="176.52" class="sg nowrap f4" style="z-index:27;color:#FFFFFF;font-weight:bold; font-size:189%; left:20.88px;top:312.58px;">Lung cancer:</span></p></div></div></div> <div class="sg" id="s513" data-sgid="Picture 8" style="z-index:4;left:571.04px;top:153.50px;width:335.25px;height:373.30px"> <img class="sg" src="AE8E8456.jpg" id="s513_i" style="z-index:1;left:0px;top:0px;width:335.25px;height:373.30px" > </div> <div class="sg" id="s516" data-sgid="Rectangle 12" style="z-index:7;left:55.90px;top:428.00px;width:435.02px;height:32.40px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="A1A1EF08435x32.png" id="s516_i" style="z-index:1;left:0px;top:0px;width:435.02px;height:32.40px" > <div id="s516_t" class="sg" style="z-index:2;left:0.00px;top:-2.52px;width:435.02px;height:42.95px;"><div><p para="{al:2,in:2,spbf:8.00}"><span data-textwidth="257.16" class="sg nowrap f6" style="z-index:2;font-size:111%; left:98.90px;top:8.52px;">*Lung Cancer 2009; 66:305-308</span></p></div></div></div> <div class="sg" id="s515" data-sgid="Rectangle 10" style="z-index:6;left:55.90px;top:466.27px;width:435.02px;height:32.26px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="B23578C2435x32.png" id="s515_i" style="z-index:1;left:0px;top:0px;width:435.02px;height:32.26px" > <div id="s515_t" class="sg" style="z-index:2;left:0.00px;top:-2.41px;width:435.02px;height:42.92px;"><div><p para="{al:2,in:2,spbf:8.00}"><span data-textwidth="295.92" class="sg nowrap f6" style="z-index:2;font-size:111%; left:79.46px;top:8.42px;">** Human Pathol 2012; 43: 333–338</span></p></div></div></div> <div class="sg" id="s517" data-sgid="Rectangle 13" style="z-index:8;left:55.90px;top:502.95px;width:435.02px;height:32.40px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="A1A1EF08435x32.png" id="s517_i" style="z-index:1;left:0px;top:0px;width:435.02px;height:32.40px" > <div id="s517_t" class="sg" style="z-index:2;left:0.00px;top:-2.52px;width:435.02px;height:42.95px;"><div><p para="{al:2,in:2,spbf:8.00}"><span data-textwidth="358.44" class="sg nowrap f6" style="z-index:2;font-size:111%; left:48.26px;top:8.45px;">*J Comput Assist Tomogr 2015; 39: 143–148</span></p></div></div></div> <div class="sg" id="s521" data-sgid="Rectangle 3" style="z-index:4;left:0.00px;top:-0.48px;width:960.38px;height:78.78px" data-valign="middle"> <div id="s521_t" class="sg" style="z-index:2;left:0.00px;top:-16.68px;width:960.38px;height:122.70px;"><div><p para="{al:2}"><span data-textwidth="571.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:322%; left:195.00px;top:22.92px;">Sarcoid and Malignancy</span></p></div></div></div> <div class="sg" id="s518" data-sgid="Rectangle 4" style="z-index:1;left:43.78px;top:111.29px;width:944.66px;height:321.16px" data-valign="top"> <div id="s518_t" class="sg" style="z-index:2;left:-19.43px;top:-8.62px;width:964.09px;height:351.97px;"><div><p para="{spbf:8.00}"><span data-textwidth="306.24" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.21px;top:14.97px;">Sarcoid-like reaction</span></p><p para="{in:3,bl:{ch:8226},spbf:8.00}"><span data-textwidth="576.48" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:117%; left:48.25px;top:65.33px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:22.32px"> </span>granulomatous process resembling sarcoidosis</span></span></p><p para="{in:3,bl:{ch:8226},spbf:8.00}"><span data-textwidth="614.40" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:117%; left:48.25px;top:106.97px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:22.32px"> </span>inflammatory response to neoplasm or treatment</span></span></p><p para="{in:3,bl:{ch:8226},spbf:8.00}"><span data-textwidth="461.88" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:117%; left:48.25px;top:148.49px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:22.32px"> </span>1 – 2 years after neoplasia diagnosis </span></span></p><p para="{in:3,bl:{ch:8226},spbf:8.00}"><span data-textwidth="404.04" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:117%; left:48.25px;top:190.13px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:22.32px"> </span>typically no systemic symptoms</span></span></p><p para="{in:3,bl:{ch:8226},spbf:8.00}"><span data-textwidth="444.84" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:117%; left:48.25px;top:231.77px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:22.32px"> </span>can be nodal only (most common?)</span></span></p><p para="{in:3,bl:{ch:8226},spbf:8.00}"><span data-textwidth="396.96" class="sg nowrap f2" style="z-index:20;color:#FFFFFF;font-size:117%; left:48.25px;top:273.29px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:22.32px"> </span>can involve other tissues (lung)</span></span></p><p para="{in:4,bl:{ch:111},spbf:8.00}"><span data-textwidth="324.12" class="sg nowrap f7" style="z-index:23;color:#FFFFFF;font-size:94%; left:66.01px;top:314.05px;">o<span class="f4" style="font-weight:bold; font-size:129%; position:relative;bottom:2px;"><span style="letter-spacing:21.24px"> </span>perilymphatic, discrete, or GGO</span></span></p></div></div></div> <div class="sg" id="s520" data-sgid="Rectangle 10" style="z-index:3;left:412.96px;top:460.85px;width:480.61px;height:34.78px" data-valign="top" data-pointer-events="none"> <div id="s520_t" class="sg" style="z-index:2;left:0.00px;top:-2.98px;width:480.61px;height:47.01px;"><div><p para="{al:2,in:2,spbf:8.00}"><span data-textwidth="301.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:122%; left:99.44px;top:9.13px;">*Clinics Derm 2007; 25: 326–333.</span></p></div></div></div> <div class="sg" id="s519" data-sgid="Rectangle 8" style="z-index:2;left:343.40px;top:494.81px;width:608.59px;height:34.78px" data-valign="top" data-pointer-events="none"> <div id="s519_t" class="sg" style="z-index:2;left:0.00px;top:-3.12px;width:608.59px;height:47.23px;"><div><p para="{al:2,in:2,spbf:8.00}"><span data-textwidth="393.60" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:122%; left:117.64px;top:9.27px;">J Comput Assist Tomogr 2015; 39: 143–148.</span></p></div></div></div> <div class="sg" id="s523" data-sgid="Rectangle 3" style="z-index:2;left:0.00px;top:17.87px;width:960.38px;height:78.78px" data-valign="middle"> <div id="s523_t" class="sg" style="z-index:2;left:0.00px;top:-20.51px;width:960.38px;height:131.06px;"><div><p para="{al:2}"><span data-textwidth="245.88" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:357.60px;top:25.12px;">Summary</span></p></div></div></div> <div class="sg" id="s522" data-sgid="Rectangle 4" style="z-index:1;left:15.24px;top:84.79px;width:944.66px;height:437.11px" data-valign="top"> <div id="s522_t" class="sg" style="z-index:2;left:-9.83px;top:-6.24px;width:957.23px;height:458.35px;"><div><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="881.64" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:117%; left:12.59px;top:11.57px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:9.36px"> </span>Non-sporadic sarcoidosis (or sarcoid-like reaction) in a variety of settings, </span></span><span data-textwidth="111.96" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:35.51px;top:45.17px;">including </span></p><p para="{in:2,spbf:6.00}"><span data-textwidth="113.88" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:133%; left:108.59px;top:84.89px;">-<span style="letter-spacing:5.40px"> </span>neoplasia</span></p><p para="{in:2,spbf:6.00}"><span data-textwidth="152.40" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:133%; left:108.59px;top:119.69px;">-<span style="letter-spacing:5.40px"> </span>drug therapy </span></p><p para="{in:2,spbf:6.00}"><span data-textwidth="243.72" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:133%; left:108.59px;top:154.49px;">-<span style="letter-spacing:5.40px"> </span>occupational exposure</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="927.84" class="sg nowrap f10" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:117%; left:12.59px;top:191.21px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:9.36px"> </span>A sarcoid-like reaction should be suspected in patient with a cancer diagnosis </span></span><span data-textwidth="168.12" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:156%; left:35.51px;top:224.81px;">who develops </span></p><p para="{in:2,spbf:8.00}"><span data-textwidth="248.64" class="sg nowrap f4" style="z-index:24;color:#FFFFFF;font-weight:bold; font-size:133%; left:108.59px;top:266.57px;">-<span style="letter-spacing:5.40px"> </span>new lymphadenopathy</span></p><p para="{in:2,spbf:8.00}"><span data-textwidth="278.88" class="sg nowrap f4" style="z-index:26;color:#FFFFFF;font-weight:bold; font-size:133%; left:108.59px;top:303.29px;">-<span style="letter-spacing:5.40px"> </span>perilymphatic nodules, or </span></p><p para="{in:2,spbf:8.00}"><span data-textwidth="238.08" class="sg nowrap f4" style="z-index:30;color:#FFFFFF;font-weight:bold; font-size:133%; left:108.59px;top:340.13px;">-<span style="letter-spacing:5.40px"> </span>ground glass opacities</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="911.64" class="sg nowrap f10" style="z-index:34;color:#FFFFFF;font-weight:bold; font-size:117%; left:12.59px;top:376.85px;">•<span class="f4" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:9.36px"> </span>A sarcoid-like reaction in a cancer patient is a usually diagnosis of exclusion: </span></span><span data-textwidth="831.24" class="sg nowrap f4" style="z-index:41;color:#FFFFFF;font-weight:bold; font-size:156%; left:35.51px;top:410.45px;">progressive neoplasm, infection and/or drug-toxicity must be excluded.</span></p></div></div></div> <div class="sg sgSubtitle" id="s524" data-sgid="Subtitle 2" style="z-index:1;left:127.86px;top:89.70px;width:689.30px;height:98.58px" data-valign="top" data-pointer-events="none"> <div id="s524_t" class="sg" style="z-index:2;left:-25.54px;top:-13.42px;width:740.02px;height:335.06px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="268.20" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.56px;top:22.60px;">2018 RSNA </span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.36px;top:103.60px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:0.20}"><span data-textwidth="342.60" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:311%; left:199.12px;top:238.60px;">Cardiovascular</span></p></div></div></div> <div class="sg" id="s525" data-sgid="Picture 3" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s525_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s533" data-sgid="TextBox 4 (2)" style="z-index:3;left:335.36px;top:10.92px;width:611.34px;height:61.39px" data-valign="top"> <div id="s533_t" class="sg" style="z-index:2;left:0.00px;top:-9.73px;width:640.37px;height:93.42px;"><div><p para="{al:3}"><span data-textwidth="411.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:202.36px;top:18.09px;">Pamela Woodard, MD </span></p></div></div></div> <div class="sg" id="s531" data-sgid="Content Placeholder 3" style="z-index:1;left:44.63px;top:36.71px;width:205.09px;height:314.67px"> <img class="sg" src="1EE21BEA.png" id="s531_i" style="z-index:1;left:0px;top:0px;width:205.09px;height:314.67px" > </div> <div class="sg" id="s532" data-sgid="TextBox 4" style="z-index:2;left:283.54px;top:29.50px;width:676.36px;height:444.09px" data-valign="top"> <div id="s532_t" class="sg" style="z-index:2;left:-9.72px;top:0.00px;width:686.07px;height:444.09px;"><div><p></p><p></p><p><span data-textwidth="564.24" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:69.02px;">Professor, Radiology and Biomedical Engineering</span></p><p><span data-textwidth="495.00" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:102.62px;">Sr. Vice Chair, Radiology Research Facilities</span></p><p><span data-textwidth="254.04" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:136.22px;">Head, Cardiac MR/CT </span></p><p><span data-textwidth="404.52" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:169.82px;">Mallinckrodt Institute of Radiology</span></p><p></p><p para="{bl:{ch:8226}}"><span data-textwidth="503.76" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:17.54px;top:237.58px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>MD: Duke University School of Medicine</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="570.84" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:17.54px;top:271.18px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>Internship: Internal Medicine, UNC Chapel Hill</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="476.88" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:156%; left:17.54px;top:304.78px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>Residency: Radiology, Duke University</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="624.12" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:156%; left:17.54px;top:338.38px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>Fellowship: Cardiothoracic Radiology, Mallinckrodt</span></span></p></div></div></div> <div class="sg" id="s535" data-sgid="Picture 1" style="z-index:5;left:54.83px;top:365.42px;width:181.59px;height:157.45px"> <img class="sg" src="7273E558.jpg" id="s535_i" style="z-index:1;left:0px;top:0px;width:181.59px;height:157.45px" > </div> <div class="sg" id="s534" data-sgid="Rectangle 6" style="z-index:4;left:356.35px;top:410.01px;width:470.16px;height:109.73px" data-valign="top" data-pointer-events="none"> <div id="s534_t" class="sg" style="z-index:2;left:-0.97px;top:-4.90px;width:471.98px;height:126.75px;"><div><p para="{al:2,spaf:12.00}"><span data-textwidth="394.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:42.06px;top:11.77px;">Expertise/research contributions: </span><span data-textwidth="363.24" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:57.90px;top:45.37px;">Pulmonary thromboembolism, </span><span data-textwidth="437.28" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.58px;top:78.97px;">nanotechnology, MRA and cardiac CT</span></p></div></div></div> <div class="sg" id="s536" data-sgid="Picture 8" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s536_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s538" data-sgid="Picture 5" style="z-index:2;left:160.23px;top:21.33px;width:463.93px;height:383.66px"> <img class="sg" src="4A8E6B29.png" id="s538_i" style="z-index:1;left:0px;top:0px;width:463.93px;height:383.66px" > </div> <div class="sg" id="s537" data-sgid="Picture 4" style="z-index:1;left:494.89px;top:79.04px;width:446.66px;height:354.72px"> <img class="sg" src="677B1188.png" id="s537_i" style="z-index:1;left:0px;top:0px;width:446.66px;height:354.72px" > </div> <div class="sg" id="s539" data-sgid="Picture 7" style="z-index:3;left:24.95px;top:180.00px;width:191.89px;height:268.88px"> <img class="sg" src="56F3C248.png" id="s539_i" style="z-index:1;left:0px;top:0px;width:191.89px;height:268.88px" > </div> <div class="sg" id="s540" data-sgid="Picture 8" style="z-index:4;left:457.70px;top:293.82px;width:262.07px;height:198.95px" data-rotation = "90"> <img class="sg" src="6844411C.png" id="s540_i" style="z-index:1;left:0px;top:0px;width:262.07px;height:198.95px" > </div> <div class="sg" id="s541" data-sgid="TextBox 9" style="z-index:5;left:36.82px;top:457.28px;width:452.78px;height:41.96px" data-valign="top"> <div id="s541_t" class="sg" style="z-index:2;left:-9.60px;top:-4.94px;width:467.78px;height:59.72px;"><div><p><span data-textwidth="433.20" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.42px;top:11.70px;">Ed, Gwyneth and Felix, the rescue cat</span></p></div></div></div> <div class="sg" id="s542" data-sgid="Picture 10" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s542_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s543" data-sgid="Title 1" style="z-index:1;left:119.45px;top:43.66px;width:720.51px;height:75.55px" data-valign="top" data-pointer-events="none"> <div id="s543_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:720.51px;height:130.95px;"><div><p para="{al:2}"><span data-textwidth="184.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:275.35px;top:25.14px;">History</span></p></div></div></div> <div class="sg sgSubtitle" id="s544" data-sgid="Subtitle 2" style="z-index:2;left:107.59px;top:189.11px;width:867.77px;height:212.77px" data-valign="top" data-pointer-events="none"> <div id="s544_t" class="sg" style="z-index:2;left:-11.98px;top:-5.88px;width:879.75px;height:218.64px;"><div><p para="{spbf:0.20}"><span data-textwidth="473.04" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.71px;top:13.61px;">57 year-old female presenting with:</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="677.76" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:55.71px;top:58.29px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:26.28px"> </span>3-month history of daily exertional shortness of breath</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="187.20" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:55.71px;top:98.61px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:26.28px"> </span>fatigue, and </span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="387.24" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:156%; left:55.71px;top:138.93px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:26.28px"> </span>non-localized lower back pain</span></span></p></div></div></div> <div class="sg" id="s545" data-sgid="Picture 4" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s545_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s546" data-sgid="Picture 2" style="z-index:1;left:30.81px;top:12.00px;width:279.01px;height:246.44px"> <img class="sg" src="77F0273.png" id="s546_i" style="z-index:1;left:0px;top:0px;width:279.01px;height:246.44px" > </div> <div class="sg" id="s548" data-sgid="Picture 8" style="z-index:3;left:594.91px;top:105.76px;width:349.38px;height:324.06px"> <img class="sg" src="55BEF88F.png" id="s548_i" style="z-index:1;left:0px;top:0px;width:349.38px;height:324.06px" > </div> <div class="sg" id="s549" data-sgid="Picture 7" style="z-index:4;left:331.88px;top:23.15px;width:241.20px;height:489.28px"> <img class="sg" src="A7C47153.png" id="s549_i" style="z-index:1;left:0px;top:0px;width:241.20px;height:489.28px" > </div> <div class="sg" id="s547" data-sgid="Picture 6" style="z-index:2;left:22.80px;top:273.67px;width:295.18px;height:238.75px"> <img class="sg" src="B2E13668.png" id="s547_i" style="z-index:1;left:0px;top:0px;width:295.18px;height:238.75px" > </div> <div class="sg" id="s550" data-sgid="Picture 9" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s550_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s552" data-sgid="Picture 10" style="z-index:2;left:543.57px;top:11.04px;width:275.15px;height:244.99px"> <img class="sg" src="440F7100.png" id="s552_i" style="z-index:1;left:0px;top:0px;width:275.15px;height:244.99px" > </div> <div class="sg" id="s555" data-sgid="Left-Right Arrow 14" style="z-index:7;left:445.36px;top:113.45px;width:76.04px;height:40.17px" data-fillcolor="16777215"> <img class="sg" src="F38CD89E76x40.png" id="s555_i" style="z-index:1;left:0px;top:0px;width:76.04px;height:40.17px" > </div> <div class="sg" id="s551" data-sgid="Picture 4" style="z-index:1;left:176.91px;top:11.04px;width:247.43px;height:250.16px"> <img class="sg" src="E02A2237.png" id="s551_i" style="z-index:1;left:0px;top:0px;width:247.43px;height:250.16px" > </div> <div class="sg" id="s554" data-sgid="Left-Right Arrow 1" style="z-index:6;left:445.36px;top:360.14px;width:76.04px;height:40.17px" data-fillcolor="16777215"> <img class="sg" src="F7C35D8A76x40.png" id="s554_i" style="z-index:1;left:0px;top:0px;width:76.04px;height:40.17px" > </div> <div class="sg" id="s553" data-sgid="Group 11" style="z-index:3;left:179.18px;top:268.47px;width:638.28px;height:244.64px" data-shape="group"> <div class="sg" id="s557" data-sgid="Picture 13" style="z-index:2;left:-3.60px;top:6.88px;width:248.76px;height:230.24px"> <img class="sg" src="5D1726B7.png" id="s557_i" style="z-index:1;left:0px;top:0px;width:248.76px;height:230.24px" > </div> <div class="sg" id="s558" data-sgid="Picture 12" style="z-index:1;left:364.39px;top:-3.68px;width:276.97px;height:251.35px"> <img class="sg" src="1C52EEAC.png" id="s558_i" style="z-index:1;left:0px;top:0px;width:276.97px;height:251.35px" > </div> </div> <div class="sg" id="s556" data-sgid="Picture 9" style="z-index:8;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s556_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s559" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s559_t" class="sg" style="z-index:2;left:0.00px;top:-28.77px;width:828.46px;height:179.15px;"><div><p para="{al:2}"><span data-textwidth="699.24" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:70.84px;top:21.96px;">Aortitis – diffuse inflammation </span><span data-textwidth="265.32" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:300%; left:281.80px;top:86.76px;">of the aorta</span></p></div></div></div> <div class="sg" id="s560" data-sgid="Content Placeholder 2" style="z-index:2;left:51.57px;top:146.44px;width:881.11px;height:366.58px" data-valign="top" data-pointer-events="none"> <div id="s560_t" class="sg" style="z-index:2;left:-5.04px;top:-7.80px;width:887.23px;height:374.38px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="243.72" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:122%; left:12.75px;top:9.12px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>giant cell arteritis (GCA)</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="191.28" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:122%; left:12.75px;top:35.52px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>Takayasu arteritis </span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="192.48" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:122%; left:12.75px;top:61.92px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>Cogan's syndrome</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="496.32" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:122%; left:12.75px;top:88.32px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>systemic lupus erythematosus/rheumatoid arthritis</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="759.00" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:122%; left:12.75px;top:114.72px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>HLA-B27 associated spondyloarthropathies (Reiter’s and ankylosing spondylosis)</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="856.08" class="sg nowrap f2" style="z-index:23;color:#FFFFFF;font-size:122%; left:12.75px;top:141.12px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>ANCA-associated vasculitides (Wegener’s, microscopic polyangiitis (MPA), and eosinophilic </span></span><span data-textwidth="696.36" class="sg nowrap f4" style="z-index:32;color:#FFFFFF;font-weight:bold; font-size:122%; left:39.75px;top:162.04px;">granulomatosis with polyangiitis (EGPA), previously known as Churg-Strauss)</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="176.40" class="sg nowrap f2" style="z-index:40;color:#FFFFFF;font-size:122%; left:12.75px;top:188.64px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>Behçet's disease</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="126.60" class="sg nowrap f2" style="z-index:43;color:#FFFFFF;font-size:122%; left:12.75px;top:215.04px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>sarcoidosis</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="607.32" class="sg nowrap f2" style="z-index:45;color:#FFFFFF;font-size:122%; left:12.75px;top:241.44px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>infectious (tuberculosis, syphilis, salmonella and other bacteria)</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="861.12" class="sg nowrap f2" style="z-index:52;color:#FFFFFF;font-size:122%; left:12.75px;top:267.84px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>idiopathic retroperitoneal fibrosis (Ormond’s disease)/inflamed abdominal aortic aneurysm</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="182.76" class="sg nowrap f2" style="z-index:58;color:#FFFFFF;font-size:122%; left:12.75px;top:294.24px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>Erdheim-Chester</span><span class="f4" style="font-weight:bold; color:#000000;">.</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="194.64" class="sg nowrap f2" style="z-index:63;color:#FFFFFF;font-size:122%; left:12.75px;top:320.64px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:14.28px"> </span>idiopathic isolated</span></span></p></div></div></div> <div class="sg" id="s561" data-sgid="Picture 3" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s561_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s562" data-sgid="Title 1" style="z-index:1;left:-78.45px;top:23.74px;width:828.44px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s562_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.44px;height:105.76px;"><div><p para="{al:2}"><span data-textwidth="269.40" class="sg nowrap f4" style="z-index:2;color:#EEECE1;font-weight:bold; font-size:244%; left:279.69px;top:30.58px;">Exertional SOB</span></p></div></div></div> <div class="sg" id="s564" data-sgid="Picture 3" style="z-index:3;left:642.40px;top:37.30px;width:225.85px;height:455.09px"> <img class="sg" src="D836EEDA.jpg" id="s564_i" style="z-index:1;left:0px;top:0px;width:225.85px;height:455.09px" > </div> <div class="sg" id="s563" data-sgid="Content Placeholder 2" style="z-index:2;left:42.59px;top:168.48px;width:559.29px;height:262.75px" data-valign="top" data-pointer-events="none"> <div id="s563_t" class="sg" style="z-index:2;left:-9.60px;top:-5.50px;width:585.06px;height:268.26px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="436.56" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:17.29px;top:12.90px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:9.72px"> </span>Lung – SLE, RA, sarcoid, HLA-B27 </span></span><span data-textwidth="522.48" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:167%; left:44.29px;top:48.22px;">associated, ANCA-associated vasculitides, </span><span data-textwidth="472.56" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:167%; left:44.29px;top:84.22px;">Behçet's, infectious, giant cell arteritis</span></p><p></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="509.16" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:167%; left:17.29px;top:142.50px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:9.72px"> </span>Cardiac – giant cell, Takayasu, Cogan’s, </span></span><span data-textwidth="498.12" class="sg nowrap f4" style="z-index:24;color:#FFFFFF;font-weight:bold; font-size:167%; left:44.29px;top:177.82px;">SLE, sarcoid, HLA-B27 associated, ANCA-</span><span data-textwidth="386.16" class="sg nowrap f4" style="z-index:33;color:#FFFFFF;font-weight:bold; font-size:167%; left:44.29px;top:213.82px;">associated, Behçet's, infectious</span></p></div></div></div> <div class="sg" id="s565" data-sgid="Picture 4" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s565_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s567" data-sgid="TextBox 4" style="z-index:2;left:74.96px;top:28.17px;width:817.65px;height:51.83px" data-valign="top"> <div id="s567_t" class="sg" style="z-index:2;left:-14.50px;top:-7.18px;width:841.75px;height:76.62px;"><div><p><span data-textwidth="797.88" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.22px;top:14.81px;">Back pain? Sacroiliac joint, other bone involvement?</span></p></div></div></div> <div class="sg" id="s566" data-sgid="Picture 3" style="z-index:1;left:59.24px;top:97.99px;width:833.36px;height:358.92px"> <img class="sg" src="D44A6F39.jpg" id="s566_i" style="z-index:1;left:0px;top:0px;width:833.36px;height:358.92px" > </div> <div class="sg" id="s568" data-sgid="Picture 5" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s568_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s569" data-sgid="Picture 3" style="z-index:1;left:127.75px;top:9.36px;width:734.64px;height:525.50px"> <img class="sg" src="61185758.jpg" id="s569_i" style="z-index:1;left:0px;top:0px;width:734.64px;height:525.50px" > </div> <div class="sg" id="s570" data-sgid="Picture 4" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s570_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s571" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s571_t" class="sg" style="z-index:2;left:0.00px;top:-9.00px;width:864.43px;height:126.75px;"><div><p para="{al:2}"><span data-textwidth="374.64" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:245.07px;top:24.53px;">“Coated aorta”</span></p></div></div></div> <div class="sg" id="s573" data-sgid="Content Placeholder 4" style="z-index:3;left:141.88px;top:140.79px;width:215.91px;height:300.88px"> <img class="sg" src="4EDE8709.png" id="s573_i" style="z-index:1;left:0px;top:0px;width:215.91px;height:300.88px" > </div> <div class="sg" id="s572" data-sgid="Picture 3" style="z-index:2;left:397.84px;top:143.55px;width:412.73px;height:297.90px"> <img class="sg" src="F8657BC3.png" id="s572_i" style="z-index:1;left:0px;top:0px;width:412.73px;height:297.90px" > </div> <div class="sg" id="s574" data-sgid="Picture 5" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s574_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s576" data-sgid="Straight Arrow Connector 5" style="z-index:2;left:375.29px;top:146.78px;width:66.47px;height:55.29px" data-pointer-events="none"> <img class="sg" src="A779329166x55.png" id="s576_i" style="z-index:1;left:0px;top:0px;width:66.47px;height:55.29px" > </div> <div class="sg" id="s579" data-sgid="Straight Arrow Connector 21" style="z-index:5;left:425.67px;top:202.92px;width:44.75px;height:33.56px" data-pointer-events="none"> <img class="sg" src="1D4BBBE045x34.png" id="s579_i" style="z-index:1;left:0px;top:0px;width:44.75px;height:33.56px" > </div> <div class="sg" id="s577" data-sgid="Straight Arrow Connector 9" style="z-index:3;left:413.69px;top:235.40px;width:44.72px;height:33.59px" data-pointer-events="none"> <img class="sg" src="4F97B85045x34.png" id="s577_i" style="z-index:1;left:0px;top:0px;width:44.72px;height:33.59px" > </div> <div class="sg" id="s578" data-sgid="Straight Arrow Connector 10" style="z-index:4;left:428.19px;top:259.15px;width:42.34px;height:34.78px" data-pointer-events="none"> <img class="sg" src="1C12DAF842x35.png" id="s578_i" style="z-index:1;left:0px;top:0px;width:42.34px;height:34.78px" > </div> <div class="sg" id="s575" data-sgid="Content Placeholder 3" style="z-index:1;left:244.80px;top:65.25px;width:500.89px;height:410.98px"> <img class="sg" src="CC6D17A9.jpg" id="s575_i" style="z-index:1;left:0px;top:0px;width:500.89px;height:410.98px" > </div> <div class="sg" id="s580" data-sgid="Picture 7" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s580_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s583" data-sgid="TextBox 5" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s583_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="382.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:37.92px;top:25.26px;">Final Diagnosis</span></p></div></div></div> <div class="sg sgTitle" id="s582" data-sgid="Title 1" style="z-index:2;left:0.00px;top:178.10px;width:960.38px;height:105.28px" data-valign="middle" data-pointer-events="none"> <div id="s582_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:960.38px;height:173.02px;"><div><p para="{al:2}"><span data-textwidth="859.80" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:50.40px;top:104.30px;">Erdheim-Chester (non-Langerhans-cell histiocytosis)</span></p></div></div></div> <div class="sg" id="s581" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s581_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s586" data-sgid="TextBox 6" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s586_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="194.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:132.12px;top:25.26px;">Answer</span></p></div></div></div> <div class="sg sgTitle" id="s585" data-sgid="Title 1" style="z-index:2;left:0.00px;top:178.10px;width:960.38px;height:105.28px" data-valign="middle" data-pointer-events="none"> <div id="s585_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:960.38px;height:173.02px;"><div><p para="{al:2}"><span data-textwidth="859.80" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:50.40px;top:104.30px;">Erdheim-Chester (non-Langerhans-cell histiocytosis)</span></p></div></div></div> <div class="sg" id="s584" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s584_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s587" data-sgid="Title 1" style="z-index:1;left:11.75px;top:-24.94px;width:960.38px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s587_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:960.38px;height:172.91px;"><div><p para="{al:2}"><span data-textwidth="859.80" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:50.53px;top:104.06px;">Erdheim-Chester (non-Langerhans-cell histiocytosis)</span></p></div></div></div> <div class="sg" id="s588" data-sgid="Content Placeholder 2" style="z-index:2;left:55.76px;top:195.83px;width:860.72px;height:260.00px" data-valign="top" data-pointer-events="none"> <div id="s588_t" class="sg" style="z-index:2;left:-10.79px;top:-12.94px;width:873.44px;height:272.94px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="655.92" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.51px;top:13.15px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>First described by Erdheim and Chester in 1930.