RSNA
2016
Sunday
Image
Interpretation
Session
<div class="sg" id="s45" data-sgid="s45" style="z-index:7;left:535.78px;top:276.91px;width:189.52px;height:139.72px" data-rotation = "8"> <img class="sg" src="D8D70B9F.png" id="s45_i" style="z-index:1;left:0px;top:0px;width:189.52px;height:139.72px" > </div> <div class="sg" id="s44" data-sgid="s44" style="z-index:6;left:5.52px;top:381.70px;width:60.80px;height:16.91px"> <img class="sg" src="5941E9E3.png" id="s44_i" style="z-index:1;left:0px;top:0px;width:60.80px;height:16.91px" > </div>
<div class="sg" id="s375" data-sgid="s375" style="z-index:7;left:535.78px;top:276.91px;width:189.52px;height:139.72px" data-rotation = "8"> <img class="sg" src="D8D70B9F.png" id="s375_i" style="z-index:1;left:0px;top:0px;width:189.52px;height:139.72px" > </div> <div class="sg" id="s374" data-sgid="s374" style="z-index:6;left:5.52px;top:381.70px;width:60.80px;height:16.91px"> <img class="sg" src="5941E9E3.png" id="s374_i" style="z-index:1;left:0px;top:0px;width:60.80px;height:16.91px" > </div>
<div class="sg" id="s830" data-sgid="s830" style="z-index:7;left:535.78px;top:276.91px;width:189.52px;height:139.72px" data-rotation = "8"> <img class="sg" src="D8D70B9F.png" id="s830_i" style="z-index:1;left:0px;top:0px;width:189.52px;height:139.72px" > </div> <div class="sg" id="s829" data-sgid="s829" style="z-index:6;left:5.52px;top:381.70px;width:60.80px;height:16.91px"> <img class="sg" src="5941E9E3.png" id="s829_i" style="z-index:1;left:0px;top:0px;width:60.80px;height:16.91px" > </div>
<div class="sg" id="s16" data-sgid="Rectangle 4" style="z-index:2;left:539.86px;top:5.05px;width:106.88px;height:43.89px" data-pointer-events="none"> <img class="sg" src="36E59F3C.png" id="s16_i" style="z-index:1;left:0px;top:0px;width:106.88px;height:43.89px" > </div> <div class="sg" id="s15" data-sgid="Picture 3" style="z-index:1;left:83.49px;top:15.83px;width:558.21px;height:372.85px"> <img class="sg" src="4BFE0AFC.jpg" id="s15_i" title="" alt="RSNA 1939 RC program.pdf" style="z-index:1;left:0px;top:0px;width:558.21px;height:372.85px" > </div> <div class="sg" id="s17" data-sgid="Rectangle 5" style="z-index:3;left:168.39px;top:148.94px;width:112.88px;height:238.67px" data-pointer-events="none"> <img class="sg" src="D41B137F.png" id="s17_i" style="z-index:1;left:0px;top:0px;width:112.88px;height:238.67px" > </div>
<div class="sg" id="s18" data-sgid="Content Placeholder 2" style="z-index:1;left:317.38px;top:15.60px;width:366.66px;height:277.13px" data-valign="top" data-pointer-events="none"> <div id="s18_t" class="sg" style="z-index:2;left:-12.01px;top:-6.01px;width:383.59px;height:345.02px;"><div><p para="{spbf:0.20}"><span data-textwidth="309.89" class="sg nowrap f1" style="z-index:2;color:#00B0F0;font-weight:bold; font-size:178%; left:19.88px;top:13.61px;">Ronald J. <span style="position:relative;bottom:4px;">Zagoria, </span></span><span data-textwidth="61.57" class="sg nowrap f1" style="z-index:5;color:#00B0F0;font-weight:bold; font-size:178%; left:19.88px;top:52.02px;">MD</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="288.05" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:144%; left:19.88px;top:97.35px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.89px"> </span>Vice Chair, Clinical </span></span><span data-textwidth="92.42" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:144%; left:46.89px;top:128.56px;">Affairs</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="268.13" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:144%; left:19.88px;top:167.81px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.01px"> </span>Chief, Abdominal </span></span><span data-textwidth="231.40" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:144%; left:46.89px;top:199.02px;">Imaging <span style="position:relative;bottom:3px;">Section </span></span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="347.95" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:144%; left:19.88px;top:238.14px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.01px"> </span>Professor, University of </span></span><span data-textwidth="207.39" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:144%; left:46.89px;top:269.35px;">California, San </span><span data-textwidth="132.02" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:144%; left:46.89px;top:300.56px;">Francisco</span></p></div></div></div> <div class="sg" id="s19" data-sgid="Picture 4" style="z-index:2;left:29.51px;top:35.97px;width:272.86px;height:328.71px"> <img class="sg" src="328EED05.jpg" id="s19_i" title="" alt="Zagoria, Ron-2 03-09.PNG" style="z-index:1;left:0px;top:0px;width:272.86px;height:328.71px" > </div> <div class="sg" id="s21" data-sgid="Picture 6" style="z-index:6;left:510.46px;top:264.31px;width:100.39px;height:100.37px"> <img class="sg" src="61936E30.png" id="s21_i" title="" alt="The_University_of_California_1868_UCSF.svg.png" style="z-index:1;left:0px;top:0px;width:100.39px;height:100.37px" > </div> <div class="sg" id="s20" data-sgid="Group 8" style="z-index:3;left:354.00px;top:292.50px;width:138.00px;height:72.00px" data-shape="group"> <div class="sg" id="s22" data-sgid="Picture 5" style="z-index:2;left:13.50px;top:8.49px;width:110.48px;height:54.47px"> <img class="sg" src="83C8572E.png" id="s22_i" title="" alt="UCSF_Logo.svg.png" style="z-index:1;left:0px;top:0px;width:110.48px;height:54.47px" > </div> <div class="sg" id="s23" data-sgid="Rounded Rectangle 7" style="z-index:1;left:-0.66px;top:-0.73px;width:138.77px;height:72.91px" data-fillcolor="16777215"> <img class="sg" src="4211F698.png" id="s23_i" style="z-index:1;left:0px;top:0px;width:138.77px;height:72.91px" > </div> </div>
<div class="sg" id="s31" data-sgid="Picture 4" style="z-index:2;left:521.28px;top:45.93px;width:159.16px;height:209.28px"> <img class="sg" src="874BC875.jpg" id="s31_i" title="" alt="R Zagoria 1979.JPG" style="z-index:1;left:0px;top:0px;width:159.16px;height:209.28px" > </div> <div class="sg" id="s30" data-sgid="Content Placeholder 2" style="z-index:1;left:43.53px;top:33.93px;width:478.57px;height:324.77px" data-valign="top" data-pointer-events="none"> <div id="s30_t" class="sg" style="z-index:2;left:-12.24px;top:-5.99px;width:496.33px;height:353.90px;"><div><p para="{spbf:0.20}"><span data-textwidth="371.46" class="sg nowrap f1" style="z-index:2;color:#00B0F0;font-weight:bold; font-size:178%; left:19.84px;top:13.75px;">Ronald J. <span style="position:relative;bottom:4px;">Zagoria, MD</span></span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="425.35" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:144%; left:19.84px;top:59.08px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>BA, Johns Hopkins University</span></span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="409.02" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:144%; left:19.84px;top:98.33px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>MD, University of Maryland</span></span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="361.86" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:144%; left:19.84px;top:137.46px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Residency & Fellowship, </span></span><span data-textwidth="195.87" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:144%; left:46.84px;top:168.66px;">Bowman Gray</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="460.87" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:144%; left:19.84px;top:207.91px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Faculty, Wake Forest University</span></span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="383.22" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:144%; left:19.84px;top:247.16px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Professor & Interim Chair, </span></span><span data-textwidth="86.17" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:144%; left:46.84px;top:278.37px;">Wake </span><span data-textwidth="232.12" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:144%; left:46.84px;top:309.57px;">Forest <span style="position:relative;bottom:3px;">University</span></span></p></div></div></div>
<div class="sg" id="s33" data-sgid="Picture 4" style="z-index:2;left:411.17px;top:21.96px;width:290.84px;height:193.90px"> <img class="sg" src="93056292.jpg" id="s33_i" title="" alt="meetronzagoria.png" style="z-index:1;left:0px;top:0px;width:290.84px;height:193.90px" > </div> <div class="sg" id="s32" data-sgid="Content Placeholder 2" style="z-index:1;left:43.53px;top:33.93px;width:478.57px;height:354.75px" data-valign="top" data-pointer-events="none"> <div id="s32_t" class="sg" style="z-index:2;left:-12.24px;top:-5.99px;width:491.18px;height:397.05px;"><div><p para="{spbf:0.20}"><span data-textwidth="371.46" class="sg nowrap f1" style="z-index:2;color:#00B0F0;font-weight:bold; font-size:178%; left:19.84px;top:13.75px;">Ronald J. <span style="position:relative;bottom:4px;">Zagoria, MD</span></span></p><p para="{bl:{ch:8226},spbf:6.00}"><span data-textwidth="369.66" class="sg nowrap f2" style="z-index:6;color:#FFFFFF;font-size:111%; left:19.84px;top:56.84px;">•<span style="position:relative;bottom:1px;"><span style="letter-spacing:14.52px"> </span>></span><span class="f1" style="position:relative;bottom:2px;">130 peer-reviewed publications</span></span></p><p para="{bl:{ch:8226},spbf:6.00}"><span data-textwidth="217.96" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:111%; left:19.84px;top:86.85px;">•<span style="position:relative;bottom:1px;"><span style="letter-spacing:14.52px"> </span>></span><span class="f1" style="position:relative;bottom:2px;">40 book chapters</span></span></p><p para="{bl:{ch:8226},spbf:6.00}"><span data-textwidth="415.27" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:111%; left:19.84px;top:116.85px;">•<span style="position:relative;bottom:1px;"><span style="letter-spacing:14.52px"> </span>></span><span class="f1" style="position:relative;bottom:2px;">250 national & international invited </span></span><span data-textwidth="85.21" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:111%; left:46.84px;top:140.30px;">lectures</span></p><p para="{bl:{ch:8226},spbf:6.00}"><span data-textwidth="386.10" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:111%; left:19.84px;top:170.30px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.48px"> </span>President, Association of Program </span></span><span data-textwidth="237.52" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:111%; left:46.84px;top:194.31px;">Directors in <span style="position:relative;bottom:2px;">Radiology </span></span></p><p para="{bl:{ch:8226},spbf:6.00}"><span data-textwidth="453.91" class="sg nowrap f1" style="z-index:24;color:#FFFFFF;font-weight:bold; font-size:111%; left:19.84px;top:224.32px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.48px"> </span>Chair, RSNA Refresher Course Committee</span></span></p><p para="{bl:{ch:8226},spbf:6.00}"><span data-textwidth="400.98" class="sg nowrap f1" style="z-index:26;color:#FFFFFF;font-weight:bold; font-size:111%; left:19.84px;top:254.32px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.48px"> </span>Chair, Radiology Residency Review </span></span><span data-textwidth="116.06" class="sg nowrap f1" style="z-index:28;color:#FFFFFF;font-weight:bold; font-size:111%; left:46.84px;top:278.33px;">Committee</span></p><p para="{bl:{ch:8226},spbf:6.00}"><span data-textwidth="447.19" class="sg nowrap f1" style="z-index:29;color:#FFFFFF;font-weight:bold; font-size:111%; left:19.84px;top:308.33px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.48px"> </span>President, Society of Uroradiology (now </span></span><span data-textwidth="50.53" class="sg nowrap f1" style="z-index:33;color:#FFFFFF;font-weight:bold; font-size:111%; left:46.84px;top:332.34px;">SAR)</span></p><p para="{bl:{ch:8226},spbf:6.00}"><span data-textwidth="420.31" class="sg nowrap f1" style="z-index:34;color:#FFFFFF;font-weight:bold; font-size:111%; left:19.84px;top:362.35px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.48px"> </span>Editor-in-Chief, Emergency Radiology</span></span></p></div></div></div>
<div class="sg" id="s34" data-sgid="Picture 3" style="z-index:1;left:371.33px;top:5.76px;width:168.79px;height:183.60px"> <img class="sg" src="BBFFF911.jpg" id="s34_i" title="" alt="NY marathon 2014.JPG" style="z-index:1;left:0px;top:0px;width:168.79px;height:183.60px" > </div> <div class="sg" id="s35" data-sgid="Picture 4" style="z-index:2;left:71.48px;top:5.76px;width:294.69px;height:392.62px"> <img class="sg" src="40B64B02.jpg" id="s35_i" title="" alt="Yosemite 2016.JPG" style="z-index:1;left:0px;top:0px;width:294.69px;height:392.62px" > </div> <div class="sg" id="s36" data-sgid="Picture 5" style="z-index:3;left:371.33px;top:193.19px;width:273.12px;height:205.19px"> <img class="sg" src="1FD3D210.jpg" id="s36_i" title="" alt="Z's in Barcelona.JPG" style="z-index:1;left:0px;top:0px;width:273.12px;height:205.19px" > </div>
<div class="sg" id="s37" data-sgid="Title 3" style="z-index:1;left:53.50px;top:21.96px;width:618.53px;height:156.85px" data-valign="middle" data-pointer-events="none"> <div id="s37_t" class="sg" style="z-index:2;left:-0.37px;top:-3.01px;width:619.27px;height:178.92px;"><div><p para="{al:2}"><span data-textwidth="301.85" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:300%; left:158.95px;top:21.98px;">RSNA 2016</span><span data-textwidth="385.50" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:300%; left:117.06px;top:86.79px;">Sunday Night</span></p></div></div></div> <div class="sg sgSubtitle" id="s38" data-sgid="Subtitle 4" style="z-index:2;left:41.49px;top:177.84px;width:642.55px;height:192.85px" data-valign="top" data-pointer-events="none"> <div id="s38_t" class="sg" style="z-index:2;left:-17.87px;top:-12.59px;width:689.56px;height:236.37px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="624.34" class="sg nowrap f1" style="z-index:2;color:#00B0F0;font-weight:bold; font-size:300%; left:32.67px;top:22.11px;">Image Interpretation </span><span data-textwidth="163.95" class="sg nowrap f1" style="z-index:3;color:#00B0F0;font-weight:bold; font-size:300%; left:257.35px;top:86.92px;">Panel</span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="557.37" class="sg nowrap f1" style="z-index:4;color:#00B0F0;font-weight:bold; font-size:244%; left:60.63px;top:161.42px;">Moderator: Ron Zagoria</span></p></div></div></div>
<div class="sg sgTitle" id="s51" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s51_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="588.10" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:30.75px;top:18.09px;">Introducing <span style="position:relative;bottom:5px;">the Panelists</span></span></p></div></div></div> <div class="sg" id="s52" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s52_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:661.26px;height:314.44px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="575.73" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Ellen Chung: AFIP/AIRP, USUHS, </span></span><span data-textwidth="334.02" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.93px;">Pediatric Radiology</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="479.60" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:99.02px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Nancy Fischbein: Stanford </span></span><span data-textwidth="455.84" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:137.43px;">University, Neuroradiology</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="575.61" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:183.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.28px"> </span>John Leyendecker: University of </span></span><span data-textwidth="566.01" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:221.93px;">Texas, Southwestern, Abdominal </span><span data-textwidth="146.18" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:260.34px;">Imaging</span></p></div></div></div>
<div class="sg sgTitle" id="s58" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s58_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="588.10" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:30.75px;top:18.09px;">Introducing <span style="position:relative;bottom:5px;">the Panelists</span></span></p></div></div></div> <div class="sg" id="s59" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s59_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:661.26px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="604.18" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Christian Pfirrmann: University of </span></span><span data-textwidth="388.02" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.93px;">Zurich, MSK Radiology</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="542.61" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:99.02px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Gautham Reddy: University of </span></span><span data-textwidth="498.80" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:137.43px;">Washington, Chest Radiology</span></p></div></div></div>
<div class="sg sgTitle" id="s60" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s60_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="499.88" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:74.92px;top:18.09px;">RSNA Film Panel 2016</span></p></div></div></div> <div class="sg" id="s61" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:87.91px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s61_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:661.26px;height:352.82px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="591.10" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.51px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>“Pulling back the curtain”—how it </span></span><span data-textwidth="437.47" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.92px;">worked behind the scenes</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="559.53" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:99.01px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Selected 5 radiologists who are </span></span><span data-textwidth="550.05" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:137.42px;">leaders in their field and famous </span><span data-textwidth="250.24" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:175.83px;">diagnosticians</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="473.59" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:221.92px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Selected very difficult and </span></span><span data-textwidth="560.97" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:260.32px;">interesting cases with the help of </span><span data-textwidth="276.53" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:298.73px;">UCSF colleagues</span></p></div></div></div>
<div class="sg sgTitle" id="s62" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s62_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="499.88" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:74.92px;top:18.09px;">RSNA Film Panel 2016</span></p></div></div></div> <div class="sg" id="s63" data-sgid="Content Placeholder 2" style="z-index:2;left:41.49px;top:81.90px;width:648.55px;height:294.78px" data-valign="top" data-pointer-events="none"> <div id="s63_t" class="sg" style="z-index:2;left:-12.35px;top:-6.69px;width:678.99px;height:398.84px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="639.58" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.49px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Sent the cases to panelists 5 months </span></span><span data-textwidth="63.61" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.90px;">ago</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="596.97" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:98.99px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Panelists contacted last month to </span></span><span data-textwidth="518.37" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:137.40px;">make sure they were on track. </span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="611.38" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:183.49px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>No answers given to the panelists. </span></span><span data-textwidth="226.96" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:221.90px;">None needed!</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="635.74" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:267.99px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Confirmed that panelists are “Super </span></span><span data-textwidth="111.02" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:306.39px;">Stars<span style="position:relative;bottom:4px;">” </span></span><span data-textwidth="222.88" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:344.80px;">in Radiology!</span></p></div></div></div>
<div class="sg sgTitle" id="s64" data-sgid="Title 3" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s64_t" class="sg" style="z-index:2;left:-0.37px;top:-32.26px;width:649.26px;height:146.04px;"><div><p para="{al:2}"><span data-textwidth="518.85" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:70.00px;top:18.06px;">Many Thanks to UCSF </span><span data-textwidth="291.65" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:244%; left:178.98px;top:70.87px;">Radiologists</span></p></div></div></div> <div class="sg" id="s65" data-sgid="Content Placeholder 4" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s65_t" class="sg" style="z-index:2;left:-0.37px;top:-4.91px;width:649.26px;height:301.59px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="151.83" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:248.95px;top:11.71px;">Chris Hess</span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="189.87" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:156%; left:229.86px;top:52.04px;">Thomas Link</span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="245.56" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:201.78px;top:92.37px;">John MacKenzie</span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="180.99" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:234.30px;top:132.70px;">Brett Elicker</span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="238.72" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:205.50px;top:173.03px;">Michael Ohliger</span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="194.79" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:227.46px;top:213.36px;">Spencer Behr</span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="186.15" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:231.78px;top:253.69px;">Ron Arenson</span></p></div></div></div>
<div class="sg" id="s66" data-sgid="Title 3" style="z-index:1;left:53.50px;top:125.33px;width:612.56px;height:87.52px" data-valign="middle" data-pointer-events="none"> <div id="s66_t" class="sg" style="z-index:2;left:-0.37px;top:-22.81px;width:613.26px;height:146.18px;"><div><p para="{al:2}"><span data-textwidth="531.45" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:45.65px;top:18.19px;">Ladies and gentlemen, </span><span data-textwidth="417.07" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:244%; left:98.34px;top:71.00px;">start your motors!</span></p></div></div></div>
<div class="sg" id="s67" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s67_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="400.03" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:106.86px;top:22.33px;">Pediatric Case #1</span></p></div></div></div> <div class="sg sgSubtitle" id="s68" data-sgid="Subtitle 1" style="z-index:2;left:95.47px;top:171.86px;width:504.60px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s68_t" class="sg" style="z-index:2;left:-0.34px;top:-10.81px;width:505.31px;height:115.49px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="300.29" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:102.66px;top:19.31px;">Ellen Chung</span></p></div></div></div>
<div class="sg sgTitle" id="s69" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s69_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="380.94" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:134.33px;top:18.09px;">Ellen Chung, MD</span></p></div></div></div> <div class="sg" id="s71" data-sgid="Content Placeholder 4" style="z-index:3;left:421.00px;top:111.89px;width:259.55px;height:192.85px"> <img class="sg" src="39887930.jpg" id="s71_i" style="z-index:1;left:0px;top:0px;width:259.55px;height:192.85px" > </div> <div class="sg" id="s70" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:386.45px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s70_t" class="sg" style="z-index:2;left:-9.85px;top:-5.39px;width:396.65px;height:349.08px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="265.48" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>BS, Georgetown </span></span><span data-textwidth="152.19" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:45.80px;">University</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="280.24" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:86.13px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>MD, Georgetown </span></span><span data-textwidth="152.19" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:119.74px;">University</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="299.81" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:160.06px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Radiology: Tripler </span></span><span data-textwidth="314.09" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:193.67px;">Army Medical Center</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="332.09" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:234.00px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Pediatric Radiology: </span></span><span data-textwidth="287.09" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:267.61px;">Children’s Hospital </span><span data-textwidth="102.86" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:301.22px;">Boston</span></p></div></div></div>
<div class="sg sgTitle" id="s80" data-sgid="Title 1" style="z-index:3;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s80_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="380.94" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:134.33px;top:18.09px;">Ellen Chung, MD</span></p></div></div></div> <div class="sg" id="s79" data-sgid="Content Placeholder 4" style="z-index:2;left:421.00px;top:111.89px;width:259.55px;height:192.85px"> <img class="sg" src="F94703DA.jpg" id="s79_i" style="z-index:1;left:0px;top:0px;width:259.55px;height:192.85px" > </div> <div class="sg" id="s78" data-sgid="Content Placeholder 2" style="z-index:1;left:35.51px;top:93.90px;width:366.66px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s78_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:385.03px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="197.55" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Associate </span></span><span data-textwidth="318.53" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.93px;">Professor and Vice </span><span data-textwidth="222.76" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:91.34px;">Chair, USUHS</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="288.40" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:137.43px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Chief, Pediatric </span></span><span data-textwidth="189.39" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:175.84px;">Radiology, </span><span data-textwidth="180.03" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:214.25px;">AFIP/AIRP</span></p></div></div></div>
<div class="sg sgTitle" id="s81" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s82" data-sgid="Picture 3" style="z-index:2;left:371.33px;top:77.70px;width:222.39px;height:317.56px"> <img class="sg" src="8F43ACA2.jpg" id="s82_i" style="z-index:1;left:0px;top:0px;width:222.39px;height:317.56px" > </div> <div class="sg" id="s83" data-sgid="Oxford Book cover" style="z-index:3;left:90.00px;top:78.46px;width:222.00px;height:317.06px;overflow:hidden" data-href=""> <div id="s83_crop" class="sg" style="-webkit-mask-box-image: url(poster_sld_17_6.png);width:220.00px;height:315.06px;top:1px;left:1px;z-index:2"><video controls loop autoplay class="sg" xmlns="video" src="sld17-s83.mp4" type="video/mp4" width="222" height="317" style="width:222.00px;height:317.06px;top:0px;left:0px;z-index:2;object-fit:fill;"><strong>This device cannot play MP4 video.</strong></video></div><img class="sg" src="poster_sld_17_6.png" style="z-index:1;width:100%;height:100%"> </div>
<div class="sg" id="s84" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s84_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="400.03" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:106.86px;top:22.33px;">Pediatric Case #1</span></p></div></div></div> <div class="sg sgSubtitle" id="s85" data-sgid="Subtitle 1" style="z-index:2;left:155.45px;top:153.87px;width:408.65px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s85_t" class="sg" style="z-index:2;left:-0.37px;top:-7.32px;width:409.36px;height:112.00px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="313.13" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:48.35px;top:15.05px;">1 day old female</span></p></div></div></div>
<div class="sg" id="s86" data-sgid="Picture 2" style="z-index:1;left:197.42px;top:3.97px;width:324.69px;height:396.82px"> <img class="sg" src="9D63B0E3.jpg" id="s86_i" style="z-index:1;left:0px;top:0px;width:324.69px;height:396.82px" > </div> <div class="sg" id="s87" data-sgid="Straight Arrow Connector 4" style="z-index:2;left:233.30px;top:234.70px;width:82.04px;height:19.18px" data-pointer-events="none"> <img class="sg" src="4628E5B5.png" id="s87_i" style="z-index:1;left:0px;top:0px;width:82.04px;height:19.18px" > </div>
<div class="sg" id="s88" data-sgid="Picture 2" style="z-index:1;left:153.89px;top:6.35px;width:394.38px;height:394.30px"> <img class="sg" src="109C1AA8.jpg" id="s88_i" style="z-index:1;left:0px;top:0px;width:394.38px;height:394.30px" > </div>
<div class="sg" id="s91" data-sgid="Straight Arrow Connector 3" style="z-index:3;left:464.19px;top:132.77px;width:64.29px;height:24.09px" data-pointer-events="none"> <img class="sg" src="F629B270.png" id="s91_i" style="z-index:1;left:0px;top:0px;width:64.29px;height:24.09px" > </div> <div class="sg" id="s89" data-sgid="Picture 2" style="z-index:1;left:161.45px;top:4.68px;width:389.57px;height:395.97px"> <img class="sg" src="2BEBA51B.jpg" id="s89_i" style="z-index:1;left:0px;top:0px;width:389.57px;height:395.97px" > </div> <div class="sg" id="s90" data-sgid="TextBox 1" style="z-index:2;left:371.33px;top:195.83px;width:29.88px;height:61.53px" data-valign="top"> <div id="s90_t" class="sg" style="z-index:2;left:-19.29px;top:-9.59px;width:75.78px;height:93.19px;"><div><p><span data-textwidth="22.08" class="sg nowrap f3" style="z-index:2;color:#FF0000;font-size:244%; left:27.22px;top:19.21px;">*</span></p></div></div></div>
<div class="sg" id="s93" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:218.88px;top:20.40px;width:63.95px;height:29.25px" data-pointer-events="none"> <img class="sg" src="40B16C5B.png" id="s93_i" style="z-index:1;left:0px;top:0px;width:63.95px;height:29.25px" > </div> <div class="sg" id="s95" data-sgid="Straight Arrow Connector 6" style="z-index:4;left:474.61px;top:21.70px;width:54.35px;height:40.17px" data-pointer-events="none"> <img class="sg" src="9C61BAFE.png" id="s95_i" style="z-index:1;left:0px;top:0px;width:54.35px;height:40.17px" > </div> <div class="sg" id="s96" data-sgid="Straight Arrow Connector 9" style="z-index:5;left:658.83px;top:69.67px;width:62.28px;height:37.90px" data-pointer-events="none"> <img class="sg" src="343AD4A3.png" id="s96_i" style="z-index:1;left:0px;top:0px;width:62.28px;height:37.90px" > </div> <div class="sg" id="s92" data-sgid="Picture 2" style="z-index:1;left:0.00px;top:22.67px;width:374.22px;height:285.90px"> <img class="sg" src="1151FF42.jpg" id="s92_i" style="z-index:1;left:0px;top:0px;width:374.22px;height:285.90px" > </div> <div class="sg" id="s94" data-sgid="Picture 5" style="z-index:3;left:357.05px;top:28.91px;width:362.95px;height:274.50px"> <img class="sg" src="17954FCA.jpg" id="s94_i" style="z-index:1;left:0px;top:0px;width:362.95px;height:274.50px" > </div>
<div class="sg" id="s98" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:477.61px;top:109.84px;width:75.67px;height:46.52px" data-pointer-events="none"> <img class="sg" src="83F43358.png" id="s98_i" style="z-index:1;left:0px;top:0px;width:75.67px;height:46.52px" > </div> <div class="sg" id="s97" data-sgid="Picture 2" style="z-index:1;left:137.46px;top:9.96px;width:438.62px;height:383.52px"> <img class="sg" src="61598814.jpg" id="s97_i" style="z-index:1;left:0px;top:0px;width:438.62px;height:383.52px" > </div> <div class="sg" id="s99" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:309.70px;top:284.23px;width:28.77px;height:74.95px" data-pointer-events="none"> <img class="sg" src="F827D09C.png" id="s99_i" style="z-index:1;left:0px;top:0px;width:28.77px;height:74.95px" > </div>
<div class="sg sgTitle" id="s100" data-sgid="Title 1" style="z-index:1;left:35.51px;top:3.97px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s100_t" class="sg" style="z-index:2;left:-0.37px;top:-5.90px;width:649.26px;height:93.30px;"><div><p para="{al:2}"><span data-textwidth="198.63" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:225.54px;top:18.09px;">Findings</span></p></div></div></div> <div class="sg" id="s101" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:69.93px;width:648.52px;height:268.00px" data-valign="top" data-pointer-events="none"> <div id="s101_t" class="sg" style="z-index:2;left:-9.85px;top:-5.42px;width:665.20px;height:349.11px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="567.93" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Plain radiograph: Small bell-shaped </span></span><span data-textwidth="603.82" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:45.79px;">thorax and bulging flanks; displacement </span><span data-textwidth="437.36" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:79.40px;">of <span style="position:relative;bottom:3px;">nondilated bowel centrally</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="470.71" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:119.73px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Contrast enema: normal colon</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="628.18" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:160.06px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>UGI: Mass effect on nondilated proximal </span></span><span data-textwidth="202.24" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:193.67px;">bowel. <span style="position:relative;bottom:3px;">Nl DJJ </span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="534.45" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:234.00px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>CT: Multiple fluid-filled structures </span></span><span data-textwidth="480.32" class="sg nowrap f1" style="z-index:25;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:267.60px;">between bowel loops with some </span><span data-textwidth="489.92" class="sg nowrap f1" style="z-index:26;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:301.21px;">septations. Some appear tubular.</span></p></div></div></div>
<div class="sg sgTitle" id="s102" data-sgid="Title 1" style="z-index:1;left:35.51px;top:3.97px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s102_t" class="sg" style="z-index:2;left:-0.37px;top:-5.90px;width:649.26px;height:93.30px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:73.12px;top:18.09px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s103" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:69.93px;width:648.52px;height:268.00px" data-valign="top" data-pointer-events="none"> <div id="s103_t" class="sg" style="z-index:2;left:-9.85px;top:-9.02px;width:666.28px;height:391.09px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="560.37" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Somewhat tubular cystic structures </span></span><span data-textwidth="594.70" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:42.19px;">resemble bowel. If this were bowel then </span><span data-textwidth="534.57" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:72.20px;">the differential would include distal </span><span data-textwidth="291.77" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:102.21px;">bowel obstructions:</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="178.95" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.55px;top:141.69px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Ileal atresia</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="225.16" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.55px;top:176.26px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Meconium ileus</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="381.55" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.55px;top:210.83px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Obstructing duplication cyst</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="598.30" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.55px;top:245.40px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Megacystis-microcolon-intestinal peristalsis </span></span><span data-textwidth="128.30" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:133%; left:76.12px;top:274.20px;">syndrome</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="596.37" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:309.61px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>But all of these are excluded by lack of </span></span><span data-textwidth="166.23" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:343.22px;">microcolon</span></p></div></div></div>
<div class="sg sgTitle" id="s104" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s104_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:73.12px;top:18.09px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s105" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s105_t" class="sg" style="z-index:2;left:-7.56px;top:-4.08px;width:668.06px;height:293.45px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="566.97" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:11.00px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Other considerations for distal obstruction </span></span><span data-textwidth="100.46" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:39.81px;">include:</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="184.60" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:111%; left:51.26px;top:72.42px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:10.09px"> </span>Colonic atresia </span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="391.27" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:111%; left:51.26px;top:101.22px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:10.09px"> </span>Functional immaturity of the colon </span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="278.08" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:111%; left:51.26px;top:130.03px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:10.09px"> </span>Anorectal malformation</span></span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="638.38" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:160.80px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Hirschsprung disease – may have normal enema </span></span><span data-textwidth="469.28" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:189.60px;">but why only dilated proximal bowel</span></p><p para="{in:2,bl:{ch:8226},spbf:0.20}"><span data-textwidth="634.66" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:224.17px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Malrotation with closed loop obstruction due to </span></span><span data-textwidth="333.30" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:252.98px;">Ladd band <span style="position:relative;bottom:3px;">– but DJJ in LUQ</span></span></p></div></div></div>
<div class="sg sgTitle" id="s106" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s106_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:73.12px;top:18.09px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s107" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s107_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:661.26px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="450.55" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>So maybe it’s not bowel…</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="520.65" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:58.65px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>No dilated proximal bowel on UGI</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="580.54" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:98.98px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>No contrast fills these structures after </span></span><span data-textwidth="388.62" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:78.64px;top:132.59px;">upper and lower GI exams</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="404.95" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:172.92px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Folds/septations are thick</span></span></p></div></div></div>
<div class="sg sgTitle" id="s108" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s108_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:73.12px;top:18.09px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s109" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s109_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:665.68px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="286.84" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>What is it then?</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="626.26" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:60.61px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Dilated primordial lymph channels </span></span><span data-textwidth="575.14" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:99.02px;">that do not communicate with the </span><span data-textwidth="378.90" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:137.43px;">central venous system</span></p></div></div></div>
<div class="sg sgTitle" id="s110" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s110_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="497.60" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:76.00px;top:18.09px;">Dr. Chung’s Diagnosis</span></p></div></div></div> <div class="sg" id="s111" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s111_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:661.26px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="458.35" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Lymphatic malformation </span></span><span data-textwidth="574.54" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.93px;">(<span style="position:relative;bottom:4px;">lymphangioma) of the mesentery</span></span></p></div></div></div>
<div class="sg sgTitle" id="s112" data-sgid="Title 1" style="z-index:1;left:69.81px;top:133.48px;width:580.04px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s112_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:580.04px;height:137.79px;"><div><p para="{al:2}"><span data-textwidth="102.98" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:278%; left:238.64px;top:45.48px;">Stop</span></p></div></div></div>
<div class="sg" id="s121" data-sgid="Title 1" style="z-index:4;left:35.51px;top:15.72px;width:648.52px;height:83.94px" data-valign="middle"> <div id="s121_t" class="sg" style="z-index:2;left:0.00px;top:-24.49px;width:648.52px;height:108.43px;"><div><p para="{al:2}"><span data-textwidth="424.87" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:116.44px;top:18.09px;">Correct <span style="position:relative;bottom:5px;">diagnosis: </span></span></p></div></div></div> <div class="sg" id="s122" data-sgid="Title 1 (2)" style="z-index:5;left:35.51px;top:16.91px;width:648.52px;height:83.94px" data-valign="middle"> <div id="s122_t" class="sg" style="z-index:2;left:0.00px;top:-24.60px;width:648.52px;height:146.18px;"><div><p para="{al:2}"><span data-textwidth="424.87" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:116.44px;top:18.09px;">Correct <span style="position:relative;bottom:5px;">diagnosis: </span></span><span data-textwidth="589.54" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:244%; left:29.66px;top:70.90px;">Lymphatic <span style="position:relative;bottom:5px;">Malformation</span></span></p></div></div></div> <div class="sg" id="s119" data-sgid="TextBox 1" style="z-index:2;left:335.36px;top:109.02px;width:183.99px;height:46.87px" data-valign="top"> <div id="s119_t" class="sg" style="z-index:2;left:-12.01px;top:-6.13px;width:238.08px;height:68.11px;"><div><p><span data-textwidth="198.99" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.91px;top:13.82px;">Older<span style="position:relative;bottom:4px;"> terms</span></span></p></div></div></div> <div class="sg" id="s118" data-sgid="Picture 14" style="z-index:1;left:29.99px;top:135.89px;width:315.79px;height:186.58px"> <img class="sg" src="DF27B5D5.jpg" id="s118_i" style="z-index:1;left:0px;top:0px;width:315.79px;height:186.58px" > </div> <div class="sg" id="s120" data-sgid="TextBox 7" style="z-index:3;left:361.61px;top:158.18px;width:340.40px;height:182.52px" data-valign="top"> <div id="s120_t" class="sg" style="z-index:2;left:-7.30px;top:-3.60px;width:347.71px;height:223.77px;"><div><p><span data-textwidth="198.87" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.23px;top:10.46px;">Cystic hygroma</span></p><p><span data-textwidth="201.39" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.23px;top:39.26px;">Lymphangioma</span></p><p><span data-textwidth="139.70" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.23px;top:68.07px;">Cavernous </span><span data-textwidth="196.35" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.23px;top:96.88px;">lymphangioma</span></p><p><span data-textwidth="279.05" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.23px;top:125.68px;">Cystic lymphangioma</span></p><p><span data-textwidth="206.31" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.23px;top:154.49px;">Lymphangioma </span><span data-textwidth="199.71" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.23px;top:183.29px;">circumscriptum</span></p></div></div></div>
<div class="sg sgTitle" id="s127" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s127_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="589.66" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:30.03px;top:18.09px;">Lymphatic Malformation</span></p></div></div></div> <div class="sg" id="s128" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s128_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:661.26px;height:279.43px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="173.06" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Imaging</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="155.67" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:122%; left:56.07px;top:56.45px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.01px"> </span>Multicystic</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="409.39" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:122%; left:56.07px;top:88.14px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.01px"> </span>Fluid levels/hematocrits common</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="487.77" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:122%; left:56.07px;top:119.83px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.01px"> </span>Flow/enhancement only in walls, septa, </span></span><span data-textwidth="237.40" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:122%; left:78.64px;top:146.23px;">microcystic portions</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="490.29" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:122%; left:56.07px;top:177.92px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.01px"> </span>Mesenteric lesions tend to encase bowel</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="303.29" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:122%; left:56.07px;top:209.61px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.01px"> </span>May torse – hemorrhage</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="433.75" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:122%; left:56.07px;top:241.29px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.01px"> </span>Possible associated chylous ascites</span></span></p></div></div></div>
