2019 Sunday
Image Interpretation Session
<div class="sg" id="s28" data-sgid="s28" style="z-index:1;left:724.96px;top:233.33px;width:234.79px;height:252.67px" data-shape="group"> <div class="sg" id="s33" data-sgid="s33" style="z-index:5;left:132.76px;top:54.84px;width:103.03px;height:103.15px" data-pointer-events="none"> <img class="sg" src="F9B41F9E103x103.png" id="s33_i" style="z-index:1;left:0px;top:0px;width:102.03px;height:103.15px" > </div> <div class="sg" id="s34" data-sgid="s34" style="z-index:4;left:95.32px;top:11.44px;width:140.47px;height:140.54px" data-pointer-events="none"> <img class="sg" src="70E824D7140x141.png" id="s34_i" style="z-index:1;left:0px;top:0px;width:139.47px;height:140.54px" > </div> <div class="sg" id="s35" data-sgid="s35" style="z-index:3;left:84.16px;top:24.26px;width:150.89px;height:150.87px" data-pointer-events="none"> <img class="sg" src="F4B7D8C5151x151.png" id="s35_i" style="z-index:1;left:0px;top:0px;width:150.89px;height:149.87px" > </div> <div class="sg" id="s36" data-sgid="s36" style="z-index:2;left:-1.22px;top:16.83px;width:236.41px;height:236.37px" data-pointer-events="none"> <img class="sg" src="401BB081236x236.png" id="s36_i" style="z-index:1;left:0px;top:0px;width:236.41px;height:235.37px" > </div> <div class="sg" id="s37" data-sgid="s37" style="z-index:1;left:161.64px;top:-0.93px;width:73.55px;height:73.42px" data-pointer-events="none"> <img class="sg" src="D79352ED74x73.png" id="s37_i" style="z-index:1;left:0px;top:0px;width:73.55px;height:72.42px" > </div> </div> <div class="sg" id="s32" data-sgid="s32" style="z-index:10;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s32_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s45" data-sgid="Picture 6" style="z-index:1;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s45_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s267" data-sgid="Imagem 7" style="z-index:4;left:0.00px;top:499.72px;width:960.38px;height:33.93px"> <img class="sg" src="9DE23877960x34.png" id="s267_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:33.93px" > </div>
<div class="sg" id="s362" data-sgid="Imagem 7" style="z-index:6;left:0.00px;top:506.07px;width:960.38px;height:33.93px"> <img class="sg" src="161D9528960x34.png" id="s362_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:33.93px" > </div>
<div class="sg" id="s927" data-sgid="s927" style="z-index:1;left:0.00px;top:506.07px;width:960.38px;height:33.93px"> <img class="sg" src="161D9528960x34.png" id="s927_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:33.93px" > </div>
<div class="sg" id="s1062" data-sgid="Imagem 7" style="z-index:6;left:0.00px;top:506.07px;width:960.38px;height:33.93px"> <img class="sg" src="161D9528960x34.png" id="s1062_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:33.93px" > </div>
<div class="sg" id="s1097" data-sgid="Imagem 7" style="z-index:6;left:0.00px;top:507.63px;width:960.38px;height:34.07px"> <img class="sg" src="8C6D45E7960x34.png" id="s1097_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:34.07px" > </div>
<div class="sg" id="s1113" data-sgid="Imagem 7" style="z-index:4;left:0.00px;top:507.63px;width:960.38px;height:34.07px"> <img class="sg" src="8C6D45E7960x34.png" id="s1113_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:34.07px" > </div>
<div class="sg" id="s1209" data-sgid="Imagem 7" style="z-index:1;left:-1.19px;top:506.44px;width:960.38px;height:33.93px"> <img class="sg" src="D87B81E9960x34.png" id="s1209_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:33.93px" > </div>
<div class="sg" id="s20" data-sgid="Rectangle 1" style="z-index:21;left:53.72px;top:73.16px;width:74.37px;height:32.85px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="634F1D8A74x33.png" id="s20_i" style="z-index:1;left:0px;top:0px;width:74.37px;height:32.85px" > </div> <div class="sg" id="s5" data-sgid="Straight Connector 72" style="z-index:1;left:646.60px;top:-0.37px;width:301.66px;height:301.73px" data-pointer-events="none"> <img class="sg" src="627B8BF3302x302.png" id="s5_i" style="z-index:1;left:0px;top:0px;width:300.66px;height:301.73px" > </div> <div class="sg" id="s14" data-sgid="Rectangle 27" style="z-index:15;left:612.07px;top:149.53px;width:283.17px;height:47.04px" data-valign="top" data-pointer-events="none"> <div id="s14_t" class="sg" style="z-index:2;left:-14.27px;top:-6.10px;width:308.97px;height:72.54px;"><div><p><span data-textwidth="265.01" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:22.46px;top:13.08px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Neil M. Rofsky</span></span></p></div></div></div> <div class="sg" id="s12" data-sgid="Rectangle 2" style="z-index:8;left:314.72px;top:87.77px;width:225.99px;height:175.21px" data-fillcolor="16777215"> <img class="sg" src="A2414C1F226x175.png" id="s12_i" style="z-index:1;left:0px;top:0px;width:225.99px;height:175.21px" > </div> <div class="sg" id="s22" data-sgid="Picture 6" style="z-index:23;left:322.05px;top:96.06px;width:212.28px;height:159.38px"> <img class="sg" src="990FBC07.jpg" id="s22_i" title="" alt="A group of people posing for a photoDescription automatically generated" style="z-index:1;left:0px;top:0px;width:212.28px;height:159.38px" > </div> <div class="sg" id="s8" data-sgid="Straight Connector 78" style="z-index:4;left:575.60px;top:0.71px;width:385.49px;height:385.33px" data-pointer-events="none"> <img class="sg" src="61C9DD58385x385.png" id="s8_i" style="z-index:1;left:0px;top:0px;width:385.49px;height:384.33px" > </div> <div class="sg" id="s18" data-sgid="Picture 7" style="z-index:19;left:77.11px;top:85.28px;width:223.10px;height:220.40px"> <img class="sg" src="BBA48273.jpg" id="s18_i" title="" alt="A person holding a guitarDescription automatically generated" style="z-index:1;left:0px;top:0px;width:223.10px;height:220.40px" > </div> <div class="sg" id="s7" data-sgid="Straight Connector 76" style="z-index:3;left:568.52px;top:17.02px;width:391.63px;height:391.55px" data-pointer-events="none"> <img class="sg" src="ED77B07E392x392.png" id="s7_i" style="z-index:1;left:0px;top:0px;width:391.63px;height:390.55px" > </div> <div class="sg" id="s9" data-sgid="Straight Connector 80" style="z-index:5;left:615.67px;top:46.18px;width:345.30px;height:345.25px" data-pointer-events="none"> <img class="sg" src="F71D79A9345x345.png" id="s9_i" style="z-index:1;left:0px;top:0px;width:345.30px;height:344.25px" > </div> <div class="sg" id="s6" data-sgid="Straight Connector 74" style="z-index:2;left:479.76px;top:6.24px;width:480.50px;height:480.40px" data-pointer-events="none"> <img class="sg" src="DC6B909B480x480.png" id="s6_i" style="z-index:1;left:0px;top:0px;width:480.50px;height:479.40px" > </div> <div class="sg" id="s11" data-sgid="Snip Diagonal Corner Rectangle 44" style="z-index:7;left:49.30px;top:48.34px;width:518.39px;height:416.85px" data-fillcolor="16777215"> <img class="sg" src="F553DFEB518x417.png" id="s11_i" style="z-index:1;left:0px;top:0px;width:518.39px;height:416.85px" > </div> <div class="sg" id="s10" data-sgid="Rectangle 82" style="z-index:6;left:0.00px;top:-0.48px;width:960.38px;height:540.48px" data-pointer-events="none"> <img class="sg" src="B01D363F960x540.png" id="s10_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s17" data-sgid="Picture 5" style="z-index:18;left:315.34px;top:275.46px;width:227.41px;height:155.66px"> <img class="sg" src="73FB3677.jpg" id="s17_i" title="" alt="A group of people sitting at a dinner tableDescription automatically generated" style="z-index:1;left:0px;top:0px;width:227.41px;height:155.66px" > </div> <div class="sg" id="s13" data-sgid="Group 86" style="z-index:9;left:724.96px;top:233.33px;width:234.79px;height:252.67px" data-shape="group"> <div class="sg" id="s23" data-sgid="Straight Connector 91" style="z-index:5;left:132.76px;top:54.84px;width:103.03px;height:103.15px" data-pointer-events="none"> <img class="sg" src="F9B41F9E103x103.png" id="s23_i" style="z-index:1;left:0px;top:0px;width:102.03px;height:103.15px" > </div> <div class="sg" id="s24" data-sgid="Straight Connector 90" style="z-index:4;left:95.32px;top:11.44px;width:140.47px;height:140.54px" data-pointer-events="none"> <img class="sg" src="70E824D7140x141.png" id="s24_i" style="z-index:1;left:0px;top:0px;width:139.47px;height:140.54px" > </div> <div class="sg" id="s25" data-sgid="Straight Connector 89" style="z-index:3;left:84.16px;top:24.26px;width:150.89px;height:150.87px" data-pointer-events="none"> <img class="sg" src="F4B7D8C5151x151.png" id="s25_i" style="z-index:1;left:0px;top:0px;width:150.89px;height:149.87px" > </div> <div class="sg" id="s26" data-sgid="Straight Connector 88" style="z-index:2;left:-1.22px;top:16.83px;width:236.41px;height:236.37px" data-pointer-events="none"> <img class="sg" src="401BB081236x236.png" id="s26_i" style="z-index:1;left:0px;top:0px;width:236.41px;height:235.37px" > </div> <div class="sg" id="s27" data-sgid="Straight Connector 87" style="z-index:1;left:161.64px;top:-0.93px;width:73.55px;height:73.42px" data-pointer-events="none"> <img class="sg" src="D79352ED74x73.png" id="s27_i" style="z-index:1;left:0px;top:0px;width:73.55px;height:72.42px" > </div> </div> <div class="sg" id="s21" data-sgid="Picture 3" style="z-index:22;left:81.45px;top:314.33px;width:217.44px;height:137.67px"> <img class="sg" src="98687BB9.jpg" id="s21_i" title="" alt="Two people posing for a photoDescription automatically generated" style="z-index:1;left:0px;top:0px;width:217.44px;height:137.67px" > </div> <div class="sg" id="s19" data-sgid="Rectangle 30" style="z-index:20;left:504.60px;top:412.06px;width:60.58px;height:26.01px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="D87A55EF61x26.png" id="s19_i" style="z-index:1;left:0px;top:0px;width:60.58px;height:26.01px" > </div> <div class="sg" id="s15" data-sgid="Rectangle 28" style="z-index:16;left:494.04px;top:418.41px;width:68.14px;height:25.79px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="BC3E105B68x26.png" id="s15_i" style="z-index:1;left:0px;top:0px;width:68.14px;height:25.79px" > </div> <div class="sg" id="s16" data-sgid="Picture 21" style="z-index:17;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s16_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s44" data-sgid="Picture 3" style="z-index:2;left:681.74px;top:57.45px;width:181.47px;height:269.82px"> <img class="sg" src="A37E9CA3.png" id="s44_i" title="" alt="A person wearing a suit and tie smiling at the cameraDescription automatically generated" style="z-index:1;left:0px;top:0px;width:181.47px;height:269.82px" > </div> <div class="sg" id="s43" data-sgid="TextBox 1" style="z-index:1;left:32.26px;top:57.67px;width:600.07px;height:453.79px" data-valign="top"> <div id="s43_t" class="sg" style="z-index:2;left:-11.76px;top:-4.79px;width:611.82px;height:458.58px;"><div><p><span data-textwidth="206.79" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.47px;top:11.45px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Neil M. Rofsky</span></span></p><p><span data-textwidth="274.85" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:111%; left:19.47px;top:68.19px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Professor and Chair of Radiology</span></span></p><p><span data-textwidth="521.01" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:111%; left:19.47px;top:92.19px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Effie and Wofford Cain Distinguished Chair in Diagnostic Imaging</span></span></p><p><span data-textwidth="268.48" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:111%; left:19.47px;top:116.20px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">UT Southwestern Medical Center</span></span></p><p></p><p><span data-textwidth="193.11" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:111%; left:19.47px;top:164.21px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Clinical Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="100.93" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:111%; left:19.47px;top:188.29px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Body MRI</span></span></span></p><p></p><p><span data-textwidth="214.72" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:111%; left:19.47px;top:236.22px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Academic Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="150.98" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:111%; left:19.47px;top:260.31px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Prostate Cancer</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="225.15" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:111%; left:19.47px;top:284.31px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Leadership Development</span></span></span></p><p></p><p><span data-textwidth="240.40" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;font-size:111%; left:19.47px;top:332.25px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Interests Outside of Medicine</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="295.49" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:111%; left:19.47px;top:356.33px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Rock, Jazz, Blues; Classical Music</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="69.97" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-size:111%; left:19.47px;top:380.34px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Skiing</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="189.51" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-size:111%; left:19.47px;top:404.34px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Traveling with family</span></span></span></p></div></div></div>
<div class="sg" id="s46" data-sgid="Picture 1" style="z-index:1;left:29.88px;top:28.17px;width:218.03px;height:252.20px"> <img class="sg" src="ACD327CF.jpg" id="s46_i" title="" alt="Chavhan G Dec2012.JPG" style="z-index:1;left:0px;top:0px;width:218.03px;height:252.20px" > </div> <div class="sg" id="s50" data-sgid="Rectangle 6" style="z-index:5;left:674.92px;top:137.79px;width:254.40px;height:37.05px" data-valign="top" data-pointer-events="none"> <div id="s50_t" class="sg" style="z-index:2;left:-9.12px;top:-3.72px;width:270.11px;height:55.04px;"><div><p><span data-textwidth="236.57" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:17.23px;top:10.56px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Govind Chavhan</span></span></p></div></div></div> <div class="sg" id="s47" data-sgid="Picture 2" style="z-index:2;left:353.46px;top:41.02px;width:307.30px;height:230.84px"> <img class="sg" src="BBA0A39A.jpg" id="s47_i" title="" alt="P_20170705_135459_BF.jpg" style="z-index:1;left:0px;top:0px;width:307.30px;height:230.84px" > </div> <div class="sg" id="s48" data-sgid="Picture 4" style="z-index:3;left:368.84px;top:295.86px;width:291.81px;height:230.61px"> <img class="sg" src="70C24500.jpg" id="s48_i" title="" alt="Kayaking photo.jpg" style="z-index:1;left:0px;top:0px;width:291.81px;height:230.61px" > </div> <div class="sg" id="s49" data-sgid="Picture 5" style="z-index:4;left:25.54px;top:297.16px;width:313.30px;height:229.30px"> <img class="sg" src="10009B7C.jpg" id="s49_i" title="" alt="Govind_childhood photo.jpg" style="z-index:1;left:0px;top:0px;width:313.30px;height:229.30px" > </div> <div class="sg" id="s51" data-sgid="Oval 7" style="z-index:6;left:132.76px;top:363.01px;width:94.28px;height:111.04px" data-pointer-events="none"> <img class="sg" src="2420AB4794x111.png" id="s51_i" style="z-index:1;left:0px;top:0px;width:94.28px;height:111.04px" > </div>
<div class="sg" id="s53" data-sgid="Picture 2" style="z-index:2;left:636.06px;top:66.55px;width:218.17px;height:252.09px"> <img class="sg" src="A2CA3E73.jpg" id="s53_i" title="" alt="Chavhan G Dec2012.JPG" style="z-index:1;left:0px;top:0px;width:218.17px;height:252.09px" > </div> <div class="sg" id="s52" data-sgid="TextBox 1" style="z-index:1;left:23.14px;top:52.77px;width:830.73px;height:504.51px" data-valign="top"> <div id="s52_t" class="sg" style="z-index:2;left:-11.76px;top:-4.91px;width:842.48px;height:509.42px;"><div><p><span data-textwidth="228.40" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.35px;top:11.55px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Govind Chavhan</span></span></p><p><span data-textwidth="267.64" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:111%; left:19.35px;top:73.09px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Associate Professor of Radiology </span></span></p><p><span data-textwidth="175.71" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:111%; left:19.35px;top:97.09px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">University of Toronto;</span></span></p><p><span data-textwidth="460.39" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:111%; left:19.35px;top:121.10px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Staff Pediatric Radiologist - The Hospital for Sick Children</span></span></p><p></p><p></p><p><span data-textwidth="199.11" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;font-size:111%; left:19.35px;top:193.11px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Clinical Interest-</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="281.56" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:111%; left:19.35px;top:217.20px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Pediatric</span><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:4.80px"> </span>general body imaging </span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="439.39" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-size:111%; left:19.35px;top:241.20px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>GI, Hepatobiliary and pediatric gynecologic imaging</span></span></span></p><p></p><p><span data-textwidth="220.71" class="sg nowrap f3" style="z-index:16;color:#FFFFFF;font-size:111%; left:19.35px;top:313.14px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Academic Interest-</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="663.35" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-size:111%; left:19.35px;top:337.23px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Pediatric body MRI, application of newer MRI techniques in pediatric body MRI</span></span></span></p><p></p><p><span data-textwidth="246.40" class="sg nowrap f3" style="z-index:20;color:#FFFFFF;font-size:111%; left:19.35px;top:409.16px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Interests Outside of Medicine-</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="250.96" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-size:111%; left:19.35px;top:433.25px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Watching Bollywood movies</span></span></span></p></div></div></div>
<div class="sg" id="s62" data-sgid="Rectangle 1" style="z-index:14;left:62.25px;top:79.04px;width:60.46px;height:26.01px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="8FE50CFA60x26.png" id="s62_i" style="z-index:1;left:0px;top:0px;width:60.46px;height:26.01px" > </div> <div class="sg" id="s67" data-sgid="Rectangle 29" style="z-index:19;left:69.33px;top:84.91px;width:60.46px;height:26.01px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="8FE50CFA60x26.png" id="s67_i" style="z-index:1;left:0px;top:0px;width:60.46px;height:26.01px" > </div> <div class="sg" id="s54" data-sgid="Straight Connector 72" style="z-index:1;left:646.60px;top:-0.37px;width:301.66px;height:301.73px" data-pointer-events="none"> <img class="sg" src="627B8BF3302x302.png" id="s54_i" style="z-index:1;left:0px;top:0px;width:300.66px;height:301.73px" > </div> <div class="sg" id="s65" data-sgid="Picture 21" style="z-index:17;left:89.12px;top:90.55px;width:200.42px;height:163.09px"> <img class="sg" src="1CC9AA95.jpg" id="s65_i" style="z-index:1;left:0px;top:0px;width:200.42px;height:163.09px" > </div> <div class="sg" id="s63" data-sgid="Rectangle 27" style="z-index:15;left:612.07px;top:149.53px;width:283.06px;height:47.04px" data-valign="top" data-pointer-events="none"> <div id="s63_t" class="sg" style="z-index:2;left:-14.27px;top:-6.10px;width:308.85px;height:72.54px;"><div><p><span data-textwidth="265.24" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:22.46px;top:13.08px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Yoshimi Anzai</span></span></p></div></div></div> <div class="sg" id="s68" data-sgid="Picture 30" style="z-index:20;left:320.61px;top:69.79px;width:218.88px;height:214.30px"> <img class="sg" src="C5AA5C.jpg" id="s68_i" style="z-index:1;left:0px;top:0px;width:218.88px;height:214.30px" > </div> <div class="sg" id="s57" data-sgid="Straight Connector 78" style="z-index:4;left:575.60px;top:0.71px;width:385.49px;height:385.33px" data-pointer-events="none"> <img class="sg" src="61C9DD58385x385.png" id="s57_i" style="z-index:1;left:0px;top:0px;width:385.49px;height:384.33px" > </div> <div class="sg" id="s56" data-sgid="Straight Connector 76" style="z-index:3;left:568.52px;top:17.02px;width:391.63px;height:391.55px" data-pointer-events="none"> <img class="sg" src="ED77B07E392x392.png" id="s56_i" style="z-index:1;left:0px;top:0px;width:391.63px;height:390.55px" > </div> <div class="sg" id="s58" data-sgid="Straight Connector 80" style="z-index:5;left:615.67px;top:46.18px;width:345.30px;height:345.25px" data-pointer-events="none"> <img class="sg" src="F71D79A9345x345.png" id="s58_i" style="z-index:1;left:0px;top:0px;width:345.30px;height:344.25px" > </div> <div class="sg" id="s55" data-sgid="Straight Connector 74" style="z-index:2;left:479.76px;top:6.24px;width:480.50px;height:480.40px" data-pointer-events="none"> <img class="sg" src="DC6B909B480x480.png" id="s55_i" style="z-index:1;left:0px;top:0px;width:480.50px;height:479.40px" > </div> <div class="sg" id="s60" data-sgid="Snip Diagonal Corner Rectangle 44" style="z-index:7;left:49.30px;top:48.34px;width:518.39px;height:416.85px" data-fillcolor="16777215"> <img class="sg" src="F553DFEB518x417.png" id="s60_i" style="z-index:1;left:0px;top:0px;width:518.39px;height:416.85px" > </div> <div class="sg" id="s59" data-sgid="Rectangle 82" style="z-index:6;left:0.00px;top:-0.48px;width:960.38px;height:540.48px" data-pointer-events="none"> <img class="sg" src="B01D363F960x540.png" id="s59_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s66" data-sgid="Picture 26" style="z-index:18;left:89.12px;top:257.96px;width:123.16px;height:179.04px"> <img class="sg" src="A8ABB26F.jpg" id="s66_i" style="z-index:1;left:0px;top:0px;width:123.16px;height:179.04px" > </div> <div class="sg" id="s61" data-sgid="Group 86" style="z-index:8;left:724.96px;top:233.33px;width:234.79px;height:252.67px" data-shape="group"> <div class="sg" id="s73" data-sgid="Straight Connector 91" style="z-index:5;left:132.76px;top:54.84px;width:103.03px;height:103.15px" data-pointer-events="none"> <img class="sg" src="F9B41F9E103x103.png" id="s73_i" style="z-index:1;left:0px;top:0px;width:102.03px;height:103.15px" > </div> <div class="sg" id="s74" data-sgid="Straight Connector 90" style="z-index:4;left:95.32px;top:11.44px;width:140.47px;height:140.54px" data-pointer-events="none"> <img class="sg" src="70E824D7140x141.png" id="s74_i" style="z-index:1;left:0px;top:0px;width:139.47px;height:140.54px" > </div> <div class="sg" id="s75" data-sgid="Straight Connector 89" style="z-index:3;left:84.16px;top:24.26px;width:150.89px;height:150.87px" data-pointer-events="none"> <img class="sg" src="F4B7D8C5151x151.png" id="s75_i" style="z-index:1;left:0px;top:0px;width:150.89px;height:149.87px" > </div> <div class="sg" id="s76" data-sgid="Straight Connector 88" style="z-index:2;left:-1.22px;top:16.83px;width:236.41px;height:236.37px" data-pointer-events="none"> <img class="sg" src="401BB081236x236.png" id="s76_i" style="z-index:1;left:0px;top:0px;width:236.41px;height:235.37px" > </div> <div class="sg" id="s77" data-sgid="Straight Connector 87" style="z-index:1;left:161.64px;top:-0.93px;width:73.55px;height:73.42px" data-pointer-events="none"> <img class="sg" src="D79352ED74x73.png" id="s77_i" style="z-index:1;left:0px;top:0px;width:73.55px;height:72.42px" > </div> </div> <div class="sg" id="s69" data-sgid="Picture 31" style="z-index:21;left:351.08px;top:294.89px;width:186.26px;height:142.10px"> <img class="sg" src="7BAC93E6.jpg" id="s69_i" style="z-index:1;left:0px;top:0px;width:186.26px;height:142.10px" > </div> <div class="sg" id="s71" data-sgid="Picture 33" style="z-index:23;left:216.84px;top:294.89px;width:132.68px;height:142.10px"> <img class="sg" src="579FAF3A.jpg" id="s71_i" style="z-index:1;left:0px;top:0px;width:132.68px;height:142.10px" > </div> <div class="sg" id="s70" data-sgid="Rectangle 32" style="z-index:22;left:500.75px;top:412.65px;width:60.46px;height:25.90px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="8FE50CFA60x26.png" id="s70_i" style="z-index:1;left:0px;top:0px;width:60.46px;height:25.90px" > </div> <div class="sg" id="s64" data-sgid="Rectangle 28" style="z-index:16;left:497.04px;top:428.96px;width:67.88px;height:14.64px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="6A0595B668x15.png" id="s64_i" style="z-index:1;left:0px;top:0px;width:67.88px;height:14.64px" > </div> <div class="sg" id="s72" data-sgid="Picture 34" style="z-index:24;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s72_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s79" data-sgid="Picture 3" style="z-index:2;left:596.72px;top:71.35px;width:252.84px;height:271.15px"> <img class="sg" src="75701BCF.jpg" id="s79_i" style="z-index:1;left:0px;top:0px;width:252.84px;height:271.15px" > </div> <div class="sg" id="s78" data-sgid="TextBox 1" style="z-index:1;left:21.83px;top:20.51px;width:526.18px;height:545.87px" data-valign="top"> <div id="s78_t" class="sg" style="z-index:2;left:-11.75px;top:-4.91px;width:537.93px;height:550.78px;"><div><p><span data-textwidth="198.52" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.44px;top:11.53px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Yoshimi Anzai</span></span></p><p></p><p><span data-textwidth="181.47" class="sg nowrap f5" style="z-index:4;color:#FFFFFF;font-style:italic; font-size:111%; left:19.44px;top:68.26px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Professor of Radiology</span></span></p><p><span data-textwidth="465.56" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:111%; left:19.44px;top:92.26px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Associate Chief Quality Officer of Health System, Adjunct </span></span><span data-textwidth="326.81" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:111%; left:19.44px;top:116.27px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Professor of Population Health Sciences </span></span></p><p><span data-textwidth="275.09" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:111%; left:19.44px;top:140.27px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">University of Utah Medical Center</span></span></p><p></p><p></p><p><span data-textwidth="200.91" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:111%; left:19.44px;top:212.29px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Clinical Interests</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="389.35" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:111%; left:19.44px;top:236.38px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>Imaging of Head and neck and thyroid cancer</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="201.40" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:111%; left:19.44px;top:260.38px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>Traumatic Brain Injury</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="101.90" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:111%; left:19.44px;top:284.39px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>Dementia</span></span></span></p><p></p><p></p><p><span data-textwidth="222.52" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;font-size:111%; left:19.44px;top:356.32px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Academic Interests</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="358.63" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:111%; left:19.44px;top:380.41px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>Hypoxia imaging of head and neck cancer</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="267.89" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-size:111%; left:19.44px;top:404.41px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>Health care system innovation</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="433.04" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-size:111%; left:19.44px;top:428.42px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>Comparative effective research of medical imaging</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="331.38" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-size:111%; left:19.44px;top:452.42px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>Gender equity, diversity, and inclusion</span></span></span></p></div></div></div>
<div class="sg" id="s81" data-sgid="Picture 3" style="z-index:2;left:596.72px;top:71.35px;width:252.84px;height:271.15px"> <img class="sg" src="75701BCF.jpg" id="s81_i" style="z-index:1;left:0px;top:0px;width:252.84px;height:271.15px" > </div> <div class="sg" id="s80" data-sgid="TextBox 1" style="z-index:1;left:30.36px;top:64.51px;width:526.29px;height:458.58px" data-valign="top"> <div id="s80_t" class="sg" style="z-index:2;left:-11.64px;top:-4.91px;width:639.03px;height:463.49px;"><div><p><span data-textwidth="198.51" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.33px;top:11.58px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Yoshimi Anzai</span></span></p><p></p><p></p><p><span data-textwidth="287.81" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:133%; left:19.33px;top:93.31px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Interests Outside of Medicine</span></span></p><p></p><p></p><p para="{bl:{ch:8226}}"><span data-textwidth="192.87" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-size:133%; left:19.33px;top:179.05px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:13.20px"> </span>Wife and mother</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="155.42" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:133%; left:19.33px;top:207.86px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:13.20px"> </span>Multi</span><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">-tasking</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="271.24" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:133%; left:19.33px;top:236.67px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:13.20px"> </span>Gardening, Yoga, Pilates, </span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="605.26" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:133%; left:19.33px;top:265.47px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:13.20px"> </span>A food lover and self professed “decent“ cook                         </span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="229.59" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:133%; left:19.33px;top:294.28px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:13.20px"> </span>Advocate for women</span></span></span></p><p para="{in:2,bl:{ch:45}}"><span data-textwidth="262.61" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-size:133%; left:55.33px;top:323.08px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">-</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:13.57px"> </span>Past president of AAWR </span></span></span></p><p para="{in:2,bl:{ch:45}}"><span data-textwidth="365.11" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-size:133%; left:55.33px;top:351.89px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">-</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:13.57px"> </span>AAWR Marie Curie Award this year</span></span></span></p></div></div></div>
<div class="sg" id="s94" data-sgid="TextBox 1" style="z-index:18;left:589.98px;top:106.61px;width:321.23px;height:46.89px" data-valign="top"> <div id="s94_t" class="sg" style="z-index:2;left:-12.09px;top:-6.13px;width:339.44px;height:68.00px;"><div><p><span data-textwidth="300.29" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.17px;top:12.94px;">Dr. Nicole Hindman</span></p></div></div></div> <div class="sg" id="s82" data-sgid="Straight Connector 10" style="z-index:1;left:646.60px;top:-0.37px;width:301.66px;height:301.73px" data-pointer-events="none"> <img class="sg" src="627B8BF3302x302.png" id="s82_i" style="z-index:1;left:0px;top:0px;width:300.66px;height:301.73px" > </div> <div class="sg" id="s90" data-sgid="Picture 3" style="z-index:9;left:332.95px;top:61.05px;width:221.66px;height:179.26px"> <img class="sg" src="83EE78C9.jpg" id="s90_i" title="" alt="A group of people sitting posing for the cameraDescription automatically generated" style="z-index:1;left:0px;top:0px;width:221.66px;height:179.26px" > </div> <div class="sg" id="s85" data-sgid="Straight Connector 16" style="z-index:4;left:575.60px;top:0.71px;width:385.49px;height:385.33px" data-pointer-events="none"> <img class="sg" src="61C9DD58385x385.png" id="s85_i" style="z-index:1;left:0px;top:0px;width:385.49px;height:384.33px" > </div> <div class="sg" id="s84" data-sgid="Straight Connector 14" style="z-index:3;left:568.52px;top:17.02px;width:391.63px;height:391.55px" data-pointer-events="none"> <img class="sg" src="ED77B07E392x392.png" id="s84_i" style="z-index:1;left:0px;top:0px;width:391.63px;height:390.55px" > </div> <div class="sg" id="s86" data-sgid="Straight Connector 18" style="z-index:5;left:615.67px;top:46.18px;width:345.30px;height:345.25px" data-pointer-events="none"> <img class="sg" src="F71D79A9345x345.png" id="s86_i" style="z-index:1;left:0px;top:0px;width:345.30px;height:344.25px" > </div> <div class="sg" id="s83" data-sgid="Straight Connector 12" style="z-index:2;left:479.76px;top:6.24px;width:480.50px;height:480.40px" data-pointer-events="none"> <img class="sg" src="DC6B909B480x480.png" id="s83_i" style="z-index:1;left:0px;top:0px;width:480.50px;height:479.40px" > </div> <div class="sg" id="s88" data-sgid="Snip Diagonal Corner Rectangle 6" style="z-index:7;left:49.30px;top:48.34px;width:517.66px;height:415.40px" data-fillcolor="16777215"> <img class="sg" src="97C9B46C518x415.png" id="s88_i" style="z-index:1;left:0px;top:0px;width:517.66px;height:415.40px" > </div> <div class="sg" id="s89" data-sgid="Picture 4" style="z-index:8;left:61.88px;top:61.05px;width:261.96px;height:391.55px"> <img class="sg" src="32171EA1.png" id="s89_i" title="" alt="A person posing for the cameraDescription automatically generated" style="z-index:1;left:0px;top:0px;width:261.96px;height:391.55px" > </div> <div class="sg" id="s87" data-sgid="Rectangle 20" style="z-index:6;left:0.00px;top:-0.48px;width:960.38px;height:540.48px" data-pointer-events="none"> <img class="sg" src="B01D363F960x540.png" id="s87_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s91" data-sgid="Picture 2" style="z-index:10;left:332.95px;top:250.16px;width:221.43px;height:202.44px"> <img class="sg" src="4CB183A.png" id="s91_i" title="" alt="A person sitting on a rockDescription automatically generated" style="z-index:1;left:0px;top:0px;width:221.43px;height:202.44px" > </div> <div class="sg" id="s92" data-sgid="Group 24" style="z-index:11;left:724.96px;top:233.33px;width:234.79px;height:252.67px" data-shape="group"> <div class="sg" id="s95" data-sgid="Straight Connector 29" style="z-index:5;left:132.76px;top:54.84px;width:103.03px;height:103.15px" data-pointer-events="none"> <img class="sg" src="F9B41F9E103x103.png" id="s95_i" style="z-index:1;left:0px;top:0px;width:102.03px;height:103.15px" > </div> <div class="sg" id="s96" data-sgid="Straight Connector 28" style="z-index:4;left:95.32px;top:11.44px;width:140.47px;height:140.54px" data-pointer-events="none"> <img class="sg" src="70E824D7140x141.png" id="s96_i" style="z-index:1;left:0px;top:0px;width:139.47px;height:140.54px" > </div> <div class="sg" id="s97" data-sgid="Straight Connector 27" style="z-index:3;left:84.16px;top:24.26px;width:150.89px;height:150.87px" data-pointer-events="none"> <img class="sg" src="F4B7D8C5151x151.png" id="s97_i" style="z-index:1;left:0px;top:0px;width:150.89px;height:149.87px" > </div> <div class="sg" id="s98" data-sgid="Straight Connector 26" style="z-index:2;left:-1.22px;top:16.83px;width:236.41px;height:236.37px" data-pointer-events="none"> <img class="sg" src="401BB081236x236.png" id="s98_i" style="z-index:1;left:0px;top:0px;width:236.41px;height:235.37px" > </div> <div class="sg" id="s99" data-sgid="Straight Connector 25" style="z-index:1;left:161.64px;top:-0.93px;width:73.55px;height:73.42px" data-pointer-events="none"> <img class="sg" src="D79352ED74x73.png" id="s99_i" style="z-index:1;left:0px;top:0px;width:73.55px;height:72.42px" > </div> </div> <div class="sg" id="s93" data-sgid="Picture 19" style="z-index:17;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s93_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s101" data-sgid="Rectangle 4" style="z-index:2;left:54.57px;top:38.13px;width:242.16px;height:42.10px" data-valign="top" data-pointer-events="none"> <div id="s101_t" class="sg" style="z-index:2;left:-11.64px;top:-4.91px;width:263.03px;height:63.80px;"><div><p><span data-textwidth="224.56" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.48px;top:11.55px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Nicole Hindman</span></span></p></div></div></div> <div class="sg" id="s102" data-sgid="Picture 3" style="z-index:3;left:630.76px;top:78.92px;width:191.92px;height:286.61px"> <img class="sg" src="48E64AF2.png" id="s102_i" title="" alt="A person posing for the cameraDescription automatically generated" style="z-index:1;left:0px;top:0px;width:191.92px;height:286.61px" > </div> <div class="sg" id="s100" data-sgid="TextBox 1" style="z-index:1;left:54.57px;top:79.26px;width:466.82px;height:405.48px" data-valign="top"> <div id="s100_t" class="sg" style="z-index:2;left:-4.67px;top:0.00px;width:471.49px;height:405.48px;"><div><p><span data-textwidth="373.14" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.51px;top:39.53px;">Associate Professor of Radiology and Surgery</span></p><p></p><p><span data-textwidth="364.14" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:111%; left:12.51px;top:63.53px;">Director of Diversity and Inclusion, Radiology</span></p><p><span data-textwidth="147.38" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:111%; left:12.51px;top:87.54px;">MRI Safety Officer</span></p><p><span data-textwidth="250.36" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:111%; left:12.51px;top:111.54px;">Director Female Pelvic Imaging</span></p><p><span data-textwidth="195.39" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:111%; left:12.51px;top:135.55px;">NYU School of Medicine</span></p><p></p><p><span data-textwidth="193.11" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:111%; left:12.51px;top:183.56px;">Primary Clinical Interest</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="405.19" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:111%; left:12.51px;top:207.64px;">•<span class="f3" ><span style="letter-spacing:11.04px"> </span>Bosniak Renal Cysts and Female Pelvic Imaging </span></span><span data-textwidth="345.66" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:111%; left:35.07px;top:231.57px;">(Endometriosis/Fibroids/Leiomyosarcoma)</span></p><p></p><p><span data-textwidth="214.72" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;font-size:111%; left:12.51px;top:279.58px;">Primary Academic Interest</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="341.46" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:111%; left:12.51px;top:303.66px;">•<span class="f3" ><span style="letter-spacing:11.04px"> </span>Bosniak Renal Cysts and Pelvic Imaging </span></span><span data-textwidth="345.78" class="sg nowrap f3" style="z-index:18;color:#FFFFFF;font-size:111%; left:35.07px;top:327.59px;">(Endometriosis/Fibroids/Leiomyosarcoma)</span></p></div></div></div>
<div class="sg" id="s104" data-sgid="Picture 2" style="z-index:2;left:794.03px;top:20.51px;width:139.96px;height:209.02px"> <img class="sg" src="2114DF1C.png" id="s104_i" title="" alt="A person posing for the cameraDescription automatically generated" style="z-index:1;left:0px;top:0px;width:139.96px;height:209.02px" > </div> <div class="sg" id="s103" data-sgid="TextBox 1" style="z-index:1;left:29.62px;top:68.82px;width:904.02px;height:461.11px" data-valign="top"> <div id="s103_t" class="sg" style="z-index:2;left:-11.75px;top:-4.91px;width:915.77px;height:466.01px;"><div><p><span data-textwidth="224.44" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.46px;top:11.59px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Nicole Hindman</span></span></p><p></p><p><span data-textwidth="201.15" class="sg nowrap f5" style="z-index:4;color:#FFFFFF;font-style:italic; font-size:133%; left:19.46px;top:69.32px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><u>Outside of Medicine:</u></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="410.46" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-size:111%; left:19.46px;top:97.21px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>I have 3 kids in 3 different schools in Manhattan</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="217.95" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:111%; left:19.46px;top:121.21px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Living like a New Yorker:</span></span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="371.34" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:111%; left:55.46px;top:145.22px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>My family of 5 in an </span></span><span class="f1" style="font-weight:bold; "><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">1100 sq ft apt </span></span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">in NYC…</span></span></span></p><p para="{in:3,bl:{ch:8226}}"><span data-textwidth="627.34" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:111%; left:91.47px;top:169.22px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>……but I have spectacular views of the East River and the Chrysler Building </span></span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="158.43" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-size:111%; left:55.46px;top:193.23px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>I don’t own a car</span></span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="471.20" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-size:111%; left:55.46px;top:217.23px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>I outsource laundry, grocery delivery and housekeeping</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="98.77" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-size:111%; left:19.46px;top:241.24px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Hobbies: </span></span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="250.13" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-size:111%; left:55.46px;top:265.24px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>Raising 3 kids in Manhattan </span></span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="673.32" class="sg nowrap f4" style="z-index:25;color:#FFFFFF;font-size:111%; left:55.46px;top:289.25px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>Late night emails/phone calls from the Chairman of Surgery for imaging consults</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="105.61" class="sg nowrap f4" style="z-index:27;color:#FFFFFF;font-size:111%; left:19.46px;top:313.25px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Fun facts: </span></span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="354.30" class="sg nowrap f4" style="z-index:29;color:#FFFFFF;font-size:111%; left:55.46px;top:337.26px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>My father is an </span><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Erdos 1 in Mathematics –</span></span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="648.83" class="sg nowrap f4" style="z-index:34;color:#FFFFFF;font-size:111%; left:55.46px;top:361.26px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>He invited the Hindman theorem in Mathematics, a branch of Ramsey theory</span></span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="464.84" class="sg nowrap f4" style="z-index:36;color:#FFFFFF;font-size:111%; left:55.46px;top:385.27px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.05px"> </span>I am a Fifth Member of Metallica (part of the Fan club)</span></span></span></p></div></div><img class="sg" src="E57B8519.png" id="s103_tt" style="left:-11.75px;top:-4.91px;width:915.77px;height:466.01px;z-index:1" > </div>
<div class="sg" id="s111" data-sgid="Rectangle 5" style="z-index:7;left:672.76px;top:79.74px;width:313.53px;height:100.74px" data-valign="bottom" data-pointer-events="none"> <div id="s111_t" class="sg" style="z-index:2;left:-11.52px;top:0.00px;width:325.05px;height:118.01px;"><div><p para="{spaf:6.00}"><span data-textwidth="163.95" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.75px;top:65.85px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Don C. Yoo</span></span></p></div></div></div> <div class="sg" id="s115" data-sgid="Content Placeholder 3" style="z-index:16;left:24.24px;top:29.39px;width:253.66px;height:240.43px"> <img class="sg" src="CCDE3AB8.png" id="s115_i" style="z-index:1;left:0px;top:0px;width:253.66px;height:240.43px" > </div> <div class="sg" id="s105" data-sgid="Straight Connector 10" style="z-index:1;left:646.60px;top:-0.37px;width:301.66px;height:301.73px" data-pointer-events="none"> <img class="sg" src="627B8BF3302x302.png" id="s105_i" style="z-index:1;left:0px;top:0px;width:300.66px;height:301.73px" > </div> <div class="sg" id="s108" data-sgid="Straight Connector 16" style="z-index:4;left:575.60px;top:0.71px;width:385.49px;height:385.33px" data-pointer-events="none"> <img class="sg" src="61C9DD58385x385.png" id="s108_i" style="z-index:1;left:0px;top:0px;width:385.49px;height:384.33px" > </div> <div class="sg" id="s107" data-sgid="Straight Connector 14" style="z-index:3;left:568.52px;top:17.02px;width:391.63px;height:391.55px" data-pointer-events="none"> <img class="sg" src="ED77B07E392x392.png" id="s107_i" style="z-index:1;left:0px;top:0px;width:391.63px;height:390.55px" > </div> <div class="sg" id="s109" data-sgid="Straight Connector 18" style="z-index:5;left:615.67px;top:46.18px;width:345.30px;height:345.25px" data-pointer-events="none"> <img class="sg" src="F71D79A9345x345.png" id="s109_i" style="z-index:1;left:0px;top:0px;width:345.30px;height:344.25px" > </div> <div class="sg" id="s106" data-sgid="Straight Connector 12" style="z-index:2;left:479.76px;top:6.24px;width:480.50px;height:480.40px" data-pointer-events="none"> <img class="sg" src="DC6B909B480x480.png" id="s106_i" style="z-index:1;left:0px;top:0px;width:480.50px;height:479.40px" > </div> <div class="sg" id="s112" data-sgid="Snip Diagonal Corner Rectangle 6" style="z-index:8;left:49.30px;top:48.34px;width:517.66px;height:415.40px" data-fillcolor="16777215"> <img class="sg" src="97C9B46C518x415.png" id="s112_i" style="z-index:1;left:0px;top:0px;width:517.66px;height:415.40px" > </div> <div class="sg" id="s117" data-sgid="Picture 2" style="z-index:18;left:292.43px;top:95.69px;width:356.21px;height:342.38px"> <img class="sg" src="7C57DE30.jpg" id="s117_i" style="z-index:1;left:0px;top:0px;width:356.21px;height:342.38px" > </div> <div class="sg" id="s110" data-sgid="Rectangle 20" style="z-index:6;left:0.00px;top:-0.48px;width:960.38px;height:540.48px" data-pointer-events="none"> <img class="sg" src="B01D363F960x540.png" id="s110_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s113" data-sgid="Group 24" style="z-index:9;left:724.96px;top:233.33px;width:234.79px;height:252.67px" data-shape="group"> <div class="sg" id="s118" data-sgid="Straight Connector 29" style="z-index:5;left:132.76px;top:54.84px;width:103.03px;height:103.15px" data-pointer-events="none"> <img class="sg" src="F9B41F9E103x103.png" id="s118_i" style="z-index:1;left:0px;top:0px;width:102.03px;height:103.15px" > </div> <div class="sg" id="s119" data-sgid="Straight Connector 28" style="z-index:4;left:95.32px;top:11.44px;width:140.47px;height:140.54px" data-pointer-events="none"> <img class="sg" src="70E824D7140x141.png" id="s119_i" style="z-index:1;left:0px;top:0px;width:139.47px;height:140.54px" > </div> <div class="sg" id="s120" data-sgid="Straight Connector 27" style="z-index:3;left:84.16px;top:24.26px;width:150.89px;height:150.87px" data-pointer-events="none"> <img class="sg" src="F4B7D8C5151x151.png" id="s120_i" style="z-index:1;left:0px;top:0px;width:150.89px;height:149.87px" > </div> <div class="sg" id="s121" data-sgid="Straight Connector 26" style="z-index:2;left:-1.22px;top:16.83px;width:236.41px;height:236.37px" data-pointer-events="none"> <img class="sg" src="401BB081236x236.png" id="s121_i" style="z-index:1;left:0px;top:0px;width:236.41px;height:235.37px" > </div> <div class="sg" id="s122" data-sgid="Straight Connector 25" style="z-index:1;left:161.64px;top:-0.93px;width:73.55px;height:73.42px" data-pointer-events="none"> <img class="sg" src="D79352ED74x73.png" id="s122_i" style="z-index:1;left:0px;top:0px;width:73.55px;height:72.42px" > </div> </div> <div class="sg" id="s116" data-sgid="Content Placeholder 3 (2)" style="z-index:17;left:23.62px;top:289.73px;width:212.91px;height:201.96px"> <img class="sg" src="329A9253.png" id="s116_i" style="z-index:1;left:0px;top:0px;width:212.91px;height:201.96px" > </div> <div class="sg" id="s114" data-sgid="Picture 30" style="z-index:15;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s114_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s124" data-sgid="Content Placeholder 3" style="z-index:2;left:609.19px;top:77.22px;width:253.55px;height:240.45px"> <img class="sg" src="CECAE72E.png" id="s124_i" style="z-index:1;left:0px;top:0px;width:253.55px;height:240.45px" > </div> <div class="sg" id="s123" data-sgid="TextBox 1" style="z-index:1;left:26.39px;top:40.77px;width:763.90px;height:526.35px" data-valign="top"> <div id="s123_t" class="sg" style="z-index:2;left:-11.75px;top:-4.91px;width:775.65px;height:531.26px;"><div><p><span data-textwidth="163.95" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.45px;top:11.55px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Don C. Yoo</span></span></p><p><span data-textwidth="415.99" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:111%; left:19.45px;top:68.28px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Professor of Diagnostic Imaging</span><span class="f3" style="font-weight:normal; "><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">, Clinician Educator</span></span></span></p><p><span data-textwidth="409.75" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:111%; left:19.45px;top:92.29px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Director of Nuclear Medicine, The Miriam Hospital</span></span></p><p><span data-textwidth="394.75" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:111%; left:19.45px;top:116.29px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Director of Medical Student Radiology Education</span></span></p><p><span data-textwidth="447.55" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:111%; left:19.45px;top:140.30px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">The Warren Alpert Medical School of Brown University </span></span></p><p><span data-textwidth="551.61" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;font-size:111%; left:19.45px;top:164.30px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Chair, ACR Commission on Nuclear Medicine and Molecular Imaging</span></span></p><p></p><p></p><p><span data-textwidth="193.11" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:111%; left:19.45px;top:236.32px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Clinical Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="168.74" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:111%; left:19.45px;top:260.41px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:15.48px"> </span>Oncologic PET/CT</span></span></span></p><p></p><p><span data-textwidth="214.72" class="sg nowrap f3" style="z-index:13;color:#FFFFFF;font-size:111%; left:19.45px;top:308.34px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Academic Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="350.69" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-size:111%; left:19.45px;top:332.42px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Teaching medical students and residents</span></span></span></p><p></p><p><span data-textwidth="254.80" class="sg nowrap f3" style="z-index:16;color:#FFFFFF;font-size:111%; left:19.45px;top:380.35px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Interests Outside of Medicine: </span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="293.45" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-size:111%; left:19.45px;top:404.44px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Played division 1 tennis in college</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="496.04" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-size:111%; left:19.45px;top:428.44px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Still enjoys playing tennis… hopefully without getting hurt!</span></span></span></p></div></div></div>
<div class="sg" id="s132" data-sgid="Rectangle 2" style="z-index:13;left:611.22px;top:98.21px;width:315.20px;height:41.99px" data-valign="top" data-pointer-events="none"> <div id="s132_t" class="sg" style="z-index:2;left:-11.75px;top:-4.91px;width:335.59px;height:64.03px;"><div><p><span data-textwidth="296.94" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.83px;top:11.84px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Philippe A. Grenier</span></span></p></div></div></div> <div class="sg" id="s128" data-sgid="Image 4" style="z-index:4;left:334.63px;top:61.05px;width:220.47px;height:135.52px"> <img class="sg" src="9D1501C.jpg" id="s128_i" title="" alt="A person in a white shirtDescription automatically generated" style="z-index:1;left:0px;top:0px;width:220.47px;height:135.52px" > </div> <div class="sg" id="s127" data-sgid="Content Placeholder 4" style="z-index:3;left:62.13px;top:61.05px;width:262.07px;height:235.04px"> <img class="sg" src="793022F7.png" id="s127_i" title="" alt="A person posing for a photoDescription automatically generated" style="z-index:1;left:0px;top:0px;width:262.07px;height:235.04px" > </div> <div class="sg" id="s126" data-sgid="Snip Diagonal Corner Rectangle 40" style="z-index:2;left:49.30px;top:48.34px;width:516.95px;height:415.40px" data-fillcolor="16777215"> <img class="sg" src="C58F7A91517x415.png" id="s126_i" style="z-index:1;left:0px;top:0px;width:516.95px;height:415.40px" > </div> <div class="sg" id="s125" data-sgid="Rectangle 74" style="z-index:1;left:0.00px;top:-0.48px;width:960.38px;height:540.48px" data-pointer-events="none"> <img class="sg" src="B01D363F960x540.png" id="s125_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s130" data-sgid="Image 3" style="z-index:6;left:333.69px;top:205.19px;width:221.40px;height:247.40px"> <img class="sg" src="7096E506.png" id="s130_i" title="" alt="A person in a suit sitting at a deskDescription automatically generated" style="z-index:1;left:0px;top:0px;width:221.40px;height:247.40px" > </div> <div class="sg" id="s131" data-sgid="Group 78" style="z-index:7;left:810.42px;top:270.00px;width:149.33px;height:174.67px" data-shape="group"> <div class="sg" id="s134" data-sgid="Straight Connector 83" style="z-index:5;left:47.30px;top:54.74px;width:103.03px;height:103.15px" data-pointer-events="none"> <img class="sg" src="34CF2ED9103x103.png" id="s134_i" style="z-index:1;left:0px;top:0px;width:102.03px;height:103.15px" > </div> <div class="sg" id="s135" data-sgid="Straight Connector 82" style="z-index:4;left:9.86px;top:11.45px;width:140.47px;height:140.57px" data-pointer-events="none"> <img class="sg" src="308A7C31140x141.png" id="s135_i" style="z-index:1;left:0px;top:0px;width:139.47px;height:140.57px" > </div> <div class="sg" id="s136" data-sgid="Straight Connector 81" style="z-index:3;left:-1.30px;top:24.30px;width:150.89px;height:150.98px" data-pointer-events="none"> <img class="sg" src="CD621903151x151.png" id="s136_i" style="z-index:1;left:0px;top:0px;width:149.89px;height:150.98px" > </div> <div class="sg" id="s137" data-sgid="Straight Connector 80" style="z-index:2;left:30.84px;top:16.87px;width:118.89px;height:118.84px" data-pointer-events="none"> <img class="sg" src="375AF0B3119x119.png" id="s137_i" style="z-index:1;left:0px;top:0px;width:118.89px;height:117.84px" > </div> <div class="sg" id="s138" data-sgid="Straight Connector 79" style="z-index:1;left:76.18px;top:-1.01px;width:73.55px;height:73.39px" data-pointer-events="none"> <img class="sg" src="591EAA0474x73.png" id="s138_i" style="z-index:1;left:0px;top:0px;width:73.55px;height:72.39px" > </div> </div> <div class="sg" id="s129" data-sgid="Picture 6" style="z-index:5;left:61.88px;top:304.85px;width:262.33px;height:147.74px"> <img class="sg" src="7DD13A67.jpg" id="s129_i" title="" alt="A group of people posing for a photoDescription automatically generated" style="z-index:1;left:0px;top:0px;width:262.33px;height:147.74px" > </div> <div class="sg" id="s133" data-sgid="Picture 14" style="z-index:14;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s133_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s140" data-sgid="Image 4" style="z-index:2;left:630.06px;top:54.70px;width:189.03px;height:282.89px"> <img class="sg" src="26F2326C.jpg" id="s140_i" style="z-index:1;left:0px;top:0px;width:189.03px;height:282.89px" > </div> <div class="sg" id="s139" data-sgid="TextBox 1" style="z-index:1;left:92.12px;top:42.70px;width:745.20px;height:497.30px" data-valign="top"> <div id="s139_t" class="sg" style="z-index:2;left:-9.11px;top:-3.72px;width:754.32px;height:501.02px;"><div><p><span data-textwidth="254.43" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:16.85px;top:10.47px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Philippe A. Grenier</span></span></p><p><span data-textwidth="186.51" class="sg nowrap f6" style="z-index:4;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:111%; left:16.85px;top:67.08px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Professor of Radiology</span></span></p><p><span data-textwidth="165.26" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:111%; left:16.85px;top:91.09px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Sorbonne Université</span></span></p><p><span data-textwidth="305.21" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:111%; left:16.85px;top:115.09px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Pitié-Salpetriere Hospital Paris France</span></span></p><p></p><p><span data-textwidth="193.11" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:111%; left:16.85px;top:163.10px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Clinical Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="152.42" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:111%; left:16.85px;top:187.19px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Chest Radiology</span></span></span></p><p></p><p><span data-textwidth="214.72" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;font-size:111%; left:16.85px;top:235.12px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Academic Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="317.45" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:111%; left:16.85px;top:259.21px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Airways and interstitial lung disease.</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="273.04" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-size:111%; left:16.85px;top:283.21px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>COPD</span><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">- Functional lung imaging</span></span></span></p><p></p><p><span data-textwidth="240.40" class="sg nowrap f3" style="z-index:21;color:#FFFFFF;font-size:111%; left:16.85px;top:331.14px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Interests Outside of Medicine</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="440.11" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-size:111%; left:16.85px;top:355.23px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Hiking in the Alps mountains (Switzerland and Italy)</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="174.15" class="sg nowrap f4" style="z-index:24;color:#FFFFFF;font-size:111%; left:16.85px;top:379.23px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Contemporary Art </span></span></span></p><p para="{in:2,bl:{ch:45}}"><span data-textwidth="274.37" class="sg nowrap f4" style="z-index:26;color:#FFFFFF;font-size:111%; left:52.85px;top:403.24px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">-</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:15.85px"> </span>visiting galleries and museums</span></span></span></p><p para="{in:2,bl:{ch:45}}"><span data-textwidth="404.47" class="sg nowrap f4" style="z-index:28;color:#FFFFFF;font-size:111%; left:52.85px;top:427.24px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">-</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:15.85px"> </span>collecting pieces from young promising artists)</span></span></span></p></div></div></div>
<div class="sg" id="s147" data-sgid="Rectangle 5" style="z-index:7;left:593.47px;top:69.19px;width:313.53px;height:100.85px" data-valign="bottom" data-pointer-events="none"> <div id="s147_t" class="sg" style="z-index:2;left:-11.64px;top:0.00px;width:325.17px;height:118.24px;"><div><p para="{spaf:6.00}"><span data-textwidth="254.80" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.71px;top:65.96px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Jessica W. T. Leung</span></span></p></div></div></div> <div class="sg" id="s141" data-sgid="Straight Connector 10" style="z-index:1;left:646.60px;top:-0.37px;width:301.66px;height:301.73px" data-pointer-events="none"> <img class="sg" src="627B8BF3302x302.png" id="s141_i" style="z-index:1;left:0px;top:0px;width:300.66px;height:301.73px" > </div> <div class="sg" id="s153" data-sgid="Picture 19" style="z-index:18;left:334.63px;top:77.70px;width:207.64px;height:156.14px"> <img class="sg" src="C0457512.jpg" id="s153_i" style="z-index:1;left:0px;top:0px;width:207.64px;height:156.14px" > </div> <div class="sg" id="s150" data-sgid="Picture 23" style="z-index:15;left:74.96px;top:74.47px;width:233.04px;height:229.05px"> <img class="sg" src="F6A910B2.png" id="s150_i" title="" alt="A person standing in front of a storeDescription automatically generated" style="z-index:1;left:0px;top:0px;width:233.04px;height:229.05px" > </div> <div class="sg" id="s144" data-sgid="Straight Connector 16" style="z-index:4;left:575.60px;top:0.71px;width:385.49px;height:385.33px" data-pointer-events="none"> <img class="sg" src="61C9DD58385x385.png" id="s144_i" style="z-index:1;left:0px;top:0px;width:385.49px;height:384.33px" > </div> <div class="sg" id="s143" data-sgid="Straight Connector 14" style="z-index:3;left:568.52px;top:17.02px;width:391.63px;height:391.55px" data-pointer-events="none"> <img class="sg" src="ED77B07E392x392.png" id="s143_i" style="z-index:1;left:0px;top:0px;width:391.63px;height:390.55px" > </div> <div class="sg" id="s145" data-sgid="Straight Connector 18" style="z-index:5;left:615.67px;top:46.18px;width:345.30px;height:345.25px" data-pointer-events="none"> <img class="sg" src="F71D79A9345x345.png" id="s145_i" style="z-index:1;left:0px;top:0px;width:345.30px;height:344.25px" > </div> <div class="sg" id="s142" data-sgid="Straight Connector 12" style="z-index:2;left:479.76px;top:6.24px;width:480.50px;height:480.40px" data-pointer-events="none"> <img class="sg" src="DC6B909B480x480.png" id="s142_i" style="z-index:1;left:0px;top:0px;width:480.50px;height:479.40px" > </div> <div class="sg" id="s148" data-sgid="Snip Diagonal Corner Rectangle 6" style="z-index:8;left:49.30px;top:48.34px;width:517.66px;height:415.40px" data-fillcolor="16777215"> <img class="sg" src="97C9B46C518x415.png" id="s148_i" style="z-index:1;left:0px;top:0px;width:517.66px;height:415.40px" > </div> <div class="sg" id="s146" data-sgid="Rectangle 20" style="z-index:6;left:0.00px;top:-0.48px;width:960.38px;height:540.48px" data-pointer-events="none"> <img class="sg" src="B01D363F960x540.png" id="s146_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s151" data-sgid="Picture 21" style="z-index:16;left:335.73px;top:245.59px;width:209.54px;height:198.61px"> <img class="sg" src="EE75C5CF.png" id="s151_i" title="" alt="A person smiling for the cameraDescription automatically generated" style="z-index:1;left:0px;top:0px;width:209.54px;height:198.61px" > </div> <div class="sg" id="s149" data-sgid="Group 24" style="z-index:9;left:724.96px;top:233.33px;width:234.79px;height:252.67px" data-shape="group"> <div class="sg" id="s155" data-sgid="Straight Connector 29" style="z-index:5;left:132.76px;top:54.84px;width:103.03px;height:103.15px" data-pointer-events="none"> <img class="sg" src="F9B41F9E103x103.png" id="s155_i" style="z-index:1;left:0px;top:0px;width:102.03px;height:103.15px" > </div> <div class="sg" id="s156" data-sgid="Straight Connector 28" style="z-index:4;left:95.32px;top:11.44px;width:140.47px;height:140.54px" data-pointer-events="none"> <img class="sg" src="70E824D7140x141.png" id="s156_i" style="z-index:1;left:0px;top:0px;width:139.47px;height:140.54px" > </div> <div class="sg" id="s157" data-sgid="Straight Connector 27" style="z-index:3;left:84.16px;top:24.26px;width:150.89px;height:150.87px" data-pointer-events="none"> <img class="sg" src="F4B7D8C5151x151.png" id="s157_i" style="z-index:1;left:0px;top:0px;width:150.89px;height:149.87px" > </div> <div class="sg" id="s158" data-sgid="Straight Connector 26" style="z-index:2;left:-1.22px;top:16.83px;width:236.41px;height:236.37px" data-pointer-events="none"> <img class="sg" src="401BB081236x236.png" id="s158_i" style="z-index:1;left:0px;top:0px;width:236.41px;height:235.37px" > </div> <div class="sg" id="s159" data-sgid="Straight Connector 25" style="z-index:1;left:161.64px;top:-0.93px;width:73.55px;height:73.42px" data-pointer-events="none"> <img class="sg" src="D79352ED74x73.png" id="s159_i" style="z-index:1;left:0px;top:0px;width:73.55px;height:72.42px" > </div> </div> <div class="sg" id="s154" data-sgid="Picture 31" style="z-index:19;left:71.96px;top:304.85px;width:238.08px;height:152.91px"> <img class="sg" src="7FBF47B5.jpg" id="s154_i" style="z-index:1;left:0px;top:0px;width:238.08px;height:152.91px" > </div> <div class="sg" id="s152" data-sgid="Picture 30" style="z-index:17;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s152_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s161" data-sgid="Picture 2" style="z-index:2;left:597.32px;top:105.05px;width:205.94px;height:262.87px"> <img class="sg" src="FB68F331.jpg" id="s161_i" style="z-index:1;left:0px;top:0px;width:205.94px;height:262.87px" > </div> <div class="sg" id="s160" data-sgid="TextBox 1" style="z-index:1;left:32.14px;top:47.72px;width:511.20px;height:574.92px" data-valign="top"> <div id="s160_t" class="sg" style="z-index:2;left:-11.75px;top:-4.91px;width:522.95px;height:579.83px;"><div><p><span data-textwidth="192.51" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.34px;top:11.56px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Jessica Leung</span></span></p><p></p><p><span data-textwidth="277.61" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:111%; left:19.34px;top:68.29px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Professor of Diagnostic Radiology</span></span></p><p><span data-textwidth="359.34" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:111%; left:19.34px;top:92.30px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Deputy Chair, Department of Breast Imaging</span></span></p><p><span data-textwidth="421.75" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:111%; left:19.34px;top:116.30px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">The University of Texas MD Anderson Cancer Center</span></span></p><p></p><p><span data-textwidth="193.11" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:111%; left:19.34px;top:164.32px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Clinical Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="483.20" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:111%; left:19.34px;top:188.40px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Multimodality imaging augmented by biopsy techniques </span></span></span><span data-textwidth="381.54" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;font-size:111%; left:41.90px;top:212.33px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">to screen, diagnose, and manage breast cancer</span></span></p><p></p><p><span data-textwidth="214.72" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:111%; left:19.34px;top:260.34px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Academic Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="454.52" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:111%; left:19.34px;top:284.42px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Outcomes</span><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">-based studies for breast imaging in breast </span></span></span><span data-textwidth="303.29" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;font-size:111%; left:41.90px;top:308.35px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">cancer detection and prognostication</span></span></p><p></p><p><span data-textwidth="240.40" class="sg nowrap f3" style="z-index:16;color:#FFFFFF;font-size:111%; left:19.34px;top:356.36px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Interests Outside of Medicine</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="182.79" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-size:111%; left:19.34px;top:380.44px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:15.48px"> </span>Chinese calligraphy</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="335.57" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-size:111%; left:19.34px;top:404.45px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:15.48px"> </span>Bartending/expert at making cocktails</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="260.56" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-size:111%; left:19.34px;top:428.45px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:15.48px"> </span>Sushi on different continents</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="79.21" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-size:111%; left:19.34px;top:452.46px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:15.48px"> </span>Travel </span></span></span></p></div></div></div>
<div class="sg" id="s176" data-sgid="Rectangle 34" style="z-index:20;left:62.25px;top:79.04px;width:60.46px;height:26.01px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="8FE50CFA60x26.png" id="s176_i" style="z-index:1;left:0px;top:0px;width:60.46px;height:26.01px" > </div> <div class="sg" id="s168" data-sgid="Rectangle 5" style="z-index:7;left:611.59px;top:76.99px;width:313.41px;height:100.74px" data-valign="bottom" data-pointer-events="none"> <div id="s168_t" class="sg" style="z-index:2;left:-11.75px;top:0.00px;width:325.17px;height:118.13px;"><div><p para="{spaf:6.00}"><span data-textwidth="264.16" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.82px;top:65.84px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. S. Nahum Goldberg</span></span></p></div></div></div> <div class="sg" id="s162" data-sgid="Straight Connector 10" style="z-index:1;left:646.60px;top:-0.37px;width:301.66px;height:301.73px" data-pointer-events="none"> <img class="sg" src="627B8BF3302x302.png" id="s162_i" style="z-index:1;left:0px;top:0px;width:300.66px;height:301.73px" > </div> <div class="sg" id="s173" data-sgid="Picture 6" style="z-index:17;left:259.66px;top:81.56px;width:243.38px;height:182.87px"> <img class="sg" src="B8F5626F.jpg" id="s173_i" style="z-index:1;left:0px;top:0px;width:243.38px;height:182.87px" > </div> <div class="sg" id="s172" data-sgid="Picture 5" style="z-index:16;left:83.60px;top:81.56px;width:162.75px;height:217.42px"> <img class="sg" src="3DE4E1C4.jpg" id="s172_i" style="z-index:1;left:0px;top:0px;width:162.75px;height:217.42px" > </div> <div class="sg" id="s165" data-sgid="Straight Connector 16" style="z-index:4;left:575.60px;top:0.71px;width:385.49px;height:385.33px" data-pointer-events="none"> <img class="sg" src="61C9DD58385x385.png" id="s165_i" style="z-index:1;left:0px;top:0px;width:385.49px;height:384.33px" > </div> <div class="sg" id="s164" data-sgid="Straight Connector 14" style="z-index:3;left:568.52px;top:17.02px;width:391.63px;height:391.55px" data-pointer-events="none"> <img class="sg" src="ED77B07E392x392.png" id="s164_i" style="z-index:1;left:0px;top:0px;width:391.63px;height:390.55px" > </div> <div class="sg" id="s166" data-sgid="Straight Connector 18" style="z-index:5;left:615.67px;top:46.18px;width:345.30px;height:345.25px" data-pointer-events="none"> <img class="sg" src="F71D79A9345x345.png" id="s166_i" style="z-index:1;left:0px;top:0px;width:345.30px;height:344.25px" > </div> <div class="sg" id="s163" data-sgid="Straight Connector 12" style="z-index:2;left:479.76px;top:6.24px;width:480.50px;height:480.40px" data-pointer-events="none"> <img class="sg" src="DC6B909B480x480.png" id="s163_i" style="z-index:1;left:0px;top:0px;width:480.50px;height:479.40px" > </div> <div class="sg" id="s169" data-sgid="Snip Diagonal Corner Rectangle 6" style="z-index:8;left:49.30px;top:48.34px;width:517.66px;height:415.40px" data-fillcolor="16777215"> <img class="sg" src="97C9B46C518x415.png" id="s169_i" style="z-index:1;left:0px;top:0px;width:517.66px;height:415.40px" > </div> <div class="sg" id="s167" data-sgid="Rectangle 20" style="z-index:6;left:0.00px;top:-0.48px;width:960.38px;height:540.48px" data-pointer-events="none"> <img class="sg" src="B01D363F960x540.png" id="s167_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s174" data-sgid="Picture 1" style="z-index:18;left:255.47px;top:271.15px;width:290.50px;height:165.96px"> <img class="sg" src="E05AB467.jpg" id="s174_i" style="z-index:1;left:0px;top:0px;width:290.50px;height:165.96px" > </div> <div class="sg" id="s170" data-sgid="Group 24" style="z-index:9;left:724.96px;top:233.33px;width:234.79px;height:252.67px" data-shape="group"> <div class="sg" id="s178" data-sgid="Straight Connector 29" style="z-index:5;left:132.76px;top:54.84px;width:103.03px;height:103.15px" data-pointer-events="none"> <img class="sg" src="F9B41F9E103x103.png" id="s178_i" style="z-index:1;left:0px;top:0px;width:102.03px;height:103.15px" > </div> <div class="sg" id="s179" data-sgid="Straight Connector 28" style="z-index:4;left:95.32px;top:11.44px;width:140.47px;height:140.54px" data-pointer-events="none"> <img class="sg" src="70E824D7140x141.png" id="s179_i" style="z-index:1;left:0px;top:0px;width:139.47px;height:140.54px" > </div> <div class="sg" id="s180" data-sgid="Straight Connector 27" style="z-index:3;left:84.16px;top:24.26px;width:150.89px;height:150.87px" data-pointer-events="none"> <img class="sg" src="F4B7D8C5151x151.png" id="s180_i" style="z-index:1;left:0px;top:0px;width:150.89px;height:149.87px" > </div> <div class="sg" id="s181" data-sgid="Straight Connector 26" style="z-index:2;left:-1.22px;top:16.83px;width:236.41px;height:236.37px" data-pointer-events="none"> <img class="sg" src="401BB081236x236.png" id="s181_i" style="z-index:1;left:0px;top:0px;width:236.41px;height:235.37px" > </div> <div class="sg" id="s182" data-sgid="Straight Connector 25" style="z-index:1;left:161.64px;top:-0.93px;width:73.55px;height:73.42px" data-pointer-events="none"> <img class="sg" src="D79352ED74x73.png" id="s182_i" style="z-index:1;left:0px;top:0px;width:73.55px;height:72.42px" > </div> </div> <div class="sg" id="s177" data-sgid="Picture 2" style="z-index:21;left:83.60px;top:303.29px;width:162.75px;height:134.67px"> <img class="sg" src="EBEFCBCE.jpg" id="s177_i" title="" alt="SNG CIRSE - 23 of 125.jpg" style="z-index:1;left:0px;top:0px;width:162.75px;height:134.67px" > </div> <div class="sg" id="s175" data-sgid="Rectangle 33" style="z-index:19;left:500.75px;top:422.84px;width:68.02px;height:19.80px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="19357E9C68x20.png" id="s175_i" style="z-index:1;left:0px;top:0px;width:68.02px;height:19.80px" > </div> <div class="sg" id="s171" data-sgid="Picture 30" style="z-index:15;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s171_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s184" data-sgid="Picture 7" style="z-index:2;left:666.28px;top:32.51px;width:220.10px;height:238.38px"> <img class="sg" src="B97103F9.jpg" id="s184_i" title="" alt="SNG CIRSE - 105 of 125.jpg" style="z-index:1;left:0px;top:0px;width:220.10px;height:238.38px" > </div> <div class="sg" id="s183" data-sgid="TextBox 1" style="z-index:1;left:23.14px;top:66.81px;width:721.59px;height:416.48px" data-valign="top"> <div id="s183_t" class="sg" style="z-index:2;left:-7.31px;top:-3.49px;width:728.89px;height:419.97px;"><div><p><span data-textwidth="226.24" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.90px;top:10.38px;">Dr. S. Nahum Goldberg</span></p><p><span data-textwidth="210.39" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; left:14.90px;top:39.26px;">Vice-Chairman for Research<span class="f3" style="font-weight:normal; ">,</span></span></p><p><span data-textwidth="406.15" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;left:14.90px;top:63.03px;">Unit Chief, Interventional Oncology, Dept. of Radiology, </span></p><p><span data-textwidth="457.40" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;left:14.90px;top:86.79px;">Hadassah Hebrew University Medical Center, Jerusalem, Israel</span></p><p><span data-textwidth="613.89" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; left:14.90px;top:110.56px;">Professor of Radiology<span class="f3" style="font-weight:normal; ">, Harvard Medical School, Boston, MA and Hebrew University</span></span></p><p></p><p></p><p><span data-textwidth="173.67" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;left:14.90px;top:176.45px;">Primary Clinical Interest</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="198.27" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;left:14.90px;top:198.02px;">•<span class="f3" ><span style="letter-spacing:12.24px"> </span>Interventional Oncology</span></span></p><p></p><p><span data-textwidth="192.99" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;left:14.90px;top:241.27px;">Primary Academic Interest</span></p><p></p><p><span data-textwidth="215.92" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;left:14.90px;top:284.48px;">Interests Outside of Medicine</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="69.61" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;left:14.90px;top:306.04px;">•<span class="f3" ><span style="letter-spacing:12.24px"> </span>Family</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="65.53" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;left:14.90px;top:327.65px;">•<span class="f3" ><span style="letter-spacing:12.24px"> </span>Travel</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="99.25" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;left:14.90px;top:349.25px;">•<span class="f3" ><span style="letter-spacing:12.24px"> </span>Adventure</span></span></p></div></div></div>
<div class="sg" id="s197" data-sgid="Rectangle 1" style="z-index:18;left:62.98px;top:69.19px;width:60.43px;height:26.01px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="8FE50CFA60x26.png" id="s197_i" style="z-index:1;left:0px;top:0px;width:60.43px;height:26.01px" > </div> <div class="sg" id="s185" data-sgid="Straight Connector 72" style="z-index:1;left:646.60px;top:-0.37px;width:301.66px;height:301.73px" data-pointer-events="none"> <img class="sg" src="627B8BF3302x302.png" id="s185_i" style="z-index:1;left:0px;top:0px;width:300.66px;height:301.73px" > </div> <div class="sg" id="s195" data-sgid="Picture 24" style="z-index:16;left:351.67px;top:70.16px;width:174.87px;height:181.56px"> <img class="sg" src="438D37D8.jpg" id="s195_i" style="z-index:1;left:0px;top:0px;width:174.87px;height:181.56px" > </div> <div class="sg" id="s193" data-sgid="Picture 22" style="z-index:14;left:86.60px;top:72.20px;width:247.43px;height:177.59px"> <img class="sg" src="1371FC4B.jpg" id="s193_i" style="z-index:1;left:0px;top:0px;width:247.43px;height:177.59px" > </div> <div class="sg" id="s198" data-sgid="Rectangle 27" style="z-index:19;left:612.07px;top:149.53px;width:272.97px;height:47.04px" data-valign="top" data-pointer-events="none"> <div id="s198_t" class="sg" style="z-index:2;left:-14.27px;top:-6.10px;width:298.89px;height:72.54px;"><div><p><span data-textwidth="255.04" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:22.46px;top:13.08px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Robert Boutin</span></span></p></div></div></div> <div class="sg" id="s188" data-sgid="Straight Connector 78" style="z-index:4;left:575.60px;top:0.71px;width:385.49px;height:385.33px" data-pointer-events="none"> <img class="sg" src="61C9DD58385x385.png" id="s188_i" style="z-index:1;left:0px;top:0px;width:385.49px;height:384.33px" > </div> <div class="sg" id="s187" data-sgid="Straight Connector 76" style="z-index:3;left:568.52px;top:17.02px;width:391.63px;height:391.55px" data-pointer-events="none"> <img class="sg" src="ED77B07E392x392.png" id="s187_i" style="z-index:1;left:0px;top:0px;width:391.63px;height:390.55px" > </div> <div class="sg" id="s189" data-sgid="Straight Connector 80" style="z-index:5;left:615.67px;top:46.18px;width:345.30px;height:345.25px" data-pointer-events="none"> <img class="sg" src="F71D79A9345x345.png" id="s189_i" style="z-index:1;left:0px;top:0px;width:345.30px;height:344.25px" > </div> <div class="sg" id="s186" data-sgid="Straight Connector 74" style="z-index:2;left:479.76px;top:6.24px;width:480.50px;height:480.40px" data-pointer-events="none"> <img class="sg" src="DC6B909B480x480.png" id="s186_i" style="z-index:1;left:0px;top:0px;width:480.50px;height:479.40px" > </div> <div class="sg" id="s191" data-sgid="Snip Diagonal Corner Rectangle 44" style="z-index:7;left:49.30px;top:48.34px;width:518.39px;height:416.85px" data-fillcolor="16777215"> <img class="sg" src="F553DFEB518x417.png" id="s191_i" style="z-index:1;left:0px;top:0px;width:518.39px;height:416.85px" > </div> <div class="sg" id="s190" data-sgid="Rectangle 82" style="z-index:6;left:0.00px;top:-0.48px;width:960.38px;height:540.48px" data-pointer-events="none"> <img class="sg" src="B01D363F960x540.png" id="s190_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s196" data-sgid="Picture 25" style="z-index:17;left:352.86px;top:262.38px;width:177.51px;height:176.77px"> <img class="sg" src="1D23434F.jpg" id="s196_i" style="z-index:1;left:0px;top:0px;width:177.51px;height:176.77px" > </div> <div class="sg" id="s194" data-sgid="Picture 23" style="z-index:15;left:86.60px;top:261.67px;width:245.16px;height:188.77px"> <img class="sg" src="333CDD53.jpg" id="s194_i" style="z-index:1;left:0px;top:0px;width:245.16px;height:188.77px" > </div> <div class="sg" id="s192" data-sgid="Group 86" style="z-index:8;left:724.96px;top:233.33px;width:234.79px;height:252.67px" data-shape="group"> <div class="sg" id="s201" data-sgid="Straight Connector 91" style="z-index:5;left:132.76px;top:54.84px;width:103.03px;height:103.15px" data-pointer-events="none"> <img class="sg" src="F9B41F9E103x103.png" id="s201_i" style="z-index:1;left:0px;top:0px;width:102.03px;height:103.15px" > </div> <div class="sg" id="s202" data-sgid="Straight Connector 90" style="z-index:4;left:95.32px;top:11.44px;width:140.47px;height:140.54px" data-pointer-events="none"> <img class="sg" src="70E824D7140x141.png" id="s202_i" style="z-index:1;left:0px;top:0px;width:139.47px;height:140.54px" > </div> <div class="sg" id="s203" data-sgid="Straight Connector 89" style="z-index:3;left:84.16px;top:24.26px;width:150.89px;height:150.87px" data-pointer-events="none"> <img class="sg" src="F4B7D8C5151x151.png" id="s203_i" style="z-index:1;left:0px;top:0px;width:150.89px;height:149.87px" > </div> <div class="sg" id="s204" data-sgid="Straight Connector 88" style="z-index:2;left:-1.22px;top:16.83px;width:236.41px;height:236.37px" data-pointer-events="none"> <img class="sg" src="401BB081236x236.png" id="s204_i" style="z-index:1;left:0px;top:0px;width:236.41px;height:235.37px" > </div> <div class="sg" id="s205" data-sgid="Straight Connector 87" style="z-index:1;left:161.64px;top:-0.93px;width:73.55px;height:73.42px" data-pointer-events="none"> <img class="sg" src="D79352ED74x73.png" id="s205_i" style="z-index:1;left:0px;top:0px;width:73.55px;height:72.42px" > </div> </div> <div class="sg" id="s199" data-sgid="Rectangle 28" style="z-index:20;left:494.04px;top:418.41px;width:68.14px;height:25.79px" data-rotation = "315" data-fillcolor="16777215"> <img class="sg" src="BC3E105B68x26.png" id="s199_i" style="z-index:1;left:0px;top:0px;width:68.14px;height:25.79px" > </div> <div class="sg" id="s200" data-sgid="Picture 21" style="z-index:21;left:829.17px;top:485.08px;width:112.74px;height:44.85px"> <img class="sg" src="92495C9D113x45.png" id="s200_i" style="z-index:1;left:0px;top:0px;width:112.74px;height:44.85px" > </div>