</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="835.68" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:178%; left:18.51px;top:51.55px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Excessive production of histiocytes* deposited in organs and </span></span><span data-textwidth="99.36" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:178%; left:45.51px;top:82.83px;">tissues.</span></p><p para="{spbf:0.20}"><span data-textwidth="507.96" class="sg nowrap f5" style="z-index:18;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:122%; left:96.99px;top:125.95px;">* CD68 positive/s100-negative lipid-laden macrophages</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="441.00" class="sg nowrap f2" style="z-index:26;color:#FFFFFF;font-size:161%; left:18.51px;top:155.59px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:10.32px"> </span>Mean age at diagnosis is 53 years. </span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="818.16" class="sg nowrap f2" style="z-index:30;color:#FFFFFF;font-size:161%; left:18.51px;top:190.39px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:10.32px"> </span>Can present with fever, fatigue (microcytic anemia), night sweats, </span></span><span data-textwidth="371.64" class="sg nowrap f4" style="z-index:32;color:#FFFFFF;font-weight:bold; font-size:161%; left:45.51px;top:217.67px;">back pain, dyspnea, bone pain.</span></p></div></div></div> <div class="sg" id="s589" data-sgid="Picture 4" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s589_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s590" data-sgid="Title 1" style="z-index:1;left:3.37px;top:-0.48px;width:960.38px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s590_t" class="sg" style="z-index:2;left:-19.09px;top:0.00px;width:998.52px;height:105.79px;"><div><p para="{al:2}"><span data-textwidth="945.24" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:26.76px;top:30.56px;">Erdheim-Chester (non-Langerhans-cell histiocytosis)</span></p></div></div></div> <div class="sg" id="s591" data-sgid="TextBox 3" style="z-index:2;left:50.75px;top:174.01px;width:876.89px;height:284.20px" data-valign="top"> <div id="s591_t" class="sg" style="z-index:2;left:-9.60px;top:-5.53px;width:899.92px;height:301.36px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="209.52" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:167%; left:17.29px;top:12.92px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.28px"> </span>“Coated aorta”</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="779.04" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:167%; left:17.29px;top:48.92px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.28px"> </span>Peri-renal soft tissue/ “hairy kidney”/retroperitoneal fibrosis</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="265.92" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:167%; left:17.29px;top:84.92px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.28px"> </span>Cardiac/pericardial </span></span></p><p para="{in:2}"><span data-textwidth="538.20" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.17px;top:120.36px;">– tissue deposits, usually right atrial wall                         </span></p><p para="{in:2}"><span data-textwidth="546.84" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.17px;top:149.16px;">– 7% at initial presentation, 22% over course of disease</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="864.60" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:167%; left:17.29px;top:178.52px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.28px"> </span>Bone involvement (almost always long-bone sclerosing polyostotic) </span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="255.72" class="sg nowrap f2" style="z-index:25;color:#FFFFFF;font-size:167%; left:17.29px;top:214.52px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.28px"> </span>Pulmonary fibrosis</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="799.20" class="sg nowrap f2" style="z-index:27;color:#FFFFFF;font-size:167%; left:17.29px;top:250.52px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.28px"> </span>CNS - diabetes insipidus, exophthalmos/papilledema, pituitary</span></span></p></div></div></div> <div class="sg" id="s592" data-sgid="Picture 4" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s592_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgSubtitle" id="s593" data-sgid="Subtitle 2" style="z-index:1;left:127.86px;top:89.70px;width:689.30px;height:98.58px" data-valign="top" data-pointer-events="none"> <div id="s593_t" class="sg" style="z-index:2;left:-25.54px;top:-13.42px;width:740.02px;height:335.06px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="268.20" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.56px;top:22.60px;">2018 RSNA </span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.36px;top:103.60px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:0.20}"><span data-textwidth="308.40" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:311%; left:216.16px;top:238.60px;">Abdomen: GI</span></p></div></div></div> <div class="sg" id="s594" data-sgid="Picture 3" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s594_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s597" data-sgid="TextBox 4" style="z-index:3;left:335.36px;top:11.40px;width:611.34px;height:61.39px" data-valign="top"> <div id="s597_t" class="sg" style="z-index:2;left:0.00px;top:-9.61px;width:630.42px;height:93.19px;"><div><p para="{al:3}"><span data-textwidth="326.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:277.96px;top:17.97px;">Andrea Laghi, MD</span></p></div></div></div> <div class="sg" id="s595" data-sgid="Rectangle 3" style="z-index:1;left:293.25px;top:27.83px;width:619.52px;height:201.11px" data-valign="top" data-pointer-events="none"> <div id="s595_t" class="sg" style="z-index:2;left:-9.71px;top:0.00px;width:630.42px;height:210.81px;"><div><p para="{bl:{ch:8226},spaf:6.00}"></p><p para="{spaf:6.00}"><span data-textwidth="535.68" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:45.73px;">Professor of Radiology and Nuclear Medicine, </span><span data-textwidth="351.00" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:89.54px;top:82.69px;">Sapienza – University of Rome</span></p><p para="{spaf:6.00}"><span data-textwidth="596.04" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:125.65px;">Chairman, Diagnostic and Interventional Radiology </span><span data-textwidth="511.56" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:156%; left:89.54px;top:162.61px;">Unit, Sant’Andrea University Hospital, Rome</span></p></div></div></div> <div class="sg" id="s596" data-sgid="Immagine 2" style="z-index:2;left:31.18px;top:56.85px;width:231.15px;height:343.57px"> <img class="sg" src="845E2928.png" id="s596_i" style="z-index:1;left:0px;top:0px;width:231.15px;height:343.57px" > </div> <div class="sg" id="s600" data-sgid="Rectangle 3 (2)" style="z-index:6;left:360.20px;top:242.84px;width:619.49px;height:169.33px" data-valign="top" data-pointer-events="none"> <div id="s600_t" class="sg" style="z-index:2;left:-8.64px;top:-3.46px;width:628.13px;height:182.64px;"><div><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="457.44" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.36px;top:12.22px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:10.92px"> </span>MD: Medicine and Surgery, Sapienza </span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="347.52" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:16.36px;top:55.18px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:10.92px"> </span>Residency in DR: Sapienza   </span></span></p><p para="{bl:{ch:8226},spaf:6.00}"><span data-textwidth="514.08" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:16.36px;top:98.14px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:10.92px"> </span>Residency in Nuclear Medicine, Sapienza -</span></span><span data-textwidth="221.52" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:43.36px;top:134.54px;">University of Rome</span></p></div></div></div> <div class="sg" id="s599" data-sgid="Picture 6" style="z-index:5;left:27.36px;top:423.21px;width:238.79px;height:74.72px"> <img class="sg" src="84B891E0.jpg" id="s599_i" style="z-index:1;left:0px;top:0px;width:238.79px;height:74.72px" > </div> <div class="sg" id="s598" data-sgid="Rectangle 1" style="z-index:4;left:303.93px;top:419.72px;width:582.56px;height:109.87px" data-valign="top" data-pointer-events="none"> <div id="s598_t" class="sg" style="z-index:2;left:0.00px;top:-4.91px;width:582.56px;height:127.01px;"><div><p para="{al:2,spaf:12.00}"><span data-textwidth="536.64" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:26.55px;top:11.79px;">Expertise/research contributions: CT (liver, CT </span><span data-textwidth="529.92" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:29.91px;top:45.39px;">colonography and CTA), MRI (liver and biliary </span><span data-textwidth="454.92" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:64.11px;top:78.99px;">ducts, small bowel and contrast media)</span></p></div></div></div> <div class="sg" id="s601" data-sgid="Picture 8" style="z-index:7;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s601_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s602" data-sgid="Immagine 4" style="z-index:1;left:26.73px;top:35.63px;width:357.56px;height:304.11px"> <img class="sg" src="FA4E9595.png" id="s602_i" style="z-index:1;left:0px;top:0px;width:357.56px;height:304.11px" > </div> <div class="sg" id="s604" data-sgid="Picture 1" style="z-index:3;left:401.46px;top:83.23px;width:540.57px;height:373.08px"> <img class="sg" src="46C0C3A0.png" id="s604_i" style="z-index:1;left:0px;top:0px;width:540.57px;height:373.08px" > </div> <div class="sg" id="s603" data-sgid="Picture 3" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s603_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s607" data-sgid="Title 1" style="z-index:3;left:119.45px;top:43.66px;width:720.51px;height:75.55px" data-valign="top"> <div id="s607_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:720.51px;height:130.95px;"><div><p para="{al:2}"><span data-textwidth="184.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:275.35px;top:25.14px;">History</span></p></div></div></div> <div class="sg" id="s605" data-sgid="Content Placeholder 2" style="z-index:1;left:77.48px;top:160.71px;width:828.44px;height:343.21px" data-valign="top" data-pointer-events="none"> <div id="s605_t" class="sg" style="z-index:2;left:-10.79px;top:-9.84px;width:839.23px;height:353.53px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="642.96" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.51px;top:13.13px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:15.72px"> </span>66 year-old male with chronic abdominal pain</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="290.88" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:178%; left:18.51px;top:55.37px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:15.72px"> </span>Acute exacerbation</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="468.60" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:178%; left:18.51px;top:97.61px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:15.72px"> </span>Chronic medical history, includes</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="79.92" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:156%; left:54.51px;top:139.49px;">–<span class="f4" style="font-weight:bold; "> Gout</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="178.68" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:156%; left:54.51px;top:176.45px;">–<span class="f4" style="font-weight:bold; "> Hypertension</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="654.84" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:156%; left:54.51px;top:213.41px;">–<span class="f4" style="font-weight:bold; "> “Congenital emphysema”: Rx inhalers and prn steroids</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="290.28" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:133%; left:90.51px;top:248.77px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Recurrent pneumothoraces</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="218.88" class="sg nowrap f2" style="z-index:21;color:#FFFFFF;font-size:133%; left:90.51px;top:280.45px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Recurrent infections</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="283.08" class="sg nowrap f2" style="z-index:23;color:#FFFFFF;font-size:133%; left:90.51px;top:312.13px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Chronically short of breath</span></span></p></div></div></div> <div class="sg" id="s606" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s606_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s610" data-sgid="Title 1" style="z-index:3;left:119.45px;top:43.66px;width:720.51px;height:75.55px" data-valign="top"> <div id="s610_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:720.51px;height:130.95px;"><div><p para="{al:2}"><span data-textwidth="184.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:275.35px;top:25.14px;">History</span></p></div></div></div> <div class="sg" id="s608" data-sgid="Content Placeholder 2" style="z-index:1;left:84.08px;top:162.61px;width:828.44px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s608_t" class="sg" style="z-index:2;left:-10.79px;top:-5.87px;width:839.23px;height:349.22px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="352.56" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.51px;top:13.02px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Relevant Surgical history</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="582.48" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:54.51px;top:58.26px;">–<span class="f4" style="font-weight:bold; "> Bilateral carpal tunnel releases; right side 1970’s</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="468.00" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:156%; left:54.51px;top:98.58px;">–<span class="f4" style="font-weight:bold; "> Bilateral finger amputations: etiology?</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="538.80" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:54.51px;top:138.90px;">–<span class="f4" style="font-weight:bold; "> Hx of intussusception: small bowel resection</span></span></p></div></div></div> <div class="sg" id="s609" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s609_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s615" data-sgid="Rettangolo 1" style="z-index:5;left:40.78px;top:13.56px;width:572.11px;height:100.96px" data-valign="top" data-pointer-events="none"> <div id="s615_t" class="sg" style="z-index:2;left:-8.52px;top:-8.17px;width:580.64px;height:119.21px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="303.00" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.22px;top:11.97px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Relevant Surgical history</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="497.28" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:52.22px;top:46.61px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Bilateral carpal tunnel releases; right side 1970’s</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="400.08" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:133%; left:52.22px;top:77.57px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Bilateral finger amputations: etiology?</span></span></p></div></div></div> <div class="sg" id="s612" data-sgid="Picture 6" style="z-index:2;left:286.79px;top:166.81px;width:303.93px;height:303.52px"> <img class="sg" src="37C4A553.png" id="s612_i" style="z-index:1;left:0px;top:0px;width:303.93px;height:303.52px" > </div> <div class="sg" id="s614" data-sgid="Rectangle 2" style="z-index:4;left:41.97px;top:128.43px;width:212.20px;height:380.17px" data-pointer-events="none"> <img class="sg" src="433BDA6B212x380.png" id="s614_i" style="z-index:1;left:0px;top:0px;width:212.20px;height:380.17px" > </div> <div class="sg" id="s613" data-sgid="Picture 7" style="z-index:3;left:609.07px;top:167.06px;width:304.04px;height:303.89px"> <img class="sg" src="166FC3E7.png" id="s613_i" style="z-index:1;left:0px;top:0px;width:304.04px;height:303.89px" > </div> <div class="sg" id="s611" data-sgid="Picture 4" style="z-index:1;left:-14.39px;top:106.01px;width:323.61px;height:432.68px" data-rotation = "15"> <img class="sg" src="D2A27768.jpg" id="s611_i" style="z-index:1;left:0px;top:0px;width:323.61px;height:432.68px" > </div> <div class="sg" id="s616" data-sgid="Picture 8" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s616_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s624" data-sgid="Title 1" style="z-index:4;left:65.48px;top:25.67px;width:828.46px;height:105.16px" data-valign="middle"> <div id="s624_t" class="sg" style="z-index:2;left:0.00px;top:-5.53px;width:828.46px;height:126.89px;"><div><p para="{al:2}"><span data-textwidth="364.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:232.12px;top:24.54px;">Findings: X-ray</span></p></div></div></div> <div class="sg" id="s626" data-sgid="Picture 4 (2)" style="z-index:6;left:104.70px;top:66.55px;width:189.15px;height:415.06px" data-rotation = "15"> <img class="sg" src="EA13A1AD.jpg" id="s626_i" style="z-index:1;left:0px;top:0px;width:189.15px;height:415.06px" > </div> <div class="sg" id="s622" data-sgid="Rectangle 2" style="z-index:2;left:79.04px;top:104.82px;width:212.17px;height:380.03px" data-pointer-events="none"> <img class="sg" src="DF09FF5D212x380.png" id="s622_i" style="z-index:1;left:0px;top:0px;width:212.17px;height:380.03px" > </div> <div class="sg" id="s621" data-sgid="Picture 4" style="z-index:1;left:26.03px;top:83.94px;width:323.72px;height:432.45px" data-rotation = "15"> <img class="sg" src="E8BA05C4.jpg" id="s621_i" style="z-index:1;left:0px;top:0px;width:323.72px;height:432.45px" > </div> <div class="sg" id="s625" data-sgid="Content Placeholder 2" style="z-index:5;left:347.96px;top:188.40px;width:579.19px;height:270.67px" data-valign="top"> <div id="s625_t" class="sg" style="z-index:2;left:-8.52px;top:-8.14px;width:587.72px;height:278.81px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="295.08" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.48px;top:12.18px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Third finger amputation</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="538.08" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:16.48px;top:52.50px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Macrodactyly (disproportionate overgrowth)</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="521.16" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:16.48px;top:92.70px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Course trabeculation of enlarged phalanxes</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="497.88" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:156%; left:16.48px;top:132.90px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Soft tissue hypertrophy (metacarpus and </span></span><span data-textwidth="238.56" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:34.48px;top:162.58px;">around second digit)</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="462.60" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:156%; left:16.48px;top:203.46px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Abnormally calcified connective tissue</span></span></p></div></div></div> <div class="sg" id="s623" data-sgid="Picture 5" style="z-index:3;left:877.85px;top:512.20px;width:74.59px;height:20.37px"> <img class="sg" src="95E2F9A775x20.png" id="s623_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.37px" > </div> <div class="sg" id="s629" data-sgid="Title 1" style="z-index:3;left:65.25px;top:3.83px;width:828.44px;height:105.19px" data-valign="middle"> <div id="s629_t" class="sg" style="z-index:2;left:0.00px;top:-5.39px;width:828.44px;height:127.01px;"><div><p para="{al:2}"><span data-textwidth="322.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:253.23px;top:24.52px;">Findings: MR</span></p></div></div></div> <div class="sg" id="s630" data-sgid="Content Placeholder 2" style="z-index:4;left:50.27px;top:167.06px;width:333.55px;height:270.67px" data-valign="top"> <div id="s630_t" class="sg" style="z-index:2;left:-8.53px;top:-8.28px;width:351.90px;height:278.95px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="313.32" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.22px;top:12.18px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Soft-tissue fibrotic lesion </span></span><span data-textwidth="300.48" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:34.22px;top:41.86px;">(low signal on T1/T2), i.e. </span><span data-textwidth="224.40" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:156%; left:34.22px;top:72.10px;">fibrous hamartoma</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="234.60" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:156%; left:16.22px;top:112.98px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Bone cystic lesions</span></span></p></div></div></div> <div class="sg" id="s627" data-sgid="Picture 6" style="z-index:1;left:693.38px;top:96.43px;width:188.33px;height:412.06px"> <img class="sg" src="CA53C02E.png" id="s627_i" style="z-index:1;left:0px;top:0px;width:188.33px;height:412.06px" > </div> <div class="sg" id="s628" data-sgid="Picture 7" style="z-index:2;left:476.05px;top:96.43px;width:191.89px;height:412.06px"> <img class="sg" src="BD7426F1.png" id="s628_i" style="z-index:1;left:0px;top:0px;width:191.89px;height:412.06px" > </div> <div class="sg" id="s631" data-sgid="Picture 10" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s631_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s634" data-sgid="Title 1 (2)" style="z-index:3;left:65.48px;top:5.76px;width:828.46px;height:105.16px" data-valign="middle"> <div id="s634_t" class="sg" style="z-index:2;left:0.00px;top:-5.39px;width:828.46px;height:126.98px;"><div><p para="{al:2}"><span data-textwidth="205.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:311.44px;top:24.51px;">Findings</span></p></div></div></div> <div class="sg" id="s632" data-sgid="Title 1" style="z-index:1;left:104.70px;top:164.77px;width:719.55px;height:222.35px" data-valign="middle"> <div id="s632_t" class="sg" style="z-index:2;left:-13.06px;top:-3.35px;width:732.60px;height:231.91px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="681.24" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:20.68px;top:14.58px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-3.00px"> </span>Overgrowth of connective tissues (bone, fat)</span></span></p><p></p><p para="{bl:{ch:8226}}"><span data-textwidth="307.56" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:200%; left:20.68px;top:92.34px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-3.00px"> </span>Progressive disease</span></span></p><p></p><p para="{bl:{ch:8226}}"><span data-textwidth="304.92" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:200%; left:20.68px;top:170.10px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-3.00px"> </span>Onset at young age</span></span></p></div></div></div> <div class="sg" id="s633" data-sgid="Picture 6" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s633_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s639" data-sgid="Rettangolo 1" style="z-index:5;left:0.00px;top:18.58px;width:543.45px;height:184.68px" data-valign="top" data-pointer-events="none"> <div id="s639_t" class="sg" style="z-index:2;left:0.00px;top:-9.70px;width:543.45px;height:205.90px;"><div><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="412.08" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:43.68px;top:12.92px;">•<span class="f4" style="font-weight:bold; "> “Congenital emphysema”: Rx </span></span><span data-textwidth="328.56" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:61.68px;top:48.04px;">inhalers and prn steroids</span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="335.40" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:79.68px;top:87.68px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Recurrent pneumothoraces</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="252.36" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:156%; left:79.68px;top:122.96px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Recurrent infections</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="327.60" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:79.68px;top:158.12px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Chronically short of breath</span></span></p></div></div></div> <div class="sg" id="s637" data-sgid="Picture 4" style="z-index:3;left:555.69px;top:26.27px;width:250.43px;height:250.38px"> <img class="sg" src="6543F62C.png" id="s637_i" style="z-index:1;left:0px;top:0px;width:250.43px;height:250.38px" > </div> <div class="sg" id="s635" data-sgid="TextBox 13" style="z-index:1;left:656.79px;top:332.54px;width:86.26px;height:22.78px" data-valign="top"> <div id="s635_t" class="sg" style="z-index:2;left:-0.11px;top:0.00px;width:86.38px;height:26.27px;"><div><p><span data-textwidth="40.08" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:67%; left:8.12px;top:5.30px;">T1+C PV</span></p></div></div></div> <div class="sg" id="s636" data-sgid="Picture 2" style="z-index:2;left:66.21px;top:228.45px;width:330.43px;height:275.94px"> <img class="sg" src="521A9C27.png" id="s636_i" style="z-index:1;left:0px;top:0px;width:330.43px;height:275.94px" > </div> <div class="sg" id="s638" data-sgid="Picture 6" style="z-index:4;left:501.71px;top:289.73px;width:358.53px;height:214.67px"> <img class="sg" src="61F4CDE6.png" id="s638_i" style="z-index:1;left:0px;top:0px;width:358.53px;height:214.67px" > </div> <div class="sg" id="s640" data-sgid="Picture 7" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s640_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s642" data-sgid="Title 1" style="z-index:2;left:65.48px;top:5.76px;width:828.46px;height:105.16px" data-valign="middle"> <div id="s642_t" class="sg" style="z-index:2;left:0.00px;top:-5.39px;width:828.46px;height:126.98px;"><div><p para="{al:2}"><span data-textwidth="205.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:311.44px;top:24.51px;">Findings</span></p></div></div></div> <div class="sg" id="s643" data-sgid="Content Placeholder 2" style="z-index:3;left:407.32px;top:142.47px;width:552.57px;height:260.34px" data-valign="top"> <div id="s643_t" class="sg" style="z-index:2;left:-8.52px;top:-8.29px;width:568.66px;height:268.62px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="148.56" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.40px;top:12.18px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Chest X-ray</span></span></p><p para="{in:2,bl:{ch:8226},spbf:10.00}"><span data-textwidth="501.72" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:133%; left:52.40px;top:51.86px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Asymmetric hemithoraces; hyperinflation of left </span></span><span data-textwidth="42.96" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:70.40px;top:78.46px;">lung</span></p><p para="{in:2,bl:{ch:8226},spbf:10.00}"><span data-textwidth="481.44" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:133%; left:52.40px;top:113.66px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Redistribution of blood flow to the upper lung </span></span><span data-textwidth="475.44" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:133%; left:70.40px;top:140.26px;">zones with abnormal enlargement of the upper </span><span data-textwidth="119.16" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:133%; left:70.40px;top:166.18px;">lobe vessels</span></p><p para="{in:2,bl:{ch:8226},spbf:10.00}"><span data-textwidth="430.92" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:133%; left:52.40px;top:201.38px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Prominent hila with reticular and streaky </span></span><span data-textwidth="314.76" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:133%; left:70.40px;top:227.98px;">densities in both perihilar areas</span></p></div></div></div> <div class="sg" id="s641" data-sgid="Picture 2" style="z-index:1;left:15.35px;top:139.46px;width:378.66px;height:315.89px"> <img class="sg" src="D6B97367.png" id="s641_i" style="z-index:1;left:0px;top:0px;width:378.66px;height:315.89px" > </div> <div class="sg" id="s644" data-sgid="Picture 6" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s644_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s649" data-sgid="Title 1" style="z-index:5;left:65.48px;top:5.76px;width:828.46px;height:105.16px" data-valign="middle"> <div id="s649_t" class="sg" style="z-index:2;left:0.00px;top:-5.39px;width:828.46px;height:126.98px;"><div><p para="{al:2}"><span data-textwidth="205.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:311.44px;top:24.51px;">Findings</span></p></div></div></div> <div class="sg" id="s645" data-sgid="Picture 4" style="z-index:1;left:47.38px;top:56.60px;width:256.07px;height:256.06px"> <img class="sg" src="8ED5D945.png" id="s645_i" style="z-index:1;left:0px;top:0px;width:256.07px;height:256.06px" > </div> <div class="sg" id="s646" data-sgid="Content Placeholder 2" style="z-index:2;left:354.42px;top:145.22px;width:579.22px;height:210.47px" data-valign="top"> <div id="s646_t" class="sg" style="z-index:2;left:-10.68px;top:-9.82px;width:589.90px;height:220.28px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="120.84" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.66px;top:13.12px;">•<span class="f4" style="font-weight:bold; "> Lung CT</span></span></p><p para="{in:2,bl:{ch:8226},spbf:10.00}"><span data-textwidth="363.36" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:54.66px;top:58.36px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Hyperinflation of the left lung</span></span></p><p para="{in:2,bl:{ch:8226},spbf:10.00}"><span data-textwidth="309.12" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:54.66px;top:98.56px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Emphysematous changes</span></span></p><p para="{in:2,bl:{ch:8226},spbf:10.00}"><span data-textwidth="512.76" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:156%; left:54.66px;top:138.76px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Areas of scarring and cystic changes in the </span></span><span data-textwidth="169.68" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:72.66px;top:168.44px;">left lower lobe</span></p></div></div></div> <div class="sg" id="s647" data-sgid="Picture 6" style="z-index:3;left:24.69px;top:335.18px;width:301.43px;height:180.85px"> <img class="sg" src="CF2169E3.png" id="s647_i" style="z-index:1;left:0px;top:0px;width:301.43px;height:180.85px" > </div> <div class="sg" id="s648" data-sgid="Picture 6 (2)" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s648_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s654" data-sgid="Title 1" style="z-index:5;left:135.91px;top:-0.48px;width:227.63px;height:105.16px" data-valign="middle"> <div id="s654_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:227.63px;height:107.69px;"><div><p para="{al:2}"><span data-textwidth="142.68" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:42.53px;top:25.16px;">History</span></p></div></div></div> <div class="sg" id="s653" data-sgid="Rettangolo 1" style="z-index:4;left:-8.75px;top:95.69px;width:516.95px;height:34.30px" data-valign="top" data-pointer-events="none"> <div id="s653_t" class="sg" style="z-index:2;left:0.00px;top:-6.36px;width:519.10px;height:51.35px;"><div><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="460.68" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:43.79px;top:9.71px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Hx of intussusception: small bowel resection</span></span></p></div></div></div> <div class="sg" id="s651" data-sgid="Picture 4" style="z-index:2;left:574.04px;top:26.61px;width:244.31px;height:234.95px"> <img class="sg" src="F267D184.png" id="s651_i" style="z-index:1;left:0px;top:0px;width:244.31px;height:234.95px" > </div> <div class="sg" id="s650" data-sgid="Picture 2" style="z-index:1;left:56.98px;top:157.22px;width:411.40px;height:349.45px"> <img class="sg" src="ECA18460.png" id="s650_i" style="z-index:1;left:0px;top:0px;width:411.40px;height:349.45px" > </div> <div class="sg" id="s652" data-sgid="Picture 3" style="z-index:3;left:543.94px;top:283.01px;width:304.52px;height:233.50px"> <img class="sg" src="F9E65B5F.png" id="s652_i" style="z-index:1;left:0px;top:0px;width:304.52px;height:233.50px" > </div> <div class="sg" id="s655" data-sgid="Picture 7" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s655_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s658" data-sgid="Picture 5" style="z-index:3;left:1.93px;top:101.82px;width:320.72px;height:364.79px"> <img class="sg" src="56CB553D.png" id="s658_i" style="z-index:1;left:0px;top:0px;width:320.72px;height:364.79px" > </div> <div class="sg" id="s656" data-sgid="Picture 2" style="z-index:1;left:327.09px;top:101.22px;width:307.52px;height:367.09px"> <img class="sg" src="AE88977A.png" id="s656_i" style="z-index:1;left:0px;top:0px;width:307.52px;height:367.09px" > </div> <div class="sg" id="s657" data-sgid="Picture 4" style="z-index:2;left:639.06px;top:100.74px;width:317.46px;height:368.03px"> <img class="sg" src="36541C7A.png" id="s657_i" style="z-index:1;left:0px;top:0px;width:317.46px;height:368.03px" > </div> <div class="sg" id="s659" data-sgid="Picture 7" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s659_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s662" data-sgid="Freccia su 1" style="z-index:3;left:108.29px;top:93.53px;width:47.52px;height:57.33px" data-rotation = "98" data-fillcolor="16777215"> <img class="sg" src="211FACB648x57.png" id="s662_i" style="z-index:1;left:0px;top:0px;width:47.52px;height:57.33px" > </div> <div class="sg" id="s660" data-sgid="Picture 2" style="z-index:1;left:47.97px;top:64.65px;width:392.09px;height:424.40px"> <img class="sg" src="3FB1B0A5.png" id="s660_i" style="z-index:1;left:0px;top:0px;width:392.09px;height:424.40px" > </div> <div class="sg" id="s661" data-sgid="Picture 4" style="z-index:2;left:482.40px;top:64.65px;width:421.74px;height:427.04px"> <img class="sg" src="E23060E2.png" id="s661_i" style="z-index:1;left:0px;top:0px;width:421.74px;height:427.04px" > </div> <div class="sg" id="s663" data-sgid="Picture 5" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s663_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s665" data-sgid="Title 1" style="z-index:2;left:478.80px;top:40.17px;width:400.02px;height:105.30px" data-valign="middle"> <div id="s665_t" class="sg" style="z-index:2;left:0.00px;top:-5.39px;width:400.02px;height:126.87px;"><div><p para="{al:2}"><span data-textwidth="205.