<div class="sg" id="s132" data-sgid="Title 1" style="z-index:4;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s132_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="589.66" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:29.66px;top:18.09px;">Lymphatic Malformation</span></p></div></div></div> <div class="sg" id="s130" data-sgid="TextBox 1" style="z-index:2;left:347.34px;top:98.81px;width:246.98px;height:46.89px" data-valign="top"> <div id="s130_t" class="sg" style="z-index:2;left:-11.98px;top:-6.10px;width:308.60px;height:68.11px;"><div><p><span data-textwidth="269.32" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.90px;top:13.79px;">Three subtypes:</span></p></div></div></div> <div class="sg" id="s131" data-sgid="TextBox 7" style="z-index:3;left:364.39px;top:149.19px;width:324.69px;height:109.73px" data-valign="top"> <div id="s131_t" class="sg" style="z-index:2;left:-9.71px;top:-5.39px;width:414.03px;height:127.23px;"><div><p><span data-textwidth="295.97" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.62px;top:12.23px;">Macrocystic (<span class="f2" style="position:relative;bottom:1px;"><</span><span style="position:relative;bottom:3px;">2 cm)</span></span></p><p><span data-textwidth="286.25" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.62px;top:45.84px;">Microcystic (<span class="f2" style="position:relative;bottom:1px;">></span><span style="position:relative;bottom:3px;">2 cm)</span></span></p><p><span data-textwidth="379.14" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.62px;top:79.33px;">Mixed macro/microcystic</span></p></div></div></div> <div class="sg" id="s129" data-sgid="Picture 14" style="z-index:1;left:29.99px;top:135.89px;width:311.49px;height:184.06px"> <img class="sg" src="B7E61282.jpg" id="s129_i" style="z-index:1;left:0px;top:0px;width:311.49px;height:184.06px" > </div>
<div class="sg" id="s136" data-sgid="Title 1" style="z-index:4;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s136_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="589.66" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:29.66px;top:18.09px;">Lymphatic Malformation</span></p></div></div></div> <div class="sg" id="s134" data-sgid="TextBox 1" style="z-index:2;left:349.38px;top:98.81px;width:161.34px;height:46.89px" data-valign="top"> <div id="s134_t" class="sg" style="z-index:2;left:-11.98px;top:-6.10px;width:219.36px;height:68.11px;"><div><p><span data-textwidth="180.39" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.90px;top:13.79px;">Treatment</span></p></div></div></div> <div class="sg" id="s135" data-sgid="TextBox 7" style="z-index:3;left:388.60px;top:149.19px;width:272.04px;height:124.23px" data-valign="top"> <div id="s135_t" class="sg" style="z-index:2;left:-12.09px;top:-6.13px;width:342.89px;height:144.74px;"><div><p><span data-textwidth="248.32" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.92px;top:13.85px;">Sclerotherapy </span></p><p><span data-textwidth="113.30" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:178%; left:91.93px;top:52.26px;">and/or</span></p><p><span data-textwidth="303.65" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.92px;top:90.67px;">Surgical resection</span></p></div></div></div> <div class="sg" id="s133" data-sgid="Picture 14" style="z-index:1;left:29.99px;top:129.87px;width:326.13px;height:192.60px"> <img class="sg" src="DE1B4DE7.jpg" id="s133_i" style="z-index:1;left:0px;top:0px;width:326.13px;height:192.60px" > </div>
<div class="sg" id="s137" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s137_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="555.81" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:28.96px;top:22.33px;">Neuroradiology Case #1</span></p></div></div></div> <div class="sg" id="s138" data-sgid="Subtitle 1" style="z-index:2;left:107.47px;top:183.83px;width:504.60px;height:104.34px" data-valign="top"> <div id="s138_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:504.60px;height:115.12px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="413.11" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:45.92px;top:19.31px;">Nancy Fischbein</span></p></div></div></div>
<div class="sg" id="s141" data-sgid="Title 1" style="z-index:3;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s141_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:74.35px;"><div><p para="{al:2}"><span data-textwidth="362.94" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:183%; left:142.96px;top:18.05px;">Nancy Fischbein, MD</span></p></div></div></div> <div class="sg" id="s140" data-sgid="Picture 5" style="z-index:2;left:527.26px;top:21.96px;width:160.86px;height:210.81px"> <img class="sg" src="F53DF8D9.jpg" id="s140_i" title="" alt="NF E Bat M.jpg" style="z-index:1;left:0px;top:0px;width:160.86px;height:210.81px" > </div> <div class="sg" id="s139" data-sgid="Content Placeholder 3" style="z-index:1;left:5.52px;top:75.91px;width:558.58px;height:312.77px" data-valign="top" data-pointer-events="none"> <div id="s139_t" class="sg" style="z-index:2;left:-9.82px;top:-5.39px;width:568.74px;height:355.80px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="428.84" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.50px;top:12.18px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>AB, MD: Harvard University</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="431.48" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.50px;top:52.51px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>Diagnostic Radiology: UCSF</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="512.01" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.50px;top:92.84px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>Diagnostic Neuroradiology: UCSF</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="309.78" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.50px;top:133.16px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>To Stanford in 2004</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="480.21" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.50px;top:173.49px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>Professor of Radiology and, by </span></span><span data-textwidth="142.10" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:207.10px;">courtesy, </span><span data-textwidth="375.06" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:240.71px;">of Otolaryngology<span style="position:relative;bottom:3px;">-H&NS, </span></span><span data-textwidth="446.11" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:274.32px;">Neurology, Neurosurgery, and </span><span data-textwidth="292.73" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:307.92px;">Radiation Oncology</span></p></div></div></div>
<div class="sg" id="s145" data-sgid="Title 1" style="z-index:4;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s145_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:74.35px;"><div><p para="{al:2}"><span data-textwidth="362.94" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:183%; left:142.96px;top:18.05px;">Nancy Fischbein, MD</span></p></div></div></div> <div class="sg" id="s143" data-sgid="Picture 3" style="z-index:2;left:499.93px;top:83.23px;width:193.34px;height:249.79px"> <img class="sg" src="CB54DA71.jpg" id="s143_i" title="" alt="CN book.jpg" style="z-index:1;left:0px;top:0px;width:193.34px;height:249.79px" > </div> <div class="sg" id="s142" data-sgid="Content Placeholder 2" style="z-index:1;left:5.52px;top:93.90px;width:270.71px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s142_t" class="sg" style="z-index:2;left:-9.82px;top:-5.39px;width:280.90px;height:342.38px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="199.35" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.50px;top:12.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>Many peer-</span></span><span data-textwidth="143.18" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:45.80px;">reviewed </span><span data-textwidth="103.10" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:79.41px;">papers</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="152.91" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.50px;top:119.74px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>2 books, </span></span><span data-textwidth="132.26" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:153.34px;">multiple </span><span data-textwidth="136.58" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:186.95px;">chapters </span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="212.32" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.50px;top:227.28px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>AJNR Senior </span></span><span data-textwidth="181.95" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:260.89px;">Editor, 2011<span style="position:relative;bottom:3px;">-</span></span><span data-textwidth="69.13" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.51px;top:294.49px;">2015</span></p></div></div></div> <div class="sg" id="s144" data-sgid="Picture 4" style="z-index:3;left:269.38px;top:83.23px;width:225.03px;height:291.89px"> <img class="sg" src="D8C6E475.jpg" id="s144_i" title="" alt="teaching atlas.jpg" style="z-index:1;left:0px;top:0px;width:225.03px;height:291.89px" > </div>
<div class="sg" id="s146" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s146_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="555.81" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:28.96px;top:22.33px;">Neuroradiology Case #1</span></p></div></div></div> <div class="sg sgSubtitle" id="s147" data-sgid="Subtitle 1" style="z-index:2;left:53.50px;top:153.87px;width:606.55px;height:192.82px" data-valign="top" data-pointer-events="none"> <div id="s147_t" class="sg" style="z-index:2;left:-6.01px;top:-7.32px;width:626.09px;height:249.30px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="469.64" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:78.41px;top:15.05px;">60<span style="position:relative;bottom:4px;">-year-old with altered </span></span><span data-textwidth="582.22" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.12px;top:58.25px;">mental status developing over </span><span data-textwidth="499.40" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:200%; left:63.65px;top:101.46px;">2 weeks. Urine positive for </span><span data-textwidth="371.94" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:200%; left:127.38px;top:144.67px;">cocaine, CSF shows </span><span data-textwidth="466.40" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:200%; left:76.25px;top:187.88px;">lymphocytic <span style="position:relative;bottom:4px;">pleocytosis</span></span></p></div></div></div>
<div class="sg sgTitle" id="s148" data-sgid="Rectangle 4" style="z-index:1;left:35.51px;top:3.97px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s148_t" class="sg" style="z-index:2;left:-0.37px;top:-5.90px;width:649.26px;height:93.30px;"><div><p para="{al:2}"><span data-textwidth="555.81" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:46.95px;top:18.09px;">Neuroradiology Case #1</span></p></div></div></div> <div class="sg" id="s149" data-sgid="Subtitle 1" style="z-index:2;left:29.51px;top:75.91px;width:678.51px;height:318.75px" data-valign="top" data-pointer-events="none"> <div id="s149_t" class="sg" style="z-index:2;left:-12.35px;top:-6.72px;width:702.02px;height:413.13px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="609.34" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.05px;top:14.51px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>60 yr old w AMS developing over 2 </span></span><span data-textwidth="109.46" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.05px;top:52.92px;">weeks</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="258.53" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:56.05px;top:96.21px;">–<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Broad: neoplastic/</span></span><span data-textwidth="341.34" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:133%; left:309.17px;top:96.21px;">paraneoplastic<span style="position:relative;bottom:3px;">, infectious, </span></span><span data-textwidth="587.85" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:133%; left:78.62px;top:125.01px;">inflammatory/demyelinating, vascular (<span style="position:relative;bottom:3px;">dAVF, </span></span><span data-textwidth="608.97" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:133%; left:78.62px;top:153.82px;">vasculitis<span style="position:relative;bottom:3px;">), traumatic (subacute or chronic SDH), </span></span><span data-textwidth="200.43" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:133%; left:78.62px;top:182.63px;">toxic/metabolic</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="451.15" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.05px;top:219.99px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Urine positive for cocaine</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="484.53" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:133%; left:56.05px;top:263.28px;">–<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>May be relevant, but not necessarily</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="626.50" class="sg nowrap f1" style="z-index:24;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.05px;top:300.65px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>CSF shows lymphocytic pleocytosis</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="348.06" class="sg nowrap f1" style="z-index:28;color:#FFFFFF;font-weight:bold; font-size:133%; left:56.05px;top:343.94px;">–<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Ups the ante for infection, </span></span><span data-textwidth="370.62" class="sg nowrap f1" style="z-index:30;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:133%; left:78.62px;top:372.75px;">inflammation/demyelination</span></p></div></div></div>
<div class="sg" id="s151" data-sgid="TextBox 1" style="z-index:2;left:11.53px;top:15.94px;width:192.74px;height:151.72px" data-valign="top"> <div id="s151_t" class="sg" style="z-index:2;left:-9.01px;top:-4.42px;width:201.75px;height:195.12px;"><div><p><span data-textwidth="109.70" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.88px;top:10.32px;">CT scan: </span><span data-textwidth="131.18" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.88px;top:39.13px;">normal vs </span><span data-textwidth="161.55" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.88px;top:67.94px;">subtle areas </span><span data-textwidth="123.98" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.88px;top:96.74px;">of patchy </span><span data-textwidth="170.19" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.88px;top:125.55px;">white matter </span><span data-textwidth="160.11" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.88px;top:154.36px;">hypodensity</span></p></div></div></div> <div class="sg" id="s152" data-sgid="TextBox 2" style="z-index:3;left:491.29px;top:39.94px;width:216.73px;height:267.89px" data-valign="top"> <div id="s152_t" class="sg" style="z-index:2;left:-9.01px;top:-4.45px;width:233.41px;height:339.04px;"><div><p><span data-textwidth="193.23" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:10.36px;">So no subdural </span><span data-textwidth="189.39" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:39.17px;">hematoma. No </span><span data-textwidth="203.79" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:67.97px;">cerebral edema </span><span data-textwidth="189.39" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:96.78px;">or intracranial </span><span data-textwidth="168.03" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:125.59px;">hemorrhage. </span><span data-textwidth="135.98" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:154.39px;">We need a </span><span data-textwidth="174.51" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:183.20px;">better look at </span><span data-textwidth="124.22" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:212.00px;">the white </span><span data-textwidth="193.59" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:240.81px;">matter, and for </span><span data-textwidth="66.97" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:269.62px;">WM, </span></p><p><span data-textwidth="142.83" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.20px;top:298.42px;">MR <span class="f3" style="position:relative;bottom:1px;">>>>></span><span style="position:relative;bottom:3px;">CT </span></span></p></div></div></div> <div class="sg" id="s150" data-sgid="2016-01-08 - CT-3 - 1.png" style="z-index:1;left:178.84px;top:15.94px;width:325.28px;height:354.38px"> <img class="sg" src="E31DAC88.jpg" id="s150_i" style="z-index:1;left:0px;top:0px;width:325.28px;height:354.38px" > </div>
<div class="sg sgTitle" id="s154" data-sgid="Title 19" style="z-index:11;left:35.51px;top:15.72px;width:648.52px;height:55.15px" data-valign="middle" data-pointer-events="none"> <div id="s154_t" class="sg" style="z-index:2;left:-0.37px;top:-38.87px;width:649.26px;height:146.07px;"><div><p para="{al:2}"><span data-textwidth="581.14" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:38.79px;top:17.95px;">Multifocal White Matter </span><span data-textwidth="174.51" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:244%; left:237.55px;top:70.76px;">Lesions</span></p></div></div></div> <div class="sg" id="s153" data-sgid="Group 18" style="z-index:1;left:12.00px;top:76.50px;width:690.00px;height:288.00px" data-shape="group"> <div class="sg" id="s156" data-sgid="Group 2" style="z-index:3;left:426.00px;top:0.00px;width:264.00px;height:285.93px" data-shape="group"> <div class="sg" id="s157" data-sgid="TextBox 12" style="z-index:2;left:-0.69px;top:7.70px;width:113.34px;height:32.74px" data-valign="top"> <div id="s157_t" class="sg" style="z-index:2;left:-5.04px;top:-2.53px;width:118.38px;height:43.52px;"><div><p><span data-textwidth="90.26" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:13.00px;top:9.23px;">Pre<span style="position:relative;bottom:1px;">-gad T1</span></span></p></div></div></div> <div class="sg" id="s158" data-sgid="2016-01-10 - MR-9 - 1-filtered.jpeg" style="z-index:1;left:51.36px;top:-0.59px;width:212.65px;height:286.61px"> <img class="sg" src="96555ED7.jpg" id="s158_i" style="z-index:1;left:0px;top:0px;width:212.65px;height:286.61px" > </div> </div> <div class="sg" id="s159" data-sgid="Group 16" style="z-index:2;left:243.07px;top:0.00px;width:223.47px;height:286.74px" data-shape="group"> <div class="sg" id="s160" data-sgid="TextBox 10" style="z-index:2;left:7.11px;top:11.53px;width:40.92px;height:32.74px" data-valign="top"> <div id="s160_t" class="sg" style="z-index:2;left:-4.90px;top:-2.41px;width:47.72px;height:43.29px;"><div><p><span data-textwidth="22.56" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.89px;top:9.12px;">T2</span></p></div></div></div> <div class="sg" id="s161" data-sgid="2016-01-10 - MR-6 - 1-filtered.jpeg" style="z-index:1;left:-0.56px;top:-0.59px;width:224.18px;height:287.46px"> <img class="sg" src="B25BC2AF.jpg" id="s161_i" style="z-index:1;left:0px;top:0px;width:224.18px;height:287.46px" > </div> </div> <div class="sg" id="s162" data-sgid="Group 17" style="z-index:1;left:0.00px;top:0.00px;width:243.07px;height:288.00px" data-shape="group"> <div class="sg" id="s163" data-sgid="TextBox 1" style="z-index:2;left:-0.47px;top:5.66px;width:80.00px;height:32.74px" data-valign="top"> <div id="s163_t" class="sg" style="z-index:2;left:-5.04px;top:-2.42px;width:85.04px;height:43.40px;"><div><p><span data-textwidth="58.57" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.71px;top:9.12px;">FLAIR</span></p></div></div></div> <div class="sg" id="s164" data-sgid="2016-01-10 - MR-1300 - 1-filtered.jpeg" style="z-index:1;left:23.03px;top:-0.59px;width:220.33px;height:288.77px"> <img class="sg" src="A0AAA6C1.jpg" id="s164_i" style="z-index:1;left:0px;top:0px;width:220.33px;height:288.77px" > </div> </div> </div> <div class="sg" id="s155" data-sgid="TextBox 24" style="z-index:12;left:257.40px;top:351.74px;width:287.50px;height:35.38px" data-valign="top"> <div id="s155_t" class="sg" style="z-index:2;left:-9.01px;top:-4.45px;width:383.22px;height:51.21px;"><div><p><span data-textwidth="353.70" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:10.63px;">So, what do we think about?</span></p></div></div></div>
<div class="sg" id="s170" data-sgid="TextBox 7" style="z-index:6;left:5.52px;top:3.97px;width:317.72px;height:28.17px" data-valign="top"> <img class="sg" src="4CB99713.png" id="s170_i" style="z-index:1;left:0px;top:0px;width:317.72px;height:28.17px" > <div id="s170_t" class="sg" style="z-index:2;left:-5.52px;top:-2.78px;width:323.24px;height:60.57px;"><div><p><span data-textwidth="258.64" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-style:italic; font-weight:bold; left:11.40px;top:7.77px;">Note: GRE showed no blood </span><span data-textwidth="84.37" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-style:italic; font-weight:bold; left:11.40px;top:29.38px;">products</span></p></div></div></div> <div class="sg" id="s167" data-sgid="2016-01-10 - MR-9 - 1-filtered.jpeg" style="z-index:3;left:495.37px;top:3.97px;width:212.65px;height:268.74px"> <img class="sg" src="25D2376D.jpg" id="s167_i" style="z-index:1;left:0px;top:0px;width:212.65px;height:268.74px" > </div> <div class="sg" id="s166" data-sgid="2016-01-10 - MR-6 - 1-filtered.jpeg" style="z-index:2;left:260.51px;top:3.97px;width:224.18px;height:269.56px"> <img class="sg" src="5EFDAA0F.jpg" id="s166_i" style="z-index:1;left:0px;top:0px;width:224.18px;height:269.56px" > </div> <div class="sg" id="s165" data-sgid="2016-01-10 - MR-1300 - 1-filtered.jpeg" style="z-index:1;left:41.01px;top:3.97px;width:220.36px;height:270.78px"> <img class="sg" src="30914E04.jpg" id="s165_i" style="z-index:1;left:0px;top:0px;width:220.36px;height:270.78px" > </div> <div class="sg" id="s168" data-sgid="Content Placeholder 21" style="z-index:4;left:258.36px;top:260.60px;width:389.68px;height:138.75px" data-valign="top" data-fillcolor="0"> <img class="sg" src="B74828CE.png" id="s168_i" style="z-index:1;left:0px;top:0px;width:389.68px;height:138.75px" > <div id="s168_t" class="sg" style="z-index:2;left:-5.30px;top:-7.69px;width:395.34px;height:156.03px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="125.07" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:13.14px;top:9.07px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.37px"> </span>Infection</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="327.42" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; left:49.15px;top:33.43px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>Cerebritis, brain abscesses, PML</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="135.51" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:111%; left:13.14px;top:54.92px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.37px"> </span>Neoplasm</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="131.18" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; left:49.15px;top:79.40px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>Lymphoma</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="202.00" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:111%; left:13.14px;top:100.89px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.37px"> </span>Toxic/metabolic</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="221.55" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; left:49.15px;top:125.25px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>Usually symmetrical</span></span></p></div></div></div> <div class="sg" id="s171" data-sgid="Content Placeholder 20" style="z-index:7;left:10.90px;top:260.60px;width:241.34px;height:138.75px" data-valign="top" data-fillcolor="0"> <img class="sg" src="91B56831.png" id="s171_i" style="z-index:1;left:0px;top:0px;width:241.34px;height:138.75px" > <div id="s171_t" class="sg" style="z-index:2;left:-5.26px;top:-7.69px;width:246.98px;height:187.91px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="128.07" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.84px;top:9.07px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.37px"> </span>Ischemia</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="149.06" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; left:48.85px;top:33.43px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>Small-vessel </span></span><span data-textwidth="72.49" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; left:71.41px;top:50.72px;">disease</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="127.22" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; left:48.85px;top:72.32px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>Multifocal </span></span><span data-textwidth="73.33" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; left:71.41px;top:89.61px;">infarcts</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="117.02" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; left:48.85px;top:111.21px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.40px"> </span>Vasculitis</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="178.48" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.84px;top:132.70px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:15.37px"> </span>Inflammation</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="163.58" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; left:48.85px;top:157.18px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>Demyelination</span></span></p></div></div></div> <div class="sg" id="s169" data-sgid="TextBox 5" style="z-index:5;left:460.59px;top:309.87px;width:222.59px;height:55.40px" data-valign="top"> <div id="s169_t" class="sg" style="z-index:2;left:-6.85px;top:-3.46px;width:229.45px;height:92.09px;"><div><p><span data-textwidth="201.63" class="sg nowrap f1" style="z-index:2;color:#FF0000;font-weight:bold; font-size:111%; left:13.02px;top:8.62px;">We need more info </span><span data-textwidth="169.95" class="sg nowrap f1" style="z-index:3;color:#FF0000;font-weight:bold; font-size:111%; left:13.02px;top:32.86px;">… we want DWI </span><span data-textwidth="88.81" class="sg nowrap f1" style="z-index:4;color:#FF0000;font-weight:bold; font-size:111%; left:13.02px;top:57.23px;">and Gad</span></p></div></div></div>
<div class="sg" id="s173" data-sgid="TextBox 13" style="z-index:5;left:11.53px;top:3.97px;width:71.71px;height:30.92px" data-valign="top"> <div id="s173_t" class="sg" style="z-index:2;left:-6.74px;top:-3.37px;width:82.04px;height:43.40px;"><div><p><span data-textwidth="57.01" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.61px;top:9.04px;">T1 gad</span></p></div></div></div> <div class="sg" id="s174" data-sgid="TextBox 14" style="z-index:6;left:239.41px;top:3.97px;width:58.88px;height:30.92px" data-valign="top"> <div id="s174_t" class="sg" style="z-index:2;left:-6.74px;top:-3.37px;width:65.73px;height:43.40px;"><div><p><span data-textwidth="40.57" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.77px;top:9.04px;">DWI</span></p></div></div></div> <div class="sg" id="s175" data-sgid="TextBox 15" style="z-index:7;left:431.31px;top:3.97px;width:59.13px;height:30.92px" data-valign="top"> <div id="s175_t" class="sg" style="z-index:2;left:-6.71px;top:-3.37px;width:67.88px;height:43.40px;"><div><p><span data-textwidth="42.85" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.87px;top:9.04px;">ADC</span></p></div></div></div> <div class="sg" id="s172" data-sgid="Group 19" style="z-index:1;left:48.00px;top:4.50px;width:607.62px;height:214.67px" data-shape="group"> <div class="sg" id="s178" data-sgid="Screen Shot 2016-06-27 at 9.51.28 AM-filtered.png" style="z-index:3;left:407.30px;top:-0.53px;width:200.42px;height:215.38px"> <img class="sg" src="9AAC8C65.jpg" id="s178_i" style="z-index:1;left:0px;top:0px;width:200.42px;height:215.38px" > </div> <div class="sg" id="s179" data-sgid="2016-01-10 - MR-3 - 1-filtered.jpeg" style="z-index:2;left:209.40px;top:-0.53px;width:194.19px;height:208.77px"> <img class="sg" src="9A93AECB.jpg" id="s179_i" style="z-index:1;left:0px;top:0px;width:194.19px;height:208.77px" > </div> <div class="sg" id="s180" data-sgid="2016-01-10 - MR-11 - 1-filtered.jpeg" style="z-index:1;left:-0.51px;top:-0.53px;width:204.50px;height:210.10px"> <img class="sg" src="1E6F73B.jpg" id="s180_i" style="z-index:1;left:0px;top:0px;width:204.50px;height:210.10px" > </div> </div> <div class="sg" id="s177" data-sgid="TextBox 18" style="z-index:9;left:23.51px;top:219.83px;width:690.52px;height:55.40px" data-valign="top"> <div id="s177_t" class="sg" style="z-index:2;left:-6.72px;top:-3.38px;width:697.23px;height:67.77px;"><div><p><span data-textwidth="651.95" class="sg nowrap f1" style="z-index:2;color:#FF0000;font-weight:bold; font-size:111%; left:12.61px;top:8.44px;">Lesions are gad<span style="position:relative;bottom:2px;">-enhancing, with mixed T2 shine-through and </span></span><span data-textwidth="572.50" class="sg nowrap f1" style="z-index:7;color:#FF0000;font-weight:bold; font-size:111%; left:12.61px;top:32.68px;">true diffusion restriction (albeit mild) on DWI and ADC</span></p></div></div></div> <div class="sg" id="s176" data-sgid="Content Placeholder 17" style="z-index:8;left:42.59px;top:273.19px;width:653.42px;height:126.75px" data-valign="top" data-pointer-events="none"> <div id="s176_t" class="sg" style="z-index:2;left:-7.45px;top:-4.08px;width:665.31px;height:156.51px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="604.78" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.15px;top:11.15px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Best fit diagnostic considerations from our list</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="476.25" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:111%; left:51.15px;top:43.76px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:10.09px"> </span>Inflammatory/demyelinating: WM, ovoid, </span></span><span data-textwidth="579.69" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:111%; left:73.72px;top:68.12px;">perpendicular, periventricular, <span style="position:relative;bottom:2px;">perivenular, enhancing</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="497.36" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:111%; left:51.15px;top:97.29px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.97px"> </span>Vascular: vasculitis or vascular/angiocentric</span></span><span data-textwidth="118.22" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:111%; left:73.72px;top:121.54px;">lymphoma</span></p></div></div></div>
<div class="sg" id="s183" data-sgid="Subtitle 1" style="z-index:9;left:8.16px;top:2.64px;width:498.60px;height:36.23px" data-valign="top"> <img class="sg" src="FCAB5384.png" id="s183_i" style="z-index:1;left:0px;top:0px;width:498.60px;height:36.23px" > <div id="s183_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:505.90px;height:79.89px;"><div><p para="{spbf:0.20}"><span data-textwidth="372.54" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.99px;top:10.32px;">1 week later… the patient has </span><span data-textwidth="148.34" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:14.99px;top:39.13px;">progressed.</span></p></div></div></div> <div class="sg" id="s184" data-sgid="TextBox 6" style="z-index:10;left:13.08px;top:36.09px;width:107.11px;height:27.12px" data-valign="top"> <img class="sg" src="6C2EFE49.png" id="s184_i" style="z-index:1;left:0px;top:0px;width:107.11px;height:27.12px" > <div id="s184_t" class="sg" style="z-index:2;left:-1.44px;top:-0.46px;width:137.92px;height:32.48px;"><div><p><span data-textwidth="119.30" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:83%; left:9.60px;top:6.82px;">Initial imaging</span></p></div></div></div> <div class="sg" id="s181" data-sgid="Group 144" style="z-index:1;left:18.76px;top:41.12px;width:396.00px;height:153.94px" data-shape="group"> <div class="sg" id="s187" data-sgid="image71.png" style="z-index:3;left:264.07px;top:-0.47px;width:132.05px;height:154.58px"> <img class="sg" src="A3761FB6.png" id="s187_i" style="z-index:1;left:0px;top:0px;width:132.05px;height:154.58px" > </div> <div class="sg" id="s188" data-sgid="image28.jpeg" style="z-index:2;left:127.34px;top:-0.47px;width:131.57px;height:154.58px"> <img class="sg" src="A85F577C.png" id="s188_i" style="z-index:1;left:0px;top:0px;width:131.57px;height:154.58px" > </div> <div class="sg" id="s189" data-sgid="image70.png" style="z-index:1;left:-0.52px;top:-0.47px;width:122.68px;height:154.58px"> <img class="sg" src="74CF47AB.png" id="s189_i" style="z-index:1;left:0px;top:0px;width:122.68px;height:154.58px" > </div> </div> <div class="sg" id="s186" data-sgid="Content Placeholder 17" style="z-index:12;left:478.80px;top:9.48px;width:232.33px;height:331.72px" data-valign="top" data-pointer-events="none"> <img class="sg" src="D56D0DA5.png" id="s186_i" style="z-index:1;left:0px;top:0px;width:232.33px;height:331.72px" > <div id="s186_t" class="sg" style="z-index:2;left:-7.08px;top:-6.47px;width:240.97px;height:404.62px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="128.55" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.56px;top:10.91px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.09px"> </span>Our MR </span></span><span data-textwidth="118.82" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.57px;top:36.84px;">thoughts </span><span data-textwidth="96.26" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.57px;top:62.76px;">remain </span><span data-textwidth="143.78" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.57px;top:88.69px;">reasonable</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="178.47" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; left:51.57px;top:118.78px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>Inflammatory/d</span></span><span data-textwidth="127.58" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; left:74.13px;top:138.22px;">emyelinating</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="116.54" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; left:51.57px;top:161.99px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.40px"> </span>Vascular: </span></span><span data-textwidth="119.30" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; left:73.89px;top:181.43px;">vasculitis<span style="position:relative;bottom:2px;"> or </span></span><span data-textwidth="119.18" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; left:74.13px;top:200.87px;">angiocentric</span><span data-textwidth="108.74" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; left:74.13px;top:220.32px;">lymphoma </span><span data-textwidth="155.79" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-style:italic; font-weight:bold; left:74.13px;top:239.76px;">(though I would </span><span data-textwidth="140.18" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-style:italic; font-weight:bold; left:74.13px;top:259.21px;">like more DWI </span><span data-textwidth="126.98" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-style:italic; font-weight:bold; left:74.13px;top:278.65px;">abnormality)</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="184.95" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-weight:bold; left:15.56px;top:302.42px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:16.69px"> </span>Let’s return to hx</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="105.73" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-weight:bold; left:51.57px;top:326.18px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>AMS: OK</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="94.09" class="sg nowrap f1" style="z-index:24;color:#FFFFFF;font-weight:bold; left:51.57px;top:349.95px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>CSF: OK</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="107.05" class="sg nowrap f1" style="z-index:26;color:#FFFFFF;font-weight:bold; left:51.57px;top:373.71px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>Cocaine?</span></span></p></div></div></div> <div class="sg" id="s185" data-sgid="TextBox 11" style="z-index:11;left:12.12px;top:198.58px;width:138.17px;height:27.01px" data-valign="top"> <img class="sg" src="6B681511.png" id="s185_i" style="z-index:1;left:0px;top:0px;width:138.17px;height:27.01px" > <div id="s185_t" class="sg" style="z-index:2;left:-1.44px;top:-0.59px;width:168.16px;height:32.51px;"><div><p><span data-textwidth="149.42" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:83%; left:9.48px;top:6.98px;">Follow<span style="position:relative;bottom:2px;">-up imaging</span></span></p></div></div></div> <div class="sg" id="s182" data-sgid="Group 10" style="z-index:5;left:10.65px;top:209.43px;width:457.93px;height:174.30px" data-shape="group"> <div class="sg" id="s190" data-sgid="image73.png" style="z-index:3;left:-0.57px;top:4.05px;width:145.25px;height:167.52px"> <img class="sg" src="2E592D84.jpg" id="s190_i" style="z-index:1;left:0px;top:0px;width:145.25px;height:167.52px" > </div> <div class="sg" id="s191" data-sgid="image29.jpeg" style="z-index:2;left:305.40px;top:2.71px;width:152.70px;height:171.74px"> <img class="sg" src="105BED16.png" id="s191_i" style="z-index:1;left:0px;top:0px;width:152.70px;height:171.74px" > </div> <div class="sg" id="s192" data-sgid="image72.png" style="z-index:1;left:147.43px;top:-0.64px;width:158.56px;height:173.87px"> <img class="sg" src="CDA2B9F1.jpg" id="s192_i" style="z-index:1;left:0px;top:0px;width:158.56px;height:173.87px" > </div> </div>
<div class="sg sgTitle" id="s193" data-sgid="Title 1" style="z-index:1;left:35.51px;top:21.96px;width:648.52px;height:49.16px" data-valign="middle" data-pointer-events="none"> <div id="s193_t" class="sg" style="z-index:2;left:-0.37px;top:-15.49px;width:649.26px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="505.88" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:71.92px;top:18.09px;">Cocaine and the Brain</span></p></div></div></div> <div class="sg" id="s194" data-sgid="Content Placeholder 2" style="z-index:2;left:23.14px;top:75.91px;width:678.88px;height:300.77px" data-valign="top" data-pointer-events="none"> <div id="s194_t" class="sg" style="z-index:2;left:-9.83px;top:-5.16px;width:689.07px;height:363.49px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="597.09" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:11.95px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.04px"> </span>3 major types of cocaine-induced brain </span></span><span data-textwidth="87.97" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.54px;top:45.32px;">injury</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="568.41" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.54px;top:84.44px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.56px"> </span>Vascular: ischemic and hemorrhagic stroke</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="576.57" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:111%; left:89.55px;top:117.05px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:6.24px"> </span>Vasospasm, increased sympathetic tone, acute HTN, </span></span><span data-textwidth="288.05" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:111%; left:107.55px;top:141.42px;">cardioembolism<span style="position:relative;bottom:2px;">, vasculitis</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="379.27" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.54px;top:172.42px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.68px"> </span>Metabolic: cocaine-induced </span></span><span data-textwidth="280.13" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:133%; left:76.10px;top:201.23px;">leukoencephalopathy</span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="506.36" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:111%; left:89.55px;top:233.96px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:6.36px"> </span>Possibly related to mitochondrial dysfunction</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="561.45" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:111%; left:89.55px;top:263.12px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:6.36px"> </span>Also post-arrest hypoxic-ischemic encephalopathy</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="587.01" class="sg nowrap f1" style="z-index:27;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.54px;top:294.13px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.68px"> </span>Immune-mediated multifocal inflammatory </span></span><span data-textwidth="485.72" class="sg nowrap f1" style="z-index:31;color:#FFFFFF;font-weight:bold; font-size:133%; left:76.10px;top:322.94px;">leukoencephalopathy<span style="position:relative;bottom:3px;"> 2</span><span class="f1" style="font-size:67%; position:relative;bottom:10px;">o</span><span style="position:relative;bottom:3px;"> to levamisole</span></span></p></div></div></div>
<div class="sg sgTitle" id="s195" data-sgid="Title 1" style="z-index:1;left:105.55px;top:15.72px;width:450.74px;height:49.16px" data-valign="middle" data-pointer-events="none"> <div id="s195_t" class="sg" style="z-index:2;left:-0.37px;top:-15.49px;width:451.47px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="265.96" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:92.97px;top:17.97px;">Levamisole</span></p></div></div></div> <div class="sg" id="s196" data-sgid="Content Placeholder 2" style="z-index:2;left:23.51px;top:75.91px;width:666.53px;height:312.77px" data-valign="top" data-pointer-events="none"> <div id="s196_t" class="sg" style="z-index:2;left:-9.72px;top:-5.16px;width:681.63px;height:417.22px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="593.37" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.42px;top:11.95px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.04px"> </span>Adulterant commonly found in cocaine</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="570.22" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.42px;top:51.08px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.68px"> </span>Antihelminthic or immunomodulatory drug</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="601.30" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.42px;top:85.64px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.68px"> </span>Both ANCA+ vasculopathy and demyelination </span></span><span data-textwidth="109.94" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:133%; left:75.98px;top:114.45px;">reported</span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="347.93" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:111%; left:89.43px;top:147.18px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:6.36px"> </span>Also bone marrow suppression</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="615.81" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.42px;top:179.02px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.04px"> </span>Associated with acute to subacute brain </span></span><span data-textwidth="87.97" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.42px;top:212.39px;">injury</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="475.28" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.42px;top:251.52px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.68px"> </span>Imaging pattern c/w demyelination</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="593.03" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.42px;top:286.09px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.68px"> </span>CSF: usually </span><span class="f4" style="position:relative;bottom:1px;"></span><span style="position:relative;bottom:3px;">protein and monocytes, can be </span></span><span data-textwidth="93.02" class="sg nowrap f1" style="z-index:27;color:#FFFFFF;font-weight:bold; font-size:133%; left:75.98px;top:314.90px;">normal</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="613.54" class="sg nowrap f1" style="z-index:28;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.42px;top:349.46px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.68px"> </span>May improve w time, steroids, plasmapheresis</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="433.27" class="sg nowrap f1" style="z-index:31;color:#FFFFFF;font-weight:bold; font-size:111%; left:89.43px;top:382.07px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:6.36px"> </span>Can recur if challenged w more cocaine</span></span></p></div></div></div>
<div class="sg sgTitle" id="s197" data-sgid="Title 1" style="z-index:1;left:5.52px;top:3.97px;width:648.52px;height:60.91px" data-valign="middle" data-pointer-events="none"> <div id="s197_t" class="sg" style="z-index:2;left:-16.90px;top:-6.01px;width:665.80px;height:84.91px;"><div><p><span data-textwidth="562.77" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:222%; left:24.58px;top:16.12px;">Final Diagnosis for Case #1</span></p></div></div></div> <div class="sg" id="s198" data-sgid="Content Placeholder 2" style="z-index:2;left:5.52px;top:63.91px;width:714.48px;height:114.89px" data-valign="top" data-pointer-events="none"> <div id="s198_t" class="sg" style="z-index:2;left:-9.48px;top:-4.53px;width:724.33px;height:125.53px;"><div><p para="{spbf:0.20}"><span data-textwidth="522.93" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.16px;top:11.32px;">Levamisole<span style="position:relative;bottom:3px;">-induced demyelinating </span></span><span data-textwidth="624.83" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.16px;top:44.68px;">leukoencephalopathy<span style="position:relative;bottom:3px;"> in a patient abusing </span></span><span data-textwidth="299.93" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.16px;top:77.93px;">adulterated cocaine </span></p></div></div></div> <div class="sg" id="s204" data-sgid="Picture 8" style="z-index:8;left:507.94px;top:120.06px;width:205.12px;height:135.26px"> <img class="sg" src="F10CFB97.jpg" id="s204_i" title="" alt="2C9966BF00000578-3243134-image-a-67_1442838236188.jpg" style="z-index:1;left:0px;top:0px;width:205.12px;height:135.26px" > </div> <div class="sg" id="s200" data-sgid="Picture 4" style="z-index:4;left:13.68px;top:147.86px;width:442.47px;height:103.26px"> <img class="sg" src="E5AA1EF5.png" id="s200_i" title="" alt="Daily mail cattle de-wormer.tiff" style="z-index:1;left:0px;top:0px;width:442.47px;height:103.26px" > </div> <div class="sg" id="s201" data-sgid="Picture 6" style="z-index:5;left:221.18px;top:166.58px;width:243.12px;height:72.43px" data-rotation = "336"> <img class="sg" src="C4F7900.png" id="s201_i" title="" alt="warning sign red.jpg" style="z-index:1;left:0px;top:0px;width:243.12px;height:72.43px" > </div> <div class="sg" id="s199" data-sgid="Picture 3" style="z-index:3;left:209.42px;top:261.79px;width:402.65px;height:106.38px"> <img class="sg" src="75F524D0.png" id="s199_i" title="" alt="Daily mail cattle de-wormer.tiff" style="z-index:1;left:0px;top:0px;width:402.65px;height:106.38px" > </div> <div class="sg" id="s202" data-sgid="TextBox 7" style="z-index:6;left:11.53px;top:261.79px;width:198.72px;height:111.77px" data-valign="top"> <div id="s202_t" class="sg" style="z-index:2;left:-7.82px;top:-3.83px;width:206.54px;height:124.96px;"><div><p><span data-textwidth="170.07" class="sg nowrap f3" style="z-index:2;color:#FF0000;font-size:122%; left:13.69px;top:9.86px;">U.S. DEA in 2011: </span><span data-textwidth="128.78" class="sg nowrap f3" style="z-index:3;color:#FF0000;font-size:122%; left:13.69px;top:36.03px;">82% of seized </span><span data-textwidth="161.67" class="sg nowrap f3" style="z-index:4;color:#FF0000;font-size:122%; left:13.69px;top:62.07px;">cocaine contained </span><span data-textwidth="121.10" class="sg nowrap f3" style="z-index:5;color:#FF0000;font-size:122%; left:13.69px;top:88.24px;">Levamisole<span style="position:relative;bottom:1px;">!! </span></span></p></div></div></div> <div class="sg" id="s203" data-sgid="TextBox 5" style="z-index:7;left:248.05px;top:374.41px;width:342.19px;height:26.38px" data-valign="top"> <div id="s203_t" class="sg" style="z-index:2;left:-1.92px;top:-0.96px;width:344.11px;height:32.37px;"><div><p><span data-textwidth="303.77" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:83%; left:9.75px;top:7.43px;">http://<span style="position:relative;bottom:1px;">www.dailymail.co.uk/health/article-3243134</span></span></p></div></div></div>
<div class="sg sgTitle" id="s205" data-sgid="Title 1" style="z-index:1;left:69.81px;top:133.48px;width:580.04px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s205_t" class="sg" style="z-index:2;left:-0.37px;top:-0.49px;width:580.78px;height:138.64px;"><div><p para="{al:2}"><span data-textwidth="106.82" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:237.09px;top:47.49px;">Stop</span></p></div></div></div>