<div class="sg" id="s207" data-sgid="Picture 2" style="z-index:2;left:640.96px;top:33.93px;width:218.43px;height:272.34px"> <img class="sg" src="A4DA44D2.jpg" id="s207_i" title="" alt="Image result for robert boutin md" style="z-index:1;left:0px;top:0px;width:218.43px;height:272.34px" > </div> <div class="sg" id="s206" data-sgid="TextBox 1" style="z-index:1;left:32.26px;top:57.67px;width:600.07px;height:378.72px" data-valign="top"> <div id="s206_t" class="sg" style="z-index:2;left:-11.76px;top:-4.79px;width:611.82px;height:383.52px;"><div><p><span data-textwidth="201.87" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.47px;top:11.45px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Dr. Robert Boutin</span></span></p><p><span data-textwidth="250.24" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:111%; left:19.47px;top:68.19px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Clinical Professor of Radiology</span></span></p><p><span data-textwidth="155.19" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:111%; left:19.47px;top:92.19px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Stanford University</span></span></p><p></p><p><span data-textwidth="193.11" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:111%; left:19.47px;top:140.20px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Clinical Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="96.85" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:111%; left:19.47px;top:164.29px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>MSK MRI</span></span></span></p><p></p><p><span data-textwidth="214.72" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:111%; left:19.47px;top:212.22px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Primary Academic Interest</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="159.14" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:111%; left:19.47px;top:236.30px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>Opportunistic CT</span></span></span></p><p></p><p><span data-textwidth="240.40" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:111%; left:19.47px;top:284.23px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Interests Outside of Medicine</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="531.08" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:111%; left:19.47px;top:308.32px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">•</span><span class="f3" ><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)"><span style="letter-spacing:11.04px"> </span>When not gripping the handlebars, he enjoys investigating the </span></span></span><span data-textwidth="374.22" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;font-size:111%; left:42.03px;top:332.25px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">ubiquitous mysteries of…….knuckle cracking!! </span></span></p></div></div></div>
<div class="sg sgTitle" id="s208" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s208_t" class="sg" style="z-index:2;left:0.00px;top:-15.83px;width:864.43px;height:132.40px;"><div><p para="{al:2}"><span data-textwidth="793.81" class="sg nowrap f7" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:228%; left:41.08px;top:17.28px;">Audience…are you ready for Diagnosis </span><span data-textwidth="106.58" class="sg nowrap f7" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:228%; left:379.30px;top:61.93px;">Live?</span></p></div></div></div> <div class="sg" id="s209" 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="s209_t" class="sg" style="z-index:2;left:-12.12px;top:-13.19px;width:876.55px;height:370.18px;"><div><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="409.63" class="sg nowrap f7" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:144%; left:15.64px;top:15.33px;">•<span class="f7" style="font-size:135%; color:#808080;"><span style="letter-spacing:-5.64px"> </span>Login at : Live.rsna.org</span></span></p><p></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="693.95" class="sg nowrap f7" style="z-index:4;color:#FAFD00;font-weight:bold; font-size:144%; left:15.64px;top:114.23px;">•<span class="f7" style="font-size:135%; color:#808080;"><span style="letter-spacing:-5.64px"> </span>Use your RSNA username and password</span></span></p><p></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="179.79" class="sg nowrap f7" style="z-index:6;color:#FAFD00;font-weight:bold; font-size:144%; left:15.64px;top:213.13px;">•<span class="f7" style="font-size:135%; color:#808080;"><span style="letter-spacing:-5.64px"> </span>Join PS12</span></span></p></div></div></div>
<div class="sg sgTitle" id="s210" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s210_t" class="sg" style="z-index:2;left:0.00px;top:-15.83px;width:864.43px;height:176.99px;"><div><p para="{al:2}"><span data-textwidth="624.70" class="sg nowrap f7" style="z-index:2;color:#FFC000;font-weight:bold; font-size:228%; left:125.34px;top:17.28px;">Diagnosis Live <span style="color:#FFFFFF;">Case _Warm up </span></span><span data-textwidth="785.05" class="sg nowrap f7" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:228%; left:45.29px;top:61.93px;">Indicate the most likely candidate for a </span><span data-textwidth="227.68" class="sg nowrap f7" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:228%; left:318.69px;top:106.58px;">true lumen.</span></p></div></div></div> <div class="sg" id="s213" data-sgid="TextBox 4" style="z-index:4;left:33.70px;top:177.62px;width:165.90px;height:117.16px" data-valign="top"> <div id="s213_t" class="sg" style="z-index:2;left:-3.60px;top:-1.93px;width:169.49px;height:125.19px;"><div><p><span data-textwidth="75.49" class="sg nowrap f7" style="z-index:2;color:#FFFF00;font-weight:bold; left:11.31px;top:7.75px;">Login at:</span></p><p></p><p><span data-textwidth="114.86" class="sg nowrap f7" style="z-index:3;color:#FFFF00;font-weight:bold; left:11.31px;top:50.96px;">Live.rsna.org</span></p><p></p><p><span data-textwidth="86.89" class="sg nowrap f7" style="z-index:4;color:#FFFF00;font-weight:bold; left:11.31px;top:94.17px;">Join PS12</span></p></div></div></div> <div class="sg" id="s211" data-sgid="Picture 1029" style="z-index:2;left:307.67px;top:156.99px;width:282.32px;height:332.43px"> <img class="sg" src="81CC2583.jpg" id="s211_i" style="z-index:1;left:0px;top:0px;width:282.32px;height:332.43px" > </div> <div class="sg" id="s212" data-sgid="Rectangle 2" style="z-index:3;left:725.18px;top:437.73px;width:192.86px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s212_t" class="sg" style="z-index:2;left:-3.74px;top:-2.04px;width:198.38px;height:53.73px;"><div><p><span data-textwidth="176.07" class="sg nowrap f7" style="z-index:2;color:#009999;font-weight:bold; left:11.88px;top:8.09px;"><a target=_blank class="sga" href="http://bit.ly/37nEb5d"><u>http://bit.ly/37nEb5d</u></a></span></p></div></div><img class="sg" src="D0393CFF397x107.png" id="s212_tt" style="left:-3.74px;top:-2.04px;width:198.38px;height:53.73px;z-index:1" > </div>
<div class="sg sgTitle" id="s214" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:140.68px" data-valign="top" data-pointer-events="none"> <div id="s214_t" class="sg" style="z-index:2;left:0.00px;top:-15.83px;width:870.92px;height:176.99px;"><div><p para="{al:2}"><span data-textwidth="529.17" class="sg nowrap f7" style="z-index:2;color:#FFC000;font-weight:bold; font-size:228%; left:167.95px;top:17.28px;">Diagnosis Live <span style="color:#FFFFFF;">Warm up 2:</span></span><span data-textwidth="817.34" class="sg nowrap f7" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:228%; left:29.20px;top:61.93px;">What is true about the composer, Sergei </span><span data-textwidth="301.85" class="sg nowrap f7" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:228%; left:281.60px;top:106.58px;">Rachmaninoff?</span></p></div></div></div> <div class="sg" id="s215" data-sgid="Content Placeholder 2" style="z-index:2;left:28.06px;top:176.06px;width:915.77px;height:291.40px" data-valign="top" data-pointer-events="none"> <div id="s215_t" class="sg" style="z-index:2;left:-17.86px;top:-13.19px;width:946.33px;height:308.68px;"><div><p para="{spbf:12.08}"><span data-textwidth="462.43" class="sg nowrap f7" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:194%; left:21.37px;top:15.37px;">A. <span style="color:#FFFFFF;">He had Marfan’s Disease</span></span></p><p para="{spbf:12.08}"><span data-textwidth="433.14" class="sg nowrap f7" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:194%; left:21.37px;top:64.82px;">B. <span style="color:#FFFFFF;">He was born in Belarus</span></span></p><p para="{spbf:12.08}"><span data-textwidth="871.46" class="sg nowrap f7" style="z-index:8;color:#FFFF00;font-weight:bold; font-size:194%; left:21.37px;top:114.27px;">C. <span style="color:#FFFFFF;">His work inspired a 1970’s hit song, “</span><span class="f7" style="font-size:97%; color:#FFFFFF;">All By Myself</span><span style="color:#FFFFFF;">”</span></span></p><p para="{spbf:12.08}"><span data-textwidth="904.95" class="sg nowrap f7" style="z-index:12;color:#FFFF00;font-weight:bold; font-size:194%; left:21.37px;top:163.72px;">D. <span style="color:#FFFFFF;">A shirt, the “</span><span class="f7" style="font-size:97%; color:#FFFFFF;">Man-Enough</span><span style="color:#FFFFFF;">” was designed in his honor</span></span></p><p para="{spbf:12.08}"><span data-textwidth="767.16" class="sg nowrap f7" style="z-index:18;color:#FFFF00;font-weight:bold; font-size:194%; left:21.37px;top:213.17px;">E. <span style="color:#FFFFFF;">His “</span><span class="f7" style="font-size:97%; color:#FFFFFF;">Rach 3</span><span style="color:#FFFFFF;">” is a staple in the repertoire for </span></span><span data-textwidth="318.77" class="sg nowrap f7" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:194%; left:21.37px;top:250.62px;">beginning pianists.</span></p></div></div></div> <div class="sg" id="s216" data-sgid="Rectangle 3" style="z-index:3;left:722.04px;top:466.61px;width:221.80px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s216_t" class="sg" style="z-index:2;left:0.00px;top:-2.04px;width:225.40px;height:53.73px;"><div><p para="{al:3}"><span data-textwidth="177.75" class="sg nowrap f7" style="z-index:2;color:#009999;font-weight:bold; left:36.97px;top:8.13px;"><a target=_blank class="sga" href="http://bit.ly/2KFgk7E"><u>http://bit.ly/2KFgk7E</u></a></span></p></div></div><img class="sg" src="F25760EC451x107.png" id="s216_tt" style="left:0.00px;top:-2.04px;width:225.40px;height:53.73px;z-index:1" > </div>
<div class="sg" id="s217" data-sgid="Subtitle 2" style="z-index:1;left:0.00px;top:136.96px;width:960.38px;height:265.62px" data-valign="top"> <div id="s217_t" class="sg" style="z-index:2;left:0.00px;top:-22.32px;width:960.38px;height:317.08px;"><div><p para="{al:2,spbf:12.08}"><span data-textwidth="268.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:352.38px;top:22.67px;">2019 RSNA </span></p><p para="{al:2,spbf:12.08}"><span data-textwidth="675.71" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:142.70px;top:95.41px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:12.08}"><span data-textwidth="451.04" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:255.04px;top:220.71px;">Pediatric Radiology</span></p></div></div></div>
<div class="sg sgTitle" id="s218" data-sgid="Title 1" style="z-index:1;left:15.46px;top:85.50px;width:453.14px;height:293.22px" data-valign="top" data-pointer-events="none"> <div id="s218_t" class="sg" style="z-index:2;left:-18.69px;top:-13.78px;width:471.83px;height:307.01px;"><div><p><span data-textwidth="362.22" class="sg nowrap f7" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.19px;top:15.66px;">7-year-old male with </span><span data-textwidth="418.63" class="sg nowrap f7" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.19px;top:54.55px;">chronic abdominal pain </span><span data-textwidth="234.76" class="sg nowrap f7" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.19px;top:132.32px;">PMH: Asthma</span><span data-textwidth="338.94" class="sg nowrap f7" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.19px;top:171.21px;">PSH: Tonsillectomy</span></p></div></div></div> <div class="sg" id="s219" data-sgid="Picture 4" style="z-index:2;left:501.49px;top:12.71px;width:355.87px;height:478.01px"> <img class="sg" src="240D1315.jpg" id="s219_i" title="" alt="A picture containing X-ray filmDescription automatically generated" style="z-index:1;left:0px;top:0px;width:355.87px;height:478.01px" > </div> <div class="sg" id="s220" data-sgid="TextBox 5" style="z-index:3;left:561.69px;top:490.95px;width:241.91px;height:48.11px" data-valign="top"> <div id="s220_t" class="sg" style="z-index:2;left:-21.35px;top:-6.35px;width:284.75px;height:70.30px;"><div><p para="{al:2}"><span data-textwidth="244.24" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:183%; left:20.75px;top:15.03px;">Initial radiograph</span></p></div></div></div>
<div class="sg" id="s222" data-sgid="Picture 6" style="z-index:2;left:26.62px;top:32.85px;width:312.08px;height:231.94px"> <img class="sg" src="18A9B11A.jpg" id="s222_i" style="z-index:1;left:0px;top:0px;width:312.08px;height:231.94px" > </div> <div class="sg" id="s223" data-sgid="Picture 7" style="z-index:3;left:337.88px;top:32.85px;width:310.30px;height:231.94px"> <img class="sg" src="CE0AC3CE.jpg" id="s223_i" style="z-index:1;left:0px;top:0px;width:310.30px;height:231.94px" > </div> <div class="sg" id="s224" data-sgid="Picture 8" style="z-index:4;left:649.00px;top:32.85px;width:294.95px;height:231.94px"> <img class="sg" src="890D8FA8.jpg" id="s224_i" style="z-index:1;left:0px;top:0px;width:294.95px;height:231.94px" > </div> <div class="sg" id="s225" data-sgid="Picture 9" style="z-index:5;left:179.43px;top:269.33px;width:300.70px;height:244.06px"> <img class="sg" src="CC321FA4.jpg" id="s225_i" style="z-index:1;left:0px;top:0px;width:300.70px;height:244.06px" > </div> <div class="sg" id="s226" data-sgid="Picture 10" style="z-index:6;left:533.03px;top:269.33px;width:300.93px;height:245.25px"> <img class="sg" src="2BECA88E.jpg" id="s226_i" style="z-index:1;left:0px;top:0px;width:300.93px;height:245.25px" > </div> <div class="sg" id="s221" data-sgid="TextBox 5" style="z-index:1;left:9.83px;top:390.84px;width:150.29px;height:30.92px" data-valign="top"> <div id="s221_t" class="sg" style="z-index:2;left:-5.64px;top:-1.93px;width:161.56px;height:40.06px;"><div><p para="{al:2}"><span data-textwidth="138.50" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:106%; left:11.77px;top:8.78px;">CT 1 month later</span></p></div></div></div>
<div class="sg" id="s228" data-sgid="Picture 2" style="z-index:2;left:336.32px;top:34.30px;width:274.90px;height:214.18px"> <img class="sg" src="7E4041BF.jpg" id="s228_i" style="z-index:1;left:0px;top:0px;width:274.90px;height:214.18px" > </div> <div class="sg" id="s229" data-sgid="Picture 3" style="z-index:3;left:652.97px;top:34.30px;width:279.35px;height:214.18px"> <img class="sg" src="4811DFBC.jpg" id="s229_i" style="z-index:1;left:0px;top:0px;width:279.35px;height:214.18px" > </div> <div class="sg" id="s227" data-sgid="Picture 1" style="z-index:1;left:27.10px;top:34.30px;width:264.00px;height:214.18px"> <img class="sg" src="9B023F07.jpg" id="s227_i" style="z-index:1;left:0px;top:0px;width:264.00px;height:214.18px" > </div> <div class="sg" id="s231" data-sgid="Picture 11" style="z-index:5;left:511.31px;top:262.16px;width:352.64px;height:258.67px"> <img class="sg" src="7081DABE.jpg" id="s231_i" style="z-index:1;left:0px;top:0px;width:352.64px;height:258.67px" > </div> <div class="sg" id="s230" data-sgid="Picture 4" style="z-index:4;left:149.07px;top:262.16px;width:335.73px;height:260.00px"> <img class="sg" src="E8FC4B78.jpg" id="s230_i" style="z-index:1;left:0px;top:0px;width:335.73px;height:260.00px" > </div> <div class="sg" id="s232" data-sgid="TextBox 7" style="z-index:6;left:9.83px;top:390.84px;width:150.29px;height:30.92px" data-valign="top"> <div id="s232_t" class="sg" style="z-index:2;left:-5.64px;top:-1.93px;width:161.56px;height:40.06px;"><div><p para="{al:2}"><span data-textwidth="138.50" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:106%; left:11.77px;top:8.78px;">CT 1 month later</span></p></div></div></div>
<div class="sg" id="s237" data-sgid="Picture 9" style="z-index:5;left:597.80px;top:24.94px;width:330.55px;height:376.68px"> <img class="sg" src="CEF982B6.jpg" id="s237_i" style="z-index:1;left:0px;top:0px;width:330.55px;height:376.68px" > </div> <div class="sg" id="s234" data-sgid="Picture 6" style="z-index:2;left:13.20px;top:24.94px;width:269.15px;height:376.68px"> <img class="sg" src="53FB05BD.jpg" id="s234_i" style="z-index:1;left:0px;top:0px;width:269.15px;height:376.68px" > </div> <div class="sg" id="s236" data-sgid="Picture 7" style="z-index:4;left:303.70px;top:24.94px;width:279.83px;height:379.91px"> <img class="sg" src="20AE5696.jpg" id="s236_i" style="z-index:1;left:0px;top:0px;width:279.83px;height:379.91px" > </div> <div class="sg" id="s235" data-sgid="TextBox 8" style="z-index:3;left:52.65px;top:413.62px;width:126.42px;height:37.16px" data-valign="top"> <div id="s235_t" class="sg" style="z-index:2;left:-10.79px;top:-3.49px;width:148.14px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="118.46" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:133%; left:14.91px;top:10.84px;">Coronal T1</span></p></div></div></div> <div class="sg" id="s238" data-sgid="TextBox 12" style="z-index:6;left:694.34px;top:413.62px;width:192.04px;height:37.16px" data-valign="top"> <div id="s238_t" class="sg" style="z-index:2;left:-13.90px;top:-3.49px;width:219.96px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="190.35" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.32px;top:10.84px;">Coronal T2 fat sat</span></p></div></div></div> <div class="sg" id="s233" data-sgid="TextBox 5" style="z-index:1;left:44.97px;top:488.79px;width:205.83px;height:37.30px" data-valign="top"> <div id="s233_t" class="sg" style="z-index:2;left:-13.31px;top:-3.46px;width:232.33px;height:51.32px;"><div><p para="{al:2}"><span data-textwidth="202.71" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.03px;top:11.02px;">MRI 5 months later</span></p></div></div></div>
<div class="sg" id="s240" data-sgid="Picture 1" style="z-index:2;left:24.47px;top:44.48px;width:320.83px;height:168.14px"> <img class="sg" src="5D85F6D2.jpg" id="s240_i" style="z-index:1;left:0px;top:0px;width:320.83px;height:168.14px" > </div> <div class="sg" id="s242" data-sgid="Picture 3" style="z-index:4;left:666.28px;top:37.79px;width:268.67px;height:188.14px"> <img class="sg" src="423FE7A1.jpg" id="s242_i" style="z-index:1;left:0px;top:0px;width:268.67px;height:188.14px" > </div> <div class="sg" id="s241" data-sgid="Picture 2" style="z-index:3;left:371.33px;top:44.48px;width:287.50px;height:181.45px"> <img class="sg" src="FC13382B.jpg" id="s241_i" style="z-index:1;left:0px;top:0px;width:287.50px;height:181.45px" > </div> <div class="sg" id="s239" data-sgid="TextBox 8" style="z-index:1;left:21.83px;top:217.42px;width:86.01px;height:33.93px" data-valign="top"> <div id="s239_t" class="sg" style="z-index:2;left:-8.63px;top:-2.87px;width:103.25px;height:45.79px;"><div><p para="{al:2}"><span data-textwidth="76.69" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:117%; left:13.44px;top:9.82px;">Axial T1</span></p></div></div></div> <div class="sg" id="s243" data-sgid="Picture 4" style="z-index:5;left:33.81px;top:259.52px;width:302.14px;height:199.66px"> <img class="sg" src="1B8B7DE.jpg" id="s243_i" style="z-index:1;left:0px;top:0px;width:302.14px;height:199.66px" > </div> <div class="sg" id="s244" data-sgid="TextBox 7" style="z-index:6;left:44.97px;top:488.79px;width:205.83px;height:37.30px" data-valign="top"> <div id="s244_t" class="sg" style="z-index:2;left:-13.31px;top:-3.46px;width:232.33px;height:51.32px;"><div><p para="{al:2}"><span data-textwidth="202.71" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.03px;top:11.02px;">MRI 5 months later</span></p></div></div></div>
<div class="sg" id="s245" data-sgid="TextBox 8" style="z-index:1;left:47.01px;top:18.84px;width:159.16px;height:40.54px" data-valign="top"> <div id="s245_t" class="sg" style="z-index:2;left:-10.90px;top:-4.46px;width:180.99px;height:56.96px;"><div><p para="{al:2}"><span data-textwidth="148.11" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:150%; left:16.58px;top:12.71px;">mDixon post</span></p></div></div></div> <div class="sg" id="s247" data-sgid="Picture 7" style="z-index:3;left:274.19px;top:22.89px;width:351.19px;height:234.33px"> <img class="sg" src="786AB8D3.jpg" id="s247_i" style="z-index:1;left:0px;top:0px;width:351.19px;height:234.33px" > </div> <div class="sg" id="s248" data-sgid="Picture 9" style="z-index:4;left:639.29px;top:73.50px;width:299.51px;height:392.62px"> <img class="sg" src="C1310795.jpg" id="s248_i" style="z-index:1;left:0px;top:0px;width:299.51px;height:392.62px" > </div> <div class="sg" id="s246" data-sgid="Picture 6" style="z-index:2;left:274.19px;top:282.30px;width:346.04px;height:241.87px"> <img class="sg" src="CEBCF52.jpg" id="s246_i" style="z-index:1;left:0px;top:0px;width:346.04px;height:241.87px" > </div> <div class="sg" id="s249" data-sgid="TextBox 10" style="z-index:5;left:44.97px;top:488.79px;width:205.83px;height:37.30px" data-valign="top"> <div id="s249_t" class="sg" style="z-index:2;left:-13.31px;top:-3.46px;width:232.33px;height:51.32px;"><div><p para="{al:2}"><span data-textwidth="202.71" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.03px;top:11.02px;">MRI 5 months later</span></p></div></div></div>
<div class="sg" id="s253" data-sgid="TextBox 2" style="z-index:4;left:161.56px;top:31.06px;width:636.29px;height:85.73px" data-valign="top"> <div id="s253_t" class="sg" style="z-index:2;left:-12.00px;top:-5.98px;width:648.29px;height:106.47px;"><div><p><span data-textwidth="344.34" class="sg nowrap f7" style="z-index:2;color:#FFC000;font-weight:bold; font-size:178%; left:19.79px;top:14.29px;">Diagnosis Live <span style="color:#EAEAEA;">Case…</span></span></p><p><span data-textwidth="589.30" class="sg nowrap f7" style="z-index:4;color:#EAEAEA;font-weight:bold; font-size:178%; left:19.79px;top:52.70px;">Identify the key findings on this image.</span></p></div></div></div> <div class="sg" id="s251" data-sgid="Picture 9" style="z-index:2;left:251.51px;top:139.72px;width:401.94px;height:253.62px"> <img class="sg" src="CFBA2AB9.jpg" id="s251_i" style="z-index:1;left:0px;top:0px;width:401.94px;height:253.62px" > </div> <div class="sg" id="s250" data-sgid="TextBox 8" style="z-index:1;left:409.47px;top:423.57px;width:86.01px;height:34.04px" data-valign="top"> <div id="s250_t" class="sg" style="z-index:2;left:-8.49px;top:-2.89px;width:103.14px;height:45.93px;"><div><p para="{al:2}"><span data-textwidth="76.69" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:117%; left:13.57px;top:10.02px;">Axial T1</span></p></div></div></div> <div class="sg" id="s252" data-sgid="Rectangle 1" style="z-index:3;left:748.91px;top:456.65px;width:210.98px;height:51.83px" data-valign="top" data-pointer-events="none"> <div id="s252_t" class="sg" style="z-index:2;left:-3.71px;top:-1.90px;width:214.69px;height:53.73px;"><div><p><span data-textwidth="183.99" class="sg nowrap f7" style="z-index:2;color:#009999;font-weight:bold; left:11.89px;top:7.99px;"><a target=_blank class="sga" href="http://bit.ly/2QCuABJ"><u>http://bit.ly/2QCuABJ</u></a></span></p></div></div><img class="sg" src="7A2B3020429x107.png" id="s252_tt" style="left:-3.71px;top:-1.90px;width:214.69px;height:53.73px;z-index:1" > </div>
<div class="sg sgTitle" id="s254" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s254_t" class="sg" style="z-index:2;left:0.00px;top:-15.83px;width:864.43px;height:132.40px;"><div><p para="{al:2}"><span data-textwidth="420.80" class="sg nowrap f7" style="z-index:2;color:#FFC000;font-weight:bold; font-size:228%; left:222.07px;top:17.28px;">Dx Live 1<span style="color:#FFFFFF;">, Pediatrics,</span></span><span data-textwidth="480.20" class="sg nowrap f7" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:228%; left:192.43px;top:61.93px;">The finding indicates...?</span></p></div></div></div> <div class="sg" id="s255" data-sgid="Content Placeholder 2" style="z-index:2;left:56.98px;top:151.46px;width:864.43px;height:357.02px" data-valign="top" data-pointer-events="none"> <div id="s255_t" class="sg" style="z-index:2;left:-17.87px;top:-13.19px;width:882.30px;height:370.21px;"><div><p para="{spbf:12.08}"><span data-textwidth="291.65" class="sg nowrap f7" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:194%; left:21.26px;top:15.36px;">A. <span style="color:#FFFFFF;">Internal hernia</span></span></p><p para="{spbf:12.08}"><span data-textwidth="295.25" class="sg nowrap f7" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:194%; left:21.26px;top:64.81px;">B. <span style="color:#FFFFFF;">Degos Disease</span></span></p><p para="{spbf:12.08}"><span data-textwidth="314.21" class="sg nowrap f7" style="z-index:7;color:#FFFF00;font-weight:bold; font-size:194%; left:21.26px;top:114.27px;">C. <span style="color:#FFFFFF;">Intussusception</span></span></p><p para="{spbf:12.08}"><span data-textwidth="417.43" class="sg nowrap f7" style="z-index:9;color:#FFFF00;font-weight:bold; font-size:194%; left:21.26px;top:163.72px;">D. <span style="color:#FFFFFF;">Meckel’s Diverticulum</span></span></p><p para="{spbf:12.08}"><span data-textwidth="319.26" class="sg nowrap f7" style="z-index:11;color:#FFFF00;font-weight:bold; font-size:194%; left:21.26px;top:213.17px;">E. <span style="color:#FFFFFF;">Crohn’s Disease</span></span></p></div></div></div> <div class="sg" id="s257" data-sgid="TextBox 4" style="z-index:4;left:27.22px;top:434.84px;width:238.71px;height:73.65px" data-valign="top"> <div id="s257_t" class="sg" style="z-index:2;left:-3.71px;top:-2.05px;width:242.42px;height:82.16px;"><div><p><span data-textwidth="199.35" class="sg nowrap f7" style="z-index:2;color:#FFFF00;font-weight:bold; left:11.42px;top:8.23px;">Login at: Live.rsna.org</span></p><p></p><p><span data-textwidth="86.89" class="sg nowrap f7" style="z-index:4;color:#FFFF00;font-weight:bold; left:11.42px;top:51.44px;">Join PS12</span></p></div></div></div> <div class="sg" id="s256" data-sgid="Rectangle 3" style="z-index:3;left:735.60px;top:459.91px;width:210.61px;height:51.80px" data-valign="top" data-pointer-events="none"> <div id="s256_t" class="sg" style="z-index:2;left:-3.59px;top:-1.92px;width:214.21px;height:53.73px;"><div><p><span data-textwidth="181.95" class="sg nowrap f7" style="z-index:2;color:#009999;font-weight:bold; left:11.87px;top:8.11px;"><a target=_blank class="sga" href="http://bit.ly/2QzFGrm"><u>http://bit.ly/2QzFGrm</u></a></span></p></div></div><img class="sg" src="DBDF26AD428x107.png" id="s256_tt" style="left:-3.59px;top:-1.92px;width:214.21px;height:53.73px;z-index:1" > </div>
<div class="sg" id="s258" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s258_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="456.44" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Pediatric Case Discussion</span></p></div></div></div>
<div class="sg sgTitle" id="s269" data-sgid="Title 1" style="z-index:2;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s269_t" class="sg" style="z-index:2;left:0.00px;top:-15.95px;width:864.43px;height:106.72px;"><div><p para="{al:2}"><span data-textwidth="390.07" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:228%; left:237.56px;top:17.84px;">Summary of Findings</span></p></div></div></div> <div class="sg" id="s271" data-sgid="Straight Arrow Connector 4" style="z-index:4;left:717.73px;top:138.64px;width:47.86px;height:40.40px" data-pointer-events="none"> <img class="sg" src="F5E9C64B48x40.png" id="s271_i" style="z-index:1;left:0px;top:0px;width:47.86px;height:40.40px" > </div> <div class="sg" id="s272" data-sgid="Straight Arrow Connector 11" style="z-index:5;left:702.98px;top:181.08px;width:54.69px;height:28.20px" data-pointer-events="none"> <img class="sg" src="ED1173F955x28.png" id="s272_i" style="z-index:1;left:0px;top:0px;width:54.69px;height:28.20px" > </div> <div class="sg" id="s273" data-sgid="Straight Arrow Connector 12" style="z-index:6;left:721.70px;top:203.26px;width:51.32px;height:46.41px" data-pointer-events="none"> <img class="sg" src="E94635651x46.png" id="s273_i" style="z-index:1;left:0px;top:0px;width:51.32px;height:46.41px" > </div> <div class="sg" id="s268" data-sgid="Picture 9" style="z-index:1;left:681.74px;top:73.50px;width:278.16px;height:364.57px"> <img class="sg" src="1C54F19E.jpg" id="s268_i" style="z-index:1;left:0px;top:0px;width:278.16px;height:364.57px" > </div> <div class="sg" id="s270" data-sgid="Content Placeholder 2" style="z-index:3;left:31.55px;top:81.08px;width:672.51px;height:356.99px" data-valign="top" data-pointer-events="none"> <div id="s270_t" class="sg" style="z-index:2;left:-11.05px;top:-12.12px;width:683.55px;height:369.11px;"><div><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="552.45" class="sg nowrap f7" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:133%; left:14.43px;top:14.30px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Fairly well defined fat containing mass</span></span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="555.69" class="sg nowrap f7" style="z-index:4;color:#FAFD00;font-weight:bold; font-size:133%; left:14.43px;top:60.87px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Solid enhancing nodules and tortuous </span></span><span data-textwidth="555.93" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:178%; left:26.79px;top:95.44px;">network of vessels (?vascular pedicle / </span><span data-textwidth="259.48" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:178%; left:26.79px;top:130.00px;">vascular anomaly)</span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="618.10" class="sg nowrap f7" style="z-index:8;color:#FAFD00;font-weight:bold; font-size:133%; left:14.43px;top:176.57px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Origin: Stomach wall (lesser curvature) >> </span></span><span data-textwidth="321.29" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:178%; left:26.79px;top:211.14px;">gastrohepatic ligament</span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="243.52" class="sg nowrap f7" style="z-index:12;color:#FAFD00;font-weight:bold; font-size:133%; left:14.43px;top:257.71px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>No calcifications</span></span></p></div></div></div> <div class="sg" id="s274" data-sgid="Picture 7" style="z-index:7;left:407.32px;top:283.86px;width:312.68px;height:242.24px"> <img class="sg" src="3AD2D155.jpg" id="s274_i" style="z-index:1;left:0px;top:0px;width:312.68px;height:242.24px" > </div>
<div class="sg sgTitle" id="s276" data-sgid="Title 1" style="z-index:2;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s276_t" class="sg" style="z-index:2;left:0.00px;top:-15.95px;width:864.43px;height:106.72px;"><div><p para="{al:2}"><span data-textwidth="390.07" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:228%; left:237.56px;top:17.84px;">Summary of Findings</span></p></div></div></div> <div class="sg" id="s275" data-sgid="Picture 9" style="z-index:1;left:759.11px;top:69.30px;width:200.79px;height:296.82px"> <img class="sg" src="12555A7C.jpg" id="s275_i" style="z-index:1;left:0px;top:0px;width:200.79px;height:296.82px" > </div> <div class="sg" id="s278" data-sgid="Picture 7" style="z-index:4;left:575.23px;top:71.12px;width:192.77px;height:295.01px"> <img class="sg" src="D82C91CD.jpg" id="s278_i" style="z-index:1;left:0px;top:0px;width:192.77px;height:295.01px" > </div> <div class="sg" id="s277" data-sgid="Content Placeholder 2" style="z-index:3;left:15.46px;top:96.77px;width:544.67px;height:269.11px" data-valign="top" data-pointer-events="none"> <div id="s277_t" class="sg" style="z-index:2;left:-10.90px;top:-12.12px;width:572.96px;height:281.22px;"><div><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="280.61" class="sg nowrap f7" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:133%; left:14.40px;top:14.33px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.03px"> </span>Additional findings:</span></span></p><p para="{spbf:12.08}"><span data-textwidth="513.09" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:178%; left:40.45px;top:60.90px;">-Few other fat containing <span style="color:#FF0000;">lesions</span>- in </span><span data-textwidth="362.46" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:178%; left:40.45px;top:95.47px;">SB and descending colon</span></p><p para="{spbf:12.08}"><span data-textwidth="429.55" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:178%; left:40.45px;top:142.04px;">-<span style="color:#00B0F0;">Fatty proliferation </span>around GE </span><span data-textwidth="110.18" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:178%; left:39.01px;top:176.61px;">junction</span></p><p para="{spbf:12.08}"><span data-textwidth="412.39" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-size:178%; left:40.45px;top:223.18px;">-Small bowel <span style="color:#00B050;">intussusception</span></span></p></div></div></div> <div class="sg" id="s280" data-sgid="Straight Arrow Connector 10" style="z-index:6;left:877.97px;top:241.16px;width:54.57px;height:19.18px" data-pointer-events="none"> <img class="sg" src="5282D6A355x19.png" id="s280_i" style="z-index:1;left:0px;top:0px;width:54.57px;height:19.18px" > </div> <div class="sg" id="s281" data-sgid="Straight Arrow Connector 13" style="z-index:7;left:689.56px;top:241.16px;width:54.57px;height:19.18px" data-pointer-events="none"> <img class="sg" src="5282D6A355x19.png" id="s281_i" style="z-index:1;left:0px;top:0px;width:54.57px;height:19.18px" > </div> <div class="sg" id="s279" data-sgid="Straight Arrow Connector 8" style="z-index:5;left:893.94px;top:276.17px;width:35.26px;height:43.06px" data-pointer-events="none"> <img class="sg" src="5AC1087535x43.png" id="s279_i" style="z-index:1;left:0px;top:0px;width:35.26px;height:43.06px" > </div> <div class="sg" id="s287" data-sgid="Picture 20" style="z-index:13;left:95.47px;top:365.28px;width:256.80px;height:160.82px"> <img class="sg" src="480662F7.jpg" id="s287_i" style="z-index:1;left:0px;top:0px;width:256.80px;height:160.82px" > </div> <div class="sg" id="s283" data-sgid="Picture 15" style="z-index:9;left:357.20px;top:367.43px;width:274.90px;height:157.36px"> <img class="sg" src="94DAA864.jpg" id="s283_i" style="z-index:1;left:0px;top:0px;width:274.90px;height:157.36px" > </div> <div class="sg" id="s282" data-sgid="Picture 14" style="z-index:8;left:603.32px;top:367.43px;width:277.16px;height:158.67px"> <img class="sg" src="33DA0BBF.jpg" id="s282_i" style="z-index:1;left:0px;top:0px;width:277.16px;height:158.67px" > </div> <div class="sg" id="s286" data-sgid="Straight Arrow Connector 19" style="z-index:12;left:549.09px;top:424.06px;width:43.30px;height:51.06px" data-pointer-events="none"> <img class="sg" src="4DB0E7F843x51.png" id="s286_i" style="z-index:1;left:0px;top:0px;width:43.30px;height:51.06px" > </div> <div class="sg" id="s284" data-sgid="Straight Arrow Connector 16" style="z-index:10;left:675.28px;top:444.09px;width:50.01px;height:19.18px" data-pointer-events="none"> <img class="sg" src="FD315E1150x19.png" id="s284_i" style="z-index:1;left:0px;top:0px;width:50.01px;height:19.18px" > </div> <div class="sg" id="s289" data-sgid="Straight Arrow Connector 22" style="z-index:15;left:183.40px;top:447.06px;width:50.01px;height:19.21px" data-pointer-events="none"> <img class="sg" src="FEA2A38850x19.png" id="s289_i" style="z-index:1;left:0px;top:0px;width:50.01px;height:19.21px" > </div> <div class="sg" id="s288" data-sgid="Straight Arrow Connector 21" style="z-index:14;left:256.92px;top:449.11px;width:54.57px;height:19.06px" data-pointer-events="none"> <img class="sg" src="33CC993555x19.png" id="s288_i" style="z-index:1;left:0px;top:0px;width:54.57px;height:19.06px" > </div> <div class="sg" id="s285" data-sgid="Straight Arrow Connector 18" style="z-index:11;left:683.67px;top:476.09px;width:50.01px;height:19.06px" data-pointer-events="none"> <img class="sg" src="E6896C450x19.png" id="s285_i" style="z-index:1;left:0px;top:0px;width:50.01px;height:19.06px" > </div>
<div class="sg sgTitle" id="s290" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s290_t" class="sg" style="z-index:2;left:0.00px;top:-15.95px;width:864.43px;height:106.72px;"><div><p para="{al:2}"><span data-textwidth="238.72" class="sg nowrap f8" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:228%; left:313.17px;top:17.84px;">Differentials</span></p></div></div></div> <div class="sg" id="s291" data-sgid="Content Placeholder 2" style="z-index:2;left:63.44px;top:101.45px;width:856.53px;height:372.96px" data-valign="top" data-pointer-events="none"> <div id="s291_t" class="sg" style="z-index:2;left:-10.91px;top:-11.97px;width:867.43px;height:384.94px;"><div><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="248.56" class="sg nowrap f7" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:133%; left:14.44px;top:14.18px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Gastric teratoma</span></span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="323.09" class="sg nowrap f7" style="z-index:5;color:#FAFD00;font-weight:bold; font-size:133%; left:14.44px;top:60.75px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Solitary simple lipoma</span></span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="195.39" class="sg nowrap f7" style="z-index:7;color:#FAFD00;font-weight:bold; font-size:133%; left:14.44px;top:107.32px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Liposarcoma</span></span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="507.80" class="sg nowrap f7" style="z-index:9;color:#FAFD00;font-weight:bold; font-size:133%; left:14.44px;top:153.89px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Giant hamartoma/lipomatous polyp</span></span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="816.14" class="sg nowrap f7" style="z-index:13;color:#FAFD00;font-weight:bold; font-size:133%; left:14.44px;top:200.46px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Less likely (</span><span class="f4" style="font-size:112%; color:#FFFFFF;">not fat containing and look of it does not match with</span><span class="f4" style="font-size:133%; color:#FFFFFF;">) -</span></span></p><p para="{bl:{ch:45},spbf:12.08}"><span data-textwidth="167.54" class="sg nowrap f4" style="z-index:18;color:#FAFD00;font-size:111%; left:40.49px;top:247.63px;">-<span class="f4" style="font-size:135%; color:#FFFFFF;"><span style="letter-spacing:21.96px"> </span>Lymphoma</span></span></p><p para="{bl:{ch:45},spbf:12.08}"><span data-textwidth="98.17" class="sg nowrap f4" style="z-index:20;color:#FAFD00;font-size:111%; left:40.49px;top:288.56px;">-<span class="f4" style="font-size:135%; color:#FFFFFF;"><span style="letter-spacing:21.96px"> </span>GIST</span></span></p><p para="{bl:{ch:45},spbf:12.08}"><span data-textwidth="353.34" class="sg nowrap f4" style="z-index:22;color:#FAFD00;font-size:111%; left:40.49px;top:329.37px;">-<span class="f4" style="font-size:135%; color:#FFFFFF;"><span style="letter-spacing:21.96px"> </span>Inflammatory pseudotumor</span></span></p></div></div></div>
<div class="sg sgTitle" id="s292" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s292_t" class="sg" style="z-index:2;left:0.00px;top:-15.95px;width:864.43px;height:106.72px;"><div><p para="{al:2}"><span data-textwidth="238.72" class="sg nowrap f8" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:228%; left:313.17px;top:17.84px;">Differentials</span></p></div></div></div> <div class="sg" id="s297" data-sgid="Half Frame 7" style="z-index:6;left:790.18px;top:135.26px;width:74.85px;height:55.66px" data-fillcolor="45296"> <img class="sg" src="4565E9FC75x56.png" id="s297_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.66px" > </div> <div class="sg" id="s294" data-sgid="Half Frame 4" style="z-index:3;left:326.36px;top:135.40px;width:74.85px;height:55.63px" data-fillcolor="45296"> <img class="sg" src="87C9E47075x56.png" id="s294_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.63px" > </div> <div class="sg" id="s295" data-sgid="Half Frame 5" style="z-index:4;left:478.32px;top:136.11px;width:74.85px;height:55.63px" data-fillcolor="45296"> <img class="sg" src="41269CE975x56.png" id="s295_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.63px" > </div> <div class="sg" id="s296" data-sgid="Half Frame 6" style="z-index:5;left:614.23px;top:138.38px;width:74.85px;height:55.66px" data-fillcolor="45296"> <img class="sg" src="AF4FB65075x56.png" id="s296_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.66px" > </div> <div class="sg" id="s309" data-sgid="Half Frame 19" style="z-index:18;left:478.32px;top:199.66px;width:74.85px;height:55.55px" data-fillcolor="45296"> <img class="sg" src="B62F1DF075x56.png" id="s309_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.55px" > </div> <div class="sg" id="s311" data-sgid="Half Frame 21" style="z-index:20;left:614.23px;top:202.55px;width:74.85px;height:55.52px" data-fillcolor="45296"> <img class="sg" src="EBDFCFBF75x56.png" id="s311_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.52px" > </div> <div class="sg" id="s312" data-sgid="Half Frame 22" style="z-index:21;left:790.18px;top:205.19px;width:74.85px;height:55.63px" data-fillcolor="45296"> <img class="sg" src="42303B0575x56.png" id="s312_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.63px" > </div> <div class="sg" id="s298" data-sgid="Multiply 8" style="z-index:7;left:335.48px;top:205.19px;width:45.34px;height:45.22px" data-fillcolor="16711680"> <img class="sg" src="7A0F49BB45x45.png" id="s298_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.22px" > </div> <div class="sg" id="s310" data-sgid="Half Frame 20" style="z-index:19;left:478.32px;top:266.47px;width:74.85px;height:55.52px" data-fillcolor="45296"> <img class="sg" src="2C6CE54075x56.png" id="s310_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.52px" > </div> <div class="sg" id="s313" data-sgid="Half Frame 23" style="z-index:22;left:790.18px;top:268.88px;width:74.85px;height:55.52px" data-fillcolor="45296"> <img class="sg" src="C2CB113875x56.png" id="s313_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.52px" > </div> <div class="sg" id="s308" data-sgid="Multiply 18" style="z-index:17;left:631.39px;top:269.22px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="3B338DC745x45.png" id="s308_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s293" data-sgid="Table 3" style="z-index:2;left:14.98px;top:67.74px;width:930.42px;height:454.04px"> <div id="s293_t" class="sg" style="z-index:2;left:0px;top:0px;width:930.42px;height:454.04px;"><div><p><span data-textwidth="87.61" class="sg nowrap f8" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:117%; left:10.58px;top:8.88px;">Findings</span><span data-textwidth="78.13" class="sg nowrap f8" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:117%; left:282.67px;top:8.88px;">Gastric </span><span data-textwidth="88.57" class="sg nowrap f8" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:117%; left:282.67px;top:34.08px;">teratoma</span><span data-textwidth="84.13" class="sg nowrap f7" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:117%; left:442.66px;top:9.76px;">Solitary </span><span data-textwidth="75.85" class="sg nowrap f7" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:117%; left:442.66px;top:34.96px;">Lipoma</span><span data-textwidth="133.70" class="sg nowrap f7" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:117%; left:570.72px;top:9.76px;">Liposarcoma</span><span data-textwidth="188.79" class="sg nowrap f7" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:117%; left:730.70px;top:9.76px;">Giant hamartoma/ </span><span data-textwidth="112.70" class="sg nowrap f7" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:117%; left:730.70px;top:34.96px;">lipomatous</span><span data-textwidth="56.53" class="sg nowrap f7" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:117%; left:848.32px;top:34.96px;">polyp</span><span data-textwidth="31.69" class="sg nowrap f7" style="z-index:11;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:73.85px;">Fat</span><span data-textwidth="82.81" class="sg nowrap f7" style="z-index:12;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:47.31px;top:73.85px;">content </span><span data-textwidth="169.83" class="sg nowrap f7" style="z-index:13;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:137.83px;">No calcifications</span><span data-textwidth="42.97" class="sg nowrap f7" style="z-index:14;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:201.80px;">Well</span><span data-textwidth="6.96" class="sg nowrap f7" style="z-index:15;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:53.55px;top:201.80px;">-</span><span data-textwidth="76.69" class="sg nowrap f7" style="z-index:16;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:60.51px;top:201.80px;">defined</span><span data-textwidth="25.08" class="sg nowrap f7" style="z-index:17;color:#FFFF00;font-weight:bold; font-size:239%; left:325.64px;top:203.64px;">~</span><span data-textwidth="204.03" class="sg nowrap f7" style="z-index:18;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:265.89px;">Other similar bowel </span><span data-textwidth="72.01" class="sg nowrap f7" style="z-index:19;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:291.10px;">lesions</span><span data-textwidth="165.99" class="sg nowrap f7" style="z-index:20;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:329.87px;">Fat proliferation </span><span data-textwidth="105.26" class="sg nowrap f7" style="z-index:21;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:355.07px;">elsewhere</span><span data-textwidth="204.39" class="sg nowrap f7" style="z-index:22;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:393.84px;">Vascular tortuosity/ </span><span data-textwidth="176.79" class="sg nowrap f7" style="z-index:23;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:419.05px;">anomaly / pedicle</span></p></div></div><img class="sg" src="24FA3679.png" id="s293_i" style="z-index:1;left:0px;top:0px;width:930.42px;height:454.04px" > </div> <div class="sg" id="s314" data-sgid="Half Frame 24" style="z-index:23;left:790.18px;top:335.55px;width:74.85px;height:55.63px" data-fillcolor="45296"> <img class="sg" src="F1A6495975x56.png" id="s314_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.63px" > </div> <div class="sg" id="s305" data-sgid="Multiply 15" style="z-index:14;left:631.39px;top:333.13px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="E057DA4C45x45.png" id="s305_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s302" data-sgid="Multiply 12" style="z-index:11;left:490.70px;top:333.13px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="24167645x45.png" id="s302_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s299" data-sgid="Multiply 9" style="z-index:8;left:335.48px;top:335.18px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="5840B78C45x45.png" id="s299_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s315" data-sgid="Half Frame 26" style="z-index:24;left:790.18px;top:396.71px;width:74.85px;height:55.63px" data-fillcolor="45296"> <img class="sg" src="25E7988575x56.png" id="s315_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.63px" > </div> <div class="sg" id="s303" data-sgid="Multiply 13" style="z-index:12;left:490.70px;top:399.09px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="24167645x45.png" id="s303_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s306" data-sgid="Multiply 16" style="z-index:15;left:631.39px;top:399.09px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="353FDDD045x45.png" id="s306_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s300" data-sgid="Multiply 10" style="z-index:9;left:335.48px;top:401.13px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="5840B78C45x45.png" id="s300_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s316" data-sgid="Half Frame 27" style="z-index:25;left:790.18px;top:463.49px;width:74.85px;height:55.55px" data-fillcolor="45296"> <img class="sg" src="2FC92E0075x56.png" id="s316_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.55px" > </div> <div class="sg" id="s307" data-sgid="Multiply 17" style="z-index:16;left:631.39px;top:463.04px;width:45.34px;height:45.19px" data-fillcolor="16711680"> <img class="sg" src="30074DCC45x45.png" id="s307_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.19px" > </div> <div class="sg" id="s304" data-sgid="Multiply 14" style="z-index:13;left:490.70px;top:463.04px;width:45.34px;height:45.19px" data-fillcolor="16711680"> <img class="sg" src="2D010B9545x45.png" id="s304_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.19px" > </div> <div class="sg" id="s301" data-sgid="Multiply 11" style="z-index:10;left:335.48px;top:465.05px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="9FB33EA345x45.png" id="s301_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div>
<div class="sg sgTitle" id="s317" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s317_t" class="sg" style="z-index:2;left:0.00px;top:-15.95px;width:864.43px;height:106.72px;"><div><p para="{al:2}"><span data-textwidth="429.43" class="sg nowrap f8" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:228%; left:217.87px;top:17.84px;">Diagnostic Possibility</span></p></div></div></div> <div class="sg" id="s318" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:111.04px;width:880.49px;height:357.02px" data-valign="top" data-pointer-events="none"> <div id="s318_t" class="sg" style="z-index:2;left:-11.01px;top:-12.09px;width:891.50px;height:369.11px;"><div><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="790.09" class="sg nowrap f7" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:133%; left:14.53px;top:14.31px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Giant hamartoma/lipomatous polyp of stomach with GI </span></span><span data-textwidth="142.10" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:178%; left:26.89px;top:48.88px;">polyposis </span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="191.79" class="sg nowrap f7" style="z-index:7;color:#FAFD00;font-weight:bold; font-size:133%; left:14.53px;top:95.45px;">•<span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-5.04px"> </span>Differentials-</span></span></p><p para="{bl:{ch:252},spbf:12.08}"><span data-textwidth="647.03" class="sg nowrap f9" style="z-index:10;color:#FAFD00;font-size:133%; left:40.57px;top:142.02px;"><span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:8.29px"> </span>PTEN hamartoma tumor syndrome (PHTS)</span></span></p><p para="{bl:{ch:252},spbf:12.08}"><span data-textwidth="464.12" class="sg nowrap f9" style="z-index:12;color:#FAFD00;font-size:133%; left:40.57px;top:188.59px;"><span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:8.29px"> </span>Peutz-Jegher syndrome (PJS)</span></span></p><p para="{bl:{ch:252},spbf:12.08}"><span data-textwidth="533.49" class="sg nowrap f9" style="z-index:17;color:#FAFD00;font-size:133%; left:40.57px;top:235.16px;"><span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:8.29px"> </span>Juvenile polyposis syndrome (JPS)</span></span></p><p para="{bl:{ch:252},spbf:12.08}"><span data-textwidth="583.18" class="sg nowrap f9" style="z-index:19;color:#FAFD00;font-size:133%; left:40.57px;top:281.73px;"><span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:8.29px"> </span>Familial adenomatous polyposis (FAP)</span></span></p></div></div></div>
<div class="sg sgTitle" id="s319" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s319_t" class="sg" style="z-index:2;left:0.00px;top:-15.95px;width:864.43px;height:106.72px;"><div><p para="{al:2}"><span data-textwidth="194.91" class="sg nowrap f8" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:228%; left:335.13px;top:17.84px;">Polyposis</span></p></div></div></div> <div class="sg" id="s324" data-sgid="Half Frame 7" style="z-index:6;left:846.08px;top:161.53px;width:74.85px;height:55.52px" data-fillcolor="45296"> <img class="sg" src="DD6A48C875x56.png" id="s324_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.52px" > </div> <div class="sg" id="s321" data-sgid="Half Frame 4" style="z-index:3;left:326.36px;top:161.53px;width:74.85px;height:55.77px" data-fillcolor="45296"> <img class="sg" src="C135632575x56.png" id="s321_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.77px" > </div> <div class="sg" id="s322" data-sgid="Half Frame 5" style="z-index:4;left:478.32px;top:162.38px;width:74.85px;height:55.63px" data-fillcolor="45296"> <img class="sg" src="AA0362BA75x56.png" id="s322_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.63px" > </div> <div class="sg" id="s323" data-sgid="Half Frame 6" style="z-index:5;left:614.23px;top:164.54px;width:74.85px;height:55.52px" data-fillcolor="45296"> <img class="sg" src="2BB950C875x56.png" id="s323_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.52px" > </div> <div class="sg" id="s335" data-sgid="Half Frame 29" style="z-index:17;left:326.36px;top:220.77px;width:74.85px;height:55.55px" data-fillcolor="45296"> <img class="sg" src="6011BAE475x56.png" id="s335_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.55px" > </div> <div class="sg" id="s331" data-sgid="Half Frame 19" style="z-index:13;left:478.32px;top:225.82px;width:74.85px;height:55.63px" data-fillcolor="45296"> <img class="sg" src="10E625A275x56.png" id="s331_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.63px" > </div> <div class="sg" id="s339" data-sgid="Half Frame 33" style="z-index:21;left:614.23px;top:228.68px;width:74.85px;height:55.66px" data-fillcolor="45296"> <img class="sg" src="CEF800F675x56.png" id="s339_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.66px" > </div> <div class="sg" id="s340" data-sgid="Half Frame 34" style="z-index:22;left:790.18px;top:228.68px;width:74.85px;height:55.66px" data-fillcolor="45296"> <img class="sg" src="2F28D02A75x56.png" id="s340_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.66px" > </div> <div class="sg" id="s320" data-sgid="Table 3" style="z-index:2;left:14.98px;top:93.19px;width:930.42px;height:390.70px"> <div id="s320_t" class="sg" style="z-index:2;left:0px;top:0px;width:930.42px;height:390.70px;"><div><p><span data-textwidth="99.98" class="sg nowrap f8" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:87.04px;top:10.07px;">Findings</span><span data-textwidth="63.85" class="sg nowrap f8" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:321.08px;top:10.07px;">PHTS</span><span data-textwidth="46.09" class="sg nowrap f7" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:474.10px;top:10.71px;">PJS</span><span data-textwidth="46.09" class="sg nowrap f7" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:618.01px;top:10.71px;">JPS</span><span data-textwidth="46.33" class="sg nowrap f7" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:802.00px;top:10.71px;">FAP</span><span data-textwidth="237.88" class="sg nowrap f7" style="z-index:7;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:74.57px;">Childhood presentation</span><span data-textwidth="44.65" class="sg nowrap f7" style="z-index:8;color:#E6E6E6;font-weight:bold; font-size:117%; left:730.70px;top:74.57px;">Late</span><span data-textwidth="100.34" class="sg nowrap f7" style="z-index:9;color:#E6E6E6;font-weight:bold; font-size:117%; left:780.39px;top:74.57px;">childhood</span><span data-textwidth="162.27" class="sg nowrap f7" style="z-index:10;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:138.54px;">Stomach polyps</span><span data-textwidth="48.61" class="sg nowrap f7" style="z-index:11;color:#E6E6E6;font-weight:bold; font-size:117%; left:570.72px;top:138.54px;">Rare</span><span data-textwidth="48.61" class="sg nowrap f7" style="z-index:12;color:#E6E6E6;font-weight:bold; font-size:117%; left:730.70px;top:138.54px;">Rare</span><span data-textwidth="257.32" class="sg nowrap f7" style="z-index:13;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:202.64px;">Fat content of polyps (on </span><span data-textwidth="88.45" class="sg nowrap f7" style="z-index:14;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:227.84px;">imaging)</span><span data-textwidth="165.99" class="sg nowrap f7" style="z-index:15;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:266.61px;">Fat proliferation </span><span data-textwidth="105.26" class="sg nowrap f7" style="z-index:16;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:291.82px;">elsewhere</span><span data-textwidth="193.23" class="sg nowrap f7" style="z-index:17;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:330.58px;">Apparent vascular </span><span data-textwidth="86.05" class="sg nowrap f7" style="z-index:18;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:117%; left:10.58px;top:355.79px;">anomaly</span></p></div></div><img class="sg" src="95F2A57F.png" id="s320_i" style="z-index:1;left:0px;top:0px;width:930.42px;height:390.70px" > </div> <div class="sg" id="s336" data-sgid="Half Frame 30" style="z-index:18;left:326.36px;top:289.84px;width:74.85px;height:55.55px" data-fillcolor="45296"> <img class="sg" src="2082719275x56.png" id="s336_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.55px" > </div> <div class="sg" id="s338" data-sgid="Multiply 32" style="z-index:20;left:802.52px;top:295.49px;width:45.34px;height:45.08px" data-fillcolor="16711680"> <img class="sg" src="7812E25C45x45.png" id="s338_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.08px" > </div> <div class="sg" id="s330" data-sgid="Multiply 18" style="z-index:12;left:631.39px;top:295.49px;width:45.34px;height:45.08px" data-fillcolor="16711680"> <img class="sg" src="26DDD41745x45.png" id="s330_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.08px" > </div> <div class="sg" id="s337" data-sgid="Multiply 31" style="z-index:19;left:487.44px;top:295.49px;width:45.34px;height:45.08px" data-fillcolor="16711680"> <img class="sg" src="2443E31545x45.png" id="s337_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.08px" > </div> <div class="sg" id="s332" data-sgid="Half Frame 24" style="z-index:14;left:326.36px;top:356.65px;width:74.85px;height:55.63px" data-fillcolor="45296"> <img class="sg" src="2C9D869E75x56.png" id="s332_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.63px" > </div> <div class="sg" id="s328" data-sgid="Multiply 15" style="z-index:10;left:631.39px;top:359.40px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="A68DD65E45x45.png" id="s328_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s326" data-sgid="Multiply 12" style="z-index:8;left:490.70px;top:359.40px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="2BF1FD4A45x45.png" id="s326_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s325" data-sgid="Multiply 11" style="z-index:7;left:802.52px;top:363.38px;width:45.34px;height:45.08px" data-fillcolor="16711680"> <img class="sg" src="ACC82CD745x45.png" id="s325_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.08px" > </div> <div class="sg" id="s333" data-sgid="Half Frame 26" style="z-index:15;left:320.72px;top:414.81px;width:74.85px;height:55.66px" data-fillcolor="45296"> <img class="sg" src="A82DABBE75x56.png" id="s333_i" style="z-index:1;left:0px;top:0px;width:74.85px;height:55.66px" > </div> <div class="sg" id="s327" data-sgid="Multiply 13" style="z-index:9;left:490.70px;top:425.36px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="2BF1FD4A45x45.png" id="s327_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s329" data-sgid="Multiply 16" style="z-index:11;left:631.39px;top:425.36px;width:45.34px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="17EADF8D45x45.png" id="s329_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.11px" > </div> <div class="sg" id="s334" data-sgid="Multiply 28" style="z-index:16;left:802.52px;top:433.05px;width:45.34px;height:45.19px" data-fillcolor="16711680"> <img class="sg" src="27D6CEF045x45.png" id="s334_i" style="z-index:1;left:0px;top:0px;width:45.34px;height:45.19px" > </div>
<div class="sg sgTitle" id="s341" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s341_t" class="sg" style="z-index:2;left:0.00px;top:-15.95px;width:864.43px;height:106.72px;"><div><p para="{al:2}"><span data-textwidth="463.64" class="sg nowrap f8" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:228%; left:200.71px;top:17.84px;">My Favoured Diagnosis</span></p></div></div></div> <div class="sg" id="s342" data-sgid="Content Placeholder 2" style="z-index:2;left:71.48px;top:81.08px;width:856.50px;height:309.02px" data-valign="top" data-pointer-events="none"> <div id="s342_t" class="sg" style="z-index:2;left:-13.31px;top:0.00px;width:869.81px;height:456.65px;"><div><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="725.64" class="sg nowrap f7" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:156%; left:16.84px;top:48.51px;">•<span class="f4" style="font-size:132%; color:#FFFFFF;"><span style="letter-spacing:-7.92px"> </span>PTEN hamartoma tumor syndrome (PHTS)</span></span></p><p para="{bl:{ch:252},spbf:12.08}"><span data-textwidth="641.26" class="sg nowrap f9" style="z-index:4;color:#FAFD00;font-size:133%; left:38.45px;top:101.08px;"><span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:20.28px"> </span>Cowden syndrome (</span><span class="f4" style="font-size:112%; color:#FFFFFF;">presentation after 20 yrs</span><span class="f4" style="font-size:133%; color:#FFFFFF;">) </span></span></p><p para="{bl:{ch:252},spbf:12.08}"><span data-textwidth="790.93" class="sg nowrap f9" style="z-index:8;color:#FAFD00;font-size:133%; left:38.45px;top:147.65px;"><span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:20.28px"> </span>Bannayan-Ruvalcaba-Riley syndrome (</span><span class="f4" style="font-size:112%; color:#FFFFFF;">early childhood </span></span><span data-textwidth="651.59" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:150%; left:86.45px;top:182.22px;">presentation, hemangioma/vascular anomaly common<span class="f4" style="font-size:119%; ">)</span></span></p><p para="{bl:{ch:252},spbf:12.08}"><span data-textwidth="704.99" class="sg nowrap f9" style="z-index:17;color:#FAFD00;font-size:133%; left:38.45px;top:228.79px;"><span class="f4" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:20.28px"> </span>Proteus syndrome and Proteus-like syndrome </span></span><span data-textwidth="612.82" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-size:178%; left:86.45px;top:263.36px;">(<span class="f4" style="font-size:84%; ">haphazard growth/gigantism in mosaic distribution</span>)</span></p><p></p><p></p><p para="{spbf:12.08}"><span data-textwidth="536.61" class="sg nowrap f4" style="z-index:24;color:#FFFFFF;font-size:178%; left:171.55px;top:403.07px;">Bannayan-Ruvalcaba-Riley syndrome</span></p></div></div></div> <div class="sg" id="s343" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:481.10px;top:381.25px;width:37.18px;height:109.11px" data-pointer-events="none"> <img class="sg" src="879D75D337x109.png" id="s343_i" style="z-index:1;left:0px;top:0px;width:37.18px;height:109.11px" > </div>
<div class="sg sgTitle" id="s344" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s344_t" class="sg" style="z-index:2;left:-29.51px;top:-21.11px;width:893.94px;height:114.16px;"><div><p><span data-textwidth="391.03" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:33.03px;top:21.72px;">Correct Diagnosis</span></p></div></div></div> <div class="sg" id="s345" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:76.14px;width:864.43px;height:442.30px" data-valign="top" data-pointer-events="none"> <div id="s345_t" class="sg" style="z-index:2;left:-21.10px;top:-15.46px;width:885.53px;height:484.00px;"><div><p para="{spbf:12.08}"><span data-textwidth="749.52" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:24.62px;top:16.18px;">PTEN hamartoma tumor syndrome, BRR type</span></p><p></p><p></p><p></p><p></p><p></p><p para="{spbf:12.08}"><span data-textwidth="241.12" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:194%; left:24.62px;top:319.36px;">Case courtesy of:</span></p><p para="{spbf:12.08}"><span data-textwidth="403.26" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:200%; left:24.62px;top:368.57px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">Jonathan Dillman, MD, MSc</span></span></p><p para="{spbf:12.08}"><span data-textwidth="307.25" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:200%; left:24.62px;top:419.47px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">Cincinnati Children’s </span></span></p></div></div></div> <div class="sg" id="s346" data-sgid="Picture 2" style="z-index:3;left:640.73px;top:295.86px;width:124.75px;height:186.58px"> <img class="sg" src="5A2DD578.jpg" id="s346_i" title="" alt="Image result for jonathan dillman md" style="z-index:1;left:0px;top:0px;width:124.75px;height:186.58px" > </div>
<div class="sg sgTitle" id="s347" data-sgid="Title 1" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="top" data-pointer-events="none"> <div id="s347_t" class="sg" style="z-index:2;left:0.00px;top:-21.11px;width:864.43px;height:114.16px;"><div><p para="{al:2}"><span data-textwidth="795.37" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:34.84px;top:21.72px;">PTEN Hamartoma Tumor syndrome</span></p></div></div></div> <div class="sg" id="s348" data-sgid="Content Placeholder 2" style="z-index:2;left:44.97px;top:91.15px;width:887.45px;height:357.25px" data-valign="top" data-pointer-events="none"> <div id="s348_t" class="sg" style="z-index:2;left:-10.42px;top:-11.89px;width:906.29px;height:410.16px;"><div><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="873.15" class="sg nowrap f4" style="z-index:2;color:#FAFD00;font-size:133%; left:13.94px;top:13.68px;">•<span class="f3" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-3.24px"> </span>A spectrum of hamartomatous overgrowth syndromes associated </span></span><span data-textwidth="805.34" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:178%; left:26.30px;top:48.25px;">with <span style="color:#FFC000;">germ-line mutations </span>in the tumor suppressor PTEN gene </span><span data-textwidth="258.76" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:178%; left:26.30px;top:82.82px;">located on 10q23.3.</span></p><p para="{in:3,bl:{ch:8226},spbf:9.33}"><span data-textwidth="202.84" class="sg nowrap f4" style="z-index:12;color:#FAFD00;font-size:106%; left:53.54px;top:126.22px;">•<span class="f3" style="font-size:132%; color:#DAEDEF;"><span style="letter-spacing:-2.51px"> </span>Cowden syndrome</span></span></p><p para="{in:3,bl:{ch:8226},spbf:9.33}"><span data-textwidth="541.29" class="sg nowrap f4" style="z-index:14;color:#FAFD00;font-size:106%; left:53.54px;top:162.59px;">•<span class="f3" style="font-size:132%; color:#DAEDEF;"><span style="letter-spacing:-2.51px"> </span>Bannayan–Riley–Ruvalcaba syndrome (earlier age) </span></span></p><p para="{in:3,bl:{ch:8226},spbf:9.33}"><span data-textwidth="274.38" class="sg nowrap f4" style="z-index:21;color:#FAFD00;font-size:106%; left:53.54px;top:198.96px;">•<span class="f3" style="font-size:132%; color:#DAEDEF;"><span style="letter-spacing:-2.51px"> </span>Lhermitte–Duclos disease</span></span></p><p para="{in:3,bl:{ch:8226},spbf:9.33}"><span data-textwidth="247.49" class="sg nowrap f4" style="z-index:25;color:#FAFD00;font-size:106%; left:53.54px;top:235.33px;">•<span class="f3" style="font-size:132%; color:#DAEDEF;"><span style="letter-spacing:-2.51px"> </span>Proteus-like syndrome </span></span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="597.34" class="sg nowrap f4" style="z-index:29;color:#FAFD00;font-size:133%; left:13.94px;top:274.74px;">•<span class="f3" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-3.24px"> </span>Inherited in an </span><span class="f6" style="font-style:italic; font-weight:bold; font-size:133%; color:#FFFFFF;">autosomal dominant </span><span class="f3" style="font-size:133%; color:#FFFFFF;">manner</span></span></p><p para="{bl:{ch:8226},spbf:12.08}"><span data-textwidth="638.26" class="sg nowrap f4" style="z-index:33;color:#FAFD00;font-size:133%; left:13.94px;top:321.31px;">•<span class="f3" style="font-size:133%; color:#FFFFFF;"><span style="letter-spacing:-3.24px"> </span>Loss of PTEN leads to increased cellular growth, </span></span><span data-textwidth="476.60" class="sg nowrap f3" style="z-index:35;color:#FFFFFF;font-size:178%; left:85.95px;top:355.88px;">migration, proliferation, and survival</span></p></div></div></div> <div class="sg" id="s350" data-sgid="Picture 5" style="z-index:4;left:695.67px;top:192.00px;width:244.31px;height:199.66px"> <img class="sg" src="DBE1C7E3.png" id="s350_i" title="" alt="A close up of a logoDescription automatically generated" style="z-index:1;left:0px;top:0px;width:244.31px;height:199.66px" > </div> <div class="sg" id="s349" data-sgid="TextBox 3" style="z-index:3;left:33.47px;top:470.33px;width:820.51px;height:85.76px" data-valign="top"> <div id="s349_t" class="sg" style="z-index:2;left:-2.52px;top:0.00px;width:823.03px;height:85.76px;"><div><p><span data-textwidth="497.72" class="sg nowrap f7" style="z-index:2;color:#BADDE1;font-weight:bold; font-size:89%; left:10.22px;top:25.30px;">Piccione M, et al. Am J Med Genet Part A 2013; 161A:2902–2908</span></p><p><span data-textwidth="776.29" class="sg nowrap f7" style="z-index:6;color:#BADDE1;font-weight:bold; font-size:89%; left:10.22px;top:44.50px;">Blumenthal, G., Dennis, P. PTEN hamartoma tumor syndromes. <span class="f7" style="font-style:italic; ">Eur J Hum Genet</span><span style="letter-spacing:-2.04px"> </span>2008; <span class="f7" style="font-weight:bold; ">16:</span>1289–1300</span></p></div></div></div>
<div class="sg" id="s351" data-sgid="Title 3" style="z-index:1;left:60.32px;top:-23.38px;width:221.06px;height:182.16px" data-valign="bottom"> <div id="s351_t" class="sg" style="z-index:2;left:-16.79px;top:0.00px;width:237.86px;height:202.67px;"><div><p para="{spaf:6.00}"><span data-textwidth="173.43" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.52px;top:133.72px;">References</span></p></div></div></div> <div class="sg" id="s353" data-sgid="Picture 2" style="z-index:3;left:464.19px;top:172.57px;width:456.37px;height:218.75px"> <img class="sg" src="5C69F9B0.jpg" id="s353_i" title="" alt="Image result for Granulocyte colony stimulating factor" style="z-index:1;left:0px;top:0px;width:456.37px;height:218.75px" > </div> <div class="sg" id="s352" data-sgid="Rectangle 2" style="z-index:2;left:37.30px;top:225.70px;width:442.84px;height:243.43px" data-valign="top" data-pointer-events="none"> <div id="s352_t" class="sg" style="z-index:2;left:-4.79px;top:-4.79px;width:447.62px;height:248.23px;"><div><p para="{spaf:6.00}"><span data-textwidth="309.89" class="sg nowrap f1" style="z-index:2;color:#BDD7EE;font-weight:bold; font-size:111%; left:12.50px;top:8.42px;">Eur J Hum Genet 2008; 16:1289–1300</span></p><p para="{spaf:6.00}"><span data-textwidth="391.39" class="sg nowrap f1" style="z-index:5;color:#BDD7EE;font-weight:bold; font-size:111%; left:12.50px;top:36.03px;">Am J Med Genet Part A 2013; 161A:2902–2908</span></p><p para="{spaf:6.00}"><span data-textwidth="321.05" class="sg nowrap f1" style="z-index:8;color:#BDD7EE;font-weight:bold; font-size:111%; left:12.50px;top:63.63px;">J Natl Cancer Inst;2013;105:1607–1616</span></p></div></div></div>
<div class="sg" id="s354" data-sgid="Subtitle 2" style="z-index:1;left:0.00px;top:136.96px;width:960.38px;height:265.62px" data-valign="top"> <div id="s354_t" class="sg" style="z-index:2;left:0.00px;top:-22.32px;width:960.38px;height:317.08px;"><div><p para="{al:2,spbf:12.08}"><span data-textwidth="268.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:352.38px;top:22.67px;">2019 RSNA </span></p><p para="{al:2,spbf:12.08}"><span data-textwidth="675.71" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:142.70px;top:95.41px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:12.08}"><span data-textwidth="365.46" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:297.77px;top:220.71px;">Neuroradiology</span></p></div></div></div>
<div class="sg sgTitle" id="s355" data-sgid="Title 3" 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="s355_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="378.78" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:28.08px;">Neuroradiology Case</span></p></div></div></div> <div class="sg" id="s356" data-sgid="Content Placeholder 4" style="z-index:2;left:39.34px;top:143.18px;width:904.36px;height:363.97px" data-valign="top" data-pointer-events="none"> <div id="s356_t" class="sg" style="z-index:2;left:-8.53px;top:-8.26px;width:912.89px;height:372.23px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="853.46" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.24px;top:12.19px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>HPI: </span><span class="f3" >28 yo female with hx of ear infections presents with asymmetric and </span></span><span data-textwidth="404.95" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:156%; left:34.24px;top:41.88px;">asynchronous bilateral hearing loss.</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="197.32" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:133%; left:52.24px;top:77.09px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>Right HL in 2/2018</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="184.48" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:133%; left:52.24px;top:108.05px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>Left HL in 5/2018</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="297.05" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:111%; left:88.25px;top:139.14px;">•<span class="f3" ><span style="letter-spacing:6.48px"> </span>Treated with tympanostomy tubes</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="843.27" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:133%; left:52.24px;top:165.55px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>Bl Bell’s Palsy in 3/2018 treated w/ steroids & antivirals, after which ears “felt better”</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="616.67" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-size:133%; left:52.24px;top:196.51px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>Current symptoms: L sided tinnitus described as “whooshing”</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="249.28" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-size:156%; left:16.24px;top:233.04px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>SH & ROS: </span><span class="f3" >Negative</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="474.20" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-size:156%; left:16.24px;top:273.25px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>ENT: </span><span class="f3" >nasopharyngeal endoscopy normal</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="344.34" class="sg nowrap f4" style="z-index:26;color:#FFFFFF;font-size:156%; left:16.24px;top:313.58px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Audiology findings: </span><span class="f3" >See next</span></span></p></div></div></div>
<div class="sg sgTitle" id="s363" 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="s363_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="37.93" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:28.08px;">SL</span></p></div></div></div> <div class="sg" id="s364" data-sgid="Content Placeholder 7" style="z-index:2;left:185.32px;top:17.16px;width:480.59px;height:511.69px"> <img class="sg" src="ECA4A1AA.jpg" id="s364_i" style="z-index:1;left:0px;top:0px;width:480.59px;height:511.69px" > </div> <div class="sg" id="s365" data-sgid="Picture 9" style="z-index:3;left:714.02px;top:132.51px;width:130.98px;height:286.87px"> <img class="sg" src="D01315FF.jpg" id="s365_i" style="z-index:1;left:0px;top:0px;width:130.98px;height:286.87px" > </div>
<div class="sg" id="s367" data-sgid="Picture 5" style="z-index:2;left:366.80px;top:-0.48px;width:224.29px;height:224.26px"> <img class="sg" src="B5026E59.jpg" id="s367_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s370" data-sgid="Picture 3" style="z-index:5;left:179.07px;top:-0.48px;width:224.29px;height:224.26px"> <img class="sg" src="FAA73029.jpg" id="s370_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s372" data-sgid="Picture 7" style="z-index:7;left:554.61px;top:-0.48px;width:224.29px;height:224.26px"> <img class="sg" src="4800AE3B.jpg" id="s372_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s368" data-sgid="Picture 11" style="z-index:3;left:-14.27px;top:-0.23px;width:224.29px;height:224.26px"> <img class="sg" src="6352BA8E.jpg" id="s368_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s374" data-sgid="Picture 9" style="z-index:9;left:747.24px;top:-0.23px;width:224.29px;height:224.26px"> <img class="sg" src="4E1C8C8F.jpg" id="s374_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s366" data-sgid="Picture 6" style="z-index:1;left:370.14px;top:266.84px;width:224.29px;height:224.11px"> <img class="sg" src="291C60E2.jpg" id="s366_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.11px" > </div> <div class="sg" id="s373" data-sgid="Picture 8" style="z-index:8;left:564.10px;top:267.06px;width:224.29px;height:224.26px"> <img class="sg" src="FBFB2E36.jpg" id="s373_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s375" data-sgid="Picture 10" style="z-index:10;left:756.36px;top:266.35px;width:225.96px;height:225.82px"> <img class="sg" src="3E1AAA7D.jpg" id="s375_i" style="z-index:1;left:0px;top:0px;width:225.96px;height:225.82px" > </div> <div class="sg" id="s369" data-sgid="Picture 12" style="z-index:4;left:-25.54px;top:267.32px;width:224.29px;height:224.26px"> <img class="sg" src="32529127.jpg" id="s369_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s371" data-sgid="Picture 4" style="z-index:6;left:174.87px;top:266.84px;width:225.14px;height:225.22px"> <img class="sg" src="AF075E4B.jpg" id="s371_i" style="z-index:1;left:0px;top:0px;width:225.14px;height:225.22px" > </div>
<div class="sg" id="s383" data-sgid="Picture 10" style="z-index:8;left:-14.64px;top:-0.48px;width:279.94px;height:279.77px"> <img class="sg" src="E99E2CE6.jpg" id="s383_i" style="z-index:1;left:0px;top:0px;width:279.94px;height:279.77px" > </div> <div class="sg" id="s381" data-sgid="Picture 2" style="z-index:6;left:694.23px;top:-0.48px;width:280.42px;height:280.37px"> <img class="sg" src="E87F4757.jpg" id="s381_i" style="z-index:1;left:0px;top:0px;width:280.42px;height:280.37px" > </div> <div class="sg" id="s378" data-sgid="Picture 5" style="z-index:3;left:222.03px;top:-0.48px;width:280.53px;height:280.37px"> <img class="sg" src="3C739492.jpg" id="s378_i" style="z-index:1;left:0px;top:0px;width:280.53px;height:280.37px" > </div> <div class="sg" id="s382" data-sgid="Picture 1" style="z-index:7;left:465.49px;top:-0.48px;width:263.88px;height:291.06px"> <img class="sg" src="9010B707.jpg" id="s382_i" style="z-index:1;left:0px;top:0px;width:263.88px;height:291.06px" > </div> <div class="sg" id="s391" data-sgid="TextBox 17" style="z-index:16;left:795.33px;top:237.67px;width:216.87px;height:25.08px" data-valign="top"> <div id="s391_t" class="sg" style="z-index:2;left:-1.19px;top:-0.71px;width:218.06px;height:30.35px;"><div><p><span data-textwidth="73.81" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:78%; left:9.39px;top:6.77px;">DWI, b=1000</span></p></div></div></div> <div class="sg" id="s390" data-sgid="TextBox 16" style="z-index:15;left:574.41px;top:247.04px;width:216.73px;height:25.19px" data-valign="top"> <div id="s390_t" class="sg" style="z-index:2;left:-1.33px;top:-0.60px;width:218.06px;height:30.35px;"><div><p><span data-textwidth="31.69" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:78%; left:9.38px;top:6.78px;">FLAIR</span></p></div></div></div> <div class="sg" id="s384" data-sgid="TextBox 6" style="z-index:9;left:56.72px;top:247.04px;width:158.93px;height:25.19px" data-valign="top"> <div id="s384_t" class="sg" style="z-index:2;left:-1.19px;top:-0.60px;width:160.12px;height:30.35px;"><div><p><span data-textwidth="117.86" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:78%; left:8.92px;top:6.78px;">precontrast fatsat T1</span></p></div></div></div> <div class="sg" id="s389" data-sgid="TextBox 15" style="z-index:14;left:341.85px;top:247.04px;width:216.73px;height:25.19px" data-valign="top"> <div id="s389_t" class="sg" style="z-index:2;left:-1.22px;top:-0.60px;width:217.95px;height:30.35px;"><div><p><span data-textwidth="29.88" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:78%; left:9.11px;top:6.78px;">T2WI</span></p></div></div></div> <div class="sg" id="s379" data-sgid="Picture 8" style="z-index:4;left:-15.24px;top:259.63px;width:280.53px;height:280.37px"> <img class="sg" src="FCFDB9B8.jpg" id="s379_i" style="z-index:1;left:0px;top:0px;width:280.53px;height:280.37px" > </div> <div class="sg" id="s377" data-sgid="Picture 4" style="z-index:2;left:479.76px;top:279.06px;width:260.03px;height:260.00px"> <img class="sg" src="68C6E450.jpg" id="s377_i" style="z-index:1;left:0px;top:0px;width:260.03px;height:260.00px" > </div> <div class="sg" id="s380" data-sgid="Picture 9" style="z-index:5;left:707.54px;top:279.06px;width:260.03px;height:260.00px"> <img class="sg" src="CE2C133E.jpg" id="s380_i" style="z-index:1;left:0px;top:0px;width:260.03px;height:260.00px" > </div> <div class="sg" id="s376" data-sgid="Picture 3" style="z-index:1;left:242.64px;top:279.06px;width:260.03px;height:260.00px"> <img class="sg" src="416F74D.jpg" id="s376_i" style="z-index:1;left:0px;top:0px;width:260.03px;height:260.00px" > </div> <div class="sg" id="s385" data-sgid="TextBox 7" style="z-index:10;left:63.10px;top:498.52px;width:216.73px;height:25.19px" data-valign="top"> <div id="s385_t" class="sg" style="z-index:2;left:-1.22px;top:-0.59px;width:217.95px;height:30.21px;"><div><p><span data-textwidth="117.86" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:78%; left:8.93px;top:6.86px;">precontrast fatsat T1</span></p></div></div></div> <div class="sg" id="s386" data-sgid="TextBox 11" style="z-index:11;left:528.11px;top:509.08px;width:222.03px;height:27.46px" data-valign="top"> <div id="s386_t" class="sg" style="z-index:2;left:-2.52px;top:-1.34px;width:224.55px;height:34.67px;"><div><p><span data-textwidth="145.34" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:89%; left:10.54px;top:7.61px;">Post-contrast fatsat T1</span></p></div></div></div> <div class="sg" id="s388" data-sgid="Straight Arrow Connector 14" style="z-index:13;left:372.06px;top:517.70px;width:151.85px;height:13.08px" data-pointer-events="none"> <img class="sg" src="EADD0441152x13.png" id="s388_i" style="z-index:1;left:0px;top:0px;width:151.85px;height:13.08px" > </div> <div class="sg" id="s387" data-sgid="Straight Arrow Connector 13" style="z-index:12;left:694.34px;top:517.70px;width:154.74px;height:13.08px" data-pointer-events="none"> <img class="sg" src="C4967244155x13.png" id="s387_i" style="z-index:1;left:0px;top:0px;width:154.74px;height:13.08px" > </div>
<div class="sg" id="s398" data-sgid="TextBox 1" style="z-index:7;left:771.12px;top:114.52px;width:216.84px;height:25.19px" data-valign="top"> <div id="s398_t" class="sg" style="z-index:2;left:-1.22px;top:-0.59px;width:218.06px;height:30.33px;"><div><p><span data-textwidth="173.31" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:78%; left:9.39px;top:6.66px;">post contrast fat sat T1 images</span></p></div></div></div> <div class="sg" id="s395" data-sgid="Picture 7" style="z-index:4;left:254.40px;top:-0.48px;width:255.73px;height:255.69px"> <img class="sg" src="8F81FC65.jpg" id="s395_i" style="z-index:1;left:0px;top:0px;width:255.73px;height:255.69px" > </div> <div class="sg" id="s397" data-sgid="Picture 13" style="z-index:6;left:509.27px;top:-0.48px;width:255.59px;height:255.69px"> <img class="sg" src="7D904CCB.jpg" id="s397_i" style="z-index:1;left:0px;top:0px;width:255.59px;height:255.69px" > </div> <div class="sg" id="s394" data-sgid="Picture 6" style="z-index:3;left:0.00px;top:-0.48px;width:255.73px;height:255.69px"> <img class="sg" src="4D5455EB.jpg" id="s394_i" style="z-index:1;left:0px;top:0px;width:255.73px;height:255.69px" > </div> <div class="sg" id="s392" data-sgid="Picture 3" style="z-index:1;left:448.10px;top:284.34px;width:255.73px;height:255.66px"> <img class="sg" src="A97E8FD2.jpg" id="s392_i" style="z-index:1;left:0px;top:0px;width:255.73px;height:255.66px" > </div> <div class="sg" id="s393" data-sgid="Picture 5" style="z-index:2;left:193.23px;top:284.34px;width:255.84px;height:255.66px"> <img class="sg" src="E23AE7E8.jpg" id="s393_i" style="z-index:1;left:0px;top:0px;width:255.84px;height:255.66px" > </div> <div class="sg" id="s396" data-sgid="Picture 8" style="z-index:5;left:704.17px;top:284.34px;width:255.73px;height:255.66px"> <img class="sg" src="31E6DA8F.jpg" id="s396_i" style="z-index:1;left:0px;top:0px;width:255.73px;height:255.66px" > </div>
<div class="sg" id="s403" data-sgid="TextBox 8" style="z-index:5;left:723.74px;top:65.11px;width:216.84px;height:29.99px" data-valign="top"> <div id="s403_t" class="sg" style="z-index:2;left:-3.60px;top:-1.79px;width:220.44px;height:38.72px;"><div><p><span data-textwidth="161.67" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.86px;top:7.58px;">Pre/Post Comparisons</span></p></div></div></div> <div class="sg" id="s400" data-sgid="Picture 2" style="z-index:2;left:-12.23px;top:-65.11px;width:330.80px;height:330.98px"> <img class="sg" src="D66A4F95.jpg" id="s400_i" style="z-index:1;left:0px;top:0px;width:330.80px;height:330.98px" > </div> <div class="sg" id="s401" data-sgid="Picture 5" style="z-index:3;left:278.16px;top:20.62px;width:206.28px;height:207.35px"> <img class="sg" src="A1F498AD.jpg" id="s401_i" title="" alt="A picture containing animal, reptile, dinosaur, motorcycleDescription generated with very high confidence" style="z-index:1;left:0px;top:0px;width:206.28px;height:207.35px" > </div> <div class="sg" id="s402" data-sgid="Picture 7" style="z-index:4;left:664.61px;top:185.87px;width:315.20px;height:307.72px"> <img class="sg" src="D4C5467D.jpg" id="s402_i" title="" alt="A picture containing sitting, table, white, blackDescription generated with very high confidence" style="z-index:1;left:0px;top:0px;width:315.20px;height:307.72px" > </div> <div class="sg" id="s399" data-sgid="Picture 1" style="z-index:1;left:383.93px;top:180.60px;width:326.13px;height:329.45px"> <img class="sg" src="F1564F9B.jpg" id="s399_i" style="z-index:1;left:0px;top:0px;width:326.13px;height:329.45px" > </div>