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:97.32px;top:24.54px;">Findings</span></p></div></div></div> <div class="sg" id="s667" data-sgid="Picture 3" style="z-index:4;left:30.36px;top:119.09px;width:397.35px;height:304.11px"> <img class="sg" src="1D57AA5D.png" id="s667_i" style="z-index:1;left:0px;top:0px;width:397.35px;height:304.11px" > </div> <div class="sg" id="s664" data-sgid="Picture 2" style="z-index:1;left:35.63px;top:65.73px;width:392.09px;height:424.51px"> <img class="sg" src="5B8379BF.png" id="s664_i" style="z-index:1;left:0px;top:0px;width:392.09px;height:424.51px" > </div> <div class="sg" id="s666" data-sgid="Content Placeholder 2" style="z-index:3;left:453.37px;top:183.12px;width:481.46px;height:225.33px" data-valign="top"> <div id="s666_t" class="sg" style="z-index:2;left:-7.31px;top:-12.34px;width:488.77px;height:237.67px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="424.68" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:144%; left:15.34px;top:11.58px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Multiple encapsulated lipomas in the </span></span><span data-textwidth="364.44" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:144%; left:33.34px;top:32.98px;">stomach, duodenum and jejunum</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="383.64" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:144%; left:15.34px;top:65.22px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Fatty overgrowth in the omentum</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="399.84" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:144%; left:15.34px;top:97.02px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Lipohypoplasia of subcutaneous fat</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="319.92" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:144%; left:15.34px;top:128.94px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Dysregulated adipose tissue</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="169.32" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:144%; left:15.34px;top:160.74px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Splenomegaly</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="363.60" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:144%; left:15.34px;top:192.54px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>?Thick wall of the right ventricle</span></span></p></div></div></div> <div class="sg" id="s668" data-sgid="Picture 8" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s668_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s670" data-sgid="Title 1" style="z-index:2;left:62.73px;top:-0.48px;width:828.44px;height:84.43px" data-valign="middle"> <div id="s670_t" class="sg" style="z-index:2;left:0.00px;top:-4.57px;width:828.44px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="513.36" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:157.71px;top:19.29px;">DIFFERENTIAL DIAGNOSIS</span></p></div></div></div> <div class="sg" id="s669" data-sgid="Content Placeholder 2" style="z-index:1;left:55.28px;top:83.12px;width:857.49px;height:448.14px" data-valign="top" data-pointer-events="none"> <div id="s669_t" class="sg" style="z-index:2;left:-9.57px;top:-9.13px;width:869.92px;height:462.18px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="385.20" class="sg nowrap f2" style="z-index:2;color:#FFFF00;font-size:167%; left:17.29px;top:12.85px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:9.72px"> </span>Macrodystrophia lipomatosa</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="801.00" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:144%; left:53.29px;top:51.73px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:2.16px"> </span>Proliferation of all mesenchymal elements, disproportionate increase in </span></span><span data-textwidth="754.08" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:144%; left:75.85px;top:79.37px;">fat tissue; mostly unilateral; lower limb >> upper limb; second / third </span><span data-textwidth="489.60" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:144%; left:75.85px;top:107.45px;">digits; no extra-skeletal/ visceral involvement</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="671.04" class="sg nowrap f2" style="z-index:27;color:#FFFF00;font-size:167%; left:17.29px;top:142.93px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:9.72px"> </span>Multiple symmetric lipomatosis (Madelung disease)</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="255.12" class="sg nowrap f2" style="z-index:29;color:#FFFFFF;font-size:144%; left:53.29px;top:181.81px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:2.16px"> </span>No bone involvement</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="689.52" class="sg nowrap f2" style="z-index:31;color:#FFFF00;font-size:167%; left:17.29px;top:216.85px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:9.72px"> </span>CLOVE (Congenital Lipomatous Overgrowth, Vascular </span></span><span data-textwidth="688.92" class="sg nowrap f4" style="z-index:33;color:#FFFF00;font-weight:bold; font-size:167%; left:44.29px;top:248.57px;">malformations, and Epidermal nevi, Skeletal) syndrome</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="246.72" class="sg nowrap f2" style="z-index:36;color:#FFFFFF;font-size:144%; left:53.29px;top:288.13px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:2.16px"> </span>No lung involvement</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="252.96" class="sg nowrap f2" style="z-index:38;color:#FFFF00;font-size:167%; left:17.29px;top:323.17px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:9.72px"> </span>Proteus syndrome</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="761.76" class="sg nowrap f2" style="z-index:40;color:#FFFFFF;font-size:144%; left:53.29px;top:362.05px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:2.16px"> </span>Cerebriform connective tissue nevi; asymmetric overgrowth of body </span></span><span data-textwidth="747.36" class="sg nowrap f4" style="z-index:42;color:#FFFFFF;font-weight:bold; font-size:144%; left:75.85px;top:389.69px;">parts, particularly bones; cystic lung disease/emphysema; aggressive </span><span data-textwidth="212.52" class="sg nowrap f4" style="z-index:43;color:#FFFFFF;font-weight:bold; font-size:144%; left:75.85px;top:417.77px;">abdominal lipomas </span></p></div></div></div> <div class="sg" id="s671" data-sgid="Picture 5" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s671_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s674" data-sgid="TextBox 6" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s674_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="382.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:37.92px;top:25.26px;">Final Diagnosis</span></p></div></div></div> <div class="sg sgTitle" id="s673" data-sgid="Title 5" style="z-index:2;left:47.49px;top:233.36px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s673_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:864.43px;height:179.06px;"><div><p para="{al:2}"><span data-textwidth="457.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:203.91px;top:76.88px;">Proteus Syndrome</span></p></div></div></div> <div class="sg" id="s672" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s672_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s687" data-sgid="TextBox 5" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s687_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="194.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:132.12px;top:25.26px;">Answer</span></p></div></div></div> <div class="sg" id="s686" data-sgid="Title 5" style="z-index:2;left:47.49px;top:233.36px;width:864.43px;height:90.78px" data-valign="middle"> <div id="s686_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:864.43px;height:179.06px;"><div><p para="{al:2}"><span data-textwidth="457.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:203.91px;top:76.88px;">Proteus Syndrome</span></p></div></div></div> <div class="sg" id="s685" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s685_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s692" data-sgid="Rectangle 11" style="z-index:5;left:242.16px;top:15.72px;width:476.76px;height:80.82px" data-valign="top" data-pointer-events="none"> <div id="s692_t" class="sg" style="z-index:2;left:-28.91px;top:-14.53px;width:529.80px;height:127.01px;"><div><p><span data-textwidth="457.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:36.71px;top:24.77px;">Proteus Syndrome</span></p></div></div></div> <div class="sg" id="s690" data-sgid="Immagine 10" style="z-index:3;left:684.88px;top:112.74px;width:233.75px;height:352.79px"> <img class="sg" src="65C18874.png" id="s690_i" style="z-index:1;left:0px;top:0px;width:233.75px;height:352.79px" > </div> <div class="sg" id="s688" data-sgid="Content Placeholder 2" style="z-index:1;left:7.08px;top:100.26px;width:667.84px;height:429.33px" data-valign="top" data-pointer-events="none"> <div id="s688_t" class="sg" style="z-index:2;left:-6.71px;top:-9.22px;width:674.55px;height:438.55px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="469.56" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:14.51px;top:10.16px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>Rare congenital hamartomatous syndrome</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="432.48" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:139%; left:14.51px;top:40.16px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>Prevalence < 1 per 1,000,000 live births</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="616.56" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:139%; left:14.51px;top:70.16px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>Overgrowth of multiple tissues, especially bone, fat, and </span></span><span data-textwidth="558.96" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:139%; left:41.51px;top:94.72px;">other connective tissues in a patchy or mosaic pattern</span></p><p></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="531.60" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:122%; left:50.51px;top:153.92px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>disproportionate, asymmetric overgrowth of body parts</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="463.80" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:122%; left:50.51px;top:180.32px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>characteristic cerebriform connective tissue nevi</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="407.52" class="sg nowrap f2" style="z-index:19;color:#FFFFFF;font-size:122%; left:50.51px;top:206.72px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>epidermal nevi in early life (by 18 months)</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="608.76" class="sg nowrap f2" style="z-index:24;color:#FFFFFF;font-size:122%; left:50.51px;top:233.12px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>sole of foot involvement rare in other differential considerations</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="587.16" class="sg nowrap f2" style="z-index:26;color:#FFFFFF;font-size:122%; left:50.51px;top:259.52px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>vascular malformations (capillary, venous, or lymphatic types)</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="560.64" class="sg nowrap f2" style="z-index:28;color:#FFFFFF;font-size:122%; left:50.51px;top:285.92px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>dysregulated adipose tissue (lipomas, lipohypoplasia, fatty </span></span><span data-textwidth="314.76" class="sg nowrap f4" style="z-index:32;color:#FFFFFF;font-weight:bold; font-size:122%; left:73.07px;top:306.84px;">overgrowth, localized fat deposits)</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="593.16" class="sg nowrap f2" style="z-index:33;color:#FFFFFF;font-size:122%; left:50.51px;top:333.44px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>unusual features: bullous lung alterations; specific neoplasms; </span></span><span data-textwidth="567.36" class="sg nowrap f4" style="z-index:36;color:#FFFFFF;font-weight:bold; font-size:122%; left:73.07px;top:354.36px;">facial phenotype associated with intellectual disability and/or </span><span data-textwidth="546.72" class="sg nowrap f4" style="z-index:37;color:#FFFFFF;font-weight:bold; font-size:122%; left:73.07px;top:375.48px;">seizures, and/or brain malformations; deep vein thrombosis</span></p></div></div></div> <div class="sg" id="s689" data-sgid="Rettangolo 7" style="z-index:2;left:684.63px;top:474.04px;width:234.37px;height:29.99px" data-valign="top" data-pointer-events="none"> <div id="s689_t" class="sg" style="z-index:2;left:-3.60px;top:-1.78px;width:240.60px;height:38.87px;"><div><p><span data-textwidth="217.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.61px;top:7.82px;">Clin Genet 2014: 85: 111–119</span></p></div></div></div> <div class="sg" id="s691" data-sgid="Picture 8" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s691_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s701" data-sgid="Rectangle 2" style="z-index:11;left:242.16px;top:15.72px;width:476.76px;height:80.82px" data-valign="top" data-pointer-events="none"> <div id="s701_t" class="sg" style="z-index:2;left:-28.91px;top:-14.53px;width:529.80px;height:127.01px;"><div><p><span data-textwidth="457.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:36.71px;top:24.77px;">Proteus Syndrome</span></p></div></div></div> <div class="sg" id="s700" data-sgid="Title 5" style="z-index:10;left:54.46px;top:13.56px;width:864.54px;height:90.78px" data-valign="top"> <img class="sg" src="F4288221729x182.png" id="s700_tt" style="left:0.00px;top:0.00px;width:864.54px;height:90.78px;z-index:1" > </div> <div class="sg" id="s693" data-sgid="Picture 5" style="z-index:1;left:254.76px;top:109.02px;width:210.25px;height:224.48px"> <img class="sg" src="E9953770.png" id="s693_i" style="z-index:1;left:0px;top:0px;width:210.25px;height:224.48px" > </div> <div class="sg" id="s697" data-sgid="Picture 17" style="z-index:7;left:498.48px;top:118.01px;width:202.94px;height:215.49px"> <img class="sg" src="E3D54375.png" id="s697_i" title="" alt="A picture containing indoor, person, wall, sittingDescription generated with very high confidence" style="z-index:1;left:0px;top:0px;width:202.94px;height:215.49px" > </div> <div class="sg" id="s694" data-sgid="Group 10" style="z-index:2;left:727.23px;top:76.10px;width:206.00px;height:332.06px" data-shape="group"> <div class="sg" id="s704" data-sgid="Oval 7" style="z-index:2;left:81.55px;top:1.60px;width:49.53px;height:56.62px" data-fillcolor="16777215"> <img class="sg" src="A6039C6D50x57.png" id="s704_i" style="z-index:1;left:0px;top:0px;width:49.53px;height:56.62px" > </div> <div class="sg" id="s705" data-sgid="Picture 4" style="z-index:1;left:-3.86px;top:-3.53px;width:212.77px;height:338.64px"> <img class="sg" src="C2D7D7DF.png" id="s705_i" style="z-index:1;left:0px;top:0px;width:212.77px;height:338.64px" > </div> </div> <div class="sg" id="s702" data-sgid="Picture 1" style="z-index:12;left:39.45px;top:20.99px;width:172.13px;height:469.73px"> <img class="sg" src="8AC82CBE.jpg" id="s702_i" style="z-index:1;left:0px;top:0px;width:172.13px;height:469.73px" > </div> <div class="sg" id="s696" data-sgid="Rectangle 15" style="z-index:6;left:278.50px;top:420.09px;width:204.27px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s696_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:204.27px;height:54.81px;"><div><p para="{al:2}"><span data-textwidth="189.00" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:67%; left:7.82px;top:5.23px;">http://www.ijdr.in/articles/2014/25/6/</span><span data-textwidth="186.84" class="sg nowrap f6" style="z-index:9;color:#FFFFFF;font-size:67%; left:8.90px;top:19.63px;">images/IndianJDentRes_2014_25_6_8</span><span data-textwidth="88.56" class="sg nowrap f6" style="z-index:17;color:#FFFFFF;font-size:67%; left:57.98px;top:34.03px;">28_152215_f1.jpg</span></p></div></div></div> <div class="sg" id="s698" data-sgid="Rectangle 18" style="z-index:8;left:495.37px;top:420.09px;width:210.13px;height:66.21px" data-valign="top" data-pointer-events="none"> <div id="s698_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:210.13px;height:69.19px;"><div><p para="{al:2}"><span data-textwidth="192.12" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:67%; left:9.23px;top:5.23px;">https://i0.wp.com/thehopenewspapers</span><span data-textwidth="47.04" class="sg nowrap f6" style="z-index:5;color:#FFFFFF;font-size:67%; left:81.71px;top:19.63px;">.com/wp-</span><span data-textwidth="180.84" class="sg nowrap f6" style="z-index:7;color:#FFFFFF;font-size:67%; left:14.87px;top:34.03px;">content/uploads/2015/10/Weekend-</span><span data-textwidth="147.24" class="sg nowrap f6" style="z-index:13;color:#FFFFFF;font-size:67%; left:31.67px;top:48.43px;">Hope-Page-2-Oct-17.jpg1_.jpg</span></p></div></div></div> <div class="sg" id="s695" data-sgid="Rectangle 14" style="z-index:5;left:717.96px;top:420.34px;width:216.62px;height:66.18px" data-valign="top" data-pointer-events="none"> <div id="s695_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:216.62px;height:69.30px;"><div><p para="{al:2}"><span data-textwidth="132.24" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:67%; left:42.60px;top:5.22px;">http://4.bp.blogspot.com/-</span><span data-textwidth="195.72" class="sg nowrap f6" style="z-index:6;color:#FFFFFF;font-size:67%; left:10.80px;top:19.62px;">mizhXgYFtgo/T7ixZv1gstI/AAAAAAAAAG</span><span data-textwidth="150.00" class="sg nowrap f6" style="z-index:11;color:#FFFFFF;font-size:67%; left:33.72px;top:34.02px;">g/GSzajn-oCQQ/s400/Proteus-</span><span data-textwidth="95.40" class="sg nowrap f6" style="z-index:17;color:#FFFFFF;font-size:67%; left:61.08px;top:48.42px;">Syndrome+copy.jpg</span></p></div></div></div> <div class="sg" id="s703" data-sgid="Rectangle 3" style="z-index:13;left:27.95px;top:499.72px;width:409.11px;height:29.87px" data-valign="top" data-pointer-events="none"> <div id="s703_t" class="sg" style="z-index:2;left:-3.60px;top:-2.39px;width:412.70px;height:38.72px;"><div><p><span data-textwidth="389.76" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.41px;top:8.03px;">Jamis-Dow et al RadioGraphics 2004; 24 1051</span></p></div></div></div> <div class="sg" id="s699" data-sgid="Picture 16" style="z-index:9;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s699_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s723" data-sgid="TextBox 10" style="z-index:10;left:286.65px;top:16.06px;width:339.81px;height:32.40px" data-valign="top"> <div id="s723_t" class="sg" style="z-index:2;left:-3.71px;top:-2.39px;width:343.52px;height:42.92px;"><div><p><span data-textwidth="311.64" class="sg nowrap f6" style="z-index:2;color:#FFD966;left:11.54px;top:10.05px;">Login at live.rsna.org and join course <span class="f4" style="font-weight:bold; font-size:111%; color:#FFFFFF;">PS12</span></span></p></div></div></div> <div class="sg" id="s716" data-sgid="Subtitle 2" style="z-index:3;left:135.06px;top:-0.48px;width:689.30px;height:98.58px" data-valign="top"> <img class="sg" src="4C1C1191379x197.png" id="s716_tt" style="left:0.00px;top:0.00px;width:689.30px;height:98.58px;z-index:1" > </div> <div class="sg" id="s717" data-sgid="Rectangle 5" style="z-index:4;left:250.91px;top:70.87px;width:457.59px;height:86.84px" data-valign="top" data-pointer-events="none"> <div id="s717_t" class="sg" style="z-index:2;left:-31.89px;top:-15.95px;width:503.86px;height:137.45px;"><div><p><span data-textwidth="438.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:361%; left:39.70px;top:26.00px;">Diagnosis Live<span class="f4" style="font-size:66%; position:relative;bottom:23px;">TM</span></span></p></div></div></div> <div class="sg" id="s722" data-sgid="TextBox 1" style="z-index:9;left:92.12px;top:100.03px;width:224.63px;height:46.87px" data-valign="top"> <div id="s722_t" class="sg" style="z-index:2;left:-1.33px;top:-0.63px;width:225.96px;height:47.49px;"><div><p><span data-textwidth="123.72" class="sg nowrap f6" style="z-index:2;color:#0563C1;font-size:78%; left:9.05px;top:6.52px;"><a target=_blank class="sga" href="http://bit.ly/2KiX3XW"><u>http://bit.ly/2KiX3XW</u></a></span></p></div></div><img class="sg" src="41F3EAC1452x95.png" id="s722_tt" style="left:-1.33px;top:-0.63px;width:225.96px;height:47.49px;z-index:1" > </div> <div class="sg" id="s718" data-sgid="TextBox 6" style="z-index:5;left:9.01px;top:156.74px;width:940.70px;height:59.12px" data-valign="top"> <div id="s718_t" class="sg" style="z-index:2;left:-18.02px;top:-9.11px;width:958.71px;height:89.11px;"><div><p><span data-textwidth="900.12" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.81px;top:17.81px;">Which is most correct regarding Proteus Syndrome?</span></p></div></div></div> <div class="sg" id="s715" data-sgid="TextBox 3" style="z-index:2;left:126.42px;top:236.48px;width:833.48px;height:284.23px" data-valign="top"> <div id="s715_t" class="sg" style="z-index:2;left:-14.87px;top:-8.03px;width:848.34px;height:292.26px;"><div><p para="{bl:{nbr:1,val:1,st:1}}"><span data-textwidth="491.40" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.61px;top:15.67px;">A.<span style="letter-spacing:18.96px"> </span>Named after a Greek sea god</span></p><p para="{bl:{nbr:2,val:1,st:1}}"><span data-textwidth="784.80" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.61px;top:58.87px;">B.<span style="letter-spacing:20.64px"> </span>Named for Joseph (“John”) Merrick’s home town</span></p><p para="{bl:{nbr:3,val:1,st:1}}"><span data-textwidth="445.08" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.61px;top:102.07px;">C.<span style="letter-spacing:21.72px"> </span>Afflicted Abraham Lincoln</span></p><p para="{bl:{nbr:4,val:1,st:1}}"><span data-textwidth="538.92" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.61px;top:145.27px;">D.<span style="letter-spacing:18.00px"> </span>The model for the Michelin man</span></p></div></div></div> <div class="sg" id="s719" data-sgid="Picture 7" style="z-index:6;left:707.65px;top:337.70px;width:124.38px;height:182.04px"> <img class="sg" src="F706AB44.jpg" id="s719_i" style="z-index:1;left:0px;top:0px;width:124.38px;height:182.04px" > </div> <div class="sg" id="s720" data-sgid="Picture 8" style="z-index:7;left:0.00px;top:326.78px;width:151.85px;height:213.22px"> <img class="sg" src="757D69CF.png" id="s720_i" style="z-index:1;left:0px;top:0px;width:151.85px;height:213.22px" > </div> <div class="sg" id="s714" data-sgid="Picture 2" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s714_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s721" data-sgid="Rectangle 9" style="z-index:8;left:126.42px;top:505.36px;width:434.20px;height:29.99px" data-valign="top" data-pointer-events="none"> <div id="s721_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:437.91px;height:38.87px;"><div><p><span data-textwidth="414.36" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;left:11.45px;top:7.97px;">http://www.carlogos.org/tire-brands/Michelin-logo.html</span></p></div></div></div> <div class="sg" id="s725" data-sgid="Subtitle 2" style="z-index:2;left:135.06px;top:-0.48px;width:689.30px;height:98.58px" data-valign="top"> <img class="sg" src="4C1C1191379x197.png" id="s725_tt" style="left:0.00px;top:0.00px;width:689.30px;height:98.58px;z-index:1" > </div> <div class="sg" id="s726" data-sgid="Rectangle 5" style="z-index:3;left:250.91px;top:35.38px;width:457.59px;height:86.84px" data-valign="top" data-pointer-events="none"> <div id="s726_t" class="sg" style="z-index:2;left:-31.89px;top:-15.83px;width:503.86px;height:137.30px;"><div><p><span data-textwidth="438.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:361%; left:39.70px;top:25.85px;">Diagnosis Live<span class="f4" style="font-size:66%; position:relative;bottom:23px;">TM</span></span></p></div></div></div> <div class="sg" id="s727" data-sgid="TextBox 6" style="z-index:4;left:9.01px;top:138.38px;width:940.70px;height:59.12px" data-valign="top"> <div id="s727_t" class="sg" style="z-index:2;left:-18.02px;top:-9.10px;width:958.71px;height:89.11px;"><div><p><span data-textwidth="900.12" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.81px;top:17.80px;">Which is most correct regarding Proteus Syndrome?</span></p></div></div></div> <div class="sg" id="s729" data-sgid="TextBox 7" style="z-index:6;left:126.42px;top:236.48px;width:833.48px;height:250.30px" data-valign="top"> <div id="s729_t" class="sg" style="z-index:2;left:-14.87px;top:-8.03px;width:848.34px;height:258.33px;"><div><p para="{bl:{nbr:1,val:1,st:1}}"><span data-textwidth="491.40" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:22.61px;top:15.67px;">A.<span style="letter-spacing:18.96px"> </span>Named after a Greek sea god</span></p><p para="{bl:{nbr:2,val:1,st:1}}"><span data-textwidth="784.80" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.61px;top:58.87px;">B.<span style="letter-spacing:20.64px"> </span>Named for Joseph (“John”) Merrick’s home town</span></p><p para="{bl:{nbr:3,val:1,st:1}}"><span data-textwidth="445.08" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.61px;top:102.07px;">C.<span style="letter-spacing:21.72px"> </span>Afflicted Abraham Lincoln</span></p><p para="{bl:{nbr:4,val:1,st:1}}"><span data-textwidth="538.92" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.61px;top:145.27px;">D.<span style="letter-spacing:18.00px"> </span>The model for the Michelin man</span></p></div></div></div> <div class="sg" id="s728" data-sgid="Picture 1" style="z-index:5;left:689.95px;top:346.53px;width:164.27px;height:173.23px"> <img class="sg" style="z-index:5;left:0.00px;top:0.00px;width:164.2687px;height:173.2287px" id="s728_g" src="s728.gif" > </div> <div class="sg" id="s724" data-sgid="Picture 2" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s724_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgSubtitle" id="s730" data-sgid="Subtitle 2" style="z-index:1;left:127.86px;top:89.70px;width:689.30px;height:98.58px" data-valign="top" data-pointer-events="none"> <div id="s730_t" class="sg" style="z-index:2;left:-25.54px;top:-13.42px;width:740.02px;height:335.06px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="268.20" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.56px;top:22.60px;">2018 RSNA </span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.36px;top:103.60px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:0.20}"><span data-textwidth="330.12" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:311%; left:205.36px;top:238.60px;">Abdomen: GU</span></p></div></div></div> <div class="sg" id="s731" data-sgid="Picture 3" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s731_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s736" data-sgid="Title 1 (2)" style="z-index:5;left:47.49px;top:-2.52px;width:828.44px;height:105.19px" data-valign="middle"> <div id="s736_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.44px;height:105.90px;"><div><p para="{al:2}"><span data-textwidth="145.68" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:341.55px;top:30.56px;">Training</span></p></div></div></div> <div class="sg sgTitle" id="s732" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s732_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:864.43px;height:98.58px;"><div><p para="{al:2}"><span data-textwidth="145.68" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:244%; left:359.55px;top:23.37px;">Training</span></p></div></div></div> <div class="sg" id="s738" data-sgid="Picture 9" style="z-index:7;left:31.07px;top:13.79px;width:121.63px;height:165.99px"> <img class="sg" src="F5B7EF0A.png" id="s738_i" style="z-index:1;left:0px;top:0px;width:121.63px;height:165.99px" > </div> <div class="sg" id="s734" data-sgid="Picture 2" style="z-index:3;left:424.82px;top:98.81px;width:490.92px;height:387.12px"> <img class="sg" src="3BCFCA8E.png" id="s734_i" title="" alt="Image may contain: one or more people and indoor" style="z-index:1;left:0px;top:0px;width:490.92px;height:387.12px" > </div> <div class="sg" id="s733" data-sgid="Content Placeholder 2" style="z-index:2;left:72.44px;top:174.35px;width:828.58px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s733_t" class="sg" style="z-index:2;left:-10.67px;top:-5.87px;width:839.25px;height:349.22px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="330.36" class="sg nowrap f2" style="z-index:2;font-size:178%; left:18.51px;top:13.16px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Exploring in the woods</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="204.48" class="sg nowrap f2" style="z-index:4;font-size:178%; left:18.51px;top:59.24px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Building forts</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="220.68" class="sg nowrap f2" style="z-index:6;font-size:178%; left:18.51px;top:105.32px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Riding my bike</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="249.84" class="sg nowrap f2" style="z-index:8;font-size:178%; left:18.51px;top:151.40px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Making mistakes</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="264.60" class="sg nowrap f2" style="z-index:10;font-size:178%; left:18.51px;top:197.48px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Learning kindness</span></span></p></div></div></div> <div class="sg" id="s737" data-sgid="Content Placeholder 2 (2)" style="z-index:6;left:47.49px;top:176.40px;width:828.44px;height:343.23px" data-valign="top"> <div id="s737_t" class="sg" style="z-index:2;left:-10.79px;top:-5.99px;width:839.23px;height:349.22px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="330.36" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.50px;top:13.15px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Exploring in the woods</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="204.48" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:178%; left:18.50px;top:59.23px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Building forts</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="220.68" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:178%; left:18.50px;top:105.31px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Riding my bike</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="249.84" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:178%; left:18.50px;top:151.39px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Making mistakes</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="264.60" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:178%; left:18.50px;top:197.47px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Learning kindness</span></span></p></div></div></div> <div class="sg" id="s735" data-sgid="Picture 4" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s735_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s740" data-sgid="TextBox 4" style="z-index:2;left:335.36px;top:10.92px;width:611.34px;height:61.39px" data-valign="top"> <div id="s740_t" class="sg" style="z-index:2;left:0.00px;top:-9.73px;width:640.37px;height:93.42px;"><div><p para="{al:3}"><span data-textwidth="468.96" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:145.12px;top:18.09px;">Matthew Davenport, MD </span></p></div></div></div> <div class="sg" id="s743" data-sgid="Rectangle 