<div class="sg sgTitle" id="s208" data-sgid="Title 1" style="z-index:1;left:11.53px;top:27.94px;width:690.49px;height:90.89px" data-valign="middle" data-pointer-events="none"> <div id="s208_t" class="sg" style="z-index:2;left:-0.37px;top:-47.49px;width:691.23px;height:198.95px;"><div><p para="{al:2}"><span data-textwidth="427.99" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:136.22px;top:18.19px;">Correct Diagnosis: </span><span data-textwidth="487.28" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:244%; left:111.14px;top:71.00px;">Levamisole<span style="position:relative;bottom:5px;">-induced </span></span><span data-textwidth="513.81" class="sg nowrap f1" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:244%; left:88.94px;top:123.81px;">leukoencephalopathy</span></p></div></div></div> <div class="sg" id="s210" data-sgid="Picture 4" style="z-index:3;left:131.46px;top:195.83px;width:228.74px;height:111.89px"> <img class="sg" src="94358A11.jpg" id="s210_i" title="" alt="cocaine powder.jpg" style="z-index:1;left:0px;top:0px;width:228.74px;height:111.89px" > </div> <div class="sg" id="s209" data-sgid="Picture 3" style="z-index:2;left:431.31px;top:165.84px;width:92.61px;height:198.84px"> <img class="sg" src="1FFC92A6.jpg" id="s209_i" title="" alt="dogyzol-mebendazole-levamisole-broad-spectrum-deworming-for-pet-dog-roundworms-218d29ae75062653a070f64645c6d512.jpg" style="z-index:1;left:0px;top:0px;width:92.61px;height:198.84px" > </div>
<div class="sg" id="s212" data-sgid="Shape 121" style="z-index:2;left:0.00px;top:8.88px;width:722.41px;height:59.01px" data-valign="middle" data-pointer-events="none"> <div id="s212_t" class="sg" style="z-index:2;left:0.00px;top:-14.87px;width:722.41px;height:103.12px;"><div><p para="{al:2}"><span data-textwidth="346.86" class="sg nowrap f5" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:187.95px;top:17.79px;"><span style="text-shadow:0.00px 0.00px 0.70px rgba(255,255,255,0.50)">LEVAMISOLE</span></span></p></div></div></div> <div class="sg" id="s211" data-sgid="Shape 120" style="z-index:1;left:77.48px;top:67.52px;width:611.22px;height:329.67px" data-valign="middle" data-pointer-events="none"> <div id="s211_t" class="sg" style="z-index:2;left:-13.42px;top:-19.80px;width:627.54px;height:376.94px;"><div><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="398.83" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.47px;top:11.21px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:3.85px"> </span>Popular cocaine adulterant </span></span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="595.31" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.47px;top:50.46px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:3.85px"> </span>Immune modulator used for colon cancer, </span></span><span data-textwidth="458.24" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:144%; left:35.32px;top:81.67px;">RA, and other disorders until 2000</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="479.01" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.47px;top:120.92px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:3.85px"> </span>Multifocal leukoencephalopathy </span></span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="580.18" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.47px;top:160.05px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:3.85px"> </span>Other complications - leukopenia, severe </span></span><span data-textwidth="546.81" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:144%; left:35.32px;top:191.25px;">skin disorders, pulmonary hemorrhage, </span><span data-textwidth="169.71" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:144%; left:35.32px;top:222.46px;">renal failure</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="581.62" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.47px;top:261.71px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:3.85px"> </span>Biopsies show severe demyelination and </span></span><span data-textwidth="359.94" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:144%; left:35.32px;top:292.92px;">perivascular lymphocytes</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="327.54" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.47px;top:332.16px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:3.85px"> </span>Testing by urine assay</span></span></p></div></div></div>
<div class="sg" id="s216" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="bottom" data-pointer-events="none"> <div id="s216_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:612.56px;height:111.66px;"><div><p para="{al:2}"><span data-textwidth="384.30" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:244%; left:114.17px;top:38.21px;">Abdominal Case #1</span></p></div></div></div> <div class="sg" id="s217" data-sgid="Subtitle 1" style="z-index:2;left:83.49px;top:183.83px;width:540.57px;height:104.34px" data-valign="top"> <div id="s217_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:540.57px;height:115.12px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="458.35" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:41.09px;top:19.31px;">John <span style="position:relative;bottom:5px;">Leyendecker</span></span></p></div></div></div>
<div class="sg" id="s220" data-sgid="Title 1" style="z-index:3;left:65.48px;top:3.97px;width:402.65px;height:68.34px" data-valign="middle"> <div id="s220_t" class="sg" style="z-index:2;left:0.00px;top:-32.14px;width:402.65px;height:145.93px;"><div><p para="{al:2}"><span data-textwidth="123.02" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:144.19px;top:17.93px;">John </span><span data-textwidth="297.05" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:244%; left:52.98px;top:70.74px;">Leyendecker</span></p></div></div></div> <div class="sg" id="s219" data-sgid="Content Placeholder 6" style="z-index:2;left:547.31px;top:21.96px;width:148.71px;height:198.81px"> <img class="sg" src="CB10E6A5.png" id="s219_i" title="" alt="Photo - Leyendecker_John.jpg.jpeg" style="z-index:1;left:0px;top:0px;width:148.71px;height:198.81px" > </div> <div class="sg" id="s218" data-sgid="TextBox 7" style="z-index:1;left:29.51px;top:68.60px;width:660.53px;height:326.07px" data-valign="top"> <div id="s218_t" class="sg" style="z-index:2;left:-8.53px;top:-7.55px;width:669.05px;height:343.69px;"><div><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="454.27" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.73px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Professor and Vice Chair, UT </span></span><span data-textwidth="439.87" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.23px;top:42.65px;">Southwestern Medical Center</span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="499.16" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:16.23px;top:83.66px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>MD: University of Pennsylvania</span></span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="455.83" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:16.23px;top:123.75px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Residency: Emory University</span></span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="614.74" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:156%; left:16.23px;top:163.72px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Fellowships: Body MRI at Washington </span></span><span data-textwidth="509.72" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.23px;top:193.65px;">University/Mallinckrodt Institute, </span><span data-textwidth="512.13" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.11px;top:224.73px;">VIR at Wilford Hall Medical Center</span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="628.78" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:156%; left:16.23px;top:265.86px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Before UTSW </span><span class="f3" style="position:relative;bottom:2px;">@</span><span class="f1" style="position:relative;bottom:4px;"> Wake Forest University: </span></span><span data-textwidth="506.60" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.23px;top:295.67px;">Executive Vice Chair and Professor</span></p></div></div></div>
<div class="sg" id="s222" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="bottom" data-pointer-events="none"> <div id="s222_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:612.56px;height:111.66px;"><div><p para="{al:2}"><span data-textwidth="384.30" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:244%; left:114.17px;top:38.21px;">Abdominal Case #1</span></p></div></div></div> <div class="sg sgSubtitle" id="s223" data-sgid="Subtitle 1" style="z-index:2;left:71.48px;top:153.87px;width:576.56px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s223_t" class="sg" style="z-index:2;left:0.00px;top:-8.28px;width:586.16px;height:119.91px;"><div><p para="{al:2}"><span data-textwidth="542.01" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:200%; left:22.50px;top:15.81px;">49<span style="position:relative;bottom:2px;">-year-old male with presents to </span></span><span data-textwidth="518.13" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:200%; left:29.46px;top:59.02px;">SFGH with altered mental status</span></p></div></div></div>
<div class="sg" id="s226" data-sgid="Straight Connector 12" style="z-index:3;left:383.34px;top:68.48px;width:152.33px;height:3.83px" data-pointer-events="none"> <img class="sg" src="35A63048.png" id="s226_i" style="z-index:1;left:0px;top:0px;width:152.33px;height:2.83px" > </div> <div class="sg" id="s228" data-sgid="Straight Arrow Connector 2" style="z-index:5;left:518.14px;top:80.82px;width:29.17px;height:29.13px" data-pointer-events="none"> <img class="sg" src="1C68A733.png" id="s228_i" style="z-index:1;left:0px;top:0px;width:29.17px;height:29.13px" > </div> <div class="sg" id="s229" data-sgid="Oval 3" style="z-index:6;left:202.23px;top:62.84px;width:75.19px;height:99.06px" data-pointer-events="none"> <img class="sg" src="128CF8A5.png" id="s229_i" style="z-index:1;left:0px;top:0px;width:75.19px;height:99.06px" > </div> <div class="sg" id="s225" data-sgid="TextBox 10" style="z-index:2;left:359.35px;top:47.01px;width:262.18px;height:269.70px" data-valign="top"> <div id="s225_t" class="sg" style="z-index:2;left:-6.23px;top:-3.72px;width:345.78px;height:281.45px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="199.36" class="sg nowrap f2" style="z-index:2;color:#336699;font-size:133%; left:14.14px;top:10.28px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.57px"> </span>Glioblastoma</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="171.75" class="sg nowrap f2" style="z-index:4;color:#336699;font-size:133%; left:14.14px;top:39.09px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.57px"> </span>Lymphoma</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="170.07" class="sg nowrap f2" style="z-index:6;color:#336699;font-size:133%; left:14.14px;top:67.89px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.57px"> </span>Metastasis</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="143.07" class="sg nowrap f2" style="z-index:8;color:#336699;font-size:133%; left:14.14px;top:96.70px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.57px"> </span>Infection</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="148.58" class="sg nowrap f2" style="z-index:10;color:#336699;font-size:133%; left:50.15px;top:125.51px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.56px"> </span>Bacterial </span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="114.49" class="sg nowrap f2" style="z-index:12;color:#336699;font-size:133%; left:50.15px;top:154.31px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.56px"> </span>Fungal</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="215.79" class="sg nowrap f2" style="z-index:14;color:#336699;font-size:133%; left:50.15px;top:183.12px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.56px"> </span>Mycobacterial</span></span></p><p para="{in:2,bl:{ch:8226}}"><span data-textwidth="220.83" class="sg nowrap f2" style="z-index:16;color:#336699;font-size:133%; left:50.15px;top:211.93px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.56px"> </span>Toxoplasmosis</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="317.22" class="sg nowrap f2" style="z-index:18;color:#336699;font-size:133%; left:14.14px;top:240.73px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.57px"> </span>Demyelinating disease</span></span></p></div></div></div> <div class="sg" id="s224" data-sgid="Picture 9" style="z-index:1;left:83.49px;top:2.64px;width:546.34px;height:401.02px"> <img class="sg" src="7B590722.jpg" id="s224_i" style="z-index:1;left:0px;top:0px;width:546.34px;height:401.02px" > </div> <div class="sg" id="s232" data-sgid="TextBox 11" style="z-index:9;left:629.69px;top:227.97px;width:58.06px;height:73.50px" data-valign="top"> <div id="s232_t" class="sg" style="z-index:2;left:-25.18px;top:-12.93px;width:108.07px;height:114.27px;"><div><p><span data-textwidth="42.49" class="sg nowrap f4" style="z-index:2;color:#0070C0;font-size:300%; left:33.28px;top:23.81px;"></span></p></div></div></div> <div class="sg" id="s227" data-sgid="Straight Connector 13" style="z-index:4;left:389.34px;top:296.34px;width:230.30px;height:3.83px" data-pointer-events="none"> <img class="sg" src="B819B48A.png" id="s227_i" style="z-index:1;left:0px;top:0px;width:230.30px;height:2.83px" > </div> <div class="sg" id="s231" data-sgid="TextBox 4" style="z-index:8;left:469.82px;top:243.80px;width:52.16px;height:124.48px" data-valign="top"> <div id="s231_t" class="sg" style="z-index:2;left:-50.49px;top:-25.19px;width:158.79px;height:202.55px;"><div><p><span data-textwidth="42.61" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:533%; left:58.47px;top:41.81px;">?</span></p></div></div></div> <div class="sg" id="s230" data-sgid="Oval 8" style="z-index:7;left:208.21px;top:260.71px;width:75.22px;height:99.06px" data-pointer-events="none"> <img class="sg" src="6F09F4A9.png" id="s230_i" style="z-index:1;left:0px;top:0px;width:75.22px;height:99.06px" > </div>
<div class="sg sgTitle" id="s233" data-sgid="Title 1" style="z-index:1;left:35.51px;top:-2.04px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s233_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:68.37px;"><div><p para="{al:2}"><span data-textwidth="339.90" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:154.48px;top:21.68px;">Ultrasound a few days later</span></p></div></div></div> <div class="sg" id="s242" data-sgid="Straight Arrow Connector 15" style="z-index:10;left:260.29px;top:92.34px;width:19.06px;height:28.43px" data-pointer-events="none"> <img class="sg" src="CF97658C.png" id="s242_i" style="z-index:1;left:0px;top:0px;width:19.06px;height:28.43px" > </div> <div class="sg" id="s236" data-sgid="Content Placeholder 8" style="z-index:4;left:83.49px;top:58.16px;width:270.71px;height:149.42px"> <img class="sg" src="AA4620D0.jpg" id="s236_i" style="z-index:1;left:0px;top:0px;width:270.71px;height:149.42px" > </div> <div class="sg" id="s234" data-sgid="Content Placeholder 6" style="z-index:2;left:371.33px;top:58.16px;width:270.74px;height:149.42px"> <img class="sg" src="DD9F900E.jpg" id="s234_i" style="z-index:1;left:0px;top:0px;width:270.74px;height:149.42px" > </div> <div class="sg" id="s241" data-sgid="5-Point Star 14" style="z-index:9;left:490.07px;top:140.79px;width:21.24px;height:21.33px" data-fillcolor="16777215"> <img class="sg" src="A91702CE.png" id="s241_i" style="z-index:1;left:0px;top:0px;width:21.24px;height:21.33px" > </div> <div class="sg" id="s239" data-sgid="Straight Arrow Connector 9" style="z-index:7;left:230.30px;top:249.56px;width:19.06px;height:28.54px" data-pointer-events="none"> <img class="sg" src="CCAC2E38.png" id="s239_i" style="z-index:1;left:0px;top:0px;width:19.06px;height:28.54px" > </div> <div class="sg" id="s238" data-sgid="Straight Arrow Connector 7" style="z-index:6;left:176.32px;top:255.55px;width:19.06px;height:28.54px" data-pointer-events="none"> <img class="sg" src="E3EB207D.png" id="s238_i" style="z-index:1;left:0px;top:0px;width:19.06px;height:28.54px" > </div> <div class="sg" id="s240" data-sgid="Straight Arrow Connector 13" style="z-index:8;left:470.16px;top:255.55px;width:19.09px;height:28.54px" data-pointer-events="none"> <img class="sg" src="577B2B2D.png" id="s240_i" style="z-index:1;left:0px;top:0px;width:19.09px;height:28.54px" > </div> <div class="sg" id="s237" data-sgid="Content Placeholder 7" style="z-index:5;left:83.49px;top:220.06px;width:270.71px;height:149.42px"> <img class="sg" src="96D5F031.jpg" id="s237_i" style="z-index:1;left:0px;top:0px;width:270.71px;height:149.42px" > </div> <div class="sg" id="s235" data-sgid="Content Placeholder 5" style="z-index:3;left:371.33px;top:220.06px;width:270.74px;height:149.42px"> <img class="sg" src="A8788AAA.jpg" id="s235_i" style="z-index:1;left:0px;top:0px;width:270.74px;height:149.42px" > </div>
<div class="sg" id="s252" data-sgid="Oval 7" style="z-index:5;left:226.22px;top:44.85px;width:39.22px;height:33.11px" data-pointer-events="none"> <img class="sg" src="C9442DB5.png" id="s252_i" style="z-index:1;left:0px;top:0px;width:39.22px;height:33.11px" > </div> <div class="sg" id="s253" data-sgid="Oval 8" style="z-index:6;left:538.07px;top:50.84px;width:39.19px;height:33.11px" data-pointer-events="none"> <img class="sg" src="E770F897.png" id="s253_i" style="z-index:1;left:0px;top:0px;width:39.19px;height:33.11px" > </div> <div class="sg" id="s248" data-sgid="Content Placeholder 14" style="z-index:1;left:371.33px;top:21.96px;width:294.24px;height:162.50px"> <img class="sg" src="DFF5676D.jpg" id="s248_i" style="z-index:1;left:0px;top:0px;width:294.24px;height:162.50px" > </div> <div class="sg" id="s250" data-sgid="Content Placeholder 10" style="z-index:3;left:57.80px;top:21.96px;width:294.24px;height:162.50px"> <img class="sg" src="F6350030.jpg" id="s250_i" style="z-index:1;left:0px;top:0px;width:294.24px;height:162.50px" > </div> <div class="sg" id="s255" data-sgid="Oval 10" style="z-index:8;left:172.24px;top:152.79px;width:39.22px;height:33.08px" data-pointer-events="none"> <img class="sg" src="FB8F8A02.png" id="s255_i" style="z-index:1;left:0px;top:0px;width:39.22px;height:33.08px" > </div> <div class="sg" id="s254" data-sgid="Oval 9" style="z-index:7;left:226.22px;top:221.62px;width:39.22px;height:33.11px" data-pointer-events="none"> <img class="sg" src="C9442DB5.png" id="s254_i" style="z-index:1;left:0px;top:0px;width:39.22px;height:33.11px" > </div> <div class="sg" id="s256" data-sgid="Straight Arrow Connector 20" style="z-index:9;left:135.76px;top:230.24px;width:46.42px;height:57.82px" data-pointer-events="none"> <img class="sg" src="28592EC3.png" id="s256_i" style="z-index:1;left:0px;top:0px;width:46.42px;height:57.82px" > </div> <div class="sg" id="s251" data-sgid="Content Placeholder 12" style="z-index:4;left:59.98px;top:202.18px;width:294.21px;height:162.50px"> <img class="sg" src="74342346.jpg" id="s251_i" style="z-index:1;left:0px;top:0px;width:294.21px;height:162.50px" > </div> <div class="sg" id="s249" data-sgid="Content Placeholder 16" style="z-index:2;left:371.33px;top:202.18px;width:294.24px;height:162.50px"> <img class="sg" src="8E63789.jpg" id="s249_i" style="z-index:1;left:0px;top:0px;width:294.24px;height:162.50px" > </div>
<div class="sg" id="s265" data-sgid="Straight Arrow Connector 11" style="z-index:9;left:549.57px;top:50.50px;width:40.41px;height:47.01px" data-pointer-events="none"> <img class="sg" src="E68130C6.png" id="s265_i" style="z-index:1;left:0px;top:0px;width:40.41px;height:47.01px" > </div> <div class="sg" id="s262" data-sgid="Oval 6" style="z-index:6;left:436.12px;top:68.82px;width:45.20px;height:51.09px" data-pointer-events="none"> <img class="sg" src="104C5C4C.png" id="s262_i" style="z-index:1;left:0px;top:0px;width:45.20px;height:51.09px" > </div> <div class="sg" id="s261" data-sgid="Oval 1" style="z-index:5;left:190.22px;top:74.84px;width:45.23px;height:51.09px" data-pointer-events="none"> <img class="sg" src="DCC62C40.png" id="s261_i" style="z-index:1;left:0px;top:0px;width:45.23px;height:51.09px" > </div> <div class="sg" id="s259" data-sgid="Content Placeholder 7" style="z-index:3;left:128.68px;top:15.94px;width:240.75px;height:181.70px"> <img class="sg" src="5F860C29.jpg" id="s259_i" style="z-index:1;left:0px;top:0px;width:240.75px;height:181.70px" > </div> <div class="sg" id="s258" data-sgid="Content Placeholder 10" style="z-index:2;left:377.33px;top:15.94px;width:240.72px;height:181.70px"> <img class="sg" src="1981E4AE.jpg" id="s258_i" style="z-index:1;left:0px;top:0px;width:240.72px;height:181.70px" > </div> <div class="sg" id="s264" data-sgid="Straight Arrow Connector 9" style="z-index:8;left:543.57px;top:224.37px;width:40.44px;height:47.01px" data-pointer-events="none"> <img class="sg" src="39EBB95E.png" id="s264_i" style="z-index:1;left:0px;top:0px;width:40.44px;height:47.01px" > </div> <div class="sg" id="s257" data-sgid="Content Placeholder 14" style="z-index:1;left:377.33px;top:207.83px;width:240.72px;height:181.67px"> <img class="sg" src="CFFE789.jpg" id="s257_i" style="z-index:1;left:0px;top:0px;width:240.72px;height:181.67px" > </div> <div class="sg" id="s260" data-sgid="Content Placeholder 13" style="z-index:4;left:128.68px;top:207.83px;width:240.75px;height:181.67px"> <img class="sg" src="A71194D4.jpg" id="s260_i" style="z-index:1;left:0px;top:0px;width:240.75px;height:181.67px" > </div> <div class="sg" id="s263" data-sgid="Oval 7" style="z-index:7;left:205.57px;top:302.70px;width:45.11px;height:51.06px" data-pointer-events="none"> <img class="sg" src="7CB5AF1A.png" id="s263_i" style="z-index:1;left:0px;top:0px;width:45.11px;height:51.06px" > </div>
<div class="sg sgTitle" id="s266" data-sgid="Title 1" style="z-index:1;left:52.16px;top:9.96px;width:615.19px;height:90.67px" data-valign="middle" data-pointer-events="none"> <div id="s266_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:615.19px;height:90.67px;"><div><p para="{al:2}"><span data-textwidth="177.75" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:218.97px;top:32.73px;">6 months later</span></p></div></div></div> <div class="sg" id="s267" data-sgid="Content Placeholder 11" style="z-index:2;left:92.72px;top:74.58px;width:267.48px;height:289.28px"> <img class="sg" src="3326A75F.jpg" id="s267_i" style="z-index:1;left:0px;top:0px;width:267.48px;height:289.28px" > </div> <div class="sg" id="s268" data-sgid="Content Placeholder 12" style="z-index:3;left:368.35px;top:75.91px;width:261.70px;height:287.94px"> <img class="sg" src="9E07024E.jpg" id="s268_i" style="z-index:1;left:0px;top:0px;width:261.70px;height:287.94px" > </div> <div class="sg" id="s269" data-sgid="TextBox 4" style="z-index:4;left:205.71px;top:267.80px;width:352.50px;height:51.80px" data-valign="top"> <div id="s269_t" class="sg" style="z-index:2;left:-15.01px;top:-7.80px;width:485.65px;height:80.23px;"><div><p><span data-textwidth="437.95" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.82px;top:15.62px;"><span style="text-shadow:1.48px 1.48px 2.10px rgba(0,0,0,0.43)">Stones/hydro are gone!</span></span></p></div></div></div>
<div class="sg" id="s273" data-sgid="Straight Arrow Connector 8" style="z-index:4;left:509.16px;top:105.76px;width:144.88px;height:37.19px" data-pointer-events="none"> <img class="sg" src="260DDED8.png" id="s273_i" style="z-index:1;left:0px;top:0px;width:144.88px;height:37.19px" > </div> <div class="sg" id="s271" data-sgid="Straight Arrow Connector 5" style="z-index:2;left:149.33px;top:114.78px;width:99.06px;height:99.04px" data-pointer-events="none"> <img class="sg" src="FA38400A.png" id="s271_i" style="z-index:1;left:0px;top:0px;width:99.06px;height:99.04px" > </div> <div class="sg" id="s270" data-sgid="Picture 3" style="z-index:1;left:11.53px;top:48.82px;width:348.67px;height:294.52px"> <img class="sg" src="4AFE30FB.png" id="s270_i" style="z-index:1;left:0px;top:0px;width:348.67px;height:294.52px" > </div> <div class="sg" id="s272" data-sgid="Picture 6" style="z-index:3;left:365.35px;top:48.82px;width:339.92px;height:294.52px"> <img class="sg" src="A9D234AA.jpg" id="s272_i" style="z-index:1;left:0px;top:0px;width:339.92px;height:294.52px" > </div>
<div class="sg" id="s277" data-sgid="Freeform 6" style="z-index:6;left:17.16px;top:16.20px;width:138.99px;height:126.27px" data-valign="top" data-fillcolor="16777215"> <img class="sg" src="F188BCF5.png" id="s277_i" style="z-index:1;left:0px;top:0px;width:138.99px;height:126.27px" > <div id="s277_t" class="sg" style="z-index:2;left:-4.56px;top:0.00px;width:143.55px;height:126.27px;"><div><p></p><p><span data-textwidth="92.90" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.60px;top:30.89px;">49 <span style="position:relative;bottom:1px;">y.o. man</span></span></p></div></div></div> <div class="sg" id="s278" data-sgid="Group 4" style="z-index:7;left:119.11px;top:16.31px;width:175.36px;height:126.16px"> <div id="s278_t" class="sg" style="z-index:2;left:0px;top:0px;width:175.36px;height:126.16px;"><div><p><span data-textwidth="112.58" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:56%; left:42.44px;top:68.47px;">Ring enhancing brain lesion</span></p></div></div><img class="sg" src="29363104.png" id="s278_i" style="z-index:1;left:0px;top:0px;width:175.36px;height:126.16px" > </div> <div class="sg" id="s275" data-sgid="TextBox 12" style="z-index:4;left:305.37px;top:37.53px;width:270.71px;height:95.23px" data-valign="top"> <div id="s275_t" class="sg" style="z-index:2;left:-6.23px;top:-3.71px;width:276.94px;height:108.88px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="170.07" class="sg nowrap f2" style="z-index:2;color:#0070C0;font-size:133%; left:14.11px;top:10.15px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.57px"> </span>Metastasis</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="171.75" class="sg nowrap f2" style="z-index:4;color:#0070C0;font-size:133%; left:14.11px;top:38.96px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.57px"> </span>Lymphoma</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="143.07" class="sg nowrap f2" style="z-index:6;color:#0070C0;font-size:133%; left:14.11px;top:67.76px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.57px"> </span>Infection</span></span></p></div></div></div> <div class="sg" id="s276" data-sgid="TextBox 14" style="z-index:5;left:629.21px;top:135.89px;width:15.35px;height:32.37px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s279" data-sgid="Group 7" style="z-index:10;left:16.68px;top:115.01px;width:168.87px;height:153.87px"> <div id="s279_t" class="sg" style="z-index:2;left:0px;top:0px;width:168.87px;height:153.87px;"><div><p><span data-textwidth="110.78" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:56%; left:18.49px;top:109.48px;">Kidney stones come and go</span></p></div></div><img class="sg" src="6DE21A3B.png" id="s279_i" style="z-index:1;left:0px;top:0px;width:168.87px;height:153.87px" > </div> <div class="sg" id="s274" data-sgid="Group 21" style="z-index:1;left:153.29px;top:114.64px;width:141.51px;height:154.58px"> <div id="s274_t" class="sg" style="z-index:2;left:0px;top:0px;width:141.51px;height:154.58px;"><div><p><span data-textwidth="118.58" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:56%; left:15.58px;top:109.85px;">Kidney stones are ill<span style="position:relative;bottom:1px;">-defined </span></span><span data-textwidth="103.70" class="sg nowrap f3" style="z-index:5;color:#FFFFFF;font-size:56%; left:21.58px;top:121.85px;">and not particularly dense</span></p></div></div><img class="sg" src="5D98E231.png" id="s274_i" style="z-index:1;left:0px;top:0px;width:141.51px;height:154.58px" > </div> <div class="sg" id="s282" data-sgid="Freeform 17" style="z-index:15;left:221.29px;top:87.77px;width:55.65px;height:211.06px" data-pointer-events="none"> <img class="sg" src="45398B73.png" id="s282_i" style="z-index:1;left:0px;top:0px;width:55.65px;height:211.06px" > </div> <div class="sg" id="s283" data-sgid="Group 26" style="z-index:16;left:310.10px;top:152.44px;width:385.91px;height:100.77px" data-shape="group"> <div class="sg" id="s284" data-sgid="Picture 25" style="z-index:2;left:-0.64px;top:-0.50px;width:65.50px;height:65.48px"> <img class="sg" src="6A006698.png" id="s284_i" style="z-index:1;left:0px;top:0px;width:65.50px;height:65.48px" > </div> <div class="sg" id="s285" data-sgid="TextBox 22" style="z-index:1;left:50.22px;top:5.74px;width:335.70px;height:95.32px" data-valign="top"> <div id="s285_t" class="sg" style="z-index:2;left:-7.19px;top:-3.71px;width:342.89px;height:137.53px;"><div><p><span data-textwidth="216.64" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:133%; left:15.10px;top:10.45px;">Stones formed in </span><span data-textwidth="290.57" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:133%; left:15.10px;top:39.25px;">response to something </span><span data-textwidth="283.13" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:133%; left:15.10px;top:68.06px;">used to treat the brain </span><span data-textwidth="76.81" class="sg nowrap f1" style="z-index:5;color:#FFFF00;font-weight:bold; font-size:133%; left:15.10px;top:96.87px;">lesion</span></p></div></div></div> </div> <div class="sg" id="s281" data-sgid="Rectangle 11" style="z-index:14;left:155.45px;top:309.53px;width:313.53px;height:37.28px" data-valign="top" data-pointer-events="none"> <div id="s281_t" class="sg" style="z-index:2;left:-6.23px;top:-3.60px;width:319.76px;height:80.11px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="278.68" class="sg nowrap f2" style="z-index:2;color:#0070C0;font-size:133%; left:14.01px;top:10.50px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:3px;"><span style="letter-spacing:13.56px"> </span>Stones precipitated </span></span><span data-textwidth="93.86" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:41.01px;top:39.51px;">rapidly</span></p></div></div></div> <div class="sg" id="s280" data-sgid="Oval 10" style="z-index:13;left:130.72px;top:297.05px;width:296.14px;height:86.35px" data-pointer-events="none"> <img class="sg" src="2CAF38F1.png" id="s280_i" style="z-index:1;left:0px;top:0px;width:296.14px;height:86.35px" > </div>
<div class="sg sgTitle" id="s287" data-sgid="Title 1" style="z-index:2;left:52.16px;top:9.96px;width:615.19px;height:90.67px" data-valign="middle" data-pointer-events="none"> <div id="s287_t" class="sg" style="z-index:2;left:-8.38px;top:0.00px;width:631.98px;height:90.67px;"><div><p para="{al:2}"><span data-textwidth="588.58" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:200%; left:21.87px;top:27.17px;">Treatment induced urolithiasis</span></p></div></div></div> <div class="sg" id="s288" data-sgid="Text Placeholder 8" style="z-index:3;left:35.51px;top:90.07px;width:318.79px;height:38.72px" data-valign="bottom" data-pointer-events="none"> <div id="s288_t" class="sg" style="z-index:2;left:-14.41px;top:-40.42px;width:333.21px;height:93.42px;"><div><p para="{spbf:26.36}"><span data-textwidth="180.15" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.43px;top:11.56px;">Tumor lysis </span><span data-textwidth="149.54" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.43px;top:45.17px;">syndrome</span></p></div></div></div> <div class="sg" id="s290" data-sgid="Text Placeholder 11" style="z-index:5;left:365.10px;top:90.07px;width:318.94px;height:38.72px" data-valign="bottom" data-pointer-events="none"> <div id="s290_t" class="sg" style="z-index:2;left:-14.39px;top:-6.84px;width:333.32px;height:59.83px;"><div><p para="{spbf:26.36}"><span data-textwidth="296.21" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.63px;top:11.59px;">Medication induced</span></p></div></div></div> <div class="sg" id="s286" data-sgid="TextBox 14" style="z-index:1;left:629.21px;top:135.89px;width:15.35px;height:32.37px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s295" data-sgid="Straight Connector 26" style="z-index:10;left:355.98px;top:158.78px;width:251.28px;height:3.12px" data-pointer-events="none"> <img class="sg" src="836FA28E.png" id="s295_i" style="z-index:1;left:0px;top:0px;width:251.28px;height:2.12px" > </div> <div class="sg" id="s289" data-sgid="Content Placeholder 10" style="z-index:4;left:35.51px;top:127.83px;width:318.79px;height:140.43px" data-valign="middle" data-pointer-events="none"> <div id="s289_t" class="sg" style="z-index:2;left:-11.04px;top:0.00px;width:346.52px;height:147.04px;"><div><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="317.69" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:14.06px;top:10.72px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.36px"> </span>Can occur in context of </span></span><span data-textwidth="139.82" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.86px;top:39.73px;">lymphoma</span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="264.64" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:14.06px;top:77.34px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.36px"> </span>Substantial tumor </span></span><span data-textwidth="91.10" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.86px;top:106.34px;">burden</span></p></div></div></div> <div class="sg" id="s296" data-sgid="Straight Connector 12" style="z-index:11;left:52.31px;top:128.91px;width:260.51px;height:158.18px" data-pointer-events="none"> <img class="sg" src="2DF10BF3.png" id="s296_i" style="z-index:1;left:0px;top:0px;width:260.51px;height:157.18px" > </div> <div class="sg" id="s292" data-sgid="Straight Connector 19" style="z-index:7;left:50.27px;top:128.91px;width:272.01px;height:158.44px" data-pointer-events="none"> <img class="sg" src="B3C08E7.png" id="s292_i" style="z-index:1;left:0px;top:0px;width:272.01px;height:157.44px" > </div> <div class="sg" id="s294" data-sgid="Straight Connector 23" style="z-index:9;left:355.98px;top:206.75px;width:251.28px;height:3.12px" data-pointer-events="none"> <img class="sg" src="836FA28E.png" id="s294_i" style="z-index:1;left:0px;top:0px;width:251.28px;height:2.12px" > </div> <div class="sg" id="s291" data-sgid="Content Placeholder 15" style="z-index:6;left:365.10px;top:127.83px;width:318.94px;height:234.10px" data-valign="middle" data-pointer-events="none"> <div id="s291_t" class="sg" style="z-index:2;left:-11.02px;top:0.00px;width:329.95px;height:234.10px;"><div><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="259.97" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:14.26px;top:20.80px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.37px"> </span>Acyclovir (Herpes)</span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="221.32" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:133%; left:14.26px;top:67.61px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.37px"> </span>Indinavir (HIV)</span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="211.12" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:133%; left:14.26px;top:114.42px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.37px"> </span>Methotrexate </span></span></p><p para="{bl:{ch:8226},spaf:18.00}"><span data-textwidth="239.80" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:133%; left:14.26px;top:161.23px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.37px"> </span>Sulf(ph)adiazine</span></span><span data-textwidth="211.72" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:133%; left:43.07px;top:190.24px;">(Toxoplasmosis)</span></p></div></div></div> <div class="sg" id="s293" data-sgid="Straight Connector 22" style="z-index:8;left:355.98px;top:254.72px;width:251.28px;height:3.12px" data-pointer-events="none"> <img class="sg" src="752C3F5E.png" id="s293_i" style="z-index:1;left:0px;top:0px;width:251.28px;height:2.12px" > </div> <div class="sg" id="s297" data-sgid="TextBox 4" style="z-index:12;left:579.19px;top:279.77px;width:58.17px;height:73.65px" data-valign="top"> <div id="s297_t" class="sg" style="z-index:2;left:-25.17px;top:-12.82px;width:108.07px;height:114.16px;"><div><p><span data-textwidth="42.49" class="sg nowrap f4" style="z-index:2;color:#0070C0;font-size:300%; left:33.24px;top:23.87px;"></span></p></div></div></div>
<div class="sg" id="s306" data-sgid="Title 6" style="z-index:1;left:47.49px;top:45.93px;width:612.56px;height:87.77px" data-valign="bottom" data-pointer-events="none"> <div id="s306_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:612.56px;height:115.23px;"><div><p para="{al:2}"><span data-textwidth="341.94" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:278%; left:135.54px;top:31.25px;">Final Diagnosis</span></p></div></div></div> <div class="sg" id="s308" data-sgid="Picture 1" style="z-index:3;left:530.63px;top:13.30px;width:162.75px;height:156.14px" data-rotation = "90"> <img class="sg" src="366E3AD4.jpg" id="s308_i" style="z-index:1;left:0px;top:0px;width:162.75px;height:156.14px" > </div> <div class="sg sgSubtitle" id="s307" data-sgid="Subtitle 7" style="z-index:2;left:122.45px;top:165.84px;width:462.63px;height:168.85px" data-valign="top" data-pointer-events="none"> <div id="s307_t" class="sg" style="z-index:2;left:0.00px;top:-10.07px;width:462.63px;height:193.56px;"><div><p para="{al:2}"><span data-textwidth="339.90" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:167%; left:64.66px;top:12.15px;">Sulfadiazine induced </span><span data-textwidth="372.66" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:167%; left:48.10px;top:44.55px;">urolithiasis in a patient </span><span data-textwidth="243.52" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:167%; left:112.91px;top:76.96px;">treated for CNS </span><span data-textwidth="415.87" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:167%; left:26.73px;top:109.37px;">toxoplasmosis that he got </span><span data-textwidth="243.16" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:167%; left:109.91px;top:141.78px;">from his pet cat</span></p></div></div></div>
<div class="sg sgTitle" id="s309" data-sgid="Title 6" style="z-index:1;left:52.16px;top:9.96px;width:615.19px;height:90.67px" data-valign="middle" data-pointer-events="none"> <div id="s309_t" class="sg" style="z-index:2;left:0.00px;top:-0.26px;width:615.19px;height:106.01px;"><div><p para="{al:2}"><span data-textwidth="440.12" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:278%; left:87.66px;top:19.91px;">Sulf<span style="position:relative;bottom:5px;">(ph)adiazine</span></span></p></div></div></div> <div class="sg" id="s310" data-sgid="Content Placeholder 7" style="z-index:2;left:41.49px;top:107.09px;width:636.54px;height:261.67px" data-valign="middle" data-pointer-events="none"> <div id="s310_t" class="sg" style="z-index:2;left:-11.02px;top:-34.30px;width:647.56px;height:337.33px;"><div><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="523.64" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:14.06px;top:10.31px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.36px"> </span>Urolithiasis is a known complication of </span></span><span data-textwidth="275.21" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.86px;top:39.31px;">Sulfonamide therapy.</span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="535.65" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:14.06px;top:76.92px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.36px"> </span>Sulfadiazine is first line therapy for HIV-</span></span><span data-textwidth="391.75" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.86px;top:105.93px;">associated CNS toxoplasmosis.</span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="599.62" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:133%; left:14.06px;top:143.54px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.36px"> </span>High dose, urine acidity, and dehydration are </span></span><span data-textwidth="541.29" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.86px;top:172.54px;">contributing factors to agent precipitation, </span><span data-textwidth="308.09" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.86px;top:201.35px;">which can occur rapidly </span><span data-textwidth="359.10" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.86px;top:230.16px;">in <span style="position:relative;bottom:3px;">a matter of days to weeks.</span></span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="580.18" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:133%; left:14.06px;top:267.77px;">•<span class="f1" style="position:relative;bottom:3px;"><span style="letter-spacing:15.36px"> </span>Stopping agent, hydration and alkalynizing</span></span><span data-textwidth="481.76" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.86px;top:296.77px;">urine <span style="position:relative;bottom:3px;">can result in rapid improvement.</span></span></p></div></div></div> <div class="sg" id="s311" data-sgid="Picture 2" style="z-index:3;left:503.27px;top:297.76px;width:156.78px;height:78.92px"> <img class="sg" src="F2C60F3E.png" id="s311_i" title="" alt="Image result for sulfadiazine" style="z-index:1;left:0px;top:0px;width:156.78px;height:78.92px" > </div>
<div class="sg" id="s312" data-sgid="Title 3" style="z-index:1;left:53.50px;top:125.33px;width:612.56px;height:87.52px" data-valign="middle" data-pointer-events="none"> <div id="s312_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.25px;"><div><p para="{al:2}"><span data-textwidth="119.78" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:246.92px;top:22.15px;">Stop!</span></p></div></div></div>
<div class="sg sgTitle" id="s313" data-sgid="Title 1" style="z-index:1;left:35.51px;top:9.96px;width:648.52px;height:84.91px" data-valign="middle" data-pointer-events="none"> <div id="s313_t" class="sg" style="z-index:2;left:-0.37px;top:-17.99px;width:649.26px;height:103.23px;"><div><p para="{al:2}"><span data-textwidth="380.47" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:134.57px;top:16.11px;">Correct <span style="position:relative;bottom:4px;">Diagnosis:</span></span></p></div></div></div> <div class="sg" id="s315" data-sgid="Title 1 (2)" style="z-index:3;left:35.51px;top:9.96px;width:648.52px;height:84.91px" data-valign="middle"> <div id="s315_t" class="sg" style="z-index:2;left:0.00px;top:-41.99px;width:648.52px;height:180.85px;"><div><p para="{al:2}"><span data-textwidth="380.58" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:134.20px;top:16.11px;">Correct Diagnosis:</span><span data-textwidth="467.84" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:222%; left:94.95px;top:64.12px;">Sulfadiazine<span style="position:relative;bottom:4px;">-Induced </span></span><span data-textwidth="254.20" class="sg nowrap f1" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:222%; left:201.53px;top:112.13px;">Urolithiasis </span></p></div></div></div> <div class="sg" id="s314" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:102.67px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s314_t" class="sg" style="z-index:2;left:-9.85px;top:-5.54px;width:658.74px;height:389.99px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="618.82" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.21px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>SFGH (now ZSFG) did pioneering work in </span></span><span data-textwidth="383.94" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:45.82px;">treatment of HIV infection</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="590.62" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:86.15px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Sulfadiazine is a sulfonamide-derived </span></span><span data-textwidth="143.06" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:119.76px;">antibiotic</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="453.55" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:160.09px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Therapy for HIV-related CNS </span></span><span data-textwidth="224.20" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:193.69px;">toxoplasmosis </span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="401.46" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:234.02px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:16.80px"> </span>Metabolite:acetylated 2-</span></span><span data-textwidth="371.58" class="sg nowrap f1" style="z-index:24;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:267.63px;">sulfanilamidopyrimidine</span><span data-textwidth="244.12" class="sg nowrap f1" style="z-index:25;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:301.24px;">is<span style="position:relative;bottom:3px;"> poorly soluble</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="537.20" class="sg nowrap f1" style="z-index:30;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:341.57px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Crystalluria or overt stone disease </span></span></p></div></div></div>
<div class="sg sgTitle" id="s316" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s316_t" class="sg" style="z-index:2;left:-0.37px;top:-26.27px;width:649.26px;height:132.88px;"><div><p para="{al:2}"><span data-textwidth="467.84" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:222%; left:95.32px;top:16.11px;">Sulfadiazine<span style="position:relative;bottom:4px;">-Induced </span></span><span data-textwidth="254.20" class="sg nowrap f1" style="z-index:5;color:#13B5EA;font-weight:bold; font-size:222%; left:201.90px;top:64.12px;">Urolithiasis </span></p></div></div></div> <div class="sg" id="s317" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s317_t" class="sg" style="z-index:2;left:-9.85px;top:-5.39px;width:666.05px;height:288.99px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="631.54" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>These stones have attenuation similar to </span></span><span data-textwidth="371.10" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:45.80px;">uric acid stones (~120 HU)</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="561.09" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:86.13px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Radiolucent on radiographic studies</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="458.95" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:126.46px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.80px"> </span>Variable appearance with US</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="602.50" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:166.79px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Treated with drug discontinuation and </span></span><span data-textwidth="147.74" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:200.39px;">hydration</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="346.13" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:240.72px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>The patient had a cat!</span></span></p></div></div></div>
<div class="sg" id="s318" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s318_t" class="sg" style="z-index:2;left:-11.64px;top:-0.37px;width:635.81px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="582.58" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:26.79px;top:22.33px;">Musculoskeletal Case #1</span></p></div></div></div> <div class="sg" id="s319" data-sgid="Subtitle 1" style="z-index:2;left:83.49px;top:183.83px;width:540.57px;height:104.34px" data-valign="top"> <div id="s319_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:540.57px;height:159.38px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="379.86" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:85.50px;top:19.31px;">Christian W. A. </span><span data-textwidth="259.00" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:267%; left:140.95px;top:76.92px;">Pfirrmann</span></p></div></div></div>
<div class="sg" id="s321" data-sgid="Title 1" style="z-index:2;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s321_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="585.82" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:31.46px;top:18.09px;">Christian W. A. <span style="position:relative;bottom:5px;">Pfirrmann</span></span></p></div></div></div> <div class="sg" id="s320" data-sgid="Content Placeholder 3" style="z-index:1;left:35.51px;top:93.90px;width:648.52px;height:268.03px"> <img class="sg" src="C35BF107.png" id="s320_i" title="" alt="PfirrmannChristian.JPG.jpeg" style="z-index:1;left:0px;top:0px;width:648.52px;height:268.03px" > </div>
<div class="sg" id="s323" data-sgid="Title 1" style="z-index:2;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s323_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="585.82" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:31.46px;top:18.09px;">Christian W. A. <span style="position:relative;bottom:5px;">Pfirrmann</span></span></p></div></div></div> <div class="sg" id="s322" data-sgid="TextBox 3" style="z-index:1;left:11.53px;top:93.90px;width:690.49px;height:245.48px" data-valign="top"> <div id="s322_t" class="sg" style="z-index:2;left:-8.53px;top:-4.91px;width:699.02px;height:328.45px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="665.88" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.20px;top:12.75px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.41px"> </span>Chief of Radiology, Orthopaedic University </span></span><span data-textwidth="550.29" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.21px;top:45.32px;">Hospital <span style="position:relative;bottom:3px;">Balgrist, University of Zurich</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="546.46" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:156%; left:16.20px;top:79.97px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.41px"> </span>MD: University of Zurich and Berne</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="524.73" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:156%; left:16.20px;top:113.57px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.41px"> </span>Radiology: Kantonsspital, Luzern</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="641.75" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:156%; left:16.20px;top:147.18px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.41px"> </span>MSK Fellowship and Orthopedic Surgery </span></span><span data-textwidth="618.22" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.21px;top:179.75px;">training: <span style="position:relative;bottom:3px;">Orthopaedic University Hospital </span></span><span data-textwidth="117.50" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.21px;top:213.36px;">Balgrist</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="644.15" class="sg nowrap f2" style="z-index:21;color:#FFFFFF;font-size:156%; left:16.20px;top:248.00px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.41px"> </span>MSK Radiology Research Fellowship: UC </span></span><span data-textwidth="146.78" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:156%; left:52.21px;top:280.57px;">San Diego</span></p></div></div></div>