<div class="sg sgTitle" id="s404" data-sgid="Title 1" style="z-index:1;left:65.48px;top:12.48px;width:828.46px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s404_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="507.80" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:160.64px;top:27.93px;">Coronal post contrast T1WI's</span></p></div></div></div> <div class="sg" id="s407" data-sgid="Picture 4" style="z-index:4;left:638.81px;top:106.72px;width:321.09px;height:320.91px"> <img class="sg" src="DEE14437.jpg" id="s407_i" style="z-index:1;left:0px;top:0px;width:321.09px;height:320.91px" > </div> <div class="sg" id="s408" data-sgid="Picture 5" style="z-index:5;left:336.21px;top:106.72px;width:321.06px;height:320.91px"> <img class="sg" src="87D82E72.jpg" id="s408_i" style="z-index:1;left:0px;top:0px;width:321.06px;height:320.91px" > </div> <div class="sg" id="s406" data-sgid="Picture 3" style="z-index:3;left:16.09px;top:106.72px;width:320.95px;height:320.91px"> <img class="sg" src="A0C72117.jpg" id="s406_i" style="z-index:1;left:0px;top:0px;width:320.95px;height:320.91px" > </div> <div class="sg" id="s405" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:143.18px;width:828.46px;height:343.23px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div>
<div class="sg" id="s409" data-sgid="Picture 1" style="z-index:1;left:208.69px;top:-23.74px;width:285.72px;height:285.65px"> <img class="sg" src="4ACF4B74.jpg" id="s409_i" style="z-index:1;left:0px;top:0px;width:285.72px;height:285.65px" > </div> <div class="sg" id="s410" data-sgid="Picture 2" style="z-index:2;left:-46.19px;top:-23.74px;width:285.72px;height:285.65px"> <img class="sg" src="861E948B.jpg" id="s410_i" style="z-index:1;left:0px;top:0px;width:285.72px;height:285.65px" > </div> <div class="sg" id="s411" data-sgid="Picture 3" style="z-index:3;left:740.87px;top:-23.74px;width:285.72px;height:285.65px"> <img class="sg" src="297DC4F9.jpg" id="s411_i" style="z-index:1;left:0px;top:0px;width:285.72px;height:285.65px" > </div> <div class="sg" id="s412" data-sgid="Picture 4" style="z-index:4;left:474.02px;top:-23.74px;width:285.69px;height:285.65px"> <img class="sg" src="E855774B.jpg" id="s412_i" style="z-index:1;left:0px;top:0px;width:285.69px;height:285.65px" > </div> <div class="sg" id="s414" data-sgid="Picture 6" style="z-index:6;left:668.91px;top:260.82px;width:275.04px;height:274.98px"> <img class="sg" src="DCAA5105.jpg" id="s414_i" style="z-index:1;left:0px;top:0px;width:275.04px;height:274.98px" > </div> <div class="sg" id="s413" data-sgid="Picture 5" style="z-index:5;left:348.19px;top:260.82px;width:279.23px;height:279.18px"> <img class="sg" src="84C53257.jpg" id="s413_i" style="z-index:1;left:0px;top:0px;width:279.23px;height:279.18px" > </div> <div class="sg" id="s415" data-sgid="Picture 7" style="z-index:7;left:27.36px;top:260.82px;width:279.35px;height:279.18px"> <img class="sg" src="694AD1D.jpg" id="s415_i" style="z-index:1;left:0px;top:0px;width:279.35px;height:279.18px" > </div>
<div class="sg" id="s416" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s416_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="580.06" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Neuroradiology Case Discussion</span></p></div></div></div>
<div class="sg sgTitle" id="s417" 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="s417_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="37.93" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:28.08px;">SL</span></p></div></div></div> <div class="sg" id="s418" data-sgid="Content Placeholder 7" style="z-index:2;left:185.32px;top:18.95px;width:480.59px;height:511.83px"> <img class="sg" src="BE5F6F92.jpg" id="s418_i" style="z-index:1;left:0px;top:0px;width:480.59px;height:511.83px" > </div> <div class="sg" id="s419" data-sgid="Picture 9" style="z-index:3;left:714.02px;top:132.51px;width:130.98px;height:286.87px"> <img class="sg" src="D01315FF.jpg" id="s419_i" style="z-index:1;left:0px;top:0px;width:130.98px;height:286.87px" > </div> <div class="sg" id="s420" data-sgid="Group 4" style="z-index:4;left:480.00px;top:213.97px;width:86.62px;height:205.30px" data-shape="group"> <div class="sg" id="s422" data-sgid="TextBox 8" style="z-index:4;left:57.82px;top:125.41px;width:33.59px;height:43.06px"> <div id="s422_t" class="sg" style="z-index:2;left:0px;top:0px;width:33.59px;height:43.06px;"><div><p><span data-textwidth="8.52" class="sg nowrap f1" style="z-index:2;color:#0070C0;font-weight:bold; font-size:111%; left:12.95px;top:8.54px;">L</span></p></div></div></div> <div class="sg" id="s423" data-sgid="TextBox 3" style="z-index:3;left:10.33px;top:14.12px;width:36.22px;height:42.95px"> <div id="s423_t" class="sg" style="z-index:2;left:0px;top:0px;width:36.22px;height:42.95px;"><div><p><span data-textwidth="11.28" class="sg nowrap f1" style="z-index:2;color:#FF0000;font-weight:bold; font-size:111%; left:12.91px;top:8.44px;">R</span></p></div></div></div> <div class="sg" id="s424" data-sgid="Right Bracket 5" style="z-index:2;left:-0.72px;top:-2.06px;width:8.75px;height:64.88px" data-pointer-events="none"> <img class="sg" src="9E8B04A69x65.png" id="s424_i" style="z-index:1;left:0px;top:0px;width:8.75px;height:64.88px" > </div> <div class="sg" id="s425" data-sgid="Right Bracket 2" style="z-index:1;left:44.40px;top:81.41px;width:9.71px;height:125.45px" data-pointer-events="none"> <img class="sg" src="A549656C10x125.png" id="s425_i" style="z-index:1;left:0px;top:0px;width:9.71px;height:125.45px" > </div> </div> <div class="sg" id="s421" data-sgid="Group 14" style="z-index:9;left:459.02px;top:256.47px;width:166.70px;height:242.46px" data-shape="group"> <div class="sg" id="s426" data-sgid="Straight Connector 11" style="z-index:2;left:83.73px;top:-1.75px;width:84.56px;height:76.62px" data-pointer-events="none"> <img class="sg" src="E635EDBB85x77.png" id="s426_i" style="z-index:1;left:0px;top:0px;width:84.56px;height:75.62px" > </div> <div class="sg" id="s427" data-sgid="Straight Connector 10" style="z-index:1;left:-1.57px;top:139.98px;width:150.29px;height:104.11px" data-pointer-events="none"> <img class="sg" src="709197CA150x104.png" id="s427_i" style="z-index:1;left:0px;top:0px;width:150.29px;height:103.11px" > </div> </div>
<div class="sg" id="s429" data-sgid="Picture 5" style="z-index:2;left:366.80px;top:-0.48px;width:224.29px;height:224.26px"> <img class="sg" src="B5026E59.jpg" id="s429_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s430" data-sgid="Picture 11" style="z-index:3;left:0.00px;top:-0.48px;width:224.29px;height:224.26px"> <img class="sg" src="57ADEB68.jpg" id="s430_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s434" data-sgid="Picture 7" style="z-index:7;left:554.61px;top:-0.48px;width:224.29px;height:224.26px"> <img class="sg" src="4800AE3B.jpg" id="s434_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s432" data-sgid="Picture 3" style="z-index:5;left:183.88px;top:0.37px;width:224.29px;height:224.11px"> <img class="sg" src="F33C1995.jpg" id="s432_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.11px" > </div> <div class="sg" id="s436" data-sgid="Picture 9" style="z-index:9;left:735.60px;top:0.37px;width:224.29px;height:224.11px"> <img class="sg" src="A06267F0.jpg" id="s436_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.11px" > </div> <div class="sg" id="s439" data-sgid="Picture 15" style="z-index:12;left:428.56px;top:27.09px;width:363.65px;height:363.60px"> <img class="sg" src="9E639145.jpg" id="s439_i" style="z-index:1;left:0px;top:0px;width:363.65px;height:363.60px" > </div> <div class="sg" id="s438" data-sgid="Picture 13" style="z-index:11;left:43.30px;top:23.63px;width:370.62px;height:370.67px"> <img class="sg" src="86CAE03E.jpg" id="s438_i" style="z-index:1;left:0px;top:0px;width:370.62px;height:370.67px" > </div> <div class="sg" id="s428" data-sgid="Picture 6" style="z-index:1;left:370.14px;top:266.84px;width:224.29px;height:224.11px"> <img class="sg" src="291C60E2.jpg" id="s428_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.11px" > </div> <div class="sg" id="s435" data-sgid="Picture 8" style="z-index:8;left:564.10px;top:267.06px;width:224.29px;height:224.26px"> <img class="sg" src="FBFB2E36.jpg" id="s435_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s433" data-sgid="Picture 4" style="z-index:6;left:174.87px;top:266.84px;width:225.14px;height:225.22px"> <img class="sg" src="AF075E4B.jpg" id="s433_i" style="z-index:1;left:0px;top:0px;width:225.14px;height:225.22px" > </div> <div class="sg" id="s431" data-sgid="Picture 12" style="z-index:4;left:0.00px;top:267.80px;width:224.29px;height:224.26px"> <img class="sg" src="47C71F8D.jpg" id="s431_i" style="z-index:1;left:0px;top:0px;width:224.29px;height:224.26px" > </div> <div class="sg" id="s437" data-sgid="Picture 10" style="z-index:10;left:735.60px;top:267.80px;width:225.96px;height:225.93px"> <img class="sg" src="112B52FB.jpg" id="s437_i" style="z-index:1;left:0px;top:0px;width:225.96px;height:225.93px" > </div>
<div class="sg" id="s440" data-sgid="Picture 5" style="z-index:1;left:229.70px;top:2.41px;width:258.11px;height:258.07px"> <img class="sg" src="EB8B83E.jpg" id="s440_i" style="z-index:1;left:0px;top:0px;width:258.11px;height:258.07px" > </div> <div class="sg" id="s441" data-sgid="Picture 2" style="z-index:2;left:701.65px;top:2.41px;width:258.25px;height:258.07px"> <img class="sg" src="3CB5BB49.png" id="s441_i" style="z-index:1;left:0px;top:0px;width:258.25px;height:258.07px" > </div> <div class="sg" id="s443" data-sgid="Picture 10" style="z-index:4;left:0.11px;top:3.23px;width:257.65px;height:257.59px"> <img class="sg" src="B41738F5.jpg" id="s443_i" style="z-index:1;left:0px;top:0px;width:257.65px;height:257.59px" > </div> <div class="sg" id="s442" data-sgid="Picture 1" style="z-index:3;left:471.61px;top:3.23px;width:243.01px;height:268.03px"> <img class="sg" src="A9BBE8BE.jpg" id="s442_i" style="z-index:1;left:0px;top:0px;width:243.01px;height:268.03px" > </div> <div class="sg" id="s448" data-sgid="Group 7" style="z-index:9;left:155.56px;top:144.77px;width:724.42px;height:43.57px" data-shape="group"> <div class="sg" id="s451" data-sgid="Right Arrow 12" style="z-index:3;left:236.64px;top:1.19px;width:22.68px;height:36.68px" data-fillcolor="16777215"> <img class="sg" src="8C96D60623x37.png" id="s451_i" style="z-index:1;left:0px;top:0px;width:22.68px;height:36.68px" > </div> <div class="sg" id="s452" data-sgid="Right Arrow 11" style="z-index:2;left:702.39px;top:-0.63px;width:22.80px;height:36.82px" data-fillcolor="16777215"> <img class="sg" src="89E5DDC723x37.png" id="s452_i" style="z-index:1;left:0px;top:0px;width:22.80px;height:36.82px" > </div> <div class="sg" id="s453" data-sgid="Right Arrow 6" style="z-index:1;left:-3.60px;top:8.25px;width:22.68px;height:36.82px" data-fillcolor="16777215"> <img class="sg" src="7D15AFC523x37.png" id="s453_i" style="z-index:1;left:0px;top:0px;width:22.68px;height:36.82px" > </div> </div> <div class="sg" id="s450" data-sgid="Right Arrow 19" style="z-index:18;left:650.08px;top:339.26px;width:24.61px;height:23.52px" data-fillcolor="16711680"> <img class="sg" src="785270CB25x24.png" id="s450_i" style="z-index:1;left:0px;top:0px;width:24.61px;height:23.52px" > </div> <div class="sg" id="s446" data-sgid="Picture 8" style="z-index:7;left:8.04px;top:258.92px;width:249.72px;height:249.67px"> <img class="sg" src="AE810DFE.jpg" id="s446_i" style="z-index:1;left:0px;top:0px;width:249.72px;height:249.67px" > </div> <div class="sg" id="s447" data-sgid="Picture 9" style="z-index:8;left:713.77px;top:272.82px;width:237.60px;height:237.56px"> <img class="sg" src="419642EE.jpg" id="s447_i" style="z-index:1;left:0px;top:0px;width:237.60px;height:237.56px" > </div> <div class="sg" id="s444" data-sgid="Picture 3" style="z-index:5;left:256.21px;top:277.87px;width:231.60px;height:231.43px"> <img class="sg" src="400F2BFF.jpg" id="s444_i" style="z-index:1;left:0px;top:0px;width:231.60px;height:231.43px" > </div> <div class="sg" id="s445" data-sgid="Picture 4" style="z-index:6;left:492.25px;top:279.06px;width:231.49px;height:231.32px"> <img class="sg" src="DC003AD0.jpg" id="s445_i" style="z-index:1;left:0px;top:0px;width:231.49px;height:231.32px" > </div> <div class="sg" id="s449" data-sgid="Group 17" style="z-index:13;left:84.33px;top:404.51px;width:356.17px;height:35.97px" data-shape="group"> <div class="sg" id="s454" data-sgid="Right Arrow 16" style="z-index:4;left:222.00px;top:3.23px;width:23.39px;height:25.42px" data-fillcolor="16776960"> <img class="sg" src="25184BE823x25.png" id="s454_i" style="z-index:1;left:0px;top:0px;width:23.39px;height:25.42px" > </div> <div class="sg" id="s455" data-sgid="Right Arrow 15" style="z-index:3;left:336.56px;top:-0.25px;width:21.81px;height:27.94px" data-fillcolor="16776960"> <img class="sg" src="5AD853E322x28.png" id="s455_i" style="z-index:1;left:0px;top:0px;width:21.81px;height:27.94px" > </div> <div class="sg" id="s456" data-sgid="Right Arrow 14" style="z-index:2;left:-2.17px;top:11.26px;width:23.51px;height:25.42px" data-fillcolor="16776960"> <img class="sg" src="FE9AC77124x25.png" id="s456_i" style="z-index:1;left:0px;top:0px;width:23.51px;height:25.42px" > </div> <div class="sg" id="s457" data-sgid="Right Arrow 13" style="z-index:1;left:75.68px;top:6.36px;width:21.83px;height:27.80px" data-fillcolor="16776960"> <img class="sg" src="6AA88EEB22x28.png" id="s457_i" style="z-index:1;left:0px;top:0px;width:21.83px;height:27.80px" > </div> </div>
<div class="sg" id="s460" data-sgid="Picture 6" style="z-index:3;left:0.00px;top:-0.48px;width:255.73px;height:255.69px"> <img class="sg" src="4D5455EB.jpg" id="s460_i" style="z-index:1;left:0px;top:0px;width:255.73px;height:255.69px" > </div> <div class="sg" id="s461" data-sgid="Picture 7" style="z-index:4;left:254.40px;top:-0.48px;width:255.73px;height:255.69px"> <img class="sg" src="8F81FC65.jpg" id="s461_i" style="z-index:1;left:0px;top:0px;width:255.73px;height:255.69px" > </div> <div class="sg" id="s463" data-sgid="Picture 13" style="z-index:6;left:509.27px;top:-0.48px;width:255.59px;height:255.69px"> <img class="sg" src="7D904CCB.jpg" id="s463_i" style="z-index:1;left:0px;top:0px;width:255.59px;height:255.69px" > </div> <div class="sg" id="s465" data-sgid="Group 4" style="z-index:12;left:2.76px;top:39.76px;width:451.93px;height:451.93px" data-shape="group"> <div class="sg" id="s470" data-sgid="Right Arrow 17" style="z-index:4;left:141.30px;top:204.04px;width:22.54px;height:24.45px" data-fillcolor="16776960"> <img class="sg" src="A61E8D323x24.png" id="s470_i" style="z-index:1;left:0px;top:0px;width:22.54px;height:24.45px" > </div> <div class="sg" id="s471" data-sgid="Right Arrow 16" style="z-index:3;left:306.32px;top:211.11px;width:20.28px;height:27.23px" data-fillcolor="16776960"> <img class="sg" src="58C5D0A20x27.png" id="s471_i" style="z-index:1;left:0px;top:0px;width:20.28px;height:27.23px" > </div> <div class="sg" id="s472" data-sgid="Right Arrow 15" style="z-index:2;left:339.80px;top:159.08px;width:31.66px;height:32.37px" data-fillcolor="16777215"> <img class="sg" src="12151C2C32x32.png" id="s472_i" style="z-index:1;left:0px;top:0px;width:31.66px;height:32.37px" > </div> <div class="sg" id="s473" data-sgid="Picture 14" style="z-index:1;left:-0.49px;top:-0.55px;width:452.66px;height:452.48px"> <img class="sg" src="A68FD9D6.jpg" id="s473_i" style="z-index:1;left:0px;top:0px;width:452.66px;height:452.48px" > </div> </div> <div class="sg" id="s464" data-sgid="Group 2" style="z-index:7;left:447.92px;top:36.06px;width:473.87px;height:473.87px" data-shape="group"> <div class="sg" id="s466" data-sgid="Right Arrow 11" style="z-index:4;left:338.06px;top:236.76px;width:20.14px;height:27.23px" data-fillcolor="16776960"> <img class="sg" src="2D346DD20x27.png" id="s466_i" style="z-index:1;left:0px;top:0px;width:20.14px;height:27.23px" > </div> <div class="sg" id="s467" data-sgid="Right Arrow 10" style="z-index:3;left:106.32px;top:152.45px;width:31.55px;height:32.62px" data-fillcolor="16777215"> <img class="sg" src="7CF1905932x33.png" id="s467_i" style="z-index:1;left:0px;top:0px;width:31.55px;height:32.62px" > </div> <div class="sg" id="s468" data-sgid="Right Arrow 1" style="z-index:2;left:344.78px;top:152.93px;width:31.77px;height:32.51px" data-fillcolor="16777215"> <img class="sg" src="CCD5C49C32x33.png" id="s468_i" style="z-index:1;left:0px;top:0px;width:31.77px;height:32.51px" > </div> <div class="sg" id="s469" data-sgid="Picture 9" style="z-index:1;left:-0.78px;top:-0.43px;width:474.50px;height:474.41px"> <img class="sg" src="200CCB7.jpg" id="s469_i" style="z-index:1;left:0px;top:0px;width:474.50px;height:474.41px" > </div> </div> <div class="sg" id="s458" data-sgid="Picture 3" style="z-index:1;left:367.73px;top:254.35px;width:255.73px;height:255.69px"> <img class="sg" src="3AA10300.jpg" id="s458_i" style="z-index:1;left:0px;top:0px;width:255.73px;height:255.69px" > </div> <div class="sg" id="s462" data-sgid="Picture 8" style="z-index:5;left:622.61px;top:254.35px;width:255.73px;height:255.69px"> <img class="sg" src="E659A7C2.jpg" id="s462_i" style="z-index:1;left:0px;top:0px;width:255.73px;height:255.69px" > </div> <div class="sg" id="s459" data-sgid="Picture 5" style="z-index:2;left:111.66px;top:254.35px;width:255.73px;height:255.69px"> <img class="sg" src="13F02A39.jpg" id="s459_i" style="z-index:1;left:0px;top:0px;width:255.73px;height:255.69px" > </div>
<div class="sg" id="s474" data-sgid="Picture 1" style="z-index:1;left:614.11px;top:164.54px;width:296.62px;height:296.57px"> <img class="sg" src="5120FB9D.jpg" id="s474_i" style="z-index:1;left:0px;top:0px;width:296.62px;height:296.57px" > </div> <div class="sg" id="s475" data-sgid="Picture 2" style="z-index:2;left:326.24px;top:164.54px;width:296.62px;height:296.57px"> <img class="sg" src="1F5FC5F7.jpg" id="s475_i" style="z-index:1;left:0px;top:0px;width:296.62px;height:296.57px" > </div> <div class="sg" id="s476" data-sgid="Picture 3" style="z-index:3;left:30.36px;top:164.54px;width:296.73px;height:296.57px"> <img class="sg" src="1F38BF13.jpg" id="s476_i" style="z-index:1;left:0px;top:0px;width:296.73px;height:296.57px" > </div>
<div class="sg sgTitle" id="s477" 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="s482" data-sgid="Straight Arrow Connector 7" style="z-index:6;left:852.08px;top:208.79px;width:19.17px;height:41.13px" data-pointer-events="none"> <img class="sg" src="42BAEA4319x41.png" id="s482_i" style="z-index:1;left:0px;top:0px;width:19.17px;height:41.13px" > </div> <div class="sg" id="s481" data-sgid="Picture 5" style="z-index:5;left:336.21px;top:106.72px;width:321.06px;height:320.91px"> <img class="sg" src="87D82E72.jpg" id="s481_i" style="z-index:1;left:0px;top:0px;width:321.06px;height:320.91px" > </div> <div class="sg" id="s480" data-sgid="Picture 4" style="z-index:4;left:638.81px;top:106.72px;width:321.09px;height:320.91px"> <img class="sg" src="DEE14437.jpg" id="s480_i" style="z-index:1;left:0px;top:0px;width:321.09px;height:320.91px" > </div> <div class="sg" id="s479" data-sgid="Picture 3" style="z-index:3;left:16.09px;top:106.72px;width:320.95px;height:320.91px"> <img class="sg" src="A0C72117.jpg" id="s479_i" style="z-index:1;left:0px;top:0px;width:320.95px;height:320.91px" > </div> <div class="sg" id="s478" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:143.18px;width:828.46px;height:343.23px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div>
<div class="sg" id="s486" data-sgid="Picture 4" style="z-index:4;left:461.41px;top:-23.74px;width:285.83px;height:285.65px"> <img class="sg" src="664975B8.jpg" id="s486_i" style="z-index:1;left:0px;top:0px;width:285.83px;height:285.65px" > </div> <div class="sg" id="s485" data-sgid="Picture 3" style="z-index:3;left:674.21px;top:-23.74px;width:285.69px;height:285.65px"> <img class="sg" src="A3C388DF.jpg" id="s485_i" style="z-index:1;left:0px;top:0px;width:285.69px;height:285.65px" > </div> <div class="sg" id="s483" data-sgid="Picture 1" style="z-index:1;left:236.64px;top:-23.74px;width:285.72px;height:285.65px"> <img class="sg" src="C1BB5E76.jpg" id="s483_i" style="z-index:1;left:0px;top:0px;width:285.72px;height:285.65px" > </div> <div class="sg" id="s484" data-sgid="Picture 2" style="z-index:2;left:0.00px;top:-23.74px;width:285.69px;height:285.65px"> <img class="sg" src="B386AF89.jpg" id="s484_i" style="z-index:1;left:0px;top:0px;width:285.69px;height:285.65px" > </div> <div class="sg" id="s490" data-sgid="Group 11" style="z-index:8;left:321.57px;top:19.66px;width:438.13px;height:438.21px"> <img class="sg" src="21ABBF87.jpg" id="s490_i" style="z-index:1;left:0px;top:0px;width:438.13px;height:438.21px" > </div> <div class="sg" id="s488" data-sgid="Picture 6" style="z-index:6;left:591.68px;top:260.82px;width:275.13px;height:274.98px"> <img class="sg" src="443E62B5.jpg" id="s488_i" style="z-index:1;left:0px;top:0px;width:275.13px;height:274.98px" > </div> <div class="sg" id="s489" data-sgid="Picture 7" style="z-index:7;left:0.00px;top:260.82px;width:279.20px;height:279.18px"> <img class="sg" src="B58C2A55.jpg" id="s489_i" style="z-index:1;left:0px;top:0px;width:279.20px;height:279.18px" > </div> <div class="sg" id="s487" data-sgid="Picture 5" style="z-index:5;left:290.50px;top:260.82px;width:279.35px;height:279.18px"> <img class="sg" src="AD988976.jpg" id="s487_i" style="z-index:1;left:0px;top:0px;width:279.35px;height:279.18px" > </div>
<div class="sg sgTitle" id="s491" data-sgid="Title 1" style="z-index:1;left:65.48px;top:20.14px;width:828.46px;height:69.56px" data-valign="middle" data-pointer-events="none"> <div id="s491_t" class="sg" style="z-index:2;left:-19.29px;top:-7.91px;width:847.75px;height:93.30px;"><div><p><span data-textwidth="521.97" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:18.10px;">Summary of imaging findings </span></p></div></div></div> <div class="sg" id="s492" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:109.25px;width:828.46px;height:402.10px" data-valign="top" data-pointer-events="none"> <div id="s492_t" class="sg" style="z-index:2;left:-8.50px;top:-8.14px;width:836.96px;height:410.24px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="766.93" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.15px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Diffuse infiltrative skull base lesions –Deep NP mucosal space, CS, </span></span><span data-textwidth="651.10" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:34.24px;top:41.84px;">RPS, PVS along eustachian tube – Bil. multispacial disease</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="579.10" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:156%; left:16.23px;top:82.73px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>T2 hypointensity with avid contrast enhancement</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="390.79" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:156%; left:16.23px;top:122.94px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>L ICA encasement and narrowing</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="776.29" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-size:156%; left:16.23px;top:163.15px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Bil. ME /mastoid opacity with T1 hyperintensity with enhancement</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="622.67" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-size:156%; left:16.23px;top:203.48px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Subtle enhancement of B cochlear & L round window</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="728.17" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-size:156%; left:16.23px;top:243.69px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Enhancement along tympanic segment of facial nerve & GSPN </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="536.50" class="sg nowrap f4" style="z-index:25;color:#FFFFFF;font-size:156%; left:16.23px;top:283.90px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Thickening along with eustachian tube on L>R</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="520.41" class="sg nowrap f4" style="z-index:27;color:#FFFFFF;font-size:156%; left:16.23px;top:324.22px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Left middle cranial fossa dural enhancement</span></span></p></div></div></div>
<div class="sg sgTitle" id="s493" data-sgid="Title 1" style="z-index:1;left:16.20px;top:21.70px;width:901.73px;height:76.51px" data-valign="middle" data-pointer-events="none"> <div id="s493_t" class="sg" style="z-index:2;left:-19.20px;top:-4.31px;width:920.93px;height:93.19px;"><div><p><span data-textwidth="807.49" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.00px;top:17.98px;">Imaging – pertinent negative & clinical history</span></p></div></div></div> <div class="sg" id="s495" data-sgid="TextBox 3" style="z-index:3;left:569.00px;top:119.69px;width:334.99px;height:203.52px" data-valign="top"> <img class="sg" src="AC62D2DE335x204.png" id="s495_i" style="z-index:1;left:0px;top:0px;width:334.99px;height:203.52px" > <div id="s495_t" class="sg" style="z-index:2;left:-10.08px;top:-5.17px;width:345.08px;height:208.68px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="235.36" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.86px;top:13.15px;">•<span class="f3" ><span style="letter-spacing:4.08px"> </span>Bilateral process</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="293.44" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:178%; left:18.86px;top:51.56px;">•<span class="f3" ><span style="letter-spacing:4.08px"> </span>Multi-spatial process</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="255.88" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:178%; left:18.86px;top:89.96px;">•<span class="f3" ><span style="letter-spacing:4.08px"> </span>Rapid progression</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="291.04" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:178%; left:18.86px;top:128.37px;">•<span class="f3" ><span style="letter-spacing:4.08px"> </span>Response to steroids</span></span></p></div></div></div> <div class="sg" id="s494" data-sgid="Content Placeholder 2" style="z-index:2;left:32.85px;top:119.69px;width:478.46px;height:367.55px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="BDC475CD478x368.png" id="s494_i" style="z-index:1;left:0px;top:0px;width:478.46px;height:367.55px" > <div id="s494_t" class="sg" style="z-index:2;left:-7.79px;top:-10.19px;width:486.25px;height:381.59px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="263.08" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.29px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No lymphadenopathy</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="375.66" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:156%; left:16.23px;top:49.13px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No aggressive bone destruction</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="387.66" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.23px;top:86.10px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No ossicular destruction/erosion</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="286.00" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:156%; left:16.23px;top:122.95px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No diffusion restriction </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="451.63" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:156%; left:16.23px;top:159.80px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No basilar meningitis/leptomeningeal </span></span><span data-textwidth="157.11" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:156%; left:34.23px;top:186.13px;">enhancement</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="375.06" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:156%; left:16.23px;top:223.65px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No paranasal sinus abnormality</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="345.05" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:156%; left:16.23px;top:260.50px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No vasogenic edema in brain</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="239.56" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-size:156%; left:16.23px;top:297.35px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No mastoid erosion</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="198.27" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-size:156%; left:16.23px;top:334.32px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No PPF invasion</span></span></p></div></div></div>
<div class="sg sgTitle" id="s496" data-sgid="Title 1" style="z-index:1;left:43.67px;top:13.67px;width:502.19px;height:59.72px" data-valign="middle" data-pointer-events="none"> <div id="s496_t" class="sg" style="z-index:2;left:-19.32px;top:-12.82px;width:521.51px;height:93.16px;"><div><p><span data-textwidth="373.62" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:17.95px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s500" data-sgid="Picture 5" style="z-index:5;left:598.62px;top:3.01px;width:162.30px;height:187.66px"> <img class="sg" src="5DA2044C.jpg" id="s500_i" style="z-index:1;left:0px;top:0px;width:162.30px;height:187.66px" > </div> <div class="sg" id="s498" data-sgid="Picture 6" style="z-index:3;left:768.00px;top:3.01px;width:154.23px;height:203.74px"> <img class="sg" src="E2440D1C.jpg" id="s498_i" style="z-index:1;left:0px;top:0px;width:154.23px;height:203.74px" > </div> <div class="sg" id="s504" data-sgid=""No" Symbol 10" style="z-index:9;left:661.49px;top:124.96px;width:244.80px;height:238.16px" data-fillcolor="16711680"> <img class="sg" src="6952B26A.png" id="s504_i" style="z-index:1;left:0px;top:0px;width:244.80px;height:238.16px" > </div> <div class="sg" id="s503" data-sgid="Picture 9" style="z-index:8;left:777.94px;top:184.45px;width:148.00px;height:187.77px"> <img class="sg" src="BB761B26.jpg" id="s503_i" style="z-index:1;left:0px;top:0px;width:148.00px;height:187.77px" > </div> <div class="sg" id="s499" data-sgid="Picture 4" style="z-index:4;left:605.96px;top:189.73px;width:158.56px;height:199.06px"> <img class="sg" src="1BBA7FEF.jpg" id="s499_i" style="z-index:1;left:0px;top:0px;width:158.56px;height:199.06px" > </div> <div class="sg" id="s497" data-sgid="Content Placeholder 2" style="z-index:2;left:0.00px;top:73.28px;width:671.32px;height:442.75px" data-valign="top" data-pointer-events="none"> <div id="s497_t" class="sg" style="z-index:2;left:-8.53px;top:-8.17px;width:679.84px;height:450.92px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="311.70" class="sg nowrap f4" style="z-index:2;color:#FFFF00;font-size:156%; left:16.21px;top:12.03px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Neoplasm – ALL UNLIKELY</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="148.58" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:133%; left:52.22px;top:46.67px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Schwannoma</span></span><span data-textwidth="85.09" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:133%; left:304.26px;top:47.35px;">T2 signal</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="161.30" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:133%; left:52.22px;top:77.64px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Paraganglioma</span></span><span data-textwidth="302.33" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:133%; left:304.26px;top:78.32px;">Bone changes and no flow void</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="125.66" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:133%; left:52.22px;top:108.49px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Lymphoma</span></span><span data-textwidth="217.60" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;font-size:133%; left:304.26px;top:109.17px;">No restricted diffusion</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="183.99" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:133%; left:52.22px;top:139.46px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Chondrosarcoma</span></span><span data-textwidth="335.34" class="sg nowrap f3" style="z-index:17;color:#FFFFFF;font-size:133%; left:304.26px;top:140.13px;">T2 signal mass w chondroid matrix</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="119.90" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-size:133%; left:52.22px;top:170.42px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Chordoma</span></span><span data-textwidth="277.85" class="sg nowrap f3" style="z-index:20;color:#FFFFFF;font-size:133%; left:304.26px;top:171.10px;">Not well circumscribed mass</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="125.66" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-size:133%; left:52.22px;top:201.27px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Lymphoma</span></span><span data-textwidth="217.60" class="sg nowrap f3" style="z-index:23;color:#FFFFFF;font-size:133%; left:304.26px;top:201.95px;">No restricted diffusion</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="151.34" class="sg nowrap f4" style="z-index:24;color:#FFFFFF;font-size:133%; left:52.22px;top:232.24px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>NPC (scc, acc)</span></span><span data-textwidth="311.45" class="sg nowrap f3" style="z-index:30;color:#FFFFFF;font-size:133%; left:304.26px;top:232.92px;">NP scope -, no bone destruction</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="235.25" class="sg nowrap f4" style="z-index:33;color:#FFFF00;font-size:156%; left:16.21px;top:268.76px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Infection – Unlikely</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="482.72" class="sg nowrap f4" style="z-index:37;color:#FFFFFF;font-size:133%; left:52.22px;top:303.41px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>osteomyelitis - No permeative bone destruction</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="250.49" class="sg nowrap f4" style="z-index:43;color:#FFFF00;font-size:156%; left:16.21px;top:339.94px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Congenital - Unlikely</span></span></p></div></div></div> <div class="sg" id="s502" data-sgid="Picture 1" style="z-index:7;left:772.42px;top:349.93px;width:159.04px;height:190.07px"> <img class="sg" src="C123BA3C.jpg" id="s502_i" style="z-index:1;left:0px;top:0px;width:159.04px;height:190.07px" > </div> <div class="sg" id="s501" data-sgid="Picture 3" style="z-index:6;left:599.58px;top:362.41px;width:150.29px;height:177.59px"> <img class="sg" src="36B6A746.jpg" id="s501_i" style="z-index:1;left:0px;top:0px;width:150.29px;height:177.59px" > </div> <div class="sg" id="s505" data-sgid="Picture 4 (2)" style="z-index:10;left:460.11px;top:397.90px;width:125.80px;height:132.40px"> <img class="sg" src="263867C1.png" id="s505_i" style="z-index:1;left:0px;top:0px;width:125.80px;height:132.40px" > </div>
<div class="sg sgTitle" id="s506" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:69.22px" data-valign="middle" data-pointer-events="none"> <div id="s506_t" class="sg" style="z-index:2;left:-19.29px;top:-8.03px;width:847.75px;height:93.30px;"><div><p><span data-textwidth="696.84" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:17.99px;">My imaging based differential diagnosis</span></p></div></div></div> <div class="sg" id="s507" data-sgid="Content Placeholder 2" style="z-index:2;left:55.05px;top:113.93px;width:828.55px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s507_t" class="sg" style="z-index:2;left:-12.94px;top:-11.63px;width:841.49px;height:354.98px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="551.01" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:200%; left:20.66px;top:14.57px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Inflammatory / autoimmune disease</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="735.97" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:156%; left:20.66px;top:64.50px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Multi-spatial dz, T2 hypointensity, encasing and narrowing ICA, </span></span><span data-textwidth="525.21" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:156%; left:38.66px;top:94.18px;">enhancement, no aggressive bone destruction</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="388.86" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:133%; left:56.67px;top:129.27px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Skull base inflammatory pseudotumor</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="216.75" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:133%; left:56.67px;top:160.24px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>IgG4-related disease</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="655.43" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-size:133%; left:56.67px;top:191.20px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Granulomatous polyangiitis (GPA) – AKA Wegener granulomatosis</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="126.02" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-size:133%; left:56.67px;top:222.05px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Sarcoidosis</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="670.31" class="sg nowrap f4" style="z-index:25;color:#FFFFFF;font-size:133%; left:56.67px;top:253.02px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Amyloidosis (age and gender do not match, subacute presentation)</span></span></p></div></div></div>
<div class="sg sgTitle" id="s508" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:69.22px" data-valign="middle" data-pointer-events="none"> <div id="s508_t" class="sg" style="z-index:2;left:-19.29px;top:-8.03px;width:847.75px;height:93.30px;"><div><p><span data-textwidth="696.84" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:17.99px;">My imaging based differential diagnosis</span></p></div></div></div> <div class="sg" id="s509" data-sgid="Content Placeholder 2" style="z-index:2;left:55.05px;top:113.93px;width:828.55px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s509_t" class="sg" style="z-index:2;left:-12.94px;top:-11.63px;width:841.49px;height:354.98px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="551.01" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:200%; left:20.66px;top:14.57px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Inflammatory / autoimmune disease</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="735.97" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:156%; left:20.66px;top:64.50px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Multi-spatial dz, T2 hypointensity, encasing and narrowing ICA, </span></span><span data-textwidth="525.21" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:156%; left:38.66px;top:94.18px;">enhancement, no aggressive bone destruction</span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="388.86" class="sg nowrap f4" style="z-index:13;color:#FFFF00;font-size:133%; left:56.67px;top:129.27px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Skull base inflammatory pseudotumor</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="216.75" class="sg nowrap f4" style="z-index:15;color:#FFFF00;font-size:133%; left:56.67px;top:160.24px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>IgG4-related disease</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="655.43" class="sg nowrap f4" style="z-index:19;color:#FFFF00;font-size:133%; left:56.67px;top:191.20px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Granulomatous polyangiitis (GPA) – AKA Wegener granulomatosis</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="126.02" class="sg nowrap f4" style="z-index:23;color:#FFFF00;font-size:133%; left:56.67px;top:222.05px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Sarcoidosis</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="670.31" class="sg nowrap f4" style="z-index:25;color:#FFFFFF;font-size:133%; left:56.67px;top:253.02px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Amyloidosis (age and gender do not match, subacute presentation)</span></span></p></div></div></div>
<div class="sg sgTitle" id="s510" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:70.64px" data-valign="middle" data-pointer-events="none"> <div id="s510_t" class="sg" style="z-index:2;left:0.00px;top:-7.29px;width:828.46px;height:93.28px;"><div><p para="{al:2}"><span data-textwidth="305.93" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:261.57px;top:17.97px;">H&P and Imaging</span></p></div></div></div> <div class="sg" id="s511" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:111.04px;width:828.46px;height:394.07px" data-valign="top" data-pointer-events="none"> <div id="s511_t" class="sg" style="z-index:2;left:-8.50px;top:-11.01px;width:836.96px;height:405.08px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="799.34" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.27px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>28 yo female with hx of ear infections presents with asymmetric and </span></span><span data-textwidth="576.21" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:156%; left:34.24px;top:38.60px;">asynchronous bilateral hearing loss (R-CHL, L-MHL)</span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="779.90" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:156%; left:16.23px;top:112.98px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>NP mass along eustachian tube to ME => airway related disease => </span></span><span data-textwidth="123.38" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;font-size:156%; left:34.24px;top:139.30px;">serous OM</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="714.24" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:156%; left:16.23px;top:176.71px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>ME/Mastoid enhancement => granulomatous dz involvement</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="571.06" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-size:156%; left:16.23px;top:213.56px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Subtle inner ear enhancement =>IE involvement </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="212.32" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-size:156%; left:16.23px;top:250.53px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>FN enhancement</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="761.65" class="sg nowrap f4" style="z-index:24;color:#FFFFFF;font-size:156%; left:16.23px;top:324.22px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Systemic, infiltrative, hemorrhagic granulomatous disease in ME/ </span></span><span data-textwidth="141.14" class="sg nowrap f3" style="z-index:26;color:#FFFFFF;font-size:156%; left:34.24px;top:350.55px;">IE/skull base</span></p></div></div></div> <div class="sg" id="s512" data-sgid="Down Arrow 3" style="z-index:3;left:392.57px;top:350.30px;width:54.46px;height:59.83px" data-fillcolor="16777215"> <img class="sg" src="C939A83F54x60.png" id="s512_i" style="z-index:1;left:0px;top:0px;width:54.46px;height:59.83px" > </div>
<div class="sg" id="s513" data-sgid="Content Placeholder 2" style="z-index:1;left:20.62px;top:18.70px;width:501.74px;height:197.16px" data-valign="top" data-pointer-events="none"> <div id="s513_t" class="sg" style="z-index:2;left:-10.79px;top:-5.74px;width:512.53px;height:202.89px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="296.58" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;left:18.49px;top:7.72px;">•<span class="f3" ><span style="letter-spacing:7.69px"> </span>Skull base inflammatory pseudotumor</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="167.31" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;left:18.49px;top:34.97px;">•<span class="f3" ><span style="letter-spacing:7.69px"> </span>IgG4-related disease</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="293.09" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;left:18.49px;top:62.34px;">•<span class="f3" ><span style="letter-spacing:7.69px"> </span>Sarcoidosis – chronic, leptomeningeal</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="470.60" class="sg nowrap f4" style="z-index:12;color:#FFFF00;font-size:178%; left:18.49px;top:87.82px;">•<span class="f3" > Granulomatosis With Polyangiitis –</span></span><span data-textwidth="79.69" class="sg nowrap f3" style="z-index:15;color:#FFFF00;font-size:178%; left:36.50px;top:119.11px;">(GPA) </span><span data-textwidth="365.10" class="sg nowrap f3" style="z-index:16;color:#FFFF00;font-size:156%; left:90.51px;top:152.68px;">AKA Wegener’s Granulomatosis </span></p></div></div></div> <div class="sg" id="s517" data-sgid="Right Arrow 6" style="z-index:5;left:612.89px;top:184.45px;width:44.26px;height:50.13px" data-fillcolor="16711680"> <img class="sg" src="4D4A85C044x50.png" id="s517_i" style="z-index:1;left:0px;top:0px;width:44.26px;height:50.13px" > </div> <div class="sg" id="s518" data-sgid="Right Arrow 7" style="z-index:6;left:845.12px;top:204.34px;width:49.30px;height:45.11px" data-fillcolor="16711680"> <img class="sg" src="38B5CEC849x45.png" id="s518_i" style="z-index:1;left:0px;top:0px;width:49.30px;height:45.11px" > </div> <div class="sg" id="s516" data-sgid="Picture 5" style="z-index:4;left:521.51px;top:79.26px;width:435.76px;height:435.80px"> <img class="sg" src="3CA89FC8.jpg" id="s516_i" style="z-index:1;left:0px;top:0px;width:435.76px;height:435.80px" > </div> <div class="sg" id="s522" data-sgid="Straight Arrow Connector 13" style="z-index:10;left:838.89px;top:288.54px;width:19.31px;height:28.91px" data-pointer-events="none"> <img class="sg" src="2D893CDA19x29.png" id="s522_i" style="z-index:1;left:0px;top:0px;width:19.31px;height:28.91px" > </div> <div class="sg" id="s524" data-sgid="Straight Arrow Connector 14" style="z-index:12;left:635.32px;top:290.58px;width:30.95px;height:33.08px" data-pointer-events="none"> <img class="sg" src="5FEE0AB831x33.png" id="s524_i" style="z-index:1;left:0px;top:0px;width:30.95px;height:33.08px" > </div> <div class="sg" id="s523" data-sgid="Straight Arrow Connector 15" style="z-index:11;left:809.86px;top:283.38px;width:40.19px;height:49.16px" data-pointer-events="none"> <img class="sg" src="5F1503F240x49.png" id="s523_i" style="z-index:1;left:0px;top:0px;width:40.19px;height:49.16px" > </div> <div class="sg" id="s519" data-sgid="Right Arrow 9" style="z-index:7;left:450.14px;top:343.09px;width:52.53px;height:42.21px" data-fillcolor="16776960"> <img class="sg" src="38CC5EF353x42.png" id="s519_i" style="z-index:1;left:0px;top:0px;width:52.53px;height:42.21px" > </div> <div class="sg" id="s520" data-sgid="Right Arrow 10" style="z-index:8;left:21.58px;top:348.85px;width:57.83px;height:34.89px" data-fillcolor="16776960"> <img class="sg" src="8ECDCF0258x35.png" id="s520_i" style="z-index:1;left:0px;top:0px;width:57.83px;height:34.89px" > </div> <div class="sg" id="s521" data-sgid="Right Arrow 11" style="z-index:9;left:210.98px;top:347.06px;width:45.08px;height:36.45px" data-fillcolor="16776960"> <img class="sg" src="5110386045x36.png" id="s521_i" style="z-index:1;left:0px;top:0px;width:45.08px;height:36.45px" > </div> <div class="sg" id="s514" data-sgid="Picture 3" style="z-index:2;left:2.89px;top:218.50px;width:296.62px;height:296.57px"> <img class="sg" src="A02B04A1.jpg" id="s514_i" style="z-index:1;left:0px;top:0px;width:296.62px;height:296.57px" > </div> <div class="sg" id="s515" data-sgid="Picture 4" style="z-index:3;left:250.91px;top:269.59px;width:234.26px;height:234.21px"> <img class="sg" src="ED2E1576.jpg" id="s515_i" style="z-index:1;left:0px;top:0px;width:234.26px;height:234.21px" > </div> <div class="sg" id="s525" data-sgid="Straight Arrow Connector 17" style="z-index:13;left:324.43px;top:379.91px;width:31.07px;height:33.11px" data-pointer-events="none"> <img class="sg" src="F71150A531x33.png" id="s525_i" style="z-index:1;left:0px;top:0px;width:31.07px;height:33.11px" > </div>
<div class="sg sgTitle" id="s526" 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="s526_t" class="sg" style="z-index:2;left:-19.29px;top:-15.35px;width:847.75px;height:142.35px;"><div><p><span data-textwidth="483.33" class="sg nowrap f7" style="z-index:2;color:#FFC000;font-weight:bold; font-size:244%; left:27.02px;top:18.39px;">Diagnosis Live <span class="f10" style="color:#FFFFFF;">2, Neuro,</span></span><span data-textwidth="599.14" class="sg nowrap f10" style="z-index:4;color:#FFFFFF;font-size:244%; left:27.02px;top:67.20px;">A useful test to order would be...?</span></p></div></div></div> <div class="sg" id="s527" data-sgid="Content Placeholder 2" style="z-index:2;left:56.98px;top:151.46px;width:864.43px;height:295.38px" data-valign="top" data-pointer-events="none"> <div id="s527_t" class="sg" style="z-index:2;left:-9.71px;top:-8.28px;width:874.14px;height:303.66px;"><div><p para="{spbf:10.00}"><span data-textwidth="243.64" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:156%; left:17.42px;top:11.53px;">A. <span class="f1" style="font-weight:bold; color:#FFFFFF;">Anti-Jo-1 antibody</span></span></p><p para="{spbf:10.00}"><span data-textwidth="391.39" class="sg nowrap f3" style="z-index:8;color:#FFFF00;font-size:156%; left:17.42px;top:51.86px;">B. <span class="f1" style="font-weight:bold; color:#FFFFFF;">Erythrocyte sedimentation rate</span></span></p><p para="{spbf:10.00}"><span data-textwidth="127.70" class="sg nowrap f1" style="z-index:10;color:#FFFF00;font-weight:bold; font-size:156%; left:17.42px;top:92.07px;">C. <span style="color:#FFFFFF;">HLA-B27</span></span></p><p para="{spbf:10.00}"><span data-textwidth="121.10" class="sg nowrap f1" style="z-index:14;color:#FFFF00;font-weight:bold; font-size:156%; left:17.42px;top:132.28px;">D. <span style="color:#FFFFFF;">C-ANCA</span></span></p><p para="{spbf:10.00}"><span data-textwidth="295.01" class="sg nowrap f1" style="z-index:18;color:#FFFF00;font-weight:bold; font-size:156%; left:17.42px;top:172.61px;">E. <span style="color:#FFFFFF;">Temporal artery biopsy</span></span></p></div></div></div> <div class="sg" id="s529" data-sgid="TextBox 4" style="z-index:4;left:27.22px;top:434.84px;width:238.71px;height:73.65px" data-valign="top"> <div id="s529_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:242.42px;height:82.04px;"><div><p><span data-textwidth="163.83" class="sg nowrap f3" style="z-index:2;color:#FFFF00;left:11.42px;top:8.15px;">Login at: Live.rsna.org</span></p><p></p><p><span data-textwidth="68.77" class="sg nowrap f3" style="z-index:3;color:#FFFF00;left:11.42px;top:51.36px;">Join PS12</span></p></div></div></div> <div class="sg" id="s528" data-sgid="Rectangle 3" style="z-index:3;left:755.14px;top:464.82px;width:190.37px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s528_t" class="sg" style="z-index:2;left:-3.59px;top:-1.93px;width:193.96px;height:53.62px;"><div><p><span data-textwidth="156.63" class="sg nowrap f3" style="z-index:2;color:#0563C1;left:11.78px;top:8.05px;"><a target=_blank class="sga" href="http://bit.ly/2OqLG2J"><u>http://bit.ly/2OqLG2J</u></a></span></p></div></div><img class="sg" src="622E8935388x107.png" id="s528_tt" style="left:-3.59px;top:-1.93px;width:193.96px;height:53.62px;z-index:1" > </div>
<div class="sg sgTitle" id="s530" 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="s530_t" class="sg" style="z-index:2;left:-19.29px;top:-13.79px;width:847.75px;height:119.09px;"><div><p><span data-textwidth="285.41" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:18.11px;">C-ANCA positive</span></p></div></div></div> <div class="sg" id="s531" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:143.18px;width:828.46px;height:192.26px" data-valign="top" data-pointer-events="none"> <div id="s531_t" class="sg" style="z-index:2;left:-10.79px;top:-9.70px;width:839.25px;height:201.96px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="719.88" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.52px;top:13.03px;">•<span class="f1" style="font-weight:bold; "> C</span><span class="f3" style="font-size:88%; ">ytoplasmic staining </span><span class="f1" style="font-weight:bold; ">A</span><span class="f3" style="font-size:88%; ">nti-</span><span class="f1" style="font-weight:bold; ">N</span><span class="f3" style="font-size:88%; ">eutrophil </span><span class="f1" style="font-weight:bold; ">C</span><span class="f3" style="font-size:88%; ">ytoplasmic </span><span class="f1" style="font-weight:bold; ">A</span><span class="f3" style="font-size:88%; ">ntibodies</span></span></p></div></div></div> <div class="sg" id="s532" data-sgid="Picture 2" style="z-index:3;left:291.58px;top:218.38px;width:341.11px;height:292.96px"> <img class="sg" src="CA1F27D1.jpg" id="s532_i" title="" alt="Image result for c-ANCA" style="z-index:1;left:0px;top:0px;width:341.11px;height:292.96px" > </div>
<div class="sg sgTitle" id="s533" 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="s533_t" class="sg" style="z-index:2;left:-25.29px;top:0.00px;width:853.75px;height:114.78px;"><div><p><span data-textwidth="390.43" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:33.02px;top:22.36px;">Correct Diagnosis</span></p></div></div></div> <div class="sg" id="s534" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:115.60px;width:828.46px;height:395.74px" data-valign="top" data-pointer-events="none"> <div id="s534_t" class="sg" style="z-index:2;left:-16.91px;top:-17.13px;width:845.37px;height:412.88px;"><div><p para="{spbf:10.00}"><span data-textwidth="656.15" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:24.64px;top:16.07px;">Granulomatosis with Polyangiitis (GPA)</span></p><p para="{spbf:10.00}"><span data-textwidth="225.40" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:178%; left:24.64px;top:66.25px;">Biopsy confirmed</span></p><p></p><p></p><p></p><p></p><p para="{spbf:10.00}"><span data-textwidth="221.44" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:178%; left:24.64px;top:258.41px;">Case courtesy of:</span></p><p para="{spbf:10.00}"><span data-textwidth="273.05" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:200%; left:24.64px;top:298.14px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">Yvonne W. Lui, MD</span></span></p><p para="{spbf:10.00}"><span data-textwidth="434.11" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:200%; left:24.64px;top:342.79px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">NYU Langone Medical Center </span></span></p></div></div></div> <div class="sg" id="s535" data-sgid="Picture 2" style="z-index:3;left:601.03px;top:286.87px;width:199.71px;height:199.55px"> <img class="sg" src="FBEBD5C7.jpg" id="s535_i" title="" alt="Image result for yvonne lui md" style="z-index:1;left:0px;top:0px;width:199.71px;height:199.55px" > </div>
<div class="sg sgTitle" id="s536" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:69.22px" data-valign="middle" data-pointer-events="none"> <div id="s536_t" class="sg" style="z-index:2;left:-19.29px;top:-8.03px;width:847.75px;height:93.30px;"><div><p><span data-textwidth="624.22" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:17.99px;">Discussion: Granulomatous Disease</span></p></div></div></div> <div class="sg" id="s537" data-sgid="Content Placeholder 2" style="z-index:2;left:55.05px;top:113.93px;width:863.21px;height:426.07px" data-valign="top" data-pointer-events="none"> <div id="s537_t" class="sg" style="z-index:2;left:-8.38px;top:-11.04px;width:871.60px;height:437.11px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="534.69" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.10px;top:12.30px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Multiple etiologies with granuloma formation</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="708.96" class="sg nowrap f4" style="z-index:4;color:#FFFF00;font-size:156%; left:52.11px;top:44.22px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Inflammatory, autoimmune, infectious, hereditary, idiopathic</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="728.29" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.10px;top:81.07px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Often with systemic manifestations & multi-organ involvement</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="738.96" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:156%; left:16.10px;top:117.92px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Some imaging findings may overlap with malignancy (e.g. bone </span></span><span data-textwidth="145.46" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:156%; left:34.10px;top:144.24px;">destruction).</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="823.58" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:156%; left:16.10px;top:181.77px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Clinical hx + laboratory findings + imaging facilitates diagnosis & tx plan</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="711.36" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-size:156%; left:16.10px;top:218.62px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Autoimmune GDs with head and neck manifestations include</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="454.75" class="sg nowrap f4" style="z-index:19;color:#FFFF00;font-size:156%; left:16.10px;top:255.47px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Granulomatous with Polyangiitis (GPA)</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="293.92" class="sg nowrap f4" style="z-index:21;color:#FFFF00;font-size:156%; left:52.11px;top:287.40px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Churg-Strauss syndrome</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="187.22" class="sg nowrap f4" style="z-index:25;color:#FFFF00;font-size:156%; left:52.11px;top:319.32px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Behçet disease</span></span></p></div></div></div>
<div class="sg sgTitle" id="s538" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:69.22px" data-valign="middle" data-pointer-events="none"> <div id="s538_t" class="sg" style="z-index:2;left:-16.91px;top:-4.31px;width:854.35px;height:84.91px;"><div><p><span data-textwidth="805.81" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.64px;top:16.03px;">Discussion: Granulomatosis with Polyangiitis (GPA)</span></p></div></div></div> <div class="sg" id="s539" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:96.43px;width:878.00px;height:413.73px" data-valign="top" data-pointer-events="none"> <div id="s539_t" class="sg" style="z-index:2;left:-8.50px;top:-8.29px;width:899.92px;height:422.01px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="406.39" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.28px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Formerly referred to as Wegener’s</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="339.89" class="sg nowrap f4" style="z-index:4;color:#FFFF00;font-size:111%; left:52.24px;top:47.17px;">•<span class="f3" ><span style="letter-spacing:6.48px"> </span>Incidence = 3 to 12 per million per year</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="545.26" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.23px;top:79.14px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Rare, multisystem vasculitis with a classic triad</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="410.83" class="sg nowrap f4" style="z-index:8;color:#FFFF00;font-size:133%; left:52.24px;top:113.78px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Necrotizing respiratory tract granulomas</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="228.28" class="sg nowrap f4" style="z-index:10;color:#FFFF00;font-size:133%; left:52.24px;top:144.75px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Small vessel vasculitis</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="149.78" class="sg nowrap f4" style="z-index:12;color:#FFFF00;font-size:133%; left:52.24px;top:175.60px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Renal disease</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="825.02" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-size:111%; left:16.23px;top:211.69px;">•<span class="f3" style="font-size:140%; "><span style="letter-spacing:9.13px"> </span>In up to 90% of patients, the first sx’s arise in the head and neck region</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="90.13" class="sg nowrap f4" style="z-index:18;color:#FFFF00;font-size:133%; left:52.24px;top:246.77px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Rhinitis</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="97.45" class="sg nowrap f4" style="z-index:20;color:#FFFF00;font-size:133%; left:52.24px;top:277.74px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Sinusitis</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="101.29" class="sg nowrap f4" style="z-index:22;color:#FFFF00;font-size:133%; left:52.24px;top:308.71px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Epistaxis</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="866.91" class="sg nowrap f4" style="z-index:24;color:#FFFFFF;font-size:156%; left:16.23px;top:345.24px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>The overall incidence of pulmonary involvement is between 60% and 85%. </span></span></p></div></div></div>
<div class="sg" id="s546" data-sgid="Rectangle 11" style="z-index:7;left:597.32px;top:24.71px;width:199.82px;height:51.80px" data-valign="top" data-pointer-events="none"> <div id="s546_t" class="sg" style="z-index:2;left:-14.53px;top:-7.21px;width:226.81px;height:76.51px;"><div><p><span data-textwidth="182.79" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.59px;top:14.71px;">TREATMENT</span></p></div></div></div> <div class="sg" id="s541" data-sgid="Straight Arrow Connector 6" style="z-index:2;left:354.31px;top:59.23px;width:55.76px;height:39.35px" data-pointer-events="none"> <img class="sg" src="D056347556x39.png" id="s541_i" style="z-index:1;left:0px;top:0px;width:55.76px;height:39.35px" > </div> <div class="sg" id="s544" data-sgid="Straight Arrow Connector 9" style="z-index:5;left:391.86px;top:85.02px;width:55.65px;height:39.46px" data-pointer-events="none"> <img class="sg" src="205F0B7A56x39.png" id="s544_i" style="z-index:1;left:0px;top:0px;width:55.65px;height:39.46px" > </div> <div class="sg" id="s542" data-sgid="Straight Arrow Connector 7" style="z-index:3;left:138.65px;top:157.22px;width:55.76px;height:39.46px" data-pointer-events="none"> <img class="sg" src="8079AAF456x39.png" id="s542_i" style="z-index:1;left:0px;top:0px;width:55.76px;height:39.46px" > </div> <div class="sg" id="s545" data-sgid="Rectangle 10" style="z-index:6;left:559.40px;top:174.98px;width:330.21px;height:66.44px" data-valign="top" data-pointer-events="none"> <div id="s545_t" class="sg" style="z-index:2;left:-7.31px;top:-3.49px;width:341.48px;height:80.11px;"><div><p><span data-textwidth="311.93" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:133%; left:15.36px;top:10.47px;">Glucocorticoid (GC) therapy is a </span></p><p><span data-textwidth="268.61" class="sg nowrap f3" style="z-index:3;color:#FFFF00;font-size:133%; left:15.36px;top:39.28px;">mainstay for most dz stages</span></p></div></div></div> <div class="sg" id="s540" data-sgid="Picture 3" style="z-index:1;left:45.45px;top:6.95px;width:436.72px;height:525.62px"> <img class="sg" src="5567AC86.jpg" id="s540_i" style="z-index:1;left:0px;top:0px;width:436.72px;height:525.62px" > </div> <div class="sg" id="s543" data-sgid="Straight Arrow Connector 8" style="z-index:4;left:138.65px;top:274.98px;width:55.76px;height:39.35px" data-pointer-events="none"> <img class="sg" src="54394B9456x39.png" id="s543_i" style="z-index:1;left:0px;top:0px;width:55.76px;height:39.35px" > </div>
<div class="sg" id="s547" data-sgid="Title 3" style="z-index:1;left:60.32px;top:-23.38px;width:221.06px;height:182.16px" data-valign="bottom"> <div id="s547_t" class="sg" style="z-index:2;left:-16.79px;top:0.00px;width:237.86px;height:202.67px;"><div><p para="{spaf:6.00}"><span data-textwidth="173.43" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:24.52px;top:133.72px;">References</span></p></div></div></div> <div class="sg" id="s549" data-sgid="Picture 2" style="z-index:3;left:469.34px;top:141.28px;width:458.64px;height:235.15px"> <img class="sg" src="6165EBA0.jpg" id="s549_i" title="" alt="Image result for vasculitis" style="z-index:1;left:0px;top:0px;width:458.64px;height:235.15px" > </div> <div class="sg" id="s548" data-sgid="Rectangle 4" style="z-index:2;left:65.48px;top:219.83px;width:404.69px;height:124.48px" data-valign="top" data-pointer-events="none"> <div id="s548_t" class="sg" style="z-index:2;left:-4.90px;top:-2.30px;width:409.59px;height:126.78px;"><div><p><span data-textwidth="380.71" class="sg nowrap f1" style="z-index:2;color:#B4C7E7;font-weight:bold; font-size:111%; left:12.63px;top:8.32px;">Rheum Dis Clin North Am 2010;36(3):507–526</span></p><p para="{al:4}"><span data-textwidth="291.65" class="sg nowrap f1" style="z-index:5;color:#B4C7E7;font-weight:bold; font-size:111%; left:12.63px;top:32.33px;">RadioGraphics 2014; 34:1240–1256</span></p><p><span data-textwidth="237.64" class="sg nowrap f1" style="z-index:13;color:#B4C7E7;font-weight:bold; font-size:111%; left:12.63px;top:56.33px;">AJR 2015; 205 : W619-W629 </span></p></div></div></div>
<div class="sg" id="s550" data-sgid="Subtitle 2" style="z-index:1;left:0.00px;top:136.96px;width:960.38px;height:265.62px" data-valign="top"> <div id="s550_t" class="sg" style="z-index:2;left:0.00px;top:-22.32px;width:960.38px;height:317.08px;"><div><p para="{al:2,spbf:12.08}"><span data-textwidth="268.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:352.38px;top:22.67px;">2019 RSNA </span></p><p para="{al:2,spbf:12.08}"><span data-textwidth="675.71" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:142.70px;top:95.41px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:12.08}"><span data-textwidth="317.45" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:321.77px;top:220.71px;">Body Imaging</span></p></div></div></div>
<div class="sg" id="s553" data-sgid="Title 3" style="z-index:3;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s553_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="342.90" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Body Imaging Case</span></p></div></div></div> <div class="sg" id="s551" data-sgid="Title 1" style="z-index:1;left:62.02px;top:175.09px;width:855.06px;height:342.24px" data-valign="top"> <div id="s551_t" class="sg" style="z-index:2;left:-8.41px;top:-8.17px;width:864.66px;height:350.41px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="831.74" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.12px;top:12.12px;">•<span class="f3" ><span style="letter-spacing:19.93px"> </span>A 60 year-old woman had surgical excision of an ovarian dermoid cyst </span></span><span data-textwidth="199.47" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:52.13px;top:41.81px;">twenty years ago </span></p><p para="{bl:{ch:8226}}"><span data-textwidth="772.09" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:156%; left:16.12px;top:102.86px;">•<span class="f3" ><span style="letter-spacing:19.93px"> </span>Pelvic US surveillance scans performed for complex adnexal cysts</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="812.42" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:156%; left:16.12px;top:163.35px;">•<span class="f3" ><span style="letter-spacing:19.93px"> </span>Most recent ultrasound showed increased complexity of the ovaries </span></span><span data-textwidth="718.68" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:156%; left:52.13px;top:193.04px;">and a CT examination was recommended for further evaluation</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="598.90" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:156%; left:16.12px;top:254.09px;">•<span class="f10" ><span style="letter-spacing:19.93px"> </span>The CEA, CA -125 and CA 19-9 levels were normal.</span></span></p></div></div></div> <div class="sg" id="s552" data-sgid="Subtitle 2" style="z-index:2;left:119.45px;top:298.84px;width:720.51px;height:131.09px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div>
<div class="sg" id="s555" data-sgid="Picture 4" style="z-index:2;left:12.46px;top:18.84px;width:320.27px;height:293.19px"> <img class="sg" src="B20DDD4A.jpg" id="s555_i" style="z-index:1;left:0px;top:0px;width:320.27px;height:293.19px" > </div> <div class="sg" id="s556" data-sgid="Picture 5" style="z-index:3;left:651.64px;top:27.23px;width:295.32px;height:295.01px"> <img class="sg" src="55AE37F9.jpg" id="s556_i" style="z-index:1;left:0px;top:0px;width:295.32px;height:295.01px" > </div> <div class="sg" id="s554" data-sgid="Subtitle 2" style="z-index:1;left:119.45px;top:298.84px;width:720.51px;height:131.09px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s557" data-sgid="Picture 6" style="z-index:4;left:314.12px;top:219.21px;width:356.23px;height:293.11px"> <img class="sg" src="459C99FB.jpg" id="s557_i" style="z-index:1;left:0px;top:0px;width:356.23px;height:293.11px" > </div>
<div class="sg" id="s559" data-sgid="Title 3" style="z-index:2;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s559_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="388.74" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Body Case Discussion</span></p></div></div></div> <div class="sg" id="s558" data-sgid="Subtitle 2" style="z-index:1;left:119.45px;top:298.84px;width:720.51px;height:131.09px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div>
<div class="sg" id="s561" data-sgid="Title 1" style="z-index:2;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s561_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="289.25" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:18.11px;">Imaging findings</span></p></div></div></div> <div class="sg" id="s563" data-sgid="Picture 9" style="z-index:4;left:504.01px;top:72.79px;width:433.35px;height:396.82px"> <img class="sg" src="AA48CB.jpg" id="s563_i" style="z-index:1;left:0px;top:0px;width:433.35px;height:396.82px" > </div> <div class="sg" id="s562" data-sgid="Content Placeholder 3" style="z-index:3;left:65.48px;top:129.39px;width:408.65px;height:343.35px" data-valign="top"> <div id="s562_t" class="sg" style="z-index:2;left:-8.50px;top:-8.26px;width:421.48px;height:351.60px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="302.10" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.18px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Multiple small uniformly </span></span><span data-textwidth="307.97" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:34.24px;top:41.87px;">hyperdense nodules in the </span><span data-textwidth="370.14" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:156%; left:34.24px;top:72.11px;">peritoneum/surgical incision site</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="374.11" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.23px;top:113.00px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Ovarian mulitlocular cysts with </span></span><span data-textwidth="175.95" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:156%; left:34.24px;top:142.69px;">thin septations </span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="133.71" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:156%; left:16.23px;top:183.46px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>No ascites</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="229.85" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:156%; left:16.23px;top:223.67px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>No omental caking</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="314.46" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:156%; left:16.23px;top:264.00px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Uterus in situ (no fibroids)</span></span></p></div></div></div> <div class="sg" id="s560" data-sgid="Subtitle 2" style="z-index:1;left:119.45px;top:298.84px;width:720.51px;height:131.09px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div>
<div class="sg sgTitle" id="s564" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.99px;width:828.44px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s564_t" class="sg" style="z-index:2;left:-19.31px;top:0.00px;width:847.75px;height:105.16px;"><div><p><span data-textwidth="373.62" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.01px;top:27.94px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s565" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:86.47px;width:858.43px;height:412.65px" data-valign="top" data-pointer-events="none"> <div id="s565_t" class="sg" style="z-index:2;left:-8.52px;top:-8.29px;width:866.95px;height:420.94px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="423.91" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.22px;top:12.16px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Dermoid cyst removed 20 years ago</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="443.11" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-size:200%; left:88.23px;top:46.37px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>SCC associated with Dermoid</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="437.71" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:200%; left:88.23px;top:90.30px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Growing teratoma syndrome</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="307.97" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:200%; left:88.23px;top:134.23px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Immature Teratoma</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="351.90" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:200%; left:88.23px;top:178.04px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Ruptured dermoid cyst</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="338.81" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-size:200%; left:88.23px;top:221.97px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Gliomatosis peritoneii</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="370.26" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-size:200%; left:88.23px;top:265.90px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Peritoneal inclusion cyst</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="584.85" class="sg nowrap f4" style="z-index:24;color:#FFFFFF;font-size:200%; left:88.23px;top:309.71px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Strumi ovarii with peritoneal strumosis</span></span></p></div></div></div>
<div class="sg sgTitle" id="s566" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.99px;width:828.44px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s566_t" class="sg" style="z-index:2;left:-19.31px;top:0.00px;width:847.75px;height:105.16px;"><div><p><span data-textwidth="373.62" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.01px;top:27.94px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s568" data-sgid="Straight Connector 4" style="z-index:3;left:132.54px;top:139.46px;width:435.02px;height:12.60px" data-pointer-events="none"> <img class="sg" src="14189088435x13.png" id="s568_i" style="z-index:1;left:0px;top:0px;width:435.02px;height:11.60px" > </div> <div class="sg" id="s569" data-sgid="Straight Connector 5" style="z-index:4;left:132.54px;top:224.03px;width:435.02px;height:12.57px" data-pointer-events="none"> <img class="sg" src="CF96A1D435x13.png" id="s569_i" style="z-index:1;left:0px;top:0px;width:435.02px;height:11.57px" > </div> <div class="sg" id="s567" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:86.47px;width:858.43px;height:412.65px" data-valign="top" data-pointer-events="none"> <div id="s567_t" class="sg" style="z-index:2;left:-8.52px;top:-8.29px;width:866.95px;height:420.94px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="663.59" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.22px;top:12.16px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Complex adnexal cysts under surveillance since that time</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="443.11" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:200%; left:88.23px;top:46.37px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>SCC associated with Dermoid</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="437.71" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:200%; left:88.23px;top:90.30px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Growing teratoma syndrome</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="307.97" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:200%; left:88.23px;top:134.23px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Immature Teratoma</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="351.90" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-size:200%; left:88.23px;top:178.04px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Ruptured dermoid cyst</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="338.81" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-size:200%; left:88.23px;top:221.97px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Gliomatosis peritoneii</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="370.26" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-size:200%; left:88.23px;top:265.90px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Peritoneal inclusion cyst</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="584.85" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-size:200%; left:88.23px;top:309.71px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Strumi ovarii with peritoneal strumosis</span></span></p></div></div></div>
<div class="sg sgTitle" id="s570" data-sgid="Title 1" style="z-index:1;left:35.51px;top:-12.23px;width:828.44px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s570_t" class="sg" style="z-index:2;left:-19.31px;top:0.00px;width:847.75px;height:105.16px;"><div><p><span data-textwidth="373.62" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.01px;top:27.91px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s573" data-sgid="Straight Connector 4" style="z-index:4;left:132.65px;top:158.18px;width:431.45px;height:5.39px" data-pointer-events="none"> <img class="sg" src="F900F79A431x5.png" id="s573_i" style="z-index:1;left:0px;top:0px;width:431.45px;height:4.39px" > </div> <div class="sg" id="s572" data-sgid="Straight Connector 3" style="z-index:3;left:132.54px;top:199.91px;width:418.96px;height:7.21px" data-pointer-events="none"> <img class="sg" src="51A0129419x7.png" id="s572_i" style="z-index:1;left:0px;top:0px;width:418.96px;height:6.21px" > </div> <div class="sg" id="s574" data-sgid="Straight Connector 5" style="z-index:5;left:132.54px;top:242.13px;width:300.10px;height:10.67px" data-pointer-events="none"> <img class="sg" src="BF7413D4300x11.png" id="s574_i" style="z-index:1;left:0px;top:0px;width:300.10px;height:9.67px" > </div> <div class="sg" id="s575" data-sgid="Straight Connector 7" style="z-index:6;left:125.09px;top:287.80px;width:334.88px;height:7.46px" data-pointer-events="none"> <img class="sg" src="AE52489F335x7.png" id="s575_i" style="z-index:1;left:0px;top:0px;width:334.88px;height:6.46px" > </div> <div class="sg" id="s576" data-sgid="Straight Connector 8" style="z-index:7;left:132.54px;top:330.98px;width:320.01px;height:8.88px" data-pointer-events="none"> <img class="sg" src="2294FCFC320x9.png" id="s576_i" style="z-index:1;left:0px;top:0px;width:320.01px;height:7.88px" > </div> <div class="sg" id="s571" data-sgid="Content Placeholder 2" style="z-index:2;left:27.95px;top:103.01px;width:858.54px;height:468.20px" data-valign="top" data-pointer-events="none"> <div id="s571_t" class="sg" style="z-index:2;left:-8.41px;top:-8.14px;width:866.95px;height:476.31px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="792.25" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.15px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Increased complexity of adnexal cysts; </span><span class="f1" style="font-weight:bold; ">normal CEA, CA 19-9, CA-125</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="748.80" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:200%; left:88.24px;top:46.36px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>SCC associated with Dermoid: tumor markers high</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="743.29" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:200%; left:88.24px;top:90.29px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Growing teratoma syndrome: tumor markers high</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="613.78" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-size:200%; left:88.24px;top:134.22px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Immature Teratoma: tumor markers high</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="621.94" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-size:200%; left:88.24px;top:178.03px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Ruptured dermoid cyst- implants have fat</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="672.95" class="sg nowrap f4" style="z-index:27;color:#FFFFFF;font-size:200%; left:88.24px;top:221.96px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Gliomatosis peritoneii- implants are glial/low</span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="561.69" class="sg nowrap f4" style="z-index:32;color:#FFFFFF;font-size:200%; left:88.24px;top:265.89px;">•<span class="f3" ><span style="letter-spacing:-2.76px"> </span>Peritoneal inclusion cyst- no implants</span></span></p><p para="{in:3,spbf:5.00}"><span data-textwidth="617.02" class="sg nowrap f3" style="z-index:36;color:#FFFFFF;font-size:200%; left:88.24px;top:310.02px;">Strumi ovarii with peritoneal strumosis:     </span></p><p para="{in:3,spbf:5.00}"><span data-textwidth="358.38" class="sg nowrap f3" style="z-index:41;color:#FFFFFF;font-size:200%; left:160.25px;top:353.95px;">-<span class="f3" style="font-size:89%; ">multiloculated cystic mass </span></span></p><p para="{in:3,spbf:5.00}"><span data-textwidth="471.79" class="sg nowrap f3" style="z-index:44;color:#FFFFFF;font-size:178%; left:160.25px;top:398.48px;">-high atten implants (thyroid tissue) </span></p></div></div></div> <div class="sg" id="s577" data-sgid="Straight Connector 14" style="z-index:8;left:132.54px;top:377.16px;width:353.83px;height:8.74px" data-pointer-events="none"> <img class="sg" src="D6DA38DD354x9.png" id="s577_i" style="z-index:1;left:0px;top:0px;width:353.83px;height:7.74px" > </div> <div class="sg" id="s578" data-sgid="Freeform 25" style="z-index:9;left:556.06px;top:439.74px;width:62.13px;height:47.15px" data-pointer-events="none"> <img class="sg" src="B63BFB5762x47.png" id="s578_i" style="z-index:1;left:0px;top:0px;width:62.13px;height:47.15px" > </div> <div class="sg" id="s579" data-sgid="Freeform 26" style="z-index:10;left:662.68px;top:475.49px;width:62.13px;height:47.12px" data-pointer-events="none"> <img class="sg" src="FD9A65162x47.png" id="s579_i" style="z-index:1;left:0px;top:0px;width:62.13px;height:47.12px" > </div>
<div class="sg" id="s583" data-sgid="TextBox 8" style="z-index:4;left:316.05px;top:18.35px;width:302.62px;height:85.73px" data-valign="top"> <div id="s583_t" class="sg" style="z-index:2;left:-12.01px;top:-5.87px;width:323.75px;height:91.60px;"><div><p><span data-textwidth="284.45" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:20.01px;top:13.60px;">Gliomatosis Peritoneii</span></p></div></div></div> <div class="sg" id="s580" data-sgid="Picture 3" style="z-index:1;left:23.87px;top:-1.93px;width:275.86px;height:231.35px"> <img class="sg" src="3CE68128.jpg" id="s580_i" style="z-index:1;left:0px;top:0px;width:275.86px;height:231.35px" > </div> <div class="sg" id="s586" data-sgid="Picture 2" style="z-index:7;left:652.49px;top:18.35px;width:290.50px;height:228.45px"> <img class="sg" src="367AE749.jpg" id="s586_i" title="" alt="D:\ABR 5.28.14\ABR questions 6.2.15\disseminate leiomyo 3.tif" style="z-index:1;left:0px;top:0px;width:290.50px;height:228.45px" > </div> <div class="sg" id="s585" data-sgid="Picture 9" style="z-index:6;left:323.01px;top:83.94px;width:313.05px;height:237.70px"> <img class="sg" src="698C395C.jpg" id="s585_i" style="z-index:1;left:0px;top:0px;width:313.05px;height:237.70px" > </div> <div class="sg" id="s584" data-sgid="Picture 6" style="z-index:5;left:23.87px;top:239.01px;width:282.69px;height:229.65px"> <img class="sg" src="10B88432.jpg" id="s584_i" style="z-index:1;left:0px;top:0px;width:282.69px;height:229.65px" > </div> <div class="sg" id="s587" data-sgid="Picture 3 (2)" style="z-index:8;left:642.06px;top:216.23px;width:300.93px;height:300.88px"> <img class="sg" src="CB88D653.jpg" id="s587_i" title="" alt="D:\ABR 5.28.14\ABR questions 6.2.15\disseminated leiomyomatosis.tif" style="z-index:1;left:0px;top:0px;width:300.93px;height:300.88px" > </div> <div class="sg" id="s582" data-sgid="Picture 7" style="z-index:3;left:323.01px;top:299.09px;width:295.66px;height:245.36px"> <img class="sg" src="C23FB631.jpg" id="s582_i" style="z-index:1;left:0px;top:0px;width:295.66px;height:245.36px" > </div> <div class="sg" id="s581" data-sgid="TextBox 4" style="z-index:2;left:50.49px;top:459.29px;width:230.89px;height:76.06px" data-valign="top"> <div id="s581_t" class="sg" style="z-index:2;left:-9.60px;top:-4.79px;width:241.57px;height:93.19px;"><div><p><span data-textwidth="207.16" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.44px;top:11.80px;">Growing teratoma</span></p><p><span data-textwidth="119.30" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.44px;top:45.41px;">syndrome </span></p></div></div></div> <div class="sg" id="s588" data-sgid="TextBox 12" style="z-index:9;left:691.00px;top:453.90px;width:227.41px;height:124.48px" data-valign="top"> <div id="s588_t" class="sg" style="z-index:2;left:-12.01px;top:-5.87px;width:249.35px;height:130.35px;"><div><p><span data-textwidth="175.83" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:20.25px;top:13.99px;">Disseminated</span></p><p><span data-textwidth="209.91" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:178%; left:20.25px;top:52.40px;">Leiomyomatosis</span></p></div></div></div>