2" style="z-index:5;left:353.23px;top:95.57px;width:552.57px;height:109.99px" data-valign="top" data-pointer-events="none"> <div id="s743_t" class="sg" style="z-index:2;left:-9.71px;top:-4.90px;width:562.29px;height:127.01px;"><div><p><span data-textwidth="499.68" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.56px;top:11.57px;">Associate Professor, Radiology and Urology</span></p><p><span data-textwidth="273.12" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.56px;top:45.17px;">Associate Chair, Quality</span></p><p><span data-textwidth="219.00" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.56px;top:78.77px;">Director, Body MRI</span></p></div></div></div> <div class="sg" id="s739" data-sgid="Picture 3" style="z-index:1;left:42.93px;top:36.71px;width:229.22px;height:316.71px"> <img class="sg" src="7CBFB885.png" id="s739_i" style="z-index:1;left:0px;top:0px;width:229.22px;height:316.71px" > </div> <div class="sg" id="s745" data-sgid="Rectangle 7" style="z-index:7;left:308.85px;top:228.68px;width:664.35px;height:109.99px" data-valign="top" data-pointer-events="none"> <div id="s745_t" class="sg" style="z-index:2;left:-8.52px;top:-4.79px;width:672.88px;height:126.89px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="598.08" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.35px;top:12.23px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>MD: University of Cincinnati College of Medicine</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="607.20" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.35px;top:45.83px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>Residency: University of Michigan Health System </span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="603.84" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:16.35px;top:79.43px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:19.92px"> </span>Fellowship: Abdominal imaging, Duke University </span></span></p></div></div></div> <div class="sg" id="s744" data-sgid="Picture 5" style="z-index:6;left:76.52px;top:366.84px;width:162.16px;height:162.27px"> <img class="sg" src="B049F95A.png" id="s744_i" style="z-index:1;left:0px;top:0px;width:162.16px;height:162.27px" > </div> <div class="sg" id="s741" data-sgid="Rectangle 1" style="z-index:3;left:289.91px;top:375.97px;width:656.79px;height:143.77px" data-valign="top" data-pointer-events="none"> <div id="s741_t" class="sg" style="z-index:2;left:-9.38px;top:-4.82px;width:681.77px;height:160.48px;"><div><p para="{al:2,spaf:12.00}"><span data-textwidth="647.28" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:11.77px;">Expertise/research contributions: safety and efficacy of </span><span data-textwidth="527.76" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:77.31px;top:45.37px;">contrast material; prostate MRI, urologic and </span><span data-textwidth="575.88" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:53.31px;top:78.97px;">hepatobiliary imaging, quality improvement, and </span><span data-textwidth="294.96" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:156%; left:190.47px;top:112.57px;">image-guided procedures</span></p></div></div></div> <div class="sg" id="s742" data-sgid="Picture 4" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s742_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s749" data-sgid="Picture 2" style="z-index:4;left:554.98px;top:35.26px;width:278.27px;height:278.33px"> <img class="sg" src="45528F1B.png" id="s749_i" title="" alt="Image may contain: Matt Davenport and Christi Davenport, people smiling, indoor and closeup" style="z-index:1;left:0px;top:0px;width:278.27px;height:278.33px" > </div> <div class="sg" id="s746" data-sgid="Picture 10" style="z-index:1;left:17.76px;top:35.26px;width:430.46px;height:289.48px"> <img class="sg" src="F6D69539.png" id="s746_i" title="" alt="Image may contain: one or more people, hat, child and outdoor" style="z-index:1;left:0px;top:0px;width:430.46px;height:289.48px" > </div> <div class="sg" id="s750" data-sgid="Picture 6" style="z-index:5;left:744.35px;top:211.66px;width:195.86px;height:258.67px"> <img class="sg" src="F740DA98.png" id="s750_i" title="" alt="Image may contain: one or more people, people standing and indoor" style="z-index:1;left:0px;top:0px;width:195.86px;height:258.67px" > </div> <div class="sg" id="s747" data-sgid="Picture 12" style="z-index:2;left:315.34px;top:213.59px;width:211.58px;height:279.89px"> <img class="sg" src="444E8445.png" id="s747_i" title="" alt="Image may contain: 1 person, kitchen, food and indoor" style="z-index:1;left:0px;top:0px;width:211.58px;height:279.89px" > </div> <div class="sg" id="s748" data-sgid="Title 1" style="z-index:3;left:107.95px;top:357.84px;width:545.61px;height:61.28px" data-valign="middle"> <div id="s748_t" class="sg" style="z-index:2;left:-19.08px;top:-12.11px;width:564.69px;height:93.42px;"><div><p><span data-textwidth="111.96" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:26.93px;top:18.31px;">Quinn</span></p></div></div></div> <div class="sg" id="s751" data-sgid="Title 1 (2)" style="z-index:6;left:590.72px;top:357.84px;width:545.49px;height:61.28px" data-valign="middle"> <div id="s751_t" class="sg" style="z-index:2;left:-19.20px;top:-12.11px;width:564.69px;height:93.42px;"><div><p><span data-textwidth="116.40" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.16px;top:18.31px;">Christi</span></p></div></div></div> <div class="sg" id="s752" data-sgid="Picture 7" style="z-index:7;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s752_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s755" data-sgid="Title 1" style="z-index:3;left:119.45px;top:43.66px;width:720.51px;height:75.55px" data-valign="top"> <div id="s755_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:720.51px;height:130.95px;"><div><p para="{al:2}"><span data-textwidth="184.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:275.23px;top:25.14px;">History</span></p></div></div></div> <div class="sg sgSubtitle" id="s753" data-sgid="Subtitle 2" style="z-index:1;left:119.45px;top:177.73px;width:855.31px;height:349.56px" data-valign="top" data-pointer-events="none"> <div id="s753_t" class="sg" style="z-index:2;left:-17.98px;top:-14.04px;width:873.29px;height:363.60px;"><div><p para="{spbf:10.00}"><span data-textwidth="425.76" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.73px;top:17.59px;">63 year-old female with:</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="393.60" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:178%; left:61.73px;top:67.63px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:33.72px"> </span>right abdomen/flank pain</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="484.92" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:178%; left:61.73px;top:107.23px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:33.72px"> </span>long standing history of seizures </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="474.00" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:178%; left:61.73px;top:146.83px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:33.72px"> </span>5.0 kg unintentional weight loss</span></span></p></div></div></div> <div class="sg" id="s754" data-sgid="Picture 4" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s754_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s766" data-sgid="Title 1" style="z-index:1;left:119.45px;top:13.19px;width:720.51px;height:75.80px" data-valign="top" data-pointer-events="none"> <img class="sg" src="A136DB91441x152.png" id="s766_tt" style="left:0.00px;top:0.00px;width:720.51px;height:75.80px;z-index:1" > </div> <div class="sg" id="s769" data-sgid="TextBox 2" style="z-index:4;left:603.32px;top:26.01px;width:329.47px;height:58.78px" data-valign="top"> <img class="sg" src="D630027F329x59.png" id="s769_i" style="z-index:1;left:0px;top:0px;width:329.47px;height:58.78px" > <div id="s769_t" class="sg" style="z-index:2;left:-14.27px;top:-7.43px;width:357.76px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="308.88" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.99px;top:16.02px;">Ultrasound Found:</span></p></div></div></div> <div class="sg" id="s770" data-sgid="TextBox 6" style="z-index:5;left:693.75px;top:95.46px;width:148.59px;height:58.89px" data-valign="top"> <img class="sg" src="185CEBBE149x59.png" id="s770_i" style="z-index:1;left:0px;top:0px;width:148.59px;height:58.89px" > <div id="s770_t" class="sg" style="z-index:2;left:-15.13px;top:-7.32px;width:178.61px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="129.48" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:25.06px;top:16.06px;">A thing.</span></p></div></div></div> <div class="sg" id="s767" data-sgid="Picture 3" style="z-index:2;left:28.32px;top:25.67px;width:518.02px;height:454.01px"> <img class="sg" src="CEF8D280.png" id="s767_i" style="z-index:1;left:0px;top:0px;width:518.02px;height:454.01px" > </div> <div class="sg" id="s768" data-sgid="Picture 5" style="z-index:3;left:449.43px;top:163.94px;width:492.00px;height:334.33px"> <img class="sg" src="D2220D6D.png" id="s768_i" style="z-index:1;left:0px;top:0px;width:492.00px;height:334.33px" > </div> <div class="sg" id="s771" data-sgid="Picture 7" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s771_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s779" data-sgid="TextBox 4" style="z-index:3;left:28.32px;top:22.78px;width:181.59px;height:58.78px" data-valign="top"> <img class="sg" src="C88EC5FD182x59.png" id="s779_i" style="z-index:1;left:0px;top:0px;width:181.59px;height:58.78px" > <div id="s779_t" class="sg" style="z-index:2;left:-15.01px;top:-7.43px;width:211.35px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="162.12" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.85px;top:16.01px;">CT shows:</span></p></div></div></div> <div class="sg" id="s780" data-sgid="TextBox 5" style="z-index:4;left:218.06px;top:23.04px;width:660.39px;height:58.75px" data-valign="top"> <img class="sg" src="8B47B5E3660x59.png" id="s780_i" style="z-index:1;left:0px;top:0px;width:660.39px;height:58.75px" > <div id="s780_t" class="sg" style="z-index:2;left:-12.60px;top:-7.32px;width:685.48px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="636.84" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.70px;top:15.88px;">Large bilateral solid perinephric masses</span></p></div></div></div> <div class="sg" id="s789" data-sgid="TextBox 14" style="z-index:13;left:681.26px;top:119.09px;width:189.88px;height:58.75px" data-valign="top"> <img class="sg" src="4CF3357D190x59.png" id="s789_i" style="z-index:1;left:0px;top:0px;width:189.88px;height:58.75px" > <div id="s789_t" class="sg" style="z-index:2;left:-14.87px;top:-7.43px;width:219.39px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="170.52" class="sg nowrap f6" style="z-index:2;color:#F8CBAD;font-size:222%; left:24.93px;top:16.06px;">Just bowel</span></p></div></div></div> <div class="sg" id="s788" data-sgid="TextBox 13" style="z-index:12;left:232.22px;top:126.16px;width:189.86px;height:58.89px" data-valign="top"> <img class="sg" src="F8FF60E1190x59.png" id="s788_i" style="z-index:1;left:0px;top:0px;width:189.86px;height:58.89px" > <div id="s788_t" class="sg" style="z-index:2;left:-14.64px;top:-7.32px;width:219.36px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="170.52" class="sg nowrap f6" style="z-index:2;color:#F8CBAD;font-size:222%; left:24.58px;top:15.96px;">Just bowel</span></p></div></div></div> <div class="sg" id="s786" data-sgid="Right Arrow 11" style="z-index:10;left:805.64px;top:180.96px;width:37.18px;height:67.74px" data-fillcolor="16777215"> <img class="sg" src="2682F3EE37x68.png" id="s786_i" style="z-index:1;left:0px;top:0px;width:37.18px;height:67.74px" > </div> <div class="sg" id="s787" data-sgid="Right Arrow 12" style="z-index:11;left:345.78px;top:187.09px;width:51.46px;height:60.54px" data-fillcolor="16777215"> <img class="sg" src="1B560F7751x61.png" id="s787_i" style="z-index:1;left:0px;top:0px;width:51.46px;height:60.54px" > </div> <div class="sg" id="s792" data-sgid="TextBox 17" style="z-index:16;left:778.90px;top:259.15px;width:173.68px;height:58.89px" data-valign="top"> <img class="sg" src="27969E97174x59.png" id="s792_i" style="z-index:1;left:0px;top:0px;width:173.68px;height:58.89px" > <div id="s792_t" class="sg" style="z-index:2;left:-14.98px;top:-7.18px;width:203.53px;height:84.88px;"><div><p para="{al:2}"><span data-textwidth="154.68" class="sg nowrap f6" style="z-index:2;color:#92D050;font-size:222%; left:24.84px;top:16.03px;">No nodes</span></p></div></div></div> <div class="sg" id="s777" data-sgid="Picture 1" style="z-index:1;left:489.59px;top:104.34px;width:447.99px;height:368.62px"> <img class="sg" src="1059E32D.png" id="s777_i" style="z-index:1;left:0px;top:0px;width:447.99px;height:368.62px" > </div> <div class="sg" id="s778" data-sgid="Picture 2" style="z-index:2;left:20.28px;top:104.34px;width:449.55px;height:369.11px"> <img class="sg" src="4995EA50.png" id="s778_i" style="z-index:1;left:0px;top:0px;width:449.55px;height:369.11px" > </div> <div class="sg" id="s791" data-sgid="Right Arrow 16" style="z-index:15;left:736.45px;top:274.50px;width:37.41px;height:35.15px" data-fillcolor="9621584"> <img class="sg" src="A668E72F37x35.png" id="s791_i" style="z-index:1;left:0px;top:0px;width:37.41px;height:35.15px" > </div> <div class="sg" id="s783" data-sgid="Right Arrow 8" style="z-index:7;left:536.49px;top:277.87px;width:60.46px;height:51.43px" data-fillcolor="16776960"> <img class="sg" src="6088C01360x51.png" id="s783_i" style="z-index:1;left:0px;top:0px;width:60.46px;height:51.43px" > </div> <div class="sg" id="s781" data-sgid="Right Arrow 6" style="z-index:5;left:73.52px;top:348.14px;width:56.50px;height:53.73px" data-fillcolor="16777215"> <img class="sg" src="A97080A356x54.png" id="s781_i" style="z-index:1;left:0px;top:0px;width:56.50px;height:53.73px" > </div> <div class="sg" id="s790" data-sgid="Right Arrow 15" style="z-index:14;left:560.02px;top:349.70px;width:56.72px;height:53.73px" data-fillcolor="16777215"> <img class="sg" src="E14887A57x54.png" id="s790_i" style="z-index:1;left:0px;top:0px;width:56.72px;height:53.73px" > </div> <div class="sg" id="s784" data-sgid="Right Arrow 9" style="z-index:8;left:699.50px;top:350.41px;width:61.28px;height:50.72px" data-fillcolor="16776960"> <img class="sg" src="953139AC61x51.png" id="s784_i" style="z-index:1;left:0px;top:0px;width:61.28px;height:50.72px" > </div> <div class="sg" id="s782" data-sgid="TextBox 7" style="z-index:6;left:55.17px;top:405.33px;width:379.63px;height:58.89px" data-valign="top"> <img class="sg" src="36495D1A380x59.png" id="s782_i" style="z-index:1;left:0px;top:0px;width:379.63px;height:58.89px" > <div id="s782_t" class="sg" style="z-index:2;left:-13.91px;top:-7.32px;width:407.44px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="358.80" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.50px;top:16.27px;">Iso, no fat attenuation</span></p></div></div></div> <div class="sg" id="s793" data-sgid="TextBox 18" style="z-index:17;left:499.67px;top:405.33px;width:97.16px;height:58.89px" data-valign="top"> <img class="sg" src="A473F2E997x59.png" id="s793_i" style="z-index:1;left:0px;top:0px;width:97.16px;height:58.89px" > <div id="s793_t" class="sg" style="z-index:2;left:-15.35px;top:-7.32px;width:127.61px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="78.72" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.96px;top:16.27px;">Solid</span></p></div></div></div> <div class="sg" id="s785" data-sgid="TextBox 10" style="z-index:9;left:619.86px;top:408.34px;width:184.36px;height:58.87px" data-valign="top"> <img class="sg" src="255C7684184x59.png" id="s785_i" style="z-index:1;left:0px;top:0px;width:184.36px;height:58.87px" > <div id="s785_t" class="sg" style="z-index:2;left:-14.87px;top:-7.32px;width:214.10px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="165.36" class="sg nowrap f6" style="z-index:2;color:#FFFF00;font-size:222%; left:24.77px;top:16.26px;">Extrarenal</span></p></div></div></div> <div class="sg" id="s794" data-sgid="Picture 19" style="z-index:18;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s794_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s798" data-sgid="TextBox 6" style="z-index:4;left:358.87px;top:18.35px;width:288.69px;height:58.87px" data-valign="top"> <img class="sg" src="31DE8FB3289x59.png" id="s798_i" style="z-index:1;left:0px;top:0px;width:288.69px;height:58.87px" > <div id="s798_t" class="sg" style="z-index:2;left:-14.39px;top:-7.20px;width:317.49px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="268.68" class="sg nowrap f6" style="z-index:2;color:#FFFF00;font-size:222%; left:24.64px;top:15.89px;">Normal adrenals</span></p></div></div></div> <div class="sg" id="s800" data-sgid="Right Arrow 8" style="z-index:6;left:504.49px;top:84.79px;width:35.37px;height:33.22px" data-fillcolor="16776960"> <img class="sg" src="DDE782FF35x33.png" id="s800_i" style="z-index:1;left:0px;top:0px;width:35.37px;height:33.22px" > </div> <div class="sg" id="s799" data-sgid="Right Arrow 7" style="z-index:5;left:465.49px;top:84.31px;width:32.74px;height:33.11px" data-fillcolor="16776960"> <img class="sg" src="283A3A9633x33.png" id="s799_i" style="z-index:1;left:0px;top:0px;width:32.74px;height:33.11px" > </div> <div class="sg" id="s797" data-sgid="TextBox 5" style="z-index:3;left:17.98px;top:92.94px;width:328.54px;height:58.89px" data-valign="top"> <img class="sg" src="CC82E517329x59.png" id="s797_i" style="z-index:1;left:0px;top:0px;width:328.54px;height:58.89px" > <div id="s797_t" class="sg" style="z-index:2;left:-14.27px;top:-7.32px;width:356.83px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="307.80" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.73px;top:15.94px;">Volume averaging?</span></p></div></div></div> <div class="sg" id="s802" data-sgid="TextBox 10" style="z-index:8;left:644.92px;top:92.94px;width:167.57px;height:58.89px" data-valign="top"> <img class="sg" src="A7D6B033168x59.png" id="s802_i" style="z-index:1;left:0px;top:0px;width:167.57px;height:58.89px" > <div id="s802_t" class="sg" style="z-index:2;left:-14.98px;top:-7.32px;width:197.42px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="148.68" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.90px;top:15.94px;">Fat plane</span></p></div></div></div> <div class="sg" id="s801" data-sgid="Right Arrow 9" style="z-index:7;left:580.64px;top:133.11px;width:62.61px;height:49.53px" data-fillcolor="16777215"> <img class="sg" src="5BB44E2863x50.png" id="s801_i" style="z-index:1;left:0px;top:0px;width:62.61px;height:49.53px" > </div> <div class="sg" id="s796" data-sgid="Right Arrow 4" style="z-index:2;left:338.48px;top:141.62px;width:63.80px;height:48.23px" data-fillcolor="16777215"> <img class="sg" src="5F8144BE64x48.png" id="s796_i" style="z-index:1;left:0px;top:0px;width:63.80px;height:48.23px" > </div> <div class="sg" id="s805" data-sgid="Right Arrow 14" style="z-index:11;left:413.81px;top:200.03px;width:56.72px;height:53.62px" data-fillcolor="16777215"> <img class="sg" src="246D010A57x54.png" id="s805_i" style="z-index:1;left:0px;top:0px;width:56.72px;height:53.62px" > </div> <div class="sg" id="s806" data-sgid="Right Arrow 15" style="z-index:12;left:529.92px;top:202.55px;width:53.84px;height:56.11px" data-fillcolor="16777215"> <img class="sg" src="AB6DBB4454x56.png" id="s806_i" style="z-index:1;left:0px;top:0px;width:53.84px;height:56.11px" > </div> <div class="sg" id="s810" data-sgid="Right Arrow 19" style="z-index:16;left:733.20px;top:216.94px;width:37.44px;height:35.26px" data-fillcolor="9621584"> <img class="sg" src="93B3078F37x35.png" id="s810_i" style="z-index:1;left:0px;top:0px;width:37.44px;height:35.26px" > </div> <div class="sg" id="s814" data-sgid="Right Arrow 23" style="z-index:20;left:249.24px;top:217.53px;width:37.67px;height:35.26px" data-fillcolor="9621584"> <img class="sg" src="4580CC5C38x35.png" id="s814_i" style="z-index:1;left:0px;top:0px;width:37.67px;height:35.26px" > </div> <div class="sg" id="s795" data-sgid="Picture 3" style="z-index:1;left:260.99px;top:12.48px;width:503.52px;height:501.39px"> <img class="sg" src="8DAF8F5B.png" id="s795_i" style="z-index:1;left:0px;top:0px;width:503.52px;height:501.39px" > </div> <div class="sg" id="s804" data-sgid="Right Arrow 13" style="z-index:10;left:413.81px;top:242.01px;width:56.72px;height:53.59px" data-fillcolor="16777215"> <img class="sg" src="27554F4157x54.png" id="s804_i" style="z-index:1;left:0px;top:0px;width:56.72px;height:53.59px" > </div> <div class="sg" id="s807" data-sgid="Right Arrow 16" style="z-index:13;left:534.93px;top:245.73px;width:53.86px;height:56.23px" data-fillcolor="16777215"> <img class="sg" src="5A8C0F7554x56.png" id="s807_i" style="z-index:1;left:0px;top:0px;width:53.86px;height:56.23px" > </div> <div class="sg" id="s815" data-sgid="TextBox 24" style="z-index:21;left:70.03px;top:224.37px;width:156.30px;height:107.21px" data-valign="top"> <img class="sg" src="2722BEAF156x107.png" id="s815_i" style="z-index:1;left:0px;top:0px;width:156.30px;height:107.21px" > <div id="s815_t" class="sg" style="z-index:2;left:-6.93px;top:-7.43px;width:179.18px;height:132.99px;"><div><p para="{al:2}"><span data-textwidth="130.20" class="sg nowrap f6" style="z-index:2;color:#92D050;font-size:222%; left:24.62px;top:16.14px;">Normal </span><span data-textwidth="63.84" class="sg nowrap f6" style="z-index:3;color:#92D050;font-size:222%; left:53.30px;top:64.14px;">skin</span></p></div></div></div> <div class="sg" id="s813" data-sgid="Right Arrow 22" style="z-index:19;left:238.45px;top:273.08px;width:37.41px;height:36.79px" data-fillcolor="9621584"> <img class="sg" src="B287D9437x37.png" id="s813_i" style="z-index:1;left:0px;top:0px;width:37.41px;height:36.79px" > </div> <div class="sg" id="s812" data-sgid="Right Arrow 21" style="z-index:18;left:741.24px;top:274.87px;width:37.55px;height:35.15px" data-fillcolor="9621584"> <img class="sg" src="D36F3D8038x35.png" id="s812_i" style="z-index:1;left:0px;top:0px;width:37.55px;height:35.15px" > </div> <div class="sg" id="s811" data-sgid="TextBox 20" style="z-index:17;left:779.98px;top:247.04px;width:156.30px;height:107.21px" data-valign="top"> <img class="sg" src="5C34E676156x107.png" id="s811_i" style="z-index:1;left:0px;top:0px;width:156.30px;height:107.21px" > <div id="s811_t" class="sg" style="z-index:2;left:-6.82px;top:-7.32px;width:179.18px;height:132.88px;"><div><p para="{al:2}"><span data-textwidth="130.20" class="sg nowrap f6" style="z-index:2;color:#92D050;font-size:222%; left:24.84px;top:16.16px;">Normal </span><span data-textwidth="63.84" class="sg nowrap f6" style="z-index:3;color:#92D050;font-size:222%; left:53.52px;top:64.16px;">skin</span></p></div></div></div> <div class="sg" id="s803" data-sgid="Right Arrow 11" style="z-index:9;left:413.81px;top:278.81px;width:56.72px;height:53.62px" data-fillcolor="16777215"> <img class="sg" src="43321BAD57x54.png" id="s803_i" style="z-index:1;left:0px;top:0px;width:56.72px;height:53.62px" > </div> <div class="sg" id="s808" data-sgid="Right Arrow 17" style="z-index:14;left:539.15px;top:288.28px;width:53.84px;height:56.26px" data-fillcolor="16777215"> <img class="sg" src="928C8C0354x56.png" id="s808_i" style="z-index:1;left:0px;top:0px;width:53.84px;height:56.26px" > </div> <div class="sg" id="s809" data-sgid="TextBox 18" style="z-index:15;left:349.15px;top:347.55px;width:327.32px;height:58.87px" data-valign="top"> <img class="sg" src="B2D0767E327x59.png" id="s809_i" style="z-index:1;left:0px;top:0px;width:327.32px;height:58.87px" > <div id="s809_t" class="sg" style="z-index:2;left:-14.16px;top:-7.44px;width:355.38px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="306.48" class="sg nowrap f6" style="z-index:2;color:#F8CBAD;font-size:222%; left:24.77px;top:16.33px;">Nothing perineural</span></p></div></div></div> <div class="sg" id="s816" data-sgid="Picture 25" style="z-index:22;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s816_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s817" data-sgid="Title 1" style="z-index:1;left:119.45px;top:24.82px;width:720.51px;height:75.66px" data-valign="top" data-pointer-events="none"> <div id="s817_t" class="sg" style="z-index:2;left:0.00px;top:-21.59px;width:720.51px;height:126.89px;"><div><p para="{al:2}"><span data-textwidth="408.96" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:155.95px;top:24.53px;">Thought Process</span></p></div></div></div> <div class="sg" id="s820" data-sgid="TextBox 9" style="z-index:4;left:259.92px;top:112.60px;width:386.22px;height:58.78px" data-valign="top"> <img class="sg" src="E53C6645386x59.png" id="s820_i" style="z-index:1;left:0px;top:0px;width:386.22px;height:58.78px" > <div id="s820_t" class="sg" style="z-index:2;left:-12.12px;top:-7.44px;width:410.44px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="361.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.72px;top:16.08px;">Why bother thinking?</span></p></div></div></div> <div class="sg sgSubtitle" id="s818" data-sgid="Subtitle 2" style="z-index:2;left:22.54px;top:113.67px;width:855.20px;height:349.59px" data-valign="top" data-pointer-events="none"> <div id="s818_t" class="sg" style="z-index:2;left:-18.58px;top:-14.97px;width:891.05px;height:364.57px;"><div><p para="{bl:{nbr:1,val:1,st:3},spbf:10.00}"><span data-textwidth="825.24" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:233%; left:26.28px;top:18.50px;">1.<span style="letter-spacing:16.56px"> </span>Ultrasound was very helpful, thanks for that</span></p><p para="{bl:{nbr:2,val:1,st:3},spbf:10.00}"><span data-textwidth="802.08" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:233%; left:26.28px;top:73.82px;">2.<span style="letter-spacing:16.56px"> </span>Renal vs. perirenal have very different DDx</span></p><p para="{bl:{nbr:3,val:1,st:3},spbf:10.00}"><span data-textwidth="812.64" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:233%; left:26.28px;top:129.14px;">3.<span style="letter-spacing:16.56px"> </span>Seizures imply a neuro-oncologic syndrome</span></p><p para="{bl:{nbr:4,val:1,st:3},spbf:10.00}"><span data-textwidth="602.40" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:233%; left:26.28px;top:184.58px;">4.<span style="letter-spacing:16.56px"> </span>Multi-year = probably not mets</span></p><p para="{bl:{nbr:5,val:1,st:3},spbf:10.00}"><span data-textwidth="839.64" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:233%; left:26.28px;top:239.90px;">5.<span style="letter-spacing:16.56px"> </span>“Guess that mass” always seemed odd to me</span></p></div></div></div> <div class="sg" id="s819" data-sgid="Picture 8" style="z-index:3;left:165.16px;top:99.55px;width:575.71px;height:431.94px"> <img class="sg" src="89A9CA53.jpg" id="s819_i" style="z-index:1;left:0px;top:0px;width:575.71px;height:431.94px" > </div> <div class="sg" id="s821" data-sgid="Picture 6" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s821_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s822" data-sgid="Title 1" style="z-index:1;left:115.26px;top:11.15px;width:720.62px;height:75.55px" data-valign="top" data-pointer-events="none"> <div id="s822_t" class="sg" style="z-index:2;left:0.00px;top:-19.06px;width:720.62px;height:114.30px;"><div><p para="{al:2}"><span data-textwidth="651.36" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:300%; left:34.86px;top:21.83px;">Perirenal<span style="color:#FFFFFF;"> Differential Diagnosis</span></span></p></div></div></div> <div class="sg" id="s831" data-sgid="Picture 14" style="z-index:10;left:370.39px;top:91.04px;width:410.32px;height:115.83px"> <img class="sg" src="9C1BB0E9.png" id="s831_i" style="z-index:1;left:0px;top:0px;width:410.32px;height:115.83px" > </div> <div class="sg" id="s824" data-sgid="TextBox 6" style="z-index:3;left:369.18px;top:125.79px;width:527.99px;height:58.89px" data-valign="top"> <img class="sg" src="9B4085A2528x59.png" id="s824_i" style="z-index:1;left:0px;top:0px;width:527.99px;height:58.89px" > <div id="s824_t" class="sg" style="z-index:2;left:-13.06px;top:-7.29px;width:554.36px;height:84.88px;"><div><p para="{al:2}"><span data-textwidth="505.80" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.52px;top:15.94px;">Chronic history, also, film panel</span></p></div></div></div> <div class="sg" id="s825" data-sgid="TextBox 7" style="z-index:4;left:369.18px;top:172.09px;width:441.99px;height:58.89px" data-valign="top"> <img class="sg" src="A8E3AF9A442x59.png" id="s825_i" style="z-index:1;left:0px;top:0px;width:441.99px;height:58.89px" > <div id="s825_t" class="sg" style="z-index:2;left:-13.54px;top:-7.18px;width:468.97px;height:84.88px;"><div><p para="{al:2}"><span data-textwidth="420.12" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.76px;top:15.97px;">+CNS, but nodes common</span></p></div></div></div> <div class="sg" id="s832" data-sgid="TextBox 16" style="z-index:11;left:369.43px;top:207.23px;width:260.26px;height:58.87px" data-valign="top"> <img class="sg" src="C4B197C9260x59.png" id="s832_i" style="z-index:1;left:0px;top:0px;width:260.26px;height:58.87px" > <div id="s832_t" class="sg" style="z-index:2;left:-14.53px;top:-7.20px;width:289.31px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="240.48" class="sg nowrap f6" style="z-index:2;color:#FFFF00;font-size:222%; left:24.78px;top:16.01px;">Negative study</span></p></div></div></div> <div class="sg" id="s826" data-sgid="TextBox 8" style="z-index:5;left:369.18px;top:221.13px;width:440.31px;height:58.75px" data-valign="top"> <img class="sg" src="D76027D440x59.png" id="s826_i" style="z-index:1;left:0px;top:0px;width:440.31px;height:58.75px" > <div id="s826_t" class="sg" style="z-index:2;left:-9.12px;top:-7.43px;width:458.44px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="409.56" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.90px;top:16.14px;">Too aggressive, bones OK</span></p></div></div></div> <div class="sg" id="s823" data-sgid="Table 5" style="z-index:2;left:36.33px;top:84.43px;width:323.24px;height:425.48px"> <div id="s823_t" class="sg" style="z-index:2;left:0px;top:0px;width:323.24px;height:425.48px;"><div><p><span data-textwidth="120.00" class="sg nowrap f4" style="z-index:2;color:#000000;font-weight:bold; font-size:178%; left:101.07px;top:13.65px;">Perirenal</span><span data-textwidth="186.48" class="sg nowrap f6" style="z-index:3;color:#000000;font-size:178%; left:35.55px;top:59.25px;">Lymphoma or </span><span data-textwidth="64.56" class="sg nowrap f6" style="z-index:4;color:#000000;font-size:178%; left:222.03px;top:59.25px;">mets</span><span data-textwidth="162.00" class="sg nowrap f6" style="z-index:5;color:#000000;font-size:178%; left:8.55px;top:104.85px;">Histiocytosis</span><span data-textwidth="135.36" class="sg nowrap f6" style="z-index:6;color:#000000;font-size:178%; left:178.11px;top:104.85px;">conditions</span><span data-textwidth="201.48" class="sg nowrap f6" style="z-index:7;color:#000000;font-size:178%; left:60.27px;top:150.45px;">Plasmacytomas</span><span data-textwidth="203.88" class="sg nowrap f6" style="z-index:8;color:#000000;font-size:178%; left:59.07px;top:196.05px;">Paragangliomas</span><span data-textwidth="197.16" class="sg nowrap f6" style="z-index:9;color:#000000;font-size:178%; left:62.43px;top:241.65px;">Extramedullary</span><span data-textwidth="185.76" class="sg nowrap f6" style="z-index:10;color:#000000;font-size:178%; left:68.19px;top:280.05px;">Hematopoesis</span><span data-textwidth="108.72" class="sg nowrap f6" style="z-index:11;color:#000000;font-size:178%; left:53.31px;top:325.65px;">Erdheim</span><span data-textwidth="99.36" class="sg nowrap f6" style="z-index:12;color:#000000;font-size:178%; left:169.47px;top:325.65px;">Chester</span><span data-textwidth="67.68" class="sg nowrap f6" style="z-index:13;color:#000000;font-size:178%; left:37.83px;top:371.25px;">Mass</span><span data-textwidth="9.84" class="sg nowrap f6" style="z-index:14;color:#000000;font-size:178%; left:105.51px;top:371.25px;">-</span><span data-textwidth="168.84" class="sg nowrap f6" style="z-index:15;color:#000000;font-size:178%; left:115.35px;top:371.25px;">forming IgG4</span></p></div></div><img class="sg" src="3B1E3C3D323x425.png" id="s823_i" style="z-index:1;left:0px;top:0px;width:323.24px;height:425.48px" > </div> <div class="sg" id="s827" data-sgid="TextBox 9" style="z-index:6;left:369.18px;top:267.43px;width:575.85px;height:58.87px" data-valign="top"> <img class="sg" src="25B02702576x59.png" id="s827_i" style="z-index:1;left:0px;top:0px;width:575.85px;height:58.87px" > <div id="s827_t" class="sg" style="z-index:2;left:-12.95px;top:-7.20px;width:601.88px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="553.08" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.77px;top:16.05px;">Common in syndromes, good look</span></p></div></div></div> <div class="sg" id="s828" data-sgid="TextBox 10" style="z-index:7;left:369.18px;top:330.01px;width:377.11px;height:58.89px" data-valign="top"> <img class="sg" src="214913B6377x59.png" id="s828_i" style="z-index:1;left:0px;top:0px;width:377.11px;height:58.89px" > <div id="s828_t" class="sg" style="z-index:2;left:-14.02px;top:-7.17px;width:404.92px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="356.04" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.88px;top:16.08px;">No risk factors for