<div class="sg" id="s327" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s327_t" class="sg" style="z-index:2;left:-11.64px;top:-0.37px;width:635.81px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="582.58" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:26.79px;top:22.33px;">Musculoskeletal Case #1</span></p></div></div></div> <div class="sg sgSubtitle" id="s328" data-sgid="Subtitle 1" style="z-index:2;left:155.45px;top:153.87px;width:408.65px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s328_t" class="sg" style="z-index:2;left:-4.56px;top:-7.32px;width:417.77px;height:128.43px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="373.75" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.18px;top:15.05px;">57<span style="position:relative;bottom:4px;">-year-old woman</span></span></p><p para="{al:2,spbf:0.20}"><span data-textwidth="340.02" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:200%; left:39.10px;top:66.90px;">with short stature</span></p></div></div></div>
<div class="sg" id="s331" data-sgid="Subtitle 1" style="z-index:3;left:23.51px;top:15.94px;width:402.65px;height:52.65px" data-valign="top"> <div id="s331_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:409.96px;height:80.00px;"><div><p para="{spbf:0.20}"><span data-textwidth="314.21" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">Radiographs of bilateral </span><span data-textwidth="112.10" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:39.27px;">humerus</span></p></div></div></div> <div class="sg" id="s329" data-sgid="Picture 3" style="z-index:1;left:383.34px;top:33.93px;width:254.99px;height:330.75px"> <img class="sg" src="69B23265.jpg" id="s329_i" title="" alt="rad-Hum-07917171_4928352_1_2.jpg" style="z-index:1;left:0px;top:0px;width:254.99px;height:330.75px" > </div> <div class="sg" id="s330" data-sgid="Picture 4" style="z-index:2;left:53.50px;top:69.08px;width:315.79px;height:285.65px"> <img class="sg" src="1F4ED26A.jpg" id="s330_i" title="" alt="rad-Hum-07917171_4928352_1_1.jpg" style="z-index:1;left:0px;top:0px;width:315.79px;height:285.65px" > </div>
<div class="sg" id="s333" data-sgid="Subtitle 1" style="z-index:2;left:23.51px;top:15.94px;width:180.76px;height:114.89px" data-valign="top"> <div id="s333_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:188.07px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="155.07" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">Radiograph </span><span data-textwidth="151.95" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:39.27px;">of the pelvis</span></p></div></div></div> <div class="sg" id="s332" data-sgid="Picture 2" style="z-index:1;left:203.90px;top:9.96px;width:396.16px;height:379.91px"> <img class="sg" src="22BE1E95.jpg" id="s332_i" title="" alt="pelvis.jpg" style="z-index:1;left:0px;top:0px;width:396.16px;height:379.91px" > </div>
<div class="sg" id="s335" data-sgid="Subtitle 1" style="z-index:2;left:23.51px;top:15.94px;width:180.76px;height:114.89px" data-valign="top"> <div id="s335_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:188.07px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="114.50" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">CT of the </span><span data-textwidth="76.09" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:39.27px;">pelvis</span></p></div></div></div> <div class="sg" id="s334" data-sgid="Picture 2" style="z-index:1;left:107.47px;top:44.62px;width:500.52px;height:332.06px"> <img class="sg" src="C21AFBC5.jpg" id="s334_i" title="" alt="CT-pelvis.png" style="z-index:1;left:0px;top:0px;width:500.52px;height:332.06px" > </div>
<div class="sg" id="s338" data-sgid="Subtitle 1" style="z-index:3;left:23.51px;top:15.94px;width:180.76px;height:114.89px" data-valign="top"> <div id="s338_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:188.07px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="138.74" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">MRI of the </span><span data-textwidth="68.77" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:39.27px;">spine</span></p></div></div></div> <div class="sg" id="s337" data-sgid="Picture 4" style="z-index:2;left:236.30px;top:51.21px;width:211.21px;height:319.01px"> <img class="sg" src="8DABFCCF.jpg" id="s337_i" title="" alt="sagT2fs-07917171_4166018_10_2.jpg" style="z-index:1;left:0px;top:0px;width:211.21px;height:319.01px" > </div> <div class="sg" id="s336" data-sgid="Picture 3" style="z-index:1;left:33.59px;top:51.21px;width:185.55px;height:319.01px"> <img class="sg" src="1799B266.jpg" id="s336_i" title="" alt="sagT1-07917171_4166018_10_1.jpg" style="z-index:1;left:0px;top:0px;width:185.55px;height:319.01px" > </div> <div class="sg" id="s339" data-sgid="Picture 3 (2)" style="z-index:4;left:464.67px;top:51.21px;width:238.57px;height:319.01px"> <img class="sg" src="3F831F91.jpg" id="s339_i" title="" alt="axT2-07917171_4166018_10_11.jpg" style="z-index:1;left:0px;top:0px;width:238.57px;height:319.01px" > </div>
<div class="sg" id="s340" data-sgid="Subtitle 1" style="z-index:1;left:23.51px;top:15.94px;width:180.76px;height:114.89px" data-valign="top"> <div id="s340_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:188.07px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="114.50" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">CT of the </span><span data-textwidth="67.81" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:39.27px;">chest</span></p></div></div></div> <div class="sg" id="s342" data-sgid="Picture 4" style="z-index:3;left:371.33px;top:14.98px;width:340.77px;height:267.80px"> <img class="sg" src="435F2ED1.jpg" id="s342_i" title="" alt="CT chest-low.png" style="z-index:1;left:0px;top:0px;width:340.77px;height:267.80px" > </div> <div class="sg" id="s341" data-sgid="Picture 3" style="z-index:2;left:35.51px;top:152.17px;width:336.66px;height:224.51px"> <img class="sg" src="FFEAC544.jpg" id="s341_i" title="" alt="CT chest-high.png" style="z-index:1;left:0px;top:0px;width:336.66px;height:224.51px" > </div>
<div class="sg sgTitle" id="s343" data-sgid="Titel 1" style="z-index:1;left:35.51px;top:3.97px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s343_t" class="sg" style="z-index:2;left:-0.37px;top:-5.90px;width:649.26px;height:93.30px;"><div><p para="{al:2}"><span data-textwidth="198.63" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:225.54px;top:18.09px;">Findings</span></p></div></div></div> <div class="sg" id="s344" data-sgid="Inhaltsplatzhalter 2" style="z-index:2;left:35.51px;top:69.93px;width:648.52px;height:168.85px" data-valign="top" data-pointer-events="none"> <div id="s344_t" class="sg" style="z-index:2;left:-7.56px;top:-4.09px;width:656.45px;height:270.41px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="478.64" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:10.98px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>All bones affected, expanded bones </span></span><span data-textwidth="179.19" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:39.78px;">(osteoectasia)</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="582.21" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:74.35px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Pagetoid appearance: Thick cortex & coarse </span></span><span data-textwidth="138.26" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:103.16px;">trabeculae</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="500.72" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:137.72px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Loss of definition between cortex and </span></span><span data-textwidth="201.87" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:166.53px;">medullary bone</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="607.90" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:201.10px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Diaphysial predominance, but epiphyses also </span></span><span data-textwidth="104.06" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:229.91px;">affected</span></p></div></div></div> <div class="sg" id="s346" data-sgid="Picture 4" style="z-index:4;left:281.38px;top:225.33px;width:287.87px;height:163.57px"> <img class="sg" src="75A00C26.jpg" id="s346_i" title="" alt="CT-pelvis.png" style="z-index:1;left:0px;top:0px;width:287.87px;height:163.57px" > </div> <div class="sg" id="s345" data-sgid="Picture 3" style="z-index:3;left:89.49px;top:227.01px;width:168.76px;height:161.90px"> <img class="sg" src="3EC38E5F.jpg" id="s345_i" title="" alt="pelvis.jpg" style="z-index:1;left:0px;top:0px;width:168.76px;height:161.90px" > </div>
<div class="sg sgTitle" id="s347" data-sgid="Titel 1" style="z-index:1;left:35.51px;top:3.97px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s347_t" class="sg" style="z-index:2;left:-0.37px;top:-5.90px;width:649.26px;height:93.30px;"><div><p para="{al:2}"><span data-textwidth="198.63" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:225.54px;top:18.09px;">Findings</span></p></div></div></div> <div class="sg" id="s348" data-sgid="Inhaltsplatzhalter 2" style="z-index:2;left:35.51px;top:57.93px;width:648.52px;height:198.84px" data-valign="top" data-pointer-events="none"> <div id="s348_t" class="sg" style="z-index:2;left:-9.60px;top:-4.94px;width:658.49px;height:224.74px;"><div><p para="{spbf:0.20}"><span data-textwidth="259.60" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.30px;top:11.70px;">Spine and thorax:</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="364.74" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:17.30px;top:51.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Deformation & remodeling </span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="582.21" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:17.30px;top:85.76px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Pagetoid appearance: Thick cortex & coarse </span></span><span data-textwidth="138.26" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:133%; left:44.30px;top:114.57px;">trabeculae</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="558.22" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:133%; left:17.30px;top:149.13px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Osteoblastic/metaplastic/fibrous changes</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="212.67" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:133%; left:17.30px;top:183.70px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Cardiomegaly </span></span></p></div></div></div> <div class="sg" id="s350" data-sgid="Picture 4" style="z-index:4;left:353.34px;top:215.26px;width:219.73px;height:173.65px"> <img class="sg" src="65FC4836.jpg" id="s350_i" title="" alt="CT chest-low.png" style="z-index:1;left:0px;top:0px;width:219.73px;height:173.65px" > </div> <div class="sg" id="s349" data-sgid="Picture 3" style="z-index:3;left:225.62px;top:220.06px;width:104.58px;height:168.85px"> <img class="sg" src="E12682BF.png" id="s349_i" title="" alt="sagT1-07917171_4166018_10_1.jpg" style="z-index:1;left:0px;top:0px;width:104.58px;height:168.85px" > </div>
<div class="sg sgTitle" id="s351" data-sgid="Titel 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s351_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:73.12px;top:18.09px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s352" data-sgid="Inhaltsplatzhalter 2" style="z-index:2;left:35.51px;top:93.90px;width:660.50px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s352_t" class="sg" style="z-index:2;left:-7.56px;top:-3.60px;width:668.43px;height:345.13px;"><div><p para="{spbf:0.20}"><span data-textwidth="422.59" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:10.52px;">Malfunctioning bone remodeling </span></p><p para="{spbf:0.20}"><span data-textwidth="309.89" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:45.09px;">Sclerotic bone dysplasia</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="583.29" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:79.66px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Diaphysial dysplasia (Camurati-Englemann</span></span><span data-textwidth="198.39" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:108.46px;">disease type II)</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="553.65" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:143.03px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Hyperostosis corticalis generalisata (Van </span></span><span data-textwidth="233.08" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:171.84px;">Buchem’s<span style="position:relative;bottom:3px;"> disease)</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="550.41" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:206.41px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Hyperostosis generalisata with striations</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="563.37" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:240.97px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Hereditary hyperphosphatasia (= Juvenile </span></span><span data-textwidth="101.78" class="sg nowrap f1" style="z-index:24;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:269.78px;">Paget’s)</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="509.48" class="sg nowrap f1" style="z-index:25;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:304.35px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Hyperphosphatasia with osteoectasia</span></span></p></div></div></div>
<div class="sg sgTitle" id="s353" data-sgid="Titel 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s353_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="229.12" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:210.30px;top:18.09px;">Diagnosis</span></p></div></div></div> <div class="sg" id="s354" data-sgid="Inhaltsplatzhalter 2" style="z-index:2;left:95.47px;top:93.90px;width:492.62px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s354_t" class="sg" style="z-index:2;left:-12.35px;top:-6.72px;width:505.31px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="216.87" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.10px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Hereditary </span></span><span data-textwidth="337.14" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.10px;top:52.93px;">H<span style="position:relative;bottom:4px;">yperphosphatasia</span></span></p><p para="{spbf:0.20}"><span data-textwidth="315.65" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:92.11px;top:97.06px;">Syn<span style="position:relative;bottom:3px;">: Juvenile Paget's </span></span><span data-textwidth="112.94" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:20.10px;top:130.67px;">disease</span></p></div></div></div>
<div class="sg" id="s355" data-sgid="Title 3" style="z-index:1;left:53.50px;top:125.33px;width:612.56px;height:87.52px" data-valign="middle" data-pointer-events="none"> <div id="s355_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.25px;"><div><p para="{al:2}"><span data-textwidth="119.78" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:246.92px;top:22.15px;">Stop!</span></p></div></div></div>
<div class="sg" id="s358" data-sgid="Title 1 (2)" style="z-index:3;left:35.51px;top:9.96px;width:648.52px;height:84.91px" data-valign="middle"> <div id="s358_t" class="sg" style="z-index:2;left:0.00px;top:-41.99px;width:648.52px;height:180.85px;"><div><p para="{al:2}"><span data-textwidth="380.47" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:134.20px;top:16.11px;">Correct <span style="position:relative;bottom:4px;">Diagnosis:</span></span><span data-textwidth="237.28" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:222%; left:210.17px;top:64.12px;">Hereditary </span><span data-textwidth="429.79" class="sg nowrap f1" style="z-index:5;color:#FFFF00;font-weight:bold; font-size:222%; left:113.91px;top:112.13px;">Hyperphosphatasia </span></p></div></div></div> <div class="sg" id="s357" data-sgid="Title 1" style="z-index:2;left:35.51px;top:9.96px;width:648.52px;height:84.91px" data-valign="middle"> <div id="s357_t" class="sg" style="z-index:2;left:0.00px;top:-17.99px;width:648.52px;height:102.89px;"><div><p para="{al:2}"><span data-textwidth="380.47" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:134.20px;top:16.11px;">Correct <span style="position:relative;bottom:4px;">Diagnosis:</span></span></p></div></div></div> <div class="sg" id="s356" data-sgid="TextBox 3" style="z-index:1;left:35.51px;top:111.04px;width:697.68px;height:211.69px" data-valign="top"> <div id="s356_t" class="sg" style="z-index:2;left:-9.60px;top:-5.03px;width:848.94px;height:227.74px;"><div><p><span data-textwidth="164.55" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.30px;top:11.86px;">Synonyms:</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="814.45" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:156%; left:17.30px;top:46.50px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Chronic congenital idiopathic hyperphosphatasemia</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="613.90" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:17.30px;top:80.11px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Familial idiopathic hyperphosphatasia</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="353.21" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:17.30px;top:113.72px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Familial osteoectasia</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="672.71" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:156%; left:17.30px;top:147.33px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Hyperostosis corticalis deformans juvenilis</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="394.62" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:156%; left:17.30px;top:180.93px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.16px"> </span>Juvenile Paget's disease</span></span></p></div></div></div>
<div class="sg" id="s360" data-sgid="Title 1" style="z-index:2;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s360_t" class="sg" style="z-index:2;left:0.00px;top:-26.27px;width:648.52px;height:132.88px;"><div><p para="{al:2}"><span data-textwidth="237.28" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:222%; left:210.17px;top:16.11px;">Hereditary </span><span data-textwidth="429.79" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:222%; left:113.91px;top:64.12px;">Hyperphosphatasia </span></p></div></div></div> <div class="sg" id="s359" data-sgid="TextBox 3" style="z-index:1;left:55.17px;top:93.90px;width:591.57px;height:241.87px" data-valign="top"> <div id="s359_t" class="sg" style="z-index:2;left:-9.60px;top:-4.91px;width:610.77px;height:270.30px;"><div><p para="{spaf:9.00}"><span data-textwidth="576.46" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.44px;top:11.71px;">Genetic disorder (autosomal recessive) </span><span data-textwidth="451.64" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.44px;top:45.32px;">or spontaneous mutation with </span><span data-textwidth="363.90" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.44px;top:78.93px;">increased bone turnover </span></p><p para="{spaf:9.00}"><span data-textwidth="573.46" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.44px;top:121.54px;">Manifests during early childhood with </span><span data-textwidth="503.60" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.44px;top:155.14px;">progressive malformations due to </span><span data-textwidth="512.97" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.44px;top:188.75px;">abnormally soft bones resulting in </span><span data-textwidth="190.23" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.44px;top:222.36px;">short stature</span></p></div></div></div>
<div class="sg" id="s362" data-sgid="Title 1" style="z-index:2;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s362_t" class="sg" style="z-index:2;left:0.00px;top:-26.27px;width:648.52px;height:132.88px;"><div><p para="{al:2}"><span data-textwidth="237.28" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:222%; left:210.17px;top:16.11px;">Hereditary </span><span data-textwidth="429.79" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:222%; left:113.91px;top:64.12px;">Hyperphosphatasia </span></p></div></div></div> <div class="sg" id="s361" data-sgid="TextBox 3" style="z-index:1;left:42.22px;top:75.91px;width:629.80px;height:313.36px" data-valign="top"> <div id="s361_t" class="sg" style="z-index:2;left:-9.60px;top:-4.90px;width:648.89px;height:362.16px;"><div><p><span data-textwidth="261.52" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.31px;top:11.69px;">Imaging findings:</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="614.50" class="sg nowrap f2" style="z-index:3;color:#FFFFFF;font-size:156%; left:17.31px;top:46.34px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Increased diameter and density of long</span></span></p><p><span data-textwidth="494.96" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:89.32px;top:78.90px;">bones, thickened cortices, coarse </span><span data-textwidth="280.01" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:89.32px;top:112.51px;">trabecular pattern </span></p><p para="{bl:{ch:8226}}"><span data-textwidth="534.08" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:17.31px;top:147.16px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Enlarged vertebral diameter with </span></span><span data-textwidth="158.79" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:53.31px;top:179.73px;">decreased </span></p><p para="{in:2}"><span data-textwidth="400.39" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:89.32px;top:213.33px;">height & increased density </span></p><p para="{bl:{ch:8226}}"><span data-textwidth="510.92" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:156%; left:17.31px;top:247.98px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Bony remodeling and deformity </span></span><span data-textwidth="360.54" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:53.31px;top:280.55px;">throughout <span style="position:relative;bottom:3px;">the skeleton </span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="246.52" class="sg nowrap f2" style="z-index:16;color:#FFFFFF;font-size:156%; left:17.31px;top:315.20px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:20.40px"> </span>Cardiomegaly</span></span></p></div></div></div>
<div class="sg" id="s363" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s363_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="319.97" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:146.82px;top:22.33px;">Chest Case #1</span></p></div></div></div> <div class="sg" id="s364" data-sgid="Subtitle 1" style="z-index:2;left:107.47px;top:183.83px;width:504.60px;height:104.34px" data-valign="top"> <div id="s364_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:504.60px;height:115.12px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="409.03" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:47.96px;top:19.31px;">Gautham Reddy</span></p></div></div></div>
<div class="sg" id="s367" data-sgid="Title 1" style="z-index:3;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s367_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="375.06" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:136.84px;top:18.09px;">Gautham<span style="position:relative;bottom:5px;"> Reddy</span></span></p></div></div></div> <div class="sg" id="s368" data-sgid="Picture 2" style="z-index:4;left:37.89px;top:82.98px;width:200.67px;height:269.70px"> <img class="sg" src="C6B43758.jpg" id="s368_i" title="" alt="G:\Miscellaneous\Image Interpretation\2016 Image Interpretation\artwork\Reddy, Gautham FIN.jpg" style="z-index:1;left:0px;top:0px;width:200.67px;height:269.70px" > </div> <div class="sg" id="s365" data-sgid="Picture 6" style="z-index:1;left:251.39px;top:82.98px;width:211.83px;height:270.44px"> <img class="sg" src="E63E977E.jpg" id="s365_i" style="z-index:1;left:0px;top:0px;width:211.83px;height:270.44px" > </div> <div class="sg" id="s366" data-sgid="Picture 10" style="z-index:2;left:476.76px;top:82.98px;width:212.91px;height:270.44px"> <img class="sg" src="5C98030B.jpg" id="s366_i" style="z-index:1;left:0px;top:0px;width:212.91px;height:270.44px" > </div>
<div class="sg" id="s382" data-sgid="Title 1" style="z-index:2;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s382_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="375.06" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:136.84px;top:18.09px;">Gautham<span style="position:relative;bottom:5px;"> Reddy</span></span></p></div></div></div> <div class="sg" id="s381" data-sgid="Content Placeholder 3" style="z-index:1;left:23.51px;top:87.91px;width:672.51px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s381_t" class="sg" style="z-index:2;left:-7.57px;top:-4.08px;width:680.07px;height:316.60px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="178.59" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:10.99px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>AB, Harvard</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="592.53" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:45.56px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>MD and MPH, George Washington University</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="530.12" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:80.13px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Residency, Thomas Jefferson University</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="588.21" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:114.69px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Fellowship, Cardiac/Thoracic Imaging, UCSF</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="595.53" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:149.26px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Section Chief, Cardiac & Pulmonary Imaging, </span></span><span data-textwidth="64.69" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.27px;top:178.07px;">UCSF</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="456.67" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:212.64px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Residency Program Director, UCSF</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="584.73" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:247.20px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Professor & Vice Chair for Education, Univ. of </span></span><span data-textwidth="155.91" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.27px;top:276.01px;">Washington</span></p></div></div></div>
<div class="sg" id="s384" data-sgid="Title 1" style="z-index:2;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle"> <div id="s384_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="375.06" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:136.84px;top:18.09px;">Gautham<span style="position:relative;bottom:5px;"> Reddy</span></span></p></div></div></div> <div class="sg" id="s383" data-sgid="Content Placeholder 3" style="z-index:1;left:23.51px;top:87.91px;width:672.51px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s383_t" class="sg" style="z-index:2;left:-7.57px;top:-4.08px;width:689.92px;height:408.94px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="660.23" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:10.99px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>President, North American Soc. for Cardiovascular </span></span><span data-textwidth="109.58" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.27px;top:39.80px;">Imaging</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="582.46" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:74.36px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>President, Alliance of Clinician-Educators in </span></span><span data-textwidth="130.58" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.27px;top:103.17px;">Radiology</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="403.98" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:137.74px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Senior Faculty Advisor, A3CR2</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="637.90" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:172.31px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Chair, ABR Cardiac Core Examination Committee</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="545.61" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:206.87px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>ACGME Residency Review Committee for </span></span><span data-textwidth="130.58" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.27px;top:235.68px;">Radiology</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="619.90" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:270.25px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Deputy Editor, </span><span class="f1" style="font-style:italic; position:relative;bottom:3px;"> Journal of Magnetic Resonance </span></span><span data-textwidth="109.58" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:133%; left:42.27px;top:299.05px;">Imaging</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="649.30" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:333.62px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Deputy Editor, </span><span class="f1" style="font-style:italic; position:relative;bottom:3px;">Journal of Thoracic Imaging </span><span style="position:relative;bottom:3px;">(past)</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="584.73" class="sg nowrap f1" style="z-index:25;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.27px;top:368.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>RSNA: Research Scholar / Honored Educator</span></span></p></div></div></div>
<div class="sg" id="s385" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s385_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:612.56px;height:97.13px;"><div><p para="{al:2}"><span data-textwidth="319.97" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:146.45px;top:21.96px;">Chest Case #1</span></p></div></div></div> <div class="sg sgSubtitle" id="s386" data-sgid="Subtitle 1" style="z-index:2;left:155.45px;top:153.87px;width:408.65px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s386_t" class="sg" style="z-index:2;left:0.00px;top:-7.32px;width:408.65px;height:111.63px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="361.02" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:23.98px;top:15.05px;">57<span style="position:relative;bottom:4px;">-year-old female</span></span></p></div></div></div>
<div class="sg" id="s395" data-sgid="Straight Arrow Connector 5" style="z-index:4;left:242.42px;top:60.31px;width:65.36px;height:63.32px" data-pointer-events="none"> <img class="sg" src="74524D98.png" id="s395_i" style="z-index:1;left:0px;top:0px;width:65.36px;height:63.32px" > </div> <div class="sg" id="s396" data-sgid="Straight Arrow Connector 8" style="z-index:5;left:421.85px;top:65.36px;width:68.36px;height:63.43px" data-pointer-events="none"> <img class="sg" src="3DCCBBE5.png" id="s396_i" style="z-index:1;left:0px;top:0px;width:68.36px;height:63.43px" > </div> <div class="sg" id="s393" data-sgid="Straight Arrow Connector 2" style="z-index:2;left:386.34px;top:138.87px;width:54.46px;height:74.61px" data-pointer-events="none"> <img class="sg" src="3BDC1615.png" id="s393_i" style="z-index:1;left:0px;top:0px;width:54.46px;height:74.61px" > </div> <div class="sg" id="s394" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:284.27px;top:139.83px;width:54.43px;height:74.58px" data-pointer-events="none"> <img class="sg" src="C79A44BE.png" id="s394_i" style="z-index:1;left:0px;top:0px;width:54.43px;height:74.58px" > </div> <div class="sg" id="s392" data-sgid="Picture 3" style="z-index:1;left:161.45px;top:5.50px;width:391.97px;height:393.73px"> <img class="sg" src="E7130963.jpg" id="s392_i" title="" alt="2010-06-03 - CR-1 - 1.jpg" style="z-index:1;left:0px;top:0px;width:391.97px;height:393.73px" > </div>
<div class="sg" id="s397" data-sgid="Subtitle 1" style="z-index:1;left:23.51px;top:15.94px;width:108.80px;height:57.93px" data-valign="top"> <div id="s397_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:121.12px;height:85.76px;"><div><p para="{spbf:0.20}"><span data-textwidth="91.34" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">3 years</span></p><p para="{spbf:0.20}"><span data-textwidth="61.09" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:45.03px;">later</span></p></div></div></div> <div class="sg" id="s399" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:233.30px;top:133.84px;width:65.36px;height:63.32px" data-pointer-events="none"> <img class="sg" src="88DE1351.png" id="s399_i" style="z-index:1;left:0px;top:0px;width:65.36px;height:63.32px" > </div> <div class="sg" id="s400" data-sgid="Straight Arrow Connector 5" style="z-index:4;left:443.06px;top:133.84px;width:68.36px;height:63.43px" data-pointer-events="none"> <img class="sg" src="EDD67427.png" id="s400_i" style="z-index:1;left:0px;top:0px;width:68.36px;height:63.43px" > </div> <div class="sg" id="s398" data-sgid="Picture 3" style="z-index:2;left:137.46px;top:6.84px;width:442.33px;height:393.82px"> <img class="sg" src="A0C97AA3.jpg" id="s398_i" title="" alt="2013-05-30 - CR-0 - 1.jpg" style="z-index:1;left:0px;top:0px;width:442.33px;height:393.82px" > </div> <div class="sg" id="s401" data-sgid="Straight Arrow Connector 6" style="z-index:5;left:197.78px;top:226.89px;width:65.36px;height:63.32px" data-pointer-events="none"> <img class="sg" src="9DAC82AC.png" id="s401_i" style="z-index:1;left:0px;top:0px;width:65.36px;height:63.32px" > </div> <div class="sg" id="s402" data-sgid="Straight Arrow Connector 7" style="z-index:6;left:455.89px;top:238.78px;width:68.36px;height:63.43px" data-pointer-events="none"> <img class="sg" src="B4F6375C.png" id="s402_i" style="z-index:1;left:0px;top:0px;width:68.36px;height:63.43px" > </div>
<div class="sg" id="s403" data-sgid="Subtitle 1" style="z-index:1;left:23.51px;top:15.94px;width:108.80px;height:57.93px" data-valign="top"> <div id="s403_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:121.12px;height:85.76px;"><div><p para="{spbf:0.20}"><span data-textwidth="91.34" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">5 years</span></p><p para="{spbf:0.20}"><span data-textwidth="61.09" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:45.03px;">later</span></p></div></div></div> <div class="sg" id="s406" data-sgid="Straight Arrow Connector 6" style="z-index:4;left:424.97px;top:104.82px;width:68.36px;height:63.43px" data-pointer-events="none"> <img class="sg" src="25C2CDFC.png" id="s406_i" style="z-index:1;left:0px;top:0px;width:68.36px;height:63.43px" > </div> <div class="sg" id="s408" data-sgid="Straight Arrow Connector 8" style="z-index:6;left:242.42px;top:104.82px;width:65.36px;height:63.32px" data-pointer-events="none"> <img class="sg" src="2EA246CE.png" id="s408_i" style="z-index:1;left:0px;top:0px;width:65.36px;height:63.32px" > </div> <div class="sg" id="s409" data-sgid="Straight Arrow Connector 9" style="z-index:7;left:429.75px;top:153.73px;width:68.36px;height:63.57px" data-pointer-events="none"> <img class="sg" src="757B86E8.png" id="s409_i" style="z-index:1;left:0px;top:0px;width:68.36px;height:63.57px" > </div> <div class="sg" id="s404" data-sgid="Picture 4" style="z-index:2;left:125.46px;top:6.84px;width:463.93px;height:393.82px"> <img class="sg" src="F0B5C569.jpg" id="s404_i" title="" alt="2014-06-26 - DX-34186 - 1.jpg" style="z-index:1;left:0px;top:0px;width:463.93px;height:393.82px" > </div> <div class="sg" id="s405" data-sgid="Straight Arrow Connector 5" style="z-index:3;left:206.90px;top:203.52px;width:65.36px;height:63.32px" data-pointer-events="none"> <img class="sg" src="8FAE898.png" id="s405_i" style="z-index:1;left:0px;top:0px;width:65.36px;height:63.32px" > </div> <div class="sg" id="s410" data-sgid="Straight Arrow Connector 10" style="z-index:8;left:439.58px;top:234.92px;width:68.25px;height:63.57px" data-pointer-events="none"> <img class="sg" src="8D75EEBE.png" id="s410_i" style="z-index:1;left:0px;top:0px;width:68.25px;height:63.57px" > </div> <div class="sg" id="s407" data-sgid="Straight Arrow Connector 7" style="z-index:5;left:206.90px;top:268.51px;width:65.36px;height:63.32px" data-pointer-events="none"> <img class="sg" src="8B77BE41.png" id="s407_i" style="z-index:1;left:0px;top:0px;width:65.36px;height:63.32px" > </div>
<div class="sg" id="s411" data-sgid="Picture 3" style="z-index:1;left:161.45px;top:5.50px;width:391.97px;height:393.73px"> <img class="sg" src="B9385116.jpg" id="s411_i" title="" alt="2010-06-03 - CR-1 - 1.jpg" style="z-index:1;left:0px;top:0px;width:391.97px;height:393.73px" > </div>
<div class="sg" id="s412" data-sgid="Subtitle 1" style="z-index:1;left:23.51px;top:15.94px;width:108.80px;height:57.93px" data-valign="top"> <div id="s412_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:121.12px;height:85.76px;"><div><p para="{spbf:0.20}"><span data-textwidth="91.34" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">3 years</span></p><p para="{spbf:0.20}"><span data-textwidth="61.09" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:45.03px;">later</span></p></div></div></div> <div class="sg" id="s413" data-sgid="Picture 3" style="z-index:2;left:137.46px;top:6.84px;width:442.33px;height:393.82px"> <img class="sg" src="A0C97AA3.jpg" id="s413_i" title="" alt="2013-05-30 - CR-0 - 1.jpg" style="z-index:1;left:0px;top:0px;width:442.33px;height:393.82px" > </div>
<div class="sg" id="s414" data-sgid="Subtitle 1" style="z-index:1;left:23.51px;top:15.94px;width:108.80px;height:57.93px" data-valign="top"> <div id="s414_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:121.12px;height:85.76px;"><div><p para="{spbf:0.20}"><span data-textwidth="91.34" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">5 years</span></p><p para="{spbf:0.20}"><span data-textwidth="61.09" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:45.03px;">later</span></p></div></div></div> <div class="sg" id="s415" data-sgid="Picture 4" style="z-index:2;left:125.46px;top:6.84px;width:463.93px;height:393.82px"> <img class="sg" src="F0B5C569.jpg" id="s415_i" title="" alt="2014-06-26 - DX-34186 - 1.jpg" style="z-index:1;left:0px;top:0px;width:463.93px;height:393.82px" > </div>
<div class="sg" id="s417" data-sgid="Subtitle 1" style="z-index:2;left:23.51px;top:15.94px;width:454.70px;height:114.89px" data-valign="top"> <div id="s417_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:462.01px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="394.63" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">CT: 5 years after 1st radiograph</span></p></div></div></div> <div class="sg" id="s419" data-sgid="Straight Arrow Connector 8" style="z-index:4;left:164.79px;top:91.97px;width:71.73px;height:67.29px" data-pointer-events="none"> <img class="sg" src="718F4071.png" id="s419_i" style="z-index:1;left:0px;top:0px;width:71.73px;height:67.29px" > </div> <div class="sg" id="s420" data-sgid="Straight Arrow Connector 9" style="z-index:5;left:130.98px;top:163.46px;width:71.48px;height:61.50px" data-pointer-events="none"> <img class="sg" src="9F28603A.png" id="s420_i" style="z-index:1;left:0px;top:0px;width:71.48px;height:61.50px" > </div> <div class="sg" id="s416" data-sgid="Picture 3" style="z-index:1;left:65.48px;top:87.91px;width:582.56px;height:247.74px"> <img class="sg" src="F26BA877.jpg" id="s416_i" title="" alt="ROUTINE CHEST NON-CON1.jpg" style="z-index:1;left:0px;top:0px;width:582.56px;height:247.74px" > </div> <div class="sg" id="s418" data-sgid="Straight Arrow Connector 5" style="z-index:3;left:573.19px;top:179.89px;width:65.39px;height:63.32px" data-pointer-events="none"> <img class="sg" src="EE7CC24F.png" id="s418_i" style="z-index:1;left:0px;top:0px;width:65.39px;height:63.32px" > </div>
<div class="sg" id="s422" data-sgid="Subtitle 1" style="z-index:2;left:23.51px;top:15.94px;width:454.70px;height:114.89px" data-valign="top"> <div id="s422_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:462.01px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="394.63" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">CT: 5 years after 1st radiograph</span></p></div></div></div> <div class="sg" id="s423" data-sgid="Straight Arrow Connector 6" style="z-index:3;left:186.88px;top:88.03px;width:58.76px;height:72.31px" data-pointer-events="none"> <img class="sg" src="73B562D5.png" id="s423_i" style="z-index:1;left:0px;top:0px;width:58.76px;height:72.31px" > </div> <div class="sg" id="s424" data-sgid="Straight Arrow Connector 7" style="z-index:4;left:473.42px;top:103.12px;width:65.36px;height:63.46px" data-pointer-events="none"> <img class="sg" src="B68CEC35.png" id="s424_i" style="z-index:1;left:0px;top:0px;width:65.36px;height:63.46px" > </div> <div class="sg" id="s421" data-sgid="Picture 3" style="z-index:1;left:95.47px;top:58.64px;width:526.66px;height:288.65px"> <img class="sg" src="B57C32E1.jpg" id="s421_i" title="" alt="ROUTINE CHEST NON-CON2.jpg" style="z-index:1;left:0px;top:0px;width:526.66px;height:288.65px" > </div>
<div class="sg" id="s426" data-sgid="Subtitle 1" style="z-index:2;left:23.51px;top:15.94px;width:454.70px;height:114.89px" data-valign="top"> <div id="s426_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:462.01px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="394.63" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">CT: 5 years after 1st radiograph</span></p></div></div></div> <div class="sg" id="s425" data-sgid="Picture 3" style="z-index:1;left:99.80px;top:57.93px;width:518.25px;height:288.77px"> <img class="sg" src="291A6C9C.jpg" id="s425_i" title="" alt="ROUTINE CHEST NON-CON3.jpg" style="z-index:1;left:0px;top:0px;width:518.25px;height:288.77px" > </div>
<div class="sg" id="s428" data-sgid="Subtitle 1" style="z-index:2;left:23.51px;top:15.94px;width:454.70px;height:114.89px" data-valign="top"> <div id="s428_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:462.01px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="394.63" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">CT: 5 years after 1st radiograph</span></p></div></div></div> <div class="sg" id="s429" data-sgid="Straight Arrow Connector 11" style="z-index:3;left:560.73px;top:132.14px;width:67.77px;height:70.41px" data-pointer-events="none"> <img class="sg" src="A035A3C3.png" id="s429_i" style="z-index:1;left:0px;top:0px;width:67.77px;height:70.41px" > </div> <div class="sg" id="s427" data-sgid="Picture 3" style="z-index:1;left:65.48px;top:87.91px;width:582.56px;height:247.74px"> <img class="sg" src="F26BA877.jpg" id="s427_i" title="" alt="ROUTINE CHEST NON-CON1.jpg" style="z-index:1;left:0px;top:0px;width:582.56px;height:247.74px" > </div>
<div class="sg" id="s431" data-sgid="Subtitle 1" style="z-index:2;left:23.51px;top:15.94px;width:454.70px;height:114.89px" data-valign="top"> <div id="s431_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:462.01px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="394.63" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">CT: 5 years after 1st radiograph</span></p></div></div></div> <div class="sg" id="s432" data-sgid="Straight Arrow Connector 9" style="z-index:3;left:415.48px;top:81.67px;width:65.73px;height:64.77px" data-pointer-events="none"> <img class="sg" src="176F7D94.png" id="s432_i" style="z-index:1;left:0px;top:0px;width:65.73px;height:64.77px" > </div> <div class="sg" id="s430" data-sgid="Picture 3" style="z-index:1;left:95.47px;top:58.64px;width:526.66px;height:288.65px"> <img class="sg" src="B57C32E1.jpg" id="s430_i" title="" alt="ROUTINE CHEST NON-CON2.jpg" style="z-index:1;left:0px;top:0px;width:526.66px;height:288.65px" > </div>
<div class="sg" id="s434" data-sgid="Subtitle 1" style="z-index:2;left:23.51px;top:15.94px;width:454.70px;height:114.89px" data-valign="top"> <div id="s434_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:462.01px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="394.63" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">CT: 5 years after 1st radiograph</span></p></div></div></div> <div class="sg" id="s435" data-sgid="Straight Arrow Connector 5" style="z-index:3;left:274.56px;top:53.73px;width:72.19px;height:59.72px" data-pointer-events="none"> <img class="sg" src="22177239.png" id="s435_i" style="z-index:1;left:0px;top:0px;width:72.19px;height:59.72px" > </div> <div class="sg" id="s433" data-sgid="Picture 3" style="z-index:1;left:99.80px;top:57.93px;width:518.25px;height:288.77px"> <img class="sg" src="291A6C9C.jpg" id="s433_i" title="" alt="ROUTINE CHEST NON-CON3.jpg" style="z-index:1;left:0px;top:0px;width:518.25px;height:288.77px" > </div>
<div class="sg" id="s439" data-sgid="TextBox 1" style="z-index:4;left:10.08px;top:35.15px;width:15.46px;height:24.45px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s440" data-sgid="Subtitle 1 (2)" style="z-index:5;left:23.51px;top:15.94px;width:454.70px;height:114.89px" data-valign="top"> <div id="s440_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:462.01px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="394.63" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">CT: 5 years after 1st radiograph</span></p></div></div></div> <div class="sg" id="s441" data-sgid="Straight Arrow Connector 8" style="z-index:6;left:449.07px;top:84.91px;width:65.36px;height:63.43px" data-pointer-events="none"> <img class="sg" src="55F39F45.png" id="s441_i" style="z-index:1;left:0px;top:0px;width:65.36px;height:63.43px" > </div> <div class="sg" id="s442" data-sgid="Straight Arrow Connector 10" style="z-index:7;left:221.66px;top:97.13px;width:71.48px;height:61.65px" data-pointer-events="none"> <img class="sg" src="6D9A5C90.png" id="s442_i" style="z-index:1;left:0px;top:0px;width:71.48px;height:61.65px" > </div> <div class="sg" id="s443" data-sgid="Straight Arrow Connector 11" style="z-index:8;left:479.76px;top:139.12px;width:71.62px;height:61.62px" data-pointer-events="none"> <img class="sg" src="34C4FA2F.png" id="s443_i" style="z-index:1;left:0px;top:0px;width:71.62px;height:61.62px" > </div> <div class="sg" id="s438" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:418.71px;top:169.93px;width:54.46px;height:74.58px" data-pointer-events="none"> <img class="sg" src="F1B6E5AA.png" id="s438_i" style="z-index:1;left:0px;top:0px;width:54.46px;height:74.58px" > </div> <div class="sg" id="s436" data-sgid="Picture 3" style="z-index:1;left:130.72px;top:51.69px;width:463.34px;height:343.83px"> <img class="sg" src="6C790A33.jpg" id="s436_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:463.34px;height:343.83px" > </div> <div class="sg" id="s437" data-sgid="Subtitle 1" style="z-index:2;left:290.50px;top:355.94px;width:154.23px;height:43.29px" data-valign="top"> <div id="s437_t" class="sg" style="z-index:2;left:0.00px;top:-3.60px;width:154.23px;height:51.21px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="100.46" class="sg nowrap f1" style="z-index:2;font-weight:bold; font-size:133%; left:27.19px;top:10.62px;">Coronal</span></p></div></div></div>