<div class="sg" id="s593" data-sgid="TextBox 7" style="z-index:5;left:499.79px;top:11.52px;width:443.91px;height:42.10px" data-valign="top"> <div id="s593_t" class="sg" style="z-index:2;left:-9.83px;top:-4.91px;width:453.74px;height:59.83px;"><div><p><span data-textwidth="416.59" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.84px;top:11.51px;">Struma Ovarii with Mature Teratoma</span></p></div></div></div> <div class="sg" id="s591" data-sgid="TextBox 5" style="z-index:3;left:90.57px;top:65.25px;width:239.05px;height:56.60px" data-valign="top"> <div id="s591_t" class="sg" style="z-index:2;left:-16.80px;top:-8.40px;width:255.84px;height:84.91px;"><div><p><span data-textwidth="157.83" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.65px;top:15.93px;">Quiz Case</span></p></div></div></div> <div class="sg" id="s589" data-sgid="Picture 3" style="z-index:1;left:577.75px;top:43.29px;width:329.02px;height:249.19px"> <img class="sg" src="98609A28.jpg" id="s589_i" style="z-index:1;left:0px;top:0px;width:329.02px;height:249.19px" > </div> <div class="sg" id="s590" data-sgid="Picture 4" style="z-index:2;left:9.35px;top:119.69px;width:320.27px;height:293.22px"> <img class="sg" src="F36D90EC.jpg" id="s590_i" style="z-index:1;left:0px;top:0px;width:320.27px;height:293.22px" > </div> <div class="sg" id="s594" data-sgid="Picture 2" style="z-index:6;left:540.82px;top:269.33px;width:402.88px;height:228.45px"> <img class="sg" src="D6109B2.jpg" id="s594_i" style="z-index:1;left:0px;top:0px;width:402.88px;height:228.45px" > </div> <div class="sg" id="s592" data-sgid="TextBox 6" style="z-index:4;left:404.58px;top:487.60px;width:410.32px;height:42.10px" data-valign="top"> <div id="s592_t" class="sg" style="z-index:2;left:-9.61px;top:-4.90px;width:425.56px;height:59.83px;"><div><p><span data-textwidth="390.67" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.54px;top:11.93px;">…followed by peritoneal strumosis</span></p></div></div></div>
<div class="sg" id="s595" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:302.47px" data-valign="top"> <div id="s595_t" class="sg" style="z-index:2;left:-18.58px;top:-14.50px;width:848.94px;height:316.96px;"><div><p><span data-textwidth="431.72" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:239%; left:26.31px;top:17.86px;">Diagnosis: Struma ovarii</span></p><p></p><p><span data-textwidth="796.81" class="sg nowrap f10" style="z-index:4;color:#FFFFFF;font-size:239%; left:26.31px;top:157.21px;">(associated with mature cystic teratoma) with </span></p><p><span data-textwidth="353.46" class="sg nowrap f10" style="z-index:5;color:#FFFFFF;font-size:239%; left:26.31px;top:203.66px;">peritoneal strumosis</span></p></div></div></div>
<div class="sg sgTitle" id="s596" 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="s596_t" class="sg" style="z-index:2;left:-25.29px;top:0.00px;width:853.75px;height:114.78px;"><div><p><span data-textwidth="390.43" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:33.02px;top:22.36px;">Correct Diagnosis</span></p></div></div></div> <div class="sg" id="s597" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:110.58px;width:828.46px;height:418.75px" data-valign="top" data-pointer-events="none"> <div id="s597_t" class="sg" style="z-index:2;left:-14.99px;top:-15.49px;width:843.45px;height:434.24px;"><div><p para="{spbf:10.00}"><span data-textwidth="318.54" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:206%; left:22.72px;top:15.25px;">Peritoneal Strumosis</span></p><p></p><p></p><p></p><p></p><p></p><p></p><p para="{spbf:10.00}"><span data-textwidth="207.39" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:167%; left:22.72px;top:281.67px;">Case courtesy of:</span></p><p para="{spbf:10.00}"><span data-textwidth="303.53" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:183%; left:22.72px;top:320.84px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">Evan S. Siegelman, MD</span></span></p><p para="{spbf:10.00}"><span data-textwidth="568.89" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:183%; left:22.72px;top:362.49px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">University of Pennsylvania Medical Center </span></span></p></div></div></div> <div class="sg" id="s598" data-sgid="Picture 2" style="z-index:3;left:710.91px;top:299.80px;width:146.44px;height:200.77px"> <img class="sg" src="F1D1A782.jpg" id="s598_i" title="" alt="Image result for evan siegelman md" style="z-index:1;left:0px;top:0px;width:146.44px;height:200.77px" > </div>
<div class="sg" id="s599" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s599_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="251.69" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Struma Ovarii</span></p></div></div></div> <div class="sg" id="s600" data-sgid="Content Placeholder 2" style="z-index:2;left:83.23px;top:111.77px;width:828.44px;height:413.62px" data-valign="top"> <img class="sg" src="38D8D3CC.png" id="s600_tt" style="left:-6.34px;top:-6.35px;width:834.78px;height:419.97px;z-index:1" > </div>
<div class="sg sgTitle" id="s601" 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="s601_t" class="sg" style="z-index:2;left:-14.73px;top:-23.26px;width:867.04px;height:158.44px;"><div><p para="{al:2}"><span data-textwidth="495.80" class="sg nowrap f7" style="z-index:2;color:#FFC000;font-weight:bold; font-size:206%; left:181.25px;top:16.09px;">Diagnosis Live <span style="color:#FFFFFF;">3, Abdomen:</span></span><span data-textwidth="822.13" class="sg nowrap f7" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:206%; left:22.82px;top:56.06px;">What % of struma ovarii cases are associated </span><span data-textwidth="356.58" class="sg nowrap f7" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:206%; left:250.98px;top:96.03px;">with thyrotoxicosis?</span></p></div></div></div> <div class="sg" id="s602" data-sgid="Content Placeholder 2" style="z-index:2;left:131.83px;top:183.01px;width:315.91px;height:281.56px" data-valign="top" data-pointer-events="none"> <div id="s602_t" class="sg" style="z-index:2;left:-9.72px;top:-8.29px;width:325.62px;height:289.84px;"><div><p para="{spbf:10.00}"><span data-textwidth="109.10" class="sg nowrap f7" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:156%; left:17.47px;top:12.24px;">A. <span style="color:#FFFFFF;"><10%</span></span></p><p para="{spbf:10.00}"><span data-textwidth="133.83" class="sg nowrap f7" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:156%; left:17.47px;top:52.45px;">B. <span style="color:#FFFFFF;">10-40%</span></span></p><p para="{spbf:10.00}"><span data-textwidth="135.15" class="sg nowrap f7" style="z-index:8;color:#FFFF00;font-weight:bold; font-size:156%; left:17.47px;top:92.78px;">C. <span style="color:#FFFFFF;">41-70%</span></span></p><p para="{spbf:10.00}"><span data-textwidth="134.43" class="sg nowrap f7" style="z-index:12;color:#FFFF00;font-weight:bold; font-size:156%; left:17.47px;top:132.99px;">D. <span style="color:#FFFFFF;">71-90%</span></span></p><p para="{spbf:10.00}"><span data-textwidth="108.14" class="sg nowrap f7" style="z-index:16;color:#FFFF00;font-weight:bold; font-size:156%; left:17.47px;top:173.20px;">E. <span style="color:#FFFFFF;">>90%</span></span></p></div></div></div> <div class="sg" id="s604" data-sgid="TextBox 4" style="z-index:4;left:27.22px;top:434.84px;width:238.71px;height:73.65px" data-valign="top"> <div id="s604_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:242.42px;height:82.04px;"><div><p><span data-textwidth="163.83" class="sg nowrap f3" style="z-index:2;color:#FFFF00;left:11.42px;top:8.15px;">Login at: Live.rsna.org</span></p><p></p><p><span data-textwidth="68.77" class="sg nowrap f3" style="z-index:3;color:#FFFF00;left:11.42px;top:51.36px;">Join PS12</span></p></div></div></div> <div class="sg" id="s603" data-sgid="Rectangle 3" style="z-index:3;left:762.96px;top:463.74px;width:189.86px;height:51.80px" data-valign="top" data-pointer-events="none"> <div id="s603_t" class="sg" style="z-index:2;left:-3.74px;top:-1.92px;width:193.59px;height:53.73px;"><div><p><span data-textwidth="148.82" class="sg nowrap f3" style="z-index:2;color:#0563C1;left:11.91px;top:8.04px;"><a target=_blank class="sga" href="http://bit.ly/2XuiprY"><u>http://bit.ly/2XuiprY</u></a></span></p></div></div><img class="sg" src="9EEDA8BA387x107.png" id="s603_tt" style="left:-3.74px;top:-1.92px;width:193.59px;height:53.73px;z-index:1" > </div>
<div class="sg" id="s607" data-sgid="Title 3" style="z-index:3;left:55.28px;top:150.16px;width:331.77px;height:106.47px" data-valign="middle"> <div id="s607_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:331.77px;height:106.47px;"><div><p para="{al:2,spaf:6.00}"><span data-textwidth="156.27" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:88.02px;top:33.04px;">References</span></p></div></div></div> <div class="sg" id="s608" data-sgid="Straight Connector 72" style="z-index:4;left:177.99px;top:260.60px;width:77.48px;height:3.83px" data-pointer-events="none"> <img class="sg" src="2270F46177x4.png" id="s608_i" style="z-index:1;left:0px;top:0px;width:77.48px;height:2.83px" > </div> <div class="sg" id="s605" data-sgid="Picture 2" style="z-index:1;left:0.00px;top:-0.48px;width:960.38px;height:540.48px"> <img class="sg" src="77686ADA.jpg" id="s605_i" title="" alt="Image result for strumosis" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s606" data-sgid="Freeform 5" style="z-index:2;left:0.00px;top:78.07px;width:474.38px;height:461.93px" data-fillcolor="16777215"> <img class="sg" src="1434E76D.png" id="s606_i" style="z-index:1;left:0px;top:0px;width:474.38px;height:461.93px" > </div> <div class="sg" id="s609" data-sgid="Rectangle 5" style="z-index:5;left:40.89px;top:268.51px;width:409.25px;height:206.98px" data-valign="middle" data-pointer-events="none"> <div id="s609_t" class="sg" style="z-index:2;left:-3.71px;top:-0.37px;width:412.96px;height:207.35px;"><div><p para="{spaf:6.00}"><span data-textwidth="254.08" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.43px;top:7.88px;">Pathology. 2007 Feb;39(1):139-46.</span></p><p para="{spaf:6.00}"><span data-textwidth="257.20" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; left:11.43px;top:33.33px;">J Gynecol Oncol 2008;19(2):135-8. </span></p><p para="{spaf:6.00}"><span data-textwidth="369.18" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; left:11.43px;top:58.77px;">International Journal of Gynecological Pathology </span><span data-textwidth="133.10" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; left:11.43px;top:78.22px;">2009; 28: 405-422</span></p><p para="{spaf:6.00}"><span data-textwidth="196.47" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; left:11.43px;top:103.66px;">Thyroid 2015;25(2):211-5. </span></p><p para="{spaf:6.00}"><span data-textwidth="182.67" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; left:11.43px;top:129.11px;">JCDR 2019; 13: QR1-QR5</span></p></div></div></div>
<div class="sg" id="s610" data-sgid="Subtitle 2" style="z-index:1;left:0.00px;top:136.96px;width:960.38px;height:265.62px" data-valign="top"> <div id="s610_t" class="sg" style="z-index:2;left:0.00px;top:-22.32px;width:960.38px;height:317.08px;"><div><p para="{al:2,spbf:12.08}"><span data-textwidth="268.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:352.38px;top:22.67px;">2019 RSNA </span></p><p para="{al:2,spbf:12.08}"><span data-textwidth="675.71" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:142.70px;top:95.41px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:12.08}"><span data-textwidth="411.19" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:274.97px;top:220.71px;">Nuclear Medicine</span></p></div></div></div>
<div class="sg sgTitle" id="s611" 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="s611_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="415.87" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:28.08px;">Nuclear Medicine Case</span></p></div></div></div> <div class="sg" id="s612" 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="s612_t" class="sg" style="z-index:2;left:-8.50px;top:-8.26px;width:836.96px;height:351.49px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="743.05" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.19px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>36 year old woman presented with a 6 month history of vaginal </span></span><span data-textwidth="766.57" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:34.24px;top:41.88px;">bleeding, pelvic pain and diffuse, vague bone pain, low grade fevers</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="403.39" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-size:156%; left:16.23px;top:113.01px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Pertinent abnormal physical exam</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="583.65" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:133%; left:52.24px;top:147.54px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Friable cervical mass and some tenderness on pelvic exam</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="428.00" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:156%; left:16.23px;top:210.12px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Pertinent abnormal laboratory data:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="697.67" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:133%; left:52.24px;top:244.64px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Leukocyte count 34,500 (77% neutrophils, 22% bands, 8% monocytes)</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="217.23" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:133%; left:52.24px;top:275.61px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Hemoglobin 8.2 g/dl</span></span></p></div></div></div>
<div class="sg" id="s616" data-sgid="TextBox 1" style="z-index:4;left:401.91px;top:54.21px;width:155.59px;height:32.37px" data-valign="top"> <div id="s616_t" class="sg" style="z-index:2;left:-4.90px;top:-2.52px;width:163.83px;height:43.06px;"><div><p><span data-textwidth="138.98" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.86px;top:8.28px;">T2-weighted MRI</span></p></div></div></div> <div class="sg" id="s613" data-sgid="Picture 4" style="z-index:1;left:337.63px;top:121.48px;width:292.32px;height:292.26px"> <img class="sg" src="A44A59E3.jpg" id="s613_i" style="z-index:1;left:0px;top:0px;width:292.32px;height:292.26px" > </div> <div class="sg" id="s615" data-sgid="Picture 8" style="z-index:3;left:649.00px;top:121.48px;width:293.02px;height:292.85px"> <img class="sg" src="5318E91A.jpg" id="s615_i" style="z-index:1;left:0px;top:0px;width:293.02px;height:292.85px" > </div> <div class="sg" id="s614" data-sgid="Picture 6" style="z-index:2;left:25.32px;top:121.48px;width:293.00px;height:292.85px"> <img class="sg" src="C06A9194.jpg" id="s614_i" style="z-index:1;left:0px;top:0px;width:293.00px;height:292.85px" > </div>
<div class="sg" id="s621" data-sgid="TextBox 17" style="z-index:5;left:437.68px;top:11.40px;width:144.03px;height:32.48px" data-valign="top"> <div id="s621_t" class="sg" style="z-index:2;left:-4.93px;top:-2.41px;width:152.44px;height:42.92px;"><div><p><span data-textwidth="127.58" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.88px;top:8.13px;">18F FDG PET CT</span></p></div></div></div> <div class="sg" id="s620" data-sgid="Picture 16" style="z-index:4;left:365.83px;top:62.84px;width:289.77px;height:222.47px"> <img class="sg" src="B740E6C3.jpg" id="s620_i" style="z-index:1;left:0px;top:0px;width:289.77px;height:222.47px" > </div> <div class="sg" id="s617" data-sgid="Picture 2" style="z-index:1;left:723.37px;top:42.92px;width:166.49px;height:484.03px"> <img class="sg" src="A318016E.jpg" id="s617_i" style="z-index:1;left:0px;top:0px;width:166.49px;height:484.03px" > </div> <div class="sg" id="s618" data-sgid="Picture 4" style="z-index:2;left:46.78px;top:42.92px;width:270.45px;height:484.03px"> <img class="sg" src="1F934821.jpg" id="s618_i" style="z-index:1;left:0px;top:0px;width:270.45px;height:484.03px" > </div> <div class="sg" id="s619" data-sgid="Picture 14" style="z-index:3;left:362.95px;top:303.63px;width:293.62px;height:200.40px"> <img class="sg" src="2D8934B2.jpg" id="s619_i" style="z-index:1;left:0px;top:0px;width:293.62px;height:200.40px" > </div>
<div class="sg" id="s622" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s622_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="617.14" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Nuclear Medicine Case Discussion</span></p></div></div></div>
<div class="sg sgTitle" id="s623" data-sgid="Title 1" style="z-index:1;left:29.40px;top:49.65px;width:864.54px;height:83.83px" data-valign="middle" data-pointer-events="none"> <div id="s623_t" class="sg" style="z-index:2;left:-9.72px;top:-30.81px;width:876.89px;height:120.14px;"><div><p><span data-textwidth="602.38" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.41px;top:11.53px;">36 year old woman presented with a 6 month history </span><span data-textwidth="842.54" class="sg nowrap f10" style="z-index:3;color:#FFFFFF;font-size:156%; left:17.41px;top:41.77px;">Vaginal bleeding, pelvic pain and diffuse, vague bone pain, low grade fevers</span><span data-textwidth="828.02" class="sg nowrap f10" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.41px;top:72.02px;">Physical exam - Friable cervical mass and some tenderness on pelvic exam</span></p></div></div></div> <div class="sg" id="s624" data-sgid="Content Placeholder 2" style="z-index:2;left:634.36px;top:152.43px;width:299.40px;height:337.82px" data-valign="top" data-pointer-events="none"> <div id="s624_t" class="sg" style="z-index:2;left:-9.71px;top:-8.29px;width:309.11px;height:346.10px;"><div><p para="{spbf:10.00}"><span data-textwidth="246.76" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.82px;top:11.65px;">Mass in the cervix on </span><span data-textwidth="271.85" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:156%; left:17.82px;top:41.90px;">MRI has intense uptake </span><span data-textwidth="131.78" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.82px;top:72.15px;">on FDG PET</span></p><p></p><p para="{spbf:10.00}"><span data-textwidth="245.32" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:156%; left:17.82px;top:152.69px;">Highly suspicious for </span><span data-textwidth="167.79" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:17.82px;top:182.93px;">cervical cancer</span></p></div></div></div> <div class="sg" id="s626" data-sgid="Picture 4" style="z-index:4;left:314.97px;top:163.09px;width:320.24px;height:343.83px"> <img class="sg" src="637F5BE3.jpg" id="s626_i" style="z-index:1;left:0px;top:0px;width:320.24px;height:343.83px" > </div> <div class="sg" id="s625" data-sgid="Picture 3" style="z-index:3;left:0.00px;top:165.25px;width:316.30px;height:352.34px"> <img class="sg" src="4EB066ED.jpg" id="s625_i" style="z-index:1;left:0px;top:0px;width:316.30px;height:352.34px" > </div>
<div class="sg sgTitle" id="s627" data-sgid="Title 1" style="z-index:1;left:29.40px;top:49.65px;width:864.54px;height:83.83px" data-valign="middle" data-pointer-events="none"> <div id="s627_t" class="sg" style="z-index:2;left:-9.72px;top:-30.81px;width:876.89px;height:120.14px;"><div><p><span data-textwidth="602.38" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.41px;top:11.53px;">36 year old woman presented with a 6 month history </span><span data-textwidth="842.54" class="sg nowrap f10" style="z-index:3;color:#FFFFFF;font-size:156%; left:17.41px;top:41.77px;">Vaginal bleeding, pelvic pain and diffuse, vague bone pain, low grade fevers</span><span data-textwidth="828.02" class="sg nowrap f10" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.41px;top:72.02px;">Physical exam - Friable cervical mass and some tenderness on pelvic exam</span></p></div></div></div> <div class="sg" id="s630" data-sgid="Picture 7" style="z-index:4;left:303.81px;top:156.62px;width:299.51px;height:303.77px"> <img class="sg" src="EC6514EE.jpg" id="s630_i" style="z-index:1;left:0px;top:0px;width:299.51px;height:303.77px" > </div> <div class="sg" id="s629" data-sgid="Picture 6" style="z-index:3;left:11.87px;top:162.01px;width:292.91px;height:292.85px"> <img class="sg" src="38760E8B.jpg" id="s629_i" style="z-index:1;left:0px;top:0px;width:292.91px;height:292.85px" > </div> <div class="sg" id="s628" data-sgid="Content Placeholder 2" style="z-index:2;left:634.36px;top:152.43px;width:299.40px;height:337.82px" data-valign="top" data-pointer-events="none"> <div id="s628_t" class="sg" style="z-index:2;left:-9.71px;top:-8.29px;width:309.11px;height:351.74px;"><div><p para="{spbf:10.00}"><span data-textwidth="204.99" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.82px;top:11.65px;">Bilateral enlarged </span><span data-textwidth="217.48" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:156%; left:17.82px;top:41.90px;">external iliac chain </span><span data-textwidth="241.24" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.82px;top:72.15px;">lymph nodes on MRI </span><span data-textwidth="259.84" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:156%; left:17.82px;top:102.39px;">have increased uptake </span><span data-textwidth="77.65" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:17.82px;top:132.64px;">on PET</span></p><p></p><p para="{spbf:10.00}"><span data-textwidth="245.32" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:156%; left:17.82px;top:213.18px;">Highly suspicious for </span><span data-textwidth="231.04" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:156%; left:17.82px;top:243.43px;">cervical cancer with </span><span data-textwidth="125.42" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;font-size:156%; left:17.82px;top:273.67px;">metastatic </span><span data-textwidth="205.95" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:156%; left:17.82px;top:303.92px;">lymphadenopathy</span></p></div></div></div>
<div class="sg sgTitle" id="s631" data-sgid="Title 1" style="z-index:1;left:311.60px;top:28.17px;width:642.77px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s631_t" class="sg" style="z-index:2;left:-16.91px;top:0.00px;width:659.68px;height:105.30px;"><div><p><span data-textwidth="603.94" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.80px;top:29.84px;">Diffuse marrow hyperplasia and more</span></p></div></div></div> <div class="sg" id="s633" data-sgid="Picture 3" style="z-index:3;left:0.00px;top:-0.48px;width:302.14px;height:540.48px"> <img class="sg" src="DCC69C2.jpg" id="s633_i" style="z-index:1;left:0px;top:0px;width:302.14px;height:540.48px" > </div> <div class="sg" id="s632" data-sgid="Content Placeholder 2" style="z-index:2;left:305.48px;top:143.80px;width:679.73px;height:390.81px" data-valign="top" data-pointer-events="none"> <div id="s632_t" class="sg" style="z-index:2;left:-9.60px;top:-8.28px;width:689.33px;height:399.09px;"><div><p para="{spbf:10.00}"><span data-textwidth="410.11" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.49px;top:11.75px;">Pertinent abnormal laboratory data:</span></p><p para="{in:2,spbf:5.00}"><span data-textwidth="243.88" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:133%; left:53.50px;top:47.64px;">-Leukocyte count 34,500 </span></p><p para="{in:2,spbf:5.00}"><span data-textwidth="443.11" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:133%; left:64.30px;top:78.61px;">(77% neutrophils, 22% bands, 8% monocytes)</span></p><p para="{in:2,spbf:5.00}"><span data-textwidth="206.67" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:133%; left:53.50px;top:109.45px;">-Hemoglobin 8.2 g/dl</span></p><p para="{spbf:10.00}"><span data-textwidth="389.10" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:156%; left:17.49px;top:144.86px;">Vague bone pain, low grade fevers</span></p><p></p><p para="{spbf:10.00}"><span data-textwidth="48.37" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;font-size:156%; left:17.49px;top:225.28px;">DDX</span></p><p para="{spbf:10.00}"><span data-textwidth="523.17" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:156%; left:17.49px;top:265.61px;">Cervical Cancer with paraneoplastic syndrome</span></p><p para="{spbf:10.00}"><span data-textwidth="488.00" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:156%; left:17.49px;top:305.82px;">Cervical Cancer with underlying “infection”</span></p><p para="{spbf:10.00}"><span data-textwidth="535.17" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:156%; left:17.49px;top:346.03px;">Cervical Lymphoma with underlying “infection”</span></p></div></div></div>
<div class="sg sgTitle" id="s634" data-sgid="Title 1" style="z-index:1;left:311.60px;top:28.17px;width:642.77px;height:105.30px" data-valign="middle" data-pointer-events="none"> <div id="s634_t" class="sg" style="z-index:2;left:-16.91px;top:0.00px;width:659.68px;height:105.30px;"><div><p><span data-textwidth="603.94" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.80px;top:29.84px;">Diffuse marrow hyperplasia and more</span></p></div></div></div> <div class="sg" id="s636" data-sgid="Picture 3" style="z-index:3;left:0.00px;top:-0.48px;width:302.14px;height:540.48px"> <img class="sg" src="DCC69C2.jpg" id="s636_i" style="z-index:1;left:0px;top:0px;width:302.14px;height:540.48px" > </div> <div class="sg" id="s635" data-sgid="Content Placeholder 2" style="z-index:2;left:305.48px;top:143.80px;width:648.89px;height:365.50px" data-valign="top" data-pointer-events="none"> <div id="s635_t" class="sg" style="z-index:2;left:-9.60px;top:-8.28px;width:658.49px;height:373.79px;"><div><p para="{spbf:10.00}"><span data-textwidth="498.80" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.49px;top:11.75px;">Paraneoplastic syndrome with Leukocytosis </span></p><p></p><p para="{spbf:10.00}"><span data-textwidth="596.62" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:156%; left:17.49px;top:92.29px;">Can occur with lung, gastrointestinal cancers, breast </span><span data-textwidth="519.21" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:17.49px;top:122.54px;">cancer, brain tumor, ovarian cancer, renal cell </span><span data-textwidth="430.27" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:156%; left:17.49px;top:152.78px;">carcinoma, and rarely cervical cancer. </span></p><p></p><p para="{spbf:10.00}"><span data-textwidth="527.25" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:17.49px;top:233.32px;">Leukocytosis occurs because of production of </span><span data-textwidth="621.94" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:156%; left:17.49px;top:263.57px;">hematopoietic growth factors G-CSF, GM-CSF and IL-6. </span></p></div></div></div> <div class="sg" id="s637" data-sgid="TextBox 4" style="z-index:4;left:311.60px;top:468.77px;width:568.66px;height:51.83px" data-valign="top"> <div id="s637_t" class="sg" style="z-index:2;left:-3.59px;top:-1.79px;width:572.26px;height:60.45px;"><div><p><span data-textwidth="481.88" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.48px;top:7.93px;">Ahn HJ, Park YH, Chang YH, et al. A case of uterine cervical cancer </span><span data-textwidth="545.98" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;left:11.48px;top:29.53px;">presenting with granulocytosis. Korean J Intern Med. 2005;20(3):247–250. </span></p></div></div></div>
<div class="sg sgTitle" id="s638" data-sgid="Title 1" style="z-index:1;left:43.30px;top:2.27px;width:856.27px;height:105.19px" data-valign="middle" data-pointer-events="none"> <div id="s638_t" class="sg" style="z-index:2;left:0.00px;top:-13.90px;width:856.27px;height:140.79px;"><div><p para="{al:2}"><span data-textwidth="271.73" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:302.60px;top:18.07px;">Corollary Case </span><span data-textwidth="778.45" class="sg nowrap f10" style="z-index:3;color:#FFFFFF;font-size:244%; left:44.19px;top:65.60px;">41 year old woman with cervical lymphoma </span></p></div></div></div> <div class="sg" id="s639" data-sgid="Content Placeholder 4" style="z-index:2;left:282.35px;top:106.61px;width:601.62px;height:391.91px"> <img class="sg" src="5C270FBB.jpg" id="s639_i" style="z-index:1;left:0px;top:0px;width:601.62px;height:391.91px" > </div> <div class="sg" id="s640" data-sgid="Content Placeholder 4 (2)" style="z-index:3;left:53.72px;top:106.61px;width:229.59px;height:391.91px"> <img class="sg" src="5904A2DB.jpg" id="s640_i" style="z-index:1;left:0px;top:0px;width:229.59px;height:391.91px" > </div>
<div class="sg sgTitle" id="s641" 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="s642" data-sgid="Content Placeholder 4" style="z-index:2;left:29.62px;top:12.23px;width:618.67px;height:511.83px"> <img class="sg" src="60668A3C.png" id="s642_i" style="z-index:1;left:0px;top:0px;width:618.67px;height:511.83px" > </div> <div class="sg" id="s643" data-sgid="Content Placeholder 2" style="z-index:3;left:639.54px;top:48.68px;width:304.89px;height:475.38px" data-valign="top"> <div id="s643_t" class="sg" style="z-index:2;left:-9.60px;top:-8.14px;width:319.05px;height:483.52px;"><div><p para="{spbf:10.00}"><span data-textwidth="264.65" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.81px;top:11.43px;">Pretreatment - anemia </span><span data-textwidth="239.56" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:156%; left:17.81px;top:41.68px;">and leukocytosis has </span><span data-textwidth="280.37" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:17.81px;top:71.92px;">adverse effect on 5-year </span><span data-textwidth="133.22" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;font-size:156%; left:17.81px;top:102.17px;">PFS and OS </span></p><p></p><p para="{spbf:10.00}"><span data-textwidth="199.59" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:156%; left:17.81px;top:182.71px;">Worse survival in </span><span data-textwidth="215.68" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:156%; left:17.81px;top:212.96px;">patients with both </span><span data-textwidth="284.57" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:156%; left:17.81px;top:243.20px;">anemia and leukocytosis </span><span data-textwidth="208.83" class="sg nowrap f3" style="z-index:13;color:#FFFFFF;font-size:156%; left:17.81px;top:273.45px;">(PFS: 72% vs 42%, </span></p><p para="{spbf:10.00}"><span data-textwidth="191.31" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;font-size:156%; left:30.53px;top:313.66px;">OS: 68% vs 37% </span></p><p para="{spbf:10.00}"><span data-textwidth="127.94" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;font-size:156%; left:36.89px;top:353.99px;">p < 0.0001)</span></p></div></div></div>
<div class="sg sgTitle" id="s644" data-sgid="Title 1" style="z-index:1;left:65.48px;top:-1.33px;width:828.46px;height:105.19px" data-valign="middle" data-pointer-events="none"> <div id="s644_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.46px;height:105.19px;"><div><p para="{al:2}"><span data-textwidth="168.15" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:330.47px;top:27.81px;">Summary</span></p></div></div></div> <div class="sg" id="s645" data-sgid="Content Placeholder 2" style="z-index:2;left:46.53px;top:79.26px;width:898.61px;height:434.84px" data-valign="top" data-pointer-events="none"> <div id="s645_t" class="sg" style="z-index:2;left:-11.98px;top:-13.42px;width:924.38px;height:461.22px;"><div><p para="{spbf:10.00}"><span data-textwidth="888.03" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:19.70px;top:11.58px;">MRI shows mass in the cervix and bilateral enlarged external iliac chain lymph </span><span data-textwidth="415.99" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:156%; left:19.70px;top:35.10px;">nodes with increased uptake on PET </span></p><p para="{spbf:10.00}"><span data-textwidth="745.92" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:91.71px;top:68.59px;">-Highly suspicious for cervical cancer with metastatic adenopathy </span></p><p></p><p para="{spbf:10.00}"><span data-textwidth="851.06" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:19.70px;top:135.68px;">PET also shows diffuse marrow hyperplasia, Labs - anemia and leukocytosis</span></p><p></p><p para="{spbf:10.00}"><span data-textwidth="48.37" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;font-size:156%; left:19.70px;top:202.78px;">DDX</span></p><p para="{spbf:10.00}"><span data-textwidth="523.17" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:156%; left:19.70px;top:236.27px;">Cervical Cancer with paraneoplastic syndrome</span></p><p para="{spbf:10.00}"><span data-textwidth="488.00" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:156%; left:19.70px;top:269.75px;">Cervical Cancer with underlying “infection”</span></p><p para="{spbf:10.00}"><span data-textwidth="535.17" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:156%; left:19.70px;top:303.36px;">Cervical Lymphoma with underlying “infection”</span></p><p></p><p para="{spbf:10.00}"><span data-textwidth="191.91" class="sg nowrap f1" style="z-index:13;color:#FFFF00;font-weight:bold; font-size:178%; left:19.70px;top:370.02px;">Best Diagnosis</span></p><p para="{spbf:10.00}"><span data-textwidth="611.98" class="sg nowrap f1" style="z-index:14;color:#FFFF00;font-weight:bold; font-size:178%; left:19.70px;top:406.98px;">Cervical Cancer with paraneoplastic syndrome</span></p></div></div></div>
<div class="sg sgTitle" id="s646" data-sgid="Title 1" style="z-index:1;left:38.37px;top:27.09px;width:828.44px;height:105.19px" data-valign="middle" data-pointer-events="none"> <div id="s646_t" class="sg" style="z-index:2;left:-19.31px;top:0.00px;width:847.75px;height:105.19px;"><div><p><span data-textwidth="552.69" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.03px;top:27.96px;">Additional clinical information</span></p></div></div></div> <div class="sg" id="s647" data-sgid="Content Placeholder 2" style="z-index:2;left:29.03px;top:143.18px;width:905.81px;height:343.23px" data-valign="top" data-pointer-events="none"> <div id="s647_t" class="sg" style="z-index:2;left:-8.53px;top:-8.26px;width:914.33px;height:351.49px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="419.23" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.19px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Flow cytometry of peripheral blood</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="133.83" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:133%; left:52.23px;top:46.84px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>No clonality</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="821.05" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.23px;top:83.37px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Hypercellular bone marrow w/ trilineage hematopoiesis, 1% blasts, no </span></span><span data-textwidth="95.78" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:156%; left:34.23px;top:113.05px;">clonality</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="569.73" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:156%; left:16.23px;top:153.94px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>No metastatic disease identified in bone marrow</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="838.10" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:156%; left:16.23px;top:194.15px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Serum granulocyte colony stimulating factor </span><span class="f3" style="color:#00FDFF;">(G-CSF) 389 pg/mL </span><span class="f3" >(nl < 30)</span></span></p></div></div></div>
<div class="sg sgTitle" id="s648" 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="s648_t" class="sg" style="z-index:2;left:-25.29px;top:0.00px;width:853.75px;height:114.78px;"><div><p><span data-textwidth="390.43" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:33.02px;top:22.36px;">Correct Diagnosis</span></p></div></div></div> <div class="sg" id="s651" data-sgid="TextBox 3" style="z-index:4;left:65.48px;top:183.60px;width:337.54px;height:226.30px" data-valign="top"> <div id="s651_t" class="sg" style="z-index:2;left:-3.60px;top:0.00px;width:341.14px;height:226.30px;"><div><p><span data-textwidth="219.39" class="sg nowrap f3" style="z-index:2;color:#BDD7EE;left:11.33px;top:49.21px;">Intern Med 1992; 31: 861-865</span></p><p><span data-textwidth="212.79" class="sg nowrap f3" style="z-index:5;color:#BDD7EE;left:11.33px;top:70.82px;">Blood 2008; 111 (2): 485-491</span></p><p><span data-textwidth="311.21" class="sg nowrap f3" style="z-index:8;color:#BDD7EE;left:11.33px;top:92.42px;">Annals of Nuclear Medicine 2008 22:635-9</span></p><p><span data-textwidth="267.64" class="sg nowrap f3" style="z-index:11;color:#BDD7EE;left:11.33px;top:114.03px;">Cancer Metastasis Rev 2013; 32: 707</span></p><p><span data-textwidth="266.09" class="sg nowrap f3" style="z-index:12;color:#BDD7EE;left:11.33px;top:135.63px;">Clin Rheumatol 2015; 34:2047–2056</span></p><p><span data-textwidth="159.15" class="sg nowrap f3" style="z-index:17;color:#BDD7EE;left:11.33px;top:157.24px;">Medicine 2016; 95:52</span></p><p><span data-textwidth="271.48" class="sg nowrap f3" style="z-index:18;color:#BDD7EE;left:11.33px;top:178.84px;">World J Clin Oncol 2016; 7(5): 380-38</span></p></div></div></div> <div class="sg" id="s649" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:116.09px;width:626.35px;height:408.57px" data-valign="top" data-pointer-events="none"> <div id="s649_t" class="sg" style="z-index:2;left:-14.99px;top:-15.47px;width:641.33px;height:442.38px;"><div><p para="{spbf:10.00}"><span data-textwidth="584.86" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:206%; left:22.72px;top:15.12px;">Granulocyte colony stimulating factor </span></p><p para="{spbf:10.00}"><span data-textwidth="387.06" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:206%; left:22.72px;top:60.61px;">paraneoplastic syndrome</span></p><p></p><p></p><p></p><p></p><p></p><p para="{spbf:10.00}"><span data-textwidth="207.39" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:167%; left:22.72px;top:302.67px;">Case courtesy of:</span></p><p para="{spbf:10.00}"><span data-textwidth="313.85" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:183%; left:22.72px;top:341.84px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">Kathryn A. Morton, MD</span></span></p><p para="{spbf:10.00}"><span data-textwidth="460.64" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:183%; left:22.72px;top:383.49px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">University of Utah Medical Center </span></span></p></div></div></div> <div class="sg" id="s650" data-sgid="Picture 2" style="z-index:3;left:721.22px;top:296.34px;width:127.38px;height:195.35px"> <img class="sg" src="45168350.jpg" id="s650_i" style="z-index:1;left:0px;top:0px;width:127.38px;height:195.35px" > </div>
<div class="sg" id="s653" data-sgid="Picture 2" style="z-index:2;left:624.05px;top:148.82px;width:275.27px;height:241.87px"> <img class="sg" src="52CBF3.jpg" id="s653_i" style="z-index:1;left:0px;top:0px;width:275.27px;height:241.87px" > </div> <div class="sg" id="s652" data-sgid="Rectangle 1" style="z-index:1;left:36.11px;top:63.80px;width:849.05px;height:465.90px" data-valign="top" data-pointer-events="none"> <div id="s652_t" class="sg" style="z-index:2;left:-7.20px;top:-3.49px;width:856.25px;height:469.39px;"><div><p><span data-textwidth="823.82" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.90px;top:10.39px;">Diffuse homogeneous bone marrow FDG uptake <span class="f3" style="font-weight:normal; font-size:83%; ">usually reflects hyperplastic bone marrow</span></span></p><p></p><p para="{bl:{ch:8226}}"><span data-textwidth="155.06" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:111%; left:14.90px;top:59.88px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:11.04px"> </span>Therapy-related</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="388.27" class="sg nowrap f4" style="z-index:8;color:#FFFF00;font-size:111%; left:50.90px;top:83.88px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>granulocyte colony stimulating factor (G-CSF)</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="182.55" class="sg nowrap f4" style="z-index:12;color:#FFFF00;font-size:111%; left:50.90px;top:107.89px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>post-chemotherapy</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="140.43" class="sg nowrap f4" style="z-index:16;color:#FFFF00;font-size:111%; left:50.90px;top:131.89px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>Erythropoietin</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="191.31" class="sg nowrap f4" style="z-index:18;color:#FFFFFF;font-size:111%; left:14.90px;top:179.90px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:11.04px"> </span>Pathological process</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="244.49" class="sg nowrap f4" style="z-index:20;color:#FFFF00;font-size:111%; left:50.90px;top:203.91px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>myelodysplastic syndromes</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="160.23" class="sg nowrap f4" style="z-index:22;color:#FFFF00;font-size:111%; left:50.90px;top:227.91px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>beta thalassemia</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="231.76" class="sg nowrap f4" style="z-index:24;color:#FFFF00;font-size:111%; left:50.90px;top:251.92px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>Chronic myeloid leukemia</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="252.05" class="sg nowrap f4" style="z-index:26;color:#FFFF00;font-size:111%; left:50.90px;top:275.92px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>interleukins in pyrexic states</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="226.85" class="sg nowrap f4" style="z-index:30;color:#FFFF00;font-size:111%; left:50.90px;top:299.93px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>adult-onset Still’s disease</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="181.60" class="sg nowrap f4" style="z-index:34;color:#FFFF00;font-size:111%; left:50.90px;top:323.94px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>cytokines in tumors</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="335.46" class="sg nowrap f4" style="z-index:36;color:#FFFF00;font-size:111%; left:50.90px;top:347.94px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>diffuse marrow metastases (less likely)</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="324.66" class="sg nowrap f4" style="z-index:38;color:#FFFF00;font-size:111%; left:50.90px;top:371.95px;">•<span class="f3" ><span style="letter-spacing:11.05px"> </span>severe anemia (hyperplastic marrow)</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="816.25" class="sg nowrap f4" style="z-index:40;color:#FFFFFF;font-size:111%; left:14.90px;top:419.96px;">•<span class="f3" ><span style="letter-spacing:11.04px"> </span>“Super BMU” indicates bone marrow malignant infiltration mostly from lymphoma and leukemia.</span></span></p></div></div></div>
<div class="sg sgTitle" id="s654" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:140.45px" data-valign="middle" data-pointer-events="none"> <div id="s654_t" class="sg" style="z-index:2;left:-18.58px;top:-18.10px;width:851.46px;height:184.20px;"><div><p><span data-textwidth="372.07" class="sg nowrap f3" style="z-index:2;color:#FFC000;font-size:239%; left:26.31px;top:17.98px;">Diagnosis Live <span style="color:#FFFFFF;">4, NM:</span></span><span data-textwidth="799.33" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:239%; left:26.31px;top:64.43px;">Granulocyte Colony Stimulating Factor is best </span><span data-textwidth="311.21" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:239%; left:26.31px;top:110.88px;">characterized as…</span></p></div></div></div> <div class="sg" id="s655" data-sgid="Content Placeholder 2" style="z-index:2;left:137.32px;top:183.01px;width:342.81px;height:277.39px" data-valign="top" data-pointer-events="none"> <div id="s655_t" class="sg" style="z-index:2;left:-14.50px;top:-11.63px;width:357.31px;height:289.02px;"><div><p para="{spbf:10.00}"><span data-textwidth="271.85" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:200%; left:22.28px;top:14.94px;">A. <span style="color:#FFFFFF;">a prostaglandin</span></span></p><p para="{spbf:10.00}"><span data-textwidth="202.96" class="sg nowrap f3" style="z-index:4;color:#FFFF00;font-size:200%; left:22.28px;top:63.79px;">B. <span style="color:#FFFFFF;">an enzyme</span></span></p><p para="{spbf:10.00}"><span data-textwidth="276.05" class="sg nowrap f3" style="z-index:6;color:#FFFF00;font-size:200%; left:22.28px;top:112.64px;">C. <span style="color:#FFFFFF;">a glucocorticoid</span></span></p><p para="{spbf:10.00}"><span data-textwidth="195.63" class="sg nowrap f3" style="z-index:8;color:#FFFF00;font-size:200%; left:22.28px;top:161.61px;">D. <span style="color:#FFFFFF;">a cytokine</span></span></p><p para="{spbf:10.00}"><span data-textwidth="229.48" class="sg nowrap f3" style="z-index:10;color:#FFFF00;font-size:200%; left:22.28px;top:210.46px;">E. <span style="color:#FFFFFF;">a lipoprotein</span></span></p></div></div></div> <div class="sg" id="s657" data-sgid="TextBox 4" style="z-index:4;left:27.22px;top:434.84px;width:238.71px;height:73.65px" data-valign="top"> <div id="s657_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:242.42px;height:82.04px;"><div><p><span data-textwidth="163.83" class="sg nowrap f3" style="z-index:2;color:#FFFF00;left:11.42px;top:8.15px;">Login at: Live.rsna.org</span></p><p></p><p><span data-textwidth="68.77" class="sg nowrap f3" style="z-index:3;color:#FFFF00;left:11.42px;top:51.36px;">Join PS12</span></p></div></div></div> <div class="sg" id="s656" data-sgid="Rectangle 3" style="z-index:3;left:769.79px;top:459.43px;width:185.44px;height:51.80px" data-valign="top" data-pointer-events="none"> <div id="s656_t" class="sg" style="z-index:2;left:-3.83px;top:-1.81px;width:189.26px;height:53.62px;"><div><p><span data-textwidth="153.99" class="sg nowrap f3" style="z-index:2;color:#0563C1;left:12.01px;top:7.92px;"><a target=_blank class="sga" href="http://bit.ly/2OyoaRI"><u>http://bit.ly/2OyoaRI</u></a></span></p></div></div><img class="sg" src="3E49C93379x107.png" id="s656_tt" style="left:-3.83px;top:-1.81px;width:189.26px;height:53.62px;z-index:1" > </div>
<div class="sg sgTitle" id="s658" 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="s658_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="433.99" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:28.08px;">Hematopoietic Cytokines</span></p></div></div></div> <div class="sg" id="s664" data-sgid="Rounded Rectangle 7" style="z-index:7;left:726.12px;top:28.54px;width:212.79px;height:152.91px" data-valign="bottom" data-fillcolor="16777215"> <img class="sg" src="321B6BF5.png" id="s664_i" style="z-index:1;left:0px;top:0px;width:212.79px;height:152.91px" > <div id="s664_t" class="sg" style="z-index:2;left:0.73px;top:0.85px;width:211.21px;height:151.21px;"><div><p para="{al:2}"><span data-textwidth="183.51" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-style:italic; font-weight:bold; left:16.55px;top:11.62px;"><u>Cytokines</u><span class="f5" style="font-weight:normal; ">: </span><span class="f3" style="font-style:normal; font-weight:normal; ">cell-signaling </span></span><span data-textwidth="157.11" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;left:29.88px;top:33.22px;">molecules (peptides) </span><span data-textwidth="130.22" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;left:43.20px;top:54.83px;">that mediate and </span><span data-textwidth="141.98" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;left:37.32px;top:76.43px;">regulate immunity, </span><span data-textwidth="134.06" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;left:41.28px;top:98.04px;">inflammation and </span><span data-textwidth="107.06" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;left:52.68px;top:119.64px;">hematopoiesis</span></p></div></div><img class="sg" src="975C825B422x302.png" id="s664_tt" style="left:0.73px;top:0.85px;width:211.21px;height:151.21px;z-index:1" > </div> <div class="sg" id="s659" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:119.43px;width:828.46px;height:343.23px" data-valign="top" data-pointer-events="none"> <div id="s659_t" class="sg" style="z-index:2;left:-8.50px;top:-8.25px;width:848.23px;height:351.49px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="535.06" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.17px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Control the production of hematopoietic cells</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="815.18" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:156%; left:16.23px;top:92.70px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Each cytokine has multiple actions mediated by receptors that initiate </span></span><span data-textwidth="247.00" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:34.24px;top:122.39px;">the various responses</span></p></div></div></div> <div class="sg" id="s665" data-sgid="Rounded Rectangle 8" style="z-index:8;left:726.12px;top:289.36px;width:208.94px;height:152.79px" data-valign="middle" data-fillcolor="16777215"> <img class="sg" src="182DA2A3.png" id="s665_i" style="z-index:1;left:0px;top:0px;width:208.94px;height:152.79px" > <div id="s665_t" class="sg" style="z-index:2;left:0.73px;top:0.74px;width:207.50px;height:151.21px;"><div><p para="{al:2}"><span data-textwidth="174.63" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:19.07px;top:34.41px;">Cytokines can be found </span><span data-textwidth="126.62" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;left:43.08px;top:56.02px;">endogenously or </span><span data-textwidth="178.95" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;left:16.91px;top:77.62px;">introduced exogenously </span></p><p para="{al:2}"><span data-textwidth="122.30" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;left:43.20px;top:99.23px;">(as therapeutics)</span></p></div></div></div> <div class="sg" id="s660" data-sgid="Picture 3" style="z-index:3;left:379.14px;top:279.43px;width:296.96px;height:186.84px"> <img class="sg" src="5D823A9B.png" id="s660_i" style="z-index:1;left:0px;top:0px;width:296.96px;height:186.84px" > </div> <div class="sg" id="s661" data-sgid="Picture 4" style="z-index:4;left:79.30px;top:282.07px;width:259.41px;height:184.20px"> <img class="sg" src="FEA638F0.jpg" id="s661_i" style="z-index:1;left:0px;top:0px;width:259.41px;height:184.20px" > </div> <div class="sg" id="s663" data-sgid="TextBox 6" style="z-index:6;left:193.00px;top:465.30px;width:147.29px;height:47.01px" data-valign="top"> <div id="s663_t" class="sg" style="z-index:2;left:-2.41px;top:-1.19px;width:149.70px;height:53.84px;"><div><p><span data-textwidth="66.01" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:89%; left:10.32px;top:7.55px;">Action on </span></p><p><span data-textwidth="110.42" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:89%; left:10.32px;top:26.76px;">multiple lineages</span></p></div></div></div> <div class="sg" id="s662" data-sgid="TextBox 5" style="z-index:5;left:91.53px;top:465.30px;width:87.05px;height:47.01px" data-valign="top"> <div id="s662_t" class="sg" style="z-index:2;left:-2.52px;top:-1.19px;width:89.58px;height:53.84px;"><div><p><span data-textwidth="53.41" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:89%; left:10.25px;top:7.55px;">Lineage </span></p><p><span data-textwidth="62.29" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:89%; left:10.25px;top:26.76px;">restricted</span></p></div></div></div>
<div class="sg sgTitle" id="s666" 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="s666_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="437.47" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:28.08px;">Paraneoplastic Syndrome</span></p></div></div></div> <div class="sg" id="s667" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:119.43px;width:828.46px;height:396.71px" data-valign="top" data-pointer-events="none"> <div id="s667_t" class="sg" style="z-index:2;left:-5.16px;top:-9.81px;width:833.62px;height:406.52px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="771.02" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:122%; left:12.89px;top:9.25px;">•<span class="f3" ><span style="letter-spacing:5.29px"> </span>Clinical manifestations of a malignancy induced by biological substances secreted by </span></span><span data-textwidth="256.60" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:122%; left:30.90px;top:27.53px;">malignant neoplasm such as </span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="102.61" class="sg nowrap f4" style="z-index:5;color:#FFFF00;font-size:106%; left:48.90px;top:51.86px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Hormones </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="92.65" class="sg nowrap f4" style="z-index:7;color:#FFFF00;font-size:106%; left:48.90px;top:72.86px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Cytokines</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="132.74" class="sg nowrap f4" style="z-index:9;color:#FFFF00;font-size:106%; left:48.90px;top:93.86px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Growth factors</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="301.73" class="sg nowrap f4" style="z-index:11;color:#FFFF00;font-size:106%; left:48.90px;top:114.75px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Cancer-associated immune reactions</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="325.02" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:122%; left:12.89px;top:160.96px;">•<span class="f3" ><span style="letter-spacing:5.29px"> </span>A variety clinical disorders, such as</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="76.81" class="sg nowrap f4" style="z-index:17;color:#FFFF00;font-size:106%; left:48.90px;top:185.21px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Anemia</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="107.53" class="sg nowrap f4" style="z-index:19;color:#FFFF00;font-size:106%; left:48.90px;top:206.21px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Thrombosis</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="131.54" class="sg nowrap f4" style="z-index:21;color:#FFFF00;font-size:106%; left:48.90px;top:227.09px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Erythrocytosis </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="131.54" class="sg nowrap f4" style="z-index:23;color:#FFFF00;font-size:106%; left:48.90px;top:248.10px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Granulocytosis</span></span></p><p></p><p></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="135.98" class="sg nowrap f4" style="z-index:25;color:#FFFF00;font-size:106%; left:48.90px;top:310.99px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Hypercalcemia </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="114.62" class="sg nowrap f4" style="z-index:27;color:#FFFF00;font-size:106%; left:48.90px;top:332.00px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Neurological</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="95.41" class="sg nowrap f4" style="z-index:29;color:#FFFF00;font-size:106%; left:48.90px;top:352.88px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Endocrine</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="153.86" class="sg nowrap f4" style="z-index:31;color:#FFFF00;font-size:106%; left:48.90px;top:373.89px;">•<span class="f3" ><span style="letter-spacing:7.08px"> </span>Dermatological....</span></span></p></div></div></div>
<div class="sg sgTitle" id="s668" 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="s668_t" class="sg" style="z-index:2;left:-19.29px;top:-13.79px;width:847.75px;height:140.79px;"><div><p><span data-textwidth="694.68" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Granulocyte colony stimulating factor </span><span data-textwidth="460.52" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:65.64px;">paraneoplastic syndrome</span></p></div></div></div> <div class="sg" id="s669" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:143.18px;width:863.35px;height:368.17px" data-valign="top" data-pointer-events="none"> <div id="s669_t" class="sg" style="z-index:2;left:-6.24px;top:-10.90px;width:869.58px;height:379.06px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="563.74" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:133%; left:13.97px;top:9.75px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>Paraneoplastic production of G-CSF can occur by tumors</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="72.97" class="sg nowrap f4" style="z-index:6;color:#FFFF00;font-size:156%; left:49.98px;top:34.88px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:1.92px"> </span>Lung</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="67.93" class="sg nowrap f4" style="z-index:8;color:#FFFF00;font-size:111%; left:49.98px;top:64.36px;">•<span class="f3" ><span style="letter-spacing:6.48px"> </span>Cervix</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="81.01" class="sg nowrap f4" style="z-index:10;color:#FFFF00;font-size:111%; left:49.98px;top:86.21px;">•<span class="f3" ><span style="letter-spacing:6.48px"> </span>Bladder</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="51.73" class="sg nowrap f4" style="z-index:12;color:#FFFF00;font-size:111%; left:49.98px;top:108.05px;">•<span class="f3" ><span style="letter-spacing:6.48px"> </span>HCC</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="90.49" class="sg nowrap f4" style="z-index:14;color:#FFFF00;font-size:111%; left:49.98px;top:129.78px;">•<span class="f3" ><span style="letter-spacing:6.48px"> </span>Pancreas</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="811.10" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:133%; left:13.97px;top:177.43px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>Associated w/ hypermetabolism of red marrow: skeleton (+/- spleen) on FDG PET</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="338.82" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-size:133%; left:13.97px;top:237.80px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>Typically resolves with treatment</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="807.74" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-size:133%; left:13.97px;top:298.18px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>Should be included in the differential of diffuse red marrow hypermetabolism on </span></span><span data-textwidth="597.22" class="sg nowrap f3" style="z-index:24;color:#FFFFFF;font-size:133%; left:31.98px;top:319.02px;">FDG PET in an untreated patient with cancer and leukocytosis</span></p></div></div></div>
<div class="sg" id="s676" data-sgid="TextBox 11" style="z-index:7;left:187.59px;top:9.11px;width:120.30px;height:29.87px" data-valign="top"> <div id="s676_t" class="sg" style="z-index:2;left:-3.71px;top:-1.90px;width:126.65px;height:38.84px;"><div><p><span data-textwidth="103.94" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.51px;top:7.63px;">Pre-treatment</span></p></div></div></div> <div class="sg" id="s677" data-sgid="TextBox 12" style="z-index:8;left:598.28px;top:9.11px;width:258.70px;height:29.87px" data-valign="top"> <div id="s677_t" class="sg" style="z-index:2;left:-3.85px;top:-1.90px;width:264.22px;height:38.84px;"><div><p><span data-textwidth="241.24" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.79px;top:7.63px;">Post-treatment (chemoradiation)</span></p></div></div></div> <div class="sg" id="s671" data-sgid="Picture 4" style="z-index:2;left:682.48px;top:36.94px;width:214.21px;height:345.62px"> <img class="sg" src="83BF2108.jpg" id="s671_i" style="z-index:1;left:0px;top:0px;width:214.21px;height:345.62px" > </div> <div class="sg" id="s672" data-sgid="Picture 6" style="z-index:3;left:568.04px;top:36.94px;width:109.63px;height:345.62px"> <img class="sg" src="1ACA65C2.jpg" id="s672_i" style="z-index:1;left:0px;top:0px;width:109.63px;height:345.62px" > </div> <div class="sg" id="s670" data-sgid="Picture 2" style="z-index:1;left:75.81px;top:36.94px;width:223.70px;height:350.41px"> <img class="sg" src="1EF9BA01.jpg" id="s670_i" style="z-index:1;left:0px;top:0px;width:223.70px;height:350.41px" > </div> <div class="sg" id="s673" data-sgid="Picture 8" style="z-index:4;left:306.93px;top:36.94px;width:116.34px;height:350.41px"> <img class="sg" src="7215788A.jpg" id="s673_i" style="z-index:1;left:0px;top:0px;width:116.34px;height:350.41px" > </div> <div class="sg" id="s675" data-sgid="Picture 10" style="z-index:6;left:568.04px;top:385.42px;width:198.52px;height:142.13px"> <img class="sg" src="102F3FD1.jpg" id="s675_i" style="z-index:1;left:0px;top:0px;width:198.52px;height:142.13px" > </div> <div class="sg" id="s674" data-sgid="Picture 9" style="z-index:5;left:220.58px;top:388.31px;width:201.01px;height:144.14px"> <img class="sg" src="7DE3F380.jpg" id="s674_i" style="z-index:1;left:0px;top:0px;width:201.01px;height:144.14px" > </div>
<div class="sg sgTitle" id="s680" data-sgid="Title 1" style="z-index:3;left:55.28px;top:150.16px;width:331.77px;height:106.47px" data-valign="middle" data-pointer-events="none"> <div id="s680_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:331.77px;height:106.47px;"><div><p para="{al:2}"><span data-textwidth="164.19" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:84.06px;top:33.04px;">References</span></p></div></div></div> <div class="sg" id="s681" data-sgid="Straight Connector 72" style="z-index:4;left:177.99px;top:260.60px;width:77.48px;height:3.83px" data-pointer-events="none"> <img class="sg" src="2270F46177x4.png" id="s681_i" style="z-index:1;left:0px;top:0px;width:77.48px;height:2.83px" > </div> <div class="sg" id="s678" data-sgid="Picture 2" style="z-index:1;left:0.00px;top:-0.48px;width:960.38px;height:540.48px"> <img class="sg" src="B939659E.jpg" id="s678_i" title="" alt="Image result for cytokines" style="z-index:1;left:0px;top:0px;width:960.38px;height:540.48px" > </div> <div class="sg" id="s679" data-sgid="Freeform 5" style="z-index:2;left:0.00px;top:78.07px;width:474.38px;height:461.93px" data-fillcolor="16777215"> <img class="sg" src="1434E76D.png" id="s679_i" style="z-index:1;left:0px;top:0px;width:474.38px;height:461.93px" > </div> <div class="sg" id="s682" data-sgid="Content Placeholder 2" style="z-index:5;left:72.33px;top:300.54px;width:362.46px;height:200.96px" data-valign="middle" data-pointer-events="none"> <div id="s682_t" class="sg" style="z-index:2;left:-4.82px;top:-13.45px;width:367.28px;height:214.41px;"><div><p para="{spbf:10.00}"><span data-textwidth="241.73" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-style:italic; font-size:111%; left:12.66px;top:8.50px;">Intern Med 1992; 31: 861-865</span></p><p para="{spbf:10.00}"><span data-textwidth="235.37" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;font-style:italic; font-size:111%; left:12.66px;top:35.38px;">Blood<span class="f3" style="font-style:normal; "> 2008; 111 (2): 485-491</span></span></p><p para="{spbf:10.00}"><span data-textwidth="296.57" class="sg nowrap f5" style="z-index:9;color:#FFFFFF;font-style:italic; font-size:111%; left:12.66px;top:62.15px;">Cancer Metastasis Rev <span class="f3" style="font-style:normal; ">2013; 32: 707</span></span></p><p para="{spbf:10.00}"><span data-textwidth="294.66" class="sg nowrap f5" style="z-index:11;color:#FFFFFF;font-style:italic; font-size:111%; left:12.66px;top:88.91px;">Clin Rheumatol<span class="f3" style="font-style:normal; "> 2015; 34:2047–2056</span></span></p><p para="{spbf:10.00}"><span data-textwidth="175.24" class="sg nowrap f5" style="z-index:16;color:#FFFFFF;font-style:italic; font-size:111%; left:12.66px;top:115.80px;">Medicine<span class="f3" style="font-style:normal; "> 2016; 95:52</span></span></p><p para="{spbf:10.00}"><span data-textwidth="299.57" class="sg nowrap f5" style="z-index:18;color:#FFFFFF;font-style:italic; font-size:111%; left:12.66px;top:142.57px;">World J Clin Oncol <span class="f3" style="font-style:normal; ">2016; 7(5): 380-38</span></span></p></div></div></div>
<div class="sg" id="s683" data-sgid="Subtitle 2" style="z-index:1;left:0.00px;top:136.96px;width:960.38px;height:265.62px" data-valign="top"> <div id="s683_t" class="sg" style="z-index:2;left:0.00px;top:-22.32px;width:960.38px;height:317.08px;"><div><p para="{al:2,spbf:12.08}"><span data-textwidth="268.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:352.38px;top:22.67px;">2019 RSNA </span></p><p para="{al:2,spbf:12.08}"><span data-textwidth="675.71" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:142.70px;top:95.41px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:12.08}"><span data-textwidth="130.34" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:415.39px;top:220.71px;">Chest</span></p></div></div></div>
<div class="sg sgTitle" id="s684" 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="s684_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="195.99" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:28.08px;">Chest Case</span></p></div></div></div> <div class="sg" id="s685" 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="s685_t" class="sg" style="z-index:2;left:-10.79px;top:-9.93px;width:839.25px;height:353.16px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="11.28" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.52px;top:14.34px;">•</span><span data-textwidth="270.05" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-size:178%; left:108.54px;top:14.34px;">49 year old woman</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="11.28" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:178%; left:18.52px;top:58.99px;">•</span><span data-textwidth="174.63" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-size:178%; left:108.54px;top:58.99px;">Non-smoker</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="11.28" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:178%; left:18.52px;top:103.52px;">•</span><span data-textwidth="417.43" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:178%; left:108.54px;top:103.52px;">Long history of chronic cough</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="11.28" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:178%; left:18.52px;top:148.05px;">•</span><span data-textwidth="570.22" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:178%; left:108.54px;top:148.05px;">Occasional flushing, headache, diarrhea</span></p></div></div></div>
<div class="sg" id="s686" data-sgid="Picture 2" style="z-index:1;left:80.12px;top:27.46px;width:799.18px;height:484.60px"> <img class="sg" src="E276A3C.jpg" id="s686_i" style="z-index:1;left:0px;top:0px;width:799.18px;height:484.60px" > </div>
<div class="sg" id="s687" data-sgid="Picture 4" style="z-index:1;left:72.22px;top:11.52px;width:381.64px;height:253.02px"> <img class="sg" src="58584FDD.png" id="s687_i" style="z-index:1;left:0px;top:0px;width:381.64px;height:253.02px" > </div> <div class="sg" id="s688" data-sgid="Picture 5" style="z-index:2;left:477.72px;top:22.30px;width:416.21px;height:241.05px"> <img class="sg" src="2C92C31A.jpg" id="s688_i" style="z-index:1;left:0px;top:0px;width:416.21px;height:241.05px" > </div> <div class="sg" id="s692" data-sgid="ZoneTexte 10" style="z-index:6;left:638.92px;top:235.52px;width:99.32px;height:41.99px" data-valign="top"> <img class="sg" src="5E96A03799x42.png" id="s692_i" style="z-index:1;left:0px;top:0px;width:99.32px;height:41.99px" > <div id="s692_t" class="sg" style="z-index:2;left:-9.57px;top:-4.91px;width:118.38px;height:59.72px;"><div><p><span data-textwidth="83.77" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.80px;top:13.24px;">EXPIR</span></p></div></div></div> <div class="sg" id="s691" data-sgid="ZoneTexte 4" style="z-index:5;left:191.44px;top:236.26px;width:116.34px;height:41.96px" data-valign="top"> <img class="sg" src="B6B51CA0116x42.png" id="s691_i" style="z-index:1;left:0px;top:0px;width:116.34px;height:41.96px" > <div id="s691_t" class="sg" style="z-index:2;left:-5.78px;top:-4.94px;width:127.86px;height:59.74px;"><div><p para="{al:2}"><span data-textwidth="93.14" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.53px;top:13.25px;">INSPIR</span></p></div></div></div> <div class="sg" id="s690" data-sgid="Picture 8" style="z-index:4;left:478.57px;top:269.48px;width:414.52px;height:262.98px"> <img class="sg" src="D5CD4DB2.jpg" id="s690_i" style="z-index:1;left:0px;top:0px;width:414.52px;height:262.98px" > </div> <div class="sg" id="s689" data-sgid="Picture 7" style="z-index:3;left:72.22px;top:268.14px;width:376.85px;height:270.44px"> <img class="sg" src="54CE2310.jpg" id="s689_i" style="z-index:1;left:0px;top:0px;width:376.85px;height:270.44px" > </div>
<div class="sg" id="s693" data-sgid="Picture 2" style="z-index:1;left:99.43px;top:6.95px;width:357.90px;height:257.59px"> <img class="sg" src="B8C4A4A.jpg" id="s693_i" style="z-index:1;left:0px;top:0px;width:357.90px;height:257.59px" > </div> <div class="sg" id="s694" data-sgid="Picture 3" style="z-index:2;left:485.51px;top:6.95px;width:362.49px;height:257.59px"> <img class="sg" src="CC2CE093.jpg" id="s694_i" style="z-index:1;left:0px;top:0px;width:362.49px;height:257.59px" > </div> <div class="sg" id="s697" data-sgid="ZoneTexte 7" style="z-index:5;left:213.87px;top:236.26px;width:113.56px;height:41.96px" data-valign="top"> <img class="sg" src="475E2A2C114x42.png" id="s697_i" style="z-index:1;left:0px;top:0px;width:113.56px;height:41.96px" > <div id="s697_t" class="sg" style="z-index:2;left:-7.08px;top:-4.94px;width:127.84px;height:59.74px;"><div><p para="{al:2}"><span data-textwidth="93.14" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.65px;top:13.25px;">INSPIR</span></p></div></div></div> <div class="sg" id="s698" data-sgid="ZoneTexte 8" style="z-index:6;left:615.67px;top:243.69px;width:101.47px;height:41.96px" data-valign="top"> <img class="sg" src="1470F39C101x42.png" id="s698_i" style="z-index:1;left:0px;top:0px;width:101.47px;height:41.96px" > <div id="s698_t" class="sg" style="z-index:2;left:-8.41px;top:-4.80px;width:118.40px;height:59.72px;"><div><p para="{al:2}"><span data-textwidth="83.77" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.80px;top:13.25px;">EXPIR</span></p></div></div></div> <div class="sg" id="s695" data-sgid="Picture 5" style="z-index:3;left:89.49px;top:269.33px;width:377.81px;height:264.57px"> <img class="sg" src="A8FC3531.jpg" id="s695_i" style="z-index:1;left:0px;top:0px;width:377.81px;height:264.57px" > </div> <div class="sg" id="s696" data-sgid="Picture 6" style="z-index:4;left:479.28px;top:268.99px;width:377.81px;height:271.01px"> <img class="sg" src="23DC5340.jpg" id="s696_i" style="z-index:1;left:0px;top:0px;width:377.81px;height:271.01px" > </div>
<div class="sg" id="s702" data-sgid="TextBox 9" style="z-index:4;left:243.12px;top:21.22px;width:60.21px;height:37.30px" data-valign="top"> <div id="s702_t" class="sg" style="z-index:2;left:-7.19px;top:-3.46px;width:74.00px;height:51.21px;"><div><p><span data-textwidth="44.41" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.03px;top:10.21px;">INSP</span></p></div></div></div> <div class="sg" id="s703" data-sgid="TextBox 10" style="z-index:5;left:716.40px;top:21.22px;width:51.71px;height:37.30px" data-valign="top"> <div id="s703_t" class="sg" style="z-index:2;left:-7.19px;top:-3.46px;width:65.62px;height:51.21px;"><div><p><span data-textwidth="36.01" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.35px;top:10.21px;">EXP</span></p></div></div></div> <div class="sg" id="s699" data-sgid="Picture 1" style="z-index:1;left:0.00px;top:-0.48px;width:853.87px;height:480.54px"> <img class="sg" src="5A12E192.png" id="s699_i" style="z-index:1;left:0px;top:0px;width:853.87px;height:480.54px" > </div> <div class="sg" id="s700" data-sgid="Picture 4" style="z-index:2;left:472.83px;top:29.50px;width:487.07px;height:480.54px"> <img class="sg" src="E1081BAC.jpg" id="s700_i" style="z-index:1;left:0px;top:0px;width:487.07px;height:480.54px" > </div> <div class="sg" id="s701" data-sgid="Picture 6" style="z-index:3;left:0.00px;top:29.50px;width:487.10px;height:480.54px"> <img class="sg" src="3E371D68.jpg" id="s701_i" style="z-index:1;left:0px;top:0px;width:487.10px;height:480.54px" > </div>
<div class="sg" id="s705" data-sgid="TextBox 2" style="z-index:2;left:447.51px;top:-0.48px;width:117.67px;height:37.19px" data-valign="top"> <div id="s705_t" class="sg" style="z-index:2;left:-7.20px;top:-3.49px;width:130.98px;height:51.23px;"><div><p><span data-textwidth="101.17" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.17px;top:10.21px;">7-mm MIP</span></p></div></div></div> <div class="sg" id="s704" data-sgid="Online Media 1" style="z-index:1;left:114.00px;top:0.00px;width:732.00px;height:540.00px" data-href=""> <video controls loop autoplay data-fullscreen="False" class="sg" xmlns="video" src="sld118-s704.mp4" type="video/mp4" width="732" height="540" poster="poster_sld_118_2.jpg"><strong>This device cannot play MP4 video.</strong></video></div>
<div class="sg" id="s713" data-sgid="TextBox 15" style="z-index:8;left:554.84px;top:-0.48px;width:117.67px;height:37.19px" data-valign="top"> <div id="s713_t" class="sg" style="z-index:2;left:-7.19px;top:-3.49px;width:130.87px;height:51.23px;"><div><p><span data-textwidth="101.18" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:133%; left:15.36px;top:10.21px;">7-mm MIP</span></p></div></div></div> <div class="sg" id="s707" data-sgid="Picture 4" style="z-index:2;left:205.83px;top:-0.48px;width:547.76px;height:540.48px"> <img class="sg" src="480ECC99.jpg" id="s707_i" style="z-index:1;left:0px;top:0px;width:547.76px;height:540.48px" > </div> <div class="sg" id="s708" data-sgid="Picture 6" style="z-index:3;left:205.83px;top:-0.48px;width:547.76px;height:540.48px"> <img class="sg" src="9B84453C.jpg" id="s708_i" style="z-index:1;left:0px;top:0px;width:547.76px;height:540.48px" > </div> <div class="sg" id="s709" data-sgid="Picture 8" style="z-index:4;left:205.83px;top:-0.48px;width:547.76px;height:540.48px"> <img class="sg" src="6551A7DA.jpg" id="s709_i" style="z-index:1;left:0px;top:0px;width:547.76px;height:540.48px" > </div> <div class="sg" id="s710" data-sgid="Picture 10" style="z-index:5;left:205.83px;top:-0.48px;width:547.76px;height:540.48px"> <img class="sg" src="7A4733C2.jpg" id="s710_i" style="z-index:1;left:0px;top:0px;width:547.76px;height:540.48px" > </div> <div class="sg" id="s711" data-sgid="Picture 12" style="z-index:6;left:205.83px;top:-0.48px;width:547.76px;height:540.48px"> <img class="sg" src="A9C68D74.jpg" id="s711_i" style="z-index:1;left:0px;top:0px;width:547.76px;height:540.48px" > </div> <div class="sg" id="s712" data-sgid="Picture 14" style="z-index:7;left:205.83px;top:-0.48px;width:547.76px;height:540.48px"> <img class="sg" src="856917FD.jpg" id="s712_i" style="z-index:1;left:0px;top:0px;width:547.76px;height:540.48px" > </div> <div class="sg" id="s706" data-sgid="Picture 2" style="z-index:1;left:205.83px;top:-0.48px;width:547.76px;height:540.48px"> <img class="sg" src="DFBE00A2.jpg" id="s706_i" style="z-index:1;left:0px;top:0px;width:547.76px;height:540.48px" > </div>
<div class="sg" id="s714" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s714_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="397.27" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Chest Case Discussion</span></p></div></div></div>
<div class="sg" id="s715" data-sgid="Espace réservé du contenu 2" style="z-index:1;left:26.51px;top:17.99px;width:828.44px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s715_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="11.28" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.49px;top:14.14px;">•</span><span data-textwidth="270.05" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-size:178%; left:36.49px;top:14.14px;">49 year old woman</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="87.25" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:178%; left:18.49px;top:58.79px;">•<span style="letter-spacing:-2.16px"> </span>Non-</span><span data-textwidth="105.02" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:178%; left:105.86px;top:58.79px;">smoker</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="11.28" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:178%; left:18.49px;top:103.32px;">•</span><span data-textwidth="417.43" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:178%; left:36.49px;top:103.32px;">Long history of chronic cough</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="11.28" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:178%; left:18.49px;top:147.85px;">•</span><span data-textwidth="570.22" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:178%; left:36.49px;top:147.85px;">Occasional flushing, headache, diarrhea</span></p></div></div></div> <div class="sg" id="s716" data-sgid="Picture 2" style="z-index:2;left:653.19px;top:6.47px;width:292.32px;height:480.65px"> <img class="sg" src="82D41DE4.jpg" id="s716_i" style="z-index:1;left:0px;top:0px;width:292.32px;height:480.65px" > </div> <div class="sg" id="s718" data-sgid="Groupe 8" style="z-index:4;left:4.57px;top:202.50px;width:435.28px;height:168.99px" data-shape="group"> <div class="sg" id="s720" data-sgid="Ellipse 6" style="z-index:2;left:357.78px;top:84.11px;width:41.38px;height:36.11px" data-pointer-events="none"> <img class="sg" src="6E1E81E741x36.png" id="s720_i" style="z-index:1;left:0px;top:0px;width:41.38px;height:36.11px" > </div> <div class="sg" id="s721" data-sgid="Picture 2" style="z-index:1;left:-0.49px;top:-0.66px;width:435.98px;height:169.79px"> <img class="sg" src="19F172C3.jpg" id="s721_i" style="z-index:1;left:0px;top:0px;width:435.98px;height:169.79px" > </div> </div> <div class="sg" id="s719" data-sgid="Groupe 9" style="z-index:7;left:249.76px;top:365.00px;width:397.84px;height:117.42px" data-shape="group"> <div class="sg" id="s722" data-sgid="Ellipse 7" style="z-index:2;left:329.92px;top:19.00px;width:35.40px;height:31.66px" data-pointer-events="none"> <img class="sg" src="2EF4626835x32.png" id="s722_i" style="z-index:1;left:0px;top:0px;width:35.40px;height:31.66px" > </div> <div class="sg" id="s723" data-sgid="Picture 2" style="z-index:1;left:-0.63px;top:-0.69px;width:398.57px;height:118.13px"> <img class="sg" src="716FB3AD.png" id="s723_i" style="z-index:1;left:0px;top:0px;width:398.57px;height:118.13px" > </div> </div> <div class="sg" id="s717" data-sgid="ZoneTexte 1" style="z-index:3;left:56.02px;top:490.01px;width:828.44px;height:46.89px" data-valign="top"> <div id="s717_t" class="sg" style="z-index:2;left:0.00px;top:-6.12px;width:828.44px;height:68.23px;"><div><p para="{al:2}"><span data-textwidth="728.52" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:50.20px;top:14.66px;">Airflow limitation by obstruction of the small airways</span></p></div></div></div>
<div class="sg" id="s724" data-sgid="Picture 4" style="z-index:1;left:72.22px;top:11.52px;width:381.64px;height:253.02px"> <img class="sg" src="58584FDD.png" id="s724_i" style="z-index:1;left:0px;top:0px;width:381.64px;height:253.02px" > </div> <div class="sg" id="s725" data-sgid="Picture 5" style="z-index:2;left:477.72px;top:22.30px;width:416.21px;height:241.05px"> <img class="sg" src="2C92C31A.jpg" id="s725_i" style="z-index:1;left:0px;top:0px;width:416.21px;height:241.05px" > </div> <div class="sg" id="s729" data-sgid="ZoneTexte 10" style="z-index:6;left:638.92px;top:235.52px;width:99.32px;height:41.99px" data-valign="top"> <img class="sg" src="5E96A03799x42.png" id="s729_i" style="z-index:1;left:0px;top:0px;width:99.32px;height:41.99px" > <div id="s729_t" class="sg" style="z-index:2;left:-9.57px;top:-4.91px;width:118.38px;height:59.72px;"><div><p><span data-textwidth="83.77" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.80px;top:13.24px;">EXPIR</span></p></div></div></div> <div class="sg" id="s728" data-sgid="ZoneTexte 4" style="z-index:5;left:191.44px;top:236.26px;width:116.34px;height:41.96px" data-valign="top"> <img class="sg" src="B6B51CA0116x42.png" id="s728_i" style="z-index:1;left:0px;top:0px;width:116.34px;height:41.96px" > <div id="s728_t" class="sg" style="z-index:2;left:-5.78px;top:-4.94px;width:127.86px;height:59.74px;"><div><p para="{al:2}"><span data-textwidth="93.14" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.53px;top:13.25px;">INSPIR</span></p></div></div></div> <div class="sg" id="s727" data-sgid="Picture 8" style="z-index:4;left:478.57px;top:269.48px;width:414.52px;height:262.98px"> <img class="sg" src="D5CD4DB2.jpg" id="s727_i" style="z-index:1;left:0px;top:0px;width:414.52px;height:262.98px" > </div> <div class="sg" id="s726" data-sgid="Picture 7" style="z-index:3;left:72.22px;top:268.14px;width:376.85px;height:270.44px"> <img class="sg" src="54CE2310.jpg" id="s726_i" style="z-index:1;left:0px;top:0px;width:376.85px;height:270.44px" > </div>
<div class="sg" id="s730" data-sgid="Picture 2" style="z-index:1;left:99.43px;top:6.95px;width:357.90px;height:257.59px"> <img class="sg" src="B8C4A4A.jpg" id="s730_i" style="z-index:1;left:0px;top:0px;width:357.90px;height:257.59px" > </div> <div class="sg" id="s731" data-sgid="Picture 3" style="z-index:2;left:485.51px;top:6.95px;width:362.49px;height:257.59px"> <img class="sg" src="CC2CE093.jpg" id="s731_i" style="z-index:1;left:0px;top:0px;width:362.49px;height:257.59px" > </div> <div class="sg" id="s734" data-sgid="ZoneTexte 7" style="z-index:5;left:213.87px;top:236.26px;width:113.56px;height:41.96px" data-valign="top"> <img class="sg" src="475E2A2C114x42.png" id="s734_i" style="z-index:1;left:0px;top:0px;width:113.56px;height:41.96px" > <div id="s734_t" class="sg" style="z-index:2;left:-7.08px;top:-4.94px;width:127.84px;height:59.74px;"><div><p para="{al:2}"><span data-textwidth="93.14" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.65px;top:13.25px;">INSPIR</span></p></div></div></div> <div class="sg" id="s735" data-sgid="ZoneTexte 8" style="z-index:6;left:615.67px;top:243.69px;width:101.47px;height:41.96px" data-valign="top"> <img class="sg" src="1470F39C101x42.png" id="s735_i" style="z-index:1;left:0px;top:0px;width:101.47px;height:41.96px" > <div id="s735_t" class="sg" style="z-index:2;left:-8.41px;top:-4.80px;width:118.40px;height:59.72px;"><div><p para="{al:2}"><span data-textwidth="83.77" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.80px;top:13.25px;">EXPIR</span></p></div></div></div> <div class="sg" id="s732" data-sgid="Picture 5" style="z-index:3;left:89.49px;top:269.33px;width:377.81px;height:264.57px"> <img class="sg" src="A8FC3531.jpg" id="s732_i" style="z-index:1;left:0px;top:0px;width:377.81px;height:264.57px" > </div> <div class="sg" id="s733" data-sgid="Picture 6" style="z-index:4;left:479.28px;top:268.99px;width:377.81px;height:271.01px"> <img class="sg" src="23DC5340.jpg" id="s733_i" style="z-index:1;left:0px;top:0px;width:377.81px;height:271.01px" > </div>
<div class="sg" id="s737" data-sgid="Picture 3" style="z-index:2;left:487.81px;top:18.95px;width:432.64px;height:320.20px"> <img class="sg" src="1C11FE9F.jpg" id="s737_i" style="z-index:1;left:0px;top:0px;width:432.64px;height:320.20px" > </div> <div class="sg" id="s736" data-sgid="Picture 2" style="z-index:1;left:39.22px;top:18.95px;width:432.64px;height:320.20px"> <img class="sg" src="72C0E8B6.jpg" id="s736_i" style="z-index:1;left:0px;top:0px;width:432.64px;height:320.20px" > </div> <div class="sg" id="s738" data-sgid="ZoneTexte 5" style="z-index:3;left:179.43px;top:311.91px;width:121.49px;height:41.99px" data-valign="top"> <img class="sg" src="1E70CF14121x42.png" id="s738_i" style="z-index:1;left:0px;top:0px;width:121.49px;height:41.99px" > <div id="s738_t" class="sg" style="z-index:2;left:-3.11px;top:-4.90px;width:127.72px;height:59.72px;"><div><p para="{al:2}"><span data-textwidth="93.14" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.39px;top:13.42px;">INSPIR</span></p></div></div></div> <div class="sg" id="s739" data-sgid="ZoneTexte 6" style="z-index:4;left:633.65px;top:311.91px;width:114.89px;height:41.99px" data-valign="top"> <img class="sg" src="3DC1CB0B115x42.png" id="s739_i" style="z-index:1;left:0px;top:0px;width:114.89px;height:41.99px" > <div id="s739_t" class="sg" style="z-index:2;left:-1.78px;top:-4.90px;width:118.38px;height:59.72px;"><div><p para="{al:2}"><span data-textwidth="83.77" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.80px;top:13.42px;">EXPIR</span></p></div></div></div> <div class="sg" id="s740" data-sgid="ZoneTexte 3" style="z-index:5;left:135.17px;top:394.55px;width:695.79px;height:46.75px" data-valign="top"> <div id="s740_t" class="sg" style="z-index:2;left:0.00px;top:-6.01px;width:695.79px;height:68.00px;"><div><p para="{al:2}"><span data-textwidth="639.46" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:28.54px;top:14.47px;">Mosaic Perfusion and Expiratory<span style="letter-spacing:-1.79px"> </span>Air Trapping</span></p></div></div></div>