this</span></p></div></div></div> <div class="sg" id="s829" data-sgid="TextBox 11" style="z-index:8;left:369.18px;top:392.03px;width:545.86px;height:58.64px" data-valign="top"> <img class="sg" src="D7C8E756546x59.png" id="s829_i" style="z-index:1;left:0px;top:0px;width:545.86px;height:58.64px" > <div id="s829_t" class="sg" style="z-index:2;left:-13.06px;top:-7.43px;width:572.00px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="523.32" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.64px;top:16.24px;">+CNS, but usually “hairy” kidney</span></p></div></div></div> <div class="sg" id="s830" data-sgid="TextBox 13" style="z-index:9;left:369.18px;top:443.94px;width:551.27px;height:58.89px" data-valign="top"> <img class="sg" src="27D8CAEC551x59.png" id="s830_i" style="z-index:1;left:0px;top:0px;width:551.27px;height:58.89px" > <div id="s830_t" class="sg" style="z-index:2;left:-13.06px;top:-7.17px;width:577.27px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="528.60" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.76px;top:16.15px;">Film panel, but no other findings</span></p></div></div></div> <div class="sg" id="s833" data-sgid="Picture 15" style="z-index:12;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s833_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s834" data-sgid="Title 1" style="z-index:1;left:33.59px;top:8.28px;width:894.65px;height:75.66px" data-valign="top" data-pointer-events="none"> <div id="s834_t" class="sg" style="z-index:2;left:0.00px;top:-19.06px;width:894.65px;height:114.38px;"><div><p para="{al:2}"><span data-textwidth="820.32" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:300%; left:37.21px;top:21.82px;">Neuro-Oncologic<span style="color:#FFFFFF;"> Differential Diagnosis</span></span></p></div></div></div> <div class="sg" id="s836" data-sgid="TextBox 6" style="z-index:3;left:364.87px;top:134.78px;width:549.69px;height:58.89px" data-valign="top"> <img class="sg" src="4B833EF7550x59.png" id="s836_i" style="z-index:1;left:0px;top:0px;width:549.69px;height:58.89px" > <div id="s836_t" class="sg" style="z-index:2;left:-13.08px;top:-7.18px;width:575.85px;height:84.91px;"><div><p para="{al:2}"><span data-textwidth="527.04" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.65px;top:15.96px;">Paragang, but no other evidence</span></p></div></div></div> <div class="sg" id="s838" data-sgid="TextBox 8" style="z-index:5;left:364.87px;top:182.64px;width:437.79px;height:58.89px" data-valign="top"> <img class="sg" src="B2C7A1D6438x59.png" id="s838_i" style="z-index:1;left:0px;top:0px;width:437.79px;height:58.89px" > <div id="s838_t" class="sg" style="z-index:2;left:-13.79px;top:-7.43px;width:465.01px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="416.16" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.88px;top:16.11px;">No other abdominal signs</span></p></div></div></div> <div class="sg" id="s835" data-sgid="Table 5" style="z-index:2;left:32.99px;top:93.19px;width:323.35px;height:250.50px"> <div id="s835_t" class="sg" style="z-index:2;left:0px;top:0px;width:323.35px;height:250.50px;"><div><p><span data-textwidth="120.00" class="sg nowrap f4" style="z-index:2;color:#000000;font-weight:bold; font-size:178%; left:101.05px;top:13.65px;">Perirenal</span><span data-textwidth="35.40" class="sg nowrap f6" style="z-index:3;color:#000000;font-size:178%; left:130.33px;top:59.25px;">NF</span><span data-textwidth="9.84" class="sg nowrap f6" style="z-index:4;color:#000000;font-size:178%; left:165.73px;top:59.25px;">-</span><span data-textwidth="16.20" class="sg nowrap f6" style="z-index:5;color:#000000;font-size:178%; left:175.57px;top:59.25px;">1</span><span data-textwidth="47.88" class="sg nowrap f6" style="z-index:6;color:#000000;font-size:178%; left:137.05px;top:104.85px;">vHL</span><span data-textwidth="164.16" class="sg nowrap f6" style="z-index:7;color:#000000;font-size:178%; left:78.97px;top:150.45px;">Many others</span><span data-textwidth="120.00" class="sg nowrap f6" style="z-index:8;color:#000000;font-size:178%; left:41.65px;top:196.05px;">Tuberous</span><span data-textwidth="111.48" class="sg nowrap f6" style="z-index:9;color:#000000;font-size:178%; left:168.97px;top:196.05px;">Sclerosis</span></p></div></div><img class="sg" src="A17F3694323x250.png" id="s835_i" style="z-index:1;left:0px;top:0px;width:323.35px;height:250.50px" > </div> <div class="sg" id="s839" data-sgid="TextBox 9" style="z-index:6;left:364.87px;top:230.50px;width:549.69px;height:58.87px" data-valign="top"> <img class="sg" src="B2E3BA63550x59.png" id="s839_i" style="z-index:1;left:0px;top:0px;width:549.69px;height:58.87px" > <div id="s839_t" class="sg" style="z-index:2;left:-13.08px;top:-7.44px;width:575.85px;height:85.02px;"><div><p para="{al:2}"><span data-textwidth="527.40" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.53px;top:16.14px;">Most do not fit this presentation</span></p></div></div></div> <div class="sg" id="s837" data-sgid="TextBox 7" style="z-index:4;left:364.87px;top:292.48px;width:571.04px;height:204.23px" data-valign="top"> <img class="sg" src="DEE53CC5571x204.png" id="s837_i" style="z-index:1;left:0px;top:0px;width:571.04px;height:204.23px" > <div id="s837_t" class="sg" style="z-index:2;left:-14.05px;top:-7.32px;width:599.24px;height:228.94px;"><div><p para="{al:2}"><span data-textwidth="477.12" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-size:222%; left:61.38px;top:16.20px;">+Seizures, classic history, but:</span></p><p para="{al:2}"><span data-textwidth="424.92" class="sg nowrap f6" style="z-index:3;color:#FFFFFF;font-size:222%; left:87.54px;top:64.20px;">Otherwise normal kidneys</span></p><p para="{al:2}"><span data-textwidth="550.44" class="sg nowrap f6" style="z-index:4;color:#FFFFFF;font-size:222%; left:24.66px;top:112.20px;">Fat-poor AMLs not usually this big</span></p><p para="{al:2}"><span data-textwidth="374.52" class="sg nowrap f6" style="z-index:7;color:#FFFFFF;font-size:222%; left:112.74px;top:160.20px;">No definite renal origin</span></p></div></div></div> <div class="sg" id="s840" data-sgid="TextBox 11" style="z-index:7;left:31.77px;top:342.01px;width:322.90px;height:155.66px" data-valign="top"> <img class="sg" src="BF5FE562323x156.png" id="s840_i" style="z-index:1;left:0px;top:0px;width:322.90px;height:155.66px" > <div id="s840_t" class="sg" style="z-index:2;left:-11.38px;top:-7.31px;width:345.56px;height:180.85px;"><div><p para="{al:2}"><span data-textwidth="296.76" class="sg nowrap f6" style="z-index:2;color:#FFFF00;font-size:222%; left:24.49px;top:16.22px;">Some AMLs nasty:</span></p><p para="{al:2}"><span data-textwidth="272.16" class="sg nowrap f6" style="z-index:3;color:#FFFF00;font-size:222%; left:36.85px;top:64.22px;">Epithelioid AMLs</span></p><p para="{al:2}"><span data-textwidth="192.72" class="sg nowrap f6" style="z-index:4;color:#FFFF00;font-size:222%; left:76.57px;top:112.22px;">(aggressive)</span></p></div></div></div> <div class="sg" id="s841" data-sgid="Picture 10" style="z-index:8;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s841_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s842" data-sgid="Title 1" style="z-index:1;left:119.45px;top:24.82px;width:720.51px;height:75.66px" data-valign="top" data-pointer-events="none"> <div id="s842_t" class="sg" style="z-index:2;left:0.00px;top:-21.59px;width:720.51px;height:126.89px;"><div><p para="{al:2}"><span data-textwidth="644.64" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:38.11px;top:24.53px;">Final Differential and Plan</span></p></div></div></div> <div class="sg sgSubtitle" id="s843" data-sgid="Subtitle 2" style="z-index:2;left:20.50px;top:99.55px;width:946.10px;height:349.56px" data-valign="top" data-pointer-events="none"> <div id="s843_t" class="sg" style="z-index:2;left:-18.09px;top:-14.05px;width:977.40px;height:365.76px;"><div><p para="{spbf:10.00}"><span data-textwidth="416.28" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:233%; left:25.79px;top:17.66px;">Reasonable possibilities</span></p><p para="{spbf:10.00}"><span data-textwidth="744.12" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.79px;top:72.98px;">--Fat-poor epithelioid AMLs in setting of TS</span></p><p para="{spbf:10.00}"><span data-textwidth="926.16" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.79px;top:128.30px;">--Histiocytosis (Rosai-Dorfman [non-Langerhans cell])</span></p><p para="{spbf:10.00}"><span data-textwidth="218.40" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.79px;top:183.74px;">--Lymphoma</span></p><p para="{spbf:10.00}"><span data-textwidth="299.88" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.79px;top:239.06px;">--Paragangliomas</span></p><p para="{spbf:10.00}"><span data-textwidth="355.08" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.79px;top:294.38px;">--Mass-forming IgG4</span></p></div></div></div> <div class="sg" id="s844" data-sgid="TextBox 4" style="z-index:3;left:396.28px;top:273.53px;width:554.50px;height:259.29px" data-valign="top"> <img class="sg" src="F3164BF3554x259.png" id="s844_i" style="z-index:1;left:0px;top:0px;width:554.50px;height:259.29px" > <div id="s844_t" class="sg" style="z-index:2;left:-12.58px;top:-7.29px;width:579.56px;height:276.77px;"><div><p para="{al:2}"><span data-textwidth="83.28" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:248.46px;top:16.16px;">Plan:</span></p><p para="{al:2}"><span data-textwidth="530.76" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.78px;top:64.16px;">Look at chart (do they have TS?)</span><span data-textwidth="393.00" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:222%; left:93.66px;top:112.16px;">Comparisons (esp. CNS)</span></p><p para="{al:2}"><span data-textwidth="471.24" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:222%; left:54.42px;top:160.16px;">Metanephrines – if above (-)</span></p><p para="{al:2}"><span data-textwidth="278.76" class="sg nowrap f4" style="z-index:10;color:#FFFF00;font-weight:bold; font-size:222%; left:150.78px;top:208.16px;">Set up for biopsy</span></p></div></div></div> <div class="sg" id="s845" data-sgid="Picture 5" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s845_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s848" data-sgid="TextBox 6" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s848_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="382.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:37.92px;top:25.26px;">Final Diagnosis</span></p></div></div></div> <div class="sg sgTitle" id="s847" data-sgid="Title 5" style="z-index:2;left:47.49px;top:233.36px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s847_t" class="sg" style="z-index:2;left:0.00px;top:-35.97px;width:864.43px;height:230.72px;"><div><p para="{al:2}"><span data-textwidth="572.40" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:152.31px;top:21.97px;">Fat-poor epithelioid AML </span><span data-textwidth="782.64" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:300%; left:41.07px;top:80.29px;">(Perivascular epithelioid cell tumor</span><span data-textwidth="366.84" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:300%; left:248.91px;top:138.61px;">-PEComa family)</span></p></div></div></div> <div class="sg" id="s846" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s846_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s851" data-sgid="TextBox 7" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s851_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="194.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:132.12px;top:25.26px;">Answer</span></p></div></div></div> <div class="sg" id="s850" data-sgid="Title 5" style="z-index:2;left:47.49px;top:233.36px;width:864.43px;height:90.78px" data-valign="middle"> <div id="s850_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:872.47px;height:194.75px;"><div><p para="{al:2}"><span data-textwidth="790.44" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:49.47px;top:44.32px;">Perivascular epithelioid cell tumor </span><span data-textwidth="216.00" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:300%; left:324.39px;top:102.64px;">(PEComa)</span></p></div></div></div> <div class="sg" id="s849" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s849_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s853" data-sgid="Title 1" style="z-index:2;left:47.01px;top:16.91px;width:849.31px;height:75.66px" data-valign="top" data-pointer-events="none"> <div id="s853_t" class="sg" style="z-index:2;left:0.00px;top:-14.87px;width:849.31px;height:140.79px;"><div><p para="{al:2}"><span data-textwidth="640.68" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:109.59px;top:17.96px;">Perivascular epithelioid cell tumors</span><span data-textwidth="193.56" class="sg nowrap f4" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:244%; left:328.11px;top:65.48px;">(PEComas)</span></p></div></div></div> <div class="sg sgSubtitle" id="s852" data-sgid="Subtitle 2" style="z-index:1;left:47.01px;top:123.29px;width:880.03px;height:436.62px" data-valign="top" data-pointer-events="none"> <div id="s852_t" class="sg" style="z-index:2;left:-5.63px;top:-10.44px;width:892.01px;height:447.06px;"><div><p para="{bl:{ch:8226},spbf:10.00,spaf:12.00}"><span data-textwidth="864.72" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:128%; left:13.34px;top:9.47px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:31.68px"> </span>WHO: family of neoplasms showing morphologic and immunohistochemical evidence </span></span><span data-textwidth="496.56" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:128%; left:58.34px;top:29.47px;">of perivascular epithelioid cell (PEC) differentiation, </span></p><p para="{in:3,bl:{ch:167},spbf:5.00,spaf:12.00}"><span data-textwidth="228.84" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:106%; left:85.34px;top:66.23px;"><span class="f4" style="font-weight:bold; "><span style="letter-spacing:22.92px"> </span>angiomyolipoma (AML) </span></span></p><p para="{in:3,bl:{ch:167},spbf:5.00,spaf:12.00}"><span data-textwidth="531.48" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;font-size:106%; left:85.34px;top:99.23px;"><span class="f4" style="font-weight:bold; "><span style="letter-spacing:22.92px"> </span>lymphangioleiomyomatosis (LAM), and other clear cell tumors </span></span></p><p para="{bl:{ch:8226},spbf:10.00,spaf:12.00}"><span data-textwidth="295.80" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:128%; left:13.34px;top:135.95px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:31.68px"> </span>Rare mesenchymal tumor </span></span></p><p para="{in:3,bl:{ch:167},spbf:5.00,spaf:12.00}"><span data-textwidth="8.76" class="sg nowrap f3" style="z-index:20;color:#FFFFFF;font-size:106%; left:85.34px;top:173.51px;"></span><span data-textwidth="722.40" class="sg nowrap f5" style="z-index:21;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:106%; left:130.34px;top:173.43px;">Cells with association with blood vessel <span style="color:#FFFF00;">expressing melanocytic and smooth-muscle markers</span></span></p><p para="{bl:{ch:8226},spbf:10.00,spaf:12.00}"><span data-textwidth="556.32" class="sg nowrap f2" style="z-index:28;color:#FFFFFF;font-size:128%; left:13.34px;top:210.23px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:31.68px"> </span>Association with the tuberous sclerosis complex (TSC)</span></span></p><p para="{bl:{ch:8226},spbf:10.00,spaf:12.00}"><span data-textwidth="859.68" class="sg nowrap f2" style="z-index:33;color:#FFFFFF;font-size:128%; left:13.34px;top:251.63px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:31.68px"> </span>Can occur in various sites with wide range of imaging characteristics (often exophytic)</span></span></p><p para="{bl:{ch:8226},spbf:10.00,spaf:12.00}"><span data-textwidth="810.60" class="sg nowrap f2" style="z-index:40;color:#FFFFFF;font-size:128%; left:13.34px;top:292.91px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:31.68px"> </span>Fat may be identifiable on CT or MR but not in malignant lesions; most cured by </span></span><span data-textwidth="88.44" class="sg nowrap f4" style="z-index:44;color:#FFFFFF;font-weight:bold; font-size:128%; left:58.34px;top:312.91px;">resection</span></p><p para="{bl:{ch:8226},spbf:10.00,spaf:12.00}"><span data-textwidth="843.12" class="sg nowrap f2" style="z-index:45;color:#FFFFFF;font-size:128%; left:13.34px;top:353.51px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:31.68px"> </span>Tumors with near-total epithelioid histology can mimic RCC, lymphoma, </span><span class="f5" style="font-style:italic; font-weight:bold; ">or minimal </span></span><span data-textwidth="76.20" class="sg nowrap f5" style="z-index:54;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:128%; left:56.30px;top:373.51px;">fat AML</span></p></div></div></div> <div class="sg sgSubtitle" id="s854" data-sgid="Subtitle 2" style="z-index:1;left:127.86px;top:89.70px;width:689.30px;height:98.58px" data-valign="top" data-pointer-events="none"> <div id="s854_t" class="sg" style="z-index:2;left:-25.54px;top:-20.14px;width:740.02px;height:311.06px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="268.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.56px;top:22.60px;">2018 RSNA </span></p><p para="{al:2,spbf:10.00}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.36px;top:93.28px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:10.00}"><span data-textwidth="106.56" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:317.08px;top:214.60px;">MSK</span></p></div></div></div> <div class="sg" id="s855" data-sgid="Picture 3" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s855_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s858" data-sgid="TextBox 4" style="z-index:3;left:341.59px;top:-0.48px;width:611.34px;height:61.39px" data-valign="top"> <div id="s858_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:640.51px;height:93.19px;"><div><p para="{al:3}"><span data-textwidth="364.20" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:249.89px;top:17.95px;">Laura Bancroft, MD </span></p></div></div></div> <div class="sg" id="s860" data-sgid="Rectangle 7" style="z-index:5;left:290.39px;top:66.92px;width:682.70px;height:211.66px" data-valign="top" data-pointer-events="none"> <div id="s860_t" class="sg" style="z-index:2;left:-9.71px;top:-4.79px;width:692.42px;height:227.72px;"><div><p><span data-textwidth="628.68" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.52px;top:11.43px;">Florida Hospital Imaging Services and FRi – Diagnostic </span><span data-textwidth="98.88" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:89.52px;top:45.03px;">Imaging </span></p><p><span data-textwidth="608.64" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.52px;top:78.63px;">Adjunct Professor, Florida State University School of </span><span data-textwidth="114.60" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:89.52px;top:112.23px;">Medicine </span></p><p><span data-textwidth="624.60" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.52px;top:145.83px;">Clinical Professor, University of Central Florida School </span><span data-textwidth="144.72" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:156%; left:89.52px;top:179.43px;">of Medicine </span></p></div></div></div> <div class="sg" id="s857" data-sgid="Picture 4" style="z-index:2;left:31.66px;top:26.75px;width:237.49px;height:340.68px"> <img class="sg" src="9748D957.png" id="s857_i" style="z-index:1;left:0px;top:0px;width:237.49px;height:340.68px" > </div> <div class="sg" id="s861" data-sgid="Picture 8" style="z-index:6;left:78.93px;top:383.26px;width:142.84px;height:142.84px"> <img class="sg" src="CDDC1D76.png" id="s861_i" style="z-index:1;left:0px;top:0px;width:142.84px;height:142.84px" > </div> <div class="sg" id="s856" data-sgid="Content Placeholder 2" style="z-index:1;left:379.48px;top:294.41px;width:639.18px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s856_t" class="sg" style="z-index:2;left:-8.49px;top:-8.28px;width:647.67px;height:351.63px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="475.32" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.37px;top:12.39px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>MD: University of Missouri-Kansas City </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="384.36" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:16.37px;top:52.71px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Residency: University of Miami </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="383.64" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:16.37px;top:92.91px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Fellowship: Mayo Clinic Florida </span></span></p></div></div></div> <div class="sg" id="s859" data-sgid="Rectangle 1" style="z-index:4;left:290.39px;top:434.13px;width:636.03px;height:75.91px" data-valign="top" data-pointer-events="none"> <div id="s859_t" class="sg" style="z-index:2;left:-7.93px;top:-4.94px;width:658.01px;height:93.30px;"><div><p para="{al:2,spaf:12.00}"><span data-textwidth="623.52" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.78px;top:11.81px;">Expertise/research contributions: educational leader, </span><span data-textwidth="576.72" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:37.82px;top:45.41px;">appropriateness criteria, MSK imaging techniques</span></p></div></div></div> <div class="sg" id="s862" data-sgid="Picture 9" style="z-index:7;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s862_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s863" data-sgid="Title 1" style="z-index:1;left:-15.94px;top:36.57px;width:984.96px;height:105.19px" data-valign="top"> <div id="s863_t" class="sg" style="z-index:2;left:0.00px;top:-14.87px;width:984.96px;height:127.38px;"><div><p para="{al:2}"><span data-textwidth="314.04" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:335.62px;top:18.10px;">Joe Bancroft, MD</span><span data-textwidth="876.96" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:200%; left:54.22px;top:65.70px;">3 Children (Baylor Med School, Texas A&M, Middle School)</span></p></div></div></div> <div class="sg" id="s864" data-sgid="Picture 5" style="z-index:2;left:41.86px;top:151.57px;width:489.62px;height:347.91px"> <img class="sg" src="3F5BECE2.png" id="s864_i" style="z-index:1;left:0px;top:0px;width:489.62px;height:347.91px" > </div> <div class="sg" id="s865" data-sgid="Picture 7" style="z-index:3;left:560.62px;top:166.70px;width:363.06px;height:317.67px"> <img class="sg" src="8E41532A.png" id="s865_i" style="z-index:1;left:0px;top:0px;width:363.06px;height:317.67px" > </div> <div class="sg" id="s866" data-sgid="Picture 4" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s866_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s872" data-sgid="Title 1" style="z-index:3;left:-147.40px;top:28.17px;width:828.44px;height:105.30px" data-valign="top"> <div id="s872_t" class="sg" style="z-index:2;left:0.00px;top:-14.87px;width:828.44px;height:120.17px;"><div><p para="{al:2}"><span data-textwidth="431.52" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:198.52px;top:18.10px;">Photography and Travel</span></p></div></div></div> <div class="sg" id="s870" data-sgid="Picture 11" style="z-index:1;left:572.37px;top:19.91px;width:349.97px;height:238.87px"> <img class="sg" src="158E938C.png" id="s870_i" style="z-index:1;left:0px;top:0px;width:349.97px;height:238.87px" > </div> <div class="sg" id="s871" data-sgid="Picture 13" style="z-index:2;left:24.35px;top:95.94px;width:502.90px;height:401.02px"> <img class="sg" src="719D6BE2.png" id="s871_i" title="" alt="DSC00761" style="z-index:1;left:0px;top:0px;width:502.90px;height:401.02px" > </div> <div class="sg" id="s873" data-sgid="Picture 17" style="z-index:4;left:573.08px;top:272.45px;width:349.27px;height:229.30px"> <img class="sg" src="AC08BEF2.png" id="s873_i" style="z-index:1;left:0px;top:0px;width:349.27px;height:229.30px" > </div> <div class="sg" id="s874" data-sgid="Picture 5" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s874_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s876" data-sgid="Picture 23" style="z-index:2;left:554.02px;top:12.11px;width:339.07px;height:228.20px"> <img class="sg" src="3D23FF04.png" id="s876_i" style="z-index:1;left:0px;top:0px;width:339.07px;height:228.20px" > </div> <div class="sg" id="s877" data-sgid="Picture 24" style="z-index:3;left:18.35px;top:80.48px;width:515.98px;height:346.07px"> <img class="sg" src="8DEE3B2F.png" id="s877_i" style="z-index:1;left:0px;top:0px;width:515.98px;height:346.07px" > </div> <div class="sg" id="s875" data-sgid="Picture 7" style="z-index:1;left:625.50px;top:252.31px;width:320.13px;height:241.90px"> <img class="sg" src="C8C64797.png" id="s875_i" style="z-index:1;left:0px;top:0px;width:320.13px;height:241.90px" > </div> <div class="sg" id="s878" data-sgid="Picture 4" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s878_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s881" data-sgid="Title 1" style="z-index:3;left:119.45px;top:43.66px;width:720.51px;height:75.55px" data-valign="top"> <div id="s881_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:720.51px;height:130.95px;"><div><p para="{al:2}"><span data-textwidth="184.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:275.35px;top:25.14px;">History</span></p></div></div></div> <div class="sg" id="s879" data-sgid="Content Placeholder 2" style="z-index:1;left:155.45px;top:129.76px;width:648.52px;height:357.02px" data-valign="top" data-pointer-events="none"> <div id="s879_t" class="sg" style="z-index:2;left:-10.79px;top:-9.85px;width:678.14px;height:377.53px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="230.88" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.54px;top:13.13px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Male in his 60’s</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="640.32" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:178%; left:18.54px;top:55.37px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Several years of generalized pain, fatigue, and </span></span><span data-textwidth="489.84" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:178%; left:45.54px;top:90.49px;">muscle weakness with abnormal gait</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="559.56" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:178%; left:18.54px;top:132.17px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>History of pubic ramus fractures and rib </span></span><span data-textwidth="118.32" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:178%; left:45.54px;top:167.29px;">fractures</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="495.96" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:178%; left:18.54px;top:208.97px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Recent diagnosis of prostate cancer</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="219.60" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:156%; left:54.54px;top:250.85px;">–<span class="f4" style="font-weight:bold; "> Watchful waiting</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="580.92" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:178%; left:18.54px;top:288.17px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>2-3 year history of pain and discomfort in </span></span><span data-textwidth="138.24" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:178%; left:45.54px;top:323.29px;">right thigh</span></p></div></div></div> <div class="sg" id="s880" data-sgid="Picture 4" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s880_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s883" data-sgid="Picture 2" style="z-index:2;left:503.27px;top:1.19px;width:300.10px;height:245.02px"> <img class="sg" src="B81E58E2.jpg" id="s883_i" style="z-index:1;left:0px;top:0px;width:300.10px;height:245.02px" > </div> <div class="sg" id="s882" data-sgid="Picture 1" style="z-index:1;left:124.15px;top:17.76px;width:326.47px;height:228.45px"> <img class="sg" src="4D9747A5.jpg" id="s882_i" style="z-index:1;left:0px;top:0px;width:326.47px;height:228.45px" > </div> <div class="sg" id="s885" data-sgid="Picture 4" style="z-index:4;left:503.27px;top:251.35px;width:321.83px;height:245.02px"> <img class="sg" src="ADDE47F9.jpg" id="s885_i" style="z-index:1;left:0px;top:0px;width:321.83px;height:245.02px" > </div> <div class="sg" id="s884" data-sgid="Picture 3" style="z-index:3;left:157.97px;top:269.82px;width:287.87px;height:245.02px"> <img class="sg" src="BD4D6003.jpg" id="s884_i" style="z-index:1;left:0px;top:0px;width:287.87px;height:245.02px" > </div> <div class="sg" id="s886" data-sgid="Picture 5" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s886_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s888" data-sgid="Picture 2" style="z-index:2;left:135.76px;top:6.47px;width:287.39px;height:263.60px"> <img class="sg" src="686F9B47.png" id="s888_i" style="z-index:1;left:0px;top:0px;width:287.39px;height:263.60px" > </div> <div class="sg" id="s887" data-sgid="Picture 1" style="z-index:1;left:530.74px;top:7.55px;width:282.72px;height:261.45px"> <img class="sg" src="752FA6BE.png" id="s887_i" style="z-index:1;left:0px;top:0px;width:282.72px;height:261.45px" > </div> <div class="sg" id="s891" data-sgid="TextBox 5" style="z-index:5;left:638.21px;top:253.99px;width:105.80px;height:61.42px" data-valign="top"> <div id="s891_t" class="sg" style="z-index:2;left:-13.31px;top:-9.59px;width:132.28px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="78.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.18px;top:18.12px;">STIR</span></p></div></div></div> <div class="sg" id="s890" data-sgid="TextBox 4" style="z-index:4;left:221.40px;top:258.92px;width:102.43px;height:61.39px" data-valign="top"> <div id="s890_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:102.43px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="44.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:29.28px;top:18.11px;">T1</span></p></div></div></div> <div class="sg" id="s889" data-sgid="Picture 3" style="z-index:3;left:337.40px;top:274.50px;width:287.25px;height:258.07px"> <img class="sg" src="454D7434.png" id="s889_i" style="z-index:1;left:0px;top:0px;width:287.25px;height:258.07px" > </div> <div class="sg" id="s892" data-sgid="TextBox 6" style="z-index:6;left:22.20px;top:448.62px;width:351.53px;height:61.42px" data-valign="top"> <div id="s892_t" class="sg" style="z-index:2;left:-19.20px;top:-9.70px;width:370.73px;height:93.42px;"><div><p><span data-textwidth="295.44" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.00px;top:18.36px;">T1 with contrast</span></p></div></div></div> <div class="sg" id="s893" data-sgid="Picture 7" style="z-index:7;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s893_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s894" data-sgid="Picture 1" style="z-index:1;left:505.90px;top:10.07px;width:374.58px;height:441.67px"> <img class="sg" src="7EAC4369.png" id="s894_i" style="z-index:1;left:0px;top:0px;width:374.58px;height:441.67px" > </div> <div class="sg" id="s895" data-sgid="Picture 2" style="z-index:2;left:71.37px;top:10.07px;width:383.22px;height:441.67px"> <img class="sg" src="BBAE2058.png" id="s895_i" style="z-index:1;left:0px;top:0px;width:383.22px;height:441.67px" > </div> <div class="sg" id="s896" data-sgid="TextBox 3" style="z-index:3;left:217.58px;top:451.52px;width:90.79px;height:61.28px" data-valign="top"> <div id="s896_t" class="sg" style="z-index:2;left:-3.60px;top:-9.73px;width:97.76px;height:93.30px;"><div><p para="{al:2}"><span data-textwidth="44.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:26.98px;top:18.37px;">T1</span></p></div></div></div> <div class="sg" id="s897" data-sgid="TextBox 4" style="z-index:4;left:638.44px;top:455.35px;width:109.65px;height:61.28px" data-valign="top"> <div id="s897_t" class="sg" style="z-index:2;left:-11.50px;top:-9.70px;width:132.28px;height:93.28px;"><div><p para="{al:2}"><span data-textwidth="78.