<div class="sg sgTitle" id="s444" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s444_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="519.09" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:64.95px;top:18.09px;">Findings: Radiographs</span></p></div></div></div> <div class="sg" id="s445" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:81.90px;width:648.52px;height:192.85px" data-valign="top" data-pointer-events="none"> <div id="s445_t" class="sg" style="z-index:2;left:-9.85px;top:-4.79px;width:658.38px;height:197.65px;"><div><p para="{bl:{ch:8226},spbf:3.00}"><span data-textwidth="532.28" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:144%; left:17.55px;top:11.59px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.88px"> </span>Reticulation: peripheral / upper lung </span></span><span data-textwidth="201.63" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:144%; left:44.55px;top:43.16px;">predominance</span></p><p para="{bl:{ch:8226},spbf:3.00}"><span data-textwidth="253.83" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:77.60px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Hilar retraction</span></span></p><p para="{bl:{ch:8226},spbf:3.00}"><span data-textwidth="589.77" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:114.21px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Outward to inward progression over 5 </span></span><span data-textwidth="83.41" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:147.82px;">years</span></p></div></div></div> <div class="sg" id="s446" data-sgid="Picture 6" style="z-index:3;left:0.00px;top:189.73px;width:216.25px;height:197.62px"> <img class="sg" src="AEC73A71.jpg" id="s446_i" title="" alt="2010-06-03 - CR-1 - 1.jpg" style="z-index:1;left:0px;top:0px;width:216.25px;height:197.62px" > </div> <div class="sg" id="s447" data-sgid="Picture 7" style="z-index:4;left:219.73px;top:189.73px;width:243.61px;height:197.62px"> <img class="sg" src="BA4386DB.jpg" id="s447_i" title="" alt="2013-05-30 - CR-0 - 1.jpg" style="z-index:1;left:0px;top:0px;width:243.61px;height:197.62px" > </div> <div class="sg" id="s448" data-sgid="Picture 8" style="z-index:5;left:467.30px;top:189.73px;width:251.99px;height:197.62px"> <img class="sg" src="74762629.jpg" id="s448_i" title="" alt="2014-06-26 - DX-34186 - 1.jpg" style="z-index:1;left:0px;top:0px;width:251.99px;height:197.62px" > </div>
<div class="sg sgTitle" id="s449" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s449_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="280.85" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:184.01px;top:18.09px;">Findings: CT</span></p></div></div></div> <div class="sg" id="s450" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:81.90px;width:648.52px;height:180.85px" data-valign="top" data-pointer-events="none"> <div id="s450_t" class="sg" style="z-index:2;left:-9.85px;top:-5.39px;width:658.38px;height:186.24px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="501.08" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Fibrosis: peripheral / upper lung </span></span><span data-textwidth="214.84" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:45.80px;">predominance</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="250.60" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:86.13px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Honeycombing</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="310.73" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:126.45px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>No cysts or nodules</span></span></p></div></div></div> <div class="sg" id="s451" data-sgid="Picture 3" style="z-index:3;left:365.58px;top:160.45px;width:328.17px;height:231.94px"> <img class="sg" src="877DE7FC.jpg" id="s451_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:328.17px;height:231.94px" > </div> <div class="sg" id="s452" data-sgid="Picture 5" style="z-index:4;left:47.27px;top:202.07px;width:320.72px;height:185.65px"> <img class="sg" src="BDD838B8.jpg" id="s452_i" title="" alt="ROUTINE CHEST NON-CON2.jpg" style="z-index:1;left:0px;top:0px;width:320.72px;height:185.65px" > </div>
<div class="sg sgTitle" id="s453" data-sgid="Title 1" style="z-index:1;left:35.51px;top:0.48px;width:648.52px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s453_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:148.57px;"><div><p para="{al:2}"><span data-textwidth="515.13" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:66.87px;top:20.48px;">Differential Diagnosis:</span><span data-textwidth="438.07" class="sg nowrap f1" style="z-index:3;color:#F2FF86;font-weight:bold; font-size:244%; left:105.39px;top:73.30px;">Peripheral Fibrosis</span></p></div></div></div> <div class="sg" id="s455" data-sgid="Picture 3" style="z-index:3;left:488.40px;top:115.23px;width:228.62px;height:169.82px"> <img class="sg" src="881616FB.jpg" id="s455_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:228.62px;height:169.82px" > </div> <div class="sg" id="s454" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:121.73px;width:648.52px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s454_t" class="sg" style="z-index:2;left:-12.37px;top:-6.84px;width:660.90px;height:282.30px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="511.28" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.42px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Usual interstitial pneumonia</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="466.64" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:58.55px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Idiopathic pulmonary fibrosis</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="181.24" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:98.88px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Asbestosis</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="328.14" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:139.21px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Drug-related fibrosis</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="609.82" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:181.49px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Nonspecific interstitial pneumonia</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="604.30" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:227.59px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Pleuroparenchymal fibroelastosis</span></span></p></div></div></div>
<div class="sg sgTitle" id="s456" data-sgid="Title 1" style="z-index:1;left:35.51px;top:0.48px;width:648.52px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s456_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:148.57px;"><div><p para="{al:2}"><span data-textwidth="515.13" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:66.87px;top:20.48px;">Differential Diagnosis:</span><span data-textwidth="438.07" class="sg nowrap f1" style="z-index:3;color:#F2FF86;font-weight:bold; font-size:244%; left:105.39px;top:73.30px;">Peripheral Fibrosis</span></p></div></div></div> <div class="sg" id="s457" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:123.89px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s457_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:458.70px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="511.28" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.43px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Usual interstitial pneumonia</span></span></p><p para="{in:2,bl:{ch:8211}}"><span data-textwidth="466.64" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:55.83px;top:51.84px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Idiopathic pulmonary fibrosis</span></span></p><p para="{in:2,bl:{ch:8211}}"><span data-textwidth="181.24" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:55.83px;top:85.44px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Asbestosis</span></span></p><p para="{in:2,bl:{ch:8211}}"><span data-textwidth="328.14" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:55.83px;top:119.05px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Drug-related fibrosis</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="172.47" class="sg nowrap f1" style="z-index:12;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:159.38px;">P<span style="position:relative;bottom:3px;">rogressive</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="223.72" class="sg nowrap f1" style="z-index:14;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:199.71px;">Honeycombing</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="393.79" class="sg nowrap f1" style="z-index:15;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:240.52px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Lower lung predominant</span></span></p><p></p><p para="{in:2}"><span data-textwidth="78.37" class="sg nowrap f1" style="z-index:17;color:#FFFF00;font-weight:bold; font-size:156%; left:506.15px;top:310.13px;">(<span style="position:relative;bottom:3px;">mid-</span></span><span data-textwidth="93.26" class="sg nowrap f1" style="z-index:20;color:#FFFF00;font-weight:bold; font-size:156%; left:506.15px;top:343.74px;">upper </span><span data-textwidth="129.38" class="sg nowrap f1" style="z-index:21;color:#FFFF00;font-weight:bold; font-size:156%; left:506.15px;top:377.35px;">uncomm</span><span data-textwidth="47.53" class="sg nowrap f1" style="z-index:22;color:#FFFF00;font-weight:bold; font-size:156%; left:506.15px;top:410.96px;">on)</span></p></div></div></div> <div class="sg" id="s458" data-sgid="Picture 3" style="z-index:3;left:455.41px;top:162.38px;width:264.59px;height:218.87px"> <img class="sg" src="63F00916.jpg" id="s458_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:264.59px;height:218.87px" > </div> <div class="sg" id="s459" data-sgid="Group 15" style="z-index:4;left:69.70px;top:274.23px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s461" data-sgid="Straight Connector 12" style="z-index:2;left:10.05px;top:-2.85px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="9E5FDEB9.png" id="s461_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s462" data-sgid="Straight Connector 10" style="z-index:1;left:-1.82px;top:12.75px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="4C723693.png" id="s462_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s460" data-sgid="Group 19" style="z-index:7;left:70.37px;top:312.77px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s463" data-sgid="Straight Connector 21" style="z-index:2;left:10.00px;top:-3.01px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="4ACA656F.png" id="s463_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s464" data-sgid="Straight Connector 20" style="z-index:1;left:-1.89px;top:12.71px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="2591FBF4.png" id="s464_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div>
<div class="sg sgTitle" id="s465" data-sgid="Title 1" style="z-index:1;left:35.51px;top:0.48px;width:648.52px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s465_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:148.57px;"><div><p para="{al:2}"><span data-textwidth="515.13" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:66.87px;top:20.48px;">Differential Diagnosis:</span><span data-textwidth="438.07" class="sg nowrap f1" style="z-index:3;color:#F2FF86;font-weight:bold; font-size:244%; left:105.39px;top:73.30px;">Peripheral Fibrosis</span></p></div></div></div> <div class="sg" id="s466" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:123.89px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s466_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:280.62px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="609.82" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.43px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Nonspecific interstitial pneumonia</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="407.83" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:58.56px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Collagen vascular disease</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="448.52" class="sg nowrap f1" style="z-index:6;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:99.37px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Stable or slowly progressive</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="295.85" class="sg nowrap f1" style="z-index:8;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:142.58px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">No honeycombing</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="393.79" class="sg nowrap f1" style="z-index:10;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:185.79px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Lower lung predominant</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="313.86" class="sg nowrap f1" style="z-index:12;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:229.00px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Subpleural sparing</span></span></p></div></div></div> <div class="sg" id="s467" data-sgid="Picture 11" style="z-index:3;left:455.41px;top:162.38px;width:264.59px;height:218.87px"> <img class="sg" src="63F00916.jpg" id="s467_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:264.59px;height:218.87px" > </div>
<div class="sg sgTitle" id="s468" data-sgid="Title 1" style="z-index:1;left:35.51px;top:0.48px;width:648.52px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s468_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:148.57px;"><div><p para="{al:2}"><span data-textwidth="515.13" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:66.87px;top:20.48px;">Differential Diagnosis:</span><span data-textwidth="438.07" class="sg nowrap f1" style="z-index:3;color:#F2FF86;font-weight:bold; font-size:244%; left:105.39px;top:73.30px;">Peripheral Fibrosis</span></p></div></div></div> <div class="sg" id="s471" data-sgid="Group 4" style="z-index:4;left:70.60px;top:175.75px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s475" data-sgid="Straight Connector 6" style="z-index:2;left:10.00px;top:-2.81px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="6F5F5341.png" id="s475_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s476" data-sgid="Straight Connector 5" style="z-index:1;left:-1.87px;top:12.76px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="369677EE.png" id="s476_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s472" data-sgid="Group 9" style="z-index:7;left:69.70px;top:215.14px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s477" data-sgid="Straight Connector 12" style="z-index:2;left:10.05px;top:-2.88px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="DD19E88E.png" id="s477_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s478" data-sgid="Straight Connector 10" style="z-index:1;left:-1.82px;top:12.72px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="B24C96B7.png" id="s478_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s469" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:123.89px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s469_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:274.75px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="610.78" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.43px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Pleuroparenchymal Fibroelastosis</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="172.47" class="sg nowrap f1" style="z-index:5;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:58.56px;">P<span style="position:relative;bottom:3px;">rogressive</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="223.72" class="sg nowrap f1" style="z-index:7;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:98.89px;">Honeycombing</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="362.10" class="sg nowrap f1" style="z-index:8;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:139.22px;">Upper lung predominant</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="294.17" class="sg nowrap f1" style="z-index:9;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:179.55px;">Inward progression</span></p></div></div></div> <div class="sg" id="s473" data-sgid="Group 13" style="z-index:10;left:69.70px;top:256.05px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s479" data-sgid="Straight Connector 15" style="z-index:2;left:10.05px;top:-3.00px;width:18.35px;height:29.96px" data-pointer-events="none"> <img class="sg" src="ADC9C304.png" id="s479_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.96px" > </div> <div class="sg" id="s480" data-sgid="Straight Connector 14" style="z-index:1;left:-1.82px;top:12.69px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="8740FA7E.png" id="s480_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s470" data-sgid="Picture 11" style="z-index:3;left:455.41px;top:162.38px;width:264.59px;height:218.87px"> <img class="sg" src="63F00916.jpg" id="s470_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:264.59px;height:218.87px" > </div> <div class="sg" id="s474" data-sgid="Group 19" style="z-index:13;left:70.37px;top:294.59px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s481" data-sgid="Straight Connector 21" style="z-index:2;left:10.00px;top:-2.93px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="4BADCD4C.png" id="s481_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s482" data-sgid="Straight Connector 20" style="z-index:1;left:-1.89px;top:12.79px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="FEA4A9D1.png" id="s482_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div>
<div class="sg sgTitle" id="s483" data-sgid="Title 1" style="z-index:1;left:35.51px;top:0.48px;width:648.52px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s483_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:148.57px;"><div><p para="{al:2}"><span data-textwidth="515.13" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:66.87px;top:20.48px;">Differential Diagnosis:</span><span data-textwidth="456.68" class="sg nowrap f1" style="z-index:3;color:#F2FF86;font-weight:bold; font-size:244%; left:96.15px;top:73.30px;">Upper Lung Fibrosis</span></p></div></div></div> <div class="sg" id="s485" data-sgid="Picture 4" style="z-index:3;left:570.08px;top:115.23px;width:146.95px;height:109.25px"> <img class="sg" src="F0D305D.png" id="s485_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:146.95px;height:109.25px" > </div> <div class="sg" id="s484" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:116.31px;width:648.52px;height:267.91px" data-valign="top" data-pointer-events="none"> <div id="s484_t" class="sg" style="z-index:2;left:-12.37px;top:-6.69px;width:669.17px;height:283.60px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="222.99" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.41px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Sarcoidosis</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="402.42" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:60.50px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>*Drug-related fibrosis*</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="447.67" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:106.59px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Chronic hypersensitivity </span></span><span data-textwidth="213.16" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:145.00px;">pneumonitis</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="629.74" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:191.09px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Pleuroparenchymal fibroelastosis / </span></span><span data-textwidth="68.89" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:229.49px;">RAS</span></p></div></div></div>
<div class="sg sgTitle" id="s486" data-sgid="Title 1" style="z-index:1;left:35.51px;top:0.48px;width:648.52px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s486_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:148.57px;"><div><p para="{al:2}"><span data-textwidth="515.13" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:66.87px;top:20.48px;">Differential Diagnosis:</span><span data-textwidth="456.68" class="sg nowrap f1" style="z-index:3;color:#F2FF86;font-weight:bold; font-size:244%; left:96.15px;top:73.30px;">Upper Lung Fibrosis</span></p></div></div></div> <div class="sg" id="s489" data-sgid="Group 4" style="z-index:4;left:70.60px;top:175.75px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s491" data-sgid="Straight Connector 6" style="z-index:2;left:10.00px;top:-2.81px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="6F5F5341.png" id="s491_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s492" data-sgid="Straight Connector 5" style="z-index:1;left:-1.87px;top:12.76px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="369677EE.png" id="s492_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s490" data-sgid="Group 9" style="z-index:7;left:69.70px;top:215.14px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s493" data-sgid="Straight Connector 12" style="z-index:2;left:10.05px;top:-2.88px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="DD19E88E.png" id="s493_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s494" data-sgid="Straight Connector 10" style="z-index:1;left:-1.82px;top:12.72px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="B24C96B7.png" id="s494_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s487" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:123.89px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s487_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:277.73px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="222.99" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.43px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Sarcoidosis</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="278.33" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:58.56px;">Can be progressive</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="223.72" class="sg nowrap f1" style="z-index:5;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:98.89px;">Honeycombing</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="319.50" class="sg nowrap f1" style="z-index:6;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:139.70px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Central distribution</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="150.03" class="sg nowrap f1" style="z-index:8;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:182.91px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Nodules</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="356.94" class="sg nowrap f1" style="z-index:10;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:226.12px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Conglomerate masses</span></span></p></div></div></div> <div class="sg" id="s488" data-sgid="Picture 11" style="z-index:3;left:455.41px;top:162.38px;width:264.59px;height:218.87px"> <img class="sg" src="63F00916.jpg" id="s488_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:264.59px;height:218.87px" > </div>
<div class="sg sgTitle" id="s495" data-sgid="Title 1" style="z-index:1;left:35.51px;top:0.48px;width:648.52px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s495_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:148.57px;"><div><p para="{al:2}"><span data-textwidth="515.13" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:66.87px;top:20.48px;">Differential Diagnosis:</span><span data-textwidth="456.68" class="sg nowrap f1" style="z-index:3;color:#F2FF86;font-weight:bold; font-size:244%; left:96.15px;top:73.30px;">Upper Lung Fibrosis</span></p></div></div></div> <div class="sg" id="s498" data-sgid="Group 9" style="z-index:4;left:45.88px;top:177.23px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s500" data-sgid="Straight Connector 12" style="z-index:2;left:10.02px;top:-2.88px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="A0B32970.png" id="s500_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s501" data-sgid="Straight Connector 10" style="z-index:1;left:-1.87px;top:12.73px;width:18.35px;height:15.72px" data-pointer-events="none"> <img class="sg" src="E687DEB2.png" id="s501_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.72px" > </div> </div> <div class="sg" id="s499" data-sgid="Group 13" style="z-index:7;left:47.94px;top:215.81px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s502" data-sgid="Straight Connector 15" style="z-index:2;left:10.00px;top:-2.96px;width:18.46px;height:29.99px" data-pointer-events="none"> <img class="sg" src="712E15AD.png" id="s502_i" style="z-index:1;left:0px;top:0px;width:17.46px;height:29.99px" > </div> <div class="sg" id="s503" data-sgid="Straight Connector 14" style="z-index:1;left:-1.89px;top:12.64px;width:18.49px;height:15.60px" data-pointer-events="none"> <img class="sg" src="149885CF.png" id="s503_i" style="z-index:1;left:0px;top:0px;width:18.49px;height:14.60px" > </div> </div> <div class="sg" id="s496" data-sgid="Content Placeholder 2" style="z-index:2;left:11.75px;top:123.89px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s496_t" class="sg" style="z-index:2;left:-12.34px;top:-6.73px;width:660.87px;height:319.01px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="447.68" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.03px;top:14.43px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.53px"> </span>Chronic hypersensitivity </span></span><span data-textwidth="213.16" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.04px;top:52.84px;">pneumonitis</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="314.33" class="sg nowrap f1" style="z-index:5;color:#FFFF00;font-weight:bold; font-size:156%; left:74.76px;top:99.37px;">Mid lung distribution</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="415.63" class="sg nowrap f1" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:156%; left:97.93px;top:140.18px;">Costophrenic<span style="position:relative;bottom:3px;"> sulcus sparing</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="341.45" class="sg nowrap f1" style="z-index:8;color:#FF0000;font-weight:bold; font-size:167%; left:55.92px;top:180.99px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Ground glass opacity</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="457.28" class="sg nowrap f1" style="z-index:10;color:#FF0000;font-weight:bold; font-size:167%; left:55.92px;top:224.20px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Mosaic perfusion/</span><span class="f1" style="font-size:83%; color:#FFFF00;position:relative;bottom:4px;">air trapping</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="309.29" class="sg nowrap f1" style="z-index:13;color:#FF0000;font-weight:bold; font-size:167%; left:55.92px;top:267.40px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">“Head cheese” sign</span></span></p></div></div></div> <div class="sg" id="s497" data-sgid="Picture 11" style="z-index:3;left:455.41px;top:162.38px;width:264.59px;height:218.87px"> <img class="sg" src="63F00916.jpg" id="s497_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:264.59px;height:218.87px" > </div>
<div class="sg sgTitle" id="s504" data-sgid="Title 1" style="z-index:1;left:35.51px;top:0.48px;width:648.52px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s504_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:148.57px;"><div><p para="{al:2}"><span data-textwidth="515.13" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:66.87px;top:20.48px;">Differential Diagnosis:</span><span data-textwidth="456.68" class="sg nowrap f1" style="z-index:3;color:#F2FF86;font-weight:bold; font-size:244%; left:96.15px;top:73.30px;">Upper Lung Fibrosis</span></p></div></div></div> <div class="sg" id="s507" data-sgid="Group 9" style="z-index:4;left:70.36px;top:176.51px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s509" data-sgid="Straight Connector 12" style="z-index:2;left:10.01px;top:-2.86px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="4E56FE48.png" id="s509_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s510" data-sgid="Straight Connector 10" style="z-index:1;left:-1.88px;top:12.74px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="537FEAB0.png" id="s510_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s508" data-sgid="Group 13" style="z-index:7;left:70.26px;top:215.81px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s511" data-sgid="Straight Connector 15" style="z-index:2;left:9.97px;top:-2.96px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="6D8B140E.png" id="s511_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s512" data-sgid="Straight Connector 14" style="z-index:1;left:-1.90px;top:12.64px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="8C34E8D.png" id="s512_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s505" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:123.89px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s505_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:274.75px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="402.42" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.43px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>*Drug-related fibrosis*</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="309.05" class="sg nowrap f1" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:156%; left:74.68px;top:60.96px;">Variable distribution</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="223.72" class="sg nowrap f1" style="z-index:7;color:#FFFF00;font-weight:bold; font-size:156%; left:97.96px;top:101.77px;">Honeycombing</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="437.60" class="sg nowrap f1" style="z-index:8;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:142.58px;">X <span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;">Progression less likely after</span></span></p><p para="{in:2}"><span data-textwidth="231.27" class="sg nowrap f1" style="z-index:10;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:178.59px;">initial<span style="position:relative;bottom:3px;"> exposure</span></span></p><p para="{in:2}"><span data-textwidth="370.51" class="sg nowrap f1" style="z-index:12;color:#FF0000;font-weight:bold; font-size:150%; left:55.95px;top:213.15px;">X <span class="f1" style="font-size:104%; color:#FFFF00;position:relative;bottom:3px;">Progression not inward</span></span></p></div></div></div> <div class="sg" id="s506" data-sgid="Picture 11" style="z-index:3;left:455.41px;top:162.38px;width:264.59px;height:218.87px"> <img class="sg" src="63F00916.jpg" id="s506_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:264.59px;height:218.87px" > </div>
<div class="sg sgTitle" id="s513" data-sgid="Title 1" style="z-index:1;left:35.51px;top:0.48px;width:648.52px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s513_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:648.52px;height:148.57px;"><div><p para="{al:2}"><span data-textwidth="515.13" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:66.87px;top:20.48px;">Differential Diagnosis:</span><span data-textwidth="456.68" class="sg nowrap f1" style="z-index:3;color:#F2FF86;font-weight:bold; font-size:244%; left:96.15px;top:73.30px;">Upper Lung Fibrosis</span></p></div></div></div> <div class="sg" id="s517" data-sgid="Group 9" style="z-index:7;left:70.36px;top:175.66px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s522" data-sgid="Straight Connector 12" style="z-index:2;left:10.01px;top:-2.84px;width:18.35px;height:29.96px" data-pointer-events="none"> <img class="sg" src="55416ED0.png" id="s522_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.96px" > </div> <div class="sg" id="s523" data-sgid="Straight Connector 10" style="z-index:1;left:-1.88px;top:12.74px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="366CEDFD.png" id="s523_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s518" data-sgid="Group 13" style="z-index:10;left:69.26px;top:212.69px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s524" data-sgid="Straight Connector 15" style="z-index:2;left:9.89px;top:-2.93px;width:18.49px;height:29.96px" data-pointer-events="none"> <img class="sg" src="629DE910.png" id="s524_i" style="z-index:1;left:0px;top:0px;width:17.49px;height:29.96px" > </div> <div class="sg" id="s525" data-sgid="Straight Connector 14" style="z-index:1;left:-1.97px;top:12.64px;width:18.46px;height:15.60px" data-pointer-events="none"> <img class="sg" src="5566F35C.png" id="s525_i" style="z-index:1;left:0px;top:0px;width:18.46px;height:14.60px" > </div> </div> <div class="sg" id="s514" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:123.89px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s514_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:274.75px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="610.78" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.43px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Pleuroparenchymal Fibroelastosis</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="172.59" class="sg nowrap f1" style="z-index:5;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:58.56px;">Progressive</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="223.72" class="sg nowrap f1" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:98.89px;">Honeycombing</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="356.10" class="sg nowrap f1" style="z-index:7;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:139.22px;">Peripheral predominant</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="294.17" class="sg nowrap f1" style="z-index:8;color:#FFFF00;font-weight:bold; font-size:156%; left:79.60px;top:179.55px;">Inward progression</span></p></div></div></div> <div class="sg" id="s519" data-sgid="Group 16" style="z-index:13;left:68.17px;top:254.26px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s526" data-sgid="Straight Connector 18" style="z-index:2;left:9.91px;top:-2.91px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="A8EFBF0.png" id="s526_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s527" data-sgid="Straight Connector 17" style="z-index:1;left:-1.96px;top:12.69px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="B4514CA8.png" id="s527_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s515" data-sgid="Picture 11" style="z-index:3;left:455.41px;top:162.38px;width:264.59px;height:218.87px"> <img class="sg" src="63F00916.jpg" id="s515_i" title="" alt="2014-05-01 - CT-250 - 3.jpg" style="z-index:1;left:0px;top:0px;width:264.59px;height:218.87px" > </div> <div class="sg" id="s516" data-sgid="Group 4" style="z-index:4;left:69.84px;top:295.44px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s520" data-sgid="Straight Connector 6" style="z-index:2;left:10.05px;top:-2.82px;width:18.35px;height:29.96px" data-pointer-events="none"> <img class="sg" src="F983C397.png" id="s520_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.96px" > </div> <div class="sg" id="s521" data-sgid="Straight Connector 5" style="z-index:1;left:-1.84px;top:12.65px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="FCE4C64B.png" id="s521_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div>
<div class="sg sgTitle" id="s528" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s528_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="497.96" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:75.51px;top:17.96px;">Dr. Reddy’s Diagnosis</span></p></div></div></div> <div class="sg" id="s529" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:90.67px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s529_t" class="sg" style="z-index:2;left:0.00px;top:-8.51px;width:648.52px;height:276.54px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="423.07" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:112.95px;top:16.18px;">Pleuroparenchymal</span><span data-textwidth="289.49" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:222%; left:179.69px;top:64.19px;">fibroelastosis</span></p></div></div></div>
<div class="sg sgTitle" id="s530" data-sgid="Title 1" style="z-index:1;left:69.81px;top:133.48px;width:580.04px;height:137.79px" data-valign="middle" data-pointer-events="none"> <div id="s530_t" class="sg" style="z-index:2;left:-0.37px;top:-0.49px;width:580.78px;height:138.64px;"><div><p para="{al:2}"><span data-textwidth="106.82" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:237.09px;top:47.49px;">Stop</span></p></div></div></div>
<div class="sg" id="s533" data-sgid="Picture 1" style="z-index:3;left:0.00px;top:-14.04px;width:720.48px;height:133.84px"> <img class="sg" src="94F2A62B.png" id="s533_i" style="z-index:1;left:0px;top:0px;width:720.48px;height:133.84px" > </div> <div class="sg sgTitle" id="s531" data-sgid="Title 1" style="z-index:1;left:0.00px;top:27.94px;width:720.48px;height:72.91px" data-valign="middle" data-pointer-events="none"> <div id="s531_t" class="sg" style="z-index:2;left:-0.37px;top:-41.50px;width:721.22px;height:114.78px;"><div><p para="{al:2}"><span data-textwidth="380.47" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:222%; left:170.56px;top:16.24px;">Correct <span style="position:relative;bottom:4px;">Diagnosis:</span></span></p></div></div></div> <div class="sg" id="s532" data-sgid="Content Placeholder 2" style="z-index:2;left:41.49px;top:141.87px;width:644.22px;height:244.51px" data-valign="top" data-pointer-events="none"> <div id="s532_t" class="sg" style="z-index:2;left:-8.64px;top:-4.68px;width:653.22px;height:268.26px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="475.39" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.36px;top:11.40px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Histopathologic pattern of injury</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="534.32" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.36px;top:48.85px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Upper lobe predominant fibrosis and </span></span><span data-textwidth="359.82" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:144%; left:43.36px;top:80.06px;">deposition of elastic fibers</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="377.58" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.36px;top:117.51px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Fibrosis of visceral pleura</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="587.85" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.36px;top:154.95px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Nearly identical to apical fibrous cap but </span></span><span data-textwidth="166.47" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:144%; left:43.36px;top:186.16px;">more severe</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="286.12" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.36px;top:223.61px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>? ischemic etiology</span></span></p></div></div></div>
<div class="sg sgTitle" id="s535" data-sgid="Title 1" style="z-index:2;left:0.00px;top:-0.48px;width:720.48px;height:125.33px" data-valign="middle" data-pointer-events="none"> <div id="s535_t" class="sg" style="z-index:2;left:-0.37px;top:-12.23px;width:721.22px;height:137.90px;"><div><p para="{al:2}"><span data-textwidth="431.95" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:222%; left:149.31px;top:16.11px;">Pleuroparenchymal </span><span data-textwidth="639.35" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:222%; left:41.18px;top:64.12px;">Fibroelastosis (demographics)</span></p></div></div></div> <div class="sg" id="s534" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:153.87px;width:612.56px;height:204.82px" data-valign="top" data-pointer-events="none"> <div id="s534_t" class="sg" style="z-index:2;left:-8.64px;top:-4.68px;width:621.56px;height:209.84px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="438.67" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.36px;top:11.41px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Fibrosis (reticulation, traction </span></span><span data-textwidth="482.36" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:144%; left:43.36px;top:42.61px;">bronchiectasis and honeycombing)</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="498.32" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.36px;top:80.06px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Apical and subpleural distribution</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="284.56" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.36px;top:117.51px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Progressive nature</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="279.28" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.36px;top:154.96px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Pleural thickening</span></span></p></div></div></div>
<div class="sg sgTitle" id="s536" data-sgid="Title 1" style="z-index:1;left:0.00px;top:-0.48px;width:720.48px;height:125.33px" data-valign="middle" data-pointer-events="none"> <div id="s536_t" class="sg" style="z-index:2;left:-0.37px;top:-12.23px;width:721.22px;height:137.90px;"><div><p para="{al:2}"><span data-textwidth="431.95" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:222%; left:149.31px;top:16.11px;">Pleuroparenchymal </span><span data-textwidth="639.35" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:222%; left:41.18px;top:64.12px;">Fibroelastosis (demographics)</span></p></div></div></div> <div class="sg" id="s537" data-sgid="Content Placeholder 2" style="z-index:2;left:29.51px;top:147.86px;width:668.32px;height:251.23px" data-valign="top" data-pointer-events="none"> <div id="s537_t" class="sg" style="z-index:2;left:-7.56px;top:-6.95px;width:676.25px;height:258.55px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="519.08" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:11.04px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Etiology: idiopathic, familial, stem-cell </span></span><span data-textwidth="557.49" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:36.97px;">transplant, lung transplant rejection, drugs, </span><span data-textwidth="235.00" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:62.89px;">recurrent infection</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="636.46" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:94.58px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Accounts for up to 6% of interstitial lung disease </span></span><span data-textwidth="105.38" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:120.51px;">patients</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="208.11" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:152.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Mean age: 50s</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="618.82" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:183.88px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Mortality 50% in f/u period (range: 4 mos–2 yrs)</span></span></p></div></div></div>
<div class="sg sgTitle" id="s538" data-sgid="Title 3" style="z-index:1;left:56.38px;top:141.87px;width:612.53px;height:81.19px" data-valign="top" data-pointer-events="none"> <div id="s538_t" class="sg" style="z-index:2;left:-0.36px;top:-16.20px;width:613.26px;height:139.60px;"><div><p para="{al:2}"><span data-textwidth="305.69" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:367%; left:154.02px;top:26.56px;">ROUND 2</span></p></div></div></div>
<div class="sg" id="s544" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s544_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="400.03" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:106.86px;top:22.33px;">Pediatric Case #2</span></p></div></div></div> <div class="sg sgSubtitle" id="s545" data-sgid="Subtitle 1" style="z-index:2;left:95.47px;top:171.86px;width:504.60px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s545_t" class="sg" style="z-index:2;left:-0.34px;top:-10.81px;width:505.31px;height:115.49px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="300.29" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:102.66px;top:19.31px;">Ellen Chung</span></p></div></div></div>
<div class="sg sgTitle" id="s546" data-sgid="Title 3" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s546_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="275.45" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:187.14px;top:18.09px;">Ellen Chung</span></p></div></div></div> <div class="sg" id="s547" data-sgid="Content Placeholder 6" style="z-index:2;left:369.54px;top:99.89px;width:308.49px;height:239.26px"> <img class="sg" src="DA4C459A.jpg" id="s547_i" style="z-index:1;left:0px;top:0px;width:308.49px;height:239.26px" > </div> <div class="sg" id="s548" data-sgid="Content Placeholder 7" style="z-index:3;left:41.86px;top:99.89px;width:318.68px;height:239.26px"> <img class="sg" src="103729FE.jpg" id="s548_i" style="z-index:1;left:0px;top:0px;width:318.68px;height:239.26px" > </div> <div class="sg" id="s549" data-sgid="TextBox 8" style="z-index:4;left:119.45px;top:345.73px;width:432.64px;height:32.40px" data-valign="top"> <div id="s549_t" class="sg" style="z-index:2;left:-4.90px;top:-2.64px;width:437.54px;height:67.04px;"><div><p><span data-textwidth="362.46" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.67px;top:8.79px;">With fellow fellows in <span style="position:relative;bottom:2px;">Courchevel, </span></span><span data-textwidth="125.06" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.67px;top:32.79px;">France 2004</span></p></div></div></div>
<div class="sg sgTitle" id="s553" data-sgid="Title 3" style="z-index:4;left:35.51px;top:15.72px;width:474.61px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s553_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:475.32px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="275.45" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:100.12px;top:18.09px;">Ellen Chung</span></p></div></div></div> <div class="sg" id="s552" data-sgid="Content Placeholder 2" style="z-index:3;left:373.62px;top:67.52px;width:318.68px;height:239.12px" data-rotation = "90"> <img class="sg" src="3230487B.jpg" id="s552_i" style="z-index:1;left:0px;top:0px;width:318.68px;height:239.12px" > </div> <div class="sg" id="s550" data-sgid="Content Placeholder 7" style="z-index:1;left:41.86px;top:99.89px;width:318.68px;height:239.26px"> <img class="sg" src="103729FE.jpg" id="s550_i" style="z-index:1;left:0px;top:0px;width:318.68px;height:239.26px" > </div> <div class="sg" id="s551" data-sgid="TextBox 8" style="z-index:2;left:119.45px;top:345.73px;width:432.64px;height:32.40px" data-valign="top"> <div id="s551_t" class="sg" style="z-index:2;left:0.00px;top:-2.64px;width:432.64px;height:43.06px;"><div><p para="{al:2}"><span data-textwidth="303.65" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:64.66px;top:8.79px;">Better at dancing than skiing</span></p></div></div></div>
<div class="sg" id="s554" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s554_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="399.90" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:106.86px;top:22.33px;">Pediatric <span style="position:relative;bottom:5px;">Case #2</span></span></p></div></div></div> <div class="sg sgSubtitle" id="s555" data-sgid="Subtitle 1" style="z-index:2;left:155.45px;top:153.87px;width:408.65px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s555_t" class="sg" style="z-index:2;left:-0.37px;top:-7.32px;width:409.36px;height:119.80px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="310.86" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:53.15px;top:15.05px;">7<span style="position:relative;bottom:4px;">-year-old male </span></span><span data-textwidth="267.16" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:200%; left:71.28px;top:58.25px;">with arm pain</span></p></div></div></div>
<div class="sg" id="s556" data-sgid="Picture 2" style="z-index:1;left:119.45px;top:5.76px;width:479.91px;height:389.39px"> <img class="sg" src="D40AEC92.jpg" id="s556_i" style="z-index:1;left:0px;top:0px;width:479.91px;height:389.39px" > </div> <div class="sg" id="s557" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:144.88px;top:172.94px;width:64.91px;height:47.12px" data-pointer-events="none"> <img class="sg" src="A2BCA8A9.png" id="s557_i" style="z-index:1;left:0px;top:0px;width:64.91px;height:47.12px" > </div>
<div class="sg" id="s558" data-sgid="Picture 2" style="z-index:1;left:130.87px;top:9.96px;width:481.21px;height:389.39px"> <img class="sg" src="9C2E2D9B.jpg" id="s558_i" style="z-index:1;left:0px;top:0px;width:481.21px;height:389.39px" > </div> <div class="sg" id="s559" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:178.47px;top:180.74px;width:70.88px;height:59.23px" data-pointer-events="none"> <img class="sg" src="FACFB63C.png" id="s559_i" style="z-index:1;left:0px;top:0px;width:70.88px;height:59.23px" > </div>
<div class="sg" id="s560" data-sgid="Picture 2" style="z-index:1;left:119.45px;top:9.96px;width:480.73px;height:389.39px"> <img class="sg" src="D18B767A.jpg" id="s560_i" style="z-index:1;left:0px;top:0px;width:480.73px;height:389.39px" > </div> <div class="sg" id="s561" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:257.88px;top:167.55px;width:19.06px;height:84.77px" data-pointer-events="none"> <img class="sg" src="3FC97DF2.png" id="s561_i" style="z-index:1;left:0px;top:0px;width:19.06px;height:84.77px" > </div>
<div class="sg sgTitle" id="s562" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s562_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="198.63" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:225.54px;top:18.09px;">Findings</span></p></div></div></div> <div class="sg" id="s563" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s563_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:673.73px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="602.38" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Plain radiographs: expansile lytic </span></span><span data-textwidth="524.49" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.93px;">lesion in the proximal humeral </span><span data-textwidth="433.99" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:91.34px;">metaphysis with internal </span><span data-textwidth="607.42" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:129.75px;">septations, pathologic fracture, and </span><span data-textwidth="412.99" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:168.16px;">possible fallen fragment</span></p></div></div></div>