<div class="sg" id="s745" data-sgid="ZoneTexte 18" style="z-index:20;left:336.07px;top:5.50px;width:162.41px;height:46.89px" data-valign="top"> <img class="sg" src="494756AE162x47.png" id="s745_i" style="z-index:1;left:0px;top:0px;width:162.41px;height:46.89px" > <div id="s745_t" class="sg" style="z-index:2;left:-11.98px;top:-5.98px;width:184.96px;height:68.11px;"><div><p><span data-textwidth="145.70" class="sg nowrap f4" style="z-index:2;font-size:178%; left:19.89px;top:14.12px;">7 mm MIP</span></p></div></div></div> <div class="sg" id="s742" data-sgid="Groupe 13" style="z-index:6;left:5.25px;top:7.50px;width:394.50px;height:234.00px" data-shape="group"> <div class="sg" id="s750" data-sgid="Ellipse 3" style="z-index:4;left:24.97px;top:152.36px;width:33.11px;height:27.94px" data-pointer-events="none"> <img class="sg" src="D711758233x28.png" id="s750_i" style="z-index:1;left:0px;top:0px;width:33.11px;height:27.94px" > </div> <div class="sg" id="s751" data-sgid="Ellipse 2" style="z-index:3;left:59.52px;top:82.68px;width:33.81px;height:29.39px" data-pointer-events="none"> <img class="sg" src="A1D60F6034x29.png" id="s751_i" style="z-index:1;left:0px;top:0px;width:33.81px;height:29.39px" > </div> <div class="sg" id="s752" data-sgid="Ellipse 1" style="z-index:2;left:66.97px;top:40.70px;width:33.81px;height:29.39px" data-pointer-events="none"> <img class="sg" src="2B71E9AF34x29.png" id="s752_i" style="z-index:1;left:0px;top:0px;width:33.81px;height:29.39px" > </div> <div class="sg" id="s753" data-sgid="Picture 2" style="z-index:1;left:-0.46px;top:-0.55px;width:395.09px;height:234.81px"> <img class="sg" src="8A4F0AB8.jpg" id="s753_i" style="z-index:1;left:0px;top:0px;width:395.09px;height:234.81px" > </div> </div> <div class="sg" id="s741" data-sgid="Groupe 20" style="z-index:1;left:421.88px;top:7.50px;width:400.50px;height:279.75px" data-shape="group"> <div class="sg" id="s746" data-sgid="Ellipse 19" style="z-index:2;left:68.68px;top:125.38px;width:34.55px;height:36.09px" data-pointer-events="none"> <img class="sg" src="28B8244735x36.png" id="s746_i" style="z-index:1;left:0px;top:0px;width:34.55px;height:36.09px" > </div> <div class="sg" id="s747" data-sgid="Groupe 15" style="z-index:1;left:0.00px;top:0.00px;width:400.50px;height:279.75px" data-shape="group"> <div class="sg" id="s748" data-sgid="Ellipse 7" style="z-index:2;left:356.55px;top:122.37px;width:44.75px;height:37.65px" data-pointer-events="none"> <img class="sg" src="971D3F4645x38.png" id="s748_i" style="z-index:1;left:0px;top:0px;width:44.75px;height:37.65px" > </div> <div class="sg" id="s749" data-sgid="Picture 2" style="z-index:1;left:-0.76px;top:-0.55px;width:395.20px;height:280.51px"> <img class="sg" src="18DB9A6F.jpg" id="s749_i" style="z-index:1;left:0px;top:0px;width:395.20px;height:280.51px" > </div> </div> </div> <div class="sg" id="s743" data-sgid="Groupe 17" style="z-index:11;left:95.25px;top:246.00px;width:407.25px;height:288.00px" data-shape="group"> <div class="sg" id="s754" data-sgid="Ellipse 11" style="z-index:4;left:129.16px;top:0.81px;width:48.12px;height:48.09px" data-pointer-events="none"> <img class="sg" src="A85590CF48x48.png" id="s754_i" style="z-index:1;left:0px;top:0px;width:48.12px;height:48.09px" > </div> <div class="sg" id="s755" data-sgid="Ellipse 9" style="z-index:3;left:6.93px;top:187.53px;width:38.40px;height:36.09px" data-pointer-events="none"> <img class="sg" src="337AD25638x36.png" id="s755_i" style="z-index:1;left:0px;top:0px;width:38.40px;height:36.09px" > </div> <div class="sg" id="s756" data-sgid="Ellipse 8" style="z-index:2;left:50.48px;top:85.57px;width:33.81px;height:34.55px" data-pointer-events="none"> <img class="sg" src="4EBC688D34x35.png" id="s756_i" style="z-index:1;left:0px;top:0px;width:33.81px;height:34.55px" > </div> <div class="sg" id="s757" data-sgid="Picture 2" style="z-index:1;left:-0.49px;top:-0.64px;width:407.92px;height:288.65px"> <img class="sg" src="A884C41B.jpg" id="s757_i" style="z-index:1;left:0px;top:0px;width:407.92px;height:288.65px" > </div> </div> <div class="sg" id="s744" data-sgid="Groupe 16" style="z-index:16;left:544.72px;top:253.87px;width:397.58px;height:291.37px" data-shape="group"> <div class="sg" id="s758" data-sgid="Ellipse 12" style="z-index:3;left:79.93px;top:196.80px;width:46.67px;height:49.65px" data-pointer-events="none"> <img class="sg" src="EE0D9FFA47x50.png" id="s758_i" style="z-index:1;left:0px;top:0px;width:46.67px;height:49.65px" > </div> <div class="sg" id="s759" data-sgid="Ellipse 10" style="z-index:2;left:349.08px;top:188.65px;width:34.66px;height:26.24px" data-pointer-events="none"> <img class="sg" src="55AC49CA35x26.png" id="s759_i" style="z-index:1;left:0px;top:0px;width:34.66px;height:26.24px" > </div> <div class="sg" id="s760" data-sgid="Picture 2" style="z-index:1;left:-0.78px;top:-0.71px;width:398.20px;height:292.11px"> <img class="sg" src="2F0BBA0.jpg" id="s760_i" style="z-index:1;left:0px;top:0px;width:398.20px;height:292.11px" > </div> </div>
<div class="sg" id="s761" data-sgid="ZoneTexte 6" style="z-index:1;left:466.57px;top:18.24px;width:446.69px;height:42.07px" data-valign="top"> <div id="s761_t" class="sg" style="z-index:2;left:-9.72px;top:-4.94px;width:461.67px;height:59.86px;"><div><p><span data-textwidth="427.03" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.71px;top:13.19px;">Multiple Small Pulmonary Nodules</span></p></div></div></div> <div class="sg" id="s762" data-sgid="Groupe 9" style="z-index:2;left:3.75px;top:6.75px;width:424.50px;height:302.25px" data-shape="group"> <div class="sg" id="s766" data-sgid="Ellipse 1" style="z-index:2;left:13.75px;top:129.85px;width:43.56px;height:42.81px" data-pointer-events="none"> <img class="sg" src="FAD6BF2A44x43.png" id="s766_i" style="z-index:1;left:0px;top:0px;width:43.56px;height:42.81px" > </div> <div class="sg" id="s767" data-sgid="Picture 2" style="z-index:1;left:-0.52px;top:-0.51px;width:425.19px;height:302.92px"> <img class="sg" src="E1C5EE1A.jpg" id="s767_i" style="z-index:1;left:0px;top:0px;width:425.19px;height:302.92px" > </div> </div> <div class="sg" id="s764" data-sgid="ZoneTexte 14" style="z-index:9;left:336.07px;top:182.41px;width:162.41px;height:46.89px" data-valign="top"> <img class="sg" src="A1F6C2C2162x47.png" id="s764_i" style="z-index:1;left:0px;top:0px;width:162.41px;height:46.89px" > <div id="s764_t" class="sg" style="z-index:2;left:-11.98px;top:-6.01px;width:184.96px;height:68.11px;"><div><p><span data-textwidth="145.70" class="sg nowrap f4" style="z-index:2;font-size:178%; left:19.89px;top:14.28px;">7 mm MIP</span></p></div></div></div> <div class="sg" id="s765" data-sgid="Groupe 16" style="z-index:10;left:504.75px;top:74.62px;width:451.50px;height:293.25px" data-shape="group"> <div class="sg" id="s771" data-sgid="Ellipse 15" style="z-index:2;left:18.80px;top:138.49px;width:43.53px;height:37.65px" data-pointer-events="none"> <img class="sg" src="B3BFC9D144x38.png" id="s771_i" style="z-index:1;left:0px;top:0px;width:43.53px;height:37.65px" > </div> <div class="sg" id="s772" data-sgid="Groupe 13" style="z-index:1;left:0.00px;top:0.00px;width:451.50px;height:293.25px" data-shape="group"> <div class="sg" id="s773" data-sgid="Ellipse 12" style="z-index:2;left:303.66px;top:252.42px;width:45.08px;height:41.73px" data-pointer-events="none"> <img class="sg" src="B09414D345x42.png" id="s773_i" style="z-index:1;left:0px;top:0px;width:45.08px;height:41.73px" > </div> <div class="sg" id="s774" data-sgid="Groupe 11" style="z-index:1;left:0.00px;top:0.00px;width:451.50px;height:293.25px" data-shape="group"> <div class="sg" id="s775" data-sgid="Ellipse 7" style="z-index:2;left:38.96px;top:59.08px;width:36.08px;height:37.56px" data-pointer-events="none"> <img class="sg" src="CAF89B2E36x38.png" id="s775_i" style="z-index:1;left:0px;top:0px;width:36.08px;height:37.56px" > </div> <div class="sg" id="s776" data-sgid="Picture 2" style="z-index:1;left:-0.74px;top:-0.52px;width:452.18px;height:293.96px"> <img class="sg" src="EE62EC05.jpg" id="s776_i" style="z-index:1;left:0px;top:0px;width:452.18px;height:293.96px" > </div> </div> </div> </div> <div class="sg" id="s763" data-sgid="Groupe 10" style="z-index:5;left:154.50px;top:215.25px;width:436.50px;height:318.00px" data-shape="group"> <div class="sg" id="s768" data-sgid="Ellipse 8" style="z-index:3;left:102.90px;top:236.98px;width:48.09px;height:48.82px" data-pointer-events="none"> <img class="sg" src="C8DB274848x49.png" id="s768_i" style="z-index:1;left:0px;top:0px;width:48.09px;height:48.82px" > </div> <div class="sg" id="s769" data-sgid="Ellipse 2" style="z-index:2;left:30.94px;top:233.97px;width:33.81px;height:36.82px" data-pointer-events="none"> <img class="sg" src="E1471B6634x37.png" id="s769_i" style="z-index:1;left:0px;top:0px;width:33.81px;height:36.82px" > </div> <div class="sg" id="s770" data-sgid="Picture 2" style="z-index:1;left:-0.61px;top:-0.58px;width:437.20px;height:318.64px"> <img class="sg" src="6063C59C.jpg" id="s770_i" style="z-index:1;left:0px;top:0px;width:437.20px;height:318.64px" > </div> </div>
<div class="sg sgTitle" id="s777" 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="s777_t" class="sg" style="z-index:2;left:-19.29px;top:-37.53px;width:847.75px;height:142.84px;"><div><p><span data-textwidth="660.95" class="sg nowrap f7" style="z-index:2;color:#FFC000;font-weight:bold; font-size:244%; left:27.02px;top:18.36px;">Diagnosis Live<span style="color:#FFFFFF;">, Case 5 – Chest:</span></span><span data-textwidth="441.55" class="sg nowrap f7" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:64.33px;">My best diagnosis is:</span></p></div></div></div> <div class="sg" id="s778" data-sgid="Content Placeholder 2" style="z-index:2;left:78.08px;top:147.04px;width:681.77px;height:310.35px" data-valign="top"> <div id="s778_t" class="sg" style="z-index:2;left:-11.98px;top:-9.85px;width:693.75px;height:320.20px;"><div><p para="{spbf:10.00}"><span data-textwidth="310.97" class="sg nowrap f7" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:14.28px;">A. <span style="color:#FFFFFF;">Rheumatoid lung</span></span></p><p para="{spbf:10.00}"><span data-textwidth="142.35" class="sg nowrap f7" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:58.81px;">B. <span style="color:#FFFFFF;">BOOP</span></span></p><p para="{spbf:10.00}"><span data-textwidth="230.44" class="sg nowrap f7" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:103.34px;">C. <span style="color:#FFFFFF;">Vaping lung</span></span></p><p para="{spbf:10.00}"><span data-textwidth="196.35" class="sg nowrap f7" style="z-index:8;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:147.99px;">D. <span style="color:#FFFFFF;">DIPNECH</span></span></p><p para="{spbf:10.00}"><span data-textwidth="641.63" class="sg nowrap f7" style="z-index:10;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:192.52px;">E. <span style="color:#FFFFFF;">Early benign metastasizing leiomyoma</span></span></p><p para="{spbf:10.00}"><span data-textwidth="274.25" class="sg nowrap f7" style="z-index:12;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:237.05px;">F. <span style="color:#FFFFFF;">I haven’t a clue</span></span></p></div></div></div> <div class="sg" id="s780" data-sgid="TextBox 5" style="z-index:4;left:27.22px;top:434.84px;width:238.71px;height:73.65px" data-valign="top"> <div id="s780_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:242.42px;height:82.04px;"><div><p><span data-textwidth="163.83" class="sg nowrap f3" style="z-index:2;color:#FFFF00;left:11.42px;top:8.15px;">Login at: Live.rsna.org</span></p><p></p><p><span data-textwidth="68.77" class="sg nowrap f3" style="z-index:3;color:#FFFF00;left:11.42px;top:51.36px;">Join PS12</span></p></div></div></div> <div class="sg" id="s779" data-sgid="Rectangle 2" style="z-index:3;left:768.71px;top:459.55px;width:176.43px;height:63.91px" data-valign="top" data-pointer-events="none"> <div id="s779_t" class="sg" style="z-index:2;left:-3.60px;top:-1.79px;width:180.03px;height:65.70px;"><div><p><span data-textwidth="147.98" class="sg nowrap f3" style="z-index:2;color:#0563C1;left:11.90px;top:7.90px;"><a target=_blank class="sga" href="http://bit.ly/2Osfz2J"><u>http://bit.ly/2Osfz2J</u></a></span></p><p><span data-textwidth="58.93" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:56%; left:11.90px;top:28.75px;">DELAY REVEAL</span></p></div></div><img class="sg" src="88D9B6A360x131.png" id="s779_tt" style="left:-3.60px;top:-1.79px;width:180.03px;height:65.70px;z-index:1" > </div>
<div class="sg sgTitle" id="s781" data-sgid="Titre 1" style="z-index:1;left:65.48px;top:-0.48px;width:828.46px;height:133.96px" data-valign="middle" data-pointer-events="none"> <div id="s781_t" class="sg" style="z-index:2;left:-16.91px;top:0.00px;width:849.19px;height:133.96px;"><div><p><span data-textwidth="800.30" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:222%; left:24.64px;top:45.45px;">Causes of Mosaic Perfusion and Air Trapping</span></p></div></div></div> <div class="sg" id="s782" data-sgid="Espace réservé du contenu 2" style="z-index:2;left:42.93px;top:138.87px;width:916.96px;height:369.36px" data-valign="top" data-pointer-events="none"> <div id="s782_t" class="sg" style="z-index:2;left:-10.67px;top:-9.82px;width:927.64px;height:379.18px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="856.22" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.51px;top:14.34px;">•<span style="letter-spacing:-2.16px"> </span>Smoking-related small airway disease (non smoker patient)</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="570.21" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:178%; left:18.51px;top:58.99px;">•<span style="letter-spacing:-2.16px"> </span>Chronic<span style="letter-spacing:-1.80px"> </span>Asthma (no history of asthma) </span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="794.29" class="sg nowrap f4" style="z-index:20;color:#FFFFFF;font-size:178%; left:18.51px;top:103.52px;">•<span style="letter-spacing:-2.16px"> </span>Hypersensitivity Pneumonitis (no ground glass opacity)</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="795.97" class="sg nowrap f4" style="z-index:28;color:#FFFFFF;font-size:178%; left:18.51px;top:148.05px;">•<span style="letter-spacing:-2.16px"> </span>Sarcoidosis (no lymphatic distribution of small nodules)</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="558.09" class="sg nowrap f4" style="z-index:35;color:#FFFFFF;font-size:178%; left:18.51px;top:192.70px;">•<span style="letter-spacing:-2.16px"> </span>Obliterative (Constrictive) Bronchiolitis</span></p></div></div></div>
<div class="sg sgTitle" id="s783" data-sgid="Titre 1" style="z-index:1;left:65.48px;top:16.20px;width:828.46px;height:105.28px" data-valign="middle" data-pointer-events="none"> <div id="s783_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:828.46px;height:105.28px;"><div><p para="{al:2}"><span data-textwidth="683.04" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:244%; left:72.90px;top:29.77px;">Causes of Obliterative Bronchiolitis</span></p></div></div></div> <div class="sg" id="s784" data-sgid="Espace réservé du contenu 2" style="z-index:2;left:102.91px;top:113.22px;width:893.68px;height:353.39px" data-valign="top" data-pointer-events="none"> <div id="s784_t" class="sg" style="z-index:2;left:-10.67px;top:-9.96px;width:904.36px;height:369.96px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="163.58" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.54px;top:14.33px;">•<span style="letter-spacing:6.72px"> </span>Idiopathic</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="236.68" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:178%; left:18.54px;top:58.98px;">•<span style="letter-spacing:6.72px"> </span>Post-infectious</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="692.51" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:178%; left:18.54px;top:103.51px;">•<span style="letter-spacing:6.72px"> </span>Post-inhalation of Toxic gases, Fumes or Dusts</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="646.67" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:178%; left:18.54px;top:148.04px;">•<span style="letter-spacing:6.72px"> </span>Post-organ or Bone Marrow Transplantation</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="605.98" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-size:178%; left:18.54px;top:192.69px;">•<span style="letter-spacing:6.72px"> </span>Sjögren Syndrome / Rheumatoid Arthritis</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="431.95" class="sg nowrap f4" style="z-index:28;color:#FFFFFF;font-size:178%; left:18.54px;top:237.22px;">•<span style="letter-spacing:6.72px"> </span>Inflammatory Bowel Disease</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="733.08" class="sg nowrap f4" style="z-index:32;color:#FFFFFF;font-size:178%; left:18.54px;top:281.75px;">•<span style="letter-spacing:6.72px"> </span>Diffuse Idiopathic Pulmonary Neuroendocrine Cell</span><span data-textwidth="351.90" class="sg nowrap f4" style="z-index:38;color:#FFFFFF;font-size:178%; left:36.54px;top:316.31px;">Hyperplasia (DIPNECH) </span></p></div></div></div> <div class="sg" id="s785" data-sgid="Rectangle 3" style="z-index:3;left:183.99px;top:475.26px;width:590.72px;height:46.75px" data-valign="top" data-pointer-events="none"> <div id="s785_t" class="sg" style="z-index:2;left:-12.00px;top:-6.24px;width:609.19px;height:68.11px;"><div><p><span data-textwidth="570.22" class="sg nowrap f11" style="z-index:2;color:#FFFFFF;font-style:italic; font-size:178%; left:19.92px;top:14.65px;">Occasional flushing, headache, diarrhea</span></p></div></div></div>
<div class="sg sgTitle" id="s786" 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="s786_t" class="sg" style="z-index:2;left:-25.29px;top:0.00px;width:853.75px;height:114.78px;"><div><p><span data-textwidth="229.00" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:33.02px;top:22.36px;">Diagnosis:</span></p></div></div></div> <div class="sg" id="s787" 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="s787_t" class="sg" style="z-index:2;left:-16.91px;top:-13.05px;width:845.37px;height:356.28px;"><div><p para="{spbf:10.00}"><span data-textwidth="774.25" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:24.64px;top:16.22px;">Diffuse<span style="letter-spacing:2.28px"> </span>Idiopathic Pulmonary Neuroendocrine </span><span data-textwidth="449.35" class="sg nowrap f1" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:222%; left:24.64px;top:59.07px;">Cell Hyperplasia (DIPNECH)</span></p></div></div></div>
<div class="sg sgTitle" id="s788" 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="s788_t" class="sg" style="z-index:2;left:-25.29px;top:0.00px;width:853.75px;height:114.78px;"><div><p><span data-textwidth="390.43" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:33.02px;top:22.36px;">Correct Diagnosis</span></p></div></div></div> <div class="sg" id="s789" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:110.33px;width:828.46px;height:429.67px" data-valign="top" data-pointer-events="none"> <div id="s789_t" class="sg" style="z-index:2;left:-16.91px;top:-12.83px;width:845.37px;height:444.43px;"><div><p para="{spbf:10.00}"><span data-textwidth="774.25" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:24.64px;top:15.96px;">Diffuse<span style="letter-spacing:2.28px"> </span>Idiopathic Pulmonary Neuroendocrine </span><span data-textwidth="449.35" class="sg nowrap f1" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:222%; left:24.64px;top:58.81px;">Cell Hyperplasia (DIPNECH)</span></p><p></p><p></p><p></p><p></p><p para="{spbf:10.00}"><span data-textwidth="221.44" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:178%; left:24.64px;top:286.98px;">Case courtesy of:</span></p><p para="{spbf:10.00}"><span data-textwidth="379.14" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;font-size:200%; left:24.64px;top:331.03px;">Holman P. McAdams, M.D</span></p><p para="{spbf:10.00}"><span data-textwidth="467.12" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:200%; left:24.64px;top:379.89px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">Duke University Medical Center </span></span></p></div></div></div> <div class="sg" id="s790" data-sgid="Picture 2" style="z-index:3;left:656.08px;top:347.66px;width:130.27px;height:162.24px"> <img class="sg" src="4F724878.jpg" id="s790_i" style="z-index:1;left:0px;top:0px;width:130.27px;height:162.24px" > </div>
<div class="sg sgTitle" id="s792" 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="s792_t" class="sg" style="z-index:2;left:-19.29px;top:-13.79px;width:847.75px;height:140.79px;"><div><p><span data-textwidth="647.99" class="sg nowrap f7" style="z-index:2;color:#FFC000;font-weight:bold; font-size:244%; left:27.02px;top:18.39px;">Diagnosis Live<span style="color:#FFFFFF;">, Case 5 – Chest</span></span><span data-textwidth="452.48" class="sg nowrap f7" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:65.92px;">My best diagnosis is: </span></p></div></div></div> <div class="sg" id="s791" data-sgid="Content Placeholder 2" style="z-index:1;left:78.08px;top:147.04px;width:681.77px;height:310.35px" data-valign="top" data-pointer-events="none"> <div id="s791_t" class="sg" style="z-index:2;left:-11.98px;top:-9.85px;width:693.75px;height:320.20px;"><div><p para="{spbf:10.00}"><span data-textwidth="310.97" class="sg nowrap f7" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:14.28px;">A. <span style="color:#FFFFFF;">Rheumatoid lung</span></span></p><p para="{spbf:10.00}"><span data-textwidth="142.35" class="sg nowrap f7" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:58.81px;">B. <span style="color:#FFFFFF;">BOOP</span></span></p><p para="{spbf:10.00}"><span data-textwidth="230.44" class="sg nowrap f7" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:103.34px;">C. <span style="color:#FFFFFF;">Vaping lung</span></span></p><p para="{spbf:10.00}"><span data-textwidth="196.35" class="sg nowrap f7" style="z-index:8;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:147.99px;">D. <span style="color:#FFFFFF;">DIPNECH</span></span></p><p para="{spbf:10.00}"><span data-textwidth="641.63" class="sg nowrap f7" style="z-index:10;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:192.52px;">E. <span style="color:#FFFFFF;">Early benign metastasizing leiomyoma</span></span></p><p para="{spbf:10.00}"><span data-textwidth="274.25" class="sg nowrap f7" style="z-index:12;color:#FFFF00;font-weight:bold; font-size:178%; left:19.71px;top:237.05px;">F. <span style="color:#FFFFFF;">I haven’t a clue</span></span></p></div></div></div> <div class="sg" id="s793" data-sgid="Rectangle 1" style="z-index:3;left:768.71px;top:459.55px;width:176.43px;height:51.80px" data-valign="top" data-pointer-events="none"> <div id="s793_t" class="sg" style="z-index:2;left:-3.60px;top:-1.79px;width:180.03px;height:53.59px;"><div><p><span data-textwidth="147.98" class="sg nowrap f3" style="z-index:2;color:#0563C1;left:11.90px;top:7.90px;"><a target=_blank class="sga" href="http://bit.ly/2Osfz2J"><u>http://bit.ly/2Osfz2J</u></a></span></p></div></div><img class="sg" src="2797146E360x107.png" id="s793_tt" style="left:-3.60px;top:-1.79px;width:180.03px;height:53.59px;z-index:1" > </div>
<div class="sg" id="s796" data-sgid="ZoneTexte 8" style="z-index:3;left:407.58px;top:35.74px;width:515.14px;height:464.82px"> <div id="s796_t" class="sg" style="z-index:2;left:0px;top:0px;width:515.14px;height:464.82px;"><div><p><span data-textwidth="476.96" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:122%; left:15.25px;top:20.87px;">Proliferation of pulmonary neuroendocrine cells<span class="f3" style="font-style:normal; font-weight:normal; "> that</span></span><span data-textwidth="463.63" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:122%; left:15.25px;top:45.12px;">do not cross the basement membrane. Secretion of </span><span data-textwidth="366.66" class="sg nowrap f3" style="z-index:13;color:#FFFFFF;font-size:122%; left:15.25px;top:69.24px;">peptides lead to obliterative bronchiolitis</span><span data-textwidth="420.55" class="sg nowrap f3" style="z-index:16;color:#FFFFFF;font-size:122%; left:15.25px;top:102.85px;">(<span class="f6" style="font-style:italic; font-weight:bold; ">mosaic perfusion and expiratory air trapping</span>)</span><span data-textwidth="416.59" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:122%; left:15.25px;top:164.06px;">Proliferations<span class="f3" style="font-weight:normal; "> extending beyond the basement</span></span><span data-textwidth="351.06" class="sg nowrap f3" style="z-index:28;color:#FFFFFF;font-size:122%; left:15.25px;top:188.31px;">membrane (<span class="f6" style="font-style:italic; font-weight:bold; ">small pulmonary nodules</span>).</span><span data-textwidth="259.96" class="sg nowrap f1" style="z-index:33;color:#FFFFFF;font-weight:bold; font-size:122%; left:92.30px;top:221.80px;">Tumorlets<span class="f3" style="font-weight:normal; ">:<span style="letter-spacing:10.32px"> </span><5m in diameter</span></span><span data-textwidth="356.58" class="sg nowrap f1" style="z-index:37;color:#FFFFFF;font-weight:bold; font-size:122%; left:92.30px;top:255.40px;">Carcinoid tumor<span class="f3" style="font-weight:normal; ">:<span style="letter-spacing:5.28px"> </span>a proliferation ≥5 mm</span></span><span data-textwidth="473.96" class="sg nowrap f3" style="z-index:43;color:#FFFFFF;font-size:122%; left:15.25px;top:333.42px;">Clinical carcinoid syndrome very unusual in DIPNECH </span><span data-textwidth="402.31" class="sg nowrap f3" style="z-index:44;color:#FFFFFF;font-size:122%; left:15.25px;top:357.67px;">pts; it typically reflects liver metastases from </span><span data-textwidth="236.20" class="sg nowrap f3" style="z-index:45;color:#FFFFFF;font-size:122%; left:15.25px;top:381.79px;">malignant carcinoid tumor</span></p></div></div><img class="sg" src="2A4E956.png" id="s796_i" style="z-index:1;left:0px;top:0px;width:515.14px;height:464.82px" > </div> <div class="sg" id="s794" data-sgid="Freeform: Shape 15" style="z-index:1;left:37.67px;top:36.57px;width:345.67px;height:464.48px" data-fillcolor="4210752"> <img class="sg" src="B67A205F346x464.png" id="s794_i" style="z-index:1;left:0px;top:0px;width:345.67px;height:464.48px" > </div> <div class="sg" id="s795" data-sgid="Rectangle 6" style="z-index:2;left:41.15px;top:80.71px;width:345.67px;height:378.13px" data-valign="middle" data-pointer-events="none"> <div id="s795_t" class="sg" style="z-index:2;left:-19.32px;top:-4.20px;width:364.98px;height:386.87px;"><div><p para="{spaf:6.00}"><span data-textwidth="126.26" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:27.02px;top:18.03px;">D <span class="f10" style="font-weight:normal; font-size:93%; color:#FFFFFF;">iffuse</span></span><span data-textwidth="173.43" class="sg nowrap f10" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:244%; left:36.74px;top:61.00px;">I <span class="f10" style="font-weight:normal; font-size:93%; color:#FFFFFF;">diopathic</span></span></p><p para="{spaf:6.00}"><span data-textwidth="188.79" class="sg nowrap f10" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:244%; left:27.02px;top:103.97px;">P <span class="f10" style="font-weight:normal; font-size:93%; color:#FFFFFF;">ulmonary</span></span></p><p para="{spaf:6.00}"><span data-textwidth="279.88" class="sg nowrap f10" style="z-index:8;color:#FFFF00;font-weight:bold; font-size:244%; left:27.02px;top:146.94px;">N <span class="f10" style="font-weight:normal; font-size:93%; color:#FFFFFF;">euroendocrine</span></span></p><p para="{spaf:6.00}"><span data-textwidth="80.29" class="sg nowrap f10" style="z-index:10;color:#FFFF00;font-weight:bold; font-size:244%; left:27.02px;top:189.91px;">C <span class="f10" style="font-weight:normal; font-size:93%; color:#FFFFFF;">ell </span></span></p><p para="{spaf:6.00}"><span data-textwidth="204.15" class="sg nowrap f10" style="z-index:12;color:#FFFF00;font-weight:bold; font-size:244%; left:27.02px;top:232.88px;">H <span class="f10" style="font-weight:normal; font-size:93%; color:#FFFFFF;">yperplasia</span></span></p><p></p><p para="{spaf:6.00}"><span data-textwidth="173.55" class="sg nowrap f10" style="z-index:14;color:#FFFFFF;font-size:228%; left:36.26px;top:317.14px;">(<span style="color:#FFFF00;">DIPNECH</span>)</span></p></div></div></div> <div class="sg" id="s797" data-sgid="Rectangle 2" style="z-index:4;left:508.08px;top:502.24px;width:275.98px;height:29.84px" data-valign="top" data-pointer-events="none"> <div id="s797_t" class="sg" style="z-index:2;left:-3.73px;top:-1.93px;width:280.68px;height:38.75px;"><div><p><span data-textwidth="257.91" class="sg nowrap f3" style="z-index:2;color:#FFF2CC;left:11.74px;top:7.96px;">Am J Surg Pathol 2018; 42:646–655</span></p></div></div></div>
<div class="sg" id="s808" data-sgid="TextBox 8" style="z-index:11;left:4.30px;top:0.00px;width:944.43px;height:73.50px" data-valign="top"> <div id="s808_t" class="sg" style="z-index:2;left:0.00px;top:-12.60px;width:944.43px;height:114.18px;"><div><p para="{al:2}"><span data-textwidth="506.00" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:300%; left:219.66px;top:21.84px;">Right lung VATS biopsy</span></p></div></div></div> <div class="sg" id="s805" data-sgid="TextBox 1" style="z-index:8;left:280.90px;top:92.45px;width:216.73px;height:42.10px" data-valign="top"> <div id="s805_t" class="sg" style="z-index:2;left:0.00px;top:-0.59px;width:216.73px;height:47.01px;"><div><p para="{al:2}"><span data-textwidth="186.27" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:78%; left:14.11px;top:6.52px;">peribronchiolar neuroendocrine</span></p><p para="{al:2}"><span data-textwidth="96.14" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:78%; left:60.56px;top:23.33px;">cell proliferation</span></p></div></div></div> <div class="sg" id="s806" data-sgid="TextBox 3" style="z-index:9;left:69.33px;top:103.01px;width:216.73px;height:25.19px" data-valign="top"> <div id="s806_t" class="sg" style="z-index:2;left:-1.19px;top:-0.71px;width:217.92px;height:30.33px;"><div><p><span data-textwidth="107.66" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:78%; left:8.91px;top:6.64px;">carcinoid tumorlet</span></p></div></div></div> <div class="sg" id="s807" data-sgid="TextBox 6" style="z-index:10;left:585.91px;top:94.61px;width:352.52px;height:42.10px" data-valign="top"> <div id="s807_t" class="sg" style="z-index:2;left:0.00px;top:-0.71px;width:352.52px;height:47.12px;"><div><p para="{al:2}"><span data-textwidth="295.25" class="sg nowrap f1" style="z-index:2;color:#FFE599;font-weight:bold; font-size:78%; left:30.75px;top:6.64px;">+<span style="letter-spacing:3.00px"> </span>Immunohistochemical stain for synaptophysin A </span><span data-textwidth="234.04" class="sg nowrap f1" style="z-index:4;color:#FFE599;font-weight:bold; font-size:78%; left:59.80px;top:23.45px;">confirms neuroendocrine differentiation</span></p></div></div></div> <div class="sg" id="s800" data-sgid="Straight Arrow Connector 5" style="z-index:3;left:109.03px;top:160.82px;width:61.40px;height:81.53px" data-pointer-events="none"> <img class="sg" src="B40BF0C661x82.png" id="s800_i" style="z-index:1;left:0px;top:0px;width:61.40px;height:81.53px" > </div> <div class="sg" id="s802" data-sgid="Picture 10" style="z-index:5;left:517.32px;top:147.52px;width:426.86px;height:312.99px"> <img class="sg" src="70E8EA68.jpg" id="s802_i" style="z-index:1;left:0px;top:0px;width:426.86px;height:312.99px" > </div> <div class="sg" id="s798" data-sgid="Picture 2" style="z-index:1;left:11.75px;top:135.63px;width:484.10px;height:354.87px"> <img class="sg" src="251CEA43.jpg" id="s798_i" style="z-index:1;left:0px;top:0px;width:484.10px;height:354.87px" > </div> <div class="sg" id="s803" data-sgid="Oval 11" style="z-index:6;left:536.04px;top:250.52px;width:124.38px;height:136.45px" data-pointer-events="none"> <img class="sg" src="585C3F7F124x136.png" id="s803_i" style="z-index:1;left:0px;top:0px;width:124.38px;height:136.45px" > </div> <div class="sg" id="s799" data-sgid="Straight Arrow Connector 4" style="z-index:2;left:353.83px;top:285.65px;width:72.33px;height:103.97px" data-pointer-events="none"> <img class="sg" src="D9CF9DBC72x104.png" id="s799_i" style="z-index:1;left:0px;top:0px;width:72.33px;height:103.97px" > </div> <div class="sg" id="s804" data-sgid="Oval 12" style="z-index:7;left:871.51px;top:316.82px;width:74.11px;height:64.06px" data-pointer-events="none"> <img class="sg" src="E15EF5E774x64.png" id="s804_i" style="z-index:1;left:0px;top:0px;width:74.11px;height:64.06px" > </div> <div class="sg" id="s801" data-sgid="TextBox 7" style="z-index:4;left:368.69px;top:499.60px;width:206.42px;height:29.99px" data-valign="top"> <img class="sg" src="6F90F05C206x30.png" id="s801_i" style="z-index:1;left:0px;top:0px;width:206.42px;height:29.99px" > <div id="s801_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:211.83px;height:38.87px;"><div><p><span data-textwidth="189.39" class="sg nowrap f10" style="z-index:2;left:11.64px;top:8.08px;">Courtesy John Carney, MD</span></p></div></div></div>
<div class="sg" id="s819" data-sgid="TextBox 5" style="z-index:11;left:212.43px;top:19.91px;width:216.73px;height:42.10px" data-valign="top"> <div id="s819_t" class="sg" style="z-index:2;left:0.00px;top:-0.73px;width:216.73px;height:47.15px;"><div><p para="{al:2}"><span data-textwidth="183.87" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:78%; left:18.13px;top:6.59px;">Fibrous occlusion of bronchiole </span><span data-textwidth="148.46" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:78%; left:34.45px;top:23.39px;">adj to pulmonary artery *</span></p></div></div></div> <div class="sg" id="s820" data-sgid="TextBox 15" style="z-index:12;left:692.19px;top:46.18px;width:275.75px;height:25.16px" data-valign="top"> <div id="s820_t" class="sg" style="z-index:2;left:-1.19px;top:-0.62px;width:276.94px;height:30.24px;"><div><p><span data-textwidth="222.40" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:78%; left:9.32px;top:6.61px;">occluded bronchiole cut longitudinally</span></p></div></div></div> <div class="sg" id="s810" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:283.79px;top:75.43px;width:56.61px;height:82.64px" data-pointer-events="none"> <img class="sg" src="DCAF469E57x83.png" id="s810_i" style="z-index:1;left:0px;top:0px;width:56.61px;height:82.64px" > </div> <div class="sg" id="s814" data-sgid="Straight Arrow Connector 9" style="z-index:6;left:648.41px;top:96.65px;width:72.33px;height:76.28px" data-pointer-events="none"> <img class="sg" src="7F02CC7172x76.png" id="s814_i" style="z-index:1;left:0px;top:0px;width:72.33px;height:76.28px" > </div> <div class="sg" id="s811" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:328.76px;top:157.70px;width:103.74px;height:56.60px" data-pointer-events="none"> <img class="sg" src="B2580E3F104x57.png" id="s811_i" style="z-index:1;left:0px;top:0px;width:103.74px;height:56.60px" > </div> <div class="sg" id="s815" data-sgid="Straight Arrow Connector 10" style="z-index:7;left:738.01px;top:195.46px;width:103.88px;height:56.62px" data-pointer-events="none"> <img class="sg" src="E6641868104x57.png" id="s815_i" style="z-index:1;left:0px;top:0px;width:103.88px;height:56.62px" > </div> <div class="sg" id="s812" data-sgid="TextBox 6" style="z-index:4;left:141.29px;top:177.13px;width:63.69px;height:124.48px" data-valign="top"> <div id="s812_t" class="sg" style="z-index:2;left:-55.06px;top:-25.19px;width:173.43px;height:211.77px;"><div><p><span data-textwidth="47.77" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-size:533%; left:62.95px;top:38.98px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">*</span></span></p></div></div></div> <div class="sg" id="s813" data-sgid="Picture 8" style="z-index:5;left:524.88px;top:84.91px;width:425.53px;height:354.84px"> <img class="sg" src="7CEA7718.jpg" id="s813_i" style="z-index:1;left:0px;top:0px;width:425.53px;height:354.84px" > </div> <div class="sg" id="s809" data-sgid="Picture 2" style="z-index:1;left:18.72px;top:66.67px;width:494.26px;height:391.43px"> <img class="sg" src="4D4F860.jpg" id="s809_i" style="z-index:1;left:0px;top:0px;width:494.26px;height:391.43px" > </div> <div class="sg" id="s816" data-sgid="Straight Arrow Connector 11" style="z-index:8;left:738.01px;top:262.98px;width:103.88px;height:56.62px" data-pointer-events="none"> <img class="sg" src="CE668F5C104x57.png" id="s816_i" style="z-index:1;left:0px;top:0px;width:103.88px;height:56.62px" > </div> <div class="sg" id="s821" data-sgid="TextBox 16" style="z-index:13;left:582.79px;top:304.96px;width:89.49px;height:22.67px" data-valign="top"> <div id="s821_t" class="sg" style="z-index:2;left:-0.11px;top:0.00px;width:89.60px;height:26.27px;"><div><p><span data-textwidth="68.77" class="sg nowrap f3" style="z-index:2;font-size:67%; left:8.18px;top:5.23px;">focus of NECH</span></p></div></div></div> <div class="sg" id="s817" data-sgid="Straight Arrow Connector 13" style="z-index:9;left:661.24px;top:316.48px;width:44.63px;height:43.40px" data-pointer-events="none"> <img class="sg" src="6E2F06645x43.png" id="s817_i" style="z-index:1;left:0px;top:0px;width:44.63px;height:43.40px" > </div> <div class="sg" id="s818" data-sgid="TextBox 1" style="z-index:10;left:368.69px;top:499.60px;width:206.42px;height:29.99px" data-valign="top"> <img class="sg" src="6F90F05C206x30.png" id="s818_i" style="z-index:1;left:0px;top:0px;width:206.42px;height:29.99px" > <div id="s818_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:211.83px;height:38.87px;"><div><p><span data-textwidth="189.39" class="sg nowrap f10" style="z-index:2;left:11.64px;top:8.08px;">Courtesy John Carney, MD</span></p></div></div></div>
<div class="sg" id="s823" data-sgid="Rectangle 3" style="z-index:2;left:0.00px;top:-0.48px;width:960.38px;height:78.78px" data-valign="middle"> <div id="s823_t" class="sg" style="z-index:2;left:0.00px;top:-17.39px;width:960.38px;height:124.26px;"><div><p para="{al:2}"><span data-textwidth="437.24" class="sg nowrap f1" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:328%; left:261.88px;top:24.15px;">DIPNECH - History</span></p></div></div></div> <div class="sg" id="s824" data-sgid="Line 2" style="z-index:3;left:6.97px;top:76.51px;width:945.74px;height:2.87px" data-pointer-events="none"> <img class="sg" src="C6FDB77F946x3.png" id="s824_i" style="z-index:1;left:0px;top:0px;width:945.74px;height:1.87px" > </div> <div class="sg" id="s822" data-sgid="Rectangle 4" style="z-index:1;left:6.97px;top:79.74px;width:944.66px;height:436.99px" data-valign="top"> <div id="s822_t" class="sg" style="z-index:2;left:-18.61px;top:-12.45px;width:963.27px;height:449.45px;"><div><p para="{bl:{ch:8226},spbf:11.25}"><span data-textwidth="413.72" class="sg nowrap f7" style="z-index:2;color:#FFFF33;font-weight:bold; font-size:200%; left:21.36px;top:19.33px;">•<span class="f3" style="font-size:133%; "> Aguayo et al. (1992)</span></span></p><p para="{in:2,bl:{ch:8226},spbf:11.25}"><span data-textwidth="693.11" class="sg nowrap f7" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:27.12px;top:87.22px;">•<span class="f1" style="font-weight:bold; font-size:133%; "><span style="letter-spacing:7.21px"> </span>Six</span><span class="f3" style="font-size:133%; "> symptomatic patients (asthma, dyspnea, cough)</span></span></p><p para="{in:2,bl:{ch:8226},spbf:11.25}"><span data-textwidth="906.63" class="sg nowrap f7" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:27.12px;top:175.08px;">•<span class="f3" style="font-size:133%; "><span style="letter-spacing:7.21px"> </span>pulmonary neuroendocrine cell hyperplasia and carcinoid tumorlets</span></span></p><p para="{in:2,bl:{ch:8226},spbf:11.25}"><span data-textwidth="341.58" class="sg nowrap f7" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:27.12px;top:262.94px;">•<span class="f3" style="font-size:133%; "><span style="letter-spacing:7.21px"> </span>obliterative bronchiolitis</span></span></p></div></div></div> <div class="sg" id="s825" data-sgid="Rectangle 1" style="z-index:4;left:492.85px;top:494.70px;width:464.64px;height:40.40px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="6D7122F5465x40.png" id="s825_i" style="z-index:1;left:0px;top:0px;width:464.64px;height:40.40px" > <div id="s825_t" class="sg" style="z-index:2;left:0.00px;top:-4.46px;width:473.42px;height:56.96px;"><div><p para="{al:3}"><span data-textwidth="375.06" class="sg nowrap f10" style="z-index:2;font-size:150%; left:82.41px;top:11.59px;">N Engl J Med 1992; 327:1285-1288</span></p></div></div></div>
<div class="sg" id="s827" data-sgid="Rectangle 3" style="z-index:2;left:0.00px;top:-0.48px;width:960.38px;height:78.78px" data-valign="middle"> <div id="s827_t" class="sg" style="z-index:2;left:0.00px;top:-12.23px;width:960.38px;height:112.85px;"><div><p para="{al:2}"><span data-textwidth="692.88" class="sg nowrap f1" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:294%; left:134.18px;top:21.71px;">DIPNECH v. DIPNECH Syndrome</span></p></div></div></div> <div class="sg" id="s828" data-sgid="Line 2" style="z-index:3;left:6.97px;top:76.51px;width:945.74px;height:2.87px" data-pointer-events="none"> <img class="sg" src="C6FDB77F946x3.png" id="s828_i" style="z-index:1;left:0px;top:0px;width:945.74px;height:1.87px" > </div> <div class="sg" id="s830" data-sgid="Rectangle 3 (2)" style="z-index:5;left:509.53px;top:144.74px;width:401.69px;height:66.21px" data-valign="top" data-pointer-events="none"> <div id="s830_t" class="sg" style="z-index:2;left:-21.61px;top:-10.90px;width:441.02px;height:101.67px;"><div><p para="{spbf:6.00}"><span data-textwidth="382.38" class="sg nowrap f3" style="z-index:2;color:#ED7D31;font-size:267%; left:29.61px;top:19.27px;">DIPNECH syndrome</span></p></div></div></div> <div class="sg" id="s826" data-sgid="Rectangle 4" style="z-index:1;left:155.67px;top:144.74px;width:294.24px;height:71.01px" data-valign="top"> <div id="s826_t" class="sg" style="z-index:2;left:-26.62px;top:-12.34px;width:320.86px;height:101.82px;"><div><p para="{spbf:11.25}"><span data-textwidth="176.31" class="sg nowrap f3" style="z-index:2;color:#BDD7EE;font-size:267%; left:29.50px;top:19.39px;">DIPNECH</span></p></div></div></div> <div class="sg" id="s831" data-sgid="Rounded Rectangle 7" style="z-index:6;left:504.71px;top:228.68px;width:426.04px;height:180.74px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="83CC8C67.png" id="s831_i" style="z-index:1;left:0px;top:0px;width:426.04px;height:180.74px" > <div id="s831_t" class="sg" style="z-index:2;left:0.37px;top:0.26px;width:425.42px;height:195.60px;"><div><p para="{in:2,spbf:3.00}"><span data-textwidth="333.18" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:30.33px;top:17.15px;">Much less common (rare)</span></p><p para="{in:2,spbf:3.00}"><span data-textwidth="327.17" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:178%; left:30.33px;top:58.56px;">Symptomatic individuals</span></p><p para="{in:2,spbf:3.00}"><span data-textwidth="133.22" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:178%; left:30.33px;top:99.97px;">More foci </span></p><p para="{in:2,spbf:3.00}"><span data-textwidth="323.21" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:178%; left:30.33px;top:141.38px;">Obliterative bronchiolitis</span></p></div></div></div> <div class="sg" id="s829" data-sgid="Rounded Rectangle 1" style="z-index:4;left:41.15px;top:228.68px;width:426.01px;height:180.74px" data-valign="middle" data-fillcolor="16777215"> <img class="sg" src="DC387E49.png" id="s829_i" style="z-index:1;left:0px;top:0px;width:426.01px;height:180.74px" > <div id="s829_t" class="sg" style="z-index:2;left:0.34px;top:0.26px;width:425.45px;height:188.28px;"><div><p para="{in:2,spbf:6.00}"><span data-textwidth="366.06" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:30.16px;top:15.35px;">Incidental finding <span class="f3" style="font-size:50%; ">resection specimens</span></span></p><p para="{in:3,spbf:6.00}"><span data-textwidth="301.13" class="sg nowrap f1" style="z-index:4;color:#F2F2F2;font-weight:bold; font-size:111%; left:66.17px;top:57.88px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">5-40% of carcinoid tumor specimens</span></span></p><p para="{in:2,spbf:6.00}"><span data-textwidth="309.17" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:178%; left:30.16px;top:89.77px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">Most are asymptomatic</span></span></p><p para="{in:2,spbf:6.00}"><span data-textwidth="363.54" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:178%; left:30.16px;top:134.18px;"><span style="text-shadow:0.00px 2.80px 2.80px rgba(0,0,0,1.00)">No obliterative bronchiolitis</span></span></p></div></div></div>
<div class="sg" id="s833" data-sgid="Rectangle 3" style="z-index:2;left:0.00px;top:-0.48px;width:960.38px;height:78.78px" data-valign="middle"> <div id="s833_t" class="sg" style="z-index:2;left:0.00px;top:-17.39px;width:960.38px;height:124.26px;"><div><p para="{al:2}"><span data-textwidth="478.16" class="sg nowrap f1" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:328%; left:241.48px;top:24.15px;">DIPNECH Syndrome</span></p></div></div></div> <div class="sg" id="s834" data-sgid="Line 2" style="z-index:3;left:6.97px;top:76.51px;width:945.74px;height:2.87px" data-pointer-events="none"> <img class="sg" src="C6FDB77F946x3.png" id="s834_i" style="z-index:1;left:0px;top:0px;width:945.74px;height:1.87px" > </div> <div class="sg" id="s832" data-sgid="Rectangle 4" style="z-index:1;left:6.97px;top:79.74px;width:944.66px;height:436.99px" data-valign="top"> <div id="s832_t" class="sg" style="z-index:2;left:-18.61px;top:-12.45px;width:963.27px;height:449.45px;"><div><p para="{bl:{ch:8226},spbf:11.25}"><span data-textwidth="302.58" class="sg nowrap f7" style="z-index:2;color:#FFFF33;font-weight:bold; font-size:200%; left:21.36px;top:19.33px;">•<span class="f3" style="font-size:133%; "> Demographics</span></span></p><p para="{in:3,bl:{ch:252},spbf:11.25}"><span data-textwidth="337.49" class="sg nowrap f9" style="z-index:4;color:#FAFD00;font-size:156%; left:47.41px;top:87.22px;"><span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:14.28px"> </span>middle age women</span></span></p><p para="{in:3,bl:{ch:252},spbf:11.25}"><span data-textwidth="244.48" class="sg nowrap f9" style="z-index:6;color:#FAFD00;font-size:156%; left:47.41px;top:143.40px;"><span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:14.28px"> </span>non-smokers</span></span></p><p para="{bl:{ch:8226},spbf:11.25}"><span data-textwidth="379.39" class="sg nowrap f7" style="z-index:10;color:#FFFF33;font-weight:bold; font-size:200%; left:21.36px;top:200.45px;">•<span class="f3" style="font-size:133%; "> Signs & symptoms</span></span></p><p para="{in:3,bl:{ch:252},spbf:11.25}"><span data-textwidth="567.81" class="sg nowrap f9" style="z-index:12;color:#FAFD00;font-size:156%; left:47.41px;top:268.22px;"><span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:14.28px"> </span>“asthma”, dyspnea, chronic cough</span></span></p><p para="{in:3,bl:{ch:252},spbf:11.25}"><span data-textwidth="677.51" class="sg nowrap f9" style="z-index:14;color:#FAFD00;font-size:156%; left:47.41px;top:324.40px;"><span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:14.28px"> </span>Occasionally (rarely!) flushing, headaches</span></span></p><p para="{in:3,bl:{ch:252},spbf:11.25}"><span data-textwidth="431.58" class="sg nowrap f9" style="z-index:16;color:#FAFD00;font-size:156%; left:47.41px;top:380.69px;"><span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:14.28px"> </span>fixed obstruction on PFTs</span></span></p></div></div></div>
<div class="sg" id="s836" data-sgid="Rectangle 3" style="z-index:2;left:0.00px;top:-0.48px;width:960.38px;height:78.78px" data-valign="middle"> <div id="s836_t" class="sg" style="z-index:2;left:0.00px;top:-17.39px;width:960.38px;height:124.26px;"><div><p para="{al:2}"><span data-textwidth="716.40" class="sg nowrap f1" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:328%; left:122.30px;top:24.15px;">DIPNECH Syndrome - Imaging</span></p></div></div></div> <div class="sg" id="s837" data-sgid="Line 2" style="z-index:3;left:6.97px;top:76.51px;width:945.74px;height:2.87px" data-pointer-events="none"> <img class="sg" src="C6FDB77F946x3.png" id="s837_i" style="z-index:1;left:0px;top:0px;width:945.74px;height:1.87px" > </div> <div class="sg" id="s835" data-sgid="Rectangle 4" style="z-index:1;left:6.97px;top:79.74px;width:944.66px;height:436.99px" data-valign="top"> <div id="s835_t" class="sg" style="z-index:2;left:-18.61px;top:-12.45px;width:963.27px;height:449.45px;"><div><p para="{bl:{ch:8226},spbf:11.25}"><span data-textwidth="294.66" class="sg nowrap f7" style="z-index:2;color:#FFFF33;font-weight:bold; font-size:200%; left:21.36px;top:19.33px;">•<span class="f3" style="font-size:133%; "> Inspiratory CT</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="686.27" class="sg nowrap f7" style="z-index:4;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:87.22px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>scattered nodules, lower lobe predominant</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="319.13" class="sg nowrap f7" style="z-index:6;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:143.40px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>mosaic attenuation</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="404.22" class="sg nowrap f7" style="z-index:8;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:199.57px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>bronchial wall thickening</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="318.89" class="sg nowrap f7" style="z-index:10;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:255.86px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>mild bronchiectasis</span></span></p><p para="{bl:{ch:8226},spbf:11.25}"><span data-textwidth="282.77" class="sg nowrap f7" style="z-index:12;color:#FFFF33;font-weight:bold; font-size:200%; left:21.36px;top:312.91px;">•<span class="f3" style="font-size:133%; "> Expiratory CT</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="203.55" class="sg nowrap f7" style="z-index:14;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:380.69px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>air-trapping</span></span></p></div></div></div>
<div class="sg" id="s839" data-sgid="Rectangle 3" style="z-index:2;left:0.00px;top:-0.48px;width:960.38px;height:78.78px" data-valign="middle"> <div id="s839_t" class="sg" style="z-index:2;left:0.00px;top:-17.39px;width:960.38px;height:124.26px;"><div><p para="{al:2}"><span data-textwidth="478.16" class="sg nowrap f1" style="z-index:2;color:#FAFD00;font-weight:bold; font-size:328%; left:241.48px;top:24.15px;">DIPNECH Syndrome</span></p></div></div></div> <div class="sg" id="s840" data-sgid="Line 2" style="z-index:3;left:6.97px;top:76.51px;width:945.74px;height:2.87px" data-pointer-events="none"> <img class="sg" src="C6FDB77F946x3.png" id="s840_i" style="z-index:1;left:0px;top:0px;width:945.74px;height:1.87px" > </div> <div class="sg" id="s838" data-sgid="Rectangle 4" style="z-index:1;left:6.97px;top:79.74px;width:944.66px;height:436.99px" data-valign="top"> <div id="s838_t" class="sg" style="z-index:2;left:-18.61px;top:-12.45px;width:963.27px;height:449.45px;"><div><p para="{bl:{ch:8226},spbf:11.25}"><span data-textwidth="203.68" class="sg nowrap f7" style="z-index:2;color:#FFFF33;font-weight:bold; font-size:200%; left:21.36px;top:19.33px;">•<span class="f3" style="font-size:133%; "> Outcome</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="318.17" class="sg nowrap f7" style="z-index:4;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:87.22px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>most remain stable</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="629.50" class="sg nowrap f7" style="z-index:6;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:143.40px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>small number progressive deterioration</span></span></p><p para="{bl:{ch:8226},spbf:11.25}"><span data-textwidth="229.36" class="sg nowrap f7" style="z-index:8;color:#FFFF33;font-weight:bold; font-size:200%; left:21.36px;top:200.45px;">•<span class="f3" style="font-size:133%; "> Treatment</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="373.02" class="sg nowrap f7" style="z-index:10;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:268.22px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>inhaled corticosteroids</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="349.85" class="sg nowrap f7" style="z-index:12;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:324.40px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>somatostatin analogs</span></span></p><p para="{in:3,bl:{ch:8226},spbf:11.25}"><span data-textwidth="161.18" class="sg nowrap f7" style="z-index:14;color:#FAFD00;font-weight:bold; font-size:156%; left:47.41px;top:380.69px;">•<span class="f3" style="font-size:136%; color:#FFFFFF;"><span style="letter-spacing:4.44px"> </span>sirolimus</span></span></p></div></div></div>
<div class="sg sgTitle" id="s841" data-sgid="Title 1" style="z-index:1;left:51.09px;top:28.17px;width:403.84px;height:134.07px" data-valign="middle" data-pointer-events="none"> <div id="s841_t" class="sg" style="z-index:2;left:-19.17px;top:0.00px;width:423.01px;height:134.07px;"><div><p><span data-textwidth="200.43" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:26.89px;top:42.48px;">References</span></p></div></div></div> <div class="sg" id="s842" data-sgid="Straight Arrow Connector 70" style="z-index:2;left:50.01px;top:180.60px;width:362.95px;height:3.12px" data-pointer-events="none"> <img class="sg" src="6313ABC0363x3.png" id="s842_i" style="z-index:1;left:0px;top:0px;width:362.95px;height:3.12px" > </div> <div class="sg" id="s844" data-sgid="Picture 2" style="z-index:4;left:462.15px;top:-0.48px;width:497.75px;height:540.48px"> <img class="sg" src="365987A7.png" id="s844_i" title="" alt="Image result for DIPNECH" style="z-index:1;left:0px;top:0px;width:497.75px;height:540.48px" > </div> <div class="sg" id="s843" data-sgid="Content Placeholder 2" style="z-index:3;left:51.09px;top:202.07px;width:403.84px;height:273.42px" data-valign="top" data-pointer-events="none"> <div id="s843_t" class="sg" style="z-index:2;left:-3.71px;top:-3.97px;width:407.55px;height:277.39px;"><div><p para="{spbf:10.00}"><span data-textwidth="258.89" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.43px;top:7.83px;">N Engl J Med 1992: 327: 1285-1288</span></p><p para="{spbf:10.00}"><span data-textwidth="308.45" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;left:11.43px;top:37.35px;">Am J Respir Crit <span class="f5" style="font-style:italic; ">Care</span> Med 2011; 184: 8-16</span></p><p para="{spbf:10.00}"><span data-textwidth="238.72" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;left:11.43px;top:66.76px;">Clin Nucl Med 2016;41: 239–240</span></p><p para="{spbf:10.00}"><span data-textwidth="357.42" class="sg nowrap f3" style="z-index:13;color:#FFFFFF;left:11.43px;top:96.16px;">Am J Respir Crit Care Med 2018; 198: 1223–1225</span></p></div></div></div>
<div class="sg" id="s845" data-sgid="Subtitle 2" style="z-index:1;left:0.00px;top:136.96px;width:960.38px;height:265.62px" data-valign="top"> <div id="s845_t" class="sg" style="z-index:2;left:0.00px;top:-22.32px;width:960.38px;height:317.08px;"><div><p para="{al:2,spbf:12.08}"><span data-textwidth="268.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:352.38px;top:22.67px;">2019 RSNA </span></p><p para="{al:2,spbf:12.08}"><span data-textwidth="675.71" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:142.70px;top:95.41px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:12.08}"><span data-textwidth="149.78" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:405.67px;top:220.71px;">Breast</span></p></div></div></div>
<div class="sg sgTitle" id="s846" 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="s846_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="210.64" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:28.08px;">Breast Case</span></p></div></div></div> <div class="sg" id="s847" 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="s847_t" class="sg" style="z-index:2;left:-10.79px;top:-9.93px;width:839.25px;height:353.16px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="11.28" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.52px;top:14.34px;">•</span><span data-textwidth="270.05" class="sg nowrap f4" style="z-index:3;color:#FFFFFF;font-size:178%; left:108.54px;top:14.34px;">45 year old woman</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="11.28" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:178%; left:18.52px;top:58.99px;">•</span><span data-textwidth="341.10" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-size:178%; left:108.54px;top:58.99px;">Screening mammogram</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="11.28" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:178%; left:18.52px;top:103.52px;">•</span><span data-textwidth="312.77" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:178%; left:108.54px;top:103.52px;">No remarkable history</span></p></div></div></div>
<div class="sg" id="s853" data-sgid="Retângulo Arredondado 12" style="z-index:6;left:36.70px;top:36.09px;width:94.50px;height:50.27px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="6E3BBB7594x50.png" id="s853_i" style="z-index:1;left:0px;top:0px;width:94.50px;height:50.27px" > <div id="s853_t" class="sg" style="z-index:2;left:3.23px;top:1.44px;width:88.05px;height:43.77px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.40px;top:14.72px;">08.2015</span></p></div></div></div> <div class="sg" id="s849" data-sgid="Imagem 8" style="z-index:2;left:475.09px;top:56.74px;width:180.88px;height:399.21px"> <img class="sg" src="909ED0C2.jpg" id="s849_i" style="z-index:1;left:0px;top:0px;width:180.88px;height:399.21px" > </div> <div class="sg" id="s850" data-sgid="Imagem 9" style="z-index:3;left:658.01px;top:56.85px;width:175.47px;height:399.09px"> <img class="sg" src="85AAE25.jpg" id="s850_i" style="z-index:1;left:0px;top:0px;width:175.47px;height:399.09px" > </div> <div class="sg" id="s852" data-sgid="Imagem 11" style="z-index:5;left:91.16px;top:92.45px;width:185.18px;height:351.01px"> <img class="sg" src="9DB26776.jpg" id="s852_i" style="z-index:1;left:0px;top:0px;width:185.18px;height:351.01px" > </div> <div class="sg" id="s851" data-sgid="Imagem 10" style="z-index:4;left:271.56px;top:99.29px;width:193.45px;height:337.36px"> <img class="sg" src="9F03D8E0.jpg" id="s851_i" style="z-index:1;left:0px;top:0px;width:193.45px;height:337.36px" > </div> <div class="sg" id="s854" data-sgid="Retângulo Arredondado 13" style="z-index:7;left:277.79px;top:453.42px;width:395.68px;height:80.71px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="3DE34DDB.png" id="s854_i" style="z-index:1;left:0px;top:0px;width:395.68px;height:80.71px" > <div id="s854_t" class="sg" style="z-index:2;left:3.23px;top:1.45px;width:389.23px;height:74.35px;"><div><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="338.93" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:11.71px;top:20.72px;">•<span style="letter-spacing:12.48px"> </span>45 year old woman, screening mammogram.</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="184.59" class="sg nowrap f4" style="z-index:11;color:#FFFFFF;font-size:89%; left:11.71px;top:39.92px;">•<span style="letter-spacing:12.48px"> </span>No contributing history.</span></p></div></div></div> <div class="sg" id="s848" data-sgid="Imagem 4" style="z-index:1;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s848_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s858" data-sgid="Retângulo Arredondado 9" style="z-index:4;left:36.70px;top:36.09px;width:94.50px;height:50.27px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="6E3BBB7594x50.png" id="s858_i" style="z-index:1;left:0px;top:0px;width:94.50px;height:50.27px" > <div id="s858_t" class="sg" style="z-index:2;left:3.23px;top:1.44px;width:88.05px;height:43.77px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.40px;top:14.72px;">08.2015</span></p></div></div></div> <div class="sg" id="s856" data-sgid="Retângulo Arredondado 5" style="z-index:2;left:517.80px;top:107.69px;width:412.84px;height:166.70px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="5EC98823.png" id="s856_i" style="z-index:1;left:0px;top:0px;width:412.84px;height:166.70px" > <div id="s856_t" class="sg" style="z-index:2;left:3.23px;top:1.33px;width:406.36px;height:160.31px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="363.30" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:16.06px;top:34.69px;">•<span style="letter-spacing:12.48px"> </span>Screening US demonstrates a right retroareolar </span><span data-textwidth="306.29" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:89%; left:38.62px;top:53.90px;">intraductal mass with increased vascularity.</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="317.45" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:89%; left:16.06px;top:92.30px;">•<span style="letter-spacing:12.48px"> </span>Patient underwent US-guided core biopsy</span><span data-textwidth="234.52" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-size:89%; left:38.62px;top:111.51px;">yielding a diagnosis of papilloma.</span></p></div></div></div> <div class="sg" id="s855" data-sgid="Imagem 4" style="z-index:1;left:41.38px;top:109.25px;width:464.90px;height:377.53px"> <img class="sg" src="603E179D.jpg" id="s855_i" style="z-index:1;left:0px;top:0px;width:464.90px;height:377.53px" > </div> <div class="sg" id="s857" data-sgid="Imagem 6" style="z-index:3;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s857_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s861" data-sgid="Retângulo Arredondado 6" style="z-index:3;left:40.78px;top:37.53px;width:865.99px;height:118.72px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="1A3BBBEB.png" id="s861_i" style="z-index:1;left:0px;top:0px;width:865.99px;height:118.72px" > <div id="s861_t" class="sg" style="z-index:2;left:3.23px;top:1.34px;width:859.50px;height:112.48px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="819.13" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:13.36px;top:20.22px;">•<span style="letter-spacing:12.48px"> </span>Subsequently, patient developed an infection at the biopsy site, was treated with antibiotics, and the redness and</span><span data-textwidth="152.91" class="sg nowrap f4" style="z-index:22;color:#FFFFFF;font-size:89%; left:35.92px;top:39.43px;">tenderness resolved. </span></p><p para="{bl:{ch:8226}}"><span data-textwidth="544.77" class="sg nowrap f4" style="z-index:25;color:#FFFFFF;font-size:89%; left:13.36px;top:58.63px;">•<span style="letter-spacing:12.24px"> </span>After 2 months, patient continued to feel swelling in the upper right breast.</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="235.60" class="sg nowrap f4" style="z-index:41;color:#FFFFFF;font-size:89%; left:13.36px;top:77.84px;">•<span style="letter-spacing:12.24px"> </span>An ultrasound was performed.</span></p></div></div></div> <div class="sg" id="s859" data-sgid="Imagem 4" style="z-index:1;left:483.84px;top:172.09px;width:368.24px;height:298.72px"> <img class="sg" src="C9B4D96D.jpg" id="s859_i" style="z-index:1;left:0px;top:0px;width:368.24px;height:298.72px" > </div> <div class="sg" id="s860" data-sgid="Imagem 5" style="z-index:2;left:102.80px;top:176.65px;width:370.62px;height:289.84px"> <img class="sg" src="9034EF43.jpg" id="s860_i" style="z-index:1;left:0px;top:0px;width:370.62px;height:289.84px" > </div> <div class="sg" id="s863" data-sgid="Retângulo Arredondado 9" style="z-index:5;left:423.52px;top:477.30px;width:94.50px;height:50.24px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="630E291B94x50.png" id="s863_i" style="z-index:1;left:0px;top:0px;width:94.50px;height:50.24px" > <div id="s863_t" class="sg" style="z-index:2;left:3.23px;top:1.42px;width:88.05px;height:43.77px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.52px;top:15.11px;">10.2015</span></p></div></div></div> <div class="sg" id="s862" data-sgid="Imagem 7" style="z-index:4;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s862_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s868" data-sgid="Retângulo Arredondado 12" style="z-index:5;left:17.98px;top:20.51px;width:94.53px;height:50.24px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="AF0E35DB95x50.png" id="s868_i" style="z-index:1;left:0px;top:0px;width:94.53px;height:50.24px" > <div id="s868_t" class="sg" style="z-index:2;left:3.26px;top:1.31px;width:87.90px;height:43.91px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.25px;top:14.83px;">10.2015</span></p></div></div></div> <div class="sg" id="s864" data-sgid="Imagem 8" style="z-index:1;left:442.69px;top:39.69px;width:246.86px;height:413.99px"> <img class="sg" src="CA55C2F9.jpg" id="s864_i" style="z-index:1;left:0px;top:0px;width:246.86px;height:413.99px" > </div> <div class="sg" id="s865" data-sgid="Imagem 10" style="z-index:2;left:188.78px;top:37.79px;width:234.37px;height:431.83px"> <img class="sg" src="6E636671.jpg" id="s865_i" style="z-index:1;left:0px;top:0px;width:234.37px;height:431.83px" > </div> <div class="sg" id="s867" data-sgid="Retângulo Arredondado 6" style="z-index:4;left:292.77px;top:474.41px;width:369.69px;height:59.38px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="9CC86011370x59.png" id="s867_i" style="z-index:1;left:0px;top:0px;width:369.69px;height:59.38px" > <div id="s867_t" class="sg" style="z-index:2;left:3.26px;top:1.45px;width:363.17px;height:52.88px;"><div><p para="{al:2}"><span data-textwidth="258.52" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:52.63px;top:16.57px;">A second biopsy was performed</span></p></div></div></div> <div class="sg" id="s866" data-sgid="Imagem 5" style="z-index:3;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s866_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s876" data-sgid="Retângulo Arredondado 12" style="z-index:8;left:17.98px;top:20.51px;width:94.53px;height:50.24px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="AF0E35DB95x50.png" id="s876_i" style="z-index:1;left:0px;top:0px;width:94.53px;height:50.24px" > <div id="s876_t" class="sg" style="z-index:2;left:3.26px;top:1.31px;width:87.90px;height:43.91px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.25px;top:14.83px;">12.2015</span></p></div></div></div> <div class="sg" id="s871" data-sgid="Imagem 7" style="z-index:3;left:712.47px;top:69.08px;width:208.94px;height:228.57px"> <img class="sg" src="C0688C23.jpg" id="s871_i" style="z-index:1;left:0px;top:0px;width:208.94px;height:228.57px" > </div> <div class="sg" id="s872" data-sgid="Imagem 8" style="z-index:4;left:337.51px;top:69.08px;width:194.07px;height:228.57px"> <img class="sg" src="CF64AD69.jpg" id="s872_i" style="z-index:1;left:0px;top:0px;width:194.07px;height:228.57px" > </div> <div class="sg" id="s870" data-sgid="Imagem 6" style="z-index:2;left:530.74px;top:69.08px;width:182.55px;height:228.57px"> <img class="sg" src="250D8D07.jpg" id="s870_i" style="z-index:1;left:0px;top:0px;width:182.55px;height:228.57px" > </div> <div class="sg" id="s869" data-sgid="Imagem 5" style="z-index:1;left:43.05px;top:120.99px;width:295.32px;height:176.65px"> <img class="sg" src="1FE3CF3E.jpg" id="s869_i" style="z-index:1;left:0px;top:0px;width:295.32px;height:176.65px" > </div> <div class="sg" id="s873" data-sgid="Imagem 21" style="z-index:5;left:122.34px;top:296.82px;width:324.32px;height:202.04px"> <img class="sg" src="BFA214F9.jpg" id="s873_i" style="z-index:1;left:0px;top:0px;width:324.32px;height:202.04px" > </div> <div class="sg" id="s874" data-sgid="Imagem 25" style="z-index:6;left:440.80px;top:349.45px;width:357.31px;height:149.42px"> <img class="sg" src="B319B590.jpg" id="s874_i" style="z-index:1;left:0px;top:0px;width:357.31px;height:149.42px" > </div> <div class="sg" id="s875" data-sgid="Imagem 9" style="z-index:7;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s875_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s886" data-sgid="Retângulo Arredondado 21" style="z-index:10;left:17.98px;top:20.51px;width:94.53px;height:50.24px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="AF0E35DB95x50.png" id="s886_i" style="z-index:1;left:0px;top:0px;width:94.53px;height:50.24px" > <div id="s886_t" class="sg" style="z-index:2;left:3.26px;top:1.31px;width:87.90px;height:43.91px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.25px;top:14.83px;">12.2015</span></p></div></div></div> <div class="sg" id="s878" data-sgid="Imagem 16" style="z-index:2;left:40.19px;top:85.50px;width:294.58px;height:176.06px"> <img class="sg" src="2170E373.jpg" id="s878_i" style="z-index:1;left:0px;top:0px;width:294.58px;height:176.06px" > </div> <div class="sg" id="s879" data-sgid="Imagem 19" style="z-index:3;left:330.43px;top:85.50px;width:285.72px;height:176.06px"> <img class="sg" src="2CEA3C6A.jpg" id="s879_i" style="z-index:1;left:0px;top:0px;width:285.72px;height:176.06px" > </div> <div class="sg" id="s877" data-sgid="Imagem 14" style="z-index:1;left:615.19px;top:85.50px;width:297.92px;height:176.06px"> <img class="sg" src="16E7F287.jpg" id="s877_i" style="z-index:1;left:0px;top:0px;width:297.92px;height:176.06px" > </div> <div class="sg" id="s882" data-sgid="Imagem 15" style="z-index:6;left:611.71px;top:270.44px;width:296.37px;height:189.70px"> <img class="sg" src="245ED775.jpg" id="s882_i" style="z-index:1;left:0px;top:0px;width:296.37px;height:189.70px" > </div> <div class="sg" id="s880" data-sgid="Imagem 2" style="z-index:4;left:311.49px;top:274.50px;width:304.66px;height:189.62px"> <img class="sg" src="D6D45A1A.png" id="s880_i" style="z-index:1;left:0px;top:0px;width:304.66px;height:189.62px" > </div> <div class="sg" id="s881" data-sgid="Imagem 11" style="z-index:5;left:41.38px;top:274.75px;width:293.39px;height:189.36px"> <img class="sg" src="3B59494.jpg" id="s881_i" style="z-index:1;left:0px;top:0px;width:293.39px;height:189.36px" > </div> <div class="sg" id="s884" data-sgid="CaixaDeTexto 18" style="z-index:8;left:634.02px;top:444.09px;width:94.28px;height:20.26px" data-valign="top"> <div id="s884_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:94.28px;height:22.52px;"><div><p><span data-textwidth="21.00" class="sg nowrap f4" style="z-index:2;font-size:56%; left:8.21px;top:6.29px;">ADC</span></p></div></div></div> <div class="sg" id="s883" data-sgid="CaixaDeTexto 17" style="z-index:7;left:335.59px;top:444.09px;width:35.14px;height:20.26px" data-valign="top"> <div id="s883_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:35.14px;height:22.52px;"><div><p><span data-textwidth="19.80" class="sg nowrap f4" style="z-index:2;font-size:56%; left:7.91px;top:6.29px;">DWI</span></p></div></div></div> <div class="sg" id="s885" data-sgid="Imagem 12" style="z-index:9;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s885_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s895" data-sgid="Retângulo Arredondado 15" style="z-index:9;left:17.98px;top:20.51px;width:94.53px;height:50.24px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="AF0E35DB95x50.png" id="s895_i" style="z-index:1;left:0px;top:0px;width:94.53px;height:50.24px" > <div id="s895_t" class="sg" style="z-index:2;left:3.26px;top:1.31px;width:87.90px;height:43.91px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.25px;top:14.83px;">06.2016</span></p></div></div></div> <div class="sg" id="s887" data-sgid="Imagem 5" style="z-index:1;left:36.93px;top:88.14px;width:295.43px;height:180.74px"> <img class="sg" src="41CDA654.jpg" id="s887_i" style="z-index:1;left:0px;top:0px;width:295.43px;height:180.74px" > </div> <div class="sg" id="s889" data-sgid="Imagem 8" style="z-index:3;left:604.40px;top:95.57px;width:157.34px;height:173.30px"> <img class="sg" src="39543F8F.jpg" id="s889_i" style="z-index:1;left:0px;top:0px;width:157.34px;height:173.30px" > </div> <div class="sg" id="s888" data-sgid="Imagem 7" style="z-index:2;left:761.26px;top:95.57px;width:151.03px;height:173.30px"> <img class="sg" src="1A50C63A.png" id="s888_i" style="z-index:1;left:0px;top:0px;width:151.03px;height:173.30px" > </div> <div class="sg" id="s893" data-sgid="Imagem 10" style="z-index:7;left:327.57px;top:144.03px;width:275.75px;height:131.43px"> <img class="sg" src="95E03E2D.png" id="s893_i" style="z-index:1;left:0px;top:0px;width:275.75px;height:131.43px" > </div> <div class="sg" id="s891" data-sgid="Imagem 11" style="z-index:5;left:351.56px;top:279.89px;width:259.66px;height:177.25px"> <img class="sg" src="3B89D60F.jpg" id="s891_i" style="z-index:1;left:0px;top:0px;width:259.66px;height:177.25px" > </div> <div class="sg" id="s892" data-sgid="Imagem 12" style="z-index:6;left:53.01px;top:273.90px;width:291.10px;height:189.25px"> <img class="sg" src="CCE84A03.jpg" id="s892_i" style="z-index:1;left:0px;top:0px;width:291.10px;height:189.25px" > </div> <div class="sg" id="s890" data-sgid="Imagem 9" style="z-index:4;left:610.37px;top:306.41px;width:264.96px;height:156.74px"> <img class="sg" src="643DA6A8.jpg" id="s890_i" style="z-index:1;left:0px;top:0px;width:264.96px;height:156.74px" > </div> <div class="sg" id="s894" data-sgid="Imagem 13" style="z-index:8;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s894_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s901" data-sgid="Retângulo Arredondado 9" style="z-index:6;left:17.98px;top:20.51px;width:94.53px;height:50.24px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="AF0E35DB95x50.png" id="s901_i" style="z-index:1;left:0px;top:0px;width:94.53px;height:50.24px" > <div id="s901_t" class="sg" style="z-index:2;left:3.26px;top:1.31px;width:87.90px;height:43.91px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.25px;top:14.83px;">06.2016</span></p></div></div></div> <div class="sg" id="s898" data-sgid="Imagem 14" style="z-index:3;left:74.48px;top:63.91px;width:385.49px;height:212.99px"> <img class="sg" src="5B4448E8.jpg" id="s898_i" style="z-index:1;left:0px;top:0px;width:385.49px;height:212.99px" > </div> <div class="sg" id="s896" data-sgid="Imagem 10" style="z-index:1;left:458.78px;top:63.91px;width:370.51px;height:212.99px"> <img class="sg" src="E861F4D6.jpg" id="s896_i" style="z-index:1;left:0px;top:0px;width:370.51px;height:212.99px" > </div> <div class="sg" id="s897" data-sgid="Imagem 12" style="z-index:2;left:458.78px;top:276.43px;width:388.49px;height:216.23px"> <img class="sg" src="90E0E90.jpg" id="s897_i" style="z-index:1;left:0px;top:0px;width:388.49px;height:216.23px" > </div> <div class="sg" id="s899" data-sgid="Imagem 18" style="z-index:4;left:84.08px;top:276.43px;width:375.55px;height:217.53px"> <img class="sg" src="5BE6807F.jpg" id="s899_i" style="z-index:1;left:0px;top:0px;width:375.55px;height:217.53px" > </div> <div class="sg" id="s900" data-sgid="Imagem 11" style="z-index:5;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s900_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s910" data-sgid="Retângulo Arredondado 13" style="z-index:9;left:17.98px;top:20.51px;width:94.53px;height:50.24px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="AF0E35DB95x50.png" id="s910_i" style="z-index:1;left:0px;top:0px;width:94.53px;height:50.24px" > <div id="s910_t" class="sg" style="z-index:2;left:3.26px;top:1.31px;width:87.90px;height:43.91px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.25px;top:14.83px;">12.2016</span></p></div></div></div> <div class="sg" id="s902" data-sgid="Imagem 4" style="z-index:1;left:51.34px;top:94.27px;width:287.50px;height:175.06px"> <img class="sg" src="A18A3BC3.jpg" id="s902_i" style="z-index:1;left:0px;top:0px;width:287.50px;height:175.06px" > </div> <div class="sg" id="s904" data-sgid="Imagem 6" style="z-index:3;left:603.44px;top:114.04px;width:130.61px;height:156.03px"> <img class="sg" src="F2748E9.png" id="s904_i" style="z-index:1;left:0px;top:0px;width:130.61px;height:156.03px" > </div> <div class="sg" id="s903" data-sgid="Imagem 5" style="z-index:2;left:733.20px;top:114.04px;width:125.34px;height:156.03px"> <img class="sg" src="DAABAABD.png" id="s903_i" style="z-index:1;left:0px;top:0px;width:125.34px;height:156.03px" > </div> <div class="sg" id="s905" data-sgid="Imagem 8" style="z-index:4;left:338.85px;top:160.82px;width:259.66px;height:108.51px"> <img class="sg" src="4ACABB88.png" id="s905_i" style="z-index:1;left:0px;top:0px;width:259.66px;height:108.51px" > </div> <div class="sg" id="s907" data-sgid="Imagem 12" style="z-index:6;left:613.63px;top:282.30px;width:288.95px;height:176.06px"> <img class="sg" src="973CADB2.jpg" id="s907_i" style="z-index:1;left:0px;top:0px;width:288.95px;height:176.06px" > </div> <div class="sg" id="s906" data-sgid="Imagem 10" style="z-index:5;left:49.79px;top:285.30px;width:275.86px;height:173.87px"> <img class="sg" src="D3C6E180.jpg" id="s906_i" style="z-index:1;left:0px;top:0px;width:275.86px;height:173.87px" > </div> <div class="sg" id="s908" data-sgid="Imagem 14" style="z-index:7;left:324.69px;top:288.54px;width:283.90px;height:170.64px"> <img class="sg" src="79794363.jpg" id="s908_i" style="z-index:1;left:0px;top:0px;width:283.90px;height:170.64px" > </div> <div class="sg" id="s909" data-sgid="Imagem 20" style="z-index:8;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s909_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s913" data-sgid="Imagem 7" style="z-index:3;left:296.73px;top:157.45px;width:311.49px;height:170.07px"> <img class="sg" src="228FF1C4.jpg" id="s913_i" style="z-index:1;left:0px;top:0px;width:311.49px;height:170.07px" > </div> <div class="sg" id="s912" data-sgid="Imagem 4" style="z-index:2;left:620.09px;top:157.45px;width:314.86px;height:170.07px"> <img class="sg" src="1AA0DA98.jpg" id="s912_i" style="z-index:1;left:0px;top:0px;width:314.86px;height:170.07px" > </div> <div class="sg" id="s911" data-sgid="Imagem 2" style="z-index:1;left:17.50px;top:157.45px;width:271.81px;height:170.07px"> <img class="sg" src="DAA4CF18.png" id="s911_i" style="z-index:1;left:0px;top:0px;width:271.81px;height:170.07px" > </div> <div class="sg" id="s917" data-sgid="Retângulo Arredondado 14" style="z-index:7;left:113.48px;top:343.57px;width:94.39px;height:50.01px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="3A51BDF694x50.png" id="s917_i" style="z-index:1;left:0px;top:0px;width:94.39px;height:50.01px" > <div id="s917_t" class="sg" style="z-index:2;left:3.23px;top:1.34px;width:87.90px;height:43.77px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.31px;top:14.97px;">12.2015</span></p></div></div></div> <div class="sg" id="s916" data-sgid="Retângulo Arredondado 13" style="z-index:6;left:405.28px;top:343.57px;width:94.50px;height:50.01px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="F5DF3C5694x50.png" id="s916_i" style="z-index:1;left:0px;top:0px;width:94.50px;height:50.01px" > <div id="s916_t" class="sg" style="z-index:2;left:3.23px;top:1.34px;width:88.05px;height:43.77px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.52px;top:14.97px;">06.2016</span></p></div></div></div> <div class="sg" id="s915" data-sgid="Retângulo Arredondado 12" style="z-index:5;left:740.39px;top:343.57px;width:94.42px;height:50.01px" data-valign="middle" data-fillcolor="45296"> <img class="sg" src="48042C0894x50.png" id="s915_i" style="z-index:1;left:0px;top:0px;width:94.42px;height:50.01px" > <div id="s915_t" class="sg" style="z-index:2;left:3.26px;top:1.34px;width:87.90px;height:43.77px;"><div><p para="{al:2}"><span data-textwidth="57.73" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:89%; left:15.72px;top:14.97px;">12.2016</span></p></div></div></div> <div class="sg" id="s914" data-sgid="Imagem 8" style="z-index:4;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="A44DB24E945x34.png" id="s914_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s918" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s918_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="411.91" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Breast Case Discussion</span></p></div></div></div>
<div class="sg" id="s923" data-sgid="TextBox 1" style="z-index:5;left:3.00px;top:30.81px;width:952.82px;height:46.89px" data-valign="top"> <div id="s923_t" class="sg" style="z-index:2;left:-7.56px;top:-5.87px;width:967.68px;height:68.11px;"><div><p para="{al:2}"><span data-textwidth="928.60" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:20.04px;top:13.63px;">45 yo woman; no contributory history; bilateral screening mammogram</span></p></div></div></div> <div class="sg" id="s921" data-sgid="Imagem 10" style="z-index:3;left:706.35px;top:78.67px;width:228.48px;height:398.64px"> <img class="sg" src="E6FF28B2.jpg" id="s921_i" style="z-index:1;left:0px;top:0px;width:228.48px;height:398.64px" > </div> <div class="sg" id="s922" data-sgid="Imagem 11" style="z-index:4;left:497.63px;top:78.67px;width:214.47px;height:406.41px"> <img class="sg" src="FA0C3432.jpg" id="s922_i" style="z-index:1;left:0px;top:0px;width:214.47px;height:406.41px" > </div> <div class="sg" id="s920" data-sgid="Imagem 9" style="z-index:2;left:272.63px;top:83.94px;width:195.26px;height:398.16px"> <img class="sg" src="9A0141E0.jpg" id="s920_i" style="z-index:1;left:0px;top:0px;width:195.26px;height:398.16px" > </div> <div class="sg" id="s919" data-sgid="Imagem 8" style="z-index:1;left:69.55px;top:83.94px;width:201.15px;height:398.16px"> <img class="sg" src="E9606610.jpg" id="s919_i" style="z-index:1;left:0px;top:0px;width:201.15px;height:398.16px" > </div> <div class="sg" id="s924" data-sgid="TextBox 6" style="z-index:6;left:141.06px;top:350.52px;width:677.92px;height:163.09px" data-valign="top"> <img class="sg" src="146733A0678x163.png" id="s924_i" style="z-index:1;left:0px;top:0px;width:677.92px;height:163.09px" > <div id="s924_t" class="sg" style="z-index:2;left:-8.75px;top:-5.87px;width:695.53px;height:183.12px;"><div><p para="{al:2}"><span data-textwidth="551.97" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:178%; left:72.08px;top:13.79px;">Density category C heterogeneously dense</span></p><p para="{al:2}"><span data-textwidth="363.42" class="sg nowrap f3" style="z-index:3;color:#FFFF00;font-size:178%; left:166.30px;top:52.20px;">Nonspecific nodular pattern</span></p><p para="{al:2}"><span data-textwidth="656.27" class="sg nowrap f3" style="z-index:4;color:#FFFF00;font-size:178%; left:19.88px;top:90.61px;">No specific mammographic features of malignancy</span></p><p para="{al:2}"><span data-textwidth="523.64" class="sg nowrap f3" style="z-index:5;color:#FFFF00;font-size:178%; left:86.13px;top:129.01px;">BI-RADS assessment category 1 negative</span></p></div></div></div> <div class="sg" id="s925" data-sgid="TextBox 7" style="z-index:7;left:48.09px;top:453.08px;width:54.09px;height:32.37px" data-valign="top"> <div id="s925_t" class="sg" style="z-index:2;left:-4.90px;top:-2.53px;width:63.32px;height:43.04px;"><div><p><span data-textwidth="38.41" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.62px;top:8.63px;">MLO</span></p></div></div></div> <div class="sg" id="s926" data-sgid="TextBox 12" style="z-index:8;left:861.66px;top:453.19px;width:36.96px;height:32.37px" data-valign="top"> <div id="s926_t" class="sg" style="z-index:2;left:-4.79px;top:-2.52px;width:46.19px;height:43.06px;"><div><p><span data-textwidth="21.36" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.16px;top:8.63px;">CC</span></p></div></div></div>
<div class="sg" id="s928" data-sgid="TextBox 1" style="z-index:1;left:32.99px;top:30.81px;width:892.84px;height:46.89px" data-valign="top"> <div id="s928_t" class="sg" style="z-index:2;left:-7.81px;top:-5.87px;width:908.33px;height:68.11px;"><div><p para="{al:2}"><span data-textwidth="869.06" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:20.07px;top:13.63px;">45 yo woman; no contributory history; screening breast ultrasound</span></p></div></div></div> <div class="sg" id="s931" data-sgid="Picture 3" style="z-index:4;left:470.31px;top:91.15px;width:257.03px;height:256.99px"> <img class="sg" src="A4627F96.jpg" id="s931_i" style="z-index:1;left:0px;top:0px;width:257.03px;height:256.99px" > </div> <div class="sg" id="s929" data-sgid="Imagem 4" style="z-index:2;left:56.50px;top:83.83px;width:394.13px;height:271.74px"> <img class="sg" src="B952B3C7.jpg" id="s929_i" style="z-index:1;left:0px;top:0px;width:394.13px;height:271.74px" > </div> <div class="sg" id="s932" data-sgid="Picture 4" style="z-index:5;left:719.18px;top:251.12px;width:240.72px;height:240.68px"> <img class="sg" src="66C2D1F1.jpg" id="s932_i" style="z-index:1;left:0px;top:0px;width:240.72px;height:240.68px" > </div> <div class="sg" id="s930" data-sgid="TextBox 2" style="z-index:3;left:20.02px;top:371.04px;width:460.11px;height:143.80px" data-valign="top"> <div id="s930_t" class="sg" style="z-index:2;left:-9.71px;top:-4.91px;width:469.82px;height:160.82px;"><div><p><span data-textwidth="434.96" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:156%; left:17.41px;top:11.83px;">US: right retroareolar intraductal mass</span></p><p><span data-textwidth="263.21" class="sg nowrap f3" style="z-index:5;color:#FFFF00;font-size:156%; left:17.41px;top:45.44px;">Doppler: hypervascular</span></p><p><span data-textwidth="238.36" class="sg nowrap f3" style="z-index:7;color:#FFFF00;font-size:156%; left:17.41px;top:79.05px;">DDx: papilloma, DCIS</span></p><p><span data-textwidth="241.49" class="sg nowrap f3" style="z-index:8;color:#FFFF00;font-size:156%; left:17.41px;top:112.90px;">US-core <span class="f9" ></span> papilloma</span></p></div></div></div>