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.18px;top:18.35px;">STIR</span></p></div></div></div> <div class="sg" id="s898" data-sgid="Picture 5" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s898_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s899" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s899_t" class="sg" style="z-index:2;left:0.00px;top:-10.93px;width:864.43px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="431.28" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:230.79px;top:25.26px;">Additional Data </span></p></div></div></div> <div class="sg" id="s900" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:125.45px;width:864.43px;height:356.99px" data-valign="top" data-pointer-events="none"> <div id="s900_t" class="sg" style="z-index:2;left:-10.79px;top:0.00px;width:875.22px;height:356.99px;"><div><p para="{bl:{ch:8226},spbf:0.20}"></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="538.92" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.50px;top:53.19px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.52px"> </span>Bone density evaluation → osteopenia</span></span></p></div></div></div> <div class="sg" id="s901" data-sgid="Picture 3" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s901_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s902" data-sgid="Picture 1" style="z-index:1;left:394.13px;top:17.76px;width:171.16px;height:509.42px"> <img class="sg" src="18D45397.jpg" id="s902_i" style="z-index:1;left:0px;top:0px;width:171.16px;height:509.42px" > </div> <div class="sg" id="s903" data-sgid="Picture 2" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s903_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s906" data-sgid="Title 1" style="z-index:3;left:47.49px;top:2.52px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s906_t" class="sg" style="z-index:2;left:0.00px;top:-10.92px;width:864.43px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="409.68" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:241.59px;top:25.24px;">Clinical History </span></p></div></div></div> <div class="sg" id="s904" data-sgid="Oval 14" style="z-index:1;left:22.54px;top:82.50px;width:380.70px;height:206.75px" data-fillcolor="45296"> <img class="sg" src="98B0DEF.png" id="s904_i" style="z-index:1;left:0px;top:0px;width:380.70px;height:206.75px" > </div> <div class="sg" id="s907" data-sgid="Content Placeholder 2" style="z-index:4;left:-18.46px;top:119.43px;width:462.60px;height:159.15px" data-valign="top" data-pointer-events="none"> <div id="s907_t" class="sg" style="z-index:2;left:0.00px;top:-7.77px;width:462.60px;height:177.70px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="333.84" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:211%; left:68.74px;top:15.22px;">Chronic pain, fatigue </span><span data-textwidth="296.88" class="sg nowrap f4" style="z-index:3;font-weight:bold; font-size:222%; left:87.46px;top:60.94px;">muscle weakness </span><span data-textwidth="231.24" class="sg nowrap f4" style="z-index:4;font-weight:bold; font-size:222%; left:115.78px;top:108.94px;">abnormal gait</span></p></div></div></div> <div class="sg" id="s908" data-sgid="Straight Arrow Connector 6" style="z-index:5;left:408.51px;top:191.29px;width:85.30px;height:56.71px" data-pointer-events="none"> <img class="sg" src="5EB20EA585x57.png" id="s908_i" style="z-index:1;left:0px;top:0px;width:85.30px;height:56.71px" > </div> <div class="sg" id="s914" data-sgid="Rectangle 21" style="z-index:11;left:34.55px;top:94.50px;width:400.36px;height:399.23px" data-fillcolor="9621584"> <img class="sg" src="866CF78400x399.png" id="s914_i" style="z-index:1;left:0px;top:0px;width:400.36px;height:399.23px" > </div> <div class="sg" id="s916" data-sgid="Straight Arrow Connector 23" style="z-index:13;left:429.64px;top:291.66px;width:62.47px;height:28.17px" data-pointer-events="none"> <img class="sg" src="2E85017062x28.png" id="s916_i" style="z-index:1;left:0px;top:0px;width:62.47px;height:28.17px" > </div> <div class="sg" id="s911" data-sgid="Content Placeholder 2 (2)" style="z-index:8;left:497.29px;top:272.94px;width:342.67px;height:75.21px" data-valign="top"> <div id="s911_t" class="sg" style="z-index:2;left:-19.31px;top:-9.59px;width:361.98px;height:93.19px;"><div><p para="{spbf:0.20}"><span data-textwidth="294.00" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:244%; left:27.22px;top:18.13px;">OSTEOMALACIA</span></p></div></div></div> <div class="sg" id="s913" data-sgid="Rectangle 19" style="z-index:10;left:-1.56px;top:82.50px;width:500.75px;height:458.58px" data-fillcolor="16777215"> <img class="sg" src="17F87AE8501x459.png" id="s913_i" style="z-index:1;left:0px;top:0px;width:500.75px;height:458.58px" > </div> <div class="sg" id="s915" data-sgid="Rectangle 22" style="z-index:12;left:3.71px;top:119.43px;width:434.45px;height:388.31px" data-valign="top" data-pointer-events="none"> <div id="s915_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:450.51px;height:406.89px;"><div><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="218.04" class="sg nowrap f2" style="z-index:2;font-size:244%; left:43.81px;top:18.08px;">•<span class="f4" style="font-weight:bold; "> Vitamin D </span></span></p><p para="{in:2,spbf:5.00}"><span data-textwidth="333.72" class="sg nowrap f4" style="z-index:4;font-weight:bold; font-size:244%; left:63.85px;top:75.88px;">deficiency/liver dz</span></p><p para="{in:2,bl:{ch:8226},spbf:15.00}"><span data-textwidth="185.40" class="sg nowrap f2" style="z-index:6;font-size:244%; left:43.81px;top:143.72px;">•<span class="f4" style="font-weight:bold; "> X-linked </span></span><span data-textwidth="353.40" class="sg nowrap f4" style="z-index:10;font-weight:bold; font-size:244%; left:70.81px;top:196.48px;">hypophosphatemia</span></p><p para="{in:2,bl:{ch:8226},spbf:15.00}"><span data-textwidth="278.52" class="sg nowrap f2" style="z-index:11;font-size:244%; left:43.81px;top:264.32px;">•<span class="f4" style="font-weight:bold; "> Drug toxicity </span></span></p><p para="{in:2,bl:{ch:8226},spbf:15.00}"><span data-textwidth="304.56" class="sg nowrap f2" style="z-index:13;font-size:244%; left:43.81px;top:332.12px;">•<span class="f4" style="font-weight:bold; "> Tumor-induced</span></span></p></div></div></div> <div class="sg" id="s910" data-sgid="Oval 10" style="z-index:7;left:496.33px;top:166.44px;width:309.31px;height:302.70px" data-fillcolor="9621584"> <img class="sg" src="6C58CF7.png" id="s910_i" style="z-index:1;left:0px;top:0px;width:309.31px;height:302.70px" > </div> <div class="sg" id="s909" data-sgid="Straight Arrow Connector 8" style="z-index:6;left:352.64px;top:315.63px;width:141.17px;height:58.78px" data-pointer-events="none"> <img class="sg" src="8B570CED141x59.png" id="s909_i" style="z-index:1;left:0px;top:0px;width:141.17px;height:58.78px" > </div> <div class="sg" id="s912" data-sgid="Content Placeholder 2 (3)" style="z-index:9;left:107.47px;top:375.01px;width:240.72px;height:63.06px" data-valign="top"> <div id="s912_t" class="sg" style="z-index:2;left:-19.31px;top:-9.59px;width:265.44px;height:93.28px;"><div><p para="{spbf:0.20}"><span data-textwidth="211.92" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:244%; left:27.04px;top:18.30px;">FRACTURES</span></p></div></div></div> <div class="sg" id="s905" data-sgid="Oval 12" style="z-index:2;left:94.50px;top:295.97px;width:254.76px;height:227.12px" data-fillcolor="16776960"> <img class="sg" src="A8B56E09.png" id="s905_i" style="z-index:1;left:0px;top:0px;width:254.76px;height:227.12px" > </div> <div class="sg" id="s917" data-sgid="Picture 15" style="z-index:14;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s917_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s918" data-sgid="Title 1" style="z-index:1;left:48.34px;top:2.16px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s918_t" class="sg" style="z-index:2;left:0.00px;top:-10.93px;width:864.43px;height:131.21px;"><div><p para="{al:2}"><span data-textwidth="280.20" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:292.46px;top:25.25px;">Laboratory</span></p></div></div></div> <div class="sg" id="s933" data-sgid="Rectangle 27" style="z-index:16;left:429.75px;top:87.91px;width:435.76px;height:58.52px" data-pointer-events="none"> <img class="sg" src="2D340829436x59.png" id="s933_i" style="z-index:1;left:0px;top:0px;width:435.76px;height:58.52px" > </div> <div class="sg" id="s929" data-sgid="TextBox 19" style="z-index:12;left:443.32px;top:89.48px;width:422.42px;height:61.39px" data-valign="top"> <div id="s929_t" class="sg" style="z-index:2;left:-9.24px;top:-9.62px;width:433.69px;height:93.19px;"><div><p><span data-textwidth="380.04" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:244%; left:27.08px;top:18.02px;">Ca     PO<span class="f4" style="font-size:66%; position:relative;bottom:16px;">4      25</span>D    <span class="f4" style="font-size:66%; position:relative;bottom:16px;">1,25</span>D</span></p></div></div></div> <div class="sg" id="s928" data-sgid="Straight Connector 16" style="z-index:11;left:432.98px;top:143.06px;width:443.43px;height:1.56px" data-pointer-events="none"> <img class="sg" src="3599AF7C443x2.png" id="s928_i" style="z-index:1;left:0px;top:0px;width:443.43px;height:1.00px;-webkit-transform:scaleY(0.75);transform:scaleY(0.75)" > </div> <div class="sg" id="s934" data-sgid="Straight Arrow Connector 29" style="z-index:17;left:467.16px;top:167.40px;width:37.07px;height:72.91px" data-pointer-events="none"> <img class="sg" src="5176013437x73.png" id="s934_i" style="z-index:1;left:0px;top:0px;width:37.07px;height:72.91px" > </div> <div class="sg" id="s935" data-sgid="Straight Arrow Connector 31" style="z-index:18;left:569.11px;top:167.40px;width:37.07px;height:72.91px" data-pointer-events="none"> <img class="sg" src="5176013437x73.png" id="s935_i" style="z-index:1;left:0px;top:0px;width:37.07px;height:72.91px" > </div> <div class="sg" id="s936" data-sgid="Straight Arrow Connector 32" style="z-index:19;left:683.07px;top:167.40px;width:37.07px;height:72.91px" data-pointer-events="none"> <img class="sg" src="99544A2A37x73.png" id="s936_i" style="z-index:1;left:0px;top:0px;width:37.07px;height:72.91px" > </div> <div class="sg" id="s937" data-sgid="Straight Arrow Connector 33" style="z-index:20;left:791.03px;top:167.40px;width:37.04px;height:72.91px" data-pointer-events="none"> <img class="sg" src="5176013437x73.png" id="s937_i" style="z-index:1;left:0px;top:0px;width:37.04px;height:72.91px" > </div> <div class="sg" id="s919" data-sgid="Content Placeholder 2" style="z-index:2;left:-18.46px;top:119.43px;width:462.60px;height:159.15px" data-valign="top" data-pointer-events="none"> <div id="s919_t" class="sg" style="z-index:2;left:0.00px;top:-7.77px;width:462.60px;height:177.70px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="333.84" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:211%; left:68.74px;top:15.22px;">Chronic pain, fatigue </span><span data-textwidth="296.88" class="sg nowrap f4" style="z-index:3;font-weight:bold; font-size:222%; left:87.46px;top:60.94px;">muscle weakness </span><span data-textwidth="231.24" class="sg nowrap f4" style="z-index:4;font-weight:bold; font-size:222%; left:115.78px;top:108.94px;">abnormal gait</span></p></div></div></div> <div class="sg" id="s925" data-sgid="Straight Connector 7" style="z-index:8;left:35.51px;top:231.80px;width:831.66px;height:3.97px" data-pointer-events="none"> <img class="sg" src="C0058437832x4.png" id="s925_i" style="z-index:1;left:0px;top:0px;width:831.66px;height:2.97px" > </div> <div class="sg" id="s939" data-sgid="TextBox 35" style="z-index:22;left:443.32px;top:245.36px;width:98.58px;height:80.82px" data-valign="top"> <div id="s939_t" class="sg" style="z-index:2;left:-28.92px;top:-14.49px;width:127.50px;height:126.87px;"><div><p><span data-textwidth="29.88" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:333%; left:36.80px;top:24.77px;"><u>+</u></span></p></div></div><img class="sg" src="1CA504C0255x254.png" id="s939_tt" style="left:-28.92px;top:-14.49px;width:127.50px;height:126.87px;z-index:1" > </div> <div class="sg" id="s941" data-sgid="TextBox 37" style="z-index:24;left:671.21px;top:256.62px;width:83.12px;height:73.53px" data-valign="top"> <div id="s941_t" class="sg" style="z-index:2;left:-25.32px;top:-12.71px;width:108.44px;height:114.41px;"><div><p><span data-textwidth="35.52" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:300%; left:33.31px;top:22.13px;">N</span></p></div></div></div> <div class="sg" id="s930" data-sgid="Straight Connector 20" style="z-index:13;left:532.89px;top:95.46px;width:1.56px;height:397.67px" data-pointer-events="none"> <img class="sg" src="D70426812x398.png" id="s930_i" style="z-index:1;left:0px;top:0px;width:1.00px;height:397.67px;-webkit-transform:scaleX(0.75);transform:scaleX(0.75)" > </div> <div class="sg" id="s931" data-sgid="Straight Connector 23" style="z-index:14;left:646.85px;top:95.46px;width:1.56px;height:397.67px" data-pointer-events="none"> <img class="sg" src="D70426812x398.png" id="s931_i" style="z-index:1;left:0px;top:0px;width:1.00px;height:397.67px;-webkit-transform:scaleX(0.75);transform:scaleX(0.75)" > </div> <div class="sg" id="s932" data-sgid="Straight Connector 24" style="z-index:15;left:748.80px;top:95.46px;width:1.56px;height:397.67px" data-pointer-events="none"> <img class="sg" src="D70426812x398.png" id="s932_i" style="z-index:1;left:0px;top:0px;width:1.00px;height:397.67px;-webkit-transform:scaleX(0.75);transform:scaleX(0.75)" > </div> <div class="sg" id="s924" data-sgid="Rectangle 12" style="z-index:7;left:429.04px;top:93.19px;width:437.17px;height:401.73px" data-fillcolor="16777215"> <img class="sg" src="11B0FB50437x402.png" id="s924_i" style="z-index:1;left:0px;top:0px;width:437.17px;height:401.73px" > </div> <div class="sg" id="s922" data-sgid="Rectangle 9" style="z-index:5;left:34.55px;top:94.50px;width:400.36px;height:399.23px" data-fillcolor="9621584"> <img class="sg" src="866CF78400x399.png" id="s922_i" style="z-index:1;left:0px;top:0px;width:400.36px;height:399.23px" > </div> <div class="sg" id="s942" data-sgid="TextBox 38" style="z-index:25;left:786.83px;top:257.36px;width:83.12px;height:73.50px" data-valign="top"> <div id="s942_t" class="sg" style="z-index:2;left:-25.20px;top:-12.59px;width:108.32px;height:114.16px;"><div><p><span data-textwidth="35.52" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:300%; left:33.25px;top:21.99px;">N</span></p></div></div></div> <div class="sg" id="s938" data-sgid="Straight Arrow Connector 34" style="z-index:21;left:479.17px;top:269.33px;width:37.07px;height:72.94px" data-pointer-events="none"> <img class="sg" src="A283DC7137x73.png" id="s938_i" style="z-index:1;left:0px;top:0px;width:37.07px;height:72.94px" > </div> <div class="sg" id="s940" data-sgid="Straight Arrow Connector 36" style="z-index:23;left:569.11px;top:269.33px;width:37.07px;height:72.94px" data-pointer-events="none"> <img class="sg" src="A0D8FAF37x73.png" id="s940_i" style="z-index:1;left:0px;top:0px;width:37.07px;height:72.94px" > </div> <div class="sg" id="s923" data-sgid="Rectangle 11" style="z-index:6;left:3.71px;top:119.43px;width:434.45px;height:388.31px" data-valign="top" data-pointer-events="none"> <div id="s923_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:450.51px;height:406.89px;"><div><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="218.04" class="sg nowrap f2" style="z-index:2;font-size:244%; left:43.81px;top:18.08px;">•<span class="f4" style="font-weight:bold; "> Vitamin D </span></span></p><p para="{in:2,spbf:5.00}"><span data-textwidth="333.84" class="sg nowrap f4" style="z-index:4;font-weight:bold; font-size:244%; left:43.81px;top:75.88px;">deficiency/liver dz</span></p><p para="{in:2,bl:{ch:8226},spbf:15.00}"><span data-textwidth="185.40" class="sg nowrap f2" style="z-index:6;font-size:244%; left:43.81px;top:143.72px;">•<span class="f4" style="font-weight:bold; "> X-linked </span></span><span data-textwidth="353.40" class="sg nowrap f4" style="z-index:10;font-weight:bold; font-size:244%; left:70.81px;top:196.48px;">hypophosphatemia</span></p><p para="{in:2,bl:{ch:8226},spbf:15.00}"><span data-textwidth="278.52" class="sg nowrap f2" style="z-index:11;font-size:244%; left:43.81px;top:264.32px;">•<span class="f4" style="font-weight:bold; "> Drug toxicity </span></span></p><p para="{in:2,bl:{ch:8226},spbf:15.00}"><span data-textwidth="304.56" class="sg nowrap f2" style="z-index:13;font-size:244%; left:43.81px;top:332.12px;">•<span class="f4" style="font-weight:bold; "> Tumor-induced</span></span></p></div></div></div> <div class="sg" id="s926" data-sgid="Straight Connector 14" style="z-index:9;left:35.51px;top:351.74px;width:831.66px;height:3.94px" data-pointer-events="none"> <img class="sg" src="C0058437832x4.png" id="s926_i" style="z-index:1;left:0px;top:0px;width:831.66px;height:2.94px" > </div> <div class="sg" id="s946" data-sgid="Straight Arrow Connector 42" style="z-index:29;left:809.01px;top:359.29px;width:37.07px;height:72.91px" data-pointer-events="none"> <img class="sg" src="BAA3347637x73.png" id="s946_i" style="z-index:1;left:0px;top:0px;width:37.07px;height:72.91px" > </div> <div class="sg" id="s953" data-sgid="Straight Arrow Connector 49" style="z-index:36;left:593.13px;top:341.19px;width:37.04px;height:72.91px" data-pointer-events="none"> <img class="sg" src="74B4C24B37x73.png" id="s953_i" style="z-index:1;left:0px;top:0px;width:37.04px;height:72.91px" > </div> <div class="sg" id="s947" data-sgid="TextBox 43" style="z-index:30;left:761.15px;top:352.57px;width:83.12px;height:73.50px" data-valign="top"> <div id="s947_t" class="sg" style="z-index:2;left:-25.29px;top:-12.71px;width:108.41px;height:114.41px;"><div><p><span data-textwidth="35.52" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:300%; left:33.34px;top:22.18px;">N</span></p></div></div></div> <div class="sg" id="s951" data-sgid="TextBox 47" style="z-index:34;left:461.30px;top:353.30px;width:83.12px;height:73.50px" data-valign="top"> <div id="s951_t" class="sg" style="z-index:2;left:-25.32px;top:-12.59px;width:108.44px;height:114.16px;"><div><p><span data-textwidth="35.52" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:300%; left:33.22px;top:22.05px;">N</span></p></div></div></div> <div class="sg" id="s952" data-sgid="TextBox 48" style="z-index:35;left:551.24px;top:353.30px;width:83.12px;height:73.50px" data-valign="top"> <div id="s952_t" class="sg" style="z-index:2;left:-25.29px;top:-12.59px;width:108.41px;height:114.16px;"><div><p><span data-textwidth="35.52" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:300%; left:33.25px;top:22.05px;">N</span></p></div></div></div> <div class="sg" id="s943" data-sgid="TextBox 39" style="z-index:26;left:672.88px;top:353.30px;width:83.12px;height:73.50px" data-valign="top"> <div id="s943_t" class="sg" style="z-index:2;left:-25.18px;top:-12.59px;width:108.29px;height:114.16px;"><div><p><span data-textwidth="35.52" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:300%; left:33.18px;top:22.05px;">N</span></p></div></div></div> <div class="sg" id="s927" data-sgid="Straight Connector 15" style="z-index:10;left:35.51px;top:423.69px;width:831.66px;height:3.94px" data-pointer-events="none"> <img class="sg" src="C0058437832x4.png" id="s927_i" style="z-index:1;left:0px;top:0px;width:831.66px;height:2.94px" > </div> <div class="sg" id="s920" data-sgid="Content Placeholder 2 (2)" style="z-index:3;left:497.29px;top:272.94px;width:462.60px;height:357.02px" data-valign="top"> <div id="s920_t" class="sg" style="z-index:2;left:-19.31px;top:-9.59px;width:481.92px;height:366.61px;"><div><p para="{spbf:0.20}"><span data-textwidth="294.00" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:244%; left:27.22px;top:18.13px;">OSTEOMALACIA</span></p></div></div></div> <div class="sg" id="s948" data-sgid="TextBox 44" style="z-index:31;left:443.32px;top:411.21px;width:98.58px;height:80.85px" data-valign="top"> <div id="s948_t" class="sg" style="z-index:2;left:-28.92px;top:-14.39px;width:127.50px;height:127.01px;"><div><p><span data-textwidth="29.88" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:333%; left:36.80px;top:24.90px;"><u>+</u></span></p></div></div><img class="sg" src="1CA504C0255x254.png" id="s948_tt" style="left:-28.92px;top:-14.39px;width:127.50px;height:127.01px;z-index:1" > </div> <div class="sg" id="s944" data-sgid="TextBox 40" style="z-index:27;left:671.21px;top:418.52px;width:83.12px;height:73.53px" data-valign="top"> <div id="s944_t" class="sg" style="z-index:2;left:-25.32px;top:-12.70px;width:108.44px;height:114.41px;"><div><p><span data-textwidth="35.52" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:300%; left:33.31px;top:22.22px;">N</span></p></div></div></div> <div class="sg" id="s945" data-sgid="Straight Arrow Connector 41" style="z-index:28;left:791.03px;top:431.23px;width:37.04px;height:72.91px" data-pointer-events="none"> <img class="sg" src="5176013437x73.png" id="s945_i" style="z-index:1;left:0px;top:0px;width:37.04px;height:72.91px" > </div> <div class="sg" id="s949" data-sgid="Straight Arrow Connector 45" style="z-index:32;left:485.17px;top:431.23px;width:37.04px;height:72.91px" data-pointer-events="none"> <img class="sg" src="5176013437x73.png" id="s949_i" style="z-index:1;left:0px;top:0px;width:37.04px;height:72.91px" > </div> <div class="sg" id="s950" data-sgid="Straight Arrow Connector 46" style="z-index:33;left:569.11px;top:431.23px;width:37.07px;height:72.91px" data-pointer-events="none"> <img class="sg" src="5176013437x73.png" id="s950_i" style="z-index:1;left:0px;top:0px;width:37.07px;height:72.91px" > </div> <div class="sg" id="s954" data-sgid="Picture 50" style="z-index:37;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s954_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s921" data-sgid="Content Placeholder 2 (3)" style="z-index:4;left:107.47px;top:375.01px;width:462.60px;height:356.88px" data-valign="top"> <div id="s921_t" class="sg" style="z-index:2;left:-19.31px;top:-9.59px;width:481.92px;height:366.47px;"><div><p para="{spbf:0.20}"><span data-textwidth="211.92" class="sg nowrap f4" style="z-index:2;font-weight:bold; font-size:244%; left:27.04px;top:18.30px;">FRACTURES</span></p></div></div></div> <div class="sg" id="s973" data-sgid="Rectangle 41" style="z-index:19;left:674.92px;top:-3.49px;width:83.37px;height:102.18px" data-pointer-events="none"> <img class="sg" src="EC982A7383x102.png" id="s973_i" style="z-index:1;left:0px;top:0px;width:83.37px;height:102.18px" > </div> <div class="sg" id="s959" data-sgid="Straight Arrow Connector 15" style="z-index:5;left:502.08px;top:57.56px;width:39.82px;height:34.41px" data-pointer-events="none"> <img class="sg" src="18A6A32440x34.png" id="s959_i" style="z-index:1;left:0px;top:0px;width:39.82px;height:34.41px" > </div> <div class="sg" id="s962" data-sgid="Oval 20" style="z-index:8;left:489.48px;top:79.15px;width:33.96px;height:86.84px" data-rotation = "343" data-pointer-events="none"> <img class="sg" src="DE52B8334x87.png" id="s962_i" style="z-index:1;left:0px;top:0px;width:33.96px;height:86.84px" > </div> <div class="sg" id="s961" data-sgid="Oval 19" style="z-index:7;left:435.39px;top:78.92px;width:33.96px;height:93.65px" data-rotation = "16" data-pointer-events="none"> <img class="sg" src="F9C4040534x94.png" id="s961_i" style="z-index:1;left:0px;top:0px;width:33.96px;height:93.65px" > </div> <div class="sg" id="s964" data-sgid="Picture 26" style="z-index:10;left:576.56px;top:-0.48px;width:286.91px;height:272.34px"> <img class="sg" src="2D6096ED.jpg" id="s964_i" title="" alt="A picture containing indoorDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:286.91px;height:272.34px" > </div> <div class="sg" id="s967" data-sgid="Straight Arrow Connector 32" style="z-index:13;left:590.13px;top:129.87px;width:41.60px;height:46.04px" data-pointer-events="none"> <img class="sg" src="1940456742x46.png" id="s967_i" style="z-index:1;left:0px;top:0px;width:41.60px;height:46.04px" > </div> <div class="sg" id="s955" data-sgid="Picture 4" style="z-index:1;left:-5.41px;top:0.48px;width:412.99px;height:293.67px"> <img class="sg" src="4445725E.jpg" id="s955_i" style="z-index:1;left:0px;top:0px;width:412.99px;height:293.67px" > </div> <div class="sg" id="s968" data-sgid="TextBox 35" style="z-index:14;left:787.66px;top:148.45px;width:72.44px;height:83.83px"> <img class="sg" src="4A3B8D5272x84.png" id="s968_i" style="left: -1px;top: -1px;width:73.44px;height:84.83px" > </div> <div class="sg" id="s960" data-sgid="Straight Arrow Connector 17" style="z-index:6;left:493.33px;top:207.46px;width:42.34px;height:37.42px" data-pointer-events="none"> <img class="sg" src="40793ED842x37.png" id="s960_i" style="z-index:1;left:0px;top:0px;width:42.34px;height:37.42px" > </div> <div class="sg" id="s956" data-sgid="Straight Arrow Connector 9" style="z-index:2;left:205.71px;top:221.39px;width:28.06px;height:50.72px" data-pointer-events="none"> <img class="sg" src="9D162CBD28x51.png" id="s956_i" style="z-index:1;left:0px;top:0px;width:28.06px;height:50.72px" > </div> <div class="sg" id="s957" data-sgid="Picture 10" style="z-index:3;left:399.65px;top:-1.19px;width:146.44px;height:530.04px"> <img class="sg" src="4DCEC3A0.jpg" id="s957_i" title="" alt="A picture containing bottle, treeDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:146.44px;height:530.04px" > </div> <div class="sg" id="s969" data-sgid="Rectangle 36" style="z-index:15;left:289.43px;top:268.99px;width:108.18px;height:37.53px" data-rotation = "340" data-fillcolor="16777215"> <img class="sg" src="B9BE3BD7108x38.png" id="s969_i" style="z-index:1;left:0px;top:0px;width:108.18px;height:37.53px" > </div> <div class="sg" id="s970" data-sgid="Rectangle 37" style="z-index:16;left:-12.94px;top:276.54px;width:108.07px;height:37.79px" data-rotation = "31" data-fillcolor="16777215"> <img class="sg" src="75A6F54E108x38.png" id="s970_i" style="z-index:1;left:0px;top:0px;width:108.07px;height:37.79px" > </div> <div class="sg" id="s965" data-sgid="Oval 29" style="z-index:11;left:668.91px;top:291.06px;width:95.35px;height:77.33px" data-pointer-events="none"> <img class="sg" src="45EAAEAA95x77.png" id="s965_i" style="z-index:1;left:0px;top:0px;width:95.35px;height:77.33px" > </div> <div class="sg" id="s963" data-sgid="Picture 22" style="z-index:9;left:587.24px;top:269.48px;width:273.94px;height:270.52px"> <img class="sg" src="AF89F1B3.jpg" id="s963_i" title="" alt="A tattoo on his neckDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:273.94px;height:270.52px" > </div> <div class="sg" id="s971" data-sgid="Picture 39" style="z-index:17;left:3.23px;top:307.38px;width:389.23px;height:205.65px"> <img class="sg" src="E4F362B5.jpg" id="s971_i" title="" alt="A screenshot of a cell phoneDescription generated with very high confidence" style="z-index:1;left:0px;top:0px;width:389.23px;height:205.65px" > </div> <div class="sg" id="s958" data-sgid="Straight Arrow Connector 14" style="z-index:4;left:411.66px;top:419.26px;width:28.18px;height:56.48px" data-pointer-events="none"> <img class="sg" src="2FD9D9C128x56.png" id="s958_i" style="z-index:1;left:0px;top:0px;width:28.18px;height:56.48px" > </div> <div class="sg" id="s966" data-sgid="Oval 30" style="z-index:12;left:620.94px;top:452.94px;width:71.37px;height:59.38px" data-pointer-events="none"> <img class="sg" src="2097990D71x59.png" id="s966_i" style="z-index:1;left:0px;top:0px;width:71.37px;height:59.38px" > </div> <div class="sg" id="s972" data-sgid="TextBox 40" style="z-index:18;left:202.57px;top:486.04px;width:103.65px;height:29.99px" data-valign="top"> <img class="sg" src="6E660600104x30.png" id="s972_i" style="z-index:1;left:0px;top:0px;width:103.65px;height:29.99px" > <div id="s972_t" class="sg" style="z-index:2;left:-3.71px;top:-1.78px;width:107.84px;height:38.84px;"><div><p><span data-textwidth="85.20" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;left:11.50px;top:7.94px;">Z-score -3.4</span></p></div></div></div> <div class="sg" id="s974" data-sgid="Picture 21" style="z-index:20;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s974_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s982" data-sgid="Rectangle 10" style="z-index:8;left:244.46px;top:28.54px;width:86.83px;height:74.84px" data-pointer-events="none"> <img class="sg" src="D2A6FEEE87x75.png" id="s982_i" style="z-index:1;left:0px;top:0px;width:86.83px;height:74.84px" > </div> <div class="sg" id="s975" data-sgid="Picture 2" style="z-index:1;left:130.61px;top:6.61px;width:281.38px;height:257.59px"> <img class="sg" src="DFACB425.jpg" id="s975_i" style="z-index:1;left:0px;top:0px;width:281.38px;height:257.59px" > </div> <div class="sg" id="s977" data-sgid="TextBox 4" style="z-index:3;left:107.47px;top:203.38px;width:108.89px;height:61.42px" data-valign="top"> <div id="s977_t" class="sg" style="z-index:2;left:0.00px;top:-9.59px;width:108.89px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="44.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:32.45px;top:18.09px;">T1</span></p></div></div></div> <div class="sg" id="s987" data-sgid="Content Placeholder 2 (3)" style="z-index:13;left:552.57px;top:29.50px;width:397.13px;height:439.15px" data-valign="top"> <img class="sg" src="45937A20397x439.png" id="s987_i" style="z-index:1;left:0px;top:0px;width:397.13px;height:439.15px" > <div id="s987_t" class="sg" style="z-index:2;left:0.00px;top:-8.51px;width:397.13px;height:487.83px;"><div><p para="{spbf:0.20}"><span data-textwidth="132.12" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:133.95px;top:16.01px;"><u>Imaging</u></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="95.40" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:222%; left:43.95px;top:73.53px;">–<span class="f4" style="font-weight:bold; "> Size</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="172.20" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:222%; left:43.95px;top:131.13px;">–<span class="f4" style="font-weight:bold; "> Location</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="156.84" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:222%; left:43.95px;top:188.73px;">–<span class="f4" style="font-weight:bold; "> Density</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="259.44" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:222%; left:43.95px;top:246.33px;">–<span class="f4" style="font-weight:bold; "> Enhancement</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="275.76" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:222%; left:43.95px;top:303.93px;">–<span class="f4" style="font-weight:bold; "> *Tumor matrix</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="212.16" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:222%; left:79.95px;top:361.53px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.04px"> </span>Amorphous</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="174.24" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:222%; left:79.95px;top:419.13px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.04px"> </span>Punctate </span></span></p></div></div><img class="sg" src="55F899E1794x976.png" id="s987_tt" style="left:0.00px;top:-8.51px;width:397.13px;height:487.83px;z-index:1" > </div> <div class="sg" id="s985" data-sgid="Content Placeholder 2" style="z-index:11;left:545.27px;top:53.48px;width:402.65px;height:414.58px" data-valign="top"> <div id="s985_t" class="sg" style="z-index:2;left:-15.24px;top:-8.52px;width:417.89px;height:423.09px;"><div><p para="{spbf:0.20}"><span data-textwidth="68.04" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:167.17px;top:16.04px;"><u>MRI</u></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="279.84" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:222%; left:23.17px;top:73.56px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.96px"> </span>Heterogeneous</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="177.12" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:222%; left:23.17px;top:131.16px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.96px"> </span>Primarily</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="288.96" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:222%; left:59.17px;top:188.76px;">–<span class="f4" style="font-weight:bold; ">T1 hyperintense</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="272.16" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:222%; left:59.17px;top:246.36px;">–<span class="f4" style="font-weight:bold; ">STIR isointense</span></span></p></div></div><img class="sg" src="EA94555B836x846.png" id="s985_tt" style="left:-15.24px;top:-8.52px;width:417.89px;height:423.09px;z-index:1" > </div> <div class="sg" id="s984" data-sgid="Picture 1" style="z-index:10;left:202.94px;top:256.51px;width:169.61px;height:182.41px"> <img class="sg" src="726DA9A8.jpg" id="s984_i" style="z-index:1;left:0px;top:0px;width:169.61px;height:182.41px" > </div> <div class="sg" id="s981" data-sgid="Picture 12" style="z-index:7;left:21.35px;top:256.62px;width:182.32px;height:182.18px"> <img class="sg" src="7DFE77E0.jpg" id="s981_i" style="z-index:1;left:0px;top:0px;width:182.32px;height:182.18px" > </div> <div class="sg" id="s976" data-sgid="Picture 3" style="z-index:2;left:370.14px;top:256.62px;width:182.32px;height:182.18px"> <img class="sg" src="58D99ADF.jpg" id="s976_i" style="z-index:1;left:0px;top:0px;width:182.32px;height:182.18px" > </div> <div class="sg" id="s983" data-sgid="TextBox 14" style="z-index:9;left:53.50px;top:430.64px;width:108.92px;height:61.42px" data-valign="top"> <div id="s983_t" class="sg" style="z-index:2;left:0.00px;top:-9.70px;width:108.92px;height:93.42px;"><div><p para="{al:2}"><span data-textwidth="44.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:32.42px;top:18.34px;">T1</span></p></div></div></div> <div class="sg" id="s978" data-sgid="TextBox 5" style="z-index:4;left:224.41px;top:430.64px;width:112.40px;height:61.42px" data-valign="top"> <div id="s978_t" class="sg" style="z-index:2;left:-9.94px;top:-9.70px;width:132.28px;height:93.42px;"><div><p para="{al:2}"><span data-textwidth="78.