<div class="sg sgTitle" id="s565" data-sgid="Title 1" style="z-index:2;left:11.53px;top:15.94px;width:696.49px;height:84.91px" data-valign="middle" data-pointer-events="none"> <div id="s565_t" class="sg" style="z-index:2;left:-13.20px;top:-38.49px;width:729.97px;height:168.99px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:109.93px;top:18.19px;">Differential Diagnosis</span><span data-textwidth="688.67" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:189%; left:20.87px;top:70.24px;">Metadiaphyseal<span style="position:relative;bottom:4px;"> lesion w/o soft tissue </span></span><span data-textwidth="95.78" class="sg nowrap f1" style="z-index:5;color:#13B5EA;font-weight:bold; font-size:189%; left:313.72px;top:111.05px;">mass</span></p></div></div></div> <div class="sg" id="s564" data-sgid="Content Placeholder 2" style="z-index:1;left:35.51px;top:108.65px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s564_t" class="sg" style="z-index:2;left:-9.85px;top:-5.53px;width:664.61px;height:295.86px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="299.69" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.22px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Solitary bone cyst </span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="289.84" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:52.55px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Fibrous dysplasia</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="618.82" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:92.88px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Nonossifying fibroma – but not eccentric</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="456.19" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:133.21px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Langerhans cell histiocytosis</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="630.10" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:173.54px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Aneurysmal bone cyst - but not eccentric </span></span><span data-textwidth="363.78" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:207.15px;">and cortex is not thinned</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="456.55" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:247.48px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Telangiectatic osteosarcoma</span></span></p></div></div></div>
<div class="sg sgTitle" id="s566" data-sgid="Title 1" style="z-index:1;left:0.00px;top:15.94px;width:720.48px;height:84.91px" data-valign="middle" data-pointer-events="none"> <div id="s566_t" class="sg" style="z-index:2;left:-1.19px;top:-38.49px;width:729.97px;height:168.99px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:109.93px;top:18.19px;">Differential Diagnosis</span><span data-textwidth="688.67" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:189%; left:20.87px;top:70.24px;">Metadiaphyseal<span style="position:relative;bottom:4px;"> lesion w/o soft tissue </span></span><span data-textwidth="95.78" class="sg nowrap f1" style="z-index:5;color:#13B5EA;font-weight:bold; font-size:189%; left:313.72px;top:111.05px;">mass</span></p></div></div></div> <div class="sg" id="s567" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:132.62px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s567_t" class="sg" style="z-index:2;left:-9.85px;top:-5.50px;width:658.74px;height:273.90px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="299.69" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.23px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Solitary bone cyst </span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="289.84" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:52.56px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Fibrous dysplasia</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="456.19" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:92.89px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Langerhans cell histiocytosis</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="456.55" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:133.22px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Telangiectatic osteosarcoma</span></span></p></div></div></div>
<div class="sg" id="s569" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:362.24px;top:150.75px;width:71.11px;height:65.11px" data-pointer-events="none"> <img class="sg" src="B44D955D.png" id="s569_i" style="z-index:1;left:0px;top:0px;width:71.11px;height:65.11px" > </div> <div class="sg" id="s568" data-sgid="Picture 2" style="z-index:1;left:161.45px;top:9.96px;width:399.17px;height:389.39px"> <img class="sg" src="8EA09085.jpg" id="s568_i" style="z-index:1;left:0px;top:0px;width:399.17px;height:389.39px" > </div> <div class="sg" id="s570" data-sgid="Straight Arrow Connector 5" style="z-index:3;left:214.21px;top:204.71px;width:77.14px;height:71.12px" data-pointer-events="none"> <img class="sg" src="40CAC570.png" id="s570_i" style="z-index:1;left:0px;top:0px;width:77.14px;height:71.12px" > </div>
<div class="sg" id="s572" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:386.22px;top:183.72px;width:94.13px;height:20.51px" data-pointer-events="none"> <img class="sg" src="D4B27E11.png" id="s572_i" style="z-index:1;left:0px;top:0px;width:94.13px;height:20.51px" > </div> <div class="sg" id="s571" data-sgid="Picture 2" style="z-index:1;left:159.41px;top:9.96px;width:386.68px;height:389.39px"> <img class="sg" src="FB4FEB83.jpg" id="s571_i" style="z-index:1;left:0px;top:0px;width:386.68px;height:389.39px" > </div>
<div class="sg" id="s573" data-sgid="Picture 2" style="z-index:1;left:161.45px;top:9.96px;width:386.68px;height:389.39px"> <img class="sg" src="3D1680.jpg" id="s573_i" style="z-index:1;left:0px;top:0px;width:386.68px;height:389.39px" > </div> <div class="sg" id="s574" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:332.25px;top:204.71px;width:53.35px;height:76.88px" data-pointer-events="none"> <img class="sg" src="B8051CBE.png" id="s574_i" style="z-index:1;left:0px;top:0px;width:53.35px;height:76.88px" > </div>
<div class="sg" id="s579" data-sgid="Straight Arrow Connector 6" style="z-index:5;left:473.05px;top:103.86px;width:71.14px;height:64.99px" data-pointer-events="none"> <img class="sg" src="25AD90C.png" id="s579_i" style="z-index:1;left:0px;top:0px;width:71.14px;height:64.99px" > </div> <div class="sg" id="s576" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:165.64px;top:130.84px;width:71.11px;height:64.99px" data-pointer-events="none"> <img class="sg" src="5BF48EF9.png" id="s576_i" style="z-index:1;left:0px;top:0px;width:71.11px;height:64.99px" > </div> <div class="sg" id="s580" data-sgid="Straight Arrow Connector 7" style="z-index:6;left:366.66px;top:138.64px;width:77.14px;height:71.12px" data-pointer-events="none"> <img class="sg" src="ABB7B1B9.png" id="s580_i" style="z-index:1;left:0px;top:0px;width:77.14px;height:71.12px" > </div> <div class="sg" id="s575" data-sgid="Picture 2" style="z-index:1;left:1.93px;top:8.77px;width:346.52px;height:348.96px"> <img class="sg" src="850C0DE2.jpg" id="s575_i" style="z-index:1;left:0px;top:0px;width:346.52px;height:348.96px" > </div> <div class="sg" id="s578" data-sgid="Picture 5" style="z-index:4;left:347.60px;top:8.77px;width:269.86px;height:350.41px"> <img class="sg" src="E29BB8DC.jpg" id="s578_i" style="z-index:1;left:0px;top:0px;width:269.86px;height:350.41px" > </div> <div class="sg" id="s577" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:39.70px;top:173.76px;width:77.11px;height:71.12px" data-pointer-events="none"> <img class="sg" src="3768D5F4.png" id="s577_i" style="z-index:1;left:0px;top:0px;width:77.11px;height:71.12px" > </div>
<div class="sg sgTitle" id="s581" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s581_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="198.63" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:225.54px;top:18.09px;">Findings</span></p></div></div></div> <div class="sg" id="s582" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s582_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:661.26px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="588.93" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>MR: Proximal component is fluid-</span></span><span data-textwidth="547.65" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.93px;">signal on all sequences with rim </span><span data-textwidth="476.72" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:91.34px;">enhancement. Distal lateral </span><span data-textwidth="555.33" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:129.75px;">component is hypointense on T2<span style="position:relative;bottom:4px;">-</span></span><span data-textwidth="308.81" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:168.16px;">WI and enhances </span></p></div></div></div>
<div class="sg sgTitle" id="s583" data-sgid="Title 1" style="z-index:1;left:0.00px;top:15.72px;width:720.48px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s583_t" class="sg" style="z-index:2;left:-0.37px;top:-49.05px;width:721.22px;height:174.84px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:109.11px;top:18.05px;">Differential Diagnosis</span><span data-textwidth="608.62" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:200%; left:60.26px;top:69.98px;">Metadiaphyseal<span style="position:relative;bottom:4px;"> lesion w/o soft </span></span><span data-textwidth="222.40" class="sg nowrap f1" style="z-index:5;color:#13B5EA;font-weight:bold; font-size:200%; left:249.65px;top:113.19px;">tissue mass</span></p></div></div></div> <div class="sg" id="s584" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:108.65px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s584_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:661.26px;height:284.11px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="338.81" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.41px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Solitary bone cyst </span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="577.54" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:60.51px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Fibrous dysplasia – but there is a </span></span><span data-textwidth="297.77" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:98.91px;">cystic component</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="608.74" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:145.00px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Langerhans cell histiocytosis – but </span></span><span data-textwidth="230.56" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:183.41px;">there is a cyst</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="518.72" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:229.50px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Telangiectatic osteosarcoma</span></span></p></div></div></div>
<div class="sg sgTitle" id="s586" data-sgid="Title 1" style="z-index:2;left:0.00px;top:9.96px;width:720.48px;height:84.91px" data-valign="middle" data-pointer-events="none"> <div id="s586_t" class="sg" style="z-index:2;left:-1.19px;top:-38.50px;width:729.97px;height:168.96px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:109.93px;top:18.18px;">Differential Diagnosis</span><span data-textwidth="688.67" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:189%; left:20.87px;top:70.23px;">Metadiaphyseal<span style="position:relative;bottom:4px;"> lesion w/o soft tissue </span></span><span data-textwidth="95.78" class="sg nowrap f1" style="z-index:5;color:#13B5EA;font-weight:bold; font-size:189%; left:313.72px;top:111.04px;">mass</span></p></div></div></div> <div class="sg" id="s585" data-sgid="Content Placeholder 2" style="z-index:1;left:47.49px;top:129.87px;width:648.52px;height:190.07px" data-valign="top" data-pointer-events="none"> <div id="s585_t" class="sg" style="z-index:2;left:-9.82px;top:-5.39px;width:660.05px;height:195.83px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="625.54" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:12.23px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Solitary bone cyst with hemorrhage and </span></span><span data-textwidth="503.00" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.54px;top:45.84px;">reactive change due to pathologic </span><span data-textwidth="118.58" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.54px;top:79.44px;">fracture</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="456.55" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.54px;top:119.77px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Telangiectatic osteosarcoma</span></span></p></div></div></div>
<div class="sg sgTitle" id="s587" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s587_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="497.60" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:76.00px;top:18.09px;">Dr. Chung’s Diagnosis</span></p></div></div></div> <div class="sg" id="s588" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s588_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:678.40px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="638.98" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Solitary bone cyst with hemorrhage </span></span><span data-textwidth="458.48" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.93px;">and reactive <span style="position:relative;bottom:4px;">change due to </span></span><span data-textwidth="325.25" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:91.34px;">pathologic fracture</span></p></div></div></div>
<div class="sg" id="s589" data-sgid="Title 3" style="z-index:1;left:53.50px;top:125.33px;width:612.56px;height:87.52px" data-valign="middle" data-pointer-events="none"> <div id="s589_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.25px;"><div><p para="{al:2}"><span data-textwidth="119.78" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:246.92px;top:22.15px;">Stop!</span></p></div></div></div>
<div class="sg sgTitle" id="s590" data-sgid="Title 1" style="z-index:1;left:65.48px;top:26.50px;width:648.55px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s590_t" class="sg" style="z-index:2;left:-19.29px;top:-5.88px;width:668.17px;height:93.19px;"><div><p><span data-textwidth="418.99" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:27.02px;top:17.99px;">Correct <span style="position:relative;bottom:5px;">Diagnosis:</span></span></p></div></div></div> <div class="sg" id="s592" data-sgid="Title 1 (2)" style="z-index:3;left:43.30px;top:51.91px;width:648.63px;height:68.37px" data-valign="middle"> <div id="s592_t" class="sg" style="z-index:2;left:-0.37px;top:-32.11px;width:649.48px;height:145.93px;"><div><p para="{al:2}"><span data-textwidth="563.61" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:47.69px;top:17.97px;">Correct Diagnosis: Bone </span><span data-textwidth="596.26" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:244%; left:26.80px;top:70.78px;">cyst with healing fracture</span></p></div></div></div> <div class="sg" id="s591" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:126.64px;width:648.52px;height:250.04px" data-valign="top" data-pointer-events="none"> <div id="s591_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:672.17px;height:276.06px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="559.05" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.44px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Solitary bone cyst with healing </span></span><span data-textwidth="135.86" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.85px;">fracture</span><img class="sg" src="9789339D.png" id="s591_p1" style="z-index:1;left:-9.37px;top:0.60px;width:675.17px;height:83.80px" ></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="632.75" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:98.94px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Enhancing tissue due to remodeling </span></span><span data-textwidth="198.87" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:137.35px;">and fibrosis</span><img class="sg" src="BD52E487.png" id="s591_p2" style="z-index:1;left:-9.37px;top:77.40px;width:675.17px;height:91.48px" ></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="507.68" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:183.44px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span><u>Key is not to mistake this for</u> </span></span><span data-textwidth="249.64" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:221.85px;"><u>osteosarcoma!</u></span><img class="sg" src="BD52E487.png" id="s591_p3" style="z-index:1;left:-9.37px;top:161.88px;width:675.17px;height:91.48px" ></p></div></div></div>
<div class="sg" id="s593" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s593_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="555.81" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:28.96px;top:22.33px;">Neuroradiology Case #2</span></p></div></div></div> <div class="sg" id="s594" data-sgid="Subtitle 1" style="z-index:2;left:107.47px;top:183.83px;width:504.60px;height:104.34px" data-valign="top"> <div id="s594_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:504.60px;height:115.12px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="413.11" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:45.92px;top:19.31px;">Nancy Fischbein</span></p></div></div></div>
<div class="sg" id="s595" data-sgid="Picture 4" style="z-index:1;left:445.70px;top:3.97px;width:272.75px;height:272.68px"> <img class="sg" src="EB9E125F.jpg" id="s595_i" title="" alt="E J N M Eliana Bat M.jpg" style="z-index:1;left:0px;top:0px;width:272.75px;height:272.68px" > </div> <div class="sg" id="s596" data-sgid="Picture 5" style="z-index:2;left:11.53px;top:9.96px;width:354.65px;height:294.41px"> <img class="sg" src="D4C18A24.jpg" id="s596_i" title="" alt="J Bat M JEEANM.jpg" style="z-index:1;left:0px;top:0px;width:354.65px;height:294.41px" > </div> <div class="sg" id="s597" data-sgid="Picture 3" style="z-index:3;left:305.37px;top:201.84px;width:192.74px;height:190.30px"> <img class="sg" src="7FCD5A10.jpg" id="s597_i" title="" alt="NJF MJK Australia.JPG" style="z-index:1;left:0px;top:0px;width:192.74px;height:190.30px" > </div> <div class="sg" id="s599" data-sgid="TextBox 7" style="z-index:5;left:503.27px;top:279.77px;width:216.73px;height:44.51px" data-valign="top"> <div id="s599_t" class="sg" style="z-index:2;left:-1.90px;top:-0.96px;width:218.63px;height:50.50px;"><div><p><span data-textwidth="197.31" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:83%; left:9.68px;top:7.49px;">Nancy and Mike with Jenna and </span><span data-textwidth="38.29" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:83%; left:9.92px;top:25.50px;">Eliana</span></p></div></div></div> <div class="sg" id="s598" data-sgid="TextBox 6" style="z-index:4;left:17.50px;top:309.76px;width:258.73px;height:44.48px" data-valign="top"> <div id="s598_t" class="sg" style="z-index:2;left:-1.90px;top:-0.97px;width:260.63px;height:50.50px;"><div><p><span data-textwidth="218.68" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:83%; left:9.36px;top:7.52px;">Nancy and Mike with Emily, Jenna, </span><span data-textwidth="102.86" class="sg nowrap f3" style="z-index:3;color:#FFFFFF;font-size:83%; left:9.60px;top:25.52px;">Eliana and Adam</span></p></div></div></div> <div class="sg" id="s600" data-sgid="TextBox 8" style="z-index:6;left:323.35px;top:369.73px;width:120.30px;height:26.38px" data-valign="top"> <div id="s600_t" class="sg" style="z-index:2;left:-1.89px;top:-0.96px;width:122.20px;height:32.48px;"><div><p><span data-textwidth="99.98" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:83%; left:9.56px;top:7.55px;">Nancy and Mike</span></p></div></div></div>
<div class="sg" id="s601" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:36.09px;width:612.56px;height:87.69px" data-valign="middle" data-pointer-events="none"> <div id="s601_t" class="sg" style="z-index:2;left:-0.37px;top:-0.35px;width:613.26px;height:97.36px;"><div><p para="{al:2}"><span data-textwidth="555.81" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:28.96px;top:22.19px;">Neuroradiology Case #2</span></p></div></div></div> <div class="sg sgSubtitle" id="s602" data-sgid="Subtitle 1" style="z-index:2;left:23.51px;top:132.03px;width:678.51px;height:228.71px" data-valign="top" data-pointer-events="none"> <div id="s602_t" class="sg" style="z-index:2;left:-11.98px;top:-7.32px;width:710.06px;height:292.37px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="476.36" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:117.01px;top:14.92px;">46<span style="position:relative;bottom:4px;">-year-old woman with </span></span><span data-textwidth="545.85" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:200%; left:82.21px;top:58.13px;">refractory seizures and right </span><span data-textwidth="666.23" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.20px;top:101.34px;">hemiparesis since early childhood. </span><span data-textwidth="547.77" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:200%; left:81.25px;top:144.55px;">Recent declining vision, mild </span><span data-textwidth="665.03" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.56px;top:187.76px;">hematuria on screening urinalysis. </span><span data-textwidth="577.54" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:200%; left:62.64px;top:230.97px;">Family history of early strokes</span></p></div></div></div>
<div class="sg" id="s603" data-sgid="Rectangle 4" style="z-index:1;left:47.49px;top:15.94px;width:612.56px;height:48.94px" data-valign="middle" data-pointer-events="none"> <div id="s603_t" class="sg" style="z-index:2;left:-0.37px;top:-15.57px;width:613.29px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="555.81" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:28.97px;top:18.07px;">Neuroradiology Case #2</span></p></div></div></div> <div class="sg sgSubtitle" id="s604" data-sgid="Subtitle 1" style="z-index:2;left:29.51px;top:63.91px;width:720.48px;height:324.77px" data-valign="top" data-pointer-events="none"> <div id="s604_t" class="sg" style="z-index:2;left:-8.53px;top:-7.43px;width:729.37px;height:371.63px;"><div><p para="{bl:{ch:8226},spbf:9.00}"><span data-textwidth="531.68" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.23px;top:12.73px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:11.76px"> </span>46 yr old F w refractory seizures, R </span></span><span data-textwidth="504.80" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:43.59px;top:42.66px;">hemiparesis since early childhood</span></p><p para="{in:2,bl:{ch:8211},spbf:1.00}"><span data-textwidth="583.54" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:122%; left:52.23px;top:77.87px;">–<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:5.77px"> </span>Which came first? Stroke w 2o seizure vs seizure-</span></span><span data-textwidth="167.55" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:122%; left:74.80px;top:106.36px;">induced injury</span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="516.08" class="sg nowrap f2" style="z-index:9;color:#FFFFFF;font-size:94%; left:70.36px;top:138.84px;">•<span class="f1" style="font-style:italic; position:relative;bottom:2px;"><span style="letter-spacing:12.96px"> </span>Are we going to see brain injury or brain malformation?</span></span></p><p para="{bl:{ch:8226},spbf:9.00}"><span data-textwidth="659.15" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:156%; left:16.23px;top:167.33px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:11.76px"> </span>Recent declining vision, mild hematuria on </span></span><span data-textwidth="298.61" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:43.59px;top:197.26px;">screening <span style="position:relative;bottom:3px;">urinalysis</span></span></p><p para="{in:2,bl:{ch:8211},spbf:1.00}"><span data-textwidth="620.75" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:122%; left:52.23px;top:232.46px;">–<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:5.77px"> </span>Small vessel pathology w retinal, glomerular injury</span></span></p><p para="{in:2,bl:{ch:8211},spbf:1.00}"><span data-textwidth="278.57" class="sg nowrap f2" style="z-index:17;color:#FFFFFF;font-size:122%; left:52.23px;top:262.47px;">–<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:5.77px"> </span>Progressive, not static</span></span></p><p para="{bl:{ch:8226},spbf:9.00}"><span data-textwidth="475.99" class="sg nowrap f2" style="z-index:19;color:#FFFFFF;font-size:156%; left:16.23px;top:301.04px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:11.76px"> </span>Family history of early strokes</span></span></p><p para="{in:2,bl:{ch:8226},spbf:1.00}"><span data-textwidth="339.41" class="sg nowrap f2" style="z-index:21;color:#FFFFFF;font-size:122%; left:43.35px;top:334.25px;">•<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:10.08px"> </span>Genetic/metabolic disorder</span></span></p></div></div></div>
<div class="sg sgTitle" id="s609" data-sgid="Title 1" style="z-index:5;left:377.33px;top:9.96px;width:324.69px;height:48.94px" data-valign="middle" data-pointer-events="none"> <div id="s609_t" class="sg" style="z-index:2;left:-14.50px;top:-8.63px;width:339.55px;height:76.74px;"><div><p><span data-textwidth="162.51" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:200%; left:22.43px;top:15.03px;">Findings</span></p></div></div></div> <div class="sg" id="s605" data-sgid="2011-11-10 - MR-300 - 1-filtered.jpeg" style="z-index:1;left:5.52px;top:21.96px;width:170.80px;height:187.06px"> <img class="sg" src="24931CEA.jpg" id="s605_i" style="z-index:1;left:0px;top:0px;width:170.80px;height:187.06px" > </div> <div class="sg" id="s606" data-sgid="2011-11-10 - MR-300 - 2-filtered.jpeg" style="z-index:2;left:180.28px;top:27.94px;width:173.91px;height:178.33px"> <img class="sg" src="2970E15A.jpg" id="s606_i" style="z-index:1;left:0px;top:0px;width:173.91px;height:178.33px" > </div> <div class="sg" id="s610" data-sgid="Content Placeholder 2" style="z-index:6;left:359.35px;top:57.93px;width:360.65px;height:306.75px" data-valign="top" data-pointer-events="none"> <div id="s610_t" class="sg" style="z-index:2;left:-6.23px;top:-3.38px;width:372.77px;height:361.33px;"><div><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="324.54" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:122%; left:14.14px;top:9.38px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:14.29px"> </span>Diffuse but asymmetrical </span></span><span data-textwidth="167.55" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:122%; left:41.15px;top:35.79px;">WM FLAIR/T2 </span><span data-textwidth="171.99" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:122%; left:41.15px;top:62.20px;">hyperintensity</span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="345.18" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:122%; left:14.14px;top:97.60px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:14.29px"> </span>“Holes” in WM on the R side</span></span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="333.53" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:122%; left:14.14px;top:133.01px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:14.29px"> </span>Ex vacuo enlargement of L </span></span><span data-textwidth="277.37" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:122%; left:41.15px;top:159.42px;">lateral ventricle, severe </span><span data-textwidth="193.71" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:122%; left:41.15px;top:185.82px;">WM volume loss</span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="310.74" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:122%; left:14.14px;top:221.23px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:14.29px"> </span>Innumerable foci of GRE </span></span><span data-textwidth="210.87" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:122%; left:41.15px;top:247.64px;">susceptibility, R<span class="f2" >></span><span style="position:relative;bottom:2px;">L</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="283.84" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-weight:bold; left:50.15px;top:287.37px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:11.52px"> </span>Likely hemosiderin not Ca</span><span class="f1" style="font-size:67%; position:relative;bottom:8px;">2+ </span></span><span data-textwidth="35.89" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-weight:bold; left:72.71px;top:308.97px;">but </span><span data-textwidth="247.00" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-weight:bold; left:72.71px;top:330.58px;">hard <span style="position:relative;bottom:2px;">to be absolutely sure</span></span></p></div></div></div> <div class="sg" id="s608" data-sgid="2013-06-05 - MR-7 - 2-filtered.jpeg" style="z-index:4;left:191.44px;top:213.93px;width:186.00px;height:180.74px"> <img class="sg" src="6A327F78.jpg" id="s608_i" style="z-index:1;left:0px;top:0px;width:186.00px;height:180.74px" > </div> <div class="sg" id="s607" data-sgid="2013-06-05 - MR-7 - 1-filtered.jpeg" style="z-index:3;left:0.00px;top:213.82px;width:188.92px;height:186.84px"> <img class="sg" src="B95E2CB4.jpg" id="s607_i" style="z-index:1;left:0px;top:0px;width:188.92px;height:186.84px" > </div> <div class="sg" id="s611" data-sgid="TextBox 12" style="z-index:7;left:419.33px;top:351.74px;width:180.99px;height:37.28px" data-valign="top"> <div id="s611_t" class="sg" style="z-index:2;left:-7.34px;top:-3.60px;width:206.54px;height:51.21px;"><div><p><span data-textwidth="176.79" class="sg nowrap f1" style="z-index:2;color:#FF0000;font-weight:bold; font-size:133%; left:15.28px;top:10.74px;">OMG <span style="position:relative;bottom:3px;">…PANIC!</span></span></p></div></div></div>
<div class="sg" id="s612" data-sgid="2013-06-05 - MR-1500 - 1-filtered.jpeg" style="z-index:1;left:65.48px;top:3.97px;width:235.34px;height:192.82px"> <img class="sg" src="AB00531.jpg" id="s612_i" style="z-index:1;left:0px;top:0px;width:235.34px;height:192.82px" > </div> <div class="sg" id="s613" data-sgid="Text Placeholder 2" style="z-index:2;left:11.53px;top:175.57px;width:125.46px;height:38.50px" data-valign="bottom" data-pointer-events="none"> <div id="s613_t" class="sg" style="z-index:2;left:-6.38px;top:-26.63px;width:132.17px;height:75.21px;"><div><p para="{spbf:0.20}"><span data-textwidth="51.73" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.05px;top:10.09px;">TOF </span><span data-textwidth="59.65" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.05px;top:37.10px;">MRA</span></p></div></div></div> <div class="sg" id="s615" data-sgid="Group 15" style="z-index:4;left:325.95px;top:3.01px;width:359.42px;height:394.56px" data-shape="group"> <div class="sg" id="s616" data-sgid="TextBox 13" style="z-index:4;left:173.38px;top:206.98px;width:186.15px;height:153.39px" data-valign="top"> <div id="s616_t" class="sg" style="z-index:2;left:-6.48px;top:-3.72px;width:192.63px;height:166.44px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="154.47" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:133%; left:14.35px;top:10.66px;">•<span class="f3" style="position:relative;bottom:1px;"><span style="letter-spacing:12.25px"> </span>No diffusion </span></span><span data-textwidth="97.46" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:133%; left:41.36px;top:39.34px;">restriction</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="110.42" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:133%; left:14.35px;top:68.27px;">•<span class="f3" style="position:relative;bottom:1px;"><span style="letter-spacing:12.25px"> </span>No post-</span></span><span data-textwidth="115.10" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:133%; left:41.36px;top:96.96px;">gadolinium </span><span data-textwidth="126.62" class="sg nowrap f3" style="z-index:9;color:#FFFFFF;font-size:133%; left:41.36px;top:125.76px;">enhancement</span></p></div></div></div> <div class="sg" id="s617" data-sgid="2011-11-10 - MR-500 - 1-filtered.jpeg" style="z-index:3;left:173.38px;top:0.22px;width:176.06px;height:194.16px"> <img class="sg" src="473E4EAA.jpg" id="s617_i" style="z-index:1;left:0px;top:0px;width:176.06px;height:194.16px" > </div> <div class="sg" id="s618" data-sgid="2011-11-10 - MR-5 - 1-filtered.jpeg" style="z-index:2;left:-0.56px;top:-0.49px;width:171.16px;height:192.71px"> <img class="sg" src="23869F4A.jpg" id="s618_i" style="z-index:1;left:0px;top:0px;width:171.16px;height:192.71px" > </div> <div class="sg" id="s619" data-sgid="2011-11-10 - MR-7 - 1-filtered.jpeg" style="z-index:1;left:-0.56px;top:195.09px;width:162.78px;height:199.69px"> <img class="sg" src="BD8D087A.jpg" id="s619_i" style="z-index:1;left:0px;top:0px;width:162.78px;height:199.69px" > </div> </div> <div class="sg" id="s614" data-sgid="Content Placeholder 5" style="z-index:3;left:29.99px;top:207.35px;width:259.44px;height:190.44px" data-valign="top" data-pointer-events="none"> <div id="s614_t" class="sg" style="z-index:2;left:-6.48px;top:-3.49px;width:266.26px;height:275.23px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="211.71" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.30px;top:10.51px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:14.04px"> </span>Occlusion of an </span></span><span data-textwidth="58.81" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:128%; left:41.30px;top:37.51px;">MCA</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="210.99" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.30px;top:69.92px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:14.04px"> </span>So large-vessel </span></span><span data-textwidth="152.91" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:128%; left:41.30px;top:96.93px;">pathology is </span><span data-textwidth="167.43" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:128%; left:41.30px;top:123.93px;">potentially at </span><span data-textwidth="62.17" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:128%; left:41.30px;top:150.94px;">work</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="220.11" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.30px;top:183.35px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:14.04px"> </span>And it looks like </span></span><span data-textwidth="144.50" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:128%; left:41.30px;top:210.35px;">one or more </span><span data-textwidth="133.34" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:128%; left:41.30px;top:237.36px;">aneurysms</span></p></div></div></div>
<div class="sg sgTitle" id="s628" data-sgid="Title 6" style="z-index:1;left:6.12px;top:22.07px;width:446.77px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s628_t" class="sg" style="z-index:2;left:-17.16px;top:-26.98px;width:464.30px;height:134.67px;"><div><p><span data-textwidth="294.77" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:228%; left:24.96px;top:16.11px;">Ddx: Thought </span><span data-textwidth="165.03" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:228%; left:24.96px;top:64.72px;">Process</span></p></div></div></div> <div class="sg" id="s630" data-sgid="2011-11-10 - MR-300 - 2-filtered.jpeg" style="z-index:3;left:424.12px;top:9.84px;width:199.82px;height:204.82px"> <img class="sg" src="E0C0C60F.jpg" id="s630_i" style="z-index:1;left:0px;top:0px;width:199.82px;height:204.82px" > </div> <div class="sg" id="s629" data-sgid="Content Placeholder 7" style="z-index:2;left:17.16px;top:81.42px;width:364.13px;height:313.25px" data-valign="top" data-pointer-events="none"> <div id="s629_t" class="sg" style="z-index:2;left:-7.45px;top:-4.43px;width:371.95px;height:318.87px;"><div><p para="{bl:{ch:8226},spaf:10.00}"><span data-textwidth="340.74" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:144%; left:15.13px;top:11.91px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:12.49px"> </span>No brain malformation</span></span></p><p para="{bl:{ch:8226},spaf:10.00}"><span data-textwidth="330.06" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:144%; left:15.13px;top:53.20px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:12.49px"> </span>No evidence for tumor </span></span><span data-textwidth="224.20" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:144%; left:42.14px;top:83.48px;">or inflammation</span></p><p para="{bl:{ch:8226}}"><span data-textwidth="274.85" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:144%; left:15.13px;top:125.57px;">•<span class="f1" style="position:relative;bottom:4px;"><span style="letter-spacing:12.37px"> </span>Vascular etiology </span></span><span data-textwidth="312.65" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:144%; left:42.14px;top:155.86px;">reasonable by history, </span><span data-textwidth="119.30" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:144%; left:42.14px;top:187.07px;">imaging </span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="271.84" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:117%; left:51.14px;top:221.80px;">–<span class="f1" style="position:relative;bottom:2px;"><span style="letter-spacing:6.48px"> </span>Small vessel dz of WM</span></span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="237.28" class="sg nowrap f2" style="z-index:13;color:#FFFFFF;font-size:117%; left:51.14px;top:252.52px;">–<span class="f1" style="position:relative;bottom:2px;"><span style="letter-spacing:6.48px"> </span>Microhemorrhages</span></span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="252.28" class="sg nowrap f2" style="z-index:15;color:#FFFFFF;font-size:117%; left:51.14px;top:283.25px;">–<span class="f1" style="position:relative;bottom:2px;"><span style="letter-spacing:6.48px"> </span>Aneurysm formation</span></span></p></div></div></div> <div class="sg" id="s631" data-sgid="2013-06-05 - MR-7 - 2-filtered.jpeg" style="z-index:4;left:520.43px;top:213.70px;width:188.78px;height:183.23px"> <img class="sg" src="27FA9554.jpg" id="s631_i" style="z-index:1;left:0px;top:0px;width:188.78px;height:183.23px" > </div> <div class="sg" id="s632" data-sgid="2013-06-05 - MR-1500 - 1-filtered.jpeg" style="z-index:5;left:364.02px;top:222.33px;width:147.66px;height:167.18px"> <img class="sg" src="7F7A97AF.png" id="s632_i" style="z-index:1;left:0px;top:0px;width:147.66px;height:167.18px" > </div>
<div class="sg sgTitle" id="s633" data-sgid="Title 1" style="z-index:1;left:34.18px;top:3.97px;width:655.86px;height:56.60px" data-valign="middle" data-pointer-events="none"> <div id="s633_t" class="sg" style="z-index:2;left:-15.35px;top:-28.42px;width:671.54px;height:124.60px;"><div><p><span data-textwidth="609.22" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:211%; left:23.18px;top:15.25px;">Stroke In the Young w +Family </span><span data-textwidth="145.58" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:211%; left:23.18px;top:60.26px;">History</span></p></div></div></div> <div class="sg" id="s634" data-sgid="Content Placeholder 2" style="z-index:2;left:37.78px;top:61.65px;width:610.15px;height:314.92px" data-valign="top" data-pointer-events="none"> <div id="s634_t" class="sg" style="z-index:2;left:-11.16px;top:-5.88px;width:636.77px;height:397.65px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="599.85" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:167%; left:18.87px;top:12.52px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:9.72px"> </span>Consider single-gene disorders such </span></span><span data-textwidth="37.09" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:167%; left:45.87px;top:48.53px;">as</span></p><p para="{in:2,bl:{ch:8211},spbf:4.00}"><span data-textwidth="394.63" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:150%; left:54.87px;top:88.62px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.77px"> </span>CADASIL* and its relatives</span></span></p><p para="{in:2,bl:{ch:8211},spbf:4.00}"><span data-textwidth="221.92" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:150%; left:54.87px;top:124.99px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.77px"> </span>Ehlers-Danlos</span></span></p><p para="{in:2,bl:{ch:8211},spbf:4.00}"><span data-textwidth="222.28" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:150%; left:54.87px;top:161.36px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.77px"> </span>Fabry Disease</span></span></p><p para="{in:2,bl:{ch:8211},spbf:4.00}"><span data-textwidth="251.57" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:150%; left:54.87px;top:197.85px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.77px"> </span>Homocystinuria</span></span></p><p para="{in:2,bl:{ch:8211},spbf:4.00}"><span data-textwidth="281.81" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:150%; left:54.87px;top:234.21px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.77px"> </span>Marfan syndrome</span></span></p><p para="{in:2,bl:{ch:8211},spbf:4.00}"><span data-textwidth="286.01" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:150%; left:54.87px;top:270.58px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.77px"> </span>Sickle Cell Disease</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="554.49" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:167%; left:18.87px;top:310.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:9.72px"> </span>Small vessels affected more than </span></span><span data-textwidth="83.29" class="sg nowrap f1" style="z-index:25;color:#FFFFFF;font-weight:bold; font-size:167%; left:45.87px;top:346.20px;">large</span></p></div></div></div> <div class="sg" id="s635" data-sgid="TextBox 4" style="z-index:3;left:368.69px;top:162.50px;width:311.26px;height:116.20px" data-valign="top"> <img class="sg" src="33C86CB4.png" id="s635_i" style="z-index:1;left:0px;top:0px;width:311.26px;height:116.20px" > <div id="s635_t" class="sg" style="z-index:2;left:-4.07px;top:-1.08px;width:315.34px;height:122.21px;"><div><p><span data-textwidth="270.64" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.72px;top:8.50px;">*<span class="f3" style="position:relative;bottom:1px;">CADASIL: Cerebral Autosomal </span></span><span data-textwidth="231.16" class="sg nowrap f3" style="z-index:4;color:#FFFFFF;font-size:111%; left:12.72px;top:35.34px;">Dominant <span style="position:relative;bottom:1px;">Arteriopathy with </span></span><span data-textwidth="195.63" class="sg nowrap f3" style="z-index:7;color:#FFFFFF;font-size:111%; left:12.72px;top:61.75px;">Subcortical Infarcts and </span><span data-textwidth="176.91" class="sg nowrap f3" style="z-index:8;color:#FFFFFF;font-size:111%; left:12.72px;top:88.16px;">Leukoencephalopathy</span></p></div></div></div>
<div class="sg sgTitle" id="s636" data-sgid="Title 1" style="z-index:1;left:3.00px;top:8.28px;width:714.51px;height:74.58px" data-valign="middle" data-pointer-events="none"> <div id="s636_t" class="sg" style="z-index:2;left:-7.30px;top:-26.15px;width:729.12px;height:135.89px;"><div><p para="{al:2}"><span data-textwidth="692.64" class="sg nowrap f1" style="z-index:2;color:#FF0000;font-weight:bold; font-size:167%; left:18.46px;top:11.99px;">C<span style="color:#13B5EA;position:relative;bottom:3px;">erebral </span><span style="position:relative;bottom:3px;">A</span><span style="color:#13B5EA;position:relative;bottom:3px;">utosomal </span><span style="position:relative;bottom:3px;">D</span><span style="color:#13B5EA;position:relative;bottom:3px;">ominant </span><span style="position:relative;bottom:3px;">A</span><span style="color:#13B5EA;position:relative;bottom:3px;">rteriopathy</span></span><span data-textwidth="426.31" class="sg nowrap f1" style="z-index:10;color:#13B5EA;font-weight:bold; font-size:167%; left:154.81px;top:48.00px;">w <span style="color:#FF0000;position:relative;bottom:3px;">S</span><span style="position:relative;bottom:3px;">ubcortical </span><span style="color:#FF0000;position:relative;bottom:3px;">I</span><span style="position:relative;bottom:3px;">nfarcts and </span></span><span data-textwidth="356.70" class="sg nowrap f1" style="z-index:15;color:#FF0000;font-weight:bold; font-size:167%; left:186.49px;top:84.00px;">L<span style="color:#13B5EA;position:relative;bottom:3px;">eukoencephalopathy</span></span></p></div></div></div> <div class="sg" id="s637" data-sgid="Content Placeholder 2" style="z-index:2;left:16.68px;top:81.90px;width:715.33px;height:318.75px" data-valign="top" data-pointer-events="none"> <div id="s637_t" class="sg" style="z-index:2;left:-8.41px;top:-3.60px;width:725.89px;height:377.76px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="693.96" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:139%; left:15.97px;top:11.48px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.37px"> </span>Nonatherosclerotic nonamyloid microangiopathy</span></span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="567.33" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:117%; left:51.98px;top:47.09px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.48px"> </span>Progression: leukoaraiosis/microhemorrhages to </span></span><span data-textwidth="189.87" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:117%; left:74.54px;top:74.81px;">recurrent strokes</span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="635.99" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:117%; left:51.98px;top:105.54px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.48px"> </span>Autosomal dominant: mutation in </span><span class="f1" style="font-style:italic; position:relative;bottom:2px;">NOTCH3 </span><span style="position:relative;bottom:2px;">gene (chr 19)</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="577.66" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:139%; left:15.97px;top:140.51px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.37px"> </span>Clinical: cognitive dysfunction, migraine, </span></span><span data-textwidth="588.94" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:139%; left:42.98px;top:174.12px;">psychiatric symptoms, recurrent stroke/TIA</span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="546.57" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:117%; left:51.98px;top:209.72px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.48px"> </span>Eyes, kidneys may be affected; Aneurysms: rare</span></span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="316.62" class="sg nowrap f1" style="z-index:25;color:#FFFFFF;font-weight:bold; font-size:117%; left:51.98px;top:240.45px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.48px"> </span>Onset typically in mid-30’s</span></span></p><p para="{bl:{ch:8226},spbf:3.00}"><span data-textwidth="684.36" class="sg nowrap f1" style="z-index:29;color:#FFFFFF;font-weight:bold; font-size:139%; left:15.97px;top:272.30px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.37px"> </span>Pathology: accumulation of granular osmiophilic</span></span><span data-textwidth="116.90" class="sg nowrap f1" style="z-index:32;color:#FFFFFF;font-weight:bold; font-size:139%; left:42.98px;top:305.90px;">material</span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="528.08" class="sg nowrap f1" style="z-index:33;color:#FFFFFF;font-weight:bold; font-size:117%; left:51.98px;top:341.51px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.48px"> </span>Degeneration of vascular smooth muscle cells</span></span></p></div></div></div>