<div class="sg" id="s933" data-sgid="TextBox 1" style="z-index:1;left:19.68px;top:30.81px;width:918.86px;height:85.76px" data-valign="top"> <div id="s933_t" class="sg" style="z-index:2;left:-12.01px;top:-5.87px;width:939.99px;height:106.50px;"><div><p><span data-textwidth="901.35" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:19.69px;top:13.63px;">After biopsy…..infection at biopsy site…..treated with antibiotics with </span><span data-textwidth="482.84" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:178%; left:19.69px;top:52.04px;">resolution of redness and tenderness</span></p></div></div></div> <div class="sg" id="s934" data-sgid="TextBox 6" style="z-index:2;left:20.50px;top:116.79px;width:918.89px;height:46.89px" data-valign="top"> <div id="s934_t" class="sg" style="z-index:2;left:-11.98px;top:-5.98px;width:930.87px;height:68.23px;"><div><p><span data-textwidth="823.34" class="sg nowrap f3" style="z-index:2;color:#00B0F0;font-size:178%; left:19.68px;top:13.70px;">Two (2) months <span style="color:#FFFFFF;">later…..persistent swelling in right upper breast</span></span></p></div></div></div> <div class="sg" id="s935" data-sgid="Imagem 5" style="z-index:3;left:36.59px;top:177.96px;width:231.12px;height:225.59px"> <img class="sg" src="EB8DE887.jpg" id="s935_i" style="z-index:1;left:0px;top:0px;width:231.12px;height:225.59px" > </div> <div class="sg" id="s936" data-sgid="Imagem 4" style="z-index:4;left:273.00px;top:177.96px;width:310.27px;height:226.07px"> <img class="sg" src="16F44EF0.jpg" id="s936_i" style="z-index:1;left:0px;top:0px;width:310.27px;height:226.07px" > </div> <div class="sg" id="s937" data-sgid="TextBox 7" style="z-index:5;left:592.76px;top:172.45px;width:320.95px;height:279.40px" data-valign="top"> <div id="s937_t" class="sg" style="z-index:2;left:-9.71px;top:-4.79px;width:339.67px;height:294.64px;"><div><p><span data-textwidth="305.09" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:156%; left:17.77px;top:11.54px;">US: oval hypoechoic mass, </span><span data-textwidth="228.64" class="sg nowrap f3" style="z-index:3;color:#FFFF00;font-size:156%; left:17.77px;top:45.15px;">circumscribed, mild </span><span data-textwidth="267.28" class="sg nowrap f3" style="z-index:4;color:#FFFF00;font-size:156%; left:17.77px;top:78.75px;">posterior enhancement</span></p><p><span data-textwidth="211.00" class="sg nowrap f3" style="z-index:5;color:#FFFF00;font-size:156%; left:17.77px;top:112.36px;">Doppler: avascular</span></p><p><span data-textwidth="285.53" class="sg nowrap f3" style="z-index:6;color:#FFFF00;font-size:156%; left:17.77px;top:145.97px;">DDx: fibroadenoma, cyst </span><span data-textwidth="284.81" class="sg nowrap f3" style="z-index:7;color:#FFFF00;font-size:156%; left:17.77px;top:179.58px;">with debris, cancer, post-</span><span data-textwidth="264.76" class="sg nowrap f3" style="z-index:9;color:#FFFF00;font-size:156%; left:17.77px;top:213.18px;">residual abscess in this </span><span data-textwidth="160.83" class="sg nowrap f3" style="z-index:10;color:#FFFF00;font-size:156%; left:17.77px;top:246.79px;">clinical setting</span></p></div></div></div> <div class="sg" id="s939" data-sgid="TextBox 8" style="z-index:7;left:317.49px;top:403.55px;width:219.73px;height:32.26px" data-valign="top"> <div id="s939_t" class="sg" style="z-index:2;left:-4.93px;top:-2.53px;width:227.55px;height:42.92px;"><div><p><span data-textwidth="202.47" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.81px;top:8.59px;">Right 1:00 4 cm FN radial</span></p></div></div></div> <div class="sg" id="s938" data-sgid="TextBox 2" style="z-index:6;left:26.51px;top:403.55px;width:251.39px;height:32.26px" data-valign="top"> <div id="s938_t" class="sg" style="z-index:2;left:-4.93px;top:-2.53px;width:258.96px;height:42.92px;"><div><p><span data-textwidth="233.55" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.63px;top:8.59px;">Right 1:00 4 cm FN antiradial</span></p></div></div></div>
<div class="sg" id="s943" data-sgid="TextBox 7" style="z-index:4;left:20.50px;top:20.26px;width:918.89px;height:85.65px" data-valign="top"> <div id="s943_t" class="sg" style="z-index:2;left:-11.98px;top:-5.88px;width:942.85px;height:106.38px;"><div><p><span data-textwidth="904.00" class="sg nowrap f3" style="z-index:2;color:#00B0F0;font-size:178%; left:19.68px;top:13.51px;">Two (2) months <span style="color:#FFFFFF;">later…..persistent swelling in right upper breast…..US </span></span><span data-textwidth="595.18" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:178%; left:19.68px;top:51.91px;">shown previously…..second biopsy performed</span></p></div></div></div> <div class="sg" id="s940" data-sgid="Imagem 8" style="z-index:1;left:439.83px;top:88.99px;width:246.83px;height:413.96px"> <img class="sg" src="7846175A.jpg" id="s940_i" style="z-index:1;left:0px;top:0px;width:246.83px;height:413.96px" > </div> <div class="sg" id="s951" data-sgid="Imagem 11" style="z-index:12;left:688.82px;top:95.46px;width:222.85px;height:409.16px"> <img class="sg" src="297982D4.jpg" id="s951_i" style="z-index:1;left:0px;top:0px;width:222.85px;height:409.16px" > </div> <div class="sg" id="s950" data-sgid="Imagem 8 (2)" style="z-index:11;left:26.14px;top:96.77px;width:214.58px;height:415.55px"> <img class="sg" src="BB4FD832.jpg" id="s950_i" style="z-index:1;left:0px;top:0px;width:214.58px;height:415.55px" > </div> <div class="sg" id="s941" data-sgid="Imagem 10" style="z-index:2;left:239.75px;top:96.77px;width:234.37px;height:431.86px"> <img class="sg" src="BF41BFDB.jpg" id="s941_i" style="z-index:1;left:0px;top:0px;width:234.37px;height:431.86px" > </div> <div class="sg" id="s948" data-sgid="Oval 14" style="z-index:9;left:390.30px;top:302.21px;width:29.62px;height:29.13px" data-pointer-events="none"> <img class="sg" src="A9B58C3630x29.png" id="s948_i" style="z-index:1;left:0px;top:0px;width:29.62px;height:29.13px" > </div> <div class="sg" id="s947" data-sgid="Oval 13" style="z-index:8;left:502.67px;top:331.57px;width:29.62px;height:29.02px" data-pointer-events="none"> <img class="sg" src="1759322330x29.png" id="s947_i" style="z-index:1;left:0px;top:0px;width:29.62px;height:29.02px" > </div> <div class="sg" id="s946" data-sgid="Oval 1" style="z-index:7;left:291.35px;top:363.23px;width:29.62px;height:29.16px" data-pointer-events="none"> <img class="sg" src="89C0FE0630x29.png" id="s946_i" style="z-index:1;left:0px;top:0px;width:29.62px;height:29.16px" > </div> <div class="sg" id="s949" data-sgid="Oval 15" style="z-index:10;left:586.64px;top:420.09px;width:29.62px;height:29.02px" data-pointer-events="none"> <img class="sg" src="D0A6011C30x29.png" id="s949_i" style="z-index:1;left:0px;top:0px;width:29.62px;height:29.02px" > </div> <div class="sg" id="s945" data-sgid="TextBox 11" style="z-index:6;left:585.42px;top:495.40px;width:36.96px;height:32.37px" data-valign="top"> <div id="s945_t" class="sg" style="z-index:2;left:-4.67px;top:-2.52px;width:46.19px;height:43.06px;"><div><p><span data-textwidth="21.36" class="sg nowrap f3" style="z-index:2;color:#5190D6;font-size:111%; left:12.87px;top:8.79px;">CC</span></p></div></div></div> <div class="sg" id="s953" data-sgid="TextBox 22" style="z-index:14;left:766.67px;top:495.52px;width:99.54px;height:32.37px" data-valign="top"> <div id="s953_t" class="sg" style="z-index:2;left:-4.93px;top:-2.53px;width:108.32px;height:43.06px;"><div><p><span data-textwidth="83.17" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.11px;top:8.68px;">CC (initial)</span></p></div></div></div> <div class="sg" id="s952" data-sgid="TextBox 21" style="z-index:13;left:93.20px;top:495.63px;width:116.71px;height:32.40px" data-valign="top"> <div id="s952_t" class="sg" style="z-index:2;left:-4.93px;top:-2.38px;width:125.34px;height:42.92px;"><div><p><span data-textwidth="100.22" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.67px;top:8.54px;">MLO (initial)</span></p></div></div></div> <div class="sg" id="s944" data-sgid="TextBox 9" style="z-index:5;left:350.12px;top:495.63px;width:71.11px;height:32.51px" data-valign="top"> <div id="s944_t" class="sg" style="z-index:2;left:-4.93px;top:-2.27px;width:80.26px;height:42.92px;"><div><p><span data-textwidth="54.97" class="sg nowrap f3" style="z-index:2;color:#5190D6;font-size:111%; left:12.83px;top:8.55px;">Lateral</span></p></div></div></div> <div class="sg" id="s942" data-sgid="Imagem 5" style="z-index:3;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="C98E4C35945x34.png" id="s942_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s961" data-sgid="TextBox 10" style="z-index:8;left:20.50px;top:20.26px;width:918.89px;height:46.78px" data-valign="top"> <div id="s961_t" class="sg" style="z-index:2;left:-11.98px;top:-5.88px;width:930.87px;height:68.11px;"><div><p><span data-textwidth="275.69" class="sg nowrap f3" style="z-index:2;color:#00B0F0;font-size:178%; left:19.68px;top:13.51px;">Four (4) months <span style="color:#FFFFFF;">later</span></span></p></div></div></div> <div class="sg" id="s956" data-sgid="Imagem 7" style="z-index:3;left:712.47px;top:69.08px;width:208.94px;height:228.57px"> <img class="sg" src="C3D5C5F5.jpg" id="s956_i" style="z-index:1;left:0px;top:0px;width:208.94px;height:228.57px" > </div> <div class="sg" id="s957" data-sgid="Imagem 8" style="z-index:4;left:337.51px;top:69.08px;width:194.07px;height:228.57px"> <img class="sg" src="CF64AD69.jpg" id="s957_i" style="z-index:1;left:0px;top:0px;width:194.07px;height:228.57px" > </div> <div class="sg" id="s955" data-sgid="Imagem 6" style="z-index:2;left:530.74px;top:69.08px;width:182.55px;height:228.57px"> <img class="sg" src="AAC4C17F.jpg" id="s955_i" style="z-index:1;left:0px;top:0px;width:182.55px;height:228.57px" > </div> <div class="sg" id="s954" data-sgid="Imagem 5" style="z-index:1;left:43.05px;top:120.99px;width:295.32px;height:176.65px"> <img class="sg" src="1FE3CF3E.jpg" id="s954_i" style="z-index:1;left:0px;top:0px;width:295.32px;height:176.65px" > </div> <div class="sg" id="s962" data-sgid="TextBox 11" style="z-index:9;left:174.28px;top:296.20px;width:48.20px;height:32.40px" data-valign="top"> <div id="s962_t" class="sg" style="z-index:2;left:-4.81px;top:-2.50px;width:57.46px;height:42.92px;"><div><p><span data-textwidth="32.53" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.72px;top:8.49px;">MIP</span></p></div></div></div> <div class="sg" id="s963" data-sgid="TextBox 12" style="z-index:10;left:581.83px;top:296.20px;width:110.25px;height:32.40px" data-valign="top"> <div id="s963_t" class="sg" style="z-index:2;left:-4.90px;top:-2.38px;width:118.97px;height:42.92px;"><div><p><span data-textwidth="94.10" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.97px;top:8.37px;">Subtraction</span></p></div></div></div> <div class="sg" id="s958" data-sgid="Imagem 21" style="z-index:5;left:29.14px;top:296.82px;width:324.32px;height:202.04px"> <img class="sg" src="86ED2EAA.jpg" id="s958_i" style="z-index:1;left:0px;top:0px;width:324.32px;height:202.04px" > </div> <div class="sg" id="s959" data-sgid="Imagem 25" style="z-index:6;left:472.57px;top:349.45px;width:357.31px;height:149.42px"> <img class="sg" src="306612AA.jpg" id="s959_i" style="z-index:1;left:0px;top:0px;width:357.31px;height:149.42px" > </div> <div class="sg" id="s964" data-sgid="TextBox 13" style="z-index:11;left:145.00px;top:494.07px;width:110.36px;height:32.40px" data-valign="top"> <div id="s964_t" class="sg" style="z-index:2;left:-4.68px;top:-2.50px;width:119.00px;height:42.92px;"><div><p><span data-textwidth="94.10" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.59px;top:8.66px;">Subtraction</span></p></div></div></div> <div class="sg" id="s965" data-sgid="TextBox 14" style="z-index:12;left:648.29px;top:495.40px;width:35.48px;height:32.37px" data-valign="top"> <div id="s965_t" class="sg" style="z-index:2;left:-4.81px;top:-2.52px;width:44.86px;height:43.06px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.03px;top:8.67px;">T1</span></p></div></div></div> <div class="sg" id="s960" data-sgid="Imagem 9" style="z-index:7;left:11.87px;top:501.76px;width:944.55px;height:34.04px"> <img class="sg" src="C98E4C35945x34.png" id="s960_i" style="z-index:1;left:0px;top:0px;width:944.55px;height:34.04px" > </div>
<div class="sg" id="s974" data-sgid="TextBox 10" style="z-index:9;left:20.50px;top:20.26px;width:918.89px;height:46.78px" data-valign="top"> <div id="s974_t" class="sg" style="z-index:2;left:-11.98px;top:-5.88px;width:930.87px;height:68.11px;"><div><p><span data-textwidth="275.69" class="sg nowrap f3" style="z-index:2;color:#00B0F0;font-size:178%; left:19.68px;top:13.51px;">Four (4) months <span style="color:#FFFFFF;">later</span></span></p></div></div></div> <div class="sg" id="s977" data-sgid="Straight Arrow Connector 20" style="z-index:12;left:692.67px;top:116.09px;width:31.07px;height:19.06px" data-pointer-events="none"> <img class="sg" src="906C6C1031x19.png" id="s977_i" style="z-index:1;left:0px;top:0px;width:31.07px;height:19.06px" > </div> <div class="sg" id="s976" data-sgid="Straight Arrow Connector 13" style="z-index:11;left:391.72px;top:124.85px;width:31.07px;height:19.06px" data-pointer-events="none"> <img class="sg" src="24A75FF31x19.png" id="s976_i" style="z-index:1;left:0px;top:0px;width:31.07px;height:19.06px" > </div> <div class="sg" id="s975" data-sgid="Straight Arrow Connector 3" style="z-index:10;left:91.87px;top:124.96px;width:31.07px;height:19.06px" data-pointer-events="none"> <img class="sg" src="1B7D827431x19.png" id="s975_i" style="z-index:1;left:0px;top:0px;width:31.07px;height:19.06px" > </div> <div class="sg" id="s968" data-sgid="Imagem 2" style="z-index:3;left:629.21px;top:71.94px;width:304.55px;height:189.73px"> <img class="sg" src="FFEEC8B9.png" id="s968_i" style="z-index:1;left:0px;top:0px;width:304.55px;height:189.73px" > </div> <div class="sg" id="s966" data-sgid="Imagem 16" style="z-index:1;left:40.19px;top:85.50px;width:294.58px;height:176.06px"> <img class="sg" src="961D6892.jpg" id="s966_i" style="z-index:1;left:0px;top:0px;width:294.58px;height:176.06px" > </div> <div class="sg" id="s973" data-sgid="Imagem 14" style="z-index:8;left:340.88px;top:85.50px;width:297.70px;height:176.06px"> <img class="sg" src="DD7464DB.jpg" id="s973_i" style="z-index:1;left:0px;top:0px;width:297.70px;height:176.06px" > </div> <div class="sg" id="s983" data-sgid="TextBox 25" style="z-index:18;left:416.44px;top:255.91px;width:137.69px;height:32.37px" data-valign="top"> <div id="s983_t" class="sg" style="z-index:2;left:-4.93px;top:-2.41px;width:146.21px;height:42.95px;"><div><p><span data-textwidth="121.22" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.88px;top:8.48px;">Pre gad GRE FS</span></p></div></div></div> <div class="sg" id="s985" data-sgid="TextBox 27" style="z-index:20;left:174.87px;top:256.03px;width:35.51px;height:32.40px" data-valign="top"> <div id="s985_t" class="sg" style="z-index:2;left:-4.78px;top:-2.38px;width:44.86px;height:42.92px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.70px;top:8.45px;">T1</span></p></div></div></div> <div class="sg" id="s981" data-sgid="TextBox 1" style="z-index:16;left:760.55px;top:256.51px;width:50.61px;height:32.26px" data-valign="top"> <div id="s981_t" class="sg" style="z-index:2;left:-4.92px;top:-2.38px;width:59.87px;height:42.92px;"><div><p><span data-textwidth="35.17" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.98px;top:8.33px;">DWI</span></p></div></div></div> <div class="sg" id="s979" data-sgid="Straight Arrow Connector 23" style="z-index:14;left:391.60px;top:321.65px;width:31.07px;height:19.18px" data-pointer-events="none"> <img class="sg" src="EE8360CD31x19.png" id="s979_i" style="z-index:1;left:0px;top:0px;width:31.07px;height:19.18px" > </div> <div class="sg" id="s980" data-sgid="Straight Arrow Connector 24" style="z-index:15;left:91.64px;top:322.72px;width:31.07px;height:19.06px" data-pointer-events="none"> <img class="sg" src="1C75151131x19.png" id="s980_i" style="z-index:1;left:0px;top:0px;width:31.07px;height:19.06px" > </div> <div class="sg" id="s978" data-sgid="Straight Arrow Connector 22" style="z-index:13;left:692.56px;top:328.48px;width:31.07px;height:19.06px" data-pointer-events="none"> <img class="sg" src="C0056ED831x19.png" id="s978_i" style="z-index:1;left:0px;top:0px;width:31.07px;height:19.06px" > </div> <div class="sg" id="s969" data-sgid="Imagem 11" style="z-index:4;left:339.19px;top:274.75px;width:293.39px;height:189.36px"> <img class="sg" src="8F9FF549.jpg" id="s969_i" style="z-index:1;left:0px;top:0px;width:293.39px;height:189.36px" > </div> <div class="sg" id="s970" data-sgid="Imagem 15" style="z-index:5;left:635.21px;top:275.09px;width:296.39px;height:189.62px"> <img class="sg" src="803D34E7.jpg" id="s970_i" style="z-index:1;left:0px;top:0px;width:296.39px;height:189.62px" > </div> <div class="sg" id="s967" data-sgid="Imagem 19" style="z-index:2;left:47.27px;top:286.01px;width:285.58px;height:176.28px"> <img class="sg" src="9FAD1ECF.jpg" id="s967_i" style="z-index:1;left:0px;top:0px;width:285.58px;height:176.28px" > </div> <div class="sg" id="s972" data-sgid="CaixaDeTexto 18" style="z-index:7;left:634.02px;top:444.09px;width:94.28px;height:20.26px" data-valign="top"> <div id="s972_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:94.28px;height:22.52px;"><div><p><span data-textwidth="21.00" class="sg nowrap f4" style="z-index:2;font-size:56%; left:8.21px;top:6.29px;">ADC</span></p></div></div></div> <div class="sg" id="s971" data-sgid="CaixaDeTexto 17" style="z-index:6;left:335.59px;top:444.09px;width:35.14px;height:20.26px" data-valign="top"> <div id="s971_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:35.14px;height:22.52px;"><div><p><span data-textwidth="19.80" class="sg nowrap f4" style="z-index:2;font-size:56%; left:7.91px;top:6.29px;">DWI</span></p></div></div></div> <div class="sg" id="s986" data-sgid="TextBox 28" style="z-index:21;left:175.72px;top:460.85px;width:35.37px;height:32.40px" data-valign="top"> <div id="s986_t" class="sg" style="z-index:2;left:-4.92px;top:-2.50px;width:44.86px;height:42.92px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.71px;top:8.63px;">T2</span></p></div></div></div> <div class="sg" id="s984" data-sgid="TextBox 26" style="z-index:19;left:416.55px;top:463.86px;width:145.62px;height:32.37px" data-valign="top"> <div id="s984_t" class="sg" style="z-index:2;left:-4.89px;top:-2.53px;width:154.00px;height:42.95px;"><div><p><span data-textwidth="129.02" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.85px;top:8.65px;">Post gad GRE FS</span></p></div></div></div> <div class="sg" id="s982" data-sgid="TextBox 21" style="z-index:17;left:761.40px;top:464.11px;width:50.24px;height:32.37px" data-valign="top"> <div id="s982_t" class="sg" style="z-index:2;left:-4.92px;top:-2.52px;width:59.50px;height:42.92px;"><div><p><span data-textwidth="34.69" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.09px;top:8.63px;">ADC</span></p></div></div></div>
<div class="sg" id="s991" data-sgid="TextBox 6" style="z-index:5;left:20.50px;top:20.26px;width:918.89px;height:46.78px" data-valign="top"> <div id="s991_t" class="sg" style="z-index:2;left:-11.98px;top:-5.88px;width:930.87px;height:68.11px;"><div><p><span data-textwidth="278.33" class="sg nowrap f3" style="z-index:2;color:#00B0F0;font-size:178%; left:19.68px;top:13.51px;">Ten (10) months <span style="color:#FFFFFF;">later</span></span></p></div></div></div> <div class="sg" id="s989" data-sgid="Imagem 14" style="z-index:3;left:74.48px;top:63.91px;width:385.49px;height:212.99px"> <img class="sg" src="8D64F6DF.jpg" id="s989_i" style="z-index:1;left:0px;top:0px;width:385.49px;height:212.99px" > </div> <div class="sg" id="s987" data-sgid="Imagem 10" style="z-index:1;left:458.78px;top:63.91px;width:370.51px;height:212.99px"> <img class="sg" src="CECF8CDD.jpg" id="s987_i" style="z-index:1;left:0px;top:0px;width:370.51px;height:212.99px" > </div> <div class="sg" id="s995" data-sgid="TextBox 11" style="z-index:9;left:585.91px;top:275.35px;width:137.83px;height:32.37px" data-valign="top"> <div id="s995_t" class="sg" style="z-index:2;left:-4.79px;top:-2.41px;width:146.21px;height:42.95px;"><div><p><span data-textwidth="121.22" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.98px;top:8.36px;">Pre gad GRE FS</span></p></div></div></div> <div class="sg" id="s992" data-sgid="TextBox 7" style="z-index:6;left:243.72px;top:276.06px;width:35.51px;height:32.40px" data-valign="top"> <div id="s992_t" class="sg" style="z-index:2;left:-4.79px;top:-2.39px;width:44.86px;height:43.04px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.75px;top:8.47px;">T1</span></p></div></div></div> <div class="sg" id="s988" data-sgid="Imagem 12" style="z-index:2;left:458.78px;top:276.43px;width:388.49px;height:216.23px"> <img class="sg" src="679EC33E.jpg" id="s988_i" style="z-index:1;left:0px;top:0px;width:388.49px;height:216.23px" > </div> <div class="sg" id="s990" data-sgid="Imagem 18" style="z-index:4;left:84.08px;top:276.43px;width:375.55px;height:217.53px"> <img class="sg" src="A14EE662.jpg" id="s990_i" style="z-index:1;left:0px;top:0px;width:375.55px;height:217.53px" > </div> <div class="sg" id="s993" data-sgid="TextBox 8" style="z-index:7;left:244.57px;top:485.82px;width:35.37px;height:32.37px" data-valign="top"> <div id="s993_t" class="sg" style="z-index:2;left:-4.93px;top:-2.53px;width:44.86px;height:43.04px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.76px;top:8.66px;">T2</span></p></div></div></div> <div class="sg" id="s994" data-sgid="TextBox 9" style="z-index:8;left:607.63px;top:485.93px;width:110.22px;height:32.37px" data-valign="top"> <div id="s994_t" class="sg" style="z-index:2;left:-4.93px;top:-2.53px;width:119.00px;height:43.06px;"><div><p><span data-textwidth="94.10" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.00px;top:8.67px;">Subtraction</span></p></div></div></div>
<div class="sg" id="s1003" data-sgid="TextBox 13" style="z-index:8;left:20.50px;top:20.26px;width:918.89px;height:46.78px" data-valign="top"> <div id="s1003_t" class="sg" style="z-index:2;left:-11.98px;top:-5.88px;width:930.87px;height:68.11px;"><div><p><span data-textwidth="278.33" class="sg nowrap f3" style="z-index:2;color:#00B0F0;font-size:178%; left:19.68px;top:13.51px;">Ten (10) months <span style="color:#FFFFFF;">later</span></span></p></div></div></div> <div class="sg" id="s996" data-sgid="Imagem 5" style="z-index:1;left:36.93px;top:88.14px;width:295.43px;height:180.74px"> <img class="sg" src="41CDA654.jpg" id="s996_i" style="z-index:1;left:0px;top:0px;width:295.43px;height:180.74px" > </div> <div class="sg" id="s998" data-sgid="Imagem 8" style="z-index:3;left:604.40px;top:95.57px;width:157.34px;height:173.30px"> <img class="sg" src="39543F8F.jpg" id="s998_i" style="z-index:1;left:0px;top:0px;width:157.34px;height:173.30px" > </div> <div class="sg" id="s997" data-sgid="Imagem 7" style="z-index:2;left:761.26px;top:95.57px;width:151.03px;height:173.30px"> <img class="sg" src="DEF0FACD.png" id="s997_i" style="z-index:1;left:0px;top:0px;width:151.03px;height:173.30px" > </div> <div class="sg" id="s1002" data-sgid="Imagem 10" style="z-index:7;left:327.57px;top:144.03px;width:275.75px;height:131.43px"> <img class="sg" src="39556C80.png" id="s1002_i" style="z-index:1;left:0px;top:0px;width:275.75px;height:131.43px" > </div> <div class="sg" id="s1005" data-sgid="TextBox 15" style="z-index:10;left:459.15px;top:264.91px;width:35.48px;height:32.37px" data-valign="top"> <div id="s1005_t" class="sg" style="z-index:2;left:-4.82px;top:-2.39px;width:44.86px;height:42.92px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.79px;top:8.46px;">T1</span></p></div></div></div> <div class="sg" id="s1006" data-sgid="TextBox 16" style="z-index:11;left:716.40px;top:265.02px;width:110.36px;height:32.40px" data-valign="top"> <div id="s1006_t" class="sg" style="z-index:2;left:-4.90px;top:-2.38px;width:118.97px;height:42.92px;"><div><p><span data-textwidth="94.10" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.18px;top:8.34px;">Subtraction</span></p></div></div></div> <div class="sg" id="s1004" data-sgid="TextBox 14" style="z-index:9;left:162.41px;top:266.10px;width:48.20px;height:32.40px" data-valign="top"> <div id="s1004_t" class="sg" style="z-index:2;left:-4.81px;top:-2.50px;width:57.46px;height:42.92px;"><div><p><span data-textwidth="32.53" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.59px;top:8.46px;">MIP</span></p></div></div></div> <div class="sg" id="s1000" data-sgid="Imagem 11" style="z-index:5;left:351.56px;top:279.89px;width:259.66px;height:177.25px"> <img class="sg" src="3B89D60F.jpg" id="s1000_i" style="z-index:1;left:0px;top:0px;width:259.66px;height:177.25px" > </div> <div class="sg" id="s1001" data-sgid="Imagem 12" style="z-index:6;left:53.01px;top:273.90px;width:291.10px;height:189.25px"> <img class="sg" src="CCE84A03.jpg" id="s1001_i" style="z-index:1;left:0px;top:0px;width:291.10px;height:189.25px" > </div> <div class="sg" id="s999" data-sgid="Imagem 9" style="z-index:4;left:610.37px;top:306.41px;width:264.96px;height:156.74px"> <img class="sg" src="68E3FC42.jpg" id="s999_i" style="z-index:1;left:0px;top:0px;width:264.96px;height:156.74px" > </div> <div class="sg" id="s1008" data-sgid="TextBox 18" style="z-index:13;left:462.63px;top:461.70px;width:35.37px;height:32.37px" data-valign="top"> <div id="s1008_t" class="sg" style="z-index:2;left:-4.81px;top:-2.52px;width:44.86px;height:43.06px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.78px;top:8.64px;">T2</span></p></div></div></div> <div class="sg" id="s1009" data-sgid="TextBox 19" style="z-index:14;left:180.99px;top:461.82px;width:35.51px;height:32.40px" data-valign="top"> <div id="s1009_t" class="sg" style="z-index:2;left:-4.67px;top:-2.53px;width:44.86px;height:43.06px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.59px;top:8.65px;">T1</span></p></div></div></div> <div class="sg" id="s1007" data-sgid="TextBox 17" style="z-index:12;left:695.90px;top:462.18px;width:110.36px;height:32.37px" data-valign="top"> <div id="s1007_t" class="sg" style="z-index:2;left:-4.90px;top:-2.41px;width:118.97px;height:43.06px;"><div><p><span data-textwidth="94.10" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.04px;top:8.65px;">Subtraction</span></p></div></div></div>
<div class="sg" id="s1017" data-sgid="TextBox 9" style="z-index:8;left:20.50px;top:20.26px;width:918.89px;height:46.78px" data-valign="top"> <div id="s1017_t" class="sg" style="z-index:2;left:-11.98px;top:-5.88px;width:930.87px;height:68.11px;"><div><p><span data-textwidth="327.90" class="sg nowrap f3" style="z-index:2;color:#00B0F0;font-size:178%; left:19.68px;top:13.51px;">Sixteen (16) months <span style="color:#FFFFFF;">later</span></span></p></div></div></div> <div class="sg" id="s1010" data-sgid="Imagem 4" style="z-index:1;left:51.34px;top:94.27px;width:287.50px;height:175.06px"> <img class="sg" src="844D7002.jpg" id="s1010_i" style="z-index:1;left:0px;top:0px;width:287.50px;height:175.06px" > </div> <div class="sg" id="s1012" data-sgid="Imagem 6" style="z-index:3;left:603.44px;top:114.04px;width:130.61px;height:156.03px"> <img class="sg" src="6D57F4CB.png" id="s1012_i" style="z-index:1;left:0px;top:0px;width:130.61px;height:156.03px" > </div> <div class="sg" id="s1011" data-sgid="Imagem 5" style="z-index:2;left:733.20px;top:114.04px;width:125.34px;height:156.03px"> <img class="sg" src="DAABAABD.png" id="s1011_i" style="z-index:1;left:0px;top:0px;width:125.34px;height:156.03px" > </div> <div class="sg" id="s1013" data-sgid="Imagem 8" style="z-index:4;left:338.85px;top:160.82px;width:259.66px;height:108.51px"> <img class="sg" src="E5D345FE.png" id="s1013_i" style="z-index:1;left:0px;top:0px;width:259.66px;height:108.51px" > </div> <div class="sg" id="s1019" data-sgid="TextBox 13" style="z-index:10;left:459.15px;top:264.91px;width:35.48px;height:32.37px" data-valign="top"> <div id="s1019_t" class="sg" style="z-index:2;left:-4.82px;top:-2.39px;width:44.86px;height:42.92px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.79px;top:8.46px;">T1</span></p></div></div></div> <div class="sg" id="s1020" data-sgid="TextBox 15" style="z-index:11;left:716.40px;top:265.02px;width:110.36px;height:32.40px" data-valign="top"> <div id="s1020_t" class="sg" style="z-index:2;left:-4.90px;top:-2.38px;width:118.97px;height:42.92px;"><div><p><span data-textwidth="94.10" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.18px;top:8.34px;">Subtraction</span></p></div></div></div> <div class="sg" id="s1018" data-sgid="TextBox 11" style="z-index:9;left:162.41px;top:266.10px;width:48.20px;height:32.40px" data-valign="top"> <div id="s1018_t" class="sg" style="z-index:2;left:-4.81px;top:-2.50px;width:57.46px;height:42.92px;"><div><p><span data-textwidth="32.53" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.59px;top:8.46px;">MIP</span></p></div></div></div> <div class="sg" id="s1015" data-sgid="Imagem 12" style="z-index:6;left:613.63px;top:282.30px;width:288.95px;height:176.06px"> <img class="sg" src="973CADB2.jpg" id="s1015_i" style="z-index:1;left:0px;top:0px;width:288.95px;height:176.06px" > </div> <div class="sg" id="s1014" data-sgid="Imagem 10" style="z-index:5;left:49.79px;top:285.30px;width:275.86px;height:173.87px"> <img class="sg" src="D3C6E180.jpg" id="s1014_i" style="z-index:1;left:0px;top:0px;width:275.86px;height:173.87px" > </div> <div class="sg" id="s1016" data-sgid="Imagem 14" style="z-index:7;left:324.69px;top:288.54px;width:283.90px;height:170.64px"> <img class="sg" src="79794363.jpg" id="s1016_i" style="z-index:1;left:0px;top:0px;width:283.90px;height:170.64px" > </div> <div class="sg" id="s1022" data-sgid="TextBox 17" style="z-index:13;left:462.63px;top:461.70px;width:35.37px;height:32.37px" data-valign="top"> <div id="s1022_t" class="sg" style="z-index:2;left:-4.81px;top:-2.52px;width:44.86px;height:43.06px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.78px;top:8.64px;">T2</span></p></div></div></div> <div class="sg" id="s1021" data-sgid="TextBox 16" style="z-index:12;left:180.99px;top:461.82px;width:35.51px;height:32.40px" data-valign="top"> <div id="s1021_t" class="sg" style="z-index:2;left:-4.67px;top:-2.53px;width:44.86px;height:43.06px;"><div><p><span data-textwidth="19.92" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.59px;top:8.65px;">T1</span></p></div></div></div> <div class="sg" id="s1023" data-sgid="TextBox 18" style="z-index:14;left:695.90px;top:462.18px;width:110.36px;height:32.37px" data-valign="top"> <div id="s1023_t" class="sg" style="z-index:2;left:-4.90px;top:-2.41px;width:118.97px;height:43.06px;"><div><p><span data-textwidth="94.10" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.04px;top:8.65px;">Subtraction</span></p></div></div></div>
<div class="sg" id="s1034" data-sgid="TextBox 13" style="z-index:11;left:396.76px;top:9.96px;width:138.06px;height:42.10px" data-valign="top"> <div id="s1034_t" class="sg" style="z-index:2;left:-9.71px;top:-4.80px;width:156.18px;height:59.83px;"><div><p><span data-textwidth="121.34" class="sg nowrap f3" style="z-index:2;color:#5190D6;font-size:156%; left:17.66px;top:11.52px;">10 months</span></p></div></div></div> <div class="sg" id="s1033" data-sgid="TextBox 1" style="z-index:10;left:92.83px;top:10.07px;width:123.79px;height:42.10px" data-valign="top"> <div id="s1033_t" class="sg" style="z-index:2;left:-9.60px;top:-4.79px;width:141.91px;height:59.83px;"><div><p><span data-textwidth="107.06" class="sg nowrap f3" style="z-index:2;color:#5190D6;font-size:156%; left:17.47px;top:11.52px;">4 months</span></p></div></div></div> <div class="sg" id="s1035" data-sgid="TextBox 14" style="z-index:12;left:717.37px;top:10.55px;width:138.06px;height:42.10px" data-valign="top"> <div id="s1035_t" class="sg" style="z-index:2;left:-9.72px;top:-4.90px;width:156.18px;height:59.83px;"><div><p><span data-textwidth="121.34" class="sg nowrap f3" style="z-index:2;color:#5190D6;font-size:156%; left:17.87px;top:11.51px;">16 months</span></p></div></div></div> <div class="sg" id="s1026" data-sgid="Imagem 7" style="z-index:3;left:323.50px;top:39.35px;width:311.49px;height:170.27px"> <img class="sg" src="FD23E901.jpg" id="s1026_i" style="z-index:1;left:0px;top:0px;width:311.49px;height:170.27px" > </div> <div class="sg" id="s1024" data-sgid="Imagem 2" style="z-index:1;left:41.15px;top:39.35px;width:271.67px;height:170.27px"> <img class="sg" src="E3DE8856.png" id="s1024_i" style="z-index:1;left:0px;top:0px;width:271.67px;height:170.27px" > </div> <div class="sg" id="s1025" data-sgid="Imagem 4" style="z-index:2;left:643.85px;top:39.35px;width:314.72px;height:170.27px"> <img class="sg" src="5DF9B93A.jpg" id="s1025_i" style="z-index:1;left:0px;top:0px;width:314.72px;height:170.27px" > </div> <div class="sg" id="s1036" data-sgid="TextBox 17" style="z-index:13;left:-3.48px;top:107.09px;width:61.17px;height:41.99px" data-valign="top"> <div id="s1036_t" class="sg" style="z-index:2;left:-9.72px;top:-4.91px;width:80.00px;height:59.72px;"><div><p><span data-textwidth="45.37" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.40px;top:11.60px;">MIP</span></p></div></div></div> <div class="sg" id="s1027" data-sgid="Imagem 9" style="z-index:4;left:349.63px;top:210.21px;width:280.53px;height:165.99px"> <img class="sg" src="6A807942.jpg" id="s1027_i" style="z-index:1;left:0px;top:0px;width:280.53px;height:165.99px" > </div> <div class="sg" id="s1032" data-sgid="Imagem 21" style="z-index:9;left:26.62px;top:212.26px;width:308.74px;height:163.46px"> <img class="sg" src="42509B1D.jpg" id="s1032_i" style="z-index:1;left:0px;top:0px;width:308.74px;height:163.46px" > </div> <div class="sg" id="s1028" data-sgid="Imagem 12" style="z-index:5;left:664.49px;top:212.85px;width:288.92px;height:162.87px"> <img class="sg" src="2CF82E7D.jpg" id="s1028_i" style="z-index:1;left:0px;top:0px;width:288.92px;height:162.87px" > </div> <div class="sg" id="s1037" data-sgid="TextBox 18" style="z-index:14;left:-3.85px;top:274.16px;width:58.06px;height:42.21px" data-valign="top"> <div id="s1037_t" class="sg" style="z-index:2;left:-9.83px;top:-4.83px;width:77.00px;height:59.86px;"><div><p><span data-textwidth="42.13" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.52px;top:11.77px;">Sub</span></p></div></div></div> <div class="sg" id="s1031" data-sgid="Imagem 8" style="z-index:8;left:658.72px;top:375.97px;width:274.19px;height:114.64px"> <img class="sg" src="40712E02.jpg" id="s1031_i" style="z-index:1;left:0px;top:0px;width:274.19px;height:114.64px" > </div> <div class="sg" id="s1029" data-sgid="Imagem 25" style="z-index:6;left:35.99px;top:375.97px;width:301.04px;height:114.75px"> <img class="sg" src="ED010645.jpg" id="s1029_i" style="z-index:1;left:0px;top:0px;width:301.04px;height:114.75px" > </div> <div class="sg" id="s1030" data-sgid="Imagem 10" style="z-index:7;left:355.16px;top:377.65px;width:275.75px;height:113.08px"> <img class="sg" src="4E0BC1FE.png" id="s1030_i" style="z-index:1;left:0px;top:0px;width:275.75px;height:113.08px" > </div> <div class="sg" id="s1038" data-sgid="TextBox 19" style="z-index:15;left:-4.19px;top:419.86px;width:43.53px;height:41.96px" data-valign="top"> <div id="s1038_t" class="sg" style="z-index:2;left:-9.71px;top:-4.94px;width:62.47px;height:59.86px;"><div><p><span data-textwidth="27.84" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.38px;top:11.89px;">T1</span></p></div></div></div>
<div class="sg" id="s1039" data-sgid="Rectangle 3" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="middle"> <div id="s1039_t" class="sg" style="z-index:2;left:-21.58px;top:0.00px;width:886.01px;height:103.49px;"><div><p><span data-textwidth="429.55" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:267%; left:29.30px;top:20.86px;">Differential Diagnoses</span></p></div></div></div> <div class="sg" id="s1040" data-sgid="Rectangle 4" style="z-index:2;left:47.49px;top:125.45px;width:864.43px;height:356.99px" data-valign="top"> <div id="s1040_t" class="sg" style="z-index:2;left:-14.75px;top:-7.92px;width:880.26px;height:364.91px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="655.31" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:200%; left:22.47px;top:15.50px;">• Tumor: <span class="f3" style="font-size:89%; ">inflammatory breast cancer, lymphoma</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="672.95" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:200%; left:22.47px;top:67.35px;">• Infection: <span class="f3" style="font-size:89%; ">bacterial, mycobacterial (tuberculosis)</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="637.42" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:200%; left:22.47px;top:119.20px;">• Fibrosis<span class="f3" style="font-size:89%; ">: stromal fibrosis, diabetic mastopathy</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="224.67" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:200%; left:22.47px;top:171.05px;">• Inflammation</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="807.02" class="sg nowrap f3" style="z-index:13;color:#FFFFFF;font-size:178%; left:54.03px;top:222.06px;">•<span style="letter-spacing:3.85px"> </span>Sarcoidosis, Wegener’s granulomatosis, periductal mastitis, </span><span data-textwidth="723.84" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;font-size:178%; left:81.04px;top:260.47px;">eosinophilic mastitis, idiopathic granulomatous mastitis</span></p></div></div></div>
<div class="sg" id="s1043" data-sgid="Picture 5" style="z-index:3;left:624.65px;top:12.34px;width:144.77px;height:211.06px"> <img class="sg" src="1EA75482.png" id="s1043_i" style="z-index:1;left:0px;top:0px;width:144.77px;height:211.06px" > </div> <div class="sg" id="s1044" data-sgid="Picture 6" style="z-index:4;left:785.39px;top:12.34px;width:136.36px;height:211.06px"> <img class="sg" src="8C4E10AD.jpg" id="s1044_i" style="z-index:1;left:0px;top:0px;width:136.36px;height:211.06px" > </div> <div class="sg" id="s1041" data-sgid="Picture 1" style="z-index:1;left:0.00px;top:29.62px;width:608.22px;height:193.79px"> <img class="sg" src="7244E9A0.png" id="s1041_i" style="z-index:1;left:0px;top:0px;width:608.22px;height:193.79px" > </div> <div class="sg" id="s1048" data-sgid="TextBox 2" style="z-index:8;left:142.50px;top:167.55px;width:362.32px;height:37.16px" data-valign="top"> <img class="sg" src="79A0AC1362x37.png" id="s1048_i" style="z-index:1;left:0px;top:0px;width:362.32px;height:37.16px" > <div id="s1048_t" class="sg" style="z-index:2;left:-7.33px;top:-4.34px;width:373.51px;height:52.17px;"><div><p><span data-textwidth="343.85" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:14.98px;top:11.43px;">Titanium Clip <span class="f9" ></span> Allergic Response?</span></p></div></div></div> <div class="sg" id="s1046" data-sgid="TextBox 8" style="z-index:6;left:629.09px;top:182.64px;width:81.67px;height:41.99px" data-valign="top"> <div id="s1046_t" class="sg" style="z-index:2;left:-9.60px;top:-4.91px;width:100.17px;height:59.83px;"><div><p><span data-textwidth="65.52" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:156%; left:17.70px;top:11.67px;">Pre tx</span></p></div></div></div> <div class="sg" id="s1047" data-sgid="TextBox 9" style="z-index:7;left:779.87px;top:183.23px;width:92.83px;height:42.10px" data-valign="top"> <div id="s1047_t" class="sg" style="z-index:2;left:-9.60px;top:-4.79px;width:111.18px;height:59.86px;"><div><p><span data-textwidth="76.45" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:156%; left:17.78px;top:11.68px;">Post tx</span></p></div></div></div> <div class="sg" id="s1045" data-sgid="Picture 7" style="z-index:5;left:629.09px;top:254.95px;width:292.66px;height:219.57px"> <img class="sg" src="67388FEF.jpg" id="s1045_i" style="z-index:1;left:0px;top:0px;width:292.66px;height:219.57px" > </div> <div class="sg" id="s1042" data-sgid="Picture 3" style="z-index:2;left:0.00px;top:254.95px;width:608.22px;height:219.57px"> <img class="sg" src="719AB34.png" id="s1042_i" style="z-index:1;left:0px;top:0px;width:608.22px;height:219.57px" > </div>
<div class="sg" id="s1052" data-sgid="TextBox 11" style="z-index:4;left:5.64px;top:42.44px;width:946.81px;height:85.65px" data-valign="top"> <div id="s1052_t" class="sg" style="z-index:2;left:-11.98px;top:-5.99px;width:958.79px;height:106.50px;"><div><p><span data-textwidth="918.51" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:19.66px;top:13.64px;">“This is the first reported case of IGM occurring either secondary to or </span><span data-textwidth="518.25" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:178%; left:19.66px;top:52.05px;">associated with a percutaneous biopsy.”</span></p></div></div></div> <div class="sg" id="s1051" data-sgid="TextBox 10" style="z-index:3;left:5.64px;top:138.64px;width:946.81px;height:85.62px" data-valign="top"> <img class="sg" src="5A984734947x86.png" id="s1051_i" style="z-index:1;left:0px;top:0px;width:946.81px;height:85.62px" > <div id="s1051_t" class="sg" style="z-index:2;left:-11.98px;top:-6.02px;width:958.79px;height:106.50px;"><div><p><span data-textwidth="912.15" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:19.66px;top:13.73px;">“What makes IGM particularly important is its propensity to resemble </span><span data-textwidth="190.95" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:178%; left:19.66px;top:52.14px;">breast cancer.”</span></p></div></div></div> <div class="sg" id="s1050" data-sgid="Picture 7" style="z-index:2;left:629.09px;top:254.95px;width:292.66px;height:219.57px"> <img class="sg" src="67388FEF.jpg" id="s1050_i" style="z-index:1;left:0px;top:0px;width:292.66px;height:219.57px" > </div> <div class="sg" id="s1049" data-sgid="Picture 3" style="z-index:1;left:0.00px;top:254.95px;width:608.22px;height:219.57px"> <img class="sg" src="719AB34.png" id="s1049_i" style="z-index:1;left:0px;top:0px;width:608.22px;height:219.57px" > </div>
<div class="sg" id="s1053" data-sgid="Title 1" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s1053_t" class="sg" style="z-index:2;left:-18.58px;top:-14.50px;width:847.04px;height:119.80px;"><div><p><span data-textwidth="778.57" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:239%; left:26.31px;top:17.86px;">Diagnosis: Idiopathic Granulomatous Mastitis</span></p></div></div></div>
<div class="sg" id="s1055" data-sgid="Content Placeholder 2" style="z-index:2;left:0.00px;top:-0.48px;width:0.85px;height:0.85px" data-valign="top" data-pointer-events="none"> <div id="s1055_t" class="sg" style="z-index:2;left:50.97px;top:53.02px;width:592.76px;height:477.28px;"><div><p para="{spbf:10.00}"><span data-textwidth="532.29" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:206%; left:22.72px;top:15.19px;">Idiopathic Granulomatous Mastitis</span></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p para="{spbf:10.00}"><span data-textwidth="207.39" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:167%; left:22.72px;top:316.66px;">Case courtesy of:</span></p><p para="{spbf:10.00}"><span data-textwidth="303.41" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:183%; left:22.72px;top:355.71px;">Elizabeth Morriss, M.D</span></p><p para="{spbf:10.00}"><span data-textwidth="430.63" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:144%; left:22.72px;top:397.92px;">Memorial Sloan Kettering Cancer Center </span></p><p para="{spbf:10.00}"><span data-textwidth="554.25" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:144%; left:22.72px;top:432.97px;">Professor of Radiology, Weill Cornell Medical College</span></p></div></div></div> <div class="sg" id="s1056" data-sgid="Picture 4" style="z-index:3;left:704.31px;top:310.95px;width:215.29px;height:185.53px"> <img class="sg" src="9CC85786.jpg" id="s1056_i" style="z-index:1;left:0px;top:0px;width:215.29px;height:185.53px" > </div>
<div class="sg" id="s1063" data-sgid="Rectangle 3" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s1067" data-sgid="Rectangle 3 (2)" style="z-index:5;left:568.40px;top:41.36px;width:352.64px;height:102.89px" data-valign="middle"> <div id="s1067_t" class="sg" style="z-index:2;left:-19.31px;top:-41.36px;width:371.95px;height:198.72px;"><div><p><span data-textwidth="188.55" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:244%; left:27.37px;top:17.96px;">Idiopathic </span><span data-textwidth="288.53" class="sg nowrap f3" style="z-index:3;color:#FFFF00;font-size:244%; left:27.37px;top:70.77px;">Granulomatous </span><span data-textwidth="143.06" class="sg nowrap f3" style="z-index:4;color:#FFFF00;font-size:244%; left:27.37px;top:123.59px;">Mastitis</span></p></div></div></div> <div class="sg" id="s1065" data-sgid="Picture 2" style="z-index:3;left:36.82px;top:10.67px;width:507.72px;height:406.67px"> <img class="sg" src="B0EB0F54.png" id="s1065_i" title="" alt="D:\GLMlo.jpg" style="z-index:1;left:0px;top:0px;width:507.72px;height:406.67px" > </div> <div class="sg" id="s1064" data-sgid="Rectangle 4" style="z-index:2;left:560.50px;top:192.48px;width:383.19px;height:178.67px" data-valign="top"> <div id="s1064_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:400.24px;height:276.06px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="224.32" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:20.40px;top:14.48px;">•<span style="letter-spacing:3.85px"> </span>Noninfectious, </span><span data-textwidth="283.25" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:178%; left:47.41px;top:52.89px;">inflammatory process</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="219.52" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:178%; left:20.40px;top:98.98px;">•<span style="letter-spacing:3.85px"> </span>Lobulocentric, </span><span data-textwidth="333.42" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:178%; left:47.41px;top:137.39px;">noncaseating granulomas</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="341.94" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:178%; left:20.40px;top:183.48px;">•<span style="letter-spacing:3.85px"> </span>AFB and fungal cultures </span><span data-textwidth="111.74" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:178%; left:47.41px;top:221.89px;">negative</span></p></div></div></div> <div class="sg" id="s1066" data-sgid="Text Box 3" style="z-index:4;left:113.11px;top:417.93px;width:367.39px;height:67.04px" data-valign="top"> <img class="sg" src="6AC373D5367x67.png" id="s1066_i" style="z-index:1;left:0px;top:0px;width:367.39px;height:67.04px" > <div id="s1066_t" class="sg" style="z-index:2;left:-2.04px;top:-3.23px;width:371.47px;height:80.11px;"><div><p para="{al:2}"><span data-textwidth="293.80" class="sg nowrap f4" style="z-index:2;font-size:133%; left:42.44px;top:10.95px;">Non-caseating granulomas </span><span data-textwidth="341.58" class="sg nowrap f4" style="z-index:5;font-size:133%; left:15.07px;top:39.76px;">center around ducts and lobules</span></p></div></div></div> <div class="sg" id="s1068" data-sgid="TextBox 2" style="z-index:6;left:31.07px;top:482.81px;width:631.98px;height:32.37px" data-valign="top"> <div id="s1068_t" class="sg" style="z-index:2;left:-4.79px;top:-2.53px;width:636.77px;height:43.06px;"><div><p><span data-textwidth="610.78" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.61px;top:8.67px;">Pathology Courtesy of Susan Lester, MD, PhD; Brigham & Women’s Hospital</span></p></div></div></div>
<div class="sg" id="s1069" data-sgid="Rectangle 3" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="middle"> <div id="s1069_t" class="sg" style="z-index:2;left:-19.31px;top:0.00px;width:883.74px;height:98.58px;"><div><p><span data-textwidth="620.14" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:244%; left:27.03px;top:23.38px;">Idiopathic Granulomatous Mastitis</span></p></div></div></div> <div class="sg" id="s1071" data-sgid="Picture 6" style="z-index:3;left:596.84px;top:132.62px;width:363.06px;height:307.74px"> <img class="sg" src="1706E99A.jpg" id="s1071_i" style="z-index:1;left:0px;top:0px;width:363.06px;height:307.74px" > </div> <div class="sg" id="s1070" data-sgid="Rectangle 4" style="z-index:2;left:47.49px;top:125.45px;width:552.21px;height:356.99px" data-valign="top"> <div id="s1070_t" class="sg" style="z-index:2;left:-12.35px;top:-6.73px;width:575.48px;height:368.17px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="319.61" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:20.07px;top:14.43px;">•<span style="letter-spacing:3.84px"> </span>Parous; mean age 30’s</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="473.47" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:178%; left:20.07px;top:60.52px;">•<span style="letter-spacing:3.84px"> </span>Postpartum; breastfeeding history</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="536.01" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:178%; left:20.07px;top:106.61px;">•<span style="letter-spacing:3.84px"> </span>Palpable mass(es); erythema; warmth; </span><span data-textwidth="311.93" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:178%; left:47.07px;top:145.02px;">induration <u>+</u> tenderness</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="291.40" class="sg nowrap f3" style="z-index:13;color:#FFFFFF;font-size:178%; left:20.07px;top:191.11px;">•<span style="letter-spacing:3.84px"> </span>Draining sinus tracts</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="518.72" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;font-size:178%; left:20.07px;top:237.20px;">•<span style="letter-spacing:3.84px"> </span>Dx based on clinical course, biopsy to </span><span data-textwidth="499.88" class="sg nowrap f3" style="z-index:17;color:#FFFFFF;font-size:178%; left:47.07px;top:275.61px;">exclude cancer + stains/cultures (AFB, </span><span data-textwidth="355.86" class="sg nowrap f3" style="z-index:18;color:#FFFFFF;font-size:178%; left:47.07px;top:314.02px;">fungal) to exclude infection</span></p></div></div><img class="sg" src="9190DA1C1151x736.png" id="s1070_tt" style="left:-12.35px;top:-6.73px;width:575.48px;height:368.17px;z-index:1" > </div> <div class="sg" id="s1072" data-sgid="TextBox 7" style="z-index:4;left:592.76px;top:444.68px;width:346.26px;height:56.60px" data-valign="top"> <div id="s1072_t" class="sg" style="z-index:2;left:-4.93px;top:-2.41px;width:358.98px;height:66.92px;"><div><p><span data-textwidth="334.01" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.99px;top:8.51px;">Drawing Source: Pluguez-Turull CW et al. </span><span data-textwidth="271.25" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:111%; left:12.99px;top:32.52px;">Radiographics; 2018; 38: 330-356</span></p></div></div></div>
<div class="sg" id="s1073" data-sgid="Rectangle 3" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="middle"> <div id="s1073_t" class="sg" style="z-index:2;left:-19.31px;top:0.00px;width:883.74px;height:98.58px;"><div><p><span data-textwidth="620.14" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:244%; left:27.03px;top:23.38px;">Idiopathic Granulomatous Mastitis</span></p></div></div></div> <div class="sg" id="s1074" data-sgid="Rectangle 4" style="z-index:2;left:47.49px;top:125.45px;width:864.43px;height:356.99px" data-valign="top"> <div id="s1074_t" class="sg" style="z-index:2;left:-12.35px;top:-6.73px;width:876.78px;height:374.41px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="227.43" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:20.07px;top:14.43px;">•<span style="letter-spacing:3.84px"> </span>Mammography</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="640.55" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:51.63px;top:58.56px;">•<span style="letter-spacing:6.61px"> </span>Global/focal asymmetry, irregular mass(es), distortion</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="478.05" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:51.63px;top:98.89px;">•<span style="letter-spacing:6.61px"> </span>Trabecular/skin thickening, adenopathy</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="171.74" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:178%; left:20.07px;top:141.18px;">•<span style="letter-spacing:3.84px"> </span>Ultrasound</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="711.49" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:156%; left:51.63px;top:185.31px;">•<span style="letter-spacing:6.61px"> </span>Irregular mass(es), indistinct hypoechogenicity, abscess(es), </span><span data-textwidth="186.87" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;font-size:156%; left:78.64px;top:218.91px;">hypervascularity</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="73.09" class="sg nowrap f3" style="z-index:15;color:#FFFFFF;font-size:156%; left:20.07px;top:259.24px;">•<span style="letter-spacing:6.60px"> </span>MRI</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="403.75" class="sg nowrap f3" style="z-index:17;color:#FFFFFF;font-size:133%; left:51.63px;top:298.73px;">•<span style="letter-spacing:9.61px"> </span>Rim, heterogeneous irregular mass(es)</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="457.04" class="sg nowrap f3" style="z-index:19;color:#FFFFFF;font-size:133%; left:51.63px;top:333.30px;">•<span style="letter-spacing:9.61px"> </span>Regional, segmental nonmass enhancement</span></p></div></div></div>
<div class="sg" id="s1075" data-sgid="Rectangle 3" style="z-index:1;left:47.49px;top:21.11px;width:864.43px;height:90.78px" data-valign="middle"> <div id="s1075_t" class="sg" style="z-index:2;left:-19.31px;top:0.00px;width:883.74px;height:98.58px;"><div><p><span data-textwidth="620.14" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:244%; left:27.03px;top:23.38px;">Idiopathic Granulomatous Mastitis</span></p></div></div></div> <div class="sg" id="s1076" data-sgid="Rectangle 4" style="z-index:2;left:47.49px;top:125.45px;width:864.43px;height:356.99px" data-valign="top"> <div id="s1076_t" class="sg" style="z-index:2;left:-12.35px;top:-6.73px;width:876.78px;height:363.72px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="201.87" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:178%; left:20.07px;top:14.43px;">•<span style="letter-spacing:3.84px"> </span>Management</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="386.83" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:51.63px;top:58.56px;">•<span style="letter-spacing:6.61px"> </span>Corticosteroids <u>+</u> antimicrobials</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="269.93" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:156%; left:51.63px;top:98.89px;">•<span style="letter-spacing:6.61px"> </span>Surgical debridement</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="424.88" class="sg nowrap f3" style="z-index:10;color:#FFFFFF;font-size:156%; left:51.63px;top:139.22px;">•<span style="letter-spacing:6.61px"> </span>Time (50% spontaneous remission)</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="483.33" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:156%; left:51.63px;top:179.55px;">•<span style="letter-spacing:6.61px"> </span>But intermittent relapse not uncommon</span></p></div></div><img class="sg" src="FD6F266D.png" id="s1076_tt" style="left:-12.35px;top:-6.73px;width:876.78px;height:363.72px;z-index:1" > </div>
<div class="sg" id="s1077" data-sgid="Title 3" style="z-index:1;left:142.96px;top:9.96px;width:258.84px;height:182.27px" data-valign="bottom"> <div id="s1077_t" class="sg" style="z-index:2;left:-21.81px;top:0.00px;width:280.65px;height:207.46px;"><div><p para="{spaf:6.00}"><span data-textwidth="208.11" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:29.60px;top:125.03px;">References</span></p></div></div></div> <div class="sg" id="s1079" data-sgid="Picture 2" style="z-index:3;left:558.38px;top:164.11px;width:322.59px;height:208.13px"> <img class="sg" style="transform:scale(1.01);z-index:5;width:322.5887px;height:208.1314px" id="s1079_g_bg" src="s1079.png" > <img class="sg" style="z-index:6;width:322.5887px;height:208.1314px" id="s1079_g" src="s1079.gif" > </div> <div class="sg" id="s1078" data-sgid="Rectangle 5" style="z-index:2;left:104.10px;top:213.48px;width:402.65px;height:211.66px" data-valign="top" data-pointer-events="none"> <div id="s1078_t" class="sg" style="z-index:2;left:-7.30px;top:-3.49px;width:409.96px;height:215.15px;"><div><p><span data-textwidth="217.71" class="sg nowrap f1" style="z-index:2;color:#BDD7EE;font-weight:bold; font-size:133%; left:14.94px;top:10.50px;">AJR 2009; <span style="color:#B4C7E7;">193:574–81</span></span></p><p><span data-textwidth="356.10" class="sg nowrap f1" style="z-index:6;color:#BDD7EE;font-weight:bold; font-size:133%; left:14.94px;top:39.30px;">J Gen Intern Med. 2010;25(3):270–3</span></p><p><span data-textwidth="332.09" class="sg nowrap f1" style="z-index:9;color:#BDD7EE;font-weight:bold; font-size:133%; left:14.94px;top:68.11px;">Breast Cancer. 2012;15(1):119–23</span></p><p><span data-textwidth="349.25" class="sg nowrap f1" style="z-index:12;color:#BDD7EE;font-weight:bold; font-size:133%; left:14.94px;top:96.92px;">Obstet Gynecol. 2015;125(4):801–7</span></p><p><span data-textwidth="284.56" class="sg nowrap f1" style="z-index:16;color:#BDD7EE;font-weight:bold; font-size:133%; left:14.94px;top:125.72px;">Breast Dis. 2015;35(1):19–24</span></p></div></div></div>
<div class="sg" id="s1080" data-sgid="Subtitle 2" style="z-index:1;left:0.00px;top:136.96px;width:960.38px;height:265.62px" data-valign="top"> <div id="s1080_t" class="sg" style="z-index:2;left:0.00px;top:-22.32px;width:960.38px;height:317.08px;"><div><p para="{al:2,spbf:12.08}"><span data-textwidth="268.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:352.38px;top:22.67px;">2019 RSNA </span></p><p para="{al:2,spbf:12.08}"><span data-textwidth="675.71" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:142.70px;top:95.41px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:12.08}"><span data-textwidth="789.49" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:85.81px;top:220.71px;">Vascular Interventional Radiology</span></p></div></div></div>
<div class="sg" id="s1086" data-sgid="Title 1 (2)" style="z-index:6;left:63.10px;top:-14.27px;width:828.44px;height:105.16px" data-valign="middle"> <div id="s1086_t" class="sg" style="z-index:2;left:-19.20px;top:0.00px;width:847.64px;height:105.16px;"><div><p><span data-textwidth="164.67" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:26.91px;top:27.91px;">VIR CASE</span></p></div></div></div> <div class="sg sgTitle" id="s1081" data-sgid="Title 1" style="z-index:1;left:65.48px;top:43.66px;width:828.46px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s1081_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.16px;"><div><p><span data-textwidth="613.66" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:27.83px;">41 yo female at initial presentation</span></p></div></div></div> <div class="sg" id="s1082" data-sgid="Content Placeholder 2" style="z-index:2;left:21.72px;top:129.39px;width:918.75px;height:127.12px" data-valign="top" data-pointer-events="none"> <div id="s1082_t" class="sg" style="z-index:2;left:-8.52px;top:-8.26px;width:927.27px;height:135.38px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="770.54" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.32px;top:12.18px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Presented in 2010 with abdominal pain; CT showed a pelvic mass.</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="665.75" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:133%; left:52.33px;top:46.83px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Resection of the mass yielded a diagnosis of solitary fibrous tumor.</span></span></p></div></div></div> <div class="sg" id="s1085" data-sgid="TextBox 5" style="z-index:5;left:44.97px;top:238.41px;width:168.76px;height:29.99px" data-valign="top"> <div id="s1085_t" class="sg" style="z-index:2;left:-3.59px;top:-1.93px;width:172.35px;height:38.87px;"><div><p><span data-textwidth="36.49" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.31px;top:7.85px;">2010</span></p></div></div></div> <div class="sg" id="s1083" data-sgid="Picture 3" style="z-index:3;left:91.98px;top:209.39px;width:388.15px;height:286.38px"> <img class="sg" src="75A151E2.jpg" id="s1083_i" title="" alt="A picture containing plate, indoor, food, tableDescription automatically generated" style="z-index:1;left:0px;top:0px;width:388.15px;height:286.38px" > </div> <div class="sg" id="s1084" data-sgid="Picture 4" style="z-index:4;left:504.23px;top:209.39px;width:433.49px;height:286.38px"> <img class="sg" src="64FF8B4E.jpg" id="s1084_i" style="z-index:1;left:0px;top:0px;width:433.49px;height:286.38px" > </div>
<div class="sg" id="s1098" data-sgid="Content Placeholder 2" style="z-index:1;left:65.48px;top:58.16px;width:828.46px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s1098_t" class="sg" style="z-index:2;left:-8.50px;top:-8.15px;width:836.96px;height:351.49px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="657.84" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.00px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Surveillance scanning in 2014 showed a new pelvic mass</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="709.32" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:133%; left:52.24px;top:46.65px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Resection of this mass also yielded a diagnosis of solitary fibrous tumor</span></span></p></div></div></div> <div class="sg" id="s1101" data-sgid="TextBox 5" style="z-index:4;left:22.20px;top:254.84px;width:168.87px;height:29.87px" data-valign="top"> <div id="s1101_t" class="sg" style="z-index:2;left:-3.62px;top:-1.93px;width:172.50px;height:38.75px;"><div><p><span data-textwidth="36.49" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.43px;top:7.87px;">2014</span></p></div></div></div> <div class="sg" id="s1100" data-sgid="Picture 4" style="z-index:3;left:508.31px;top:187.21px;width:343.77px;height:294.16px"> <img class="sg" src="BCE46EA9.jpg" id="s1100_i" style="z-index:1;left:0px;top:0px;width:343.77px;height:294.16px" > </div> <div class="sg" id="s1099" data-sgid="Picture 3" style="z-index:2;left:91.64px;top:187.43px;width:375.77px;height:293.93px"> <img class="sg" src="64C37C23.jpg" id="s1099_i" title="" alt="A picture containing indoorDescription automatically generated" style="z-index:1;left:0px;top:0px;width:375.77px;height:293.93px" > </div>
<div class="sg" id="s1102" data-sgid="Content Placeholder 2" style="z-index:1;left:15.94px;top:21.70px;width:924.52px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s1102_t" class="sg" style="z-index:2;left:-8.38px;top:-8.14px;width:932.91px;height:351.49px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="885.99" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.20px;top:11.97px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Surveillance scanning in 2018-2019 showed progressive hepatic involvement</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="893.56" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.20px;top:52.29px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Arterial phase fat suppressed T1W 3D images from 2019 are presented………..</span></span></p></div></div></div> <div class="sg" id="s1104" data-sgid="Picture 4" style="z-index:3;left:496.56px;top:107.21px;width:293.99px;height:201.48px"> <img class="sg" src="40286571.jpg" id="s1104_i" style="z-index:1;left:0px;top:0px;width:293.99px;height:201.48px" > </div> <div class="sg" id="s1103" data-sgid="Picture 3" style="z-index:2;left:143.81px;top:107.21px;width:285.83px;height:213.59px"> <img class="sg" src="FF681662.jpg" id="s1103_i" style="z-index:1;left:0px;top:0px;width:285.83px;height:213.59px" > </div> <div class="sg" id="s1107" data-sgid="TextBox 7" style="z-index:6;left:84.93px;top:305.45px;width:168.87px;height:29.84px" data-valign="top"> <div id="s1107_t" class="sg" style="z-index:2;left:-3.60px;top:-1.93px;width:172.47px;height:38.75px;"><div><p><span data-textwidth="36.49" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.45px;top:7.91px;">2019</span></p></div></div></div> <div class="sg" id="s1106" data-sgid="Picture 6" style="z-index:5;left:502.93px;top:307.83px;width:299.25px;height:223.80px"> <img class="sg" src="14E20C86.jpg" id="s1106_i" style="z-index:1;left:0px;top:0px;width:299.25px;height:223.80px" > </div> <div class="sg" id="s1105" data-sgid="Picture 5" style="z-index:4;left:140.47px;top:328.34px;width:293.96px;height:199.09px"> <img class="sg" src="9B0A1FEF.jpg" id="s1105_i" style="z-index:1;left:0px;top:0px;width:293.96px;height:199.09px" > </div>
<div class="sg" id="s1109" data-sgid="TextBox 2" style="z-index:2;left:32.85px;top:31.55px;width:168.79px;height:29.99px" data-valign="top"> <div id="s1109_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:172.50px;height:38.87px;"><div><p><span data-textwidth="36.49" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.43px;top:7.67px;">2019</span></p></div></div></div> <div class="sg" id="s1108" data-sgid="Picture 1" style="z-index:1;left:123.79px;top:-0.48px;width:711.84px;height:540.48px"> <img class="sg" src="4122586C.jpg" id="s1108_i" style="z-index:1;left:0px;top:0px;width:711.84px;height:540.48px" > </div>
<div class="sg" id="s1118" data-sgid="TextBox 5" style="z-index:5;left:8.04px;top:14.87px;width:121.60px;height:73.50px" data-valign="top"> <div id="s1118_t" class="sg" style="z-index:2;left:-3.85px;top:-1.91px;width:125.46px;height:81.90px;"><div><p><span data-textwidth="83.41" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.53px;top:7.64px;">2019: MRI </span></p><p><span data-textwidth="73.09" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;left:11.53px;top:29.25px;">3 months </span><span data-textwidth="33.61" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;left:11.53px;top:50.85px;">later</span></p></div></div></div> <div class="sg" id="s1114" data-sgid="Picture 1" style="z-index:1;left:113.34px;top:14.87px;width:366.80px;height:260.71px"> <img class="sg" src="F85CD355.jpg" id="s1114_i" style="z-index:1;left:0px;top:0px;width:366.80px;height:260.71px" > </div> <div class="sg" id="s1115" data-sgid="Picture 2" style="z-index:2;left:479.28px;top:14.87px;width:395.09px;height:260.71px"> <img class="sg" src="9D1A858E.jpg" id="s1115_i" style="z-index:1;left:0px;top:0px;width:395.09px;height:260.71px" > </div> <div class="sg" id="s1117" data-sgid="Picture 4" style="z-index:4;left:479.28px;top:261.19px;width:395.09px;height:278.81px"> <img class="sg" src="748833F.jpg" id="s1117_i" style="z-index:1;left:0px;top:0px;width:395.09px;height:278.81px" > </div> <div class="sg" id="s1116" data-sgid="Picture 3" style="z-index:3;left:113.34px;top:263.83px;width:366.80px;height:276.17px"> <img class="sg" src="CEC0113.jpg" id="s1116_i" style="z-index:1;left:0px;top:0px;width:366.80px;height:276.17px" > </div>
<div class="sg sgTitle" id="s1119" 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="s1119_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="613.66" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:28.08px;">41 yo female at initial presentation</span></p></div></div></div> <div class="sg" id="s1120" 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="s1120_t" class="sg" style="z-index:2;left:-8.50px;top:-8.26px;width:836.96px;height:351.49px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="438.44" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.19px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>What are your thoughts on the case?</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="493.53" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:156%; left:16.23px;top:52.52px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>What are your suggestions for next steps?</span></span></p></div></div></div>
<div class="sg" id="s1121" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s1121_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="358.50" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">VIR Case Discussion</span></p></div></div></div>
<div class="sg sgTitle" id="s1122" 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="s1122_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="392.23" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:28.08px;">Thoughts / Approach: </span></p></div></div></div> <div class="sg" id="s1123" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:160.94px;width:828.46px;height:227.01px" data-valign="top" data-pointer-events="none"> <div id="s1123_t" class="sg" style="z-index:2;left:-8.50px;top:-8.29px;width:836.96px;height:241.65px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="789.86" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.23px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>What diagnostic / pathologic features may be present that facilitate </span></span><span data-textwidth="509.00" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:156%; left:34.24px;top:41.91px;">successful interventional oncologic therapy ?</span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="795.50" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-size:156%; left:16.23px;top:113.65px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>What has been accomplished so far ? / What still needs to be done ?</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="365.83" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:156%; left:16.23px;top:194.19px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>What is the best way to treat ?</span></span></p></div></div></div>
<div class="sg sgTitle" id="s1124" data-sgid="Title 1" style="z-index:1;left:58.54px;top:23.04px;width:872.22px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s1124_t" class="sg" style="z-index:2;left:-19.32px;top:0.00px;width:891.53px;height:105.16px;"><div><p><span data-textwidth="648.83" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:26.91px;top:27.93px;">SFT: Diagnostic / pathologic features </span></p></div></div></div> <div class="sg" id="s1125" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:147.26px;width:828.46px;height:303.29px" data-valign="top" data-pointer-events="none"> <div id="s1125_t" class="sg" style="z-index:2;left:-8.50px;top:-8.28px;width:836.96px;height:311.57px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="230.33" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.21px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Spindle cell tumor </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="591.21" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:133%; left:52.24px;top:46.86px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>formally known as hemagiopericytoma, angiofibroma, etc..</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="69.86" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:156%; left:16.23px;top:83.39px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Rare</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="257.09" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:156%; left:16.23px;top:123.72px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Recurrent (15 – 33%)</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="602.39" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-size:156%; left:16.23px;top:163.93px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>All over the body (here multiple tumors in the liver)</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="531.33" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:156%; left:16.23px;top:204.14px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Highly angiogenic – collateral feeding vessels </span></span></p></div></div></div> <div class="sg" id="s1126" data-sgid="TextBox 3" style="z-index:3;left:537.11px;top:468.65px;width:352.38px;height:29.87px" data-valign="top"> <div id="s1126_t" class="sg" style="z-index:2;left:-3.60px;top:-1.78px;width:355.98px;height:38.84px;"><div><p><span data-textwidth="170.31" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.62px;top:7.92px;">Wignall et al. AJR 2010</span></p></div></div></div>
<div class="sg" id="s1131" data-sgid="TextBox 5" style="z-index:5;left:8.04px;top:14.87px;width:121.60px;height:73.50px" data-valign="top"> <div id="s1131_t" class="sg" style="z-index:2;left:-3.85px;top:-1.91px;width:125.46px;height:81.90px;"><div><p><span data-textwidth="83.41" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.53px;top:7.64px;">2019: MRI </span></p><p><span data-textwidth="73.09" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;left:11.53px;top:29.25px;">3 months </span><span data-textwidth="33.61" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;left:11.53px;top:50.85px;">later</span></p></div></div></div> <div class="sg" id="s1127" data-sgid="Picture 1" style="z-index:1;left:113.34px;top:9.59px;width:366.80px;height:260.71px"> <img class="sg" src="6ADF8C5D.jpg" id="s1127_i" style="z-index:1;left:0px;top:0px;width:366.80px;height:260.71px" > </div> <div class="sg" id="s1128" data-sgid="Picture 2" style="z-index:2;left:479.28px;top:14.87px;width:395.09px;height:260.71px"> <img class="sg" src="9D1A858E.jpg" id="s1128_i" style="z-index:1;left:0px;top:0px;width:395.09px;height:260.71px" > </div> <div class="sg" id="s1133" data-sgid="Group 20" style="z-index:11;left:319.61px;top:38.65px;width:426.15px;height:394.10px" data-shape="group"> <div class="sg" id="s1134" data-sgid="Oval 19" style="z-index:2;left:202.27px;top:84.27px;width:52.05px;height:54.81px" data-pointer-events="none"> <img class="sg" src="166330DB52x55.png" id="s1134_i" style="z-index:1;left:0px;top:0px;width:52.05px;height:54.81px" > </div> <div class="sg" id="s1135" data-sgid="Group 17" style="z-index:1;left:0.00px;top:0.00px;width:426.15px;height:394.10px" data-shape="group"> <div class="sg" id="s1136" data-sgid="Group 14" style="z-index:2;left:0.00px;top:0.00px;width:426.15px;height:366.99px" data-shape="group"> <div class="sg" id="s1137" data-sgid="Oval 13" style="z-index:4;left:-2.85px;top:291.99px;width:84.70px;height:77.33px" data-pointer-events="none"> <img class="sg" src="BA2BAEBE85x77.png" id="s1137_i" style="z-index:1;left:0px;top:0px;width:84.70px;height:77.33px" > </div> <div class="sg" id="s1138" data-sgid="Oval 11" style="z-index:3;left:327.72px;top:-2.79px;width:100.76px;height:71.35px" data-pointer-events="none"> <img class="sg" src="EDE40B40101x71.png" id="s1138_i" style="z-index:1;left:0px;top:0px;width:100.76px;height:71.35px" > </div> <div class="sg" id="s1139" data-sgid="Oval 10" style="z-index:2;left:197.71px;top:113.41px;width:52.05px;height:54.70px" data-pointer-events="none"> <img class="sg" src="B197B07552x55.png" id="s1139_i" style="z-index:1;left:0px;top:0px;width:52.05px;height:54.70px" > </div> <div class="sg" id="s1140" data-sgid="Oval 9" style="z-index:1;left:232.37px;top:60.30px;width:52.16px;height:54.67px" data-pointer-events="none"> <img class="sg" src="C13CE85252x55.png" id="s1140_i" style="z-index:1;left:0px;top:0px;width:52.16px;height:54.67px" > </div> </div> <div class="sg" id="s1141" data-sgid="Oval 12" style="z-index:1;left:141.92px;top:280.95px;width:131.46px;height:115.49px" data-pointer-events="none"> <img class="sg" src="5E27ACE6131x115.png" id="s1141_i" style="z-index:1;left:0px;top:0px;width:131.46px;height:115.49px" > </div> </div> </div> <div class="sg" id="s1132" data-sgid="Group 16" style="z-index:6;left:120.78px;top:101.82px;width:413.33px;height:318.16px"> <img class="sg" src="5D4829EC.png" id="s1132_i" style="z-index:1;left:0px;top:0px;width:413.33px;height:318.16px" > </div> <div class="sg" id="s1130" data-sgid="Picture 4" style="z-index:4;left:479.28px;top:261.19px;width:395.09px;height:278.81px"> <img class="sg" src="748833F.jpg" id="s1130_i" style="z-index:1;left:0px;top:0px;width:395.09px;height:278.81px" > </div> <div class="sg" id="s1129" data-sgid="Picture 3" style="z-index:3;left:113.34px;top:263.83px;width:366.80px;height:276.17px"> <img class="sg" src="CEC0113.jpg" id="s1129_i" style="z-index:1;left:0px;top:0px;width:366.80px;height:276.17px" > </div>
<div class="sg" id="s1143" data-sgid="TextBox 2" style="z-index:2;left:32.85px;top:31.55px;width:168.79px;height:29.99px" data-valign="top"> <div id="s1143_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:172.50px;height:38.87px;"><div><p><span data-textwidth="36.49" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.43px;top:7.67px;">2019</span></p></div></div></div> <div class="sg" id="s1146" data-sgid="Group 10" style="z-index:8;left:106.32px;top:12.79px;width:299.27px;height:111.37px" data-shape="group"> <div class="sg" id="s1147" data-sgid="Oval 9" style="z-index:2;left:-3.52px;top:8.43px;width:223.33px;height:106.27px" data-rotation = "323" data-pointer-events="none"> <img class="sg" src="B1647AFF223x106.png" id="s1147_i" style="z-index:1;left:0px;top:0px;width:223.33px;height:106.27px" > </div> <div class="sg" id="s1148" data-sgid="Oval 6" style="z-index:1;left:60.28px;top:-3.54px;width:242.16px;height:118.24px" data-pointer-events="none"> <img class="sg" src="855F8A15242x118.png" id="s1148_i" style="z-index:1;left:0px;top:0px;width:242.16px;height:118.24px" > </div> </div> <div class="sg" id="s1144" data-sgid="Group 8" style="z-index:3;left:120.78px;top:120.51px;width:472.80px;height:287.35px"> <img class="sg" src="AE6133ED.png" id="s1144_i" style="z-index:1;left:0px;top:0px;width:472.80px;height:287.35px" > </div> <div class="sg" id="s1142" data-sgid="Picture 1" style="z-index:1;left:123.79px;top:-0.48px;width:711.84px;height:540.48px"> <img class="sg" src="4122586C.jpg" id="s1142_i" style="z-index:1;left:0px;top:0px;width:711.84px;height:540.48px" > </div> <div class="sg" id="s1145" data-sgid="TextBox 7" style="z-index:7;left:464.53px;top:372.11px;width:325.05px;height:42.10px" data-valign="top"> <img class="sg" src="BAA00084325x42.png" id="s1145_i" style="z-index:1;left:0px;top:0px;width:325.05px;height:42.10px" > <div id="s1145_t" class="sg" style="z-index:2;left:-9.60px;top:-4.79px;width:334.65px;height:59.86px;"><div><p><span data-textwidth="256.84" class="sg nowrap f3" style="z-index:2;color:#3366FF;font-size:156%; left:17.59px;top:11.84px;">Celiac Artery Injection </span></p></div></div></div>
<div class="sg sgTitle" id="s1149" data-sgid="Title 1" style="z-index:1;left:65.48px;top:15.60px;width:828.46px;height:93.05px" data-valign="middle" data-pointer-events="none"> <div id="s1149_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:97.25px;"><div><p><span data-textwidth="549.69" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:21.93px;">Available Therapeutic Options: </span></p></div></div></div> <div class="sg" id="s1150" data-sgid="Content Placeholder 2" style="z-index:2;left:27.84px;top:127.23px;width:866.10px;height:226.52px" data-valign="top" data-pointer-events="none"> <div id="s1150_t" class="sg" style="z-index:2;left:-7.34px;top:-7.43px;width:873.44px;height:233.96px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="305.81" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:144%; left:15.15px;top:11.47px;">•<span class="f3" ><span style="letter-spacing:3.00px"> </span>Surgery – likely not optimal</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="300.89" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:122%; left:51.15px;top:43.96px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>Multiple episodes / recurrences</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="245.32" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:122%; left:51.15px;top:72.76px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>Multiple tumors to resect</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="756.24" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:122%; left:51.15px;top:101.57px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>“Vascular nature of the tumors and the presence of large collateral feeding vessels </span></span><span data-textwidth="484.52" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:122%; left:69.15px;top:125.13px;">frequently made surgical removal technically difficult.”</span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="810.73" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:144%; left:15.15px;top:188.39px;">•<span class="f3" ><span style="letter-spacing:3.00px"> </span>No standardized efficacy proven chemotherapy (including anti-angiogenics)</span></span></p></div></div></div> <div class="sg" id="s1151" data-sgid="Content Placeholder 2 (2)" style="z-index:3;left:27.84px;top:384.11px;width:828.55px;height:119.91px" data-valign="top"> <div id="s1151_t" class="sg" style="z-index:2;left:-8.53px;top:-8.28px;width:837.07px;height:128.20px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="290.93" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.34px;top:12.54px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Interventional Oncology</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="236.08" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:133%; left:52.34px;top:47.18px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Percutaneous ablation</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="306.77" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:133%; left:52.34px;top:78.15px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Transcatheter embolotherapy</span></span></p></div></div></div>
<div class="sg" id="s1154" data-sgid="Rectangle 5" style="z-index:6;left:533.03px;top:47.49px;width:330.92px;height:66.18px" data-valign="top" data-pointer-events="none"> <div id="s1154_t" class="sg" style="z-index:2;left:-22.31px;top:-11.63px;width:372.29px;height:106.01px;"><div><p><span data-textwidth="309.65" class="sg nowrap f1" style="z-index:2;color:#E7E6E6;font-weight:bold; font-size:267%; left:30.33px;top:19.91px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">Tumor Ablation</span></span></p></div></div></div> <div class="sg" id="s1152" data-sgid="Picture 7" style="z-index:1;left:31.55px;top:17.50px;width:493.67px;height:288.65px"> <img class="sg" src="12BED01E.jpg" id="s1152_i" style="z-index:1;left:0px;top:0px;width:493.67px;height:288.65px" > </div> <div class="sg" id="s1153" data-sgid="Group 2" style="z-index:2;left:89.93px;top:228.00px;width:850.37px;height:288.00px" data-shape="group"> <div class="sg" id="s1155" data-sgid="Picture 4" style="z-index:3;left:595.55px;top:-0.62px;width:254.74px;height:288.65px"> <img class="sg" src="DE3A72B2.jpg" id="s1155_i" style="z-index:1;left:0px;top:0px;width:254.74px;height:288.65px" > </div> <div class="sg" id="s1156" data-sgid="Rectangle 5" style="z-index:2;left:-0.58px;top:113.30px;width:279.01px;height:124.37px" data-valign="top" data-pointer-events="none"> <div id="s1156_t" class="sg" style="z-index:2;left:-22.29px;top:-11.63px;width:322.62px;height:163.69px;"><div><p><span data-textwidth="184.70" class="sg nowrap f1" style="z-index:2;color:#E7E6E6;font-weight:bold; font-size:267%; left:30.04px;top:20.17px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">(Chemo-)</span></span></p><p><span data-textwidth="259.96" class="sg nowrap f1" style="z-index:5;color:#E7E6E6;font-weight:bold; font-size:267%; left:30.04px;top:77.78px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">embolization</span></span></p></div></div></div> <div class="sg" id="s1157" data-sgid="Picture 2" style="z-index:1;left:339.59px;top:-0.62px;width:254.99px;height:288.65px"> <img class="sg" src="EB37AA48.jpg" id="s1157_i" style="z-index:1;left:0px;top:0px;width:254.99px;height:288.65px" > </div> </div>
<div class="sg sgTitle" id="s1158" data-sgid="Rectangle 2" style="z-index:1;left:42.11px;top:53.48px;width:875.22px;height:60.82px" data-valign="middle" data-pointer-events="none"> <div id="s1158_t" class="sg" style="z-index:2;left:-21.61px;top:-16.32px;width:896.83px;height:101.82px;"><div><p><span data-textwidth="815.54" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:267%; left:29.43px;top:19.33px;">Liver IO: Selecting the appropriate therapy</span></p></div></div></div> <div class="sg" id="s1159" data-sgid="Rectangle 3" style="z-index:2;left:42.11px;top:165.99px;width:853.87px;height:355.09px" data-valign="top" data-pointer-events="none"> <div id="s1159_t" class="sg" style="z-index:2;left:-8.52px;top:-8.17px;width:862.39px;height:363.26px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="572.37" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.34px;top:12.22px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Approach determined by presentation of disease</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="794.89" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:156%; left:16.34px;top:78.23px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Percutaneous ablation - focal, limited disease ( < 4 tumors, < 4-5 cm)</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="518.96" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:156%; left:16.34px;top:162.13px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Transcatheter - multifocal, extensive disease</span></span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="762.12" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-size:156%; left:16.34px;top:256.11px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Combination therapies (sequential and/or simultaneous) likely to </span></span><span data-textwidth="412.63" class="sg nowrap f3" style="z-index:16;color:#FFFFFF;font-size:156%; left:34.34px;top:292.52px;">provide best outcome in many cases</span></p></div></div></div>