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:26.97px;top:18.34px;">STIR</span></p></div></div></div> <div class="sg" id="s979" data-sgid="TextBox 6" style="z-index:5;left:388.60px;top:431.23px;width:373.76px;height:61.42px" data-valign="top"> <div id="s979_t" class="sg" style="z-index:2;left:-19.31px;top:-9.58px;width:393.08px;height:93.19px;"><div><p><span data-textwidth="117.84" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.19px;top:18.23px;">T1+Gd</span></p></div></div></div> <div class="sg" id="s980" data-sgid="Picture 7" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s980_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s986" data-sgid="Content Placeholder 2 (2)" style="z-index:12;left:545.27px;top:335.29px;width:414.63px;height:414.58px" data-valign="top"> <div id="s986_t" class="sg" style="z-index:2;left:-15.24px;top:-8.51px;width:432.16px;height:423.09px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="330.72" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:222%; left:23.17px;top:16.14px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.96px"> </span>*Foci of low signal</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="384.60" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:222%; left:23.17px;top:73.74px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.96px"> </span>*Markedly enhancing</span></span></p></div></div></div> <div class="sg sgTitle" id="s988" data-sgid="Title 1" style="z-index:1;left:113.48px;top:21.11px;width:864.40px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s988_t" class="sg" style="z-index:2;left:0.00px;top:-29.99px;width:864.40px;height:161.05px;"><div><p para="{al:2}"><span data-textwidth="252.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:306.40px;top:21.84px;">Octreoscan</span><span data-textwidth="601.68" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:244%; left:136.36px;top:85.76px;">(Octreotide, <span class="f4" style="font-size:66%; position:relative;bottom:16px;">111</span>In-pentetreotide) </span></p></div></div></div> <div class="sg" id="s990" data-sgid="Picture 3" style="z-index:3;left:17.50px;top:-0.48px;width:171.16px;height:540.48px"> <img class="sg" src="D07A7A08.jpg" id="s990_i" style="z-index:1;left:0px;top:0px;width:171.16px;height:540.48px" > </div> <div class="sg" id="s989" data-sgid="Content Placeholder 2" style="z-index:2;left:187.82px;top:142.10px;width:790.06px;height:357.13px" data-valign="top" data-pointer-events="none"> <div id="s989_t" class="sg" style="z-index:2;left:-13.06px;top:-7.18px;width:803.12px;height:364.31px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="751.68" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:20.84px;top:14.56px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.24px"> </span><u>Tumors - high expression somatostatin receptors</u></span></span><img class="sg" src="E4E3B18F1606x729.png" id="s989_p1" style="z-index:1;left:-10.06px;top:0.60px;width:806.12px;height:52.66px" ></p></div></div></div> <div class="sg" id="s991" data-sgid="Straight Arrow Connector 5" style="z-index:4;left:34.78px;top:302.21px;width:46.67px;height:29.36px" data-pointer-events="none"> <img class="sg" src="83A7771947x29.png" id="s991_i" style="z-index:1;left:0px;top:0px;width:46.67px;height:29.36px" > </div> <div class="sg" id="s993" data-sgid="Content Placeholder 2 (3)" style="z-index:6;left:271.78px;top:209.39px;width:790.06px;height:315.40px" data-valign="top"> <img class="sg" src="8A70ABA6790x315.png" id="s993_i" style="z-index:1;left:0px;top:0px;width:790.06px;height:315.40px" > <div id="s993_t" class="sg" style="z-index:2;left:0.00px;top:-7.32px;width:790.06px;height:335.55px;"><div><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="381.12" class="sg nowrap f2" style="z-index:2;color:#404040;font-size:200%; left:43.82px;top:14.61px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Neuroendocrine tumors</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="415.08" class="sg nowrap f2" style="z-index:4;color:#404040;font-size:200%; left:43.82px;top:66.45px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Adrenal medullary tumors</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="395.52" class="sg nowrap f2" style="z-index:6;color:#404040;font-size:200%; left:43.82px;top:118.29px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Merkel cell tumor of skin</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="300.00" class="sg nowrap f2" style="z-index:8;color:#404040;font-size:200%; left:43.82px;top:170.13px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Pituitary adenoma</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="401.88" class="sg nowrap f2" style="z-index:10;color:#404040;font-size:200%; left:43.82px;top:221.97px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Small-cell lung carcinoma</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="548.88" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:200%; left:43.82px;top:273.81px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Phosphaturic mesenchymal tumors</span></span></p></div></div></div> <div class="sg" id="s992" data-sgid="Content Placeholder 2 (2)" style="z-index:5;left:271.78px;top:209.39px;width:790.06px;height:356.99px" data-valign="top"> <div id="s992_t" class="sg" style="z-index:2;left:0.00px;top:-7.32px;width:790.06px;height:364.31px;"><div><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="381.12" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:43.82px;top:14.61px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Neuroendocrine tumors</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="415.08" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:200%; left:43.82px;top:66.45px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Adrenal medullary tumors</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="395.52" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:200%; left:43.82px;top:118.29px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Merkel cell tumor of skin</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="300.00" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:200%; left:43.82px;top:170.13px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Pituitary adenoma</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="401.88" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:200%; left:43.82px;top:221.97px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Small-cell lung carcinoma</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="548.88" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:200%; left:43.82px;top:273.81px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-5.64px"> </span>Phosphaturic mesenchymal tumors</span></span></p></div></div></div> <div class="sg" id="s996" data-sgid="TextBox 6" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s996_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="382.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:37.92px;top:25.26px;">Final Diagnosis</span></p></div></div></div> <div class="sg sgTitle" id="s995" data-sgid="Title 5" style="z-index:2;left:47.49px;top:233.36px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s995_t" class="sg" style="z-index:2;left:0.00px;top:-8.99px;width:864.43px;height:198.72px;"><div><p para="{al:2}"><span data-textwidth="702.12" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:88.23px;top:24.67px;">Phosphaturic Mesenchymal </span><span data-textwidth="161.28" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:333%; left:344.91px;top:96.67px;">Tumor</span></p></div></div></div> <div class="sg" id="s994" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s994_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s999" data-sgid="TextBox 6" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s999_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="194.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:132.12px;top:25.26px;">Answer</span></p></div></div></div> <div class="sg sgTitle" id="s998" data-sgid="Title 5" style="z-index:2;left:47.49px;top:233.36px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s998_t" class="sg" style="z-index:2;left:0.00px;top:-8.99px;width:864.43px;height:198.72px;"><div><p para="{al:2}"><span data-textwidth="702.12" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:333%; left:88.23px;top:24.67px;">Phosphaturic Mesenchymal </span><span data-textwidth="161.28" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:333%; left:344.91px;top:96.67px;">Tumor</span></p></div></div></div> <div class="sg" id="s997" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s997_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s1000" data-sgid="Title 1" style="z-index:1;left:47.49px;top:-0.48px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s1000_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:864.43px;height:98.58px;"><div><p para="{al:2}"><span data-textwidth="632.76" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:115.95px;top:23.36px;">Phosphaturic Mesenchymal Tumor</span></p></div></div></div> <div class="sg" id="s1001" data-sgid="Content Placeholder 2" style="z-index:2;left:23.51px;top:84.91px;width:912.40px;height:308.57px" data-valign="top" data-pointer-events="none"> <div id="s1001_t" class="sg" style="z-index:2;left:-6.72px;top:-9.25px;width:921.04px;height:317.82px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="678.72" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:139%; left:14.41px;top:10.18px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>Cause of oncogenic osteomalacia/tumor-induced osteomalacia</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="719.16" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:139%; left:14.41px;top:40.18px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>Renal phosphate wasting (hypophosphatemia) and normocalcemia</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="244.44" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:122%; left:50.41px;top:69.94px;">–<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>resection: normalization</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="891.00" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:139%; left:14.41px;top:96.58px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>May have long history of systemic symptoms (muscle weakness, pain, osteomalacia</span></span><span data-textwidth="697.44" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:139%; left:41.41px;top:121.14px;">with a clinically occult, asymptomatic, or mildly symptomatic mass)</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="516.00" class="sg nowrap f2" style="z-index:22;color:#FFFFFF;font-size:139%; left:14.41px;top:150.58px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>Can occur with masses in soft tissue or in bone </span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="395.16" class="sg nowrap f2" style="z-index:24;color:#FFFFFF;font-size:139%; left:14.41px;top:180.58px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>Variable MR imaging characteristics</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="724.92" class="sg nowrap f2" style="z-index:26;color:#FFFFFF;font-size:139%; left:14.41px;top:210.58px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>Increased uptake on somatostatin analog nuclear medicine imaging</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="847.92" class="sg nowrap f2" style="z-index:28;color:#FFFFFF;font-size:139%; left:14.41px;top:240.58px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:12.60px"> </span>FGF-23 (fibroblast-derived growth factor) level is elevated when tumor present </span></span><span data-textwidth="476.40" class="sg nowrap f4" style="z-index:34;color:#FFFFFF;font-weight:bold; font-size:139%; left:41.41px;top:265.14px;">(present in this case); a marker (ie recurrence)</span></p></div></div></div> <div class="sg" id="s1004" data-sgid="Content Placeholder 2 (2)" style="z-index:5;left:23.51px;top:365.87px;width:405.28px;height:85.99px" data-valign="top"> <div id="s1004_t" class="sg" style="z-index:2;left:-6.72px;top:-3.94px;width:411.99px;height:113.45px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="377.52" class="sg nowrap f2" style="z-index:2;color:#FFFF00;font-size:139%; left:14.41px;top:10.35px;">•<span class="f5" style="font-style:italic; font-weight:bold; "><span style="letter-spacing:12.60px"> </span>Recognition of signs/symptoms is </span></span><span data-textwidth="311.16" class="sg nowrap f5" style="z-index:4;color:#FFFF00;font-style:italic; font-weight:bold; font-size:139%; left:41.41px;top:40.91px;">key to prompt laboratory and </span><span data-textwidth="201.48" class="sg nowrap f5" style="z-index:5;color:#FFFF00;font-style:italic; font-weight:bold; font-size:139%; left:41.41px;top:70.91px;">imaging evaluation</span></p></div></div></div> <div class="sg" id="s1003" data-sgid="Picture 4" style="z-index:4;left:434.20px;top:369.73px;width:436.10px;height:164.28px"> <img class="sg" src="A5ADA444.png" id="s1003_i" style="z-index:1;left:0px;top:0px;width:436.10px;height:164.28px" > </div> <div class="sg" id="s1002" data-sgid="Picture 3" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1002_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgSubtitle" id="s1005" data-sgid="Subtitle 2" style="z-index:1;left:127.86px;top:89.70px;width:689.30px;height:98.58px" data-valign="top" data-pointer-events="none"> <div id="s1005_t" class="sg" style="z-index:2;left:-25.54px;top:-13.42px;width:740.02px;height:335.06px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="268.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.56px;top:22.60px;">2018 RSNA </span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.36px;top:103.60px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:0.20}"><span data-textwidth="110.04" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:315.40px;top:238.60px;">Peds</span></p></div></div></div> <div class="sg" id="s1006" data-sgid="Picture 3" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1006_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1011" data-sgid="TextBox 4" style="z-index:5;left:335.36px;top:10.92px;width:611.34px;height:61.39px" data-valign="top"> <div id="s1011_t" class="sg" style="z-index:2;left:0.00px;top:-9.73px;width:640.37px;height:93.42px;"><div><p para="{al:3}"><span data-textwidth="388.92" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:225.16px;top:18.09px;">Paul Guillerman, MD </span></p></div></div></div> <div class="sg" id="s1007" data-sgid="Content Placeholder 2" style="z-index:1;left:296.99px;top:90.41px;width:828.44px;height:171.01px" data-valign="top" data-pointer-events="none"> <div id="s1007_t" class="sg" style="z-index:2;left:-9.60px;top:-8.25px;width:838.04px;height:179.26px;"><div><p para="{spbf:10.00}"><span data-textwidth="582.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.41px;top:11.56px;">Professor of Radiology, Baylor College of Medicine</span></p><p para="{spbf:10.00}"><span data-textwidth="529.80" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.41px;top:51.88px;">Director of Faculty Development and Chief of </span></p><p para="{spbf:10.00}"><span data-textwidth="494.88" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:89.41px;top:92.08px;">Academic Affairs, Texas Children's Hospital</span></p></div></div></div> <div class="sg" id="s1009" data-sgid="Picture 8 (2)" style="z-index:3;left:20.62px;top:47.38px;width:228.85px;height:332.77px"> <img class="sg" src="37A81891.png" id="s1009_i" style="z-index:1;left:0px;top:0px;width:228.85px;height:332.77px" > </div> <div class="sg" id="s1012" data-sgid="Content Placeholder 2 (2)" style="z-index:6;left:304.41px;top:237.56px;width:637.84px;height:343.35px" data-valign="top"> <div id="s1012_t" class="sg" style="z-index:2;left:-8.53px;top:-8.14px;width:646.37px;height:351.49px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="584.40" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.36px;top:12.22px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>MD: Washington University School of Medicine   </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="559.68" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:16.36px;top:52.54px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Residency: Mallinckrodt Institute of Radiology </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="566.88" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.36px;top:92.74px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Fellowship: Children’s Hospital Medical Center, </span></span><span data-textwidth="122.04" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:88.36px;top:122.42px;">Cincinnati </span></p></div></div></div> <div class="sg" id="s1008" data-sgid="Picture 8" style="z-index:2;left:12.83px;top:398.27px;width:244.46px;height:89.70px"> <img class="sg" src="5D980188.png" id="s1008_i" title="" alt="top-left" style="z-index:1;left:0px;top:0px;width:244.46px;height:89.70px" > </div> <div class="sg" id="s1013" data-sgid="Rectangle 1" style="z-index:7;left:296.99px;top:405.11px;width:652.60px;height:109.96px" data-valign="top" data-pointer-events="none"> <div id="s1013_t" class="sg" style="z-index:2;left:0.00px;top:-4.80px;width:652.60px;height:126.87px;"><div><p para="{al:2,spaf:12.00}"><span data-textwidth="586.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:33.37px;top:11.65px;">Expertise/research contributions: thoracic imaging</span><span data-textwidth="603.48" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:24.85px;top:45.25px;">including interstitial lung disease, oncology, practice</span><span data-textwidth="117.96" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:156%; left:267.61px;top:78.85px;">guidelines</span></p></div></div></div> <div class="sg" id="s1010" data-sgid="Picture 6" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1010_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1024" data-sgid="Picture 4" style="z-index:1;left:14.98px;top:75.43px;width:464.07px;height:263.94px"> <img class="sg" src="D56987C9.png" id="s1024_i" style="z-index:1;left:0px;top:0px;width:464.07px;height:263.94px" > </div> <div class="sg" id="s1025" data-sgid="Picture 8" style="z-index:2;left:491.29px;top:75.43px;width:448.92px;height:263.94px"> <img class="sg" src="5476A046.png" id="s1025_i" style="z-index:1;left:0px;top:0px;width:448.92px;height:263.94px" > </div> <div class="sg" id="s1027" data-sgid="TextBox 6" style="z-index:4;left:103.28px;top:402.47px;width:759.82px;height:56.60px" data-valign="top"> <div id="s1027_t" class="sg" style="z-index:2;left:-16.79px;top:-8.51px;width:786.10px;height:85.02px;"><div><p><span data-textwidth="737.52" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.51px;top:16.24px;">“Dad, I think you need to keep your day job”</span></p></div></div></div> <div class="sg" id="s1026" data-sgid="TextBox 9" style="z-index:3;left:113.11px;top:442.27px;width:740.28px;height:56.48px" data-valign="top"> <div id="s1026_t" class="sg" style="z-index:2;left:-16.91px;top:-8.51px;width:766.90px;height:84.91px;"><div><p><span data-textwidth="718.20" class="sg nowrap f6" style="z-index:2;font-size:222%; left:24.52px;top:16.16px;">“Dad, I think you need to keep your day job”</span></p></div></div></div> <div class="sg" id="s1028" data-sgid="Picture 7" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1028_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1034" data-sgid="Rectangle 10" style="z-index:6;left:253.06px;top:-7.32px;width:457.70px;height:86.84px" data-valign="top" data-pointer-events="none"> <div id="s1034_t" class="sg" style="z-index:2;left:-31.66px;top:-15.94px;width:503.89px;height:137.42px;"><div><p><span data-textwidth="438.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:361%; left:39.60px;top:25.82px;">Diagnosis Live<span class="f4" style="font-size:66%; position:relative;bottom:23px;">TM</span></span></p></div></div></div> <div class="sg" id="s1030" data-sgid="Picture 13" style="z-index:2;left:15.60px;top:32.26px;width:238.42px;height:314.55px"> <img class="sg" src="AF719F97.png" id="s1030_i" style="z-index:1;left:0px;top:0px;width:238.42px;height:314.55px" > </div> <div class="sg" id="s1031" data-sgid="Picture 17" style="z-index:3;left:656.20px;top:99.77px;width:290.39px;height:339.97px"> <img class="sg" src="D88F31DB.png" id="s1031_i" style="z-index:1;left:0px;top:0px;width:290.39px;height:339.97px" > </div> <div class="sg" id="s1033" data-sgid="Rectangle 1" style="z-index:5;left:469.94px;top:254.84px;width:19.54px;height:29.87px" data-valign="top" data-pointer-events="none"> <img class="sg" src="D9A2204239x60.png" id="s1033_tt" style="left:0.00px;top:0.00px;width:19.54px;height:29.87px;z-index:1" > </div> <div class="sg" id="s1029" data-sgid="Picture 11" style="z-index:1;left:268.78px;top:144.51px;width:370.03px;height:326.67px"> <img class="sg" src="1F566D1A.png" id="s1029_i" style="z-index:1;left:0px;top:0px;width:370.03px;height:326.67px" > </div> <div class="sg" id="s1032" data-sgid="Picture 7" style="z-index:4;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1032_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1041" data-sgid="TextBox 2" style="z-index:129;left:726.12px;top:-2.16px;width:191.33px;height:51.80px" data-valign="top"> <div id="s1041_t" class="sg" style="z-index:2;left:-3.60px;top:-1.81px;width:194.92px;height:53.62px;"><div><p><span data-textwidth="158.28" class="sg nowrap f6" style="z-index:2;color:#0563C1;left:11.76px;top:7.53px;"><a target=_blank class="sga" href="http://bit.ly/2BjMgu1"><u>http://bit.ly/2BjMgu1</u></a></span></p></div></div><img class="sg" src="EDE2E27C390x107.png" id="s1041_tt" style="left:-3.60px;top:-1.81px;width:194.92px;height:53.62px;z-index:1" > </div> <div class="sg" id="s1037" data-sgid="Rectangle 127" style="z-index:125;left:253.06px;top:-7.32px;width:457.70px;height:86.84px" data-valign="top" data-pointer-events="none"> <div id="s1037_t" class="sg" style="z-index:2;left:-31.66px;top:-15.94px;width:503.89px;height:137.42px;"><div><p><span data-textwidth="438.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:361%; left:39.60px;top:25.82px;">Diagnosis Live<span class="f4" style="font-size:66%; position:relative;bottom:23px;">TM</span></span></p></div></div></div> <div class="sg" id="s1036" data-sgid="Content Placeholder 2" style="z-index:124;left:14.39px;top:11.89px;width:204.98px;height:343.32px" data-valign="top"> <div id="s1036_t" class="sg" style="z-index:2;left:-12.83px;top:-11.66px;width:218.77px;height:354.98px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="176.04" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:20.52px;top:14.49px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-2.76px"> </span>Tap which </span></span><span data-textwidth="145.32" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:200%; left:38.52px;top:53.69px;">state you </span><span data-textwidth="148.80" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:200%; left:38.52px;top:92.57px;">think this </span><span data-textwidth="151.92" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:200%; left:38.52px;top:131.45px;">signage is </span><span data-textwidth="81.96" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:200%; left:38.52px;top:170.33px;">from.</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="95.16" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:200%; left:20.52px;top:218.85px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:-2.76px"> </span>Click </span></span><span data-textwidth="113.28" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:200%; left:38.52px;top:258.05px;">submit.</span></p></div></div></div> <div class="sg" id="s1035" data-sgid="组合 1" style="z-index:1;left:118.26px;top:45.45px;width:724.56px;height:470.58px"> <img class="sg" src="33C649BF.png" id="s1035_i" style="left: -1px;top: -1px;width:725.56px;height:471.58px" > </div> <div class="sg" id="s1040" data-sgid="Picture 130" style="z-index:128;left:837.44px;top:228.57px;width:104.36px;height:121.13px"> <img class="sg" src="89BC2B0D.png" id="s1040_i" style="z-index:1;left:0px;top:0px;width:104.36px;height:121.13px" > </div> <div class="sg" id="s1039" data-sgid="Picture 129" style="z-index:127;left:746.65px;top:252.20px;width:86.83px;height:112.48px"> <img class="sg" src="DAD18AF8.png" id="s1039_i" style="z-index:1;left:0px;top:0px;width:86.83px;height:112.48px" > </div> <div class="sg" id="s1038" data-sgid="Picture 128" style="z-index:126;left:789.81px;top:377.16px;width:131.12px;height:116.57px"> <img class="sg" src="CF911D8D.png" id="s1038_i" style="z-index:1;left:0px;top:0px;width:131.12px;height:116.57px" > </div> <div class="sg" id="s1047" data-sgid="Picture 13" style="z-index:3;left:14.50px;top:19.55px;width:238.45px;height:314.44px"> <img class="sg" src="69BA9442.png" id="s1047_i" style="z-index:1;left:0px;top:0px;width:238.45px;height:314.44px" > </div> <div class="sg" id="s1048" data-sgid="Picture 17" style="z-index:4;left:653.45px;top:19.55px;width:290.39px;height:339.86px"> <img class="sg" src="AAADEE12.png" id="s1048_i" style="z-index:1;left:0px;top:0px;width:290.39px;height:339.86px" > </div> <div class="sg" id="s1046" data-sgid="Picture 11" style="z-index:2;left:265.67px;top:106.72px;width:370.03px;height:326.67px"> <img class="sg" src="373AD5F3.png" id="s1046_i" style="z-index:1;left:0px;top:0px;width:370.03px;height:326.67px" > </div> <div class="sg" id="s1045" data-sgid="TextBox 9" style="z-index:1;left:109.03px;top:451.86px;width:714.96px;height:56.48px" data-valign="top"> <div id="s1045_t" class="sg" style="z-index:2;left:-16.68px;top:-8.51px;width:741.61px;height:84.91px;"><div><p><span data-textwidth="693.00" class="sg nowrap f6" style="z-index:2;font-size:222%; left:24.53px;top:16.17px;">Texas destinations in case I lose my day job</span></p></div></div></div> <div class="sg" id="s1049" data-sgid="TextBox 6" style="z-index:5;left:109.03px;top:451.86px;width:770.01px;height:56.48px" data-valign="top"> <div id="s1049_t" class="sg" style="z-index:2;left:-16.68px;top:-8.51px;width:796.07px;height:84.91px;"><div><p><span data-textwidth="747.36" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.53px;top:16.17px;">“Texas destinations in case I lose my day job”</span></p></div></div></div> <div class="sg" id="s1050" data-sgid="Picture 7" style="z-index:6;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1050_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgSubtitle" id="s1051" data-sgid="Subtitle 2" style="z-index:1;left:135.06px;top:33.45px;width:689.30px;height:98.58px" data-valign="top" data-pointer-events="none"> <div id="s1051_t" class="sg" style="z-index:2;left:-25.32px;top:-20.15px;width:739.94px;height:189.84px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="268.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:242.46px;top:22.58px;">2018 RSNA </span></p><p para="{al:2,spbf:10.00}"><span data-textwidth="672.00" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:34.26px;top:93.26px;">Image Interpretation Session</span></p></div></div></div> <div class="sg" id="s1053" data-sgid="Picture 4" style="z-index:3;left:264.36px;top:173.65px;width:430.71px;height:317.79px"> <img class="sg" src="8A7C859F.png" id="s1053_i" style="z-index:1;left:0px;top:0px;width:430.71px;height:317.79px" > </div> <div class="sg" id="s1052" data-sgid="Picture 3" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1052_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1054" data-sgid="Rectangle 1" style="z-index:4;left:309.82px;top:509.19px;width:339.78px;height:29.99px" data-valign="top" data-pointer-events="none"> <div id="s1054_t" class="sg" style="z-index:2;left:-3.74px;top:-1.93px;width:343.89px;height:38.87px;"><div><p><span data-textwidth="321.12" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;left:11.56px;top:7.98px;">http://traveltempters.com/texas/uncertain/</span></p></div></div></div> <div class="sg" id="s1062" data-sgid="Title 1" style="z-index:3;left:119.45px;top:43.66px;width:720.51px;height:75.55px" data-valign="top"> <div id="s1062_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:720.51px;height:130.95px;"><div><p para="{al:2}"><span data-textwidth="184.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:275.35px;top:25.14px;">History</span></p></div></div></div> <div class="sg" id="s1060" data-sgid="Content Placeholder 2" style="z-index:1;left:85.04px;top:143.18px;width:828.55px;height:343.23px" data-valign="top" data-pointer-events="none"> <div id="s1060_t" class="sg" style="z-index:2;left:-12.97px;top:-11.63px;width:862.99px;height:354.87px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="820.44" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:20.81px;top:14.57px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>2 year old girl who originally presented at an outside </span></span><span data-textwidth="118.80" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:200%; left:38.81px;top:53.77px;">practice</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="268.80" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:56.81px;top:98.33px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>“renal abnormalities”</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="267.60" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:56.81px;top:133.61px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>abdominal distension</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="461.76" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:200%; left:20.81px;top:172.73px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:5.40px"> </span>Followed by renal ultrasound</span></span></p></div></div></div> <div class="sg" id="s1061" data-sgid="Picture 3" style="z-index:2;left:877.97px;top:512.20px;width:74.62px;height:20.51px"> <img class="sg" src="89D9616675x21.png" id="s1061_i" style="z-index:1;left:0px;top:0px;width:74.62px;height:20.51px" > </div> <div class="sg sgTitle" id="s1063" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s1063_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.46px;height:105.30px;"><div><p para="{al:2}"><span data-textwidth="626.88" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:100.96px;top:28.07px;">Renal Ultrasound at 2 Years of Age</span></p></div></div></div> <div class="sg" id="s1064" data-sgid="Picture 2" style="z-index:2;left:18.58px;top:172.45px;width:461.55px;height:286.50px"> <img class="sg" src="49804195.jpg" id="s1064_i" style="z-index:1;left:0px;top:0px;width:461.55px;height:286.50px" > </div> <div class="sg" id="s1065" data-sgid="Picture 3" style="z-index:3;left:493.33px;top:172.45px;width:445.33px;height:286.50px"> <img class="sg" src="BF2F6287.jpg" id="s1065_i" style="z-index:1;left:0px;top:0px;width:445.33px;height:286.50px" > </div> <div class="sg" id="s1066" data-sgid="Picture 4" style="z-index:4;left:877.97px;top:510.75px;width:74.62px;height:20.40px"> <img class="sg" src="5B8791C75x20.png" id="s1066_i" style="z-index:1;left:0px;top:0px;width:74.62px;height:20.40px" > </div> <div class="sg" id="s1073" data-sgid="Title 1" style="z-index:3;left:119.45px;top:43.66px;width:720.51px;height:75.55px" data-valign="top"> <div id="s1073_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:720.51px;height:130.95px;"><div><p para="{al:2}"><span data-textwidth="184.32" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:275.35px;top:25.14px;">History</span></p></div></div></div> <div class="sg" id="s1071" data-sgid="Content Placeholder 2" style="z-index:1;left:85.04px;top:143.18px;width:828.55px;height:343.23px" data-valign="top" data-pointer-events="none"> <div id="s1071_t" class="sg" style="z-index:2;left:-10.67px;top:-9.70px;width:839.23px;height:352.94px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="730.68" class="sg nowrap f2" style="z-index:2;color:#404040;font-size:178%; left:18.51px;top:13.00px;">•<span class="f4" style="font-weight:bold; color:#3B3838;"><span style="letter-spacing:6.72px"> </span>2 year old girl who originally presented at an outside </span></span><span data-textwidth="105.72" class="sg nowrap f4" style="z-index:4;color:#3B3838;font-weight:bold; font-size:178%; left:36.51px;top:48.12px;">practice</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="268.80" class="sg nowrap f2" style="z-index:5;color:#404040;font-size:156%; left:54.51px;top:87.76px;">•<span class="f4" style="font-weight:bold; color:#3B3838;"><span style="letter-spacing:1.92px"> </span>“renal abnormalities”</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="267.60" class="sg nowrap f2" style="z-index:7;color:#404040;font-size:156%; left:54.51px;top:123.04px;">•<span class="f4" style="font-weight:bold; color:#3B3838;"><span style="letter-spacing:1.92px"> </span>abdominal distension</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="412.56" class="sg nowrap f2" style="z-index:9;color:#404040;font-size:178%; left:18.51px;top:162.52px;">•<span class="f4" style="font-weight:bold; color:#3B3838;"><span style="letter-spacing:6.72px"> </span>Followed by renal ultrasound</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="300.24" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:178%; left:18.51px;top:207.16px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:6.72px"> </span>At 26 months of age:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="460.20" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:156%; left:54.51px;top:247.36px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>enlarged right kidney; mass suspected</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="196.20" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:156%; left:54.51px;top:282.64px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>MRI performed</span></span></p></div></div></div> <div class="sg" id="s1072" data-sgid="Picture 5" style="z-index:2;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1072_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s1074" data-sgid="Title 1" style="z-index:1;left:70.52px;top:2.64px;width:828.46px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s1074_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.46px;height:105.16px;"><div><p para="{al:2}"><span data-textwidth="454.