<div class="sg sgTitle" id="s638" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s638_t" class="sg" style="z-index:2;left:-0.37px;top:-33.48px;width:649.26px;height:144.77px;"><div><p para="{al:2}"><span data-textwidth="489.68" class="sg nowrap f1" style="z-index:2;color:#FF0000;font-weight:bold; font-size:178%; left:83.32px;top:13.72px;">H<span style="color:#13B5EA;position:relative;bottom:4px;">ereditary </span><span style="position:relative;bottom:4px;">E</span><span style="color:#13B5EA;position:relative;bottom:4px;">ndotheliopathy, </span></span><span data-textwidth="538.65" class="sg nowrap f1" style="z-index:7;color:#FF0000;font-weight:bold; font-size:178%; left:58.84px;top:52.13px;">R<span style="color:#13B5EA;position:relative;bottom:4px;">etinopathy, </span><span style="position:relative;bottom:4px;">N</span><span style="color:#13B5EA;position:relative;bottom:4px;">ephropathy, and </span></span><span data-textwidth="255.16" class="sg nowrap f1" style="z-index:11;color:#FF0000;font-weight:bold; font-size:178%; left:197.22px;top:90.54px;">S<span style="color:#13B5EA;position:relative;bottom:4px;">troke (</span><span style="position:relative;bottom:4px;">HERNS</span><span style="color:#13B5EA;position:relative;bottom:4px;">)</span></span></p></div></div></div> <div class="sg" id="s639" data-sgid="Content Placeholder 2" style="z-index:2;left:29.25px;top:99.89px;width:672.76px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s639_t" class="sg" style="z-index:2;left:-10.05px;top:-5.39px;width:683.18px;height:349.45px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="552.93" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.77px;top:12.20px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>A.k.a. RVCL, retinal vasculopathy w </span></span><span data-textwidth="366.78" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.77px;top:45.81px;">cerebral <span style="position:relative;bottom:3px;">leukodystrophy</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="500.00" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.77px;top:86.14px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Rare genetic condition affecting </span></span><span data-textwidth="189.03" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.77px;top:119.75px;">endothelium</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="575.26" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.77px;top:159.24px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Clinical: progressive adult onset vision loss, </span></span><span data-textwidth="577.65" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:133%; left:76.34px;top:188.04px;">psychiatric disturbance, stroke<span style="position:relative;bottom:3px;">-like episodes, </span></span><span data-textwidth="576.46" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:133%; left:76.34px;top:216.85px;">neurologic decline, kidney disease/hematuria</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="584.62" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.77px;top:251.42px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Mutations in </span><span class="f1" style="font-style:italic; position:relative;bottom:3px;">TREX1</span><span style="position:relative;bottom:3px;"> gene (DNA exonuclease, </span></span><span data-textwidth="100.82" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:133%; left:76.34px;top:280.22px;">located </span><span data-textwidth="230.31" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-weight:bold; font-size:133%; left:76.34px;top:309.03px;">on <span style="position:relative;bottom:3px;">chromosome 3)</span></span></p></div></div></div>
<div class="sg sgTitle" id="s640" data-sgid="Title 1" style="z-index:1;left:35.51px;top:3.97px;width:648.52px;height:53.84px" data-valign="middle" data-pointer-events="none"> <div id="s640_t" class="sg" style="z-index:2;left:-0.37px;top:-9.96px;width:649.26px;height:86.10px;"><div><p para="{al:2}"><span data-textwidth="537.81" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-style:italic; font-weight:bold; font-size:228%; left:55.84px;top:16.11px;">COL4A1<span class="f1" style="font-style:normal; position:relative;bottom:4px;">-Related Disorder</span></span></p></div></div></div> <div class="sg" id="s641" data-sgid="Content Placeholder 2" style="z-index:2;left:32.03px;top:51.91px;width:681.99px;height:336.77px" data-valign="top" data-pointer-events="none"> <div id="s641_t" class="sg" style="z-index:2;left:-10.08px;top:-10.89px;width:692.42px;height:433.76px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="590.73" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.78px;top:12.15px;">•<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>COL4A1</span><span style="position:relative;bottom:3px;"> gene (chromosome 13) directs </span></span><span data-textwidth="565.77" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.78px;top:40.12px;">synthesis of one component of type IV </span><span data-textwidth="128.30" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.78px;top:68.08px;">collagen</span></p><p para="{in:2,bl:{ch:8211},spbf:2.00}"><span data-textwidth="586.66" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.78px;top:103.73px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Important in basement membrane networks</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="620.38" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.78px;top:139.26px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Phenotypes of </span><span class="f1" style="font-style:italic; position:relative;bottom:3px;">COL4A1</span><span style="position:relative;bottom:3px;">-related disorders</span></span></p><p para="{in:2,bl:{ch:8211},spbf:2.00}"><span data-textwidth="560.74" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.78px;top:174.91px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Often have overlapping features (and with </span></span><span data-textwidth="152.54" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-style:italic; font-weight:bold; font-size:133%; left:76.35px;top:203.71px;">COL4A2<span class="f1" style="font-style:normal; position:relative;bottom:3px;"> too)</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="288.04" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:111%; left:89.79px;top:236.32px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:6.48px"> </span>AD familial porencephaly</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="590.02" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-weight:bold; font-size:111%; left:89.79px;top:265.13px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:6.48px"> </span>AD brain small vessel disease w hemorrhage (may see </span></span><span data-textwidth="507.80" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:111%; left:107.79px;top:289.13px;">infantile hemiparesis with seizure, WM disease, </span><span data-textwidth="138.62" class="sg nowrap f1" style="z-index:24;color:#FFFFFF;font-weight:bold; font-size:111%; left:107.79px;top:313.14px;">microbleeds<span style="position:relative;bottom:2px;">)</span></span></p><p para="{in:3,bl:{ch:8226},spbf:0.20}"><span data-textwidth="563.97" class="sg nowrap f1" style="z-index:26;color:#FFFFFF;font-weight:bold; font-size:111%; left:89.79px;top:341.94px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:6.48px"> </span>Hereditary angiopathy w nephropathy, aneurysms, </span></span><span data-textwidth="409.87" class="sg nowrap f1" style="z-index:30;color:#FFFFFF;font-weight:bold; font-size:111%; left:107.79px;top:365.95px;">and muscle cramps (HANAC syndrome)</span></p><p para="{in:2,bl:{ch:8211},spbf:2.00}"><span data-textwidth="602.03" class="sg nowrap f1" style="z-index:31;color:#FFFFFF;font-weight:bold; font-size:133%; left:53.78px;top:393.00px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:7.69px"> </span>Multisystem: affect brain, eye, kidney, muscle</span></span></p></div></div></div>
<div class="sg sgTitle" id="s643" data-sgid="Title 1" style="z-index:2;left:23.51px;top:-0.23px;width:441.39px;height:63.91px" data-valign="middle" data-pointer-events="none"> <div id="s643_t" class="sg" style="z-index:2;left:-19.32px;top:-34.55px;width:461.07px;height:146.18px;"><div><p><span data-textwidth="274.25" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:27.02px;top:18.06px;">Differential </span><span data-textwidth="229.12" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:244%; left:27.02px;top:70.87px;">Diagnosis</span></p></div></div></div> <div class="sg" id="s644" data-sgid="2011-11-10 - MR-300 - 1-filtered.jpeg" style="z-index:3;left:463.71px;top:14.75px;width:120.30px;height:131.66px"> <img class="sg" src="D0D8D523.png" id="s644_i" style="z-index:1;left:0px;top:0px;width:120.30px;height:131.66px" > </div> <div class="sg" id="s645" data-sgid="2011-11-10 - MR-300 - 2-filtered.jpeg" style="z-index:4;left:588.91px;top:20.26px;width:122.60px;height:125.56px"> <img class="sg" src="15F637A0.png" id="s645_i" style="z-index:1;left:0px;top:0px;width:122.60px;height:125.56px" > </div> <div class="sg" id="s647" data-sgid="2013-06-05 - MR-7 - 2-filtered.jpeg" style="z-index:6;left:588.91px;top:153.50px;width:131.09px;height:127.23px"> <img class="sg" src="7B298249.png" id="s647_i" style="z-index:1;left:0px;top:0px;width:131.09px;height:127.23px" > </div> <div class="sg" id="s646" data-sgid="2013-06-05 - MR-7 - 1-filtered.jpeg" style="z-index:5;left:457.82px;top:152.65px;width:133.02px;height:131.69px"> <img class="sg" src="4D900D23.png" id="s646_i" style="z-index:1;left:0px;top:0px;width:133.02px;height:131.69px" > </div> <div class="sg" id="s642" data-sgid="Content Placeholder 5" style="z-index:1;left:21.83px;top:62.13px;width:452.29px;height:329.90px" data-valign="top" data-pointer-events="none"> <div id="s642_t" class="sg" style="z-index:2;left:-8.26px;top:-4.68px;width:472.80px;height:379.21px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="189.39" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:139%; left:16.07px;top:11.56px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.37px"> </span>CADASIL, </span><span style="color:#FF0000;position:relative;bottom:3px;">vs</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="362.23" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:139%; left:16.07px;top:48.29px;">•<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:12.37px"> </span>COL4A1</span><span style="position:relative;bottom:3px;">-related disorder </span></span><span data-textwidth="377.82" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:139%; left:43.08px;top:78.90px;">(<span style="position:relative;bottom:3px;">Autosomal dominant brain </span></span><span data-textwidth="352.01" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:139%; left:43.08px;top:109.51px;">small<span style="position:relative;bottom:3px;">-vessel disease with </span></span><span data-textwidth="180.99" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:139%; left:43.08px;top:140.11px;">hemorrhage) </span><span data-textwidth="405.06" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:139%; left:43.08px;top:170.72px;">or <span class="f1" style="font-style:italic; position:relative;bottom:3px;">COL4A2</span><span style="position:relative;bottom:3px;">-related disorder, </span><span style="color:#FF0000;position:relative;bottom:3px;">vs</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="159.27" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:139%; left:16.07px;top:207.45px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.37px"> </span>HERNS, </span><span style="color:#FF0000;position:relative;bottom:3px;">vs</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="441.20" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-weight:bold; font-size:139%; left:16.07px;top:244.18px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.37px"> </span>Other genetic defect leading to </span></span><span data-textwidth="374.95" class="sg nowrap f1" style="z-index:25;color:#FFFFFF;font-weight:bold; font-size:139%; left:43.08px;top:274.78px;">early<span style="position:relative;bottom:3px;">-onset arteriopathy w </span></span><span data-textwidth="137.06" class="sg nowrap f1" style="z-index:30;color:#FFFFFF;font-weight:bold; font-size:139%; left:43.08px;top:305.39px;">cavitating</span><span data-textwidth="296.93" class="sg nowrap f1" style="z-index:31;color:#FFFFFF;font-weight:bold; font-size:139%; left:43.08px;top:336.00px;">leukoencephalopathy</span></p></div></div></div> <div class="sg" id="s648" data-sgid="2013-06-05 - MR-1500 - 1-filtered.jpeg" style="z-index:7;left:538.30px;top:288.54px;width:128.94px;height:109.13px"> <img class="sg" src="6EE80172.png" id="s648_i" style="z-index:1;left:0px;top:0px;width:128.94px;height:109.13px" > </div>
<div class="sg sgTitle" id="s649" data-sgid="Title 4" style="z-index:1;left:11.16px;top:3.97px;width:490.07px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s649_t" class="sg" style="z-index:2;left:-19.32px;top:-32.14px;width:509.75px;height:145.93px;"><div><p><span data-textwidth="318.89" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:27.00px;top:17.93px;">My “Best<span style="position:relative;bottom:5px;">-Fit” </span></span><span data-textwidth="229.12" class="sg nowrap f1" style="z-index:5;color:#13B5EA;font-weight:bold; font-size:244%; left:27.00px;top:70.74px;">Diagnosis</span></p></div></div></div> <div class="sg" id="s651" data-sgid="Picture 2" style="z-index:3;left:495.59px;top:3.12px;width:221.54px;height:134.55px"> <img class="sg" src="F9313C87.jpg" id="s651_i" title="" alt="COL4 picture.png" style="z-index:1;left:0px;top:0px;width:221.54px;height:134.55px" > </div> <div class="sg" id="s655" data-sgid="Straight Arrow Connector 10" style="z-index:9;left:586.64px;top:151.46px;width:19.06px;height:38.13px" data-pointer-events="none"> <img class="sg" src="3348776E.png" id="s655_i" style="z-index:1;left:0px;top:0px;width:19.06px;height:38.13px" > </div> <div class="sg" id="s650" data-sgid="Content Placeholder 5" style="z-index:2;left:5.52px;top:69.93px;width:495.71px;height:210.81px" data-valign="top" data-pointer-events="none"> <div id="s650_t" class="sg" style="z-index:2;left:-7.56px;top:-4.09px;width:503.64px;height:230.13px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="342.29" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.24px;top:10.98px;">•<span class="f1" style="font-style:italic; position:relative;bottom:3px;"><span style="letter-spacing:13.09px"> </span>COL4A1</span><span style="position:relative;bottom:3px;">-related disorder </span></span><span data-textwidth="438.91" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.25px;top:39.78px;">(specifically, autosomal dominant </span><span data-textwidth="404.58" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.25px;top:68.59px;">brain small<span style="position:relative;bottom:3px;">-vessel disease with </span></span><span data-textwidth="377.10" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.25px;top:97.40px;">hemorrhage)(OMIM#607595)</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="447.32" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.24px;top:131.96px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.09px"> </span>New genetic disorders that affect </span></span><span data-textwidth="428.11" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.25px;top:160.77px;">small vessels are being described </span><span data-textwidth="150.39" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.25px;top:189.58px;">all the time!</span></p></div></div></div> <div class="sg" id="s654" data-sgid="Picture 7" style="z-index:8;left:521.39px;top:141.76px;width:195.75px;height:165.13px"> <img class="sg" src="F2F38D08.jpg" id="s654_i" title="" alt="artery.jpeg" style="z-index:1;left:0px;top:0px;width:195.75px;height:165.13px" > </div> <div class="sg" id="s652" data-sgid="Group 8" style="z-index:4;left:2.69px;top:251.47px;width:518.43px;height:112.18px" data-shape="group"> <div class="sg" id="s656" data-sgid="TextBox 3" style="z-index:2;left:173.85px;top:82.40px;width:195.63px;height:29.84px" data-valign="top"> <img class="sg" src="BD4C3FBC.png" id="s656_i" style="z-index:1;left:0px;top:0px;width:195.63px;height:29.84px" > <div id="s656_t" class="sg" style="z-index:2;left:-3.70px;top:-1.81px;width:199.34px;height:60.34px;"><div><p><span data-textwidth="160.59" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; left:11.51px;top:7.94px;">Chromosome 13: </span><span data-textwidth="57.01" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; left:11.51px;top:29.54px;">13q34</span></p></div></div></div> <div class="sg" id="s657" data-sgid="Picture 1" style="z-index:1;left:-0.54px;top:-0.60px;width:519.13px;height:111.43px"> <img class="sg" src="B002F899.png" id="s657_i" title="" alt="chr 13 q 34.png" style="z-index:1;left:0px;top:0px;width:519.13px;height:111.43px" > </div> </div> <div class="sg" id="s653" data-sgid="TextBox 6" style="z-index:7;left:115.15px;top:370.92px;width:393.64px;height:26.38px" data-valign="top"> <div id="s653_t" class="sg" style="z-index:2;left:-1.81px;top:-1.08px;width:395.46px;height:32.51px;"><div><p><span data-textwidth="369.43" class="sg nowrap f6" style="z-index:2;color:#FFFFFF;font-style:italic; font-size:83%; left:9.56px;top:7.56px;">OMIM: online <span style="position:relative;bottom:1px;">Mendelian inheritance in man, www.omim.org</span></span></p></div></div></div>
<div class="sg" id="s658" data-sgid="Title 3" style="z-index:1;left:53.50px;top:125.33px;width:612.56px;height:87.52px" data-valign="middle" data-pointer-events="none"> <div id="s658_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.25px;"><div><p para="{al:2}"><span data-textwidth="119.78" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:246.92px;top:22.15px;">Stop!</span></p></div></div></div>
<div class="sg" id="s661" data-sgid="Shape 136 (2)" style="z-index:3;left:64.54px;top:-0.60px;width:590.35px;height:107.46px" data-valign="middle" data-pointer-events="none"> <div id="s661_t" class="sg" style="z-index:2;left:0.00px;top:-13.56px;width:590.35px;height:147.63px;"><div><p para="{al:2}"><span data-textwidth="437.23" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:85.85px;top:18.80px;"><span style="text-shadow:0.00px 0.00px 0.70px rgba(255,255,255,0.50)">Correct Diagnosis: </span></span><span data-textwidth="460.76" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:244%; left:65.08px;top:71.61px;"><span style="text-shadow:0.00px 0.00px 0.70px rgba(255,255,255,0.50)">COL4A1 MUTATION</span></span></p></div></div></div> <div class="sg" id="s659" data-sgid="Shape 136" style="z-index:1;left:64.65px;top:-0.48px;width:590.24px;height:107.46px" data-valign="middle" data-pointer-events="none"> <div id="s659_t" class="sg" style="z-index:2;left:0.00px;top:-13.42px;width:590.24px;height:120.88px;"><div><p para="{al:2}"><span data-textwidth="437.23" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:85.86px;top:18.66px;"><span style="text-shadow:0.00px 0.00px 0.70px rgba(255,255,255,0.50)">Correct Diagnosis: </span></span></p></div></div></div> <div class="sg" id="s660" data-sgid="Shape 137" style="z-index:2;left:59.50px;top:111.40px;width:630.54px;height:270.92px" data-valign="middle" data-pointer-events="none"> <div id="s660_t" class="sg" style="z-index:2;left:-12.12px;top:-47.12px;width:642.66px;height:372.11px;"><div><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="518.00" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.15px;top:11.10px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Gene encoding type IV collagen, major </span></span><span data-textwidth="471.56" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.15px;top:39.90px;">component of the vascular basement </span><span data-textwidth="138.98" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.15px;top:68.71px;">membrane</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="564.69" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.15px;top:105.44px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Autosomal dominant (~25% have sporadic </span></span><span data-textwidth="126.26" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.15px;top:134.24px;">mutation)</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="603.94" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.15px;top:171.09px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Multi-system disease: kidney disease, retinal </span></span><span data-textwidth="264.52" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.15px;top:199.90px;">arteries, muscles, etc</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="474.08" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.15px;top:236.75px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Brain - leukoencephalopathy, deep </span></span><span data-textwidth="550.29" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.15px;top:265.55px;">hemorrhage, calcification, lacunar infarcts, </span><span data-textwidth="176.91" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.15px;top:294.36px;">porencephaly</span></p><p para="{bl:{ch:8226},spbf:8.00}"><span data-textwidth="380.34" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.15px;top:331.09px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Diagnosis by genetic testing</span></span></p></div></div></div>
<div class="sg" id="s668" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:63.91px;width:612.56px;height:87.80px" data-valign="middle" data-pointer-events="none"> <div id="s668_t" class="sg" style="z-index:2;left:-0.37px;top:-0.36px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="449.23" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:82.25px;top:22.23px;">Abdominal Case #2</span></p></div></div></div> <div class="sg" id="s669" data-sgid="Subtitle 1" style="z-index:2;left:83.49px;top:183.83px;width:540.57px;height:104.34px" data-valign="top"> <div id="s669_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:540.57px;height:115.12px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="458.12" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:41.09px;top:19.31px;">John Leyendecker</span></p></div></div></div>
<div class="sg sgTitle" id="s670" data-sgid="Title 13" style="z-index:1;left:52.16px;top:9.96px;width:615.19px;height:90.67px" data-valign="middle" data-pointer-events="none"> <div id="s670_t" class="sg" style="z-index:2;left:0.00px;top:-0.26px;width:615.19px;height:106.01px;"><div><p para="{al:2}"><span data-textwidth="408.43" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:278%; left:103.63px;top:21.99px;">John Leyendecker</span></p></div></div></div> <div class="sg" id="s672" data-sgid="Content Placeholder 6" style="z-index:3;left:353.34px;top:93.90px;width:318.68px;height:268.03px"> <img class="sg" src="9F6D8D43.png" id="s672_i" title="" alt="Photo - Leyendecker_John.jpg.jpeg" style="z-index:1;left:0px;top:0px;width:318.68px;height:268.03px" > </div> <div class="sg" id="s671" data-sgid="Content Placeholder 15" style="z-index:2;left:-108.44px;top:96.65px;width:648.55px;height:268.03px"> <img class="sg" src="229BD4D2.png" id="s671_i" title="" alt="young JRL.JPG.jpeg" style="z-index:1;left:0px;top:0px;width:648.55px;height:268.03px" > </div>
<div class="sg sgTitle" id="s678" data-sgid="Title 3" style="z-index:1;left:52.16px;top:9.96px;width:615.19px;height:90.67px" data-valign="middle" data-pointer-events="none"> <div id="s678_t" class="sg" style="z-index:2;left:0.00px;top:-0.26px;width:615.19px;height:106.01px;"><div><p para="{al:2}"><span data-textwidth="408.43" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:278%; left:103.63px;top:21.99px;">John Leyendecker</span></p></div></div></div> <div class="sg" id="s679" data-sgid="Content Placeholder 7" style="z-index:2;left:191.44px;top:93.90px;width:325.99px;height:276.65px"> <img class="sg" src="BBB648EA.png" id="s679_i" title="" alt="Wife Mary, Michael, Bridget.jpg.jpeg" style="z-index:1;left:0px;top:0px;width:325.99px;height:276.65px" > </div>
<div class="sg sgTitle" id="s682" data-sgid="Title 3" style="z-index:3;left:52.16px;top:9.96px;width:615.19px;height:90.67px" data-valign="middle" data-pointer-events="none"> <div id="s682_t" class="sg" style="z-index:2;left:0.00px;top:-0.26px;width:615.19px;height:106.01px;"><div><p para="{al:2}"><span data-textwidth="408.43" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:278%; left:103.63px;top:21.99px;">John Leyendecker</span></p></div></div></div> <div class="sg" id="s681" data-sgid="Content Placeholder 7" style="z-index:2;left:365.35px;top:93.90px;width:318.68px;height:268.03px"> <img class="sg" src="6E3D08C9.png" id="s681_i" title="" alt="Leyendecker Trout.jpg" style="z-index:1;left:0px;top:0px;width:318.68px;height:268.03px" > </div> <div class="sg" id="s680" data-sgid="Content Placeholder 6" style="z-index:1;left:35.51px;top:93.90px;width:318.68px;height:268.03px"> <img class="sg" src="CF4C4024.png" id="s680_i" title="" alt="my hobby.jpg.jpeg" style="z-index:1;left:0px;top:0px;width:318.68px;height:268.03px" > </div>
<div class="sg" id="s689" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="bottom" data-pointer-events="none"> <div id="s689_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:612.56px;height:111.66px;"><div><p para="{al:2}"><span data-textwidth="384.30" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:244%; left:114.17px;top:38.21px;">Abdominal Case #2</span></p></div></div></div> <div class="sg sgSubtitle" id="s690" data-sgid="Subtitle 1" style="z-index:2;left:134.46px;top:153.87px;width:450.62px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s690_t" class="sg" style="z-index:2;left:-0.37px;top:-7.43px;width:451.33px;height:111.74px;"><div><p para="{al:2}"><span data-textwidth="352.26" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:183%; left:54.22px;top:14.72px;">50<span style="position:relative;bottom:2px;">-year-old female with </span></span><span data-textwidth="411.19" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:183%; left:20.26px;top:54.32px;">abnormal liver function tests</span></p></div></div></div>
<div class="sg" id="s693" data-sgid="Oval 6" style="z-index:3;left:262.18px;top:116.79px;width:57.23px;height:45.11px" data-pointer-events="none"> <img class="sg" src="A3F4FC8.png" id="s693_i" style="z-index:1;left:0px;top:0px;width:57.23px;height:45.11px" > </div> <div class="sg" id="s692" data-sgid="Straight Arrow Connector 4" style="z-index:2;left:291.81px;top:176.17px;width:52.08px;height:46.16px" data-pointer-events="none"> <img class="sg" src="2783F2EA.png" id="s692_i" style="z-index:1;left:0px;top:0px;width:52.08px;height:46.16px" > </div> <div class="sg" id="s691" data-sgid="Picture 2" style="z-index:1;left:131.46px;top:14.04px;width:447.03px;height:377.28px"> <img class="sg" src="D05C53C4.jpg" id="s691_i" style="z-index:1;left:0px;top:0px;width:447.03px;height:377.28px" > </div>
<div class="sg" id="s696" data-sgid="Straight Arrow Connector 7" style="z-index:3;left:351.67px;top:152.43px;width:40.41px;height:47.01px" data-pointer-events="none"> <img class="sg" src="43179C66.png" id="s696_i" style="z-index:1;left:0px;top:0px;width:40.41px;height:47.01px" > </div> <div class="sg" id="s695" data-sgid="Straight Arrow Connector 4" style="z-index:2;left:297.81px;top:195.23px;width:46.08px;height:40.43px" data-pointer-events="none"> <img class="sg" src="F5259580.png" id="s695_i" style="z-index:1;left:0px;top:0px;width:46.08px;height:40.43px" > </div> <div class="sg" id="s694" data-sgid="Picture 2" style="z-index:1;left:131.46px;top:21.96px;width:447.03px;height:375.23px"> <img class="sg" src="BF6B54E5.jpg" id="s694_i" style="z-index:1;left:0px;top:0px;width:447.03px;height:375.23px" > </div> <div class="sg" id="s697" data-sgid="Oval 8" style="z-index:4;left:238.20px;top:218.61px;width:57.23px;height:45.11px" data-pointer-events="none"> <img class="sg" src="7F509EED.png" id="s697_i" style="z-index:1;left:0px;top:0px;width:57.23px;height:45.11px" > </div>
<div class="sg" id="s700" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:351.67px;top:128.43px;width:40.41px;height:47.04px" data-pointer-events="none"> <img class="sg" src="B71B6FD4.png" id="s700_i" style="z-index:1;left:0px;top:0px;width:40.41px;height:47.04px" > </div> <div class="sg" id="s699" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:291.81px;top:179.63px;width:46.08px;height:40.31px" data-pointer-events="none"> <img class="sg" src="80736197.png" id="s699_i" style="z-index:1;left:0px;top:0px;width:46.08px;height:40.31px" > </div> <div class="sg" id="s701" data-sgid="Oval 5" style="z-index:4;left:394.13px;top:134.78px;width:117.19px;height:141.05px" data-pointer-events="none"> <img class="sg" src="4D6B3CD7.png" id="s701_i" style="z-index:1;left:0px;top:0px;width:117.19px;height:141.05px" > </div> <div class="sg" id="s698" data-sgid="Picture 2" style="z-index:1;left:135.06px;top:27.83px;width:447.03px;height:360.85px"> <img class="sg" src="B9D78BA.jpg" id="s698_i" style="z-index:1;left:0px;top:0px;width:447.03px;height:360.85px" > </div>
<div class="sg" id="s706" data-sgid="TextBox 6" style="z-index:5;left:239.41px;top:94.27px;width:89.24px;height:32.37px" data-valign="top"> <div id="s706_t" class="sg" style="z-index:2;left:-4.92px;top:-2.30px;width:94.87px;height:42.95px;"><div><p><span data-textwidth="70.21" class="sg nowrap f3" style="z-index:2;font-size:111%; left:12.75px;top:8.77px;">pancreas</span></p></div></div></div> <div class="sg" id="s707" data-sgid="Straight Arrow Connector 8" style="z-index:6;left:315.45px;top:116.45px;width:40.41px;height:45.93px" data-pointer-events="none"> <img class="sg" src="C893181A.png" id="s707_i" style="z-index:1;left:0px;top:0px;width:40.41px;height:45.93px" > </div> <div class="sg" id="s703" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:345.67px;top:122.44px;width:40.41px;height:47.01px" data-pointer-events="none"> <img class="sg" src="99C943F3.png" id="s703_i" style="z-index:1;left:0px;top:0px;width:40.41px;height:47.01px" > </div> <div class="sg" id="s708" data-sgid="TextBox 10" style="z-index:7;left:455.30px;top:170.41px;width:53.13px;height:32.37px" data-valign="top"> <div id="s708_t" class="sg" style="z-index:2;left:-4.90px;top:-2.41px;width:61.51px;height:42.95px;"><div><p><span data-textwidth="36.73" class="sg nowrap f3" style="z-index:2;font-size:111%; left:12.88px;top:8.96px;">liver</span></p></div></div></div> <div class="sg" id="s704" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:285.83px;top:176.06px;width:46.05px;height:40.28px" data-pointer-events="none"> <img class="sg" src="8B3ACD40.png" id="s704_i" style="z-index:1;left:0px;top:0px;width:46.05px;height:40.28px" > </div> <div class="sg" id="s702" data-sgid="Picture 2" style="z-index:1;left:135.06px;top:23.15px;width:447.03px;height:365.53px"> <img class="sg" src="70842CCF.jpg" id="s702_i" style="z-index:1;left:0px;top:0px;width:447.03px;height:365.53px" > </div> <div class="sg" id="s705" data-sgid="TextBox 1" style="z-index:4;left:401.32px;top:249.79px;width:69.47px;height:32.40px" data-valign="top"> <div id="s705_t" class="sg" style="z-index:2;left:-4.90px;top:-2.27px;width:76.04px;height:42.92px;"><div><p><span data-textwidth="51.25" class="sg nowrap f3" style="z-index:2;font-size:111%; left:12.85px;top:9.02px;">spleen</span></p></div></div></div>
<div class="sg sgTitle" id="s710" data-sgid="Title 1" style="z-index:2;left:27.10px;top:27.94px;width:228.74px;height:43.18px" data-valign="middle" data-pointer-events="none"> <div id="s710_t" class="sg" style="z-index:2;left:0.00px;top:-4.08px;width:228.74px;height:59.86px;"><div><p para="{al:2}"><span data-textwidth="182.43" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:23.19px;top:13.19px;">5 minute delay</span></p></div></div></div> <div class="sg" id="s711" data-sgid="Oval 3" style="z-index:3;left:394.13px;top:134.78px;width:117.19px;height:141.05px" data-pointer-events="none"> <img class="sg" src="4D6B3CD7.png" id="s711_i" style="z-index:1;left:0px;top:0px;width:117.19px;height:141.05px" > </div> <div class="sg" id="s709" data-sgid="Picture 2" style="z-index:1;left:141.06px;top:27.94px;width:447.03px;height:359.89px"> <img class="sg" src="E67EF35A.jpg" id="s709_i" style="z-index:1;left:0px;top:0px;width:447.03px;height:359.89px" > </div>
<div class="sg" id="s713" data-sgid="Straight Arrow Connector 3" style="z-index:2;left:309.82px;top:110.21px;width:46.05px;height:41.25px" data-pointer-events="none"> <img class="sg" src="DD5AB882.png" id="s713_i" style="z-index:1;left:0px;top:0px;width:46.05px;height:41.25px" > </div> <div class="sg" id="s717" data-sgid="Group 10" style="z-index:6;left:294.00px;top:137.72px;width:51.65px;height:24.23px" data-shape="group"> <div class="sg" id="s718" data-sgid="Straight Arrow Connector 8" style="z-index:2;left:29.98px;top:17.46px;width:24.21px;height:13.08px" data-pointer-events="none"> <img class="sg" src="A40B2234.png" id="s718_i" style="z-index:1;left:0px;top:0px;width:24.21px;height:13.08px" > </div> <div class="sg" id="s719" data-sgid="TextBox 7" style="z-index:1;left:-0.61px;top:-0.53px;width:52.39px;height:25.08px" data-valign="top"> <div id="s719_t" class="sg" style="z-index:2;left:-1.33px;top:-0.59px;width:54.69px;height:30.21px;"><div><p><span data-textwidth="36.73" class="sg nowrap f3" style="z-index:2;font-size:78%; left:9.19px;top:6.87px;">SMV?</span></p></div></div></div> </div> <div class="sg" id="s715" data-sgid="TextBox 4" style="z-index:4;left:375.18px;top:138.87px;width:47.75px;height:25.19px" data-valign="top"> <div id="s715_t" class="sg" style="z-index:2;left:-1.19px;top:-0.60px;width:48.94px;height:30.35px;"><div><p><span data-textwidth="30.37" class="sg nowrap f3" style="z-index:2;font-size:78%; left:9.11px;top:7.00px;">SMA</span></p></div></div></div> <div class="sg" id="s716" data-sgid="Straight Arrow Connector 6" style="z-index:5;left:358.50px;top:144.88px;width:22.57px;height:13.19px" data-pointer-events="none"> <img class="sg" src="FEB346CA.png" id="s716_i" style="z-index:1;left:0px;top:0px;width:22.57px;height:13.19px" > </div> <div class="sg" id="s712" data-sgid="Picture 2" style="z-index:1;left:218.40px;top:3.97px;width:299.62px;height:395.12px"> <img class="sg" src="480F5543.jpg" id="s712_i" style="z-index:1;left:0px;top:0px;width:299.62px;height:395.12px" > </div> <div class="sg" id="s714" data-sgid="TextBox 1" style="z-index:3;left:319.05px;top:185.39px;width:64.29px;height:32.40px" data-rotation = "288" data-valign="top"> <div id="s714_t" class="sg" style="z-index:2;left:-4.81px;top:-2.38px;width:70.43px;height:42.92px;"><div><p><span data-textwidth="45.73" class="sg nowrap f3" style="z-index:2;font-size:111%; left:12.81px;top:8.95px;">Aorta</span></p></div></div></div>
<div class="sg" id="s721" data-sgid="TextBox 1" style="z-index:2;left:329.61px;top:133.11px;width:41.49px;height:25.19px" data-rotation = "280" data-valign="top"> <div id="s721_t" class="sg" style="z-index:2;left:-1.21px;top:-0.71px;width:42.71px;height:30.33px;"><div><p><span data-textwidth="24.12" class="sg nowrap f3" style="z-index:2;font-size:78%; left:9.10px;top:6.99px;">IVC</span></p></div></div></div> <div class="sg" id="s722" data-sgid="TextBox 3" style="z-index:3;left:347.82px;top:143.80px;width:52.19px;height:25.05px" data-rotation = "275" data-valign="top"> <div id="s722_t" class="sg" style="z-index:2;left:-1.19px;top:-0.62px;width:53.38px;height:30.35px;"><div><p><span data-textwidth="35.41" class="sg nowrap f3" style="z-index:2;font-size:78%; left:9.11px;top:7.01px;">Aorta </span></p></div></div></div> <div class="sg" id="s720" data-sgid="Picture 2" style="z-index:1;left:227.41px;top:8.99px;width:282.12px;height:385.67px"> <img class="sg" src="2AE4AABD.jpg" id="s720_i" style="z-index:1;left:0px;top:0px;width:282.12px;height:385.67px" > </div>
<div class="sg" id="s724" data-sgid="TextBox 1" style="z-index:2;left:41.49px;top:140.20px;width:212.91px;height:32.37px" data-valign="top"> <div id="s724_t" class="sg" style="z-index:2;left:-4.90px;top:-2.64px;width:278.50px;height:42.92px;"><div><p><span data-textwidth="253.72" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.62px;top:8.47px;">Where’s the portal vein?</span></p></div></div></div> <div class="sg" id="s725" data-sgid="TextBox 3" style="z-index:3;left:479.28px;top:140.20px;width:221.54px;height:56.60px" data-valign="top"> <div id="s725_t" class="sg" style="z-index:2;left:-4.90px;top:-2.64px;width:226.44px;height:90.89px;"><div><p><span data-textwidth="188.91" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.90px;top:8.47px;">Portal circulation </span><span data-textwidth="184.59" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.90px;top:32.48px;">drains directly to </span><span data-textwidth="78.25" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.90px;top:56.48px;">the IVC</span></p></div></div></div> <div class="sg" id="s723" data-sgid="Picture 2" style="z-index:1;left:225.48px;top:3.97px;width:284.64px;height:396.68px"> <img class="sg" src="6E75A75E.jpg" id="s723_i" style="z-index:1;left:0px;top:0px;width:284.64px;height:396.68px" > </div>
<div class="sg" id="s735" data-sgid="TextBox 19" style="z-index:18;left:635.32px;top:27.94px;width:58.06px;height:73.65px" data-valign="top"> <div id="s735_t" class="sg" style="z-index:2;left:-25.29px;top:-12.82px;width:108.18px;height:114.16px;"><div><p><span data-textwidth="42.49" class="sg nowrap f4" style="z-index:2;color:#0070C0;font-size:300%; left:33.40px;top:23.65px;"></span></p></div></div></div> <div class="sg" id="s732" data-sgid="TextBox 1" style="z-index:15;left:287.39px;top:49.16px;width:328.03px;height:56.60px" data-valign="top"> <div id="s732_t" class="sg" style="z-index:2;left:-3.97px;top:-2.52px;width:427.34px;height:66.92px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="403.62" class="sg nowrap f2" style="z-index:2;color:#0070C0;font-size:111%; left:11.83px;top:8.85px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:2px;"><span style="letter-spacing:15.84px"> </span>The vascular anatomy is congenital</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="384.42" class="sg nowrap f2" style="z-index:4;color:#0070C0;font-size:111%; left:11.83px;top:32.86px;">•<span class="f1" style="color:#FFFFFF;position:relative;bottom:2px;"><span style="letter-spacing:15.84px"> </span>The vascular anatomy is acquired</span></span></p></div></div></div> <div class="sg" id="s728" data-sgid="Freeform 6" style="z-index:5;left:17.16px;top:16.20px;width:138.99px;height:126.27px" data-valign="top" data-fillcolor="28864"> <img class="sg" src="6FE75AC1.png" id="s728_i" style="z-index:1;left:0px;top:0px;width:138.99px;height:126.27px" > <div id="s728_t" class="sg" style="z-index:2;left:-4.56px;top:0.00px;width:143.55px;height:126.27px;"><div><p></p><p><span data-textwidth="117.50" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:12.60px;top:30.89px;">50 <span style="position:relative;bottom:1px;">y.o. woman</span></span></p></div></div></div> <div class="sg" id="s729" data-sgid="Group 4" style="z-index:6;left:119.11px;top:16.31px;width:179.92px;height:126.16px"> <div id="s729_t" class="sg" style="z-index:2;left:0px;top:0px;width:179.92px;height:126.16px;"><div><p><span data-textwidth="120.74" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:56%; left:43.64px;top:9.78px;">Portosystemic communication</span></p></div></div><img class="sg" src="EEDE06B7.png" id="s729_i" style="z-index:1;left:0px;top:0px;width:179.92px;height:126.16px" > </div> <div class="sg" id="s734" data-sgid="Straight Connector 29" style="z-index:17;left:317.24px;top:86.84px;width:326.98px;height:3.46px" data-pointer-events="none"> <img class="sg" src="8CE2CF8B.png" id="s734_i" style="z-index:1;left:0px;top:0px;width:326.98px;height:2.46px" > </div> <div class="sg" id="s727" data-sgid="TextBox 14" style="z-index:4;left:629.21px;top:135.89px;width:15.35px;height:32.37px"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s733" data-sgid="TextBox 8" style="z-index:16;left:288.46px;top:114.52px;width:413.55px;height:80.71px" data-valign="top"> <div id="s733_t" class="sg" style="z-index:2;left:-4.07px;top:-2.63px;width:506.04px;height:91.04px;"><div><p para="{bl:{ch:8226}}"><span data-textwidth="405.30" class="sg nowrap f2" style="z-index:2;color:#0070C0;font-size:111%; left:11.94px;top:8.90px;">•<span class="f1" style="color:#B8CFFF;position:relative;bottom:2px;"><span style="letter-spacing:15.84px"> </span>There is no evidence of prior surgery</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="455.59" class="sg nowrap f2" style="z-index:4;color:#0070C0;font-size:111%; left:11.94px;top:32.90px;">•<span class="f1" style="color:#B8CFFF;position:relative;bottom:2px;"><span style="letter-spacing:15.84px"> </span>No other stigmata of portal hypertension</span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="482.12" class="sg nowrap f2" style="z-index:6;color:#0070C0;font-size:111%; left:11.94px;top:56.91px;">•<span class="f1" style="color:#B8CFFF;position:relative;bottom:2px;"><span style="letter-spacing:15.84px"> </span>There is no evidence of a normal portal vein</span></span></p></div></div></div> <div class="sg" id="s730" data-sgid="Group 7" style="z-index:9;left:16.68px;top:115.01px;width:168.87px;height:153.87px"> <div id="s730_t" class="sg" style="z-index:2;left:0px;top:0px;width:168.87px;height:153.87px;"><div><p><span data-textwidth="118.70" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:56%; left:9.36px;top:32.90px;">Avidly enhancing liver lesion</span></p></div></div><img class="sg" src="CCBD4054.png" id="s730_i" style="z-index:1;left:0px;top:0px;width:168.87px;height:153.87px" > </div> <div class="sg" id="s726" data-sgid="Group 21" style="z-index:1;left:153.29px;top:114.64px;width:141.17px;height:154.58px"> <div id="s726_t" class="sg" style="z-index:2;left:0px;top:0px;width:141.17px;height:154.58px;"><div><p><span data-textwidth="93.74" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:56%; left:27.94px;top:33.27px;">Additional liver lesions</span></p></div></div><img class="sg" src="6C7585FC.png" id="s726_i" style="z-index:1;left:0px;top:0px;width:141.17px;height:154.58px" > </div> <div class="sg" id="s731" data-sgid="Group 26" style="z-index:12;left:144.00px;top:285.88px;width:426.00px;height:79.97px" data-shape="group"> <div class="sg" id="s736" data-sgid="Picture 25" style="z-index:2;left:-0.56px;top:12.73px;width:65.50px;height:65.36px"> <img class="sg" src="F702CB25.png" id="s736_i" style="z-index:1;left:0px;top:0px;width:65.50px;height:65.36px" > </div> <div class="sg" id="s737" data-sgid="TextBox 22" style="z-index:1;left:54.38px;top:-0.72px;width:371.70px;height:80.85px" data-valign="top"> <div id="s737_t" class="sg" style="z-index:2;left:-4.79px;top:-2.64px;width:376.48px;height:115.01px;"><div><p><span data-textwidth="339.90" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:111%; left:12.60px;top:8.62px;">Portosystemic shunt associated </span><span data-textwidth="325.01" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:111%; left:12.60px;top:32.63px;">with congenital absence of the </span><span data-textwidth="290.93" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:111%; left:12.60px;top:56.63px;">portal vein and subsequent </span><span data-textwidth="295.61" class="sg nowrap f1" style="z-index:5;color:#FFFF00;font-weight:bold; font-size:111%; left:12.60px;top:80.64px;">development of liver tumors</span></p></div></div></div> </div>
<div class="sg sgTitle" id="s739" data-sgid="Title 1" style="z-index:1;left:52.16px;top:9.96px;width:615.19px;height:90.67px" data-valign="middle" data-pointer-events="none"> <div id="s739_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:615.19px;height:103.38px;"><div><p para="{al:2}"><span data-textwidth="509.72" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:267%; left:52.98px;top:22.81px;">Abernethy Malformation</span></p></div></div></div> <div class="sg" id="s741" data-sgid="Oval 3" style="z-index:3;left:106.99px;top:165.36px;width:115.74px;height:43.91px" data-pointer-events="none"> <img class="sg" src="34B69885.png" id="s741_i" style="z-index:1;left:0px;top:0px;width:115.74px;height:43.91px" > </div> <div class="sg" id="s740" data-sgid="Content Placeholder 2" style="z-index:2;left:71.48px;top:87.91px;width:594.57px;height:256.03px" data-valign="top" data-pointer-events="none"> <div id="s740_t" class="sg" style="z-index:2;left:-11.27px;top:-6.49px;width:605.84px;height:264.79px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="512.37" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.32px;top:12.08px;">•<span class="f1" style="font-size:130%; position:relative;bottom:3px;"><span style="letter-spacing:12.49px"> </span>Rare congenital anomaly with </span></span><span data-textwidth="383.22" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:167%; left:41.33px;top:48.09px;">portosystemic shunting.</span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="508.28" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:111%; left:50.33px;top:90.22px;">–<span class="f1" style="font-size:130%; position:relative;bottom:2px;"><span style="letter-spacing:9.12px"> </span>Type 1- No intrahepatic portal vein. </span></span></p><p para="{in:3,bl:{ch:8226},spbf:3.00}"><span data-textwidth="457.75" class="sg nowrap f1" style="z-index:9;color:#B8BCC1;font-weight:bold; left:77.33px;top:124.67px;">•<span class="f1" style="font-size:133%; position:relative;bottom:2px;"><span style="letter-spacing:11.41px"> </span>1a- separate drainage of SMV and </span></span><span data-textwidth="110.90" class="sg nowrap f1" style="z-index:13;color:#B8BCC1;font-weight:bold; font-size:133%; left:100.38px;top:153.47px;">splenic v</span></p><p para="{in:3,bl:{ch:8226},spbf:3.00}"><span data-textwidth="253.12" class="sg nowrap f1" style="z-index:14;color:#B8BCC1;font-weight:bold; left:77.33px;top:185.28px;">•<span class="f1" style="font-size:133%; position:relative;bottom:2px;"><span style="letter-spacing:11.41px"> </span>1b- common trunk</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="447.91" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:111%; left:50.33px;top:220.09px;">–<span class="f1" style="font-size:130%; position:relative;bottom:2px;"><span style="letter-spacing:9.12px"> </span>Type 2- hypoplastic portal vein</span></span></p></div></div></div> <div class="sg" id="s742" data-sgid="Picture 4" style="z-index:4;left:508.57px;top:258.07px;width:167.54px;height:92.34px"> <img class="sg" src="767A30CA.jpg" id="s742_i" style="z-index:1;left:0px;top:0px;width:167.54px;height:92.34px" > </div>
<div class="sg sgTitle" id="s752" data-sgid="Title 1" style="z-index:16;left:52.16px;top:9.96px;width:615.19px;height:90.67px" data-valign="middle" data-pointer-events="none"> <div id="s752_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:615.19px;height:103.38px;"><div><p para="{al:2}"><span data-textwidth="509.72" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:267%; left:52.98px;top:22.81px;">Abernethy Malformation</span></p></div></div></div> <div class="sg" id="s747" data-sgid="Straight Connector 9" style="z-index:5;left:65.48px;top:104.82px;width:439.83px;height:3.12px" data-pointer-events="none"> <img class="sg" src="8976A34F.png" id="s747_i" style="z-index:1;left:0px;top:0px;width:439.83px;height:2.12px" > </div> <div class="sg" id="s748" data-sgid="Straight Connector 11" style="z-index:6;left:65.48px;top:146.78px;width:331.91px;height:3.12px" data-pointer-events="none"> <img class="sg" src="F31CDC9E.png" id="s748_i" style="z-index:1;left:0px;top:0px;width:331.91px;height:2.12px" > </div> <div class="sg" id="s749" data-sgid="Group 6" style="z-index:7;left:543.53px;top:98.57px;width:132.00px;height:132.00px" data-shape="group"> <div class="sg" id="s753" data-sgid="TextBox 5" style="z-index:2;left:0.89px;top:-0.47px;width:55.90px;height:32.37px" data-valign="top"> <div id="s753_t" class="sg" style="z-index:2;left:-4.93px;top:-2.64px;width:67.43px;height:42.92px;"><div><p><span data-textwidth="42.49" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.96px;top:8.32px;">FNH</span></p></div></div></div> <div class="sg" id="s754" data-sgid="Picture 3" style="z-index:1;left:-1.52px;top:-1.32px;width:134.35px;height:134.33px"> <img class="sg" src="A6780240.png" id="s754_i" title="" alt="F:\Teaching file\1a Old Teaching File\Teaching file\GI LIV CT bx proven FNH 1a 1366349072706.jpg" style="z-index:1;left:0px;top:0px;width:134.35px;height:134.33px" > </div> </div> <div class="sg" id="s743" data-sgid="Content Placeholder 2" style="z-index:1;left:36.33px;top:83.83px;width:508.68px;height:196.91px" data-valign="top" data-pointer-events="none"> <div id="s743_t" class="sg" style="z-index:2;left:-11.27px;top:-6.61px;width:519.95px;height:259.77px;"><div><p para="{bl:{ch:8226},spbf:4.00}"><span data-textwidth="370.26" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.31px;top:12.20px;">•<span class="f1" style="font-size:130%; position:relative;bottom:3px;"><span style="letter-spacing:12.48px"> </span>Nodular regenerative </span></span><span data-textwidth="193.47" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:167%; left:41.31px;top:48.21px;">hyperplasia</span></p><p para="{bl:{ch:8226},spbf:4.00}"><span data-textwidth="444.79" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.31px;top:88.30px;">•<span class="f1" style="font-size:130%; position:relative;bottom:3px;"><span style="letter-spacing:12.48px"> </span>Focal nodular hyperplasia</span></span></p><p para="{bl:{ch:8226},spbf:4.00}"><span data-textwidth="306.53" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.31px;top:128.26px;">•<span class="f1" style="font-size:130%; position:relative;bottom:3px;"><span style="letter-spacing:12.48px"> </span>Hepatic adenoma</span></span></p><p para="{bl:{ch:8226},spbf:4.00}"><span data-textwidth="294.76" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.31px;top:168.23px;">•<span class="f1" style="font-size:130%; position:relative;bottom:3px;"><span style="letter-spacing:12.48px"> </span>Hepatoblastoma</span></span></p><p para="{bl:{ch:8226},spbf:4.00}"><span data-textwidth="440.83" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:128%; left:14.31px;top:208.32px;">•<span class="f1" style="font-size:130%; position:relative;bottom:3px;"><span style="letter-spacing:12.48px"> </span>Hepatocellular carcinoma</span></span></p></div></div></div> <div class="sg" id="s750" data-sgid="Straight Connector 20" style="z-index:10;left:65.48px;top:182.75px;width:229.96px;height:3.12px" data-pointer-events="none"> <img class="sg" src="7BE80A8F.png" id="s750_i" style="z-index:1;left:0px;top:0px;width:229.96px;height:2.12px" > </div> <div class="sg" id="s751" data-sgid="Group 23" style="z-index:11;left:426.56px;top:140.42px;width:251.44px;height:116.08px" data-shape="group"> <div class="sg" id="s755" data-sgid="TextBox 15" style="z-index:2;left:-0.77px;top:-0.59px;width:93.94px;height:32.26px" data-valign="top"> <div id="s755_t" class="sg" style="z-index:2;left:-4.79px;top:-2.53px;width:127.01px;height:42.95px;"><div><p><span data-textwidth="102.26" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:111%; left:12.87px;top:8.37px;">Adenoma</span></p></div></div></div> <div class="sg" id="s756" data-sgid="Group 14" style="z-index:1;left:1.72px;top:2.08px;width:249.71px;height:114.00px" data-shape="group"> <div class="sg" id="s757" data-sgid="Picture 22" style="z-index:2;left:123.32px;top:-1.34px;width:127.16px;height:116.31px"> <img class="sg" src="A6D6E158.png" id="s757_i" style="z-index:1;left:0px;top:0px;width:127.16px;height:116.31px" > </div> <div class="sg" id="s758" data-sgid="Picture 21" style="z-index:1;left:-1.54px;top:-1.34px;width:127.27px;height:116.31px"> <img class="sg" src="202D3A3E.png" id="s758_i" style="z-index:1;left:0px;top:0px;width:127.27px;height:116.31px" > </div> </div> </div> <div class="sg" id="s746" data-sgid="Straight Connector 8" style="z-index:4;left:65.36px;top:224.74px;width:212.06px;height:5.16px" data-pointer-events="none"> <img class="sg" src="E6EBEBC5.png" id="s746_i" style="z-index:1;left:0px;top:0px;width:212.06px;height:4.16px" > </div> <div class="sg" id="s744" data-sgid="Picture 3" style="z-index:2;left:419.33px;top:269.59px;width:146.55px;height:118.35px"> <img class="sg" src="3A69D55.jpg" id="s744_i" style="z-index:1;left:0px;top:0px;width:146.55px;height:118.35px" > </div> <div class="sg" id="s745" data-sgid="Picture 4" style="z-index:3;left:558.92px;top:270.18px;width:146.95px;height:118.50px"> <img class="sg" src="E5738F82.jpg" id="s745_i" style="z-index:1;left:0px;top:0px;width:146.95px;height:118.50px" > </div>