<div class="sg sgTitle" id="s1160" data-sgid="Rectangle 2" style="z-index:1;left:42.11px;top:35.26px;width:875.22px;height:80.82px" data-valign="middle" data-pointer-events="none"> <div id="s1160_t" class="sg" style="z-index:2;left:-18.60px;top:-47.86px;width:893.83px;height:137.67px;"><div><p><span data-textwidth="744.36" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:239%; left:26.42px;top:17.84px;">Selecting appropriate IO therapy: Potential </span><span data-textwidth="299.33" class="sg nowrap f10" style="z-index:3;color:#FFFFFF;font-size:239%; left:26.42px;top:64.29px;">mitigating factors</span></p></div></div></div> <div class="sg" id="s1161" data-sgid="Rectangle 3" style="z-index:2;left:42.11px;top:116.57px;width:853.87px;height:183.60px" data-valign="top" data-pointer-events="none"> <div id="s1161_t" class="sg" style="z-index:2;left:-8.52px;top:0.00px;width:862.39px;height:183.60px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="814.93" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.34px;top:29.58px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Percutaneous – dome, irregular, and surface tumors more challenging </span></span><span data-textwidth="206.07" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:34.34px;top:65.99px;">/less ideal to treat</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="721.20" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:156%; left:16.34px;top:113.60px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Transcatheter – require identifying a blood supply to embolize</span></span></p></div></div></div> <div class="sg" id="s1162" data-sgid="Group 4" style="z-index:3;left:94.74px;top:297.44px;width:628.42px;height:231.98px" data-shape="group"> <div class="sg" id="s1163" data-sgid="TextBox 3" style="z-index:3;left:-0.58px;top:47.10px;width:307.04px;height:95.35px" data-valign="top"> <div id="s1163_t" class="sg" style="z-index:2;left:-3.74px;top:-1.93px;width:315.82px;height:103.63px;"><div><p><span data-textwidth="286.25" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.48px;top:7.95px;">Chemoembolization of Hepatocellular </span><span data-textwidth="293.20" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; left:11.48px;top:29.55px;">Carcinoma with Extrahepatic Collateral </span><span data-textwidth="287.21" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; left:11.48px;top:51.16px;">Blood Supply: Anatomic and Technical </span><span data-textwidth="110.90" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; left:11.48px;top:72.76px;">Considerations</span></p></div></div></div> <div class="sg" id="s1164" data-sgid="Picture 2" style="z-index:2;left:353.62px;top:-0.76px;width:274.79px;height:232.77px"> <img class="sg" src="3F7783A9.jpg" id="s1164_i" style="z-index:1;left:0px;top:0px;width:274.79px;height:232.77px" > </div> <div class="sg" id="s1165" data-sgid="TextBox 1" style="z-index:1;left:9.02px;top:177.45px;width:314.24px;height:29.99px" data-valign="top"> <div id="s1165_t" class="sg" style="z-index:2;left:-3.85px;top:-1.78px;width:318.09px;height:38.84px;"><div><p><span data-textwidth="256.61" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.47px;top:8.04px;">Moustafa et al. Radiographics 2017</span></p></div></div></div> </div>
<div class="sg" id="s1170" data-sgid="TextBox 5" style="z-index:5;left:8.04px;top:14.87px;width:121.60px;height:73.50px" data-valign="top"> <div id="s1170_t" class="sg" style="z-index:2;left:-3.85px;top:-1.91px;width:125.46px;height:81.90px;"><div><p><span data-textwidth="83.41" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.53px;top:7.64px;">2019: MRI </span></p><p><span data-textwidth="73.09" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;left:11.53px;top:29.25px;">3 months </span><span data-textwidth="33.61" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;left:11.53px;top:50.85px;">later</span></p></div></div></div> <div class="sg" id="s1166" data-sgid="Picture 1" style="z-index:1;left:113.34px;top:14.87px;width:366.80px;height:260.71px"> <img class="sg" src="F85CD355.jpg" id="s1166_i" style="z-index:1;left:0px;top:0px;width:366.80px;height:260.71px" > </div> <div class="sg" id="s1167" data-sgid="Picture 2" style="z-index:2;left:479.28px;top:14.87px;width:395.09px;height:260.71px"> <img class="sg" src="9D1A858E.jpg" id="s1167_i" style="z-index:1;left:0px;top:0px;width:395.09px;height:260.71px" > </div> <div class="sg" id="s1172" data-sgid="Group 26" style="z-index:7;left:126.75px;top:49.54px;width:381.21px;height:297.86px" data-shape="group"> <div class="sg" id="s1174" data-sgid="Straight Arrow Connector 22" style="z-index:4;left:16.21px;top:243.42px;width:63.46px;height:60.57px" data-pointer-events="none"> <img class="sg" src="562FF28463x61.png" id="s1174_i" style="z-index:1;left:0px;top:0px;width:63.46px;height:60.57px" > </div> <div class="sg" id="s1175" data-sgid="Straight Arrow Connector 21" style="z-index:3;left:-2.74px;top:264.30px;width:63.58px;height:60.57px" data-pointer-events="none"> <img class="sg" src="2F50C3DE64x61.png" id="s1175_i" style="z-index:1;left:0px;top:0px;width:63.58px;height:60.57px" > </div> <div class="sg" id="s1176" data-sgid="Straight Arrow Connector 18" style="z-index:2;left:327.36px;top:69.18px;width:63.58px;height:60.57px" data-pointer-events="none"> <img class="sg" src="C9FBFCF664x61.png" id="s1176_i" style="z-index:1;left:0px;top:0px;width:63.58px;height:60.57px" > </div> <div class="sg" id="s1177" data-sgid="Straight Arrow Connector 16" style="z-index:1;left:353.75px;top:-1.45px;width:54.32px;height:69.56px" data-pointer-events="none"> <img class="sg" src="C22D487254x70.png" id="s1177_i" style="z-index:1;left:0px;top:0px;width:54.32px;height:69.56px" > </div> </div> <div class="sg" id="s1173" data-sgid="Group 25" style="z-index:12;left:78.18px;top:106.16px;width:58.81px;height:247.63px" data-shape="group"> <div class="sg" id="s1178" data-sgid="Straight Arrow Connector 24" style="z-index:2;left:-2.74px;top:-2.90px;width:63.44px;height:60.68px" data-pointer-events="none"> <img class="sg" src="8FC4B75763x61.png" id="s1178_i" style="z-index:1;left:0px;top:0px;width:63.44px;height:60.68px" > </div> <div class="sg" id="s1179" data-sgid="Straight Arrow Connector 23" style="z-index:1;left:22.44px;top:214.04px;width:63.46px;height:60.57px" data-pointer-events="none"> <img class="sg" src="E76AA30663x61.png" id="s1179_i" style="z-index:1;left:0px;top:0px;width:63.46px;height:60.57px" > </div> </div> <div class="sg" id="s1169" data-sgid="Picture 4" style="z-index:4;left:479.28px;top:261.19px;width:395.09px;height:278.81px"> <img class="sg" src="748833F.jpg" id="s1169_i" style="z-index:1;left:0px;top:0px;width:395.09px;height:278.81px" > </div> <div class="sg" id="s1168" data-sgid="Picture 3" style="z-index:3;left:113.34px;top:263.83px;width:366.80px;height:276.17px"> <img class="sg" src="CEC0113.jpg" id="s1168_i" style="z-index:1;left:0px;top:0px;width:366.80px;height:276.17px" > </div> <div class="sg" id="s1171" data-sgid="TextBox 14" style="z-index:6;left:84.08px;top:453.08px;width:832.15px;height:57.30px" data-valign="top"> <img class="sg" src="B8248D60832x57.png" id="s1171_i" style="z-index:1;left:0px;top:0px;width:832.15px;height:57.30px" > <div id="s1171_t" class="sg" style="z-index:2;left:-16.42px;top:-8.17px;width:848.57px;height:85.02px;"><div><p><span data-textwidth="785.05" class="sg nowrap f1" style="z-index:2;color:#FF0000;font-weight:bold; font-size:222%; left:24.64px;top:16.39px;">Hints of additional (?? capsular) feeding vessels</span></p></div></div></div>
<div class="sg sgTitle" id="s1180" data-sgid="Rectangle 2" style="z-index:1;left:36.33px;top:35.26px;width:897.76px;height:68.23px" data-valign="middle" data-pointer-events="none"> <div id="s1180_t" class="sg" style="z-index:2;left:-18.69px;top:-7.80px;width:923.79px;height:91.38px;"><div><p><span data-textwidth="871.83" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:239%; left:26.41px;top:17.87px;">Selecting appropriate therapy for the current case:</span></p></div></div></div> <div class="sg" id="s1181" data-sgid="Rectangle 3" style="z-index:2;left:42.11px;top:110.33px;width:853.87px;height:300.28px" data-valign="top" data-pointer-events="none"> <div id="s1181_t" class="sg" style="z-index:2;left:-8.52px;top:0.00px;width:862.39px;height:300.28px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="769.09" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.34px;top:29.58px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>“Ablation profile” less favorable for success – dome, irregular, and </span></span><span data-textwidth="176.91" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:34.34px;top:65.99px;">surface tumors </span></p><p></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="193.83" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:156%; left:16.34px;top:160.53px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Transcatheter –</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="241.85" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:133%; left:52.34px;top:201.18px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>“Worked the last time”</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="590.03" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:133%; left:52.34px;top:237.79px;">•<span class="f3" ><span style="letter-spacing:4.21px"> </span>Pathology and imaging suggest a blood supply to embolize</span></span></p></div></div></div> <div class="sg" id="s1182" data-sgid="TextBox 5" style="z-index:3;left:9.01px;top:409.79px;width:943.58px;height:85.62px" data-valign="top"> <div id="s1182_t" class="sg" style="z-index:2;left:-12.13px;top:-5.90px;width:955.70px;height:106.38px;"><div><p><span data-textwidth="175.35" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:178%; left:19.80px;top:13.84px;">Bottom line: </span></p><p><span data-textwidth="906.87" class="sg nowrap f3" style="z-index:3;color:#FFFF00;font-size:178%; left:19.80px;top:52.25px;">Start with a search for the feeders / consider ablation if not successful</span></p></div></div></div>
<div class="sg sgTitle" id="s1183" data-sgid="Rectangle 2" style="z-index:1;left:36.33px;top:35.26px;width:897.76px;height:68.23px" data-valign="middle" data-pointer-events="none"> <div id="s1183_t" class="sg" style="z-index:2;left:-21.69px;top:-12.48px;width:919.46px;height:101.70px;"><div><p><span data-textwidth="473.84" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:267%; left:29.41px;top:19.19px;">What agent to embolize:</span></p></div></div></div> <div class="sg" id="s1184" data-sgid="Rectangle 3" style="z-index:2;left:42.11px;top:110.33px;width:853.87px;height:300.28px" data-valign="top" data-pointer-events="none"> <div id="s1184_t" class="sg" style="z-index:2;left:-8.52px;top:0.00px;width:862.39px;height:300.28px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="159.14" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.34px;top:29.58px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Limited data</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="88.81" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-size:156%; left:16.34px;top:76.63px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Bland </span></span><span data-textwidth="453.20" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:156%; left:232.37px;top:76.07px;">- Valayarti et al. (MSKCC), Sarcoma 2019</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="98.41" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:156%; left:16.34px;top:123.56px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Chemo</span></span><span data-textwidth="418.63" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:156%; left:232.37px;top:123.00px;">- El Khouli et al. (Hopkins), JCAT 2008</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="163.10" class="sg nowrap f4" style="z-index:15;color:#FFFFFF;font-size:156%; left:16.34px;top:170.49px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Radio (Yt90) </span></span><span data-textwidth="350.11" class="sg nowrap f3" style="z-index:17;color:#FFFFFF;font-size:156%; left:232.37px;top:169.93px;">- SIR 2015 multicenter abstract</span></p></div></div></div> <div class="sg" id="s1185" data-sgid="TextBox 5" style="z-index:3;left:9.01px;top:409.79px;width:943.58px;height:85.62px" data-valign="top"> <div id="s1185_t" class="sg" style="z-index:2;left:-12.13px;top:-5.90px;width:955.70px;height:106.38px;"><div><p><span data-textwidth="175.35" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:178%; left:19.80px;top:13.84px;">Bottom line: </span></p><p><span data-textwidth="774.97" class="sg nowrap f3" style="z-index:3;color:#FFFF00;font-size:178%; left:19.80px;top:52.25px;">“Go with what you know”, greatest institutional experience </span></p></div></div></div>
<div class="sg sgTitle" id="s1187" data-sgid="Title 1" style="z-index:2;left:18.35px;top:21.11px;width:916.48px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s1187_t" class="sg" style="z-index:2;left:-16.79px;top:-12.97px;width:933.28px;height:121.50px;"><div><p><span data-textwidth="444.56" class="sg nowrap f10" style="z-index:2;color:#FFC000;font-weight:bold; font-size:222%; left:24.48px;top:16.02px;">Diagnosis Live<span class="f10" style="font-weight:normal; color:#FFFFFF;">, Case 7 – VIR:</span></span><span data-textwidth="670.67" class="sg nowrap f10" style="z-index:6;color:#FFFFFF;font-size:200%; left:24.48px;top:59.71px;">Identify the true statement (s) regarding SFT… </span></p></div></div></div> <div class="sg" id="s1186" data-sgid="Content Placeholder 2" style="z-index:1;left:65.48px;top:143.18px;width:828.46px;height:277.28px" data-valign="top" data-pointer-events="none"> <div id="s1186_t" class="sg" style="z-index:2;left:-9.58px;top:-3.35px;width:838.04px;height:280.62px;"><div><p para="{spbf:10.00}"><span data-textwidth="257.93" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:156%; left:17.31px;top:11.64px;">A. <span style="color:#FFFFFF;">Most are malignant</span></span></p><p para="{spbf:10.00}"><span data-textwidth="303.53" class="sg nowrap f3" style="z-index:4;color:#FFFF00;font-size:156%; left:17.31px;top:58.57px;">B. <span style="color:#FFFFFF;">Most are asymptomatic</span></span></p><p para="{spbf:10.00}"><span data-textwidth="411.67" class="sg nowrap f3" style="z-index:6;color:#FFFF00;font-size:156%; left:17.31px;top:105.62px;">C. <span style="color:#FFFFFF;">Often present with hypoglycemia</span></span></p><p para="{spbf:10.00}"><span data-textwidth="222.04" class="sg nowrap f3" style="z-index:8;color:#FFFF00;font-size:156%; left:17.31px;top:152.55px;">D. <span style="color:#FFFFFF;">Most are benign</span></span></p><p para="{spbf:10.00}"><span data-textwidth="395.11" class="sg nowrap f3" style="z-index:10;color:#FFFF00;font-size:156%; left:17.31px;top:199.48px;">E. <span style="color:#FFFFFF;">Most are found in the abdomen</span></span></p></div></div></div> <div class="sg" id="s1189" data-sgid="TextBox 4" style="z-index:4;left:27.22px;top:434.84px;width:238.71px;height:73.65px" data-valign="top"> <div id="s1189_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:242.42px;height:82.04px;"><div><p><span data-textwidth="163.83" class="sg nowrap f3" style="z-index:2;color:#FFFF00;left:11.42px;top:8.15px;">Login at: Live.rsna.org</span></p><p></p><p><span data-textwidth="68.77" class="sg nowrap f3" style="z-index:3;color:#FFFF00;left:11.42px;top:51.36px;">Join PS12</span></p></div></div></div> <div class="sg" id="s1188" data-sgid="Rectangle 1" style="z-index:3;left:732.72px;top:461.93px;width:202.12px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s1188_t" class="sg" style="z-index:2;left:-3.60px;top:-1.90px;width:205.71px;height:53.59px;"><div><p><span data-textwidth="158.19" class="sg nowrap f3" style="z-index:2;color:#0563C1;left:11.88px;top:8.03px;"><a target=_blank class="sga" href="http://bit.ly/2O0LoRa"><u>http://bit.ly/2O0LoRa</u></a></span></p></div></div><img class="sg" src="4C294E8C411x107.png" id="s1188_tt" style="left:-3.60px;top:-1.90px;width:205.71px;height:53.59px;z-index:1" > </div>
<div class="sg sgTitle" id="s1190" 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="s1190_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.30px;"><div><p><span data-textwidth="412.03" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:28.08px;">Solitary Fibrous Tumor</span></p></div></div></div> <div class="sg" id="s1191" data-sgid="Content Placeholder 2" style="z-index:2;left:44.15px;top:123.04px;width:849.79px;height:380.88px" data-valign="top" data-pointer-events="none"> <img class="sg" src="4FFA30B0.png" id="s1191_tt" style="left:-8.52px;top:-8.26px;width:866.58px;height:389.13px;z-index:1" > </div>
<div class="sg sgTitle" id="s1202" data-sgid="Title 1" style="z-index:1;left:65.48px;top:4.68px;width:828.46px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s1202_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.16px;"><div><p><span data-textwidth="157.23" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:27.93px;">VIR Case</span></p></div></div></div> <div class="sg" id="s1203" data-sgid="Content Placeholder 2" style="z-index:2;left:56.02px;top:90.89px;width:867.29px;height:343.35px" data-valign="top" data-pointer-events="none"> <div id="s1203_t" class="sg" style="z-index:2;left:-8.41px;top:-8.14px;width:876.07px;height:351.49px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="826.22" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.12px;top:12.15px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Chemoembolization is an option but this tumor may be chemoresistant</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="761.16" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-size:156%; left:16.12px;top:52.48px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Can be radiation sensitive. Y90 was considered as a good choice. </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="843.14" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-size:156%; left:16.12px;top:92.69px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Post Y90 images show that the non-responding lesions were supplied by </span></span><span data-textwidth="786.13" class="sg nowrap f3" style="z-index:11;color:#FFFFFF;font-size:156%; left:34.12px;top:122.37px;">extrahepatic arteries (which also supply the skin). Thus, Y90 was not </span><span data-textwidth="94.46" class="sg nowrap f3" style="z-index:12;color:#FFFFFF;font-size:156%; left:34.12px;top:152.62px;">chosen. </span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="618.70" class="sg nowrap f4" style="z-index:13;color:#FFFFFF;font-size:156%; left:16.12px;top:193.39px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Surgical resection of these lesions is now considered.</span></span></p></div></div></div> <div class="sg" id="s1204" data-sgid="Rectangle 3" style="z-index:3;left:74.96px;top:365.05px;width:480.61px;height:119.55px" data-valign="top" data-pointer-events="none"> <div id="s1204_t" class="sg" style="z-index:2;left:-12.60px;top:-4.91px;width:493.22px;height:141.73px;"><div><p><span data-textwidth="193.59" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:20.33px;top:11.82px;">Case courtesy of:</span></p><p><span data-textwidth="261.41" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:178%; left:20.33px;top:46.43px;">Sanjeeva Kalva, M.D</span></p><p><span data-textwidth="377.70" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:178%; left:20.33px;top:84.84px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">MGH, Harvard Medial School</span></span></p></div></div></div> <div class="sg" id="s1205" data-sgid="Picture 2" style="z-index:4;left:491.18px;top:334.35px;width:165.61px;height:186.24px"> <img class="sg" src="7AA5B883.jpg" id="s1205_i" style="z-index:1;left:0px;top:0px;width:165.61px;height:186.24px" > </div>
<div class="sg" id="s1206" data-sgid="Subtitle 2" style="z-index:1;left:0.00px;top:136.96px;width:960.38px;height:265.62px" data-valign="top"> <div id="s1206_t" class="sg" style="z-index:2;left:0.00px;top:-22.32px;width:960.38px;height:317.08px;"><div><p para="{al:2,spbf:12.08}"><span data-textwidth="268.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:311%; left:352.38px;top:22.67px;">2019 RSNA </span></p><p para="{al:2,spbf:12.08}"><span data-textwidth="675.71" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:311%; left:142.70px;top:95.41px;">Image Interpretation Session</span></p><p></p><p para="{al:2,spbf:12.08}"><span data-textwidth="625.06" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:311%; left:168.03px;top:220.71px;">Musculoskeletal Radiology</span></p></div></div></div>
<div class="sg" id="s1207" data-sgid="Title 3" style="z-index:1;left:96.54px;top:71.46px;width:677.44px;height:104.82px" data-valign="top"> <div id="s1207_t" class="sg" style="z-index:2;left:-19.17px;top:-14.86px;width:696.61px;height:188.28px;"><div><p><span data-textwidth="185.55" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:26.93px;top:18.02px;">MSK CASE</span></p><p></p><p><span data-textwidth="239.56" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:244%; left:26.93px;top:113.08px;">Presentation:</span></p></div></div></div> <div class="sg" id="s1208" data-sgid="Content Placeholder 2" style="z-index:2;left:96.54px;top:269.33px;width:812.27px;height:180.74px" data-valign="top"> <div id="s1208_t" class="sg" style="z-index:2;left:-9.71px;top:-8.25px;width:821.98px;height:188.99px;"><div><p para="{spbf:10.00}"><span data-textwidth="696.84" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.47px;top:11.74px;">A 44-year-old male presented with great toe soft tissue mass </span><span data-textwidth="759.13" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:156%; left:17.47px;top:41.99px;">measuring 2.3 x 5.6 x 2.0 cm. Additional, similar appearing smaller </span><span data-textwidth="752.53" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:156%; left:17.47px;top:72.23px;">lesions were present in the adjacent soft tissues measuring ≤1 cm.</span></p></div></div></div>
<div class="sg" id="s1210" data-sgid="Title 3" style="z-index:1;left:29.51px;top:29.50px;width:677.44px;height:104.82px" data-valign="top"> <div id="s1210_t" class="sg" style="z-index:2;left:-19.31px;top:-14.86px;width:696.75px;height:119.69px;"><div><p><span data-textwidth="157.23" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.01px;top:17.97px;">HISTORY</span></p></div></div></div> <div class="sg" id="s1211" data-sgid="Content Placeholder 2" style="z-index:2;left:17.50px;top:123.15px;width:966.38px;height:411.35px" data-valign="top"> <div id="s1211_t" class="sg" style="z-index:2;left:-5.15px;top:-5.62px;width:971.54px;height:416.96px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="877.59" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:122%; left:12.85px;top:9.26px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:5.29px"> </span>Medication history</span><span class="f3" >: Hypertension, No DM, No Cardiac history, Describes intermittent headaches</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="162.75" class="sg nowrap f4" style="z-index:5;color:#FFFFFF;font-size:122%; left:12.85px;top:42.99px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:5.29px"> </span>Surgical history</span><span class="f3" >:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="642.94" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:122%; left:48.86px;top:71.79px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>2 procedures on his left foot as a child (outside report- neurofibroma) </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="768.73" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:122%; left:48.86px;top:100.48px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>Appendectomy at age 30; Pt recalls being told of a "mass" on an enlarged appendix</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="479.60" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-size:122%; left:48.86px;top:129.28px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>Right medial forearm benign mass excised at age 26</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="151.35" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:122%; left:12.85px;top:163.01px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:5.29px"> </span>Family history</span><span class="f3" >:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="235.00" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-size:122%; left:48.86px;top:191.82px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>Congestive heart failure </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="463.15" class="sg nowrap f4" style="z-index:21;color:#FFFFFF;font-size:122%; left:48.86px;top:220.62px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>Mother with a ‘brain tumor’ diagnosed at age 76. </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="144.87" class="sg nowrap f4" style="z-index:23;color:#FFFFFF;font-size:122%; left:12.85px;top:254.35px;">•<span class="f1" style="font-weight:bold; "><span style="letter-spacing:5.29px"> </span>Physical Exam</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="602.38" class="sg nowrap f4" style="z-index:25;color:#FFFFFF;font-size:122%; left:48.86px;top:283.16px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>Firm but soft mass on left great toe without skin changes, 3-4cm, </span></span></p><p para="{in:3,bl:{ch:8226},spbf:5.00}"><span data-textwidth="347.81" class="sg nowrap f4" style="z-index:29;color:#FFFFFF;font-size:122%; left:84.87px;top:311.85px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>No Clubbing, no Cyanosis, no Edema </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="822.85" class="sg nowrap f4" style="z-index:31;color:#FFFFFF;font-size:122%; left:48.86px;top:340.65px;">•<span class="f3" ><span style="letter-spacing:5.28px"> </span>On the right upper extremity is a 1.5 cm diameter, raised, flesh colored, mobile skin lesion </span></span><span data-textwidth="159.87" class="sg nowrap f3" style="z-index:33;color:#FFFFFF;font-size:122%; left:66.86px;top:364.22px;">incidentally noted</span></p></div></div></div>
<div class="sg" id="s1212" data-sgid="Picture 9" style="z-index:1;left:662.57px;top:34.30px;width:296.85px;height:190.18px"> <img class="sg" src="A52323B1.jpg" id="s1212_i" style="z-index:1;left:0px;top:0px;width:296.85px;height:190.18px" > </div> <div class="sg" id="s1214" data-sgid="Picture 4" style="z-index:3;left:20.02px;top:85.62px;width:382.63px;height:368.06px"> <img class="sg" src="93EEA5F4.jpg" id="s1214_i" style="z-index:1;left:0px;top:0px;width:382.63px;height:368.06px" > </div> <div class="sg" id="s1213" data-sgid="Picture 11" style="z-index:2;left:422.30px;top:139.23px;width:227.18px;height:271.97px"> <img class="sg" src="B9DC64E1.jpg" id="s1213_i" style="z-index:1;left:0px;top:0px;width:227.18px;height:271.97px" > </div> <div class="sg" id="s1215" data-sgid="Content Placeholder 4" style="z-index:4;left:669.02px;top:268.62px;width:283.90px;height:190.07px"> <img class="sg" src="E6A438A3.png" id="s1215_i" style="z-index:1;left:0px;top:0px;width:283.90px;height:190.07px" > </div>
<div class="sg" id="s1222" data-sgid="TextBox 9" style="z-index:7;left:26.62px;top:30.70px;width:246.49px;height:46.89px" data-valign="top"> <div id="s1222_t" class="sg" style="z-index:2;left:-11.98px;top:-5.88px;width:258.47px;height:68.11px;"><div><p><span data-textwidth="172.11" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:178%; left:19.69px;top:13.51px;">DIXON T2 WI</span></p></div></div></div> <div class="sg" id="s1220" data-sgid="TextBox 1" style="z-index:5;left:725.52px;top:111.77px;width:159.89px;height:29.99px" data-valign="top"> <div id="s1220_t" class="sg" style="z-index:2;left:-3.71px;top:-1.81px;width:163.60px;height:38.87px;"><div><p><span data-textwidth="94.10" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.87px;top:7.75px;">Out of Phase</span></p></div></div></div> <div class="sg" id="s1221" data-sgid="TextBox 7" style="z-index:6;left:185.78px;top:117.53px;width:159.89px;height:29.84px" data-valign="top"> <div id="s1221_t" class="sg" style="z-index:2;left:-3.71px;top:-1.81px;width:163.60px;height:38.87px;"><div><p><span data-textwidth="61.57" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.52px;top:7.63px;">In Phase</span></p></div></div></div> <div class="sg" id="s1217" data-sgid="Picture 7" style="z-index:2;left:502.67px;top:29.99px;width:194.07px;height:232.51px"> <img class="sg" src="8F731431.jpg" id="s1217_i" title="" alt="A picture containing animal, arthropod, invertebrate, photoDescription generated with very high confidence" style="z-index:1;left:0px;top:0px;width:194.07px;height:232.51px" > </div> <div class="sg" id="s1216" data-sgid="Picture 5" style="z-index:1;left:301.77px;top:29.99px;width:194.19px;height:232.51px"> <img class="sg" src="2A2A4817.jpg" id="s1216_i" title="" alt="A picture containing indoor, animal, invertebrate, arthropodDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:194.19px;height:232.51px" > </div> <div class="sg" id="s1224" data-sgid="TextBox 12" style="z-index:9;left:174.99px;top:363.01px;width:160.12px;height:29.99px" data-valign="top"> <div id="s1224_t" class="sg" style="z-index:2;left:-3.60px;top:-1.93px;width:163.72px;height:38.87px;"><div><p><span data-textwidth="80.17" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.52px;top:7.96px;">Water only</span></p></div></div></div> <div class="sg" id="s1223" data-sgid="TextBox 11" style="z-index:8;left:725.52px;top:364.31px;width:159.89px;height:29.99px" data-valign="top"> <div id="s1223_t" class="sg" style="z-index:2;left:-3.71px;top:-1.90px;width:163.60px;height:38.84px;"><div><p><span data-textwidth="57.61" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.87px;top:7.95px;">Fat only</span></p></div></div></div> <div class="sg" id="s1219" data-sgid="Picture 11" style="z-index:4;left:302.48px;top:278.10px;width:194.33px;height:232.43px"> <img class="sg" src="7DAEEDCE.jpg" id="s1219_i" title="" alt="A picture containing animal, invertebrate, indoorDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:194.33px;height:232.43px" > </div> <div class="sg" id="s1218" data-sgid="Picture 9" style="z-index:3;left:502.67px;top:278.35px;width:194.07px;height:232.40px"> <img class="sg" src="F9931FEC.jpg" id="s1218_i" title="" alt="A picture containing animal, invertebrate, worm, arthropodDescription generated with very high confidence" style="z-index:1;left:0px;top:0px;width:194.07px;height:232.40px" > </div>
<div class="sg" id="s1225" data-sgid="Content Placeholder 5" style="z-index:1;left:168.87px;top:27.94px;width:280.68px;height:198.10px"> <img class="sg" src="2C3E88E5.jpg" id="s1225_i" style="z-index:1;left:0px;top:0px;width:280.68px;height:198.10px" > </div> <div class="sg" id="s1226" data-sgid="Picture 7" style="z-index:2;left:490.55px;top:28.79px;width:280.56px;height:199.29px"> <img class="sg" src="5CE4F980.jpg" id="s1226_i" style="z-index:1;left:0px;top:0px;width:280.56px;height:199.29px" > </div> <div class="sg" id="s1227" data-sgid="TextBox 9" style="z-index:3;left:169.72px;top:195.46px;width:179.92px;height:29.87px" data-valign="top"> <div id="s1227_t" class="sg" style="z-index:2;left:-3.71px;top:-1.79px;width:183.62px;height:38.72px;"><div><p><span data-textwidth="147.62" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.50px;top:7.69px;">Pre-contrast FS T1W</span></p></div></div></div> <div class="sg" id="s1228" data-sgid="TextBox 11" style="z-index:4;left:499.45px;top:199.91px;width:186.99px;height:29.99px" data-valign="top"> <div id="s1228_t" class="sg" style="z-index:2;left:-3.86px;top:-1.92px;width:190.85px;height:38.87px;"><div><p><span data-textwidth="154.59" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.73px;top:7.82px;">Post-contrast FS T1W</span></p></div></div></div> <div class="sg" id="s1234" data-sgid="Straight Connector 2" style="z-index:10;left:5.52px;top:244.40px;width:954.63px;height:1.33px" data-pointer-events="none"> <img class="sg" src="F3A00B22955x1.png" id="s1234_i" style="z-index:1;left:0px;top:0px;width:954.63px;height:1.00px;-webkit-transform:scaleY(0.50);transform:scaleY(0.50)" > </div> <div class="sg" id="s1229" data-sgid="Picture 6" style="z-index:5;left:167.91px;top:269.11px;width:226.10px;height:221.25px"> <img class="sg" src="616147CE.png" id="s1229_i" title="" alt="A screenshot of a cell phoneDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:226.10px;height:221.25px" > </div> <div class="sg" id="s1230" data-sgid="Picture 13" style="z-index:6;left:447.88px;top:269.11px;width:362.80px;height:264.91px"> <img class="sg" src="EA2D67E5.jpg" id="s1230_i" style="z-index:1;left:0px;top:0px;width:362.80px;height:264.91px" > </div> <div class="sg" id="s1232" data-sgid="TextBox 15" style="z-index:8;left:763.67px;top:460.51px;width:47.01px;height:29.84px" data-valign="top"> <div id="s1232_t" class="sg" style="z-index:2;left:-3.82px;top:-1.93px;width:54.20px;height:38.87px;"><div><p><span data-textwidth="31.45" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.88px;top:7.92px;">DWI</span></p></div></div></div> <div class="sg" id="s1231" data-sgid="TextBox 14" style="z-index:7;left:170.43px;top:460.51px;width:48.12px;height:29.84px" data-valign="top"> <div id="s1231_t" class="sg" style="z-index:2;left:-3.60px;top:-1.93px;width:53.75px;height:38.87px;"><div><p><span data-textwidth="31.09" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.40px;top:7.92px;">ADC</span></p></div></div></div> <div class="sg" id="s1233" data-sgid="TextBox 16" style="z-index:9;left:170.43px;top:496.60px;width:255.73px;height:29.87px" data-valign="top"> <div id="s1233_t" class="sg" style="z-index:2;left:-3.60px;top:-1.90px;width:259.32px;height:38.72px;"><div><p><span data-textwidth="192.04" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.40px;top:7.93px;">ADC = 1.88 x 10<span class="f3" style="font-size:67%; position:relative;bottom:7px;">-3 </span>mm<span class="f3" style="font-size:67%; position:relative;bottom:7px;">2</span>/sec</span></p></div></div></div>
<div class="sg" id="s1235" data-sgid="Picture 5" style="z-index:1;left:23.51px;top:2.41px;width:296.73px;height:236.71px"> <img class="sg" src="8BF77384.jpg" id="s1235_i" style="z-index:1;left:0px;top:0px;width:296.73px;height:236.71px" > </div> <div class="sg" id="s1236" data-sgid="Picture 7" style="z-index:2;left:311.38px;top:150.38px;width:306.82px;height:236.74px"> <img class="sg" src="4DB969D0.jpg" id="s1236_i" style="z-index:1;left:0px;top:0px;width:306.82px;height:236.74px" > </div> <div class="sg" id="s1237" data-sgid="Picture 9" style="z-index:3;left:605.11px;top:293.33px;width:306.82px;height:236.74px"> <img class="sg" src="ECE809E4.jpg" id="s1237_i" style="z-index:1;left:0px;top:0px;width:306.82px;height:236.74px" > </div>
<div class="sg" id="s1238" data-sgid="Content Placeholder 5" style="z-index:1;left:11.53px;top:32.51px;width:366.66px;height:261.53px"> <img class="sg" src="5334E97.jpg" id="s1238_i" style="z-index:1;left:0px;top:0px;width:366.66px;height:261.53px" > </div> <div class="sg" id="s1239" data-sgid="Picture 2" style="z-index:2;left:306.45px;top:221.39px;width:329.36px;height:315.74px"> <img class="sg" src="A0C85003.jpg" id="s1239_i" style="z-index:1;left:0px;top:0px;width:329.36px;height:315.74px" > </div> <div class="sg" id="s1240" data-sgid="Picture 3" style="z-index:3;left:617.23px;top:221.39px;width:330.69px;height:315.74px"> <img class="sg" src="389410C2.jpg" id="s1240_i" style="z-index:1;left:0px;top:0px;width:330.69px;height:315.74px" > </div>
<div class="sg" id="s1241" data-sgid="TextBox 2" style="z-index:1;left:223.58px;top:63.09px;width:94.87px;height:29.84px" data-valign="top"> <div id="s1241_t" class="sg" style="z-index:2;left:-3.85px;top:-1.93px;width:98.72px;height:38.87px;"><div><p><span data-textwidth="75.61" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.55px;top:7.69px;">May, 2017</span></p></div></div></div> <div class="sg" id="s1243" data-sgid="TextBox 4" style="z-index:3;left:658.38px;top:63.09px;width:94.02px;height:29.84px" data-valign="top"> <div id="s1243_t" class="sg" style="z-index:2;left:-3.86px;top:-1.93px;width:97.87px;height:38.87px;"><div><p><span data-textwidth="69.01" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.95px;top:7.69px;">Jan, 2019</span></p></div></div></div> <div class="sg" id="s1242" data-sgid="Picture 3" style="z-index:2;left:82.52px;top:110.44px;width:377.11px;height:380.88px"> <img class="sg" src="F90CEFC0.jpg" id="s1242_i" style="z-index:1;left:0px;top:0px;width:377.11px;height:380.88px" > </div> <div class="sg" id="s1244" data-sgid="Picture 5" style="z-index:4;left:516.72px;top:110.44px;width:377.22px;height:380.88px"> <img class="sg" src="80B152DC.jpg" id="s1244_i" style="z-index:1;left:0px;top:0px;width:377.22px;height:380.88px" > </div>
<div class="sg" id="s1245" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s1245_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="379.38" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">MSK Case Discussion</span></p></div></div></div>
<div class="sg sgTitle" id="s1247" data-sgid="Title 1" style="z-index:2;left:18.35px;top:21.11px;width:916.48px;height:90.78px" data-valign="middle" data-pointer-events="none"> <div id="s1247_t" class="sg" style="z-index:2;left:-19.20px;top:-14.64px;width:935.68px;height:120.65px;"><div><p><span data-textwidth="503.49" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:26.89px;top:18.09px;">Diagnosis Live, Case 8 – MSK</span><span data-textwidth="737.40" class="sg nowrap f10" style="z-index:5;color:#FFFFFF;font-size:178%; left:26.89px;top:66.31px;">The high signal on ‘fat-excluded’ MR sequences indicates:</span></p></div></div></div> <div class="sg" id="s1246" data-sgid="Content Placeholder 2" style="z-index:1;left:56.98px;top:136.00px;width:864.43px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s1246_t" class="sg" style="z-index:2;left:-9.71px;top:-3.38px;width:874.14px;height:271.26px;"><div><p para="{spbf:10.00}"><span data-textwidth="272.33" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:156%; left:17.42px;top:11.77px;">A. <span style="color:#FFFFFF;">Muscular hyperplasia</span></span></p><p para="{spbf:10.00}"><span data-textwidth="159.15" class="sg nowrap f3" style="z-index:4;color:#FFFF00;font-size:156%; left:17.42px;top:58.70px;">B. <span style="color:#FFFFFF;">Malignancy</span></span></p><p para="{spbf:10.00}"><span data-textwidth="117.50" class="sg nowrap f3" style="z-index:6;color:#FFFF00;font-size:156%; left:17.42px;top:105.75px;">C. <span style="color:#FFFFFF;">Abscess</span></span></p><p para="{spbf:10.00}"><span data-textwidth="139.83" class="sg nowrap f3" style="z-index:8;color:#FFFF00;font-size:156%; left:17.42px;top:152.68px;">D. <span style="color:#FFFFFF;">Slow flow</span></span></p><p para="{spbf:10.00}"><span data-textwidth="289.13" class="sg nowrap f3" style="z-index:10;color:#FFFF00;font-size:156%; left:17.42px;top:199.61px;">E. <span style="color:#FFFFFF;">Lymphatic hypertrophy</span></span></p></div></div></div> <div class="sg" id="s1249" data-sgid="Picture 11" style="z-index:4;left:716.77px;top:160.45px;width:194.19px;height:232.43px"> <img class="sg" src="524669EB.jpg" id="s1249_i" title="" alt="A picture containing animal, invertebrate, indoorDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:194.19px;height:232.43px" > </div> <div class="sg" id="s1250" data-sgid="TextBox 6" style="z-index:5;left:27.22px;top:434.84px;width:238.71px;height:73.65px" data-valign="top"> <div id="s1250_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:242.42px;height:82.04px;"><div><p><span data-textwidth="163.83" class="sg nowrap f3" style="z-index:2;color:#FFFF00;left:11.42px;top:8.15px;">Login at: Live.rsna.org</span></p><p></p><p><span data-textwidth="68.77" class="sg nowrap f3" style="z-index:3;color:#FFFF00;left:11.42px;top:51.36px;">Join PS12</span></p></div></div></div> <div class="sg" id="s1248" data-sgid="Rectangle 1" style="z-index:3;left:758.03px;top:463.26px;width:176.80px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s1248_t" class="sg" style="z-index:2;left:-3.59px;top:-1.93px;width:180.40px;height:53.62px;"><div><p><span data-textwidth="155.79" class="sg nowrap f3" style="z-index:2;color:#0563C1;left:11.77px;top:7.93px;"><a target=_blank class="sga" href="http://bit.ly/2qrLsQU"><u>http://bit.ly/2qrLsQU</u></a></span></p></div></div><img class="sg" src="2D7B2C16361x107.png" id="s1248_tt" style="left:-3.59px;top:-1.93px;width:180.40px;height:53.62px;z-index:1" > </div>
<div class="sg" id="s1252" data-sgid="Title 3" style="z-index:2;left:5.52px;top:23.52px;width:432.64px;height:132.74px" data-valign="top"> <div id="s1252_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:432.64px;height:133.82px;"><div><p para="{al:2}"><span data-textwidth="300.17" class="sg nowrap f12" style="z-index:2;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:66.37px;top:15.89px;">Musculoskeletal Case</span></p><p para="{al:2}"><span data-textwidth="231.76" class="sg nowrap f10" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:200%; left:100.46px;top:72.06px;"><u>44 year-old man</u></span></p></div></div><img class="sg" src="BB2D71AE865x268.png" id="s1252_tt" style="left:0.00px;top:0.00px;width:432.64px;height:133.82px;z-index:1" > </div> <div class="sg" id="s1253" data-sgid="Content Placeholder 2" style="z-index:3;left:17.50px;top:149.42px;width:450.62px;height:150.75px" data-valign="top"> <div id="s1253_t" class="sg" style="z-index:2;left:-14.50px;top:-7.32px;width:465.12px;height:170.89px;"><div><p para="{spbf:10.00}"><span data-textwidth="128.54" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.20px;top:14.93px;">HISTORY</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="209.32" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:144%; left:22.20px;top:68.23px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Firm toe mass</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="329.46" class="sg nowrap f9" style="z-index:5;color:#FFFF00;font-size:144%; left:22.20px;top:116.60px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Adjacent masses < 1cm</span></span></p></div></div></div> <div class="sg" id="s1251" data-sgid="Picture 1" style="z-index:1;left:533.03px;top:23.15px;width:419.56px;height:481.13px"> <img class="sg" src="E105E29F.jpg" id="s1251_i" style="z-index:1;left:0px;top:0px;width:419.56px;height:481.13px" > </div> <div class="sg" id="s1254" data-sgid="Content Placeholder 2 (2)" style="z-index:4;left:17.50px;top:311.32px;width:546.60px;height:211.18px" data-valign="top"> <div id="s1254_t" class="sg" style="z-index:2;left:-14.50px;top:-7.32px;width:561.10px;height:219.46px;"><div><p para="{spbf:10.00}"><span data-textwidth="344.10" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.20px;top:15.07px;">PAST HISTORY: Masses</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="445.27" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:144%; left:22.20px;top:68.36px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Left foot </span><span class="f5" style="font-style:italic; font-size:108%; color:#FFFFFF;">(child)</span><span class="f3" style="font-size:123%; color:#FFFFFF;">: </span><span class="f5" style="font-style:italic; font-size:123%; color:#FFFFFF;">‘neurofibromas’</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="435.56" class="sg nowrap f9" style="z-index:8;color:#FFFF00;font-size:144%; left:22.20px;top:116.73px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Right forearm </span><span class="f5" style="font-style:italic; font-size:108%; color:#FFFFFF;">(age 26)</span><span class="f3" style="font-size:123%; color:#FFFFFF;">: ‘</span><span class="f5" style="font-style:italic; font-size:123%; color:#FFFFFF;">benign’</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="420.55" class="sg nowrap f9" style="z-index:13;color:#FFFF00;font-size:144%; left:22.20px;top:165.22px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Appendix </span><span class="f5" style="font-style:italic; font-size:108%; color:#FFFFFF;">(age 30)</span><span class="f3" style="font-size:123%; color:#FFFFFF;">: </span><span class="f5" style="font-style:italic; font-size:123%; color:#FFFFFF;">‘mass’ NOS</span></span></p></div></div></div>
<div class="sg" id="s1258" data-sgid="Line 9" style="z-index:4;left:647.33px;top:11.15px;width:46.16px;height:106.01px" data-pointer-events="none"> <img class="sg" src="FECDFD5A46x106.png" id="s1258_i" style="z-index:1;left:0px;top:0px;width:45.16px;height:106.01px" > </div> <div class="sg" id="s1256" data-sgid="Title 3" style="z-index:2;left:5.52px;top:17.50px;width:432.64px;height:132.77px" data-valign="top"> <div id="s1256_t" class="sg" style="z-index:2;left:0.00px;top:-2.15px;width:432.64px;height:134.92px;"><div><p para="{al:2}"><span data-textwidth="239.32" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:100.46px;top:14.82px;">44 year-old man </span></p><p para="{al:2}"><span data-textwidth="177.99" class="sg nowrap f12" style="z-index:6;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:127.46px;top:66.67px;"><u>Radiography</u></span></p></div></div><img class="sg" src="CA809CB2865x270.png" id="s1256_tt" style="left:0.00px;top:-2.15px;width:432.64px;height:134.92px;z-index:1" > </div> <div class="sg" id="s1259" data-sgid="Line 9 (2)" style="z-index:5;left:720.37px;top:93.53px;width:97.05px;height:76.51px" data-pointer-events="none"> <img class="sg" src="281A52F697x77.png" id="s1259_i" style="z-index:1;left:0px;top:0px;width:97.05px;height:75.51px" > </div> <div class="sg" id="s1257" data-sgid="Content Placeholder 2" style="z-index:3;left:17.50px;top:137.42px;width:462.63px;height:102.78px" data-valign="top"> <div id="s1257_t" class="sg" style="z-index:2;left:-14.50px;top:-7.29px;width:477.13px;height:122.55px;"><div><p para="{spbf:10.00}"><span data-textwidth="141.14" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.20px;top:14.90px;">Great toe</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="237.76" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:144%; left:22.20px;top:68.19px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Soft-tissue mass</span></span></p></div></div></div> <div class="sg" id="s1260" data-sgid="Line 9 (3)" style="z-index:6;left:738.35px;top:192.82px;width:107.73px;height:46.41px" data-pointer-events="none"> <img class="sg" src="C3603C3E108x46.png" id="s1260_i" style="z-index:1;left:0px;top:0px;width:107.73px;height:45.41px" > </div> <div class="sg" id="s1255" data-sgid="Picture 1" style="z-index:1;left:441.99px;top:23.26px;width:500.27px;height:481.02px"> <img class="sg" src="A11C7F09.jpg" id="s1255_i" style="z-index:1;left:0px;top:0px;width:500.27px;height:481.02px" > </div> <div class="sg" id="s1263" data-sgid="Content Placeholder 2 (2)" style="z-index:9;left:17.50px;top:239.38px;width:462.63px;height:96.77px" data-valign="top"> <div id="s1263_t" class="sg" style="z-index:2;left:-6.94px;top:-5.88px;width:469.57px;height:116.43px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="334.98" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.64px;top:13.67px;"><span class="f5" style="font-style:italic; font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>No calcification, gas, FB</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="380.95" class="sg nowrap f9" style="z-index:4;color:#FFFF00;font-size:144%; left:14.64px;top:62.04px;"><span class="f5" style="font-style:italic; font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>No bone erosion, periostitis</span></span></p></div></div></div> <div class="sg" id="s1261" data-sgid="Line 9 (4)" style="z-index:7;left:697.83px;top:264.54px;width:85.87px;height:85.28px" data-pointer-events="none"> <img class="sg" src="BC66321486x85.png" id="s1261_i" style="z-index:1;left:0px;top:0px;width:85.87px;height:84.28px" > </div> <div class="sg" id="s1262" data-sgid="Line 9 (5)" style="z-index:8;left:626.21px;top:312.51px;width:54.12px;height:108.28px" data-pointer-events="none"> <img class="sg" src="961B930154x108.png" id="s1262_i" style="z-index:1;left:0px;top:0px;width:53.12px;height:108.28px" > </div> <div class="sg" id="s1264" data-sgid="Content Placeholder 2 (3)" style="z-index:10;left:17.50px;top:347.29px;width:450.62px;height:120.77px" data-valign="top"> <div id="s1264_t" class="sg" style="z-index:2;left:-14.50px;top:-7.32px;width:465.12px;height:128.09px;"><div><p para="{spbf:10.00}"><span data-textwidth="153.75" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.20px;top:15.11px;">Elsewhere</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="341.22" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:144%; left:22.20px;top:68.40px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Smaller lesions not seen</span></span></p></div></div></div>
<div class="sg" id="s1273" data-sgid="TextBox 10" style="z-index:9;left:881.08px;top:17.50px;width:67.91px;height:42.10px" data-valign="top"> <div id="s1273_t" class="sg" style="z-index:2;left:-6.94px;top:-4.90px;width:81.79px;height:59.83px;"><div><p para="{al:2}"><span data-textwidth="47.17" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.97px;top:11.52px;">PSIF</span></p></div></div></div> <div class="sg" id="s1269" data-sgid="Title 3" style="z-index:5;left:5.52px;top:17.50px;width:384.64px;height:132.77px" data-valign="top"> <div id="s1269_t" class="sg" style="z-index:2;left:0.00px;top:-2.15px;width:384.64px;height:134.92px;"><div><p para="{al:2}"><span data-textwidth="239.32" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:76.45px;top:14.82px;">44 year-old man </span></p><p para="{al:2}"><span data-textwidth="216.76" class="sg nowrap f12" style="z-index:5;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:84.01px;top:66.67px;"><u>MRI: Great toe</u></span></p></div></div><img class="sg" src="697F2E43769x270.png" id="s1269_tt" style="left:0.00px;top:-2.15px;width:384.64px;height:134.92px;z-index:1" > </div> <div class="sg" id="s1278" data-sgid="Line 9" style="z-index:14;left:798.33px;top:60.91px;width:73.29px;height:70.30px" data-pointer-events="none"> <img class="sg" src="978E76873x70.png" id="s1278_i" style="z-index:1;left:0px;top:0px;width:73.29px;height:69.30px" > </div> <div class="sg" id="s1279" data-sgid="Line 9 (2)" style="z-index:15;left:769.67px;top:96.65px;width:73.15px;height:72.91px" data-pointer-events="none"> <img class="sg" src="407ECE2C73x73.png" id="s1279_i" style="z-index:1;left:0px;top:0px;width:73.15px;height:71.91px" > </div> <div class="sg" id="s1265" data-sgid="Picture 1" style="z-index:1;left:394.61px;top:11.26px;width:307.67px;height:296.11px"> <img class="sg" src="DF2303C6.jpg" id="s1265_i" style="z-index:1;left:0px;top:0px;width:307.67px;height:296.11px" > </div> <div class="sg" id="s1268" data-sgid="Picture 4" style="z-index:4;left:700.46px;top:8.40px;width:254.17px;height:304.48px"> <img class="sg" src="491AE9C7.jpg" id="s1268_i" style="z-index:1;left:0px;top:0px;width:254.17px;height:304.48px" > </div> <div class="sg" id="s1280" data-sgid="Line 9 (3)" style="z-index:16;left:739.80px;top:144.62px;width:77.85px;height:73.39px" data-pointer-events="none"> <img class="sg" src="DC90F9CA78x73.png" id="s1280_i" style="z-index:1;left:0px;top:0px;width:77.85px;height:72.39px" > </div> <div class="sg" id="s1274" data-sgid="Rectangle 11" style="z-index:10;left:17.50px;top:185.39px;width:378.66px;height:46.89px" data-valign="top" data-pointer-events="none"> <div id="s1274_t" class="sg" style="z-index:2;left:-10.67px;top:-5.87px;width:389.34px;height:68.11px;"><div><p para="{bl:{ch:167}}"><span data-textwidth="303.06" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:178%; left:18.37px;top:13.32px;"><span class="f3" style="color:#FFFFFF;"> Morphology: </span><span class="f5" style="font-style:italic; color:#FFFFFF;">Lobular</span></span></p></div></div></div> <div class="sg" id="s1270" data-sgid="Content Placeholder 2" style="z-index:6;left:17.50px;top:131.43px;width:378.66px;height:174.72px" data-valign="top"> <img class="sg" src="7747E03379x175.png" id="s1270_i" style="z-index:1;left:0px;top:0px;width:378.66px;height:174.72px" > <div id="s1270_t" class="sg" style="z-index:2;left:-14.50px;top:-7.32px;width:393.16px;height:182.04px;"><div><p para="{spbf:10.00}"><span data-textwidth="242.81" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.20px;top:14.92px;">Soft-tissue mass</span></p></div></div></div> <div class="sg" id="s1275" data-sgid="Rectangle 12" style="z-index:11;left:18.95px;top:239.38px;width:395.20px;height:92.68px" data-valign="top" data-pointer-events="none"> <div id="s1275_t" class="sg" style="z-index:2;left:-11.98px;top:-4.34px;width:407.18px;height:110.35px;"><div><p para="{bl:{ch:167}}"><span data-textwidth="282.66" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:178%; left:19.79px;top:13.49px;"><span class="f3" style="color:#FFFFFF;"> IR: </span><span class="f5" style="font-style:italic; color:#FFFFFF;">Heterogeneous, </span></span><span data-textwidth="166.35" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;font-style:italic; font-size:178%; left:19.79px;top:56.06px;">hyperintense</span></p></div></div></div> <div class="sg" id="s1272" data-sgid="TextBox 9" style="z-index:8;left:557.25px;top:323.32px;width:74.00px;height:42.10px" data-valign="top"> <div id="s1272_t" class="sg" style="z-index:2;left:0.00px;top:-4.94px;width:74.00px;height:59.86px;"><div><p para="{al:2}"><span data-textwidth="27.84" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:23.53px;top:11.81px;">T1</span></p></div></div></div> <div class="sg" id="s1271" data-sgid="TextBox 8" style="z-index:7;left:893.09px;top:329.30px;width:56.61px;height:42.10px" data-valign="top"> <div id="s1271_t" class="sg" style="z-index:2;left:-0.11px;top:-4.90px;width:56.84px;height:59.83px;"><div><p para="{al:2}"><span data-textwidth="22.32" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.85px;top:11.79px;">IR</span></p></div></div></div> <div class="sg" id="s1276" data-sgid="Rectangle 13" style="z-index:12;left:17.50px;top:341.30px;width:282.72px;height:92.71px" data-valign="top" data-pointer-events="none"> <div id="s1276_t" class="sg" style="z-index:2;left:-11.98px;top:-4.31px;width:294.69px;height:110.33px;"><div><p para="{bl:{ch:167}}"><span data-textwidth="228.89" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:178%; left:19.68px;top:13.57px;"><span class="f3" style="color:#FFFFFF;"> T1: </span><span class="f5" style="font-style:italic; color:#FFFFFF;">Subtle high </span></span><span data-textwidth="76.45" class="sg nowrap f5" style="z-index:5;color:#FFFFFF;font-style:italic; font-size:178%; left:19.68px;top:56.14px;">signal</span></p></div></div></div> <div class="sg" id="s1267" data-sgid="Picture 3" style="z-index:3;left:304.66px;top:321.39px;width:326.10px;height:213.33px"> <img class="sg" src="6E25A964.jpg" id="s1267_i" style="z-index:1;left:0px;top:0px;width:326.10px;height:213.33px" > </div> <div class="sg" id="s1266" data-sgid="Content Placeholder 4" style="z-index:2;left:634.50px;top:323.06px;width:320.13px;height:211.66px"> <img class="sg" src="7D61AFD1.jpg" id="s1266_i" style="z-index:1;left:0px;top:0px;width:320.13px;height:211.66px" > </div> <div class="sg" id="s1283" data-sgid="Line 9 (6)" style="z-index:19;left:359.24px;top:427.89px;width:107.70px;height:46.30px" data-pointer-events="none"> <img class="sg" src="9A529F80108x46.png" id="s1283_i" style="z-index:1;left:0px;top:0px;width:107.70px;height:45.30px" > </div> <div class="sg" id="s1284" data-sgid="Line 9 (7)" style="z-index:20;left:462.49px;top:435.21px;width:113.96px;height:46.30px" data-pointer-events="none"> <img class="sg" src="61DD84D3114x46.png" id="s1284_i" style="z-index:1;left:0px;top:0px;width:113.96px;height:45.30px" > </div> <div class="sg" id="s1282" data-sgid="Line 9 (5)" style="z-index:18;left:792.33px;top:444.68px;width:107.73px;height:46.41px" data-pointer-events="none"> <img class="sg" src="9CD71F78108x46.png" id="s1282_i" style="z-index:1;left:0px;top:0px;width:107.73px;height:45.41px" > </div> <div class="sg" id="s1281" data-sgid="Line 9 (4)" style="z-index:17;left:641.10px;top:457.87px;width:107.70px;height:46.27px" data-pointer-events="none"> <img class="sg" src="FE8D54F3108x46.png" id="s1281_i" style="z-index:1;left:0px;top:0px;width:107.70px;height:45.27px" > </div> <div class="sg" id="s1277" data-sgid="Rectangle 14" style="z-index:13;left:17.50px;top:437.25px;width:282.72px;height:85.62px" data-valign="top" data-pointer-events="none"> <div id="s1277_t" class="sg" style="z-index:2;left:-11.98px;top:-5.87px;width:294.69px;height:106.35px;"><div><p para="{bl:{ch:167}}"><span data-textwidth="224.21" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:178%; left:19.68px;top:13.52px;"><span class="f5" style="font-style:italic; color:#FFFFFF;"> No</span><span class="f3" style="color:#FFFFFF;"> perilesional </span></span><span data-textwidth="89.65" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:178%; left:19.68px;top:52.25px;">edema</span></p></div></div></div>
<div class="sg" id="s1290" data-sgid="Title 3" style="z-index:6;left:5.52px;top:17.50px;width:384.64px;height:132.77px" data-valign="top"> <div id="s1290_t" class="sg" style="z-index:2;left:0.00px;top:-2.15px;width:384.64px;height:134.92px;"><div><p para="{al:2}"><span data-textwidth="239.32" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:76.45px;top:14.82px;">44 year-old man </span></p><p para="{al:2}"><span data-textwidth="216.76" class="sg nowrap f12" style="z-index:5;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:84.01px;top:66.67px;">MRI: Great toe</span></p></div></div></div> <div class="sg" id="s1288" data-sgid="Picture 1" style="z-index:4;left:388.97px;top:11.26px;width:307.78px;height:296.11px"> <img class="sg" src="BBEBE3ED.jpg" id="s1288_i" style="z-index:1;left:0px;top:0px;width:307.78px;height:296.11px" > </div> <div class="sg" id="s1289" data-sgid="Picture 4" style="z-index:5;left:701.20px;top:9.11px;width:252.70px;height:303.06px"> <img class="sg" src="E07FFF46.jpg" id="s1289_i" style="z-index:1;left:0px;top:0px;width:252.70px;height:303.06px" > </div> <div class="sg" id="s1291" data-sgid="Content Placeholder 2" style="z-index:7;left:17.50px;top:131.43px;width:450.62px;height:204.71px" data-valign="top"> <div id="s1291_t" class="sg" style="z-index:2;left:-14.50px;top:-7.32px;width:465.12px;height:219.46px;"><div><p para="{spbf:10.00}"><span data-textwidth="236.93" class="sg nowrap f3" style="z-index:2;color:#BFBFBF;font-size:200%; left:22.20px;top:14.92px;">Soft-tissue mass</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="308.22" class="sg nowrap f9" style="z-index:5;color:#FFFF00;font-size:144%; left:22.20px;top:68.21px;"><span class="f3" style="font-size:123%; color:#BFBFBF;"><span style="letter-spacing:8.05px"> </span>Morphology: </span><span class="f5" style="font-style:italic; font-size:123%; color:#BFBFBF;">Lobular</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="252.29" class="sg nowrap f9" style="z-index:8;color:#FFFF00;font-size:144%; left:22.20px;top:116.58px;"><span class="f3" style="font-size:123%; color:#BFBFBF;"><span style="letter-spacing:8.05px"> </span>T2: </span><span class="f5" style="font-style:italic; font-size:123%; color:#BFBFBF;">Hyperintense</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="207.64" class="sg nowrap f9" style="z-index:11;color:#FFFF00;font-size:144%; left:22.20px;top:165.07px;"><span class="f3" style="font-size:123%; color:#BFBFBF;"><span style="letter-spacing:8.05px"> </span>T1: </span><span class="f5" style="font-style:italic; font-size:123%; color:#BFBFBF;">Fat signal</span></span></p></div></div></div> <div class="sg" id="s1293" data-sgid="Group 13" style="z-index:9;left:282.95px;top:287.50px;width:669.26px;height:240.00px" data-shape="group"> <div class="sg" id="s1298" data-sgid="TextBox 11" style="z-index:4;left:388.26px;top:197.72px;width:270.71px;height:37.16px" data-valign="top"> <div id="s1298_t" class="sg" style="z-index:2;left:0.00px;top:-3.49px;width:270.71px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="189.87" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:40.87px;top:10.62px;">POST-gad T1 fat-sat</span></p></div></div></div> <div class="sg" id="s1299" data-sgid="TextBox 10" style="z-index:3;left:34.43px;top:197.35px;width:270.71px;height:37.16px" data-valign="top"> <div id="s1299_t" class="sg" style="z-index:2;left:0.00px;top:-3.49px;width:270.71px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="176.07" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:47.48px;top:10.63px;">PRE-gad T1 fat-sat</span></p></div></div></div> <div class="sg" id="s1300" data-sgid="Picture 8" style="z-index:2;left:329.83px;top:-0.89px;width:340.15px;height:241.42px"> <img class="sg" src="87C5970C.jpg" id="s1300_i" style="z-index:1;left:0px;top:0px;width:340.15px;height:241.42px" > </div> <div class="sg" id="s1301" data-sgid="Content Placeholder 5" style="z-index:1;left:-1.34px;top:-1.49px;width:331.17px;height:242.24px"> <img class="sg" src="3DE5EAFA.jpg" id="s1301_i" style="z-index:1;left:0px;top:0px;width:331.17px;height:242.24px" > </div> </div> <div class="sg" id="s1287" data-sgid="Picture 15" style="z-index:3;left:292.66px;top:310.61px;width:326.13px;height:213.33px"> <img class="sg" src="B926C0D2.jpg" id="s1287_i" style="z-index:1;left:0px;top:0px;width:326.13px;height:213.33px" > </div> <div class="sg" id="s1286" data-sgid="Content Placeholder 4" style="z-index:2;left:622.50px;top:312.17px;width:320.13px;height:211.77px"> <img class="sg" src="B30007B4.jpg" id="s1286_i" style="z-index:1;left:0px;top:0px;width:320.13px;height:211.77px" > </div> <div class="sg" id="s1292" data-sgid="Content Placeholder 2 (2)" style="z-index:8;left:17.50px;top:341.30px;width:264.73px;height:162.72px" data-valign="top"> <div id="s1292_t" class="sg" style="z-index:2;left:-14.50px;top:-7.31px;width:279.23px;height:170.04px;"><div><p para="{spbf:10.00}"><span data-textwidth="190.35" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.20px;top:15.09px;">Gad contrast</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="214.00" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:144%; left:22.20px;top:70.06px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Enhancement </span></span><span data-textwidth="196.35" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:178%; left:49.21px;top:112.31px;">heterogeneous</span></p></div></div></div> <div class="sg" id="s1294" data-sgid="Line 9" style="z-index:14;left:275.27px;top:415.89px;width:107.70px;height:46.30px" data-pointer-events="none"> <img class="sg" src="BCF69BC108x46.png" id="s1294_i" style="z-index:1;left:0px;top:0px;width:107.70px;height:45.30px" > </div> <div class="sg" id="s1295" data-sgid="Line 9 (2)" style="z-index:15;left:444.51px;top:414.81px;width:107.70px;height:46.30px" data-pointer-events="none"> <img class="sg" src="4E8E17B8108x46.png" id="s1295_i" style="z-index:1;left:0px;top:0px;width:107.70px;height:45.30px" > </div> <div class="sg" id="s1297" data-sgid="Line 9 (4)" style="z-index:17;left:792.33px;top:420.68px;width:107.73px;height:46.41px" data-pointer-events="none"> <img class="sg" src="71BD6E07108x46.png" id="s1297_i" style="z-index:1;left:0px;top:0px;width:107.73px;height:45.41px" > </div> <div class="sg" id="s1296" data-sgid="Line 9 (3)" style="z-index:16;left:611.11px;top:427.89px;width:107.70px;height:46.30px" data-pointer-events="none"> <img class="sg" src="C9056304108x46.png" id="s1296_i" style="z-index:1;left:0px;top:0px;width:107.70px;height:45.30px" > </div> <div class="sg" id="s1285" data-sgid="Rectangle 12" style="z-index:1;left:851.12px;top:479.21px;width:108.78px;height:60.79px" data-fillcolor="0"> <img class="sg" src="D1711F7A109x61.png" id="s1285_i" style="z-index:1;left:0px;top:0px;width:108.78px;height:60.79px" > </div>
<div class="sg" id="s1303" data-sgid="Title 3" style="z-index:2;left:5.52px;top:17.50px;width:384.64px;height:132.77px" data-valign="top"> <div id="s1303_t" class="sg" style="z-index:2;left:0.00px;top:-2.15px;width:384.64px;height:134.92px;"><div><p para="{al:2}"><span data-textwidth="239.32" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:76.45px;top:14.82px;">44 year-old man </span></p><p para="{al:2}"><span data-textwidth="208.35" class="sg nowrap f12" style="z-index:5;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:88.22px;top:66.67px;"><u>MRI: Diffusion</u></span></p></div></div><img class="sg" src="697F2E43769x270.png" id="s1303_tt" style="left:0.00px;top:-2.15px;width:384.64px;height:134.92px;z-index:1" > </div> <div class="sg" id="s1306" data-sgid="Group 20" style="z-index:5;left:389.90px;top:30.00px;width:564.10px;height:240.81px" data-shape="group"> <div class="sg" id="s1314" data-sgid="TextBox 12" style="z-index:3;left:472.83px;top:187.90px;width:76.29px;height:51.21px"> <div id="s1314_t" class="sg" style="z-index:2;left:0px;top:0px;width:76.29px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="42.01" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:17.74px;top:10.39px;">DWI</span></p></div></div><img class="sg" src="DEF5D2DC76x51.png" id="s1314_i" style="left: -1px;top: -1px;width:77.29px;height:52.21px" > </div> <div class="sg" id="s1315" data-sgid="Picture 11" style="z-index:2;left:258.73px;top:-1.21px;width:305.99px;height:242.95px"> <img class="sg" src="9AC3C29A.jpg" id="s1315_i" style="z-index:1;left:0px;top:0px;width:305.99px;height:242.95px" > </div> <div class="sg" id="s1316" data-sgid="Picture 6" style="z-index:1;left:-1.41px;top:0.21px;width:260.29px;height:241.30px"> <img class="sg" src="377BBE17.jpg" id="s1316_i" title="" alt="A screenshot of a cell phoneDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:260.29px;height:241.30px" > </div> </div> <div class="sg" id="s1312" data-sgid="Rectangle 19" style="z-index:14;left:29.14px;top:143.06px;width:260.29px;height:52.40px" data-valign="top" data-pointer-events="none"> <img class="sg" src="8CF3E0CC260x52.png" id="s1312_i" style="z-index:1;left:0px;top:0px;width:260.29px;height:52.40px" > <div id="s1312_t" class="sg" style="z-index:2;left:0.00px;top:-6.95px;width:260.29px;height:76.62px;"><div><p para="{al:2}"><span data-textwidth="141.87" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:200%; left:59.31px;top:14.92px;">ADC <u>~</u> 1.9</span></p></div></div><img class="sg" src="8142AB87521x153.png" id="s1312_tt" style="left:0.00px;top:-6.95px;width:260.29px;height:76.62px;z-index:1" > </div> <div class="sg" id="s1311" data-sgid="TextBox 13" style="z-index:13;left:388.97px;top:180.96px;width:259.44px;height:88.37px" data-valign="top"> <img class="sg" src="92904728259x88.png" id="s1311_i" style="z-index:1;left:0px;top:0px;width:259.44px;height:88.37px" > <div id="s1311_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:259.44px;height:96.06px;"><div><p para="{al:2}"><span data-textwidth="135.50" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:70.35px;top:15.04px;">ADC mean =   </span></p><p para="{al:2}"><span data-textwidth="211.23" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:133%; left:24.38px;top:55.37px;">1.875.65 x 10<span class="f3" style="font-size:67%; position:relative;bottom:9px;">-3 </span>mm<span class="f3" style="font-size:67%; position:relative;bottom:9px;">2</span>/s</span></p></div></div></div> <div class="sg" id="s1309" data-sgid="Content Placeholder 2" style="z-index:11;left:17.50px;top:209.39px;width:306.70px;height:150.75px" data-valign="top"> <img class="sg" src="2579D1A8307x151.png" id="s1309_i" style="z-index:1;left:0px;top:0px;width:306.70px;height:150.75px" > <div id="s1309_t" class="sg" style="z-index:2;left:-6.94px;top:-5.87px;width:313.64px;height:164.77px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="194.32" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.64px;top:13.65px;"><span class="f5" style="font-style:italic; font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Intermediate</span></span></p><p para="{in:2,bl:{ch:167},spbf:10.00}"><span data-textwidth="167.06" class="sg nowrap f9" style="z-index:4;color:#FFFF00;font-size:144%; left:50.65px;top:62.02px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:3.60px"> </span>Cyst (> 2.5)</span></span></p><p para="{in:2,bl:{ch:167},spbf:10.00}"><span data-textwidth="224.79" class="sg nowrap f9" style="z-index:6;color:#FFFF00;font-size:144%; left:50.65px;top:110.39px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:3.60px"> </span>Sarcoma (< 1.3)</span></span></p></div></div></div> <div class="sg" id="s1305" data-sgid="Picture 8" style="z-index:4;left:613.63px;top:287.35px;width:338.59px;height:239.94px"> <img class="sg" src="C1763835.jpg" id="s1305_i" style="z-index:1;left:0px;top:0px;width:338.59px;height:239.94px" > </div> <div class="sg" id="s1304" data-sgid="Content Placeholder 5" style="z-index:3;left:312.34px;top:287.35px;width:341.71px;height:240.68px"> <img class="sg" src="1724BB8F.jpg" id="s1304_i" style="z-index:1;left:0px;top:0px;width:341.71px;height:240.68px" > </div> <div class="sg" id="s1310" data-sgid="Content Placeholder 2 (2)" style="z-index:12;left:11.53px;top:365.28px;width:324.69px;height:126.78px" data-valign="top"> <img class="sg" src="47121955325x127.png" id="s1310_i" style="z-index:1;left:0px;top:0px;width:324.69px;height:126.78px" > <div id="s1310_t" class="sg" style="z-index:2;left:-8.41px;top:-2.05px;width:344.48px;height:134.92px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="271.37" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:156%; left:16.08px;top:14.89px;"><span class="f1" style="font-weight:bold; font-size:82%; color:#FFFFFF;position:relative;bottom:12px;"><span style="letter-spacing:9.01px"> </span>c</span><span class="f1" style="font-weight:bold; font-size:125%; color:#FFFFFF;">/</span><span class="f1" style="font-weight:bold; font-size:82%; color:#FFFFFF;position:relative;bottom:-8px;">w</span><span class="f1" style="font-weight:bold; font-size:125%; color:#FFFFFF;"> Benign lesion</span></span></p><p para="{in:2,bl:{ch:167},spbf:10.00}"><span data-textwidth="271.24" class="sg nowrap f9" style="z-index:7;color:#FFFF00;font-size:156%; left:52.09px;top:75.27px;"><span class="f3" style="font-size:125%; color:#FFFFFF;"><span style="letter-spacing:1.92px"> </span>Vascular anomaly</span></span></p></div></div></div> <div class="sg" id="s1307" data-sgid="TextBox 14" style="z-index:9;left:377.33px;top:484.85px;width:270.71px;height:37.16px" data-valign="top"> <div id="s1307_t" class="sg" style="z-index:2;left:0.00px;top:-3.49px;width:270.71px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="176.07" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:47.54px;top:10.63px;">PRE-gad T1 fat-sat</span></p></div></div></div> <div class="sg" id="s1308" data-sgid="TextBox 15" style="z-index:10;left:671.21px;top:490.84px;width:270.71px;height:37.19px" data-valign="top"> <div id="s1308_t" class="sg" style="z-index:2;left:0.00px;top:-3.46px;width:270.71px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="189.87" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:40.87px;top:10.61px;">POST-gad T1 fat-sat</span></p></div></div></div> <div class="sg" id="s1313" data-sgid="Rectangle 21" style="z-index:15;left:9.71px;top:491.21px;width:338.48px;height:36.82px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="49E14C85338x37.png" id="s1313_i" style="z-index:1;left:0px;top:0px;width:338.48px;height:36.82px" > <div id="s1313_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:338.48px;height:38.38px;"><div><p para="{al:2}"><span data-textwidth="130.22" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:56%; left:104.19px;top:6.82px;">Lee SY, et al. <span class="f6" style="font-style:italic; font-weight:bold; ">BJR</span><span class="f1" style="font-weight:bold; "> 2019</span>; 92:1102</span></p><p para="{al:2}"><span data-textwidth="138.14" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;font-size:56%; left:100.23px;top:21.22px;">Wu G, et al. <span class="f6" style="font-style:italic; font-weight:bold; ">Medicine</span><span class="f1" style="font-weight:bold; "> 2018</span>; 97:50</span></p></div></div></div> <div class="sg" id="s1302" data-sgid="Rectangle 2" style="z-index:1;left:851.12px;top:479.21px;width:108.78px;height:60.79px" data-fillcolor="0"> <img class="sg" src="D1711F7A109x61.png" id="s1302_i" style="z-index:1;left:0px;top:0px;width:108.78px;height:60.79px" > </div>
<div class="sg" id="s1322" data-sgid="Title 3" style="z-index:6;left:5.52px;top:17.50px;width:384.64px;height:132.77px" data-valign="top"> <div id="s1322_t" class="sg" style="z-index:2;left:0.00px;top:-2.15px;width:384.64px;height:134.92px;"><div><p para="{al:2}"><span data-textwidth="239.32" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:76.45px;top:14.82px;">44 year-old man </span></p><p para="{al:2}"><span data-textwidth="161.91" class="sg nowrap f12" style="z-index:5;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:111.50px;top:66.67px;"><u>MRI: Dixon</u></span></p></div></div><img class="sg" src="697F2E43769x270.png" id="s1322_tt" style="left:0.00px;top:-2.15px;width:384.64px;height:134.92px;z-index:1" > </div> <div class="sg" id="s1345" data-sgid="Line 9 (5)" style="z-index:29;left:798.33px;top:69.30px;width:73.29px;height:70.30px" data-pointer-events="none"> <img class="sg" src="4E06C78473x70.png" id="s1345_i" style="z-index:1;left:0px;top:0px;width:73.29px;height:69.30px" > </div> <div class="sg" id="s1348" data-sgid="Group 18" style="z-index:32;left:390.00px;top:18.00px;width:312.00px;height:223.50px" data-shape="group"> <div class="sg" id="s1351" data-sgid="TextBox 42" style="z-index:2;left:26.55px;top:191.02px;width:271.56px;height:33.11px" data-valign="top"> <img class="sg" src="66B2DC82272x33.png" id="s1351_i" style="z-index:1;left:0px;top:0px;width:271.56px;height:33.11px" > <div id="s1351_t" class="sg" style="z-index:2;left:0.00px;top:-2.15px;width:271.56px;height:42.92px;"><div><p para="{al:2}"><span data-textwidth="158.30" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:56.93px;top:8.42px;">POST-gad T1 fat-sat</span></p></div></div></div> <div class="sg" id="s1352" data-sgid="Picture 41" style="z-index:1;left:-1.40px;top:-1.21px;width:314.15px;height:223.06px"> <img class="sg" src="65F2142E.jpg" id="s1352_i" style="z-index:1;left:0px;top:0px;width:314.15px;height:223.06px" > </div> </div> <div class="sg" id="s1319" data-sgid="Picture 7" style="z-index:3;left:734.05px;top:17.50px;width:219.85px;height:263.49px"> <img class="sg" src="A835AC7F.jpg" id="s1319_i" title="" alt="A picture containing animal, arthropod, invertebrate, photoDescription generated with very high confidence" style="z-index:1;left:0px;top:0px;width:219.85px;height:263.49px" > </div> <div class="sg" id="s1318" data-sgid="Picture 5" style="z-index:2;left:509.27px;top:17.50px;width:219.85px;height:263.49px"> <img class="sg" src="735210EC.jpg" id="s1318_i" title="" alt="A picture containing indoor, animal, invertebrate, arthropodDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:219.85px;height:263.49px" > </div> <div class="sg" id="s1346" data-sgid="Line 9 (6)" style="z-index:30;left:769.67px;top:102.67px;width:73.15px;height:72.91px" data-pointer-events="none"> <img class="sg" src="4C440073x73.png" id="s1346_i" style="z-index:1;left:0px;top:0px;width:73.15px;height:71.91px" > </div> <div class="sg" id="s1328" data-sgid="Rectangle 12" style="z-index:12;left:17.50px;top:131.43px;width:432.64px;height:53.36px" data-valign="top" data-pointer-events="none"> <div id="s1328_t" class="sg" style="z-index:2;left:-10.67px;top:-1.44px;width:443.32px;height:68.11px;"><div><p para="{bl:{ch:167}}"><span data-textwidth="248.69" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:178%; left:18.37px;top:13.40px;"><span class="f5" style="font-style:italic; color:#FFFFFF;"> Vascular channel </span></span></p></div></div></div> <div class="sg" id="s1350" data-sgid="Line 9 (9)" style="z-index:36;left:558.46px;top:138.87px;width:107.70px;height:46.41px" data-pointer-events="none"> <img class="sg" src="1327C8A0108x46.png" id="s1350_i" style="z-index:1;left:0px;top:0px;width:107.70px;height:45.41px" > </div> <div class="sg" id="s1349" data-sgid="Line 9 (8)" style="z-index:35;left:377.22px;top:146.07px;width:107.70px;height:46.30px" data-pointer-events="none"> <img class="sg" src="B44607CE108x46.png" id="s1349_i" style="z-index:1;left:0px;top:0px;width:107.70px;height:45.30px" > </div> <div class="sg" id="s1344" data-sgid="Picture 29" style="z-index:28;left:700.46px;top:16.79px;width:254.17px;height:304.48px"> <img class="sg" src="22B27C73.jpg" id="s1344_i" style="z-index:1;left:0px;top:0px;width:254.17px;height:304.48px" > </div> <div class="sg" id="s1347" data-sgid="Line 9 (7)" style="z-index:31;left:739.80px;top:153.13px;width:77.85px;height:73.28px" data-pointer-events="none"> <img class="sg" src="F868F4F78x73.png" id="s1347_i" style="z-index:1;left:0px;top:0px;width:77.85px;height:72.28px" > </div> <div class="sg" id="s1329" data-sgid="Rectangle 13" style="z-index:13;left:17.50px;top:179.40px;width:486.62px;height:53.36px" data-valign="top" data-pointer-events="none"> <div id="s1329_t" class="sg" style="z-index:2;left:-10.67px;top:-1.44px;width:497.29px;height:68.11px;"><div><p para="{bl:{ch:167}}"><span data-textwidth="177.16" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:178%; left:18.37px;top:13.44px;"><span class="f5" style="font-style:italic; color:#FFFFFF;"> Fat in lesion</span></span></p></div></div></div> <div class="sg" id="s1324" data-sgid="TextBox 8" style="z-index:8;left:509.27px;top:197.02px;width:216.73px;height:37.19px" data-valign="top"> <div id="s1324_t" class="sg" style="z-index:2;left:0.00px;top:-3.46px;width:216.73px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="138.39" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:39.46px;top:10.36px;">T2 <span class="f5" style="font-style:italic; ">(no fat-sat)</span></span></p></div></div></div> <div class="sg" id="s1325" data-sgid="TextBox 9" style="z-index:9;left:737.16px;top:197.39px;width:222.73px;height:37.19px" data-valign="top"> <div id="s1325_t" class="sg" style="z-index:2;left:0.00px;top:-3.46px;width:222.73px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="150.38" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:36.61px;top:10.35px;">T2 <span class="f5" style="font-style:italic; ">out of phase</span></span></p></div></div></div> <div class="sg" id="s1338" data-sgid="Rectangle 36" style="z-index:22;left:19.68px;top:229.42px;width:472.43px;height:46.75px" data-valign="top" data-pointer-events="none"> <div id="s1338_t" class="sg" style="z-index:2;left:-12.12px;top:-6.02px;width:484.55px;height:68.00px;"><div><p><span data-textwidth="385.86" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:178%; left:19.68px;top:13.69px;">+ masses in foot & elsewhere</span></p></div></div></div> <div class="sg" id="s1339" data-sgid="Line 9" style="z-index:23;left:618.42px;top:295.72px;width:96.43px;height:51.23px" data-pointer-events="none"> <img class="sg" src="32D1A70396x51.png" id="s1339_i" style="z-index:1;left:0px;top:0px;width:96.43px;height:50.23px" > </div> <div class="sg" id="s1323" data-sgid="Content Placeholder 2" style="z-index:7;left:17.16px;top:292.96px;width:469.31px;height:61.53px" data-valign="top"> <img class="sg" src="9EE6F891469x62.png" id="s1323_i" style="z-index:1;left:0px;top:0px;width:469.31px;height:61.53px" > <div id="s1323_t" class="sg" style="z-index:2;left:0.00px;top:-6.95px;width:469.31px;height:76.62px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="337.14" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:200%; left:66.13px;top:15.06px;"><u>D/Dx: </u> <span class="f5" style="font-style:italic; "><u>Multiple Tumors</u></span></span></p></div></div><img class="sg" src="52B26145939x153.png" id="s1323_tt" style="left:0.00px;top:-6.95px;width:469.31px;height:76.62px;z-index:1" > </div> <div class="sg" id="s1340" data-sgid="Line 9 (2)" style="z-index:24;left:618.42px;top:335.43px;width:102.32px;height:52.40px" data-pointer-events="none"> <img class="sg" src="E8F2E10D102x52.png" id="s1340_i" style="z-index:1;left:0px;top:0px;width:102.32px;height:51.40px" > </div> <div class="sg" id="s1330" data-sgid="Rectangle 15" style="z-index:14;left:17.16px;top:352.94px;width:469.31px;height:54.07px" data-valign="top" data-pointer-events="none"> <img class="sg" src="81858F01469x54.png" id="s1330_i" style="z-index:1;left:0px;top:0px;width:469.31px;height:54.07px" > <div id="s1330_t" class="sg" style="z-index:2;left:-10.33px;top:-1.08px;width:479.65px;height:68.11px;"><div><p para="{bl:{ch:167}}"><span data-textwidth="352.99" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:178%; left:18.37px;top:13.58px;"><span class="f3" style="color:#FFFFFF;"> Lipomatous: </span><span class="f3" style="font-size:88%; color:#FFFFFF;">(</span><span class="f1" style="font-weight:bold; color:#FFFFFF;">+</span><span class="f3" style="font-size:88%; color:#FFFFFF;">) </span><span class="f3" style="color:#FFFFFF;">fat; </span><span class="f3" style="font-size:88%; color:#FFFFFF;">(</span><span class="f1" style="font-weight:bold; color:#FFFFFF;">-</span><span class="f3" style="font-size:88%; color:#FFFFFF;">) </span><span class="f3" style="color:#FFFFFF;">CE</span></span></p></div></div></div> <div class="sg" id="s1333" data-sgid="Straight Connector 27" style="z-index:17;left:464.30px;top:363.12px;width:41.97px;height:41.99px" data-pointer-events="none"> <img class="sg" src="53773D8A42x42.png" id="s1333_i" style="z-index:1;left:0px;top:0px;width:40.97px;height:41.99px" > </div> <div class="sg" id="s1334" data-sgid="Straight Connector 28" style="z-index:18;left:464.30px;top:362.30px;width:41.97px;height:41.96px" data-pointer-events="none"> <img class="sg" src="4C1F6FE442x42.png" id="s1334_i" style="z-index:1;left:0px;top:0px;width:41.97px;height:40.96px" > </div> <div class="sg" id="s1321" data-sgid="Picture 11" style="z-index:5;left:509.27px;top:265.62px;width:219.85px;height:263.49px"> <img class="sg" src="323947FA.jpg" id="s1321_i" title="" alt="A picture containing animal, invertebrate, indoorDescription generated with high confidence" style="z-index:1;left:0px;top:0px;width:219.85px;height:263.49px" > </div> <div class="sg" id="s1320" data-sgid="Picture 9" style="z-index:4;left:734.05px;top:265.87px;width:219.85px;height:263.46px"> <img class="sg" src="4404391E.jpg" id="s1320_i" title="" alt="A picture containing animal, invertebrate, worm, arthropodDescription generated with very high confidence" style="z-index:1;left:0px;top:0px;width:219.85px;height:263.46px" > </div> <div class="sg" id="s1343" data-sgid="Freeform 14" style="z-index:27;left:543.71px;top:375.72px;width:100.03px;height:63.91px" data-pointer-events="none"> <img class="sg" src="2F2F6091100x64.png" id="s1343_i" style="z-index:1;left:0px;top:0px;width:100.03px;height:63.91px" > </div> <div class="sg" id="s1342" data-sgid="Line 9 (4)" style="z-index:26;left:795.33px;top:366.50px;width:48.23px;height:75.89px" data-pointer-events="none"> <img class="sg" src="12443D0E48x76.png" id="s1342_i" style="z-index:1;left:0px;top:0px;width:47.23px;height:75.89px" > </div> <div class="sg" id="s1331" data-sgid="Rectangle 16" style="z-index:15;left:17.16px;top:405.33px;width:505.31px;height:54.10px" data-valign="top" data-pointer-events="none"> <img class="sg" src="92E087B0505x54.png" id="s1331_i" style="z-index:1;left:0px;top:0px;width:505.31px;height:54.10px" > <div id="s1331_t" class="sg" style="z-index:2;left:-10.33px;top:-0.96px;width:515.65px;height:68.11px;"><div><p para="{bl:{ch:167}}"><span data-textwidth="429.67" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:178%; left:18.37px;top:13.64px;"><span class="f3" style="color:#FFFFFF;"> Neurogenic: </span><span class="f3" style="font-size:88%; color:#FFFFFF;">(</span><span class="f1" style="font-weight:bold; color:#FFFFFF;">+</span><span class="f3" style="font-size:88%; color:#FFFFFF;">)</span><span class="f3" style="color:#FFFFFF;">history; </span><span class="f3" style="font-size:88%; color:#FFFFFF;">(</span><span class="f1" style="font-weight:bold; color:#FFFFFF;">-</span><span class="f3" style="font-size:88%; color:#FFFFFF;">)</span><span class="f3" style="color:#FFFFFF;">shape</span></span></p></div></div></div> <div class="sg" id="s1341" data-sgid="Line 9 (3)" style="z-index:25;left:767.27px;top:384.48px;width:46.19px;height:77.11px" data-pointer-events="none"> <img class="sg" src="239926746x77.png" id="s1341_i" style="z-index:1;left:0px;top:0px;width:45.19px;height:77.11px" > </div> <div class="sg" id="s1336" data-sgid="Straight Connector 34" style="z-index:20;left:500.27px;top:416.26px;width:42.00px;height:41.96px" data-pointer-events="none"> <img class="sg" src="788596C442x42.png" id="s1336_i" style="z-index:1;left:0px;top:0px;width:42.00px;height:40.96px" > </div> <div class="sg" id="s1335" data-sgid="Straight Connector 33" style="z-index:19;left:500.27px;top:417.08px;width:42.00px;height:41.99px" data-pointer-events="none"> <img class="sg" src="53773D8A42x42.png" id="s1335_i" style="z-index:1;left:0px;top:0px;width:42.00px;height:40.99px" > </div> <div class="sg" id="s1326" data-sgid="TextBox 10" style="z-index:10;left:521.28px;top:442.87px;width:204.72px;height:37.19px" data-valign="top"> <div id="s1326_t" class="sg" style="z-index:2;left:0.00px;top:-3.47px;width:204.72px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="142.34" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:31.65px;top:10.58px;">T2 <span class="f5" style="font-style:italic; ">with fat-sat</span></span></p></div></div></div> <div class="sg" id="s1327" data-sgid="TextBox 11" style="z-index:11;left:731.16px;top:443.23px;width:228.74px;height:37.16px" data-valign="top"> <div id="s1327_t" class="sg" style="z-index:2;left:0.00px;top:-3.49px;width:228.74px;height:51.21px;"><div><p para="{al:2}"><span data-textwidth="173.18" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:133%; left:28.21px;top:10.60px;">Fat only <span class="f5" style="font-style:italic; ">(</span><span class="f5" style="font-style:italic; font-size:83%; ">water sat</span><span class="f5" style="font-style:italic; ">)</span></span></p></div></div></div> <div class="sg" id="s1332" data-sgid="Rectangle 17" style="z-index:16;left:15.94px;top:461.22px;width:471.75px;height:56.37px" data-valign="top" data-pointer-events="none"> <img class="sg" src="844BE889472x56.png" id="s1332_i" style="z-index:1;left:0px;top:0px;width:471.75px;height:56.37px" > <div id="s1332_t" class="sg" style="z-index:2;left:-9.11px;top:0.00px;width:480.87px;height:68.23px;"><div><p para="{bl:{ch:167}}"><span data-textwidth="375.07" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:178%; left:18.37px;top:13.69px;"><span class="f3" style="color:#FFFFFF;"> Vascular: </span><span class="f3" style="font-size:88%; color:#FFFFFF;">(</span><span class="f1" style="font-weight:bold; color:#FFFFFF;">+</span><span class="f3" style="font-size:88%; color:#FFFFFF;">) </span><span class="f3" style="color:#FFFFFF;">fat; </span><span class="f3" style="font-size:88%; color:#FFFFFF;">(</span><span class="f1" style="font-weight:bold; color:#FFFFFF;">+</span><span class="f3" style="font-size:88%; color:#FFFFFF;">) </span><span class="f3" style="color:#FFFFFF;">shape   </span></span></p></div></div></div> <div class="sg" id="s1337" data-sgid="Rectangle 35" style="z-index:21;left:440.31px;top:458.84px;width:96.80px;height:72.17px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="5BE16AD797x72.png" id="s1337_i" style="z-index:1;left:0px;top:0px;width:96.80px;height:72.17px" > <div id="s1337_t" class="sg" style="z-index:2;left:-0.11px;top:-9.25px;width:97.02px;height:101.70px;"><div><p para="{al:2}"><span data-textwidth="38.41" class="sg nowrap f13" style="z-index:2;color:#008000;font-size:267%; left:29.56px;top:18.23px;">✔</span></p></div></div></div> <div class="sg" id="s1317" data-sgid="Rectangle 7" style="z-index:1;left:851.12px;top:479.21px;width:108.78px;height:60.79px" data-fillcolor="0"> <img class="sg" src="D1711F7A109x61.png" id="s1317_i" style="z-index:1;left:0px;top:0px;width:108.78px;height:60.79px" > </div>