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:187.12px;top:27.92px;">MRI at 26 Months of Age</span></p></div></div></div> <div class="sg" id="s1081" data-sgid="TextBox 10" style="z-index:8;left:704.06px;top:88.99px;width:90.93px;height:29.84px" data-valign="top"> <div id="s1081_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:94.64px;height:38.72px;"><div><p><span data-textwidth="39.96" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.73px;top:7.58px;">T2-FS</span></p></div></div></div> <div class="sg" id="s1082" data-sgid="TextBox 11" style="z-index:9;left:30.81px;top:93.42px;width:91.05px;height:29.87px" data-valign="top"> <div id="s1082_t" class="sg" style="z-index:2;left:-3.71px;top:-1.79px;width:94.76px;height:38.72px;"><div><p><span data-textwidth="39.96" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.42px;top:7.57px;">T2-FS</span></p></div></div></div> <div class="sg" id="s1076" data-sgid="Picture 5" style="z-index:3;left:468.61px;top:89.82px;width:289.80px;height:208.09px"> <img class="sg" src="F174612C.jpg" id="s1076_i" style="z-index:1;left:0px;top:0px;width:289.80px;height:208.09px" > </div> <div class="sg" id="s1075" data-sgid="Picture 3" style="z-index:2;left:20.02px;top:92.71px;width:341.37px;height:277.99px"> <img class="sg" src="9B45860E.jpg" id="s1075_i" style="z-index:1;left:0px;top:0px;width:341.37px;height:277.99px" > </div> <div class="sg" id="s1078" data-sgid="Picture 9" style="z-index:5;left:643.37px;top:296.57px;width:265.44px;height:193.30px"> <img class="sg" src="C03636DA.jpg" id="s1078_i" style="z-index:1;left:0px;top:0px;width:265.44px;height:193.30px" > </div> <div class="sg" id="s1077" data-sgid="Picture 7" style="z-index:4;left:368.21px;top:297.05px;width:262.44px;height:193.45px"> <img class="sg" src="49EDC404.jpg" id="s1077_i" style="z-index:1;left:0px;top:0px;width:262.44px;height:193.45px" > </div> <div class="sg" id="s1079" data-sgid="TextBox 12" style="z-index:6;left:390.53px;top:492.17px;width:176.54px;height:29.84px" data-valign="top"> <div id="s1079_t" class="sg" style="z-index:2;left:-3.60px;top:-1.82px;width:180.14px;height:38.75px;"><div><p><span data-textwidth="145.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.47px;top:7.85px;">T1+C Arterial Phase</span></p></div></div></div> <div class="sg" id="s1080" data-sgid="TextBox 13" style="z-index:7;left:715.21px;top:492.17px;width:142.99px;height:29.84px" data-valign="top"> <div id="s1080_t" class="sg" style="z-index:2;left:-3.71px;top:-1.82px;width:146.70px;height:38.75px;"><div><p><span data-textwidth="109.44" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.74px;top:7.85px;">T1+C PV Phase</span></p></div></div></div> <div class="sg" id="s1083" data-sgid="Picture 14" style="z-index:10;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1083_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s1084" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s1084_t" class="sg" style="z-index:2;left:0.00px;top:-7.91px;width:828.46px;height:128.20px;"><div><p para="{al:2}"><span data-textwidth="773.40" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:27.64px;top:16.14px;">Subsequently, US-Guided Right Renal Biopsies:</span><span data-textwidth="620.16" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:222%; left:104.32px;top:59.34px;">eventual path diagnosis was “Wilms”</span></p></div></div></div> <div class="sg" id="s1085" data-sgid="Picture 3" style="z-index:2;left:214.10px;top:158.67px;width:505.31px;height:331.21px"> <img class="sg" src="1741B0F4.jpg" id="s1085_i" style="z-index:1;left:0px;top:0px;width:505.31px;height:331.21px" > </div> <div class="sg" id="s1086" data-sgid="Picture 5" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1086_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s1087" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s1087_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.46px;height:105.30px;"><div><p para="{al:2}"><span data-textwidth="151.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:338.92px;top:28.07px;">Findings</span></p></div></div></div> <div class="sg" id="s1088" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:143.18px;width:828.46px;height:343.23px" data-valign="top" data-pointer-events="none"> <div id="s1088_t" class="sg" style="z-index:2;left:-7.42px;top:-9.93px;width:835.88px;height:365.02px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="779.28" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:144%; left:15.14px;top:11.43px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Young child with asymmetric nephromegaly and multiple solid masses </span></span><span data-textwidth="716.40" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:144%; left:33.14px;top:35.95px;">replacing normal renal parenchyma with loss of cortico-medullary </span><span data-textwidth="114.00" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:144%; left:33.14px;top:60.91px;">distinction</span></p><p para="{spbf:10.00}"><span data-textwidth="23.52" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:144%; left:120.86px;top:95.83px;">↓</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="704.04" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:144%; left:15.14px;top:131.31px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Nephroblastomatosis +/- Wilms tumor >>>>>>>>>> lymphoma, </span></span><span data-textwidth="121.56" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:144%; left:33.14px;top:155.83px;">metastases</span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="780.96" class="sg nowrap f2" style="z-index:14;color:#FFFFFF;font-size:144%; left:15.14px;top:226.11px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Very difficult to distinguish hyperplastic nephrogenic rests from Wilms </span></span><span data-textwidth="183.60" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:144%; left:33.14px;top:250.63px;">tumor on biopsy </span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="434.28" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:144%; left:15.14px;top:321.03px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>It can’t be that straightforward, can it?</span></span></p></div></div></div> <div class="sg" id="s1089" data-sgid="Picture 3" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1089_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s1090" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s1090_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.46px;height:105.30px;"><div><p para="{al:2}"><span data-textwidth="351.48" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:238.72px;top:28.07px;">Additional Findings</span></p></div></div></div> <div class="sg" id="s1091" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:143.18px;width:828.46px;height:343.23px" data-valign="top" data-pointer-events="none"> <div id="s1091_t" class="sg" style="z-index:2;left:-7.42px;top:-9.93px;width:838.89px;height:365.02px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="763.68" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:144%; left:15.14px;top:11.43px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Fluid-filled locules within left abdominal wall, para-aortic/para-renal </span></span><span data-textwidth="764.52" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:144%; left:33.14px;top:35.95px;">retroperitoneum, and right pelvis; ? thoracic and right hip lipomatosis; </span><span data-textwidth="391.56" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:144%; left:33.14px;top:60.91px;">otherwise, decreased adipose tissue</span></p><p para="{spbf:10.00}"><span data-textwidth="23.52" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:144%; left:279.50px;top:95.83px;">↓</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="748.56" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:144%; left:15.14px;top:131.31px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Overgrowth syndrome with veno-lymphatic vascular malformations</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="779.04" class="sg nowrap f2" style="z-index:18;color:#FFFFFF;font-size:144%; left:15.14px;top:201.15px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>Isolated hemihypertrophy, Beckwith-Wiedemann, Perlman, Soto, and </span></span><span data-textwidth="743.16" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:144%; left:33.14px;top:225.67px;">Simpson-Golabi-Behmel syndromes are associated with overgrowth, </span><span data-textwidth="790.44" class="sg nowrap f4" style="z-index:28;color:#FFFFFF;font-weight:bold; font-size:144%; left:33.14px;top:250.63px;">nephrogenic rests and Wilms tumor, but not with vascular malformations</span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="495.00" class="sg nowrap f2" style="z-index:29;color:#FFFFFF;font-size:144%; left:15.14px;top:321.03px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:3.00px"> </span>So, what could be the diagnosis in this case?</span></span></p></div></div></div> <div class="sg" id="s1092" data-sgid="Picture 3" style="z-index:3;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1092_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1095" data-sgid="TextBox 4" style="z-index:3;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s1095_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="382.56" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:37.92px;top:25.26px;">Final Diagnosis</span></p></div></div></div> <div class="sg" id="s1096" data-sgid="Title 1" style="z-index:4;left:65.48px;top:174.01px;width:828.46px;height:105.16px" data-valign="middle"> <div id="s1096_t" class="sg" style="z-index:2;left:0.00px;top:-13.92px;width:828.46px;height:140.79px;"><div><p para="{al:2}"><span data-textwidth="707.04" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:244%; left:65.68px;top:18.19px;">PIK3CA<span class="f4" style="font-style:normal; ">-Related Overgrowth Spectrum </span></span><span data-textwidth="480.96" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:244%; left:173.92px;top:65.71px;">(PROS): CLOVES Syndrome</span></p></div></div></div> <div class="sg sgTitle" id="s1094" data-sgid="Title 5" style="z-index:2;left:47.49px;top:233.36px;width:864.43px;height:90.78px" data-valign="middle" data-pointer-events="none"> <img class="sg" src="F4288221729x182.png" id="s1094_tt" style="left:0.00px;top:0.00px;width:864.43px;height:90.78px;z-index:1" > </div> <div class="sg" id="s1093" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1093_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1098" data-sgid="TextBox 4" style="z-index:2;left:250.80px;top:29.02px;width:457.82px;height:83.12px" data-valign="top"> <div id="s1098_t" class="sg" style="z-index:2;left:0.00px;top:-15.12px;width:457.82px;height:131.09px;"><div><p para="{al:2}"><span data-textwidth="194.16" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:344%; left:132.12px;top:25.26px;">Answer</span></p></div></div></div> <div class="sg" id="s1099" data-sgid="Title 1" style="z-index:3;left:65.48px;top:174.01px;width:828.46px;height:105.16px" data-valign="middle"> <div id="s1099_t" class="sg" style="z-index:2;left:0.00px;top:-13.92px;width:828.46px;height:140.79px;"><div><p para="{al:2}"><span data-textwidth="707.04" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:244%; left:65.68px;top:18.19px;">PIK3CA<span class="f4" style="font-style:normal; ">-Related Overgrowth Spectrum </span></span><span data-textwidth="480.96" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:244%; left:173.92px;top:65.71px;">(PROS): CLOVES Syndrome</span></p></div></div></div> <div class="sg" id="s1097" data-sgid="Picture 3" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1097_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg sgTitle" id="s1100" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s1100_t" class="sg" style="z-index:2;left:0.00px;top:-13.79px;width:828.46px;height:140.79px;"><div><p para="{al:2}"><span data-textwidth="707.04" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:244%; left:65.68px;top:18.10px;">PIK3CA<span class="f4" style="font-style:normal; ">-Related Overgrowth Spectrum </span></span><span data-textwidth="125.64" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:244%; left:351.64px;top:65.62px;">(PROS)</span></p></div></div></div> <div class="sg" id="s1101" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:126.41px;width:828.46px;height:343.32px" data-valign="top" data-pointer-events="none"> <div id="s1101_t" class="sg" style="z-index:2;left:-8.50px;top:-8.28px;width:836.96px;height:351.60px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="480.72" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.22px;top:12.27px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Associated with vascular malformations</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="703.44" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:16.22px;top:52.59px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Somatic mutations in </span><span class="f5" style="font-style:italic; font-weight:bold; ">PIK3CA</span><span class="f4" style="font-weight:bold; "> phosphatidylinositol-3-kinase</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="782.64" class="sg nowrap f2" style="z-index:12;color:#FFFFFF;font-size:156%; left:16.22px;top:92.79px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Sporadic, mosaic, congenital or early childhood onset, progressive</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="768.24" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:156%; left:16.22px;top:132.99px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Highest risk of nephroblastomatosis and Wilms Tumor in CLOVES</span></span></p></div></div></div> <div class="sg" id="s1102" data-sgid="Picture 5" style="z-index:3;left:255.47px;top:283.38px;width:444.14px;height:231.21px"> <img class="sg" src="78A64AAB.png" id="s1102_i" style="z-index:1;left:0px;top:0px;width:444.14px;height:231.21px" > </div> <div class="sg" id="s1104" data-sgid="Picture 6" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1104_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1103" data-sgid="Picture 7" style="z-index:4;left:351.90px;top:508.48px;width:251.28px;height:25.53px"> <img class="sg" src="55F23929.png" id="s1103_i" style="z-index:1;left:0px;top:0px;width:251.28px;height:25.53px" > </div> <div class="sg sgTitle" id="s1105" data-sgid="Title 1" style="z-index:1;left:65.48px;top:-0.48px;width:828.46px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s1105_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.46px;height:105.16px;"><div><p para="{al:2}"><span data-textwidth="333.12" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:247.84px;top:27.92px;">CLOVES Syndrome</span></p></div></div></div> <div class="sg" id="s1106" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:88.99px;width:828.46px;height:343.21px" data-valign="top" data-pointer-events="none"> <div id="s1106_t" class="sg" style="z-index:2;left:-8.50px;top:-11.03px;width:836.96px;height:354.24px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="670.92" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.22px;top:12.12px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>This patient has somatic mosaicism for PIK3CA mutation</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="768.00" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.22px;top:48.96px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>CLOVES = </span><span class="f4" style="font-weight:bold; color:#FFFF00;">C</span><span class="f4" style="font-weight:bold; ">ongenital </span><span class="f4" style="font-weight:bold; color:#FFFF00;">L</span><span class="f4" style="font-weight:bold; ">ipomatous asymmetric </span><span class="f4" style="font-weight:bold; color:#FFFF00;">O</span><span class="f4" style="font-weight:bold; ">vergrowth of the </span></span><span data-textwidth="733.20" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:156%; left:34.22px;top:75.28px;">trunk/extremities, lymphatic/capillary/venous/combined-type </span><span data-textwidth="699.48" class="sg nowrap f4" style="z-index:20;color:#FFFF00;font-weight:bold; font-size:156%; left:34.22px;top:102.16px;">V<span style="color:#FFFFFF;">ascular malformations, </span>E<span style="color:#FFFFFF;">pidermal nevi, </span>S<span style="color:#FFFFFF;">keletal (eg </span>s<span style="color:#FFFFFF;">pinal) </span></span><span data-textwidth="119.28" class="sg nowrap f4" style="z-index:30;color:#FFFFFF;font-weight:bold; font-size:156%; left:34.22px;top:129.04px;">anomalies</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="209.04" class="sg nowrap f2" style="z-index:31;color:#FFFFFF;font-size:156%; left:16.22px;top:166.56px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>This patient has:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="255.84" class="sg nowrap f2" style="z-index:33;color:#FFFFFF;font-size:133%; left:52.22px;top:198.08px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Lipomatous overgrowth</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="391.56" class="sg nowrap f2" style="z-index:35;color:#FFFFFF;font-size:133%; left:52.22px;top:226.16px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Lymphatic and venous malformations</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="166.68" class="sg nowrap f2" style="z-index:37;color:#FFFFFF;font-size:133%; left:52.22px;top:254.24px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Epidermal nevi</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="239.40" class="sg nowrap f2" style="z-index:39;color:#FFFFFF;font-size:133%; left:52.22px;top:282.20px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Skeletal abnormalities</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="150.48" class="sg nowrap f2" style="z-index:41;color:#FFFFFF;font-size:133%; left:52.22px;top:310.28px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:4.20px"> </span>Wilms Tumor</span></span></p></div></div></div> <div class="sg" id="s1107" data-sgid="Picture 3" style="z-index:3;left:524.51px;top:215.04px;width:253.69px;height:239.60px"> <img class="sg" src="CCE5068F.png" id="s1107_i" style="z-index:1;left:0px;top:0px;width:253.69px;height:239.60px" > </div> <div class="sg" id="s1108" data-sgid="Picture 4" style="z-index:4;left:784.17px;top:215.04px;width:151.03px;height:239.60px"> <img class="sg" src="4265A513.png" id="s1108_i" style="z-index:1;left:0px;top:0px;width:151.03px;height:239.60px" > </div> <div class="sg" id="s1109" data-sgid="TextBox 5" style="z-index:5;left:21.35px;top:478.98px;width:891.65px;height:51.69px" data-valign="top"> <div id="s1109_t" class="sg" style="z-index:2;left:0.00px;top:-1.93px;width:891.65px;height:60.45px;"><div><p para="{al:2}"><span data-textwidth="777.72" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; left:61.45px;top:7.95px;">Gripp et al Am J Med Genet 2016;170:2559-2569; Peterman et al Pediatr Blood Cancer 2017;64:e26684; </span></p><p para="{al:2}"><span data-textwidth="735.36" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; left:80.29px;top:29.55px;">Hucthagowder et al Clin Genet 2017;91:79-85; Biderman Waberski et al Genet Med 2018 (in press) </span></p></div></div></div> <div class="sg sgTitle" id="s1111" data-sgid="Title 1" style="z-index:2;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s1111_t" class="sg" style="z-index:2;left:0.00px;top:-13.79px;width:828.46px;height:140.79px;"><div><p para="{al:2}"><span data-textwidth="707.04" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:244%; left:65.68px;top:18.10px;">PIK3CA<span class="f4" style="font-style:normal; ">-Related Overgrowth Spectrum </span></span><span data-textwidth="125.64" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:244%; left:351.64px;top:65.62px;">(PROS)</span></p></div></div></div> <div class="sg" id="s1110" data-sgid="Content Placeholder 2" style="z-index:1;left:65.48px;top:139.23px;width:828.46px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s1110_t" class="sg" style="z-index:2;left:-8.50px;top:-8.17px;width:836.96px;height:351.52px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="775.56" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.22px;top:12.06px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.28px"> </span>Overall 1.4*-3.3%** risk of nephroblastomatosis or Wilms tumor</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="566.16" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:156%; left:16.22px;top:52.38px;">•<span class="f4" style="font-weight:bold; "><span style="letter-spacing:8.28px"> </span>Cases of Wilms diagnosed by 24 months of age</span></span></p></div></div></div> <div class="sg" id="s1113" data-sgid="Picture 2" style="z-index:4;left:42.93px;top:234.33px;width:873.55px;height:201.84px"> <img class="sg" src="A2A632A8.jpg" id="s1113_i" style="z-index:1;left:0px;top:0px;width:873.55px;height:201.84px" > </div> <div class="sg" id="s1112" data-sgid="TextBox 4" style="z-index:3;left:33.96px;top:459.77px;width:891.53px;height:51.83px" data-valign="top"> <div id="s1112_t" class="sg" style="z-index:2;left:0.00px;top:-1.78px;width:891.53px;height:53.62px;"><div><p para="{al:2}"><span data-textwidth="404.76" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; left:243.48px;top:7.93px;">*Postema et al Am J Med Genet 2017;173A:2293-2295</span></p></div></div></div> <div class="sg" id="s1115" data-sgid="TextBox 8" style="z-index:6;left:199.12px;top:496.23px;width:561.21px;height:29.99px" data-valign="top"> <div id="s1115_t" class="sg" style="z-index:2;left:0.00px;top:-1.90px;width:561.21px;height:38.84px;"><div><p para="{al:2}"><span data-textwidth="429.60" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; left:66.08px;top:7.95px;">**Peterman, et al Pediatric Blood Cancer 2017 Dec;64(12)</span></p></div></div></div> <div class="sg" id="s1114" data-sgid="Picture 7" style="z-index:5;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1114_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1131" data-sgid="TextBox 1" style="z-index:16;left:384.04px;top:11.15px;width:424.97px;height:63.80px" data-valign="top"> <div id="s1131_t" class="sg" style="z-index:2;left:-20.50px;top:-10.30px;width:452.66px;height:97.73px;"><div><p><span data-textwidth="396.36" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:256%; left:28.38px;top:20.51px;">Deepest Gratitude</span></p></div></div></div> <div class="sg" id="s1132" data-sgid="Picture 3" style="z-index:17;left:808.53px;top:14.52px;width:104.24px;height:104.43px"> <img class="sg" src="E5A5765E.png" id="s1132_i" style="z-index:1;left:0px;top:0px;width:104.24px;height:104.43px" > </div> <div class="sg" id="s1130" data-sgid="Picture 30" style="z-index:15;left:27.22px;top:17.87px;width:89.97px;height:113.45px"> <img class="sg" src="1490344D.png" id="s1130_i" style="z-index:1;left:0px;top:0px;width:89.97px;height:113.45px" > </div> <div class="sg" id="s1120" data-sgid="TextBox 20" style="z-index:5;left:126.31px;top:44.48px;width:401.80px;height:74.72px" data-valign="top"> <div id="s1120_t" class="sg" style="z-index:2;left:-10.79px;top:-5.50px;width:412.59px;height:90.78px;"><div><p><span data-textwidth="96.72" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:167%; left:18.64px;top:12.94px;">Neuro:</span></p><p><span data-textwidth="255.72" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:139%; left:90.64px;top:47.82px;">Michael Malinzak, MD</span></p></div></div></div> <div class="sg" id="s1126" data-sgid="Picture 26" style="z-index:11;left:489.25px;top:130.72px;width:94.62px;height:125.79px"> <img class="sg" src="6698ABB4.png" id="s1126_i" style="z-index:1;left:0px;top:0px;width:94.62px;height:125.79px" > </div> <div class="sg" id="s1129" data-sgid="Picture 29" style="z-index:14;left:27.22px;top:140.91px;width:88.41px;height:116.57px"> <img class="sg" src="A667596A.png" id="s1129_i" style="z-index:1;left:0px;top:0px;width:88.41px;height:116.57px" > </div> <div class="sg" id="s1117" data-sgid="TextBox 10" style="z-index:2;left:601.88px;top:162.61px;width:401.80px;height:74.84px" data-valign="top"> <div id="s1117_t" class="sg" style="z-index:2;left:-10.93px;top:-5.39px;width:412.73px;height:90.89px;"><div><p><span data-textwidth="116.76" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:167%; left:18.77px;top:13.02px;">Abd GI: </span></p><p><span data-textwidth="235.92" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:139%; left:90.77px;top:47.90px;">Rendon Nelson, MD</span></p></div></div></div> <div class="sg" id="s1119" data-sgid="TextBox 19" style="z-index:4;left:126.31px;top:164.17px;width:401.80px;height:74.72px" data-valign="top"> <div id="s1119_t" class="sg" style="z-index:2;left:-10.79px;top:-5.50px;width:412.59px;height:90.78px;"><div><p><span data-textwidth="103.32" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:167%; left:18.64px;top:13.01px;">Breast:</span></p><p><span data-textwidth="169.44" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:139%; left:90.64px;top:47.89px;">Jay Baker, MD</span></p></div></div></div> <div class="sg" id="s1118" data-sgid="TextBox 18" style="z-index:3;left:607.74px;top:283.74px;width:401.80px;height:74.84px" data-valign="top"> <div id="s1118_t" class="sg" style="z-index:2;left:-10.90px;top:-5.39px;width:412.70px;height:90.78px;"><div><p><span data-textwidth="76.68" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:167%; left:18.76px;top:12.97px;">MSK:</span></p><p><span data-textwidth="198.48" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:139%; left:90.76px;top:47.85px;">Lee Cothran, MD</span></p></div></div></div> <div class="sg" id="s1124" data-sgid="Picture 24" style="z-index:9;left:489.25px;top:263.46px;width:93.54px;height:120.17px"> <img class="sg" src="B8B2F8E5.png" id="s1124_i" style="z-index:1;left:0px;top:0px;width:93.54px;height:120.17px" > </div> <div class="sg" id="s1127" data-sgid="Picture 27" style="z-index:12;left:25.80px;top:266.47px;width:89.83px;height:115.49px"> <img class="sg" src="6E745E.png" id="s1127_i" style="z-index:1;left:0px;top:0px;width:89.83px;height:115.49px" > </div> <div class="sg" id="s1122" data-sgid="TextBox 22" style="z-index:7;left:134.69px;top:288.43px;width:401.80px;height:74.81px" data-valign="top"> <div id="s1122_t" class="sg" style="z-index:2;left:-10.90px;top:-5.42px;width:412.70px;height:90.92px;"><div><p><span data-textwidth="135.00" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:167%; left:18.65px;top:13.11px;">Thoracic:</span></p><p><span data-textwidth="230.40" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:139%; left:90.65px;top:47.99px;">Page McAdams MD</span></p></div></div></div> <div class="sg" id="s1121" data-sgid="TextBox 21" style="z-index:6;left:607.74px;top:413.02px;width:401.80px;height:74.70px" data-valign="top"> <div id="s1121_t" class="sg" style="z-index:2;left:-10.90px;top:-5.53px;width:412.70px;height:90.78px;"><div><p><span data-textwidth="81.72" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:167%; left:18.76px;top:13.19px;">Peds:</span></p><p><span data-textwidth="222.24" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:139%; left:90.76px;top:48.07px;">Gary Schooler, MD</span></p></div></div></div> <div class="sg" id="s1123" data-sgid="TextBox 23" style="z-index:8;left:136.98px;top:413.02px;width:401.80px;height:74.70px" data-valign="top"> <div id="s1123_t" class="sg" style="z-index:2;left:-10.93px;top:-5.53px;width:412.73px;height:90.78px;"><div><p><span data-textwidth="217.32" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:167%; left:18.67px;top:13.19px;">CVI & Abd GU: </span></p><p><span data-textwidth="215.40" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:139%; left:90.67px;top:48.07px;">Daniele Marin, MD</span></p></div></div></div> <div class="sg" id="s1125" data-sgid="Picture 25" style="z-index:10;left:25.80px;top:390.95px;width:89.83px;height:120.40px"> <img class="sg" src="A31AF94D.png" id="s1125_i" style="z-index:1;left:0px;top:0px;width:89.83px;height:120.40px" > </div> <div class="sg" id="s1128" data-sgid="Picture 28" style="z-index:13;left:489.25px;top:392.26px;width:94.62px;height:122.44px"> <img class="sg" src="F44A4715.png" id="s1128_i" style="z-index:1;left:0px;top:0px;width:94.62px;height:122.44px" > </div> <div class="sg" id="s1116" data-sgid="Picture 6" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1116_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1135" data-sgid="Subtitle 2" style="z-index:3;left:135.06px;top:-0.48px;width:689.30px;height:98.58px" data-valign="top"> <img class="sg" src="4C1C1191379x197.png" id="s1135_tt" style="left:0.00px;top:0.00px;width:689.30px;height:98.58px;z-index:1" > </div> <div class="sg" id="s1139" data-sgid="TextBox 7" style="z-index:7;left:249.24px;top:36.57px;width:391.01px;height:32.40px" data-valign="top"> <div id="s1139_t" class="sg" style="z-index:2;left:-3.71px;top:-2.39px;width:394.72px;height:43.04px;"><div><p><span data-textwidth="313.92" class="sg nowrap f6" style="z-index:2;color:#FFD966;left:11.51px;top:10.18px;">Login at <span class="f4" style="font-weight:bold; color:#FFFFFF;">live.rsna.org</span> and join course <span class="f4" style="font-weight:bold; font-size:111%; color:#FFFFFF;">PS12</span></span></p></div></div></div> <div class="sg" id="s1136" data-sgid="Rectangle 5" style="z-index:4;left:243.01px;top:107.21px;width:457.56px;height:86.84px" data-valign="top" data-pointer-events="none"> <div id="s1136_t" class="sg" style="z-index:2;left:-31.91px;top:-15.95px;width:504.01px;height:137.42px;"><div><p><span data-textwidth="438.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:361%; left:39.70px;top:26.02px;">Diagnosis Live<span class="f4" style="font-size:66%; position:relative;bottom:23px;">TM</span></span></p></div></div></div> <div class="sg" id="s1138" data-sgid="TextBox 1" style="z-index:6;left:56.72px;top:139.46px;width:277.90px;height:51.69px" data-valign="top"> <div id="s1138_t" class="sg" style="z-index:2;left:-3.71px;top:-1.90px;width:281.61px;height:53.59px;"><div><p><span data-textwidth="152.88" class="sg nowrap f6" style="z-index:2;color:#0563C1;left:11.43px;top:7.72px;"><a target=_blank class="sga" href="http://bit.ly/2KgIqV9"><u>http://bit.ly/2KgIqV9</u></a></span></p></div></div><img class="sg" src="1DB19A8D563x107.png" id="s1138_tt" style="left:-3.71px;top:-1.90px;width:281.61px;height:53.59px;z-index:1" > </div> <div class="sg" id="s1137" data-sgid="TextBox 6" style="z-index:5;left:61.77px;top:206.75px;width:927.75px;height:109.84px" data-valign="top"> <div id="s1137_t" class="sg" style="z-index:2;left:-17.99px;top:-9.10px;width:945.74px;height:139.57px;"><div><p><span data-textwidth="737.04" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.70px;top:17.71px;">Which format do you prefer for the Image </span><span data-textwidth="404.40" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:233%; left:25.70px;top:68.11px;">Interpretation Session?</span></p></div></div></div> <div class="sg" id="s1134" data-sgid="TextBox 3" style="z-index:2;left:105.43px;top:342.98px;width:748.55px;height:197.02px" data-valign="top"> <div id="s1134_t" class="sg" style="z-index:2;left:-14.86px;top:-7.92px;width:763.41px;height:204.94px;"><div><p para="{bl:{nbr:1,val:1,st:1}}"><span data-textwidth="681.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.59px;top:15.62px;">A.<span style="letter-spacing:18.96px"> </span>Fewer subspecialties, more cases for each</span></p><p para="{bl:{nbr:2,val:1,st:1}}"><span data-textwidth="664.20" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.59px;top:58.82px;">B.<span style="letter-spacing:20.64px"> </span>More subspecialties, single case for each</span></p></div></div></div> <div class="sg" id="s1133" data-sgid="Picture 2" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1133_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div> <div class="sg" id="s1141" data-sgid="Subtitle 2" style="z-index:2;left:135.06px;top:-0.48px;width:689.30px;height:98.58px" data-valign="top"> <img class="sg" src="4C1C1191379x197.png" id="s1141_tt" style="left:0.00px;top:0.00px;width:689.30px;height:98.58px;z-index:1" > </div> <div class="sg" id="s1142" data-sgid="Rectangle 5" style="z-index:3;left:148.00px;top:71.01px;width:663.42px;height:189.70px" data-valign="top" data-pointer-events="none"> <div id="s1142_t" class="sg" style="z-index:2;left:-82.75px;top:-41.51px;width:822.57px;height:315.74px;"><div><p><span data-textwidth="642.00" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:833%; left:90.51px;top:60.22px;">Thank You</span></p></div></div></div> <div class="sg" id="s1140" data-sgid="Picture 2" style="z-index:1;left:875.11px;top:509.19px;width:74.59px;height:20.40px"> <img class="sg" src="9C216C2875x20.png" id="s1140_i" style="z-index:1;left:0px;top:0px;width:74.59px;height:20.40px" > </div>