<div class="sg" id="s1353" data-sgid="Title 3" style="z-index:1;left:5.52px;top:23.52px;width:510.58px;height:132.74px" data-valign="top"> <div id="s1353_t" class="sg" style="z-index:2;left:0.00px;top:-0.14px;width:510.58px;height:132.88px;"><div><p para="{al:2}"><span data-textwidth="456.56" class="sg nowrap f14" style="z-index:2;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:27.13px;top:15.51px;">2019 Musculoskeletal Case</span></p><p para="{al:2}"><span data-textwidth="455.71" class="sg nowrap f15" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:200%; left:27.49px;top:71.68px;"><u>44 year-old man - Toe Mass</u></span></p></div></div><img class="sg" src="81EC7D211021x266.png" id="s1353_tt" style="left:0.00px;top:-0.14px;width:510.58px;height:132.88px;z-index:1" > </div> <div class="sg" id="s1354" data-sgid="Title 3 (2)" style="z-index:2;left:521.28px;top:23.52px;width:420.63px;height:132.74px" data-valign="top"> <div id="s1354_t" class="sg" style="z-index:2;left:0.00px;top:-0.14px;width:420.63px;height:132.88px;"><div><p para="{al:2}"><span data-textwidth="351.06" class="sg nowrap f14" style="z-index:2;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:35.25px;top:15.51px;">Recommend 1 exam?</span><img class="sg" src="1D5AF316841x266.png" id="s1354_p1" style="z-index:1;left:3.00px;top:0.60px;width:423.63px;height:66.27px" ></p><p para="{al:2}"><span data-textwidth="226.12" class="sg nowrap f15" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:200%; left:97.66px;top:71.68px;"><u>Abdomen CT!</u></span><img class="sg" src="5AF6FF44841x266.png" id="s1354_p2" style="z-index:1;left:3.00px;top:56.76px;width:423.63px;height:60.20px" ></p></div></div></div> <div class="sg" id="s1356" data-sgid="Content Placeholder 2" style="z-index:7;left:509.27px;top:143.43px;width:462.63px;height:168.74px" data-valign="top"> <div id="s1356_t" class="sg" style="z-index:2;left:-14.50px;top:-6.61px;width:477.13px;height:175.35px;"><div><p para="{spbf:10.00}"><span data-textwidth="268.12" class="sg nowrap f15" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.52px;top:15.61px;">FAMILY HISTORY</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="373.50" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:144%; left:22.52px;top:72.27px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Congestive heart failure</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="418.51" class="sg nowrap f9" style="z-index:5;color:#FFFF00;font-size:144%; left:22.52px;top:120.64px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Mom: ‘brain tumor’ </span><span class="f16" style="font-size:108%; color:#FFFFFF;">(age 76)</span></span></p></div></div></div> <div class="sg" id="s1357" data-sgid="Content Placeholder 2 (2)" style="z-index:8;left:17.50px;top:149.42px;width:486.62px;height:162.75px" data-valign="top"> <div id="s1357_t" class="sg" style="z-index:2;left:-14.50px;top:-7.43px;width:501.12px;height:171.01px;"><div><p para="{spbf:10.00}"><span data-textwidth="286.49" class="sg nowrap f15" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.20px;top:15.72px;">PATIENT HISTORY</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="418.04" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:144%; left:22.20px;top:68.78px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.53px"> </span>Hypertension & headaches </span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="451.88" class="sg nowrap f9" style="z-index:5;color:#FFFF00;font-size:144%; left:22.20px;top:117.15px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.53px"> </span>Mobile skin lesion </span><span class="f16" style="font-size:115%; color:#FFFFFF;">(arm, <2</span><span class="f16" style="font-size:108%; color:#FFFFFF;">cm</span><span class="f16" style="font-size:115%; color:#FFFFFF;">)</span></span></p></div></div></div> <div class="sg" id="s1355" data-sgid="Group 4" style="z-index:3;left:5.52px;top:281.33px;width:960.38px;height:252.31px"> <img class="sg" src="C525A75C.png" id="s1355_i" style="z-index:1;left:0px;top:0px;width:960.38px;height:252.31px" > </div>
<div class="sg" id="s1358" data-sgid="Title 3" style="z-index:1;left:5.52px;top:23.52px;width:510.58px;height:132.74px" data-valign="top"> <div id="s1358_t" class="sg" style="z-index:2;left:0.00px;top:-0.14px;width:510.58px;height:132.88px;"><div><p para="{al:2}"><span data-textwidth="361.14" class="sg nowrap f14" style="z-index:2;color:#BFBFBF;font-style:italic; font-weight:bold; font-size:200%; left:74.65px;top:15.51px;">Musculoskeletal Case</span></p><p para="{al:2}"><span data-textwidth="455.71" class="sg nowrap f15" style="z-index:3;color:#BFBFBF;font-weight:bold; font-size:200%; left:27.49px;top:71.68px;"><u>44 year-old man - Toe Mass</u></span></p></div></div><img class="sg" src="81EC7D211021x266.png" id="s1358_tt" style="left:0.00px;top:-0.14px;width:510.58px;height:132.88px;z-index:1" > </div> <div class="sg" id="s1359" data-sgid="Title 3 (2)" style="z-index:2;left:521.28px;top:23.52px;width:420.63px;height:132.74px" data-valign="top"> <div id="s1359_t" class="sg" style="z-index:2;left:0.00px;top:-0.14px;width:420.63px;height:132.88px;"><div><p para="{al:2}"><span data-textwidth="192.03" class="sg nowrap f15" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:114.71px;top:15.51px;">Findings on</span></p><p para="{al:2}"><span data-textwidth="212.92" class="sg nowrap f15" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:200%; left:104.26px;top:71.68px;"><u>Abdomen CT</u></span></p></div></div><img class="sg" src="10DA947C841x266.png" id="s1359_tt" style="left:0.00px;top:-0.14px;width:420.63px;height:132.88px;z-index:1" > </div> <div class="sg" id="s1363" data-sgid="Content Placeholder 2" style="z-index:6;left:533.26px;top:143.43px;width:444.62px;height:120.77px" data-valign="top"> <div id="s1363_t" class="sg" style="z-index:2;left:-16.31px;top:-3.83px;width:460.93px;height:141.25px;"><div><p para="{spbf:10.00}"><span data-textwidth="305.33" class="sg nowrap f15" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:217%; left:24.34px;top:16.55px;">Areas of interest</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="400.86" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:156%; left:24.34px;top:82.09px;"><span class="f16" style="font-size:125%; color:#FFFFFF;"><span style="letter-spacing:3.72px"> </span>Visceral fat prominence</span></span></p></div></div></div> <div class="sg" id="s1364" data-sgid="Content Placeholder 2 (2)" style="z-index:7;left:11.53px;top:155.43px;width:522.58px;height:150.72px" data-valign="top"> <div id="s1364_t" class="sg" style="z-index:2;left:-14.53px;top:-7.46px;width:537.11px;height:171.04px;"><div><p para="{spbf:10.00}"><span data-textwidth="331.14" class="sg nowrap f15" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.20px;top:15.75px;">Pertinent Negatives</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="495.20" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:144%; left:22.20px;top:68.80px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.53px"> </span>Spine </span><span class="f17" style="font-style:italic; font-size:123%; color:#FFFFFF;">(no scoliosis; foramina ok)</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="441.68" class="sg nowrap f9" style="z-index:6;color:#FFFF00;font-size:144%; left:22.20px;top:117.17px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.53px"> </span>Kidneys, pancreas, spleen </span><span class="f17" style="font-style:italic; font-size:123%; color:#FFFFFF;">ok</span></span></p></div></div></div> <div class="sg" id="s1369" data-sgid="Rectangle 9" style="z-index:12;left:530.85px;top:249.56px;width:417.06px;height:53.36px" data-valign="top" data-pointer-events="none"> <div id="s1369_t" class="sg" style="z-index:2;left:-7.05px;top:-2.52px;width:424.12px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="349.01" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:15.09px;top:14.38px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Colon: stool vs. polyps</span></span></p></div></div></div> <div class="sg" id="s1370" data-sgid="Line 9" style="z-index:13;left:234.60px;top:304.85px;width:72.92px;height:56.82px" data-pointer-events="none"> <img class="sg" src="B2F68B8473x57.png" id="s1370_i" style="z-index:1;left:0px;top:0px;width:72.92px;height:55.82px" > </div> <div class="sg" id="s1372" data-sgid="Rectangle 16" style="z-index:15;left:27.22px;top:279.06px;width:287.28px;height:107.32px" data-pointer-events="none"> <img class="sg" src="4FF23A18287x107.png" id="s1372_i" style="z-index:1;left:0px;top:0px;width:287.28px;height:107.32px" > </div> <div class="sg" id="s1371" data-sgid="Line 9 (2)" style="z-index:14;left:190.22px;top:324.74px;width:72.81px;height:50.61px" data-pointer-events="none"> <img class="sg" src="761161BA73x51.png" id="s1371_i" style="z-index:1;left:0px;top:0px;width:72.81px;height:49.61px" > </div> <div class="sg" id="s1366" data-sgid="Freeform 1" style="z-index:9;left:41.01px;top:317.19px;width:81.93px;height:146.92px" data-pointer-events="none"> <img class="sg" src="F4E9359C82x147.png" id="s1366_i" style="z-index:1;left:0px;top:0px;width:81.93px;height:146.92px" > </div> <div class="sg" id="s1367" data-sgid="Freeform 4" style="z-index:10;left:352.64px;top:313.84px;width:93.68px;height:161.65px" data-pointer-events="none"> <img class="sg" src="ACF108F594x162.png" id="s1367_i" style="z-index:1;left:0px;top:0px;width:93.68px;height:161.65px" > </div> <div class="sg" id="s1368" data-sgid="Freeform 7" style="z-index:11;left:664.83px;top:315.15px;width:90.68px;height:165.39px" data-fillcolor="16777215"> <img class="sg" src="1E97E06891x165.png" id="s1368_i" style="z-index:1;left:0px;top:0px;width:90.68px;height:165.39px" > </div> <div class="sg" id="s1360" data-sgid="Picture 10" style="z-index:3;left:16.54px;top:281.33px;width:313.67px;height:250.30px"> <img class="sg" src="267D33D8.jpg" id="s1360_i" style="z-index:1;left:0px;top:0px;width:313.67px;height:250.30px" > </div> <div class="sg" id="s1361" data-sgid="Picture 11" style="z-index:4;left:323.35px;top:282.30px;width:324.57px;height:250.41px"> <img class="sg" src="20F8437.jpg" id="s1361_i" style="z-index:1;left:0px;top:0px;width:324.57px;height:250.41px" > </div> <div class="sg" id="s1362" data-sgid="Picture 12" style="z-index:5;left:635.32px;top:283.15px;width:324.57px;height:250.50px"> <img class="sg" src="BA6F5365.jpg" id="s1362_i" style="z-index:1;left:0px;top:0px;width:324.57px;height:250.50px" > </div> <div class="sg" id="s1365" data-sgid="Content Placeholder 2 (3)" style="z-index:8;left:239.41px;top:491.21px;width:516.58px;height:42.81px" data-valign="top"> <div id="s1365_t" class="sg" style="z-index:2;left:0.00px;top:-2.53px;width:516.58px;height:45.33px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="247.84" class="sg nowrap f17" style="z-index:2;color:#FFFFFF;font-style:italic; font-size:111%; left:134.33px;top:8.91px;">Assume delayed IV contrast</span></p></div></div></div>
<div class="sg" id="s1373" data-sgid="Title 3" style="z-index:1;left:5.52px;top:23.52px;width:510.58px;height:132.74px" data-valign="top"> <div id="s1373_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:510.58px;height:132.74px;"><div><p para="{al:2}"><span data-textwidth="321.29" class="sg nowrap f14" style="z-index:2;color:#BFBFBF;font-style:italic; font-weight:bold; font-size:178%; left:94.58px;top:14.41px;">Musculoskeletal Case</span></p><p para="{al:2}"><span data-textwidth="404.71" class="sg nowrap f15" style="z-index:3;color:#BFBFBF;font-weight:bold; font-size:178%; left:53.05px;top:64.34px;"><u>44 year-old man - Toe Mass</u></span></p></div></div><img class="sg" src="1B15076C1021x265.png" id="s1373_tt" style="left:0.00px;top:0.00px;width:510.58px;height:132.74px;z-index:1" > </div> <div class="sg" id="s1374" data-sgid="Title 3 (2)" style="z-index:2;left:521.28px;top:23.52px;width:420.63px;height:132.74px" data-valign="top"> <div id="s1374_t" class="sg" style="z-index:2;left:0.00px;top:-0.14px;width:420.63px;height:132.88px;"><div><p para="{al:2}"><span data-textwidth="192.03" class="sg nowrap f15" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:114.71px;top:15.51px;">Findings on</span></p><p para="{al:2}"><span data-textwidth="212.92" class="sg nowrap f15" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:200%; left:104.26px;top:71.68px;"><u>Abdomen CT</u></span></p></div></div><img class="sg" src="10DA947C841x266.png" id="s1374_tt" style="left:0.00px;top:-0.14px;width:420.63px;height:132.88px;z-index:1" > </div> <div class="sg" id="s1388" data-sgid="Line 9 (3)" style="z-index:16;left:404.92px;top:55.18px;width:144.06px;height:116.43px" data-pointer-events="none"> <img class="sg" src="321C02AE144x116.png" id="s1388_i" style="z-index:1;left:0px;top:0px;width:144.06px;height:115.43px" > </div> <div class="sg" id="s1386" data-sgid="Picture 15" style="z-index:14;left:11.38px;top:8.51px;width:548.50px;height:261.90px"> <img class="sg" src="7F1B8C59.png" id="s1386_i" style="z-index:1;left:0px;top:0px;width:548.50px;height:261.90px" > </div> <div class="sg" id="s1389" data-sgid="Line 9 (4)" style="z-index:17;left:332.47px;top:89.70px;width:138.06px;height:113.45px" data-pointer-events="none"> <img class="sg" src="FBF5C945138x113.png" id="s1389_i" style="z-index:1;left:0px;top:0px;width:138.06px;height:112.45px" > </div> <div class="sg" id="s1378" data-sgid="Content Placeholder 2" style="z-index:6;left:569.25px;top:143.43px;width:444.62px;height:120.77px" data-valign="top"> <div id="s1378_t" class="sg" style="z-index:2;left:-16.31px;top:-3.83px;width:460.93px;height:135.63px;"><div><p para="{spbf:10.00}"><span data-textwidth="305.33" class="sg nowrap f15" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:217%; left:24.36px;top:16.55px;">Areas of interest</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="369.42" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:144%; left:24.36px;top:81.61px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Visceral fat prominence</span></span></p></div></div></div> <div class="sg" id="s1379" data-sgid="Content Placeholder 2 (2)" style="z-index:7;left:11.53px;top:137.42px;width:516.58px;height:138.75px" data-valign="top"> <div id="s1379_t" class="sg" style="z-index:2;left:-12.01px;top:-5.99px;width:528.59px;height:152.91px;"><div><p para="{spbf:10.00}"><span data-textwidth="294.29" class="sg nowrap f15" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.68px;top:14.16px;">Pertinent Negatives</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="427.63" class="sg nowrap f9" style="z-index:3;color:#FFFF00;font-size:122%; left:19.68px;top:60.45px;"><span class="f16" style="font-size:127%; color:#FFFFFF;"><span style="letter-spacing:8.41px"> </span>Spine </span><span class="f17" style="font-style:italic; font-size:127%; color:#FFFFFF;">(no scoliosis, foramen ok)</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="388.98" class="sg nowrap f9" style="z-index:6;color:#FFFF00;font-size:122%; left:19.68px;top:104.02px;"><span class="f16" style="font-size:127%; color:#FFFFFF;"><span style="letter-spacing:8.41px"> </span>Kidneys, pancreas, spleen </span><span class="f17" style="font-style:italic; font-size:127%; color:#FFFFFF;">ok</span></span></p></div></div></div> <div class="sg" id="s1383" data-sgid="Rectangle 9" style="z-index:11;left:569.37px;top:249.56px;width:354.53px;height:53.36px" data-valign="top" data-pointer-events="none"> <div id="s1383_t" class="sg" style="z-index:2;left:-6.97px;top:-2.52px;width:371.36px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="337.25" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:15.14px;top:14.38px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Colon: stool vs polyps</span></span></p></div></div></div> <div class="sg" id="s1384" data-sgid="Line 9" style="z-index:12;left:234.60px;top:304.85px;width:72.92px;height:56.82px" data-pointer-events="none"> <img class="sg" src="B2F68B8473x57.png" id="s1384_i" style="z-index:1;left:0px;top:0px;width:72.92px;height:55.82px" > </div> <div class="sg" id="s1387" data-sgid="Rectangle 16" style="z-index:15;left:27.22px;top:279.06px;width:287.28px;height:143.29px" data-pointer-events="none"> <img class="sg" src="59F9BE15287x143.png" id="s1387_i" style="z-index:1;left:0px;top:0px;width:287.28px;height:143.29px" > </div> <div class="sg" id="s1385" data-sgid="Line 9 (2)" style="z-index:13;left:190.22px;top:324.74px;width:72.81px;height:50.61px" data-pointer-events="none"> <img class="sg" src="761161BA73x51.png" id="s1385_i" style="z-index:1;left:0px;top:0px;width:72.81px;height:49.61px" > </div> <div class="sg" id="s1380" data-sgid="Freeform 1" style="z-index:8;left:41.01px;top:317.19px;width:81.93px;height:146.92px" data-pointer-events="none"> <img class="sg" src="F4E9359C82x147.png" id="s1380_i" style="z-index:1;left:0px;top:0px;width:81.93px;height:146.92px" > </div> <div class="sg" id="s1381" data-sgid="Freeform 4" style="z-index:9;left:352.64px;top:313.84px;width:93.68px;height:161.65px" data-pointer-events="none"> <img class="sg" src="ACF108F594x162.png" id="s1381_i" style="z-index:1;left:0px;top:0px;width:93.68px;height:161.65px" > </div> <div class="sg" id="s1382" data-sgid="Freeform 7" style="z-index:10;left:664.83px;top:315.15px;width:90.68px;height:165.39px" data-fillcolor="16777215"> <img class="sg" src="1E97E06891x165.png" id="s1382_i" style="z-index:1;left:0px;top:0px;width:90.68px;height:165.39px" > </div> <div class="sg" id="s1375" data-sgid="Picture 10" style="z-index:3;left:16.54px;top:281.33px;width:313.67px;height:250.30px"> <img class="sg" src="267D33D8.jpg" id="s1375_i" style="z-index:1;left:0px;top:0px;width:313.67px;height:250.30px" > </div> <div class="sg" id="s1376" data-sgid="Picture 11" style="z-index:4;left:323.35px;top:282.30px;width:324.57px;height:250.41px"> <img class="sg" src="20F8437.jpg" id="s1376_i" style="z-index:1;left:0px;top:0px;width:324.57px;height:250.41px" > </div> <div class="sg" id="s1377" data-sgid="Picture 12" style="z-index:5;left:635.32px;top:283.15px;width:324.57px;height:250.50px"> <img class="sg" src="BA6F5365.jpg" id="s1377_i" style="z-index:1;left:0px;top:0px;width:324.57px;height:250.50px" > </div>
<div class="sg" id="s1394" data-sgid="Title 3" style="z-index:5;left:0.00px;top:23.52px;width:960.38px;height:78.78px" data-valign="top"> <div id="s1394_t" class="sg" style="z-index:2;left:0.00px;top:-0.14px;width:960.38px;height:78.92px;"><div><p para="{al:2}"><span data-textwidth="727.56" class="sg nowrap f14" style="z-index:2;color:#FFFF00;font-style:italic; font-weight:bold; font-size:200%; left:117.26px;top:15.51px;"><u>More Distally …</u><span class="f15" style="font-style:normal; "> <u>Fat-containing Mass in RLQ</u></span></span></p></div></div><img class="sg" src="15CBFA3F1921x158.png" id="s1394_tt" style="left:0.00px;top:-0.14px;width:960.38px;height:78.92px;z-index:1" > </div> <div class="sg" id="s1393" data-sgid="Content Placeholder 2" style="z-index:4;left:41.49px;top:95.46px;width:444.65px;height:96.77px" data-valign="top"> <div id="s1393_t" class="sg" style="z-index:2;left:-6.94px;top:-5.98px;width:451.59px;height:116.54px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="252.28" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.66px;top:14.10px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Retroperitoneal</span></span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="321.17" class="sg nowrap f9" style="z-index:4;color:#FFFF00;font-size:144%; left:14.66px;top:62.47px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Mass effect on psoas</span></span></p></div></div></div> <div class="sg" id="s1396" data-sgid="Content Placeholder 2 (3)" style="z-index:7;left:491.29px;top:95.46px;width:468.61px;height:96.77px" data-valign="top"> <div id="s1396_t" class="sg" style="z-index:2;left:-12.01px;top:-5.98px;width:480.61px;height:116.54px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="359.23" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:20.00px;top:14.10px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.53px"> </span>Large & heterogeneous</span></span></p><p para="{spbf:10.00}"><span data-textwidth="295.73" class="sg nowrap f16" style="z-index:4;color:#FFFFFF;font-size:178%; left:20.00px;top:62.47px;">(stranding & nodule)</span></p></div></div></div> <div class="sg" id="s1395" data-sgid="Content Placeholder 2 (2)" style="z-index:6;left:41.49px;top:191.40px;width:444.65px;height:54.81px" data-valign="top"> <div id="s1395_t" class="sg" style="z-index:2;left:-6.94px;top:-6.01px;width:451.59px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="302.21" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.66px;top:14.21px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Infiltrative margins</span></span></p></div></div></div> <div class="sg" id="s1404" data-sgid="Content Placeholder 2 (4)" style="z-index:15;left:491.29px;top:197.39px;width:468.61px;height:54.81px" data-valign="top"> <div id="s1404_t" class="sg" style="z-index:2;left:-6.97px;top:-5.99px;width:475.57px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="428.35" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.96px;top:14.21px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.53px"> </span>Calcifications (</span><span class="f17" style="font-style:italic; font-size:123%; color:#FFFFFF;">phleboliths?)</span></span></p></div></div></div> <div class="sg" id="s1397" data-sgid="Line 9" style="z-index:8;left:95.13px;top:323.32px;width:46.27px;height:80.34px" data-pointer-events="none"> <img class="sg" src="C76D6CBB46x80.png" id="s1397_i" style="z-index:1;left:0px;top:0px;width:45.27px;height:80.34px" > </div> <div class="sg" id="s1402" data-sgid="Line 9 (6)" style="z-index:13;left:101.24px;top:339.15px;width:81.31px;height:84.77px" data-pointer-events="none"> <img class="sg" src="4EB34D9A81x85.png" id="s1402_i" style="z-index:1;left:0px;top:0px;width:80.31px;height:84.77px" > </div> <div class="sg" id="s1391" data-sgid="Picture 2" style="z-index:2;left:323.35px;top:215.15px;width:312.71px;height:324.85px"> <img class="sg" src="8BFFF152.png" id="s1391_i" style="z-index:1;left:0px;top:0px;width:312.71px;height:324.85px" > </div> <div class="sg" id="s1403" data-sgid="Oval 19" style="z-index:14;left:759.59px;top:351.74px;width:69.92px;height:69.90px" data-pointer-events="none"> <img class="sg" src="5A407F270x70.png" id="s1403_i" style="z-index:1;left:0px;top:0px;width:69.92px;height:69.90px" > </div> <div class="sg" id="s1392" data-sgid="Picture 3" style="z-index:3;left:652.71px;top:245.36px;width:307.18px;height:293.33px"> <img class="sg" src="16F83BB8.jpg" id="s1392_i" style="z-index:1;left:0px;top:0px;width:307.18px;height:293.33px" > </div> <div class="sg" id="s1390" data-sgid="Content Placeholder 5" style="z-index:1;left:0.00px;top:260.82px;width:318.68px;height:273.19px"> <img class="sg" src="1EE850CC.jpg" id="s1390_i" style="z-index:1;left:0px;top:0px;width:318.68px;height:273.19px" > </div> <div class="sg" id="s1401" data-sgid="Line 9 (5)" style="z-index:12;left:418.59px;top:375.49px;width:69.58px;height:84.06px" data-pointer-events="none"> <img class="sg" src="59AD0EF470x84.png" id="s1401_i" style="z-index:1;left:0px;top:0px;width:68.58px;height:84.06px" > </div> <div class="sg" id="s1400" data-sgid="Line 9 (4)" style="z-index:11;left:357.79px;top:395.15px;width:73.15px;height:67.40px" data-pointer-events="none"> <img class="sg" src="69DF29473x67.png" id="s1400_i" style="z-index:1;left:0px;top:0px;width:73.15px;height:66.40px" > </div> <div class="sg" id="s1398" data-sgid="Line 9 (2)" style="z-index:9;left:93.57px;top:396.45px;width:46.27px;height:77.48px" data-pointer-events="none"> <img class="sg" src="46F68F0546x77.png" id="s1398_i" style="z-index:1;left:0px;top:0px;width:45.27px;height:77.48px" > </div> <div class="sg" id="s1399" data-sgid="Line 9 (3)" style="z-index:10;left:402.54px;top:469.84px;width:72.92px;height:56.85px" data-pointer-events="none"> <img class="sg" src="C431A23673x57.png" id="s1399_i" style="z-index:1;left:0px;top:0px;width:72.92px;height:55.85px" > </div>
<div class="sg" id="s1410" data-sgid="Title 3" style="z-index:8;left:11.53px;top:29.50px;width:936.39px;height:72.79px" data-valign="top"> <div id="s1410_t" class="sg" style="z-index:2;left:0.00px;top:-0.11px;width:936.39px;height:76.51px;"><div><p para="{al:2}"><span data-textwidth="697.68" class="sg nowrap f15" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:119.53px;top:15.50px;"><u>Mass –</u><span class="f14" style="font-style:italic; "> <u>Infiltrative, Large, Heterogeneous</u></span></span></p></div></div><img class="sg" src="83BC3461873x153.png" id="s1410_tt" style="left:0.00px;top:-0.11px;width:936.39px;height:76.51px;z-index:1" > </div> <div class="sg" id="s1409" data-sgid="Content Placeholder 2" style="z-index:7;left:101.47px;top:101.45px;width:840.44px;height:60.82px" data-valign="top"> <div id="s1409_t" class="sg" style="z-index:2;left:-6.97px;top:-6.10px;width:847.41px;height:68.23px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="636.22" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.72px;top:14.23px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Stable > 1.5 years </span><span class="f9" style="font-size:123%; color:#FFFFFF;"></span><span class="f16" style="font-size:123%; color:#FFFFFF;"> Not highly aggressive</span></span></p></div></div></div> <div class="sg" id="s1415" data-sgid="Content Placeholder 2 (2)" style="z-index:13;left:101.47px;top:149.42px;width:846.45px;height:54.81px" data-valign="top"> <img class="sg" src="ADD14673846x55.png" id="s1415_i" style="z-index:1;left:0px;top:0px;width:846.45px;height:54.81px" > <div id="s1415_t" class="sg" style="z-index:2;left:-6.97px;top:-13.42px;width:853.41px;height:85.02px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="563.97" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.72px;top:17.15px;"><span class="f16" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:5.52px"> </span>Consider benign mass </span><span class="f9" style="font-size:123%; color:#FFFFFF;"></span><span class="f16" style="font-size:123%; color:#FFFFFF;"> hamartoma</span><span class="f16" style="font-size:154%; ">*</span></span></p></div></div></div> <div class="sg" id="s1408" data-sgid="Group 8" style="z-index:4;left:42.00px;top:204.80px;width:852.00px;height:41.20px" data-shape="group"> <div class="sg" id="s1417" data-sgid="TextBox 1" style="z-index:2;left:-0.85px;top:-1.06px;width:379.37px;height:42.81px" data-valign="top"> <img class="sg" src="B8F29695379x43.png" id="s1417_i" style="z-index:1;left:0px;top:0px;width:379.37px;height:42.81px" > <div id="s1417_t" class="sg" style="z-index:2;left:0.00px;top:-4.53px;width:379.37px;height:59.83px;"><div><p para="{al:2}"><span data-textwidth="112.46" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:133.60px;top:11.80px;">May 2017</span></p></div></div></div> <div class="sg" id="s1418" data-sgid="TextBox 3" style="z-index:1;left:472.91px;top:-1.06px;width:379.37px;height:42.81px" data-valign="top"> <img class="sg" src="728D82A1379x43.png" id="s1418_i" style="z-index:1;left:0px;top:0px;width:379.37px;height:42.81px" > <div id="s1418_t" class="sg" style="z-index:2;left:0.00px;top:-4.53px;width:379.37px;height:59.83px;"><div><p para="{al:2}"><span data-textwidth="150.63" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:114.83px;top:11.80px;">January 2019</span></p></div></div></div> </div> <div class="sg" id="s1413" data-sgid="Line 9 (3)" style="z-index:11;left:624.79px;top:237.82px;width:65.73px;height:75.91px" data-pointer-events="none"> <img class="sg" src="ED04AE2166x76.png" id="s1413_i" style="z-index:1;left:0px;top:0px;width:64.73px;height:75.91px" > </div> <div class="sg" id="s1411" data-sgid="Line 9" style="z-index:9;left:111.92px;top:243.80px;width:65.84px;height:75.91px" data-pointer-events="none"> <img class="sg" src="7847939166x76.png" id="s1411_i" style="z-index:1;left:0px;top:0px;width:64.84px;height:75.91px" > </div> <div class="sg" id="s1414" data-sgid="Line 9 (4)" style="z-index:12;left:585.08px;top:291.77px;width:64.29px;height:73.16px" data-pointer-events="none"> <img class="sg" src="17F363864x73.png" id="s1414_i" style="z-index:1;left:0px;top:0px;width:63.29px;height:73.16px" > </div> <div class="sg" id="s1412" data-sgid="Line 9 (2)" style="z-index:10;left:79.04px;top:291.77px;width:64.29px;height:73.16px" data-pointer-events="none"> <img class="sg" src="71BB3B4A64x73.png" id="s1412_i" style="z-index:1;left:0px;top:0px;width:63.29px;height:73.16px" > </div> <div class="sg" id="s1406" data-sgid="Picture 2" style="z-index:2;left:41.49px;top:222.81px;width:377.22px;height:317.56px"> <img class="sg" src="62075202.jpg" id="s1406_i" style="z-index:1;left:0px;top:0px;width:377.22px;height:317.56px" > </div> <div class="sg" id="s1407" data-sgid="Picture 4" style="z-index:3;left:515.28px;top:228.68px;width:377.22px;height:311.32px"> <img class="sg" src="6B06F6EE.jpg" id="s1407_i" style="z-index:1;left:0px;top:0px;width:377.22px;height:311.32px" > </div> <div class="sg" id="s1416" data-sgid="Rectangle 15" style="z-index:14;left:11.53px;top:479.21px;width:936.39px;height:51.69px" data-valign="top" data-fillcolor="0"> <img class="sg" src="DBB871D3936x52.png" id="s1416_i" style="z-index:1;left:0px;top:0px;width:936.39px;height:51.69px" > <div id="s1416_t" class="sg" style="z-index:2;left:0.00px;top:-1.45px;width:936.39px;height:76.65px;"><div><p para="{al:2}"><span data-textwidth="805.58" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:65.88px;top:15.23px;">*<span class="f5" style="font-style:italic; font-weight:normal; font-size:67%; color:#FFFFFF;position:relative;bottom:7px;"> “Benign tumor-like malformation of tissue that grows in a disorganized manner”</span></span></p></div></div></div> <div class="sg" id="s1405" data-sgid="Rectangle 5" style="z-index:1;left:851.12px;top:479.21px;width:108.78px;height:60.79px" data-fillcolor="0"> <img class="sg" src="D1711F7A109x61.png" id="s1405_i" style="z-index:1;left:0px;top:0px;width:108.78px;height:60.79px" > </div>
<div class="sg" id="s1426" data-sgid="Title 3" style="z-index:12;left:11.16px;top:29.13px;width:433.35px;height:73.53px" data-valign="top"> <img class="sg" src="2F2DD0BF433x74.png" id="s1426_i" style="z-index:1;left:0px;top:0px;width:433.35px;height:73.53px" > <div id="s1426_t" class="sg" style="z-index:2;left:0.00px;top:-1.78px;width:433.35px;height:76.62px;"><div><p para="{al:2}"><span data-textwidth="312.78" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:60.37px;top:14.82px;">Summary: 44 year-old</span></p></div></div></div> <div class="sg" id="s1428" data-sgid="Content Placeholder 2 (2)" style="z-index:14;left:443.32px;top:41.50px;width:372.66px;height:48.79px" data-valign="top"> <div id="s1428_t" class="sg" style="z-index:2;left:-6.97px;top:-5.87px;width:379.63px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="334.61" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.93px;top:13.50px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.04px"> </span>Multiple benign masses</span></span></p></div></div></div> <div class="sg" id="s1429" data-sgid="Content Placeholder 2 (3)" style="z-index:15;left:443.32px;top:95.46px;width:372.66px;height:48.79px" data-valign="top"> <div id="s1429_t" class="sg" style="z-index:2;left:-6.97px;top:-5.87px;width:379.63px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="232.23" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.93px;top:13.55px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.04px"> </span>Multiple tissues</span></span></p></div></div></div> <div class="sg" id="s1427" data-sgid="Content Placeholder 2" style="z-index:13;left:5.52px;top:107.46px;width:450.62px;height:48.79px" data-valign="top"> <div id="s1427_t" class="sg" style="z-index:2;left:-7.08px;top:-5.87px;width:457.70px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="393.07" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.76px;top:13.55px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Benign, vascular mass in toe</span></span></p></div></div></div> <div class="sg" id="s1424" data-sgid="Picture 14" style="z-index:10;left:730.68px;top:11.52px;width:217.58px;height:246.67px"> <img class="sg" src="9876CCA9.jpg" id="s1424_i" style="z-index:1;left:0px;top:0px;width:217.58px;height:246.67px" > </div> <div class="sg" id="s1430" data-sgid="Content Placeholder 2 (4)" style="z-index:16;left:509.27px;top:149.42px;width:372.66px;height:48.82px" data-valign="top"> <div id="s1430_t" class="sg" style="z-index:2;left:-6.96px;top:-5.87px;width:379.63px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="155.42" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.98px;top:13.60px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.04px"> </span>Bilaterally</span></span></p></div></div></div> <div class="sg" id="s1431" data-sgid="Content Placeholder 2 (5)" style="z-index:17;left:509.27px;top:191.40px;width:372.66px;height:48.79px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s1432" data-sgid="Content Placeholder 2 (6)" style="z-index:18;left:509.27px;top:203.38px;width:228.74px;height:48.82px" data-valign="top"> <div id="s1432_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:228.74px;height:68.11px;"><div><p para="{al:2,spbf:10.00}"><span data-textwidth="163.23" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-style:italic; font-size:178%; left:33.10px;top:13.67px;">Challenging!</span></p></div></div></div> <div class="sg" id="s1434" data-sgid="Line 9 (2)" style="z-index:20;left:342.56px;top:213.11px;width:90.42px;height:52.51px" data-pointer-events="none"> <img class="sg" src="32BEACD390x53.png" id="s1434_i" style="z-index:1;left:0px;top:0px;width:90.42px;height:51.51px" > </div> <div class="sg" id="s1433" data-sgid="Line 9" style="z-index:19;left:150.66px;top:253.39px;width:90.42px;height:52.54px" data-pointer-events="none"> <img class="sg" src="66365290x53.png" id="s1433_i" style="z-index:1;left:0px;top:0px;width:90.42px;height:51.54px" > </div> <div class="sg" id="s1420" data-sgid="Picture 3" style="z-index:2;left:6.71px;top:159.86px;width:258.73px;height:271.38px"> <img class="sg" src="388DBD75.png" id="s1420_i" style="z-index:1;left:0px;top:0px;width:258.73px;height:271.38px" > </div> <div class="sg" id="s1421" data-sgid="Picture 5" style="z-index:3;left:268.67px;top:160.71px;width:232.22px;height:278.10px"> <img class="sg" src="D71E7DAF.jpg" id="s1421_i" style="z-index:1;left:0px;top:0px;width:232.22px;height:278.10px" > </div> <div class="sg" id="s1438" data-sgid="Line 9 (6)" style="z-index:24;left:791.99px;top:309.65px;width:73.26px;height:75.66px" data-pointer-events="none"> <img class="sg" src="A9B4D56673x76.png" id="s1438_i" style="z-index:1;left:0px;top:0px;width:72.26px;height:75.66px" > </div> <div class="sg" id="s1437" data-sgid="Line 9 (5)" style="z-index:23;left:528.59px;top:310.35px;width:64.65px;height:108.54px" data-pointer-events="none"> <img class="sg" src="1B679E0465x109.png" id="s1437_i" style="z-index:1;left:0px;top:0px;width:63.65px;height:108.54px" > </div> <div class="sg" id="s1419" data-sgid="Picture 2" style="z-index:1;left:730.45px;top:262.75px;width:224.18px;height:268.26px"> <img class="sg" src="AF3C0F52.jpg" id="s1419_i" style="z-index:1;left:0px;top:0px;width:224.18px;height:268.26px" > </div> <div class="sg" id="s1425" data-sgid="Picture 15" style="z-index:11;left:509.16px;top:263.12px;width:217.58px;height:267.89px"> <img class="sg" src="EE2E5F2C.jpg" id="s1425_i" style="z-index:1;left:0px;top:0px;width:217.58px;height:267.89px" > </div> <div class="sg" id="s1423" data-sgid="Group 13" style="z-index:7;left:270.00px;top:348.00px;width:228.94px;height:185.21px" data-shape="group"> <div class="sg" id="s1441" data-sgid="TextBox 11" style="z-index:2;left:154.12px;top:127.01px;width:63.21px;height:59.86px"> <div id="s1441_t" class="sg" style="z-index:2;left:0px;top:0px;width:63.21px;height:59.86px;"><div><p para="{al:2}"><span data-textwidth="28.56" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.55px;top:12.06px;">CE</span></p></div></div><img class="sg" src="D43CE9D263x60.png" id="s1441_i" style="left: -1px;top: -1px;width:64.21px;height:60.86px" > </div> <div class="sg" id="s1442" data-sgid="Picture 9" style="z-index:1;left:-1.33px;top:-1.42px;width:231.26px;height:187.43px"> <img class="sg" src="228EF44D.jpg" id="s1442_i" style="z-index:1;left:0px;top:0px;width:231.26px;height:187.43px" > </div> </div> <div class="sg" id="s1422" data-sgid="Group 12" style="z-index:4;left:6.00px;top:348.00px;width:257.15px;height:187.67px" data-shape="group"> <div class="sg" id="s1439" data-sgid="TextBox 6" style="z-index:2;left:173.43px;top:126.30px;width:74.00px;height:59.83px"> <div id="s1439_t" class="sg" style="z-index:2;left:0px;top:0px;width:74.00px;height:59.83px;"><div><p para="{al:2}"><span data-textwidth="27.84" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:23.28px;top:11.93px;">T1</span></p></div></div><img class="sg" src="E47244EF74x60.png" id="s1439_i" style="left: -1px;top: -1px;width:75.00px;height:60.83px" > </div> <div class="sg" id="s1440" data-sgid="Picture 4" style="z-index:1;left:-1.21px;top:-1.42px;width:259.32px;height:189.84px"> <img class="sg" src="E03F83AA.jpg" id="s1440_i" style="z-index:1;left:0px;top:0px;width:259.32px;height:189.84px" > </div> </div> <div class="sg" id="s1436" data-sgid="Line 9 (4)" style="z-index:22;left:384.52px;top:435.80px;width:84.34px;height:46.30px" data-pointer-events="none"> <img class="sg" src="953AD90F84x46.png" id="s1436_i" style="z-index:1;left:0px;top:0px;width:84.34px;height:45.30px" > </div> <div class="sg" id="s1435" data-sgid="Line 9 (3)" style="z-index:21;left:132.65px;top:440.82px;width:84.34px;height:46.41px" data-pointer-events="none"> <img class="sg" src="7777A49784x46.png" id="s1435_i" style="z-index:1;left:0px;top:0px;width:84.34px;height:45.41px" > </div>
<div class="sg" id="s1449" data-sgid="Title 3" style="z-index:11;left:5.52px;top:23.52px;width:438.62px;height:60.79px" data-valign="top"> <div id="s1449_t" class="sg" style="z-index:2;left:0.00px;top:-2.19px;width:438.62px;height:76.65px;"><div><p para="{al:2}"><span data-textwidth="175.47" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:131.66px;top:14.84px;">Key Findings</span></p></div></div></div> <div class="sg" id="s1454" data-sgid="Title 3 (2)" style="z-index:16;left:508.90px;top:23.15px;width:439.35px;height:109.48px" data-valign="top"> <img class="sg" src="C5A25B1C439x109.png" id="s1454_i" style="z-index:1;left:0px;top:0px;width:439.35px;height:109.48px" > <div id="s1454_t" class="sg" style="z-index:2;left:0.00px;top:-1.82px;width:439.35px;height:128.45px;"><div><p para="{al:2}"><span data-textwidth="277.61" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:85.08px;top:14.84px;">PTEN Hamartoma* </span></p><p para="{al:2}"><span data-textwidth="242.92" class="sg nowrap f10" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:200%; left:98.64px;top:66.69px;">Tumor Syndrome</span></p></div></div></div> <div class="sg" id="s1450" data-sgid="Content Placeholder 2" style="z-index:12;left:11.53px;top:83.46px;width:480.59px;height:54.81px" data-valign="top"> <div id="s1450_t" class="sg" style="z-index:2;left:-6.97px;top:-5.87px;width:487.55px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="390.55" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.64px;top:13.55px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Multiple vascular anomalies</span></span></p></div></div></div> <div class="sg" id="s1451" data-sgid="Content Placeholder 2 (2)" style="z-index:13;left:11.53px;top:125.45px;width:372.66px;height:48.79px" data-valign="top"> <div id="s1451_t" class="sg" style="z-index:2;left:-6.97px;top:-5.88px;width:379.63px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="322.62" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.64px;top:13.58px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Soft-tissue overgrowth</span></span></p></div></div></div> <div class="sg" id="s1452" data-sgid="Content Placeholder 2 (3)" style="z-index:14;left:11.53px;top:173.42px;width:252.70px;height:48.79px" data-valign="top"> <img class="sg" src="ECA4E82C253x49.png" id="s1452_i" style="z-index:1;left:0px;top:0px;width:252.70px;height:48.79px" > <div id="s1452_t" class="sg" style="z-index:2;left:-6.97px;top:-5.87px;width:259.66px;height:68.11px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="176.91" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.64px;top:13.61px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Skin lesions</span></span></p></div></div></div> <div class="sg" id="s1453" data-sgid="Content Placeholder 2 (4)" style="z-index:15;left:497.29px;top:137.42px;width:474.61px;height:180.74px" data-valign="top"> <div id="s1453_t" class="sg" style="z-index:2;left:-6.96px;top:-9.70px;width:481.58px;height:194.87px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="384.79" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.95px;top:13.59px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Unifying term for disorders </span></span><span data-textwidth="331.50" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:178%; left:41.96px;top:48.16px;">caused by PTEN mutation</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="429.56" class="sg nowrap f9" style="z-index:5;color:#FFFF00;font-size:144%; left:14.95px;top:98.21px;"><span class="f5" style="font-style:italic; font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.05px"> </span>Cowden syn., Proteus-like syn., </span></span><span data-textwidth="331.13" class="sg nowrap f5" style="z-index:9;color:#FFFFFF;font-style:italic; font-size:178%; left:41.96px;top:140.46px;">Lhermitte-Duclos disease </span></p></div></div></div> <div class="sg" id="s1445" data-sgid="Picture 3" style="z-index:3;left:6.71px;top:172.20px;width:258.73px;height:271.52px"> <img class="sg" src="E15A5FCA.png" id="s1445_i" style="z-index:1;left:0px;top:0px;width:258.73px;height:271.52px" > </div> <div class="sg" id="s1446" data-sgid="Picture 5" style="z-index:4;left:268.67px;top:173.16px;width:232.22px;height:278.21px"> <img class="sg" src="33A5012B.jpg" id="s1446_i" style="z-index:1;left:0px;top:0px;width:232.22px;height:278.21px" > </div> <div class="sg" id="s1444" data-sgid="Content Placeholder 5" style="z-index:2;left:508.57px;top:320.09px;width:260.14px;height:214.64px"> <img class="sg" src="38586F5D.jpg" id="s1444_i" style="z-index:1;left:0px;top:0px;width:260.14px;height:214.64px" > </div> <div class="sg" id="s1455" data-sgid="Picture 26" style="z-index:17;left:778.42px;top:323.91px;width:176.21px;height:210.81px"> <img class="sg" src="71C3B797.jpg" id="s1455_i" style="z-index:1;left:0px;top:0px;width:176.21px;height:210.81px" > </div> <div class="sg" id="s1448" data-sgid="Group 13" style="z-index:8;left:270.00px;top:348.00px;width:228.94px;height:185.21px" data-shape="group"> <div class="sg" id="s1458" data-sgid="TextBox 11" style="z-index:2;left:154.12px;top:127.01px;width:63.21px;height:59.86px"> <div id="s1458_t" class="sg" style="z-index:2;left:0px;top:0px;width:63.21px;height:59.86px;"><div><p para="{al:2}"><span data-textwidth="28.56" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.55px;top:12.06px;">CE</span></p></div></div><img class="sg" src="D43CE9D263x60.png" id="s1458_i" style="left: -1px;top: -1px;width:64.21px;height:60.86px" > </div> <div class="sg" id="s1459" data-sgid="Picture 9" style="z-index:1;left:-1.33px;top:-1.42px;width:231.26px;height:187.43px"> <img class="sg" src="228EF44D.jpg" id="s1459_i" style="z-index:1;left:0px;top:0px;width:231.26px;height:187.43px" > </div> </div> <div class="sg" id="s1447" data-sgid="Group 12" style="z-index:5;left:6.00px;top:348.00px;width:257.15px;height:187.67px" data-shape="group"> <div class="sg" id="s1456" data-sgid="TextBox 6" style="z-index:2;left:173.43px;top:126.30px;width:74.00px;height:59.83px"> <div id="s1456_t" class="sg" style="z-index:2;left:0px;top:0px;width:74.00px;height:59.83px;"><div><p para="{al:2}"><span data-textwidth="27.84" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:23.28px;top:11.93px;">T1</span></p></div></div><img class="sg" src="E47244EF74x60.png" id="s1456_i" style="left: -1px;top: -1px;width:75.00px;height:60.83px" > </div> <div class="sg" id="s1457" data-sgid="Picture 4" style="z-index:1;left:-1.21px;top:-1.42px;width:259.32px;height:189.84px"> <img class="sg" src="E03F83AA.jpg" id="s1457_i" style="z-index:1;left:0px;top:0px;width:259.32px;height:189.84px" > </div> </div> <div class="sg" id="s1443" data-sgid="Rectangle 23" style="z-index:1;left:851.12px;top:479.21px;width:108.78px;height:60.79px" data-fillcolor="0"> <img class="sg" src="D1711F7A109x61.png" id="s1443_i" style="z-index:1;left:0px;top:0px;width:108.78px;height:60.79px" > </div>
<div class="sg" id="s1465" data-sgid="Title 3" style="z-index:10;left:17.50px;top:23.52px;width:456.63px;height:60.79px" data-valign="top"> <div id="s1465_t" class="sg" style="z-index:2;left:0.00px;top:-2.19px;width:456.63px;height:76.65px;"><div><p para="{al:2}"><span data-textwidth="299.81" class="sg nowrap f10" style="z-index:2;color:#BFBFBF;font-weight:bold; font-size:200%; left:78.52px;top:14.84px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s1471" data-sgid="Title 3 (2)" style="z-index:16;left:490.92px;top:17.16px;width:439.35px;height:109.48px" data-valign="top"> <img class="sg" src="3D46A0F5439x109.png" id="s1471_i" style="z-index:1;left:0px;top:0px;width:439.35px;height:109.48px" > <div id="s1471_t" class="sg" style="z-index:2;left:0.00px;top:-1.81px;width:439.35px;height:128.45px;"><div><p para="{al:2}"><span data-textwidth="259.96" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:93.94px;top:14.82px;">PTEN Hamartoma </span></p><p para="{al:2}"><span data-textwidth="242.92" class="sg nowrap f10" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:200%; left:98.62px;top:66.67px;">Tumor Syndrome</span></p></div></div></div> <div class="sg" id="s1466" data-sgid="Content Placeholder 2" style="z-index:11;left:11.53px;top:83.46px;width:480.59px;height:54.81px" data-valign="top"> <div id="s1466_t" class="sg" style="z-index:2;left:-5.30px;top:-4.91px;width:485.88px;height:59.83px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="344.46" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:122%; left:12.97px;top:11.59px;"><span class="f3" style="font-size:127%; color:#BFBFBF;"><span style="letter-spacing:10.45px"> </span>Multiple vascular anomalies</span></span></p></div></div></div> <div class="sg" id="s1467" data-sgid="Content Placeholder 2 (2)" style="z-index:12;left:11.53px;top:125.45px;width:372.66px;height:48.79px" data-valign="top"> <div id="s1467_t" class="sg" style="z-index:2;left:-5.30px;top:-4.94px;width:377.95px;height:59.86px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="285.17" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:122%; left:12.97px;top:11.64px;"><span class="f3" style="font-size:127%; color:#BFBFBF;"><span style="letter-spacing:10.45px"> </span>Soft-tissue overgrowth</span></span></p></div></div></div> <div class="sg" id="s1468" data-sgid="Content Placeholder 2 (3)" style="z-index:13;left:11.53px;top:167.40px;width:252.70px;height:42.81px" data-valign="top"> <img class="sg" src="3458EF76253x43.png" id="s1468_i" style="z-index:1;left:0px;top:0px;width:252.70px;height:42.81px" > <div id="s1468_t" class="sg" style="z-index:2;left:-5.30px;top:-4.90px;width:257.99px;height:59.83px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="157.95" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:122%; left:12.97px;top:11.66px;"><span class="f3" style="font-size:127%; color:#BFBFBF;"><span style="letter-spacing:10.45px"> </span>Skin lesions</span></span></p></div></div></div> <div class="sg" id="s1470" data-sgid="Content Placeholder 2 (4)" style="z-index:15;left:467.30px;top:125.45px;width:486.59px;height:174.72px" data-valign="top"> <img class="sg" src="ACD584E3487x175.png" id="s1470_i" style="z-index:1;left:0px;top:0px;width:486.59px;height:174.72px" > <div id="s1470_t" class="sg" style="z-index:2;left:-6.96px;top:-9.73px;width:493.56px;height:188.28px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="384.78" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.94px;top:13.59px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.04px"> </span>Unifying term for disorders </span></span><span data-textwidth="331.50" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:178%; left:41.94px;top:48.16px;">caused by PTEN mutation</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="403.39" class="sg nowrap f9" style="z-index:5;color:#FFFF00;font-size:133%; left:14.94px;top:97.21px;"><span class="f5" style="font-style:italic; font-size:125%; color:#FFFFFF;"><span style="letter-spacing:9.12px"> </span>Cowden syn., Proteus-like syn., </span></span><span data-textwidth="309.53" class="sg nowrap f5" style="z-index:9;color:#FFFFFF;font-style:italic; font-size:167%; left:41.94px;top:136.82px;">Lhermitte-Duclos disease </span></p></div></div></div> <div class="sg" id="s1469" data-sgid="Rectangle 22" style="z-index:14;left:431.31px;top:-0.48px;width:162.75px;height:534.50px" data-fillcolor="0"> <img class="sg" src="56C91988163x534.png" id="s1469_i" style="z-index:1;left:0px;top:0px;width:162.75px;height:534.50px" > </div> <div class="sg" id="s1463" data-sgid="Picture 3" style="z-index:6;left:6.71px;top:172.20px;width:258.73px;height:271.52px"> <img class="sg" src="E15A5FCA.png" id="s1463_i" style="z-index:1;left:0px;top:0px;width:258.73px;height:271.52px" > </div> <div class="sg" id="s1460" data-sgid="Picture 5" style="z-index:1;left:268.67px;top:173.16px;width:232.22px;height:278.21px"> <img class="sg" src="33A5012B.jpg" id="s1460_i" style="z-index:1;left:0px;top:0px;width:232.22px;height:278.21px" > </div> <div class="sg" id="s1474" data-sgid="Title 3 (3)" style="z-index:19;left:490.92px;top:298.98px;width:439.35px;height:61.50px" data-valign="top"> <img class="sg" src="5B67DFED439x62.png" id="s1474_i" style="z-index:1;left:0px;top:0px;width:439.35px;height:61.50px" > <div id="s1474_t" class="sg" style="z-index:2;left:0.00px;top:-1.82px;width:439.35px;height:76.62px;"><div><p para="{al:2}"><span data-textwidth="251.32" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:94.42px;top:15.07px;">Recommendation</span></p></div></div></div> <div class="sg" id="s1472" data-sgid="Content Placeholder 2 (5)" style="z-index:17;left:461.30px;top:365.28px;width:492.59px;height:54.81px" data-valign="top"> <img class="sg" src="B7488F0E493x55.png" id="s1472_i" style="z-index:1;left:0px;top:0px;width:492.59px;height:54.81px" > <div id="s1472_t" class="sg" style="z-index:2;left:-8.52px;top:-6.84px;width:501.12px;height:69.33px;"><div><p para="{bl:{nbr:1,val:1,st:3},spbf:10.00}"><span data-textwidth="383.34" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:144%; left:16.50px;top:14.68px;">1.<span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:13.92px"> </span>Toe biopsy/resect </span><span class="f9" style="font-size:123%; color:#FFFFFF;"></span><span class="f3" style="font-size:123%; color:#FFFFFF;"> PTEN</span></span></p></div></div></div> <div class="sg" id="s1461" data-sgid="Group 13" style="z-index:2;left:270.00px;top:330.00px;width:228.94px;height:185.21px" data-shape="group"> <div class="sg" id="s1475" data-sgid="TextBox 11" style="z-index:2;left:154.12px;top:127.02px;width:63.21px;height:59.86px"> <div id="s1475_t" class="sg" style="z-index:2;left:0px;top:0px;width:63.21px;height:59.86px;"><div><p para="{al:2}"><span data-textwidth="28.56" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.55px;top:12.04px;">CE</span></p></div></div><img class="sg" src="D43CE9D263x60.png" id="s1475_i" style="left: -1px;top: -1px;width:64.21px;height:60.86px" > </div> <div class="sg" id="s1476" data-sgid="Picture 9" style="z-index:1;left:-1.33px;top:-1.40px;width:231.26px;height:187.43px"> <img class="sg" src="18898453.jpg" id="s1476_i" style="z-index:1;left:0px;top:0px;width:231.26px;height:187.43px" > </div> </div> <div class="sg" id="s1464" data-sgid="Group 12" style="z-index:7;left:6.00px;top:330.00px;width:257.15px;height:187.67px" data-shape="group"> <div class="sg" id="s1477" data-sgid="TextBox 6" style="z-index:2;left:173.43px;top:126.31px;width:74.00px;height:59.83px"> <div id="s1477_t" class="sg" style="z-index:2;left:0px;top:0px;width:74.00px;height:59.83px;"><div><p para="{al:2}"><span data-textwidth="27.84" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:23.28px;top:11.91px;">T1</span></p></div></div><img class="sg" src="E47244EF74x60.png" id="s1477_i" style="left: -1px;top: -1px;width:75.00px;height:60.83px" > </div> <div class="sg" id="s1478" data-sgid="Picture 4" style="z-index:1;left:-1.21px;top:-1.40px;width:259.32px;height:189.84px"> <img class="sg" src="B741C056.jpg" id="s1478_i" style="z-index:1;left:0px;top:0px;width:259.32px;height:189.84px" > </div> </div> <div class="sg" id="s1473" data-sgid="Content Placeholder 2 (6)" style="z-index:18;left:461.30px;top:413.25px;width:492.59px;height:48.82px" data-valign="top"> <img class="sg" src="2C66C799493x49.png" id="s1473_i" style="z-index:1;left:0px;top:0px;width:492.59px;height:48.82px" > <div id="s1473_t" class="sg" style="z-index:2;left:-8.52px;top:-6.84px;width:501.12px;height:69.33px;"><div><p para="{bl:{nbr:2,val:2,st:3},spbf:10.00}"><span data-textwidth="356.10" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:144%; left:16.50px;top:14.72px;">2.<span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:13.92px"> </span>Headaches </span><span class="f9" style="font-size:123%; color:#FFFFFF;"></span><span class="f3" style="font-size:123%; color:#FFFFFF;"> Brain MRI</span></span></p></div></div></div> <div class="sg" id="s1462" data-sgid="Rectangle 23" style="z-index:5;left:851.12px;top:479.21px;width:108.78px;height:60.79px" data-fillcolor="0"> <img class="sg" src="D1711F7A109x61.png" id="s1462_i" style="z-index:1;left:0px;top:0px;width:108.78px;height:60.79px" > </div>
<div class="sg" id="s1479" data-sgid="Title 3" style="z-index:1;left:60.80px;top:11.15px;width:375.92px;height:105.16px" data-valign="top"> <div id="s1479_t" class="sg" style="z-index:2;left:-19.17px;top:-14.98px;width:421.34px;height:188.40px;"><div><p><span data-textwidth="244.00" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:26.90px;top:17.95px;">Toe Histology</span><span data-textwidth="367.98" class="sg nowrap f10" style="z-index:3;color:#FFFFFF;font-size:244%; left:26.90px;top:65.48px;">Benign fibrovascular </span></p><p><span data-textwidth="104.06" class="sg nowrap f10" style="z-index:4;color:#FFFFFF;font-size:244%; left:26.90px;top:113.01px;">lesion</span></p></div></div></div> <div class="sg" id="s1485" data-sgid="Rectangle 16" style="z-index:7;left:807.82px;top:64.51px;width:152.08px;height:117.05px" data-valign="top" data-pointer-events="none"> <div id="s1485_t" class="sg" style="z-index:2;left:-3.74px;top:-1.90px;width:159.89px;height:125.08px;"><div><p><span data-textwidth="129.26" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.94px;top:7.57px;">A cluster of small </span><span data-textwidth="137.30" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;left:11.94px;top:29.17px;">and medium sized </span><span data-textwidth="82.93" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;left:11.94px;top:50.77px;">vessels are </span><span data-textwidth="132.98" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;left:11.94px;top:72.38px;">present in fibrous </span><span data-textwidth="55.93" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;left:11.94px;top:93.98px;">stroma.</span></p></div></div></div> <div class="sg" id="s1484" data-sgid="Content Placeholder 5 (3)" style="z-index:6;left:435.76px;top:11.40px;width:369.77px;height:233.36px"> <img class="sg" src="706B2A15.jpg" id="s1484_i" style="z-index:1;left:0px;top:0px;width:369.77px;height:233.36px" > </div> <div class="sg" id="s1480" data-sgid="Content Placeholder 5" style="z-index:2;left:70.29px;top:161.90px;width:274.19px;height:289.48px"> <img class="sg" src="2BEDAEA5.jpg" id="s1480_i" style="z-index:1;left:0px;top:0px;width:274.19px;height:289.48px" > </div> <div class="sg" id="s1483" data-sgid="TextBox 14" style="z-index:5;left:807.82px;top:323.43px;width:152.08px;height:117.05px" data-valign="top"> <div id="s1483_t" class="sg" style="z-index:2;left:-3.74px;top:-1.93px;width:155.81px;height:125.08px;"><div><p><span data-textwidth="132.98" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.94px;top:7.93px;">Vessels of varying </span><span data-textwidth="96.38" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;left:11.94px;top:29.54px;">size and wall </span><span data-textwidth="72.01" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;left:11.94px;top:51.14px;">thickness </span><span data-textwidth="99.98" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;left:11.94px;top:72.75px;">comprise the </span><span data-textwidth="47.77" class="sg nowrap f3" style="z-index:6;color:#FFFFFF;left:11.94px;top:94.35px;">lesion.</span></p></div></div></div> <div class="sg" id="s1482" data-sgid="Content Placeholder 5 (2)" style="z-index:4;left:429.64px;top:269.33px;width:375.89px;height:242.01px"> <img class="sg" src="AB7B90A8.jpg" id="s1482_i" style="z-index:1;left:0px;top:0px;width:375.89px;height:242.01px" > </div> <div class="sg" id="s1481" data-sgid="TextBox 11" style="z-index:3;left:83.01px;top:450.44px;width:261.48px;height:80.71px" data-valign="top"> <div id="s1481_t" class="sg" style="z-index:2;left:-4.93px;top:-2.53px;width:266.40px;height:91.01px;"><div><p><span data-textwidth="225.88" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.54px;top:8.63px;">A discrete vascular lesion is </span><span data-textwidth="230.68" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:111%; left:12.54px;top:32.64px;">present in subcutaneous fat </span><span data-textwidth="182.43" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:111%; left:12.54px;top:56.64px;">with irregular borders.</span></p></div></div></div>
<div class="sg" id="s1486" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s1486_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="180.51" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Brain MRI</span></p></div></div></div> <div class="sg" id="s1487" data-sgid="Content Placeholder 5" style="z-index:2;left:326.36px;top:46.04px;width:275.75px;height:243.46px"> <img class="sg" src="517A1FF8.jpg" id="s1487_i" style="z-index:1;left:0px;top:0px;width:275.75px;height:243.46px" > </div> <div class="sg" id="s1488" data-sgid="Picture 3" style="z-index:3;left:619.27px;top:46.78px;width:292.66px;height:242.72px"> <img class="sg" src="BD3A679.jpg" id="s1488_i" style="z-index:1;left:0px;top:0px;width:292.66px;height:242.72px" > </div> <div class="sg" id="s1491" data-sgid="TextBox 6" style="z-index:6;left:326.36px;top:259.52px;width:51.09px;height:29.99px" data-valign="top"> <div id="s1491_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:56.38px;height:38.87px;"><div><p><span data-textwidth="33.85" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.61px;top:7.87px;">T2W</span></p></div></div></div> <div class="sg" id="s1492" data-sgid="TextBox 7" style="z-index:7;left:619.27px;top:259.52px;width:51.09px;height:29.99px" data-valign="top"> <div id="s1492_t" class="sg" style="z-index:2;left:-3.71px;top:-1.93px;width:56.47px;height:38.87px;"><div><p><span data-textwidth="33.85" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.78px;top:7.87px;">T1W</span></p></div></div></div> <div class="sg" id="s1489" data-sgid="Picture 4" style="z-index:4;left:644.33px;top:299.21px;width:240.12px;height:218.38px"> <img class="sg" src="104085AB.jpg" id="s1489_i" style="z-index:1;left:0px;top:0px;width:240.12px;height:218.38px" > </div> <div class="sg" id="s1490" data-sgid="TextBox 5" style="z-index:5;left:614.45px;top:510.04px;width:150.41px;height:29.96px" data-valign="top"> <div id="s1490_t" class="sg" style="z-index:2;left:-3.59px;top:-1.81px;width:156.78px;height:38.87px;"><div><p><span data-textwidth="134.19" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;left:11.68px;top:8.08px;">Post-contrast T1W</span></p></div></div></div>
<div class="sg" id="s1498" data-sgid="Title 3" style="z-index:10;left:17.50px;top:23.52px;width:456.63px;height:60.79px" data-valign="top"> <div id="s1498_t" class="sg" style="z-index:2;left:0.00px;top:-2.19px;width:456.63px;height:76.65px;"><div><p para="{al:2}"><span data-textwidth="299.81" class="sg nowrap f10" style="z-index:2;color:#BFBFBF;font-weight:bold; font-size:200%; left:78.52px;top:14.84px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s1504" data-sgid="Title 3 (2)" style="z-index:16;left:490.92px;top:17.16px;width:439.35px;height:109.48px" data-valign="top"> <img class="sg" src="3D46A0F5439x109.png" id="s1504_i" style="z-index:1;left:0px;top:0px;width:439.35px;height:109.48px" > <div id="s1504_t" class="sg" style="z-index:2;left:0.00px;top:-1.81px;width:439.35px;height:128.45px;"><div><p para="{al:2}"><span data-textwidth="259.96" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:93.94px;top:14.82px;">PTEN Hamartoma </span></p><p para="{al:2}"><span data-textwidth="242.92" class="sg nowrap f10" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:200%; left:98.62px;top:66.67px;">Tumor Syndrome</span></p></div></div></div> <div class="sg" id="s1499" data-sgid="Content Placeholder 2" style="z-index:11;left:11.53px;top:83.46px;width:480.59px;height:54.81px" data-valign="top"> <div id="s1499_t" class="sg" style="z-index:2;left:-5.30px;top:-4.91px;width:485.88px;height:59.83px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="344.46" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:122%; left:12.97px;top:11.59px;"><span class="f3" style="font-size:127%; color:#BFBFBF;"><span style="letter-spacing:10.45px"> </span>Multiple vascular anomalies</span></span></p></div></div></div> <div class="sg" id="s1500" data-sgid="Content Placeholder 2 (2)" style="z-index:12;left:11.53px;top:125.45px;width:372.66px;height:48.79px" data-valign="top"> <div id="s1500_t" class="sg" style="z-index:2;left:-5.30px;top:-4.94px;width:377.95px;height:59.86px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="285.17" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:122%; left:12.97px;top:11.64px;"><span class="f3" style="font-size:127%; color:#BFBFBF;"><span style="letter-spacing:10.45px"> </span>Soft-tissue overgrowth</span></span></p></div></div></div> <div class="sg" id="s1501" data-sgid="Content Placeholder 2 (3)" style="z-index:13;left:11.53px;top:167.40px;width:252.70px;height:42.81px" data-valign="top"> <img class="sg" src="3458EF76253x43.png" id="s1501_i" style="z-index:1;left:0px;top:0px;width:252.70px;height:42.81px" > <div id="s1501_t" class="sg" style="z-index:2;left:-5.30px;top:-4.90px;width:257.99px;height:59.83px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="157.95" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:122%; left:12.97px;top:11.66px;"><span class="f3" style="font-size:127%; color:#BFBFBF;"><span style="letter-spacing:10.45px"> </span>Skin lesions</span></span></p></div></div></div> <div class="sg" id="s1503" data-sgid="Content Placeholder 2 (4)" style="z-index:15;left:467.30px;top:125.45px;width:486.59px;height:174.72px" data-valign="top"> <img class="sg" src="ACD584E3487x175.png" id="s1503_i" style="z-index:1;left:0px;top:0px;width:486.59px;height:174.72px" > <div id="s1503_t" class="sg" style="z-index:2;left:-6.96px;top:-9.73px;width:493.56px;height:188.28px;"><div><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="384.78" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:14.94px;top:13.59px;"><span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.04px"> </span>Unifying term for disorders </span></span><span data-textwidth="331.50" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:178%; left:41.94px;top:48.16px;">caused by PTEN mutation</span></p><p para="{bl:{ch:167},spbf:10.00}"><span data-textwidth="403.39" class="sg nowrap f9" style="z-index:5;color:#FFFF00;font-size:133%; left:14.94px;top:97.21px;"><span class="f5" style="font-style:italic; font-size:125%; color:#FFFFFF;"><span style="letter-spacing:9.12px"> </span>Cowden syn., Proteus-like syn., </span></span><span data-textwidth="309.53" class="sg nowrap f5" style="z-index:9;color:#FFFFFF;font-style:italic; font-size:167%; left:41.94px;top:136.82px;">Lhermitte-Duclos disease </span></p></div></div></div> <div class="sg" id="s1502" data-sgid="Rectangle 22" style="z-index:14;left:431.31px;top:-0.48px;width:162.75px;height:534.50px" data-fillcolor="0"> <img class="sg" src="56C91988163x534.png" id="s1502_i" style="z-index:1;left:0px;top:0px;width:162.75px;height:534.50px" > </div> <div class="sg" id="s1496" data-sgid="Picture 3" style="z-index:6;left:6.71px;top:172.20px;width:258.73px;height:271.52px"> <img class="sg" src="E15A5FCA.png" id="s1496_i" style="z-index:1;left:0px;top:0px;width:258.73px;height:271.52px" > </div> <div class="sg" id="s1493" data-sgid="Picture 5" style="z-index:1;left:268.67px;top:173.16px;width:232.22px;height:278.21px"> <img class="sg" src="33A5012B.jpg" id="s1493_i" style="z-index:1;left:0px;top:0px;width:232.22px;height:278.21px" > </div> <div class="sg" id="s1508" data-sgid="Title 3 (3)" style="z-index:20;left:490.92px;top:298.98px;width:439.35px;height:61.50px" data-valign="top"> <img class="sg" src="5B67DFED439x62.png" id="s1508_i" style="z-index:1;left:0px;top:0px;width:439.35px;height:61.50px" > <div id="s1508_t" class="sg" style="z-index:2;left:0.00px;top:-1.82px;width:439.35px;height:76.62px;"><div><p para="{al:2}"><span data-textwidth="251.32" class="sg nowrap f10" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:200%; left:94.42px;top:15.07px;">Recommendation</span></p></div></div></div> <div class="sg" id="s1505" data-sgid="Content Placeholder 2 (5)" style="z-index:17;left:461.30px;top:365.28px;width:492.59px;height:54.81px" data-valign="top"> <img class="sg" src="B7488F0E493x55.png" id="s1505_i" style="z-index:1;left:0px;top:0px;width:492.59px;height:54.81px" > <div id="s1505_t" class="sg" style="z-index:2;left:-8.52px;top:-6.84px;width:501.12px;height:69.33px;"><div><p para="{bl:{nbr:1,val:1,st:3},spbf:10.00}"><span data-textwidth="383.34" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:144%; left:16.50px;top:14.68px;">1.<span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:13.92px"> </span>Toe biopsy/resect </span><span class="f9" style="font-size:123%; color:#FFFFFF;"></span><span class="f3" style="font-size:123%; color:#FFFFFF;"> PTEN</span></span></p></div></div></div> <div class="sg" id="s1494" data-sgid="Group 13" style="z-index:2;left:270.00px;top:330.00px;width:228.94px;height:185.21px" data-shape="group"> <div class="sg" id="s1510" data-sgid="TextBox 11" style="z-index:2;left:154.12px;top:127.02px;width:63.21px;height:59.86px"> <div id="s1510_t" class="sg" style="z-index:2;left:0px;top:0px;width:63.21px;height:59.86px;"><div><p para="{al:2}"><span data-textwidth="28.56" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.55px;top:12.04px;">CE</span></p></div></div><img class="sg" src="D43CE9D263x60.png" id="s1510_i" style="left: -1px;top: -1px;width:64.21px;height:60.86px" > </div> <div class="sg" id="s1511" data-sgid="Picture 9" style="z-index:1;left:-1.33px;top:-1.40px;width:231.26px;height:187.43px"> <img class="sg" src="18898453.jpg" id="s1511_i" style="z-index:1;left:0px;top:0px;width:231.26px;height:187.43px" > </div> </div> <div class="sg" id="s1497" data-sgid="Group 12" style="z-index:7;left:6.00px;top:330.00px;width:257.15px;height:187.67px" data-shape="group"> <div class="sg" id="s1512" data-sgid="TextBox 6" style="z-index:2;left:173.43px;top:126.31px;width:74.00px;height:59.83px"> <div id="s1512_t" class="sg" style="z-index:2;left:0px;top:0px;width:74.00px;height:59.83px;"><div><p para="{al:2}"><span data-textwidth="27.84" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:156%; left:23.28px;top:11.91px;">T1</span></p></div></div><img class="sg" src="E47244EF74x60.png" id="s1512_i" style="left: -1px;top: -1px;width:75.00px;height:60.83px" > </div> <div class="sg" id="s1513" data-sgid="Picture 4" style="z-index:1;left:-1.21px;top:-1.40px;width:259.32px;height:189.84px"> <img class="sg" src="B741C056.jpg" id="s1513_i" style="z-index:1;left:0px;top:0px;width:259.32px;height:189.84px" > </div> </div> <div class="sg" id="s1506" data-sgid="Content Placeholder 2 (6)" style="z-index:18;left:461.30px;top:413.25px;width:492.59px;height:48.82px" data-valign="top"> <img class="sg" src="2C66C799493x49.png" id="s1506_i" style="z-index:1;left:0px;top:0px;width:492.59px;height:48.82px" > <div id="s1506_t" class="sg" style="z-index:2;left:-8.52px;top:-6.84px;width:501.12px;height:69.33px;"><div><p para="{bl:{nbr:2,val:2,st:3},spbf:10.00}"><span data-textwidth="356.10" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:144%; left:16.50px;top:14.72px;">2.<span class="f3" style="font-size:123%; color:#FFFFFF;"><span style="letter-spacing:13.92px"> </span>Headaches </span><span class="f9" style="font-size:123%; color:#FFFFFF;"></span><span class="f3" style="font-size:123%; color:#FFFFFF;"> Brain MRI</span></span></p></div></div></div> <div class="sg" id="s1507" data-sgid="Content Placeholder 2 (7)" style="z-index:19;left:490.81px;top:466.75px;width:439.58px;height:49.76px" data-valign="top"> <img class="sg" src="2B57DB85440x50.png" id="s1507_i" style="z-index:1;left:0px;top:0px;width:439.58px;height:49.76px" > <div id="s1507_t" class="sg" style="z-index:2;left:0.00px;top:-5.42px;width:439.58px;height:68.11px;"><div><p para="{al:2,bl:{ch:167},spbf:10.00}"><span data-textwidth="268.96" class="sg nowrap f9" style="z-index:2;color:#FFFF00;font-size:144%; left:85.65px;top:13.89px;"><span class="f6" style="font-style:italic; font-weight:bold; font-size:123%; color:#FFFFFF;"><span style="letter-spacing:8.04px"> </span>Lhermitte-Duclos*</span></span></p></div></div></div> <div class="sg" id="s1509" data-sgid="Rectangle 2" style="z-index:21;left:5.15px;top:472.85px;width:475.35px;height:42.81px" data-valign="top" data-fillcolor="0"> <img class="sg" src="1297C4EC475x43.png" id="s1509_i" style="z-index:1;left:0px;top:0px;width:475.35px;height:42.81px" > <div id="s1509_t" class="sg" style="z-index:2;left:0.00px;top:-4.54px;width:475.35px;height:59.83px;"><div><p para="{al:2}"><span data-textwidth="403.62" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-style:italic; font-size:156%; left:38.66px;top:11.92px;">*<span class="f5" style="font-size:86%; ">Dysplastic gangliocytoma in cerebellum </span></span></p></div></div></div> <div class="sg" id="s1495" data-sgid="Rectangle 23" style="z-index:5;left:851.12px;top:479.21px;width:108.78px;height:60.79px" data-fillcolor="0"> <img class="sg" src="D1711F7A109x61.png" id="s1495_i" style="z-index:1;left:0px;top:0px;width:108.78px;height:60.79px" > </div>
<div class="sg" id="s1514" data-sgid="Title 3" style="z-index:1;left:65.48px;top:28.17px;width:828.46px;height:105.30px" data-valign="top"> <div id="s1514_t" class="sg" style="z-index:2;left:-19.29px;top:-14.87px;width:847.75px;height:120.17px;"><div><p><span data-textwidth="186.99" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Follow-Up</span></p></div></div></div> <div class="sg" id="s1515" data-sgid="Rectangle 10" style="z-index:2;left:65.48px;top:132.51px;width:837.44px;height:124.48px" data-valign="top" data-pointer-events="none"> <div id="s1515_t" class="sg" style="z-index:2;left:-10.79px;top:-5.87px;width:848.23px;height:130.35px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="716.65" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:178%; left:18.52px;top:13.03px;">•<span class="f3" ><span style="letter-spacing:4.09px"> </span>Subsequent colonoscopy revealed benign polyps and </span></span><span data-textwidth="164.91" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:178%; left:41.09px;top:52.00px;">hamartomas</span></p></div></div></div>
<div class="sg sgTitle" id="s1516" 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="s1516_t" class="sg" style="z-index:2;left:-22.29px;top:-21.33px;width:850.75px;height:126.64px;"><div><p><span data-textwidth="353.58" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:272%; left:30.02px;top:19.64px;">Correct Diagnosis</span></p></div></div></div> <div class="sg" id="s1518" data-sgid="Rectangle 3" style="z-index:3;left:65.48px;top:241.53px;width:296.39px;height:117.05px" data-valign="top" data-pointer-events="none"> <div id="s1518_t" class="sg" style="z-index:2;left:-3.60px;top:-1.93px;width:300.47px;height:118.98px;"><div><p><span data-textwidth="218.67" class="sg nowrap f1" style="z-index:2;color:#B1D7EB;font-weight:bold; left:11.33px;top:7.85px;">Radiology. 1995;194:699–703</span></p><p><span data-textwidth="238.12" class="sg nowrap f1" style="z-index:5;color:#B1D7EB;font-weight:bold; left:11.33px;top:29.46px;">Neurosurgery. 2000; 46:371-383</span></p><p><span data-textwidth="277.72" class="sg nowrap f1" style="z-index:8;color:#B1D7EB;font-weight:bold; left:11.33px;top:51.06px;">Acta Neurol Scand 2002;105:137–145</span></p><p><span data-textwidth="223.47" class="sg nowrap f1" style="z-index:13;color:#B1D7EB;font-weight:bold; left:11.33px;top:72.67px;">Radiology 2009; 251: 296–297</span></p></div></div></div> <div class="sg" id="s1517" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:98.10px;width:828.46px;height:424.99px" data-valign="top" data-pointer-events="none"> <div id="s1517_t" class="sg" style="z-index:2;left:-13.32px;top:-17.02px;width:841.77px;height:442.01px;"><div><p para="{spbf:10.00}"><span data-textwidth="400.87" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:189%; left:21.05px;top:14.38px;">PTEN Hamartoma Syndrome</span></p><p para="{spbf:10.00}"><span data-textwidth="264.17" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:189%; left:21.05px;top:52.91px;">“<span style="color:#FFFFFF;">COLD</span>” Syndrome</span></p><p para="{spbf:10.00}"><span data-textwidth="389.59" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:189%; left:21.05px;top:91.44px;">CO<span style="color:#FFFF00;">wden’s</span> L<span style="color:#FFFF00;">hermitte</span>-D<span style="color:#FFFF00;">uclos</span></span></p><p></p><p></p><p></p><p></p><p></p><p para="{spbf:10.00}"><span data-textwidth="186.39" class="sg nowrap f3" style="z-index:13;color:#FFFFFF;font-size:150%; left:21.05px;top:298.80px;">Case courtesy of:</span></p><p para="{spbf:10.00}"><span data-textwidth="286.85" class="sg nowrap f3" style="z-index:14;color:#FFFFFF;font-size:172%; left:21.05px;top:330.25px;">Avneesh Chhabra, M.D</span></p><p para="{spbf:10.00}"><span data-textwidth="421.87" class="sg nowrap f3" style="z-index:16;color:#FFFFFF;font-size:172%; left:21.05px;top:366.26px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">UT Southwestern Medical Center </span></span></p></div></div></div> <div class="sg" id="s1519" data-sgid="Picture 2" style="z-index:4;left:614.11px;top:285.65px;width:200.79px;height:200.77px"> <img class="sg" src="9749ED4D.jpg" id="s1519_i" title="" alt="Avneesh Chhabra, M.D." style="z-index:1;left:0px;top:0px;width:200.79px;height:200.77px" > </div>
<div class="sg sgTitle" id="s1520" data-sgid="Title 1" style="z-index:1;left:65.48px;top:-7.06px;width:828.46px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s1520_t" class="sg" style="z-index:2;left:-19.29px;top:0.00px;width:847.75px;height:105.16px;"><div><p><span data-textwidth="661.79" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:27.02px;top:27.78px;">LDD - A rare hamartomatous disorder</span></p></div></div></div> <div class="sg" id="s1521" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:77.11px;width:828.46px;height:343.23px" data-valign="top" data-pointer-events="none"> <div id="s1521_t" class="sg" style="z-index:2;left:-8.50px;top:-11.04px;width:836.96px;height:354.27px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="642.83" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.27px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Adults in 3</span><span class="f3" style="font-size:68%; position:relative;bottom:10px;">rd</span><span class="f3" > – 4</span><span class="f3" style="font-size:68%; position:relative;bottom:10px;">th</span><span class="f3" > decades, without gender predilection</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="747.13" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-size:156%; left:16.23px;top:49.12px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Sxs: Non-specific -<span style="letter-spacing:6.60px"> </span>headaches, cerebellar dysfunction, occlusive </span></span><span data-textwidth="451.28" class="sg nowrap f3" style="z-index:16;color:#FFFFFF;font-size:156%; left:34.24px;top:75.44px;">hydrocephalus and cranial nerve palsies</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="78.02" class="sg nowrap f4" style="z-index:17;color:#FFFFFF;font-size:156%; left:16.23px;top:112.97px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>MRI: </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="598.90" class="sg nowrap f4" style="z-index:19;color:#FFFFFF;font-size:133%; left:52.24px;top:144.50px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Hypointense, non-enhancing cerebellar lesion on on T1WI, </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="709.44" class="sg nowrap f4" style="z-index:25;color:#FFFFFF;font-size:133%; left:52.24px;top:172.58px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>Hyperintense on </span><span class="f3" style="color:#FFC000;">T2-weighted images </span><span class="f3" >with a </span><span class="f3" style="color:#FFC000;">‘tiger-striped’ </span><span class="f3" >appearance.</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="83.53" class="sg nowrap f4" style="z-index:35;color:#FFFFFF;font-size:156%; left:16.23px;top:205.87px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Histo:</span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="720.36" class="sg nowrap f4" style="z-index:38;color:#FFFFFF;font-size:133%; left:52.24px;top:237.52px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>replacement of the granular cell layer by a hamatomatous mass of large </span></span><span data-textwidth="569.25" class="sg nowrap f3" style="z-index:42;color:#FFFFFF;font-size:133%; left:70.24px;top:261.24px;">pleomorphic ganglion cells without invasive characteristics</span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="251.69" class="sg nowrap f4" style="z-index:43;color:#FFFFFF;font-size:156%; left:16.23px;top:293.85px;">•<span class="f3" ><span style="letter-spacing:1.93px"> </span>Treatment is surgical</span></span></p></div></div></div> <div class="sg" id="s1522" data-sgid="Content Placeholder 5" style="z-index:3;left:287.98px;top:400.06px;width:156.30px;height:138.16px"> <img class="sg" src="C4D24E49.png" id="s1522_i" style="z-index:1;left:0px;top:0px;width:156.30px;height:138.16px" > </div> <div class="sg" id="s1523" data-sgid="Picture 4" style="z-index:4;left:692.78px;top:401.02px;width:145.03px;height:136.48px"> <img class="sg" src="E8F444C8.png" id="s1523_i" style="z-index:1;left:0px;top:0px;width:145.03px;height:136.48px" > </div> <div class="sg" id="s1524" data-sgid="Picture 6" style="z-index:5;left:479.28px;top:402.21px;width:177.65px;height:136.60px"> <img class="sg" src="C48CFBE1.jpg" id="s1524_i" style="z-index:1;left:0px;top:0px;width:177.65px;height:136.60px" > </div>
<div class="sg sgTitle" id="s1525" data-sgid="Title 1" style="z-index:1;left:25.06px;top:-7.06px;width:828.58px;height:105.16px" data-valign="middle" data-pointer-events="none"> <div id="s1525_t" class="sg" style="z-index:2;left:-19.17px;top:0.00px;width:847.75px;height:105.16px;"><div><p><span data-textwidth="144.02" class="sg nowrap f10" style="z-index:2;color:#FFFFFF;font-size:244%; left:26.88px;top:27.78px;">Cowden</span></p></div></div></div> <div class="sg" id="s1526" data-sgid="Content Placeholder 2" style="z-index:2;left:25.06px;top:83.46px;width:828.58px;height:343.23px" data-valign="top" data-pointer-events="none"> <div id="s1526_t" class="sg" style="z-index:2;left:-8.38px;top:-8.25px;width:836.96px;height:351.49px;"><div><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="406.02" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.09px;top:12.13px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>1</span><span class="f3" style="font-size:68%; position:relative;bottom:10px;">st</span><span class="f3" > described in one family in 1963</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="321.41" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-size:156%; left:16.09px;top:52.46px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>A rare multisystem disease</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="398.82" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-size:156%; left:16.09px;top:92.67px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Autosomal dominant inheritance </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="426.31" class="sg nowrap f4" style="z-index:10;color:#FFFFFF;font-size:156%; left:16.09px;top:132.88px;">•<span class="f3" ><span style="letter-spacing:8.28px"> </span>A variety of mucocutaneous lesions</span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="185.19" class="sg nowrap f4" style="z-index:12;color:#FFFFFF;font-size:156%; left:16.09px;top:173.20px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Macrocephaly </span></span></p><p para="{bl:{ch:8226},spbf:10.00}"><span data-textwidth="599.50" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-size:156%; left:16.09px;top:213.41px;">•<span class="f3" ><span style="letter-spacing:1.92px"> </span>Increased frequency of hamartomas and neoplasia </span></span></p><p para="{in:2,bl:{ch:8226},spbf:5.00}"><span data-textwidth="531.21" class="sg nowrap f4" style="z-index:16;color:#FFFFFF;font-size:133%; left:52.09px;top:248.06px;">•<span class="f3" ><span style="letter-spacing:4.20px"> </span>breast, thyroid, colon, genitourinary organs, and CNS</span></span></p></div></div></div> <div class="sg" id="s1527" data-sgid="Picture 5" style="z-index:3;left:634.36px;top:15.94px;width:302.14px;height:492.17px"> <img class="sg" src="8EAEF14D.png" id="s1527_i" style="z-index:1;left:0px;top:0px;width:302.14px;height:492.17px" > </div>
<div class="sg sgTitle" id="s1528" 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="s1528_t" class="sg" style="z-index:2;left:-19.29px;top:-13.79px;width:847.75px;height:140.79px;"><div><p><span data-textwidth="792.49" class="sg nowrap f10" style="z-index:2;color:#FFC000;font-weight:bold; font-size:244%; left:27.02px;top:18.11px;">Last Diagnosis Live! <span class="f10" style="font-weight:normal; color:#FFFFFF;">End of session interactive</span></span><span data-textwidth="756.97" class="sg nowrap f10" style="z-index:5;color:#FFFFFF;font-size:244%; left:27.02px;top:65.64px;">With this image you might expect to hear...</span></p></div></div></div> <div class="sg" id="s1529" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:143.18px;width:864.43px;height:243.21px" data-valign="top" data-pointer-events="none"> <div id="s1529_t" class="sg" style="z-index:2;left:-9.60px;top:-8.26px;width:874.03px;height:251.46px;"><div><p para="{spbf:10.00}"><span data-textwidth="175.58" class="sg nowrap f3" style="z-index:2;color:#FFFF00;font-size:156%; left:17.32px;top:11.63px;">A. <span style="color:#FFFFFF;">TMJ popping</span></span></p><p para="{spbf:10.00}"><span data-textwidth="227.67" class="sg nowrap f3" style="z-index:4;color:#FFFF00;font-size:156%; left:17.32px;top:51.96px;">B. <span style="color:#FFFFFF;">Knuckles cracking</span></span></p><p para="{spbf:10.00}"><span data-textwidth="185.67" class="sg nowrap f3" style="z-index:6;color:#FFFF00;font-size:156%; left:17.32px;top:92.17px;">C. <span style="color:#FFFFFF;">Knees clicking</span></span></p><p para="{spbf:10.00}"><span data-textwidth="242.68" class="sg nowrap f3" style="z-index:8;color:#FFFF00;font-size:156%; left:17.32px;top:132.38px;">D. <span style="color:#FFFFFF;">One hand clapping</span></span></p><p para="{spbf:10.00}"><span data-textwidth="160.10" class="sg nowrap f3" style="z-index:10;color:#FFFF00;font-size:156%; left:17.32px;top:172.71px;">E. <span style="color:#FFFFFF;">Borborygmi</span></span></p></div></div></div> <div class="sg" id="s1530" data-sgid="Online Media 3" style="z-index:3;left:402.89px;top:129.41px;width:509.11px;height:381.84px" data-href=""> <video controls loop autoplay data-fullscreen="False" class="sg" xmlns="video" src="sld229-s1530.mp4" type="video/mp4" width="509" height="382" poster="poster_sld_229_4.jpg"><strong>This device cannot play MP4 video.</strong></video></div> <div class="sg" id="s1531" data-sgid="Rectangle 4" style="z-index:4;left:62.13px;top:470.21px;width:181.47px;height:51.69px" data-valign="top" data-pointer-events="none"> <div id="s1531_t" class="sg" style="z-index:2;left:-3.59px;top:-1.90px;width:187.11px;height:53.59px;"><div><p><span data-textwidth="164.19" class="sg nowrap f3" style="z-index:2;color:#0563C1;left:11.31px;top:8.04px;"><a target=_blank class="sga" href="http://bit.ly/2KCRW6o"><u>http://bit.ly/2KCRW6o</u></a></span></p></div></div><img class="sg" src="45CC0ED1374x107.png" id="s1531_tt" style="left:-3.59px;top:-1.90px;width:187.11px;height:53.59px;z-index:1" > </div>