<div class="sg" id="s759" data-sgid="Title 6" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="bottom" data-pointer-events="none"> <div id="s759_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:612.56px;height:111.66px;"><div><p para="{al:2}"><span data-textwidth="301.25" class="sg nowrap f2" style="z-index:2;color:#13B5EA;font-size:244%; left:155.81px;top:38.09px;">Final Diagnosis</span></p></div></div></div> <div class="sg sgSubtitle" id="s760" data-sgid="Subtitle 7" style="z-index:2;left:107.47px;top:165.84px;width:504.60px;height:132.88px" data-valign="top" data-pointer-events="none"> <div id="s760_t" class="sg" style="z-index:2;left:-16.56px;top:-8.39px;width:537.59px;height:237.33px;"><div><p para="{al:2}"><span data-textwidth="364.62" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:90.56px;top:14.95px;">Type <span style="position:relative;bottom:4px;">Ib Abernethy </span></span><span data-textwidth="375.78" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:200%; left:88.64px;top:58.16px;">malformation with </span><span data-textwidth="493.76" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:200%; left:22.15px;top:101.37px;">hepatocellular carcinoma</span></p><p para="{al:2}"><span data-textwidth="445.39" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:178%; left:49.75px;top:144.70px;">(and a bunch of other liver </span><span data-textwidth="118.46" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:178%; left:209.86px;top:183.10px;">things)</span></p></div></div></div>
<div class="sg" id="s761" data-sgid="Title 5" style="z-index:1;left:53.50px;top:125.33px;width:612.56px;height:87.52px" data-valign="middle" data-pointer-events="none"> <div id="s761_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.25px;"><div><p para="{al:2}"><span data-textwidth="106.82" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:253.40px;top:22.15px;">Stop</span></p></div></div></div> <div class="sg sgSubtitle" id="s762" data-sgid="Subtitle 6" style="z-index:2;left:107.47px;top:228.82px;width:504.60px;height:104.31px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div>
<div class="sg" id="s765" data-sgid="Title 1 (2)" style="z-index:3;left:35.51px;top:14.98px;width:648.52px;height:85.05px" data-valign="middle"> <div id="s765_t" class="sg" style="z-index:2;left:-8.63px;top:-35.97px;width:672.39px;height:162.87px;"><div><p para="{al:2}"><span data-textwidth="419.11" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:123.51px;top:18.07px;">Correct Diagnosis:</span><span data-textwidth="633.47" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:178%; left:19.69px;top:70.12px;">Congenital Portosystemic Shunt with </span><span data-textwidth="75.73" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:178%; left:298.49px;top:108.53px;">HCC </span></p></div></div></div> <div class="sg sgTitle" id="s763" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:85.13px" data-valign="middle" data-pointer-events="none"> <div id="s763_t" class="sg" style="z-index:2;left:-0.37px;top:-16.68px;width:649.26px;height:102.18px;"><div><p para="{al:2}"><span data-textwidth="419.11" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:115.25px;top:17.96px;">Correct Diagnosis:</span></p></div></div></div> <div class="sg" id="s764" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:114.64px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s764_t" class="sg" style="z-index:2;left:-9.85px;top:-5.51px;width:658.74px;height:322.35px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="469.27" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.22px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>AKA Abernethy Malformation</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="591.33" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:52.55px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>HCC and multiple benign regenerative </span></span><span data-textwidth="118.34" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:86.15px;">nodules</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="568.29" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:126.48px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Described in 1793 by John Abernethy</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="528.56" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:166.81px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Shunt causes ischemia, abnormal </span></span><span data-textwidth="553.17" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:200.42px;">hepatic growth factors and hormones</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="444.55" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:240.75px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Often associated congenital </span></span><span data-textwidth="209.91" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:274.35px;">abnormalities</span></p></div></div></div>
<div class="sg sgTitle" id="s766" data-sgid="Title 1" style="z-index:1;left:17.50px;top:15.72px;width:684.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s766_t" class="sg" style="z-index:2;left:-0.34px;top:-20.51px;width:685.22px;height:119.91px;"><div><p para="{al:2}"><span data-textwidth="617.14" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:200%; left:37.93px;top:15.03px;">Congenital Portosystemic Shunt </span><span data-textwidth="180.27" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:200%; left:256.49px;top:58.24px;">with HCC </span></p></div></div></div> <div class="sg" id="s767" data-sgid="Content Placeholder 2" style="z-index:2;left:65.48px;top:93.90px;width:618.56px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s767_t" class="sg" style="z-index:2;left:-9.83px;top:-5.28px;width:628.75px;height:273.67px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="422.11" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:17.56px;top:13.24px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.49px"> </span>~</span><span class="f1" style="position:relative;bottom:4px;">50% develop liver masses</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="212.92" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.56px;top:52.41px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>Most benign</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="590.74" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.56px;top:92.74px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>HCC and Hepatoblastoma can develop</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="406.27" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.56px;top:133.07px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>Proven HCC in this patient</span></span></p></div></div></div>
<div class="sg" id="s768" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s768_t" class="sg" style="z-index:2;left:-11.64px;top:-0.37px;width:635.81px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="582.58" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:26.79px;top:22.33px;">Musculoskeletal Case #2</span></p></div></div></div> <div class="sg" id="s769" data-sgid="Subtitle 1" style="z-index:2;left:83.49px;top:176.40px;width:540.57px;height:104.34px" data-valign="top"> <div id="s769_t" class="sg" style="z-index:2;left:-9.49px;top:-10.90px;width:559.54px;height:115.23px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="501.44" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:29.22px;top:19.30px;">Christian <span style="position:relative;bottom:5px;">Pfirrmann</span></span></p></div></div></div>
<div class="sg sgTitle" id="s770" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s770_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="459.92" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:94.84px;top:18.09px;">Christian <span style="position:relative;bottom:5px;">Pfirrmann</span></span></p></div></div></div> <div class="sg" id="s771" data-sgid="Content Placeholder 6" style="z-index:2;left:173.43px;top:93.90px;width:161.93px;height:267.77px"> <img class="sg" src="BE2EEB50.jpg" id="s771_i" style="z-index:1;left:0px;top:0px;width:161.93px;height:267.77px" > </div> <div class="sg" id="s772" data-sgid="Content Placeholder 5" style="z-index:3;left:342.92px;top:93.90px;width:202.09px;height:268.03px"> <img class="sg" src="A5EE31D8.jpg" id="s772_i" style="z-index:1;left:0px;top:0px;width:202.09px;height:268.03px" > </div>
<div class="sg" id="s774" data-sgid="Picture 4" style="z-index:2;left:252.36px;top:32.74px;width:197.78px;height:295.97px"> <img class="sg" src="BF846264.jpg" id="s774_i" style="z-index:1;left:0px;top:0px;width:197.78px;height:295.97px" > </div> <div class="sg" id="s773" data-sgid="Picture 3" style="z-index:1;left:477.24px;top:39.35px;width:212.79px;height:283.38px"> <img class="sg" src="B494DC91.jpg" id="s773_i" style="z-index:1;left:0px;top:0px;width:212.79px;height:283.38px" > </div> <div class="sg" id="s777" data-sgid="Picture 7" style="z-index:5;left:29.51px;top:35.01px;width:195.75px;height:293.70px"> <img class="sg" src="42F4C9EE.jpg" id="s777_i" style="z-index:1;left:0px;top:0px;width:195.75px;height:293.70px" > </div> <div class="sg" id="s775" data-sgid="Picture 5" style="z-index:3;left:358.39px;top:201.36px;width:2.89px;height:1.90px"> <img class="sg" src="90A7B3E4.png" id="s775_i" style="z-index:1;left:0px;top:0px;width:2.89px;height:1.90px" > </div> <div class="sg" id="s776" data-sgid="Picture 6" style="z-index:4;left:370.39px;top:213.33px;width:2.86px;height:1.93px"> <img class="sg" src="90A7B3E4.png" id="s776_i" style="z-index:1;left:0px;top:0px;width:2.86px;height:1.93px" > </div>
<div class="sg" id="s778" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s778_t" class="sg" style="z-index:2;left:-11.64px;top:-0.37px;width:635.81px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="582.46" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:26.79px;top:22.33px;">Musculoskeletal <span style="position:relative;bottom:5px;">Case #2</span></span></p></div></div></div> <div class="sg sgSubtitle" id="s779" data-sgid="Subtitle 1" style="z-index:2;left:155.45px;top:153.87px;width:408.65px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s779_t" class="sg" style="z-index:2;left:-0.37px;top:-7.32px;width:409.36px;height:119.80px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="322.14" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:47.39px;top:15.05px;">18<span style="position:relative;bottom:4px;">-year-old man </span></span><span data-textwidth="255.88" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:200%; left:76.92px;top:58.25px;">with stiffness</span></p></div></div></div>
<div class="sg" id="s780" data-sgid="Subtitle 1" style="z-index:1;left:23.51px;top:15.94px;width:180.76px;height:114.89px" data-valign="top"> <div id="s780_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:197.90px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="168.27" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">Radiographs </span><span data-textwidth="145.94" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:39.27px;">of bilateral </span><span data-textwidth="53.53" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:68.08px;">feet </span></p></div></div></div> <div class="sg" id="s782" data-sgid="Picture 4" style="z-index:3;left:407.32px;top:9.96px;width:168.76px;height:392.62px"> <img class="sg" src="210F92CB.jpg" id="s782_i" style="z-index:1;left:0px;top:0px;width:168.76px;height:392.62px" > </div> <div class="sg" id="s781" data-sgid="Picture 3" style="z-index:2;left:197.42px;top:10.07px;width:196.82px;height:393.59px"> <img class="sg" src="F0BD30F9.jpg" id="s781_i" style="z-index:1;left:0px;top:0px;width:196.82px;height:393.59px" > </div>
<div class="sg" id="s785" data-sgid="Subtitle 1" style="z-index:3;left:23.51px;top:15.94px;width:180.76px;height:114.89px" data-valign="top"> <div id="s785_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:197.90px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="168.27" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">Radiographs </span></p><p para="{spbf:0.20}"><span data-textwidth="145.94" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:45.03px;">of bilateral </span><span data-textwidth="78.97" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:73.84px;">hands</span></p></div></div></div> <div class="sg" id="s784" data-sgid="Picture 5" style="z-index:2;left:406.61px;top:9.96px;width:307.41px;height:384.48px"> <img class="sg" src="7EA1658B.jpg" id="s784_i" style="z-index:1;left:0px;top:0px;width:307.41px;height:384.48px" > </div> <div class="sg" id="s783" data-sgid="Picture 4" style="z-index:1;left:110.33px;top:9.96px;width:303.81px;height:384.71px"> <img class="sg" src="E64D5323.jpg" id="s783_i" style="z-index:1;left:0px;top:0px;width:303.81px;height:384.71px" > </div>
<div class="sg" id="s789" data-sgid="Subtitle 1" style="z-index:4;left:23.51px;top:15.94px;width:180.76px;height:114.89px" data-valign="top"> <div id="s789_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:188.07px;height:137.56px;"><div><p para="{spbf:0.20}"><span data-textwidth="138.74" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">MRI of the </span><span data-textwidth="153.39" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:39.27px;">spine (axial </span><span data-textwidth="104.18" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:68.08px;">images, </span><span data-textwidth="153.74" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:96.88px;">T1+/<span style="position:relative;bottom:3px;">- Gd, T2)</span></span></p></div></div></div> <div class="sg" id="s787" data-sgid="Picture 4" style="z-index:2;left:449.43px;top:33.93px;width:258.59px;height:194.04px"> <img class="sg" src="51A0AB1D.jpg" id="s787_i" style="z-index:1;left:0px;top:0px;width:258.59px;height:194.04px" > </div> <div class="sg" id="s786" data-sgid="Picture 3" style="z-index:1;left:198.01px;top:33.93px;width:240.26px;height:194.04px"> <img class="sg" src="E8107C8D.jpg" id="s786_i" style="z-index:1;left:0px;top:0px;width:240.26px;height:194.04px" > </div> <div class="sg" id="s791" data-sgid="Ellipse 7" style="z-index:6;left:435.87px;top:114.41px;width:57.94px;height:45.33px" data-pointer-events="none"> <img class="sg" src="7507CF8.png" id="s791_i" style="z-index:1;left:0px;top:0px;width:57.94px;height:45.33px" > </div> <div class="sg" id="s790" data-sgid="Ellipse 1" style="z-index:5;left:183.88px;top:134.44px;width:57.91px;height:45.19px" data-valign="top" data-pointer-events="none"> <img class="sg" src="BF60C689.png" id="s790_i" style="z-index:1;left:0px;top:0px;width:57.91px;height:45.19px" > <div id="s790_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:57.91px;height:48.20px;"><div><p><span data-textwidth="8.88" class="sg nowrap f3" style="z-index:2;color:#FFFFFF;font-size:111%; left:17.27px;top:14.07px;">c</span></p></div></div></div> <div class="sg" id="s793" data-sgid="Subtitle 1 (2)" style="z-index:8;left:59.50px;top:238.89px;width:222.73px;height:143.77px" data-valign="top"> <div id="s793_t" class="sg" style="z-index:2;left:-7.34px;top:-3.85px;width:230.07px;height:166.58px;"><div><p para="{spbf:0.20}"><span data-textwidth="173.31" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:10.77px;">Patient had a </span><span data-textwidth="166.95" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:39.58px;">biopsy of the </span><span data-textwidth="158.91" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:68.39px;">right kidney </span><span data-textwidth="170.91" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:97.19px;">when he was </span><span data-textwidth="174.87" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.05px;top:126.00px;">a young child </span></p></div></div></div> <div class="sg" id="s788" data-sgid="Picture 5" style="z-index:3;left:287.39px;top:238.89px;width:312.68px;height:151.57px"> <img class="sg" src="7F1BE176.jpg" id="s788_i" style="z-index:1;left:0px;top:0px;width:312.68px;height:151.57px" > </div> <div class="sg" id="s792" data-sgid="Ellipse 8" style="z-index:7;left:273.82px;top:304.60px;width:57.94px;height:45.22px" data-pointer-events="none"> <img class="sg" src="EE04175C.png" id="s792_i" style="z-index:1;left:0px;top:0px;width:57.94px;height:45.22px" > </div>
<div class="sg" id="s794" data-sgid="Subtitle 1" style="z-index:1;left:23.51px;top:15.94px;width:180.76px;height:114.89px" data-valign="top"> <div id="s794_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:194.67px;height:118.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="164.90" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">a.p<span style="position:relative;bottom:3px;">. scoliosis </span></span><span data-textwidth="131.78" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:39.27px;">film of the </span><span data-textwidth="68.77" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:68.08px;">spine</span></p></div></div></div> <div class="sg" id="s795" data-sgid="Picture 3" style="z-index:2;left:191.44px;top:21.96px;width:356.94px;height:366.72px"> <img class="sg" src="AA38C0B0.jpg" id="s795_i" style="z-index:1;left:0px;top:0px;width:356.94px;height:366.72px" > </div> <div class="sg" id="s796" data-sgid="Ellipse 1" style="z-index:3;left:169.83px;top:344.31px;width:69.81px;height:51.80px" data-pointer-events="none"> <img class="sg" src="B51E7F09.png" id="s796_i" style="z-index:1;left:0px;top:0px;width:69.81px;height:51.80px" > </div>
<div class="sg" id="s797" data-sgid="Subtitle 1" style="z-index:1;left:23.51px;top:15.94px;width:210.76px;height:57.93px" data-valign="top"> <div id="s797_t" class="sg" style="z-index:2;left:-7.31px;top:-3.60px;width:218.06px;height:80.00px;"><div><p para="{spbf:0.20}"><span data-textwidth="138.74" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:10.46px;">MRI of the </span><span data-textwidth="76.09" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.01px;top:39.27px;">pelvis</span></p></div></div></div> <div class="sg" id="s799" data-sgid="Picture 4" style="z-index:3;left:371.33px;top:99.89px;width:337.06px;height:209.87px"> <img class="sg" src="5CE31EC9.jpg" id="s799_i" style="z-index:1;left:0px;top:0px;width:337.06px;height:209.87px" > </div> <div class="sg" id="s798" data-sgid="Picture 3" style="z-index:2;left:11.53px;top:100.62px;width:349.86px;height:215.12px"> <img class="sg" src="E8F316FC.jpg" id="s798_i" style="z-index:1;left:0px;top:0px;width:349.86px;height:215.12px" > </div>
<div class="sg sgTitle" id="s800" data-sgid="Titel 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s800_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="198.63" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:225.54px;top:18.09px;">Findings</span></p></div></div></div> <div class="sg" id="s801" data-sgid="Inhaltsplatzhalter 2" style="z-index:2;left:35.51px;top:87.91px;width:648.52px;height:179.40px" data-valign="top" data-pointer-events="none"> <div id="s801_t" class="sg" style="z-index:2;left:-7.56px;top:-4.08px;width:656.45px;height:184.57px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="614.74" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:10.99px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Symmetric malformed great toes - hypoplastic</span></span><span data-textwidth="470.48" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:133%; left:42.26px;top:39.80px;">proximal phalanx with hallux valgus</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="515.84" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:74.36px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Symmetric short first metacarpal bone</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="310.01" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:108.93px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Soft tissue ossification</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="249.76" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:133%; left:15.26px;top:143.50px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:13.08px"> </span>Fusion of SI joints</span></span></p></div></div></div> <div class="sg" id="s803" data-sgid="Picture 4" style="z-index:4;left:409.62px;top:213.48px;width:158.19px;height:187.18px"> <img class="sg" src="E68F861.png" id="s803_i" style="z-index:1;left:0px;top:0px;width:158.19px;height:187.18px" > </div> <div class="sg" id="s802" data-sgid="Picture 3" style="z-index:3;left:252.61px;top:216.23px;width:157.83px;height:184.43px"> <img class="sg" src="379F9E9B.jpg" id="s802_i" style="z-index:1;left:0px;top:0px;width:157.83px;height:184.43px" > </div>
<div class="sg sgTitle" id="s804" data-sgid="Titel 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s804_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:73.12px;top:18.09px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s805" data-sgid="Inhaltsplatzhalter 2" style="z-index:2;left:35.51px;top:93.90px;width:678.51px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s805_t" class="sg" style="z-index:2;left:-12.00px;top:-5.99px;width:690.86px;height:274.38px;"><div><p para="{spbf:0.20}"><span data-textwidth="383.70" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:19.70px;top:13.79px;">Malformed great toes: </span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="584.38" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.70px;top:57.92px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Fibrodysplasia ossificans progressiva</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="529.28" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.70px;top:98.25px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Isolated congenital malformation</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="447.07" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:19.70px;top:138.58px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Brachydactyly/Morton's toe</span></span></p></div></div></div>
<div class="sg sgTitle" id="s806" data-sgid="Titel 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s806_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="229.12" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:210.30px;top:18.09px;">Diagnosis</span></p></div></div></div> <div class="sg" id="s807" data-sgid="Inhaltsplatzhalter 2" style="z-index:2;left:35.51px;top:93.90px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s807_t" class="sg" style="z-index:2;left:-12.37px;top:-6.72px;width:661.26px;height:275.12px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="457.16" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.52px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Fibrodysplasia ossificans</span></span><span data-textwidth="296.69" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:47.07px;top:52.93px;">progressiva<span style="position:relative;bottom:4px;"> (FOP)</span></span></p></div></div></div>
<div class="sg" id="s808" data-sgid="Title 3" style="z-index:1;left:53.50px;top:125.33px;width:612.56px;height:87.52px" data-valign="middle" data-pointer-events="none"> <div id="s808_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.25px;"><div><p para="{al:2}"><span data-textwidth="119.78" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:246.92px;top:22.15px;">Stop!</span></p></div></div></div>
<div class="sg" id="s811" data-sgid="Title 1" style="z-index:3;left:35.51px;top:15.94px;width:648.52px;height:85.16px" data-valign="middle"> <div id="s811_t" class="sg" style="z-index:2;left:0.00px;top:-16.65px;width:648.52px;height:101.82px;"><div><p para="{al:2}"><span data-textwidth="419.11" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:114.88px;top:18.07px;">Correct Diagnosis:</span></p></div></div></div> <div class="sg" id="s813" data-sgid="Title 1 (2)" style="z-index:5;left:35.51px;top:36.57px;width:648.52px;height:85.16px" data-valign="middle"> <div id="s813_t" class="sg" style="z-index:2;left:0.00px;top:-38.24px;width:648.52px;height:168.85px;"><div><p para="{al:2}"><span data-textwidth="419.11" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:114.88px;top:18.07px;">Correct Diagnosis:</span><span data-textwidth="469.40" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:189%; left:93.39px;top:70.12px;">Fibrodysplasia Ossificans </span><span data-textwidth="309.17" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:189%; left:169.84px;top:110.93px;">Progressiva <span class="f1" style="font-size:94%; position:relative;bottom:4px;">(FOP)</span></span></p></div></div></div> <div class="sg" id="s812" data-sgid="TextBox 3" style="z-index:4;left:89.49px;top:167.40px;width:306.67px;height:41.99px" data-valign="top"> <div id="s812_t" class="sg" style="z-index:2;left:-9.60px;top:-5.02px;width:316.27px;height:93.42px;"><div><p><span data-textwidth="167.31" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.33px;top:11.78px;">Stone Man </span><span data-textwidth="166.11" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.33px;top:45.39px;">Syndrome: </span></p></div></div></div> <div class="sg" id="s810" data-sgid="Picture 4" style="z-index:2;left:404.32px;top:141.39px;width:183.77px;height:229.30px"> <img class="sg" src="2D9CA309.jpg" id="s810_i" title="" alt="fop-skeleton-1.jpg" style="z-index:1;left:0px;top:0px;width:183.77px;height:229.30px" > </div> <div class="sg" id="s809" data-sgid="Picture 1" style="z-index:1;left:79.52px;top:206.87px;width:300.22px;height:127.83px"> <img class="sg" src="3522606B.jpg" id="s809_i" title="" alt="fibrodysplasia-ossificans-progressiva.jpg" style="z-index:1;left:0px;top:0px;width:300.22px;height:127.83px" > </div>
<div class="sg sgTitle" id="s815" data-sgid="Titel 1" style="z-index:2;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s815_t" class="sg" style="z-index:2;left:-0.37px;top:-5.88px;width:649.26px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="248.80" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:200.46px;top:18.09px;">Discussion</span></p></div></div></div> <div class="sg" id="s814" data-sgid="Picture 2" style="z-index:1;left:501.71px;top:51.91px;width:218.29px;height:326.55px"> <img class="sg" src="F36D4ABC.jpg" id="s814_i" title="" alt="Fibrodysplasia Ossificans Progressiva by Atirum" style="z-index:1;left:0px;top:0px;width:218.29px;height:326.55px" > </div> <div class="sg" id="s816" data-sgid="Inhaltsplatzhalter 2" style="z-index:3;left:35.51px;top:93.90px;width:504.60px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s816_t" class="sg" style="z-index:2;left:-9.85px;top:-5.39px;width:521.76px;height:322.21px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="368.34" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.19px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Prevalence: 1/2,000,000</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="478.88" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:52.52px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Malformations of the great toe</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="381.78" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:92.85px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Progressive heterotopic </span></span><span data-textwidth="187.11" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:126.46px;">ossifications</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="487.04" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:166.79px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Flare-ups occur spontaneously </span></span><span data-textwidth="378.42" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:200.39px;">–<span style="position:relative;bottom:3px;"> misdiagnosed as tumors</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="395.35" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:240.72px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Avoid soft-tissue trauma </span></span><span data-textwidth="429.91" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:274.33px;">(biopsies, injections, surgery)</span></p></div></div></div>
<div class="sg" id="s818" data-sgid="Title 1" style="z-index:2;left:17.50px;top:15.72px;width:684.52px;height:68.34px" data-valign="middle"> <div id="s818_t" class="sg" style="z-index:2;left:0.00px;top:-20.51px;width:684.52px;height:119.91px;"><div><p para="{al:2}"><span data-textwidth="496.88" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:200%; left:97.60px;top:15.03px;">Fibrodysplasia Ossificans </span><span data-textwidth="232.36" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:200%; left:229.98px;top:58.24px;">Progressiva </span></p></div></div></div> <div class="sg" id="s817" data-sgid="TextBox 3" style="z-index:1;left:53.50px;top:82.98px;width:624.53px;height:263.72px" data-valign="top"> <div id="s817_t" class="sg" style="z-index:2;left:-8.53px;top:-4.80px;width:646.14px;height:278.95px;"><div><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="510.09" class="sg nowrap f2" style="z-index:2;color:#FFFFFF;font-size:156%; left:16.24px;top:13.12px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:18.49px"> </span>Autosomal dominant disorder of bone </span></span><span data-textwidth="116.90" class="sg nowrap f2" style="z-index:4;color:#FFFFFF;font-size:156%; left:52.25px;top:46.73px;">formation</span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="456.92" class="sg nowrap f2" style="z-index:5;color:#FFFFFF;font-size:156%; left:16.24px;top:89.34px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:18.49px"> </span>Heterozygous mutation of a bone </span></span><span data-textwidth="553.53" class="sg nowrap f2" style="z-index:7;color:#FFFFFF;font-size:156%; left:52.25px;top:122.94px;">morphogenetic protein (BMP) type I receptor</span></p><p para="{bl:{ch:8226},spaf:9.00}"><span data-textwidth="612.83" class="sg nowrap f2" style="z-index:8;color:#FFFFFF;font-size:156%; left:16.24px;top:165.55px;">•<span style="position:relative;bottom:2px;"><span style="letter-spacing:18.49px"> </span>Developmental skeletal defects and extensive </span></span><span data-textwidth="520.65" class="sg nowrap f2" style="z-index:10;color:#FFFFFF;font-size:156%; left:52.25px;top:199.16px;">heterotopic ossification within soft tissues </span><span data-textwidth="213.88" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-size:156%; left:52.25px;top:232.65px;">during childhood </span></p></div></div></div>
<div class="sg" id="s819" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s819_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="319.97" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:146.82px;top:22.33px;">Chest Case #2</span></p></div></div></div> <div class="sg" id="s820" data-sgid="Subtitle 1" style="z-index:2;left:107.47px;top:183.83px;width:504.60px;height:104.34px" data-valign="top"> <div id="s820_t" class="sg" style="z-index:2;left:0.00px;top:-10.78px;width:504.60px;height:115.12px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="409.03" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:267%; left:47.96px;top:19.31px;">Gautham Reddy</span></p></div></div></div>
<div class="sg sgTitle" id="s823" data-sgid="Title 1" style="z-index:3;left:431.31px;top:21.96px;width:219.85px;height:151.09px" data-valign="middle" data-pointer-events="none"> <div id="s823_t" class="sg" style="z-index:2;left:-18.83px;top:0.00px;width:257.40px;height:155.18px;"><div><p para="{al:2}"><span data-textwidth="171.27" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:43.48px;top:27.21px;">Gautha</span><span data-textwidth="203.79" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:244%; left:27.15px;top:80.02px;">m <span style="position:relative;bottom:5px;">Reddy</span></span></p></div></div></div> <div class="sg" id="s821" data-sgid="Picture 1" style="z-index:1;left:0.00px;top:-0.48px;width:413.55px;height:293.22px"> <img class="sg" src="7A1E4278.jpg" id="s821_i" title="" alt="IMG_0476.JPG" style="z-index:1;left:0px;top:0px;width:413.55px;height:293.22px" > </div> <div class="sg" id="s822" data-sgid="Picture 5" style="z-index:2;left:435.16px;top:120.28px;width:227.29px;height:342.38px" data-rotation = "90"> <img class="sg" src="67426B8E.jpg" id="s822_i" title="" alt="IMG_2299.JPG" style="z-index:1;left:0px;top:0px;width:227.29px;height:342.38px" > </div>
<div class="sg" id="s836" data-sgid="Rectangle 4" style="z-index:1;left:53.50px;top:45.93px;width:612.56px;height:87.77px" data-valign="middle" data-pointer-events="none"> <div id="s836_t" class="sg" style="z-index:2;left:0.00px;top:0.00px;width:612.56px;height:97.13px;"><div><p para="{al:2}"><span data-textwidth="319.97" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:146.45px;top:21.96px;">Chest Case #2</span></p></div></div></div> <div class="sg sgSubtitle" id="s837" data-sgid="Subtitle 1" style="z-index:2;left:155.45px;top:153.87px;width:408.65px;height:104.31px" data-valign="top" data-pointer-events="none"> <div id="s837_t" class="sg" style="z-index:2;left:0.00px;top:-7.32px;width:408.65px;height:111.63px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="361.02" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:23.98px;top:15.05px;">21<span style="position:relative;bottom:4px;">-year-old female</span></span></p></div></div></div>
<div class="sg" id="s844" data-sgid="Picture 4" style="z-index:2;left:15.94px;top:-0.48px;width:354.31px;height:379.32px"> <img class="sg" src="58B19CB3.jpg" id="s844_i" title="" alt="2014-06-19 - DX-34016 - 1.jpg" style="z-index:1;left:0px;top:0px;width:354.31px;height:379.32px" > </div> <div class="sg" id="s843" data-sgid="Picture 2" style="z-index:1;left:403.84px;top:12.11px;width:293.28px;height:366.72px"> <img class="sg" src="1FD19314.jpg" id="s843_i" title="" alt="2014-06-19 - DX-34016 - 2.jpg" style="z-index:1;left:0px;top:0px;width:293.28px;height:366.72px" > </div>
<div class="sg" id="s846" data-sgid="Subtitle 1" style="z-index:2;left:343.04px;top:95.35px;width:108.92px;height:57.79px" data-valign="top"> <div id="s846_t" class="sg" style="z-index:2;left:-7.20px;top:-3.61px;width:116.11px;height:61.39px;"><div><p para="{spbf:0.20}"><span data-textwidth="49.69" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:133%; left:15.10px;top:10.40px;">RUL</span></p></div></div></div> <div class="sg" id="s845" data-sgid="Picture 2" style="z-index:1;left:125.46px;top:40.91px;width:460.70px;height:317.79px"> <img class="sg" src="CA1F0D28.jpg" id="s845_i" title="" alt="2015-04-09 - CT-3 - 1.jpg" style="z-index:1;left:0px;top:0px;width:460.70px;height:317.79px" > </div> <div class="sg" id="s847" data-sgid="Subtitle 1 (2)" style="z-index:3;left:418.00px;top:291.06px;width:108.92px;height:57.79px" data-valign="top"> <div id="s847_t" class="sg" style="z-index:2;left:-7.19px;top:-3.71px;width:116.11px;height:61.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="42.13" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:133%; left:15.26px;top:10.68px;">LLL</span></p></div></div></div>
<div class="sg" id="s849" data-sgid="Subtitle 1" style="z-index:2;left:310.04px;top:84.43px;width:108.92px;height:57.93px" data-valign="top"> <div id="s849_t" class="sg" style="z-index:2;left:-7.19px;top:-3.72px;width:116.11px;height:61.65px;"><div><p para="{spbf:0.20}"><span data-textwidth="49.69" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:133%; left:15.20px;top:10.51px;">RUL</span></p></div></div></div> <div class="sg" id="s848" data-sgid="Picture 2" style="z-index:1;left:125.46px;top:33.93px;width:468.61px;height:337.22px"> <img class="sg" src="6D9BFD33.jpg" id="s848_i" title="" alt="2015-04-09 - CT-3 - 2.jpg" style="z-index:1;left:0px;top:0px;width:468.61px;height:337.22px" > </div> <div class="sg" id="s851" data-sgid="Subtitle 1 (3)" style="z-index:4;left:277.08px;top:203.15px;width:108.89px;height:57.82px" data-valign="top"> <div id="s851_t" class="sg" style="z-index:2;left:-7.08px;top:-3.60px;width:115.97px;height:61.42px;"><div><p para="{spbf:0.20}"><span data-textwidth="59.29" class="sg nowrap f1" style="z-index:2;color:#0000FF;font-weight:bold; font-size:133%; left:15.05px;top:10.50px;">RML</span></p></div></div></div> <div class="sg" id="s852" data-sgid="Subtitle 1 (4)" style="z-index:5;left:469.09px;top:211.43px;width:108.92px;height:57.79px" data-valign="top"> <div id="s852_t" class="sg" style="z-index:2;left:-7.20px;top:-3.71px;width:116.11px;height:61.50px;"><div><p para="{spbf:0.20}"><span data-textwidth="46.33" class="sg nowrap f1" style="z-index:2;color:#0000FF;font-weight:bold; font-size:133%; left:15.19px;top:10.49px;">LUL</span></p></div></div></div> <div class="sg" id="s850" data-sgid="Subtitle 1 (2)" style="z-index:3;left:445.58px;top:298.35px;width:108.80px;height:57.82px" data-valign="top"> <div id="s850_t" class="sg" style="z-index:2;left:-7.30px;top:-3.71px;width:116.11px;height:61.53px;"><div><p para="{spbf:0.20}"><span data-textwidth="42.13" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:133%; left:15.16px;top:10.71px;">LLL</span></p></div></div></div>
<div class="sg" id="s854" data-sgid="Subtitle 1" style="z-index:2;left:407.10px;top:65.25px;width:108.78px;height:57.79px" data-valign="top"> <div id="s854_t" class="sg" style="z-index:2;left:-7.34px;top:-3.60px;width:116.11px;height:61.39px;"><div><p para="{spbf:0.20}"><span data-textwidth="49.69" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:133%; left:15.27px;top:10.37px;">RUL</span></p></div></div></div> <div class="sg" id="s855" data-sgid="Subtitle 1 (2)" style="z-index:3;left:224.18px;top:106.61px;width:108.78px;height:57.82px" data-valign="top"> <div id="s855_t" class="sg" style="z-index:2;left:-7.19px;top:-3.83px;width:115.97px;height:61.65px;"><div><p para="{spbf:0.20}"><span data-textwidth="49.69" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:133%; left:15.01px;top:10.52px;">RUL</span></p></div></div></div> <div class="sg" id="s859" data-sgid="Subtitle 1 (6)" style="z-index:7;left:393.30px;top:154.81px;width:108.89px;height:57.82px" data-valign="top"> <div id="s859_t" class="sg" style="z-index:2;left:-7.22px;top:-3.72px;width:116.11px;height:61.53px;"><div><p para="{spbf:0.20}"><span data-textwidth="46.33" class="sg nowrap f1" style="z-index:2;color:#0000FF;font-weight:bold; font-size:133%; left:15.15px;top:10.59px;">LUL</span></p></div></div></div> <div class="sg" id="s853" data-sgid="Picture 2" style="z-index:1;left:178.73px;top:9.96px;width:359.94px;height:390.70px"> <img class="sg" src="E85B4787.jpg" id="s853_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:359.94px;height:390.70px" > </div> <div class="sg" id="s858" data-sgid="Subtitle 1 (5)" style="z-index:6;left:429.75px;top:271.86px;width:108.92px;height:57.82px" data-valign="top"> <div id="s858_t" class="sg" style="z-index:2;left:-7.19px;top:-3.72px;width:116.11px;height:61.53px;"><div><p para="{spbf:0.20}"><span data-textwidth="42.13" class="sg nowrap f1" style="z-index:2;color:#0000FF;font-weight:bold; font-size:133%; left:15.27px;top:10.68px;">LLL</span></p></div></div></div> <div class="sg" id="s856" data-sgid="Subtitle 1 (3)" style="z-index:4;left:202.09px;top:271.86px;width:108.92px;height:57.82px" data-valign="top"> <div id="s856_t" class="sg" style="z-index:2;left:-7.19px;top:-3.72px;width:116.11px;height:61.53px;"><div><p para="{spbf:0.20}"><span data-textwidth="49.69" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:133%; left:15.14px;top:10.68px;">RUL</span></p></div></div></div> <div class="sg" id="s857" data-sgid="Subtitle 1 (4)" style="z-index:5;left:287.28px;top:287.46px;width:108.78px;height:57.79px" data-valign="top"> <div id="s857_t" class="sg" style="z-index:2;left:-7.34px;top:-3.72px;width:116.11px;height:85.73px;"><div><p para="{spbf:0.20}"><span data-textwidth="68.29" class="sg nowrap f1" style="z-index:2;color:#0000FF;font-weight:bold; font-size:133%; left:15.19px;top:10.68px;">RML/</span></p><p para="{spbf:0.20}"><span data-textwidth="45.49" class="sg nowrap f1" style="z-index:3;color:#0000FF;font-weight:bold; font-size:133%; left:15.19px;top:45.25px;">RLL</span></p></div></div></div>
<div class="sg sgTitle" id="s860" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s860_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="519.09" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:64.95px;top:18.09px;">Findings: Radiographs</span></p></div></div></div> <div class="sg" id="s861" data-sgid="Content Placeholder 2" style="z-index:2;left:17.50px;top:67.04px;width:684.03px;height:168.85px" data-valign="top" data-pointer-events="none"> <div id="s861_t" class="sg" style="z-index:2;left:-9.83px;top:-5.39px;width:693.86px;height:174.24px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="575.74" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.53px;top:12.17px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>Lucency, right hemithorax, upper left </span></span><span data-textwidth="491.12" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.54px;top:45.77px;">hemithorax<span style="position:relative;bottom:3px;">: emphysema or cysts</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="632.87" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.53px;top:86.10px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.93px"> </span>Opacity at bases, especially medial right </span></span><span data-textwidth="71.05" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.54px;top:119.71px;">base</span></p></div></div></div> <div class="sg" id="s862" data-sgid="Picture 3" style="z-index:3;left:314.24px;top:175.91px;width:226.47px;height:230.01px"> <img class="sg" src="D84E1277.jpg" id="s862_i" title="" alt="2014-06-19 - DX-34016 - 1.jpg" style="z-index:1;left:0px;top:0px;width:226.47px;height:230.01px" > </div> <div class="sg" id="s863" data-sgid="Picture 5" style="z-index:4;left:539.86px;top:178.70px;width:182.07px;height:227.23px"> <img class="sg" src="95702E60.jpg" id="s863_i" title="" alt="2014-06-19 - DX-34016 - 2.jpg" style="z-index:1;left:0px;top:0px;width:182.07px;height:227.23px" > </div>
<div class="sg sgTitle" id="s864" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.72px;width:648.52px;height:68.34px" data-valign="middle" data-pointer-events="none"> <div id="s864_t" class="sg" style="z-index:2;left:0.00px;top:-5.88px;width:648.52px;height:93.16px;"><div><p para="{al:2}"><span data-textwidth="280.85" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:184.01px;top:18.09px;">Findings: CT</span></p></div></div></div> <div class="sg" id="s865" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:75.91px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s865_t" class="sg" style="z-index:2;left:-9.85px;top:-5.39px;width:658.38px;height:282.41px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="530.24" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:12.18px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Marked lucency, right upper lobe: </span></span><span data-textwidth="515.97" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:45.79px;">emphysema more likely than cysts</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="531.80" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:86.11px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Herniation of right lung across the </span></span><span data-textwidth="435.55" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:119.72px;">midline, occupying upper left </span><span data-textwidth="173.67" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:156%; left:44.55px;top:153.33px;">hemithorax</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="462.79" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:193.66px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Collapse of RLL, RML, and LUL</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="265.96" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:17.55px;top:233.99px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:10.92px"> </span>Normal airways</span></span></p></div></div></div> <div class="sg" id="s866" data-sgid="Picture 3" style="z-index:3;left:521.28px;top:189.48px;width:198.72px;height:215.63px"> <img class="sg" src="8445103D.jpg" id="s866_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:198.72px;height:215.63px" > </div> <div class="sg" id="s867" data-sgid="Picture 5" style="z-index:4;left:284.75px;top:260.34px;width:201.01px;height:144.77px"> <img class="sg" src="970ADAF2.jpg" id="s867_i" title="" alt="2015-04-09 - CT-3 - 2.jpg" style="z-index:1;left:0px;top:0px;width:201.01px;height:144.77px" > </div>
<div class="sg sgTitle" id="s868" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s868_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="572.26" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:38.30px;top:17.96px;">Differential Diagnosis #1</span></p></div></div></div> <div class="sg" id="s869" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:77.96px;width:648.52px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s869_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:274.61px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="536.73" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.39px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Congenital lobar overinflation</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="434.83" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:60.48px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Panlobular emphysema</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="436.03" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:106.57px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Swyer-James syndrome</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="460.04" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:152.66px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.28px"> </span>Vanishing lung syndrome</span></span></p></div></div></div> <div class="sg" id="s870" data-sgid="Picture 4" style="z-index:3;left:491.18px;top:156.74px;width:228.82px;height:248.37px"> <img class="sg" src="8F776A99.jpg" id="s870_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:228.82px;height:248.37px" > </div>
<div class="sg sgTitle" id="s871" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s871_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:72.75px;top:17.96px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s873" data-sgid="Group 6" style="z-index:3;left:70.60px;top:172.09px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s875" data-sgid="Straight Connector 10" style="z-index:2;left:10.00px;top:-2.87px;width:18.35px;height:30.10px" data-pointer-events="none"> <img class="sg" src="717DB879.png" id="s875_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:30.10px" > </div> <div class="sg" id="s876" data-sgid="Straight Connector 9" style="z-index:1;left:-1.87px;top:12.70px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="A8E5B16C.png" id="s876_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s872" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:77.96px;width:648.52px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s872_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:312.99px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="536.73" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.39px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Congenital lobar overinflation</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="388.87" class="sg nowrap f1" style="z-index:5;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:59.00px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> LUL most common (40)%</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="334.01" class="sg nowrap f1" style="z-index:9;color:#FFFF00;font-weight:bold; font-size:156%; left:97.96px;top:101.73px;">Right <span style="position:relative;bottom:3px;">upper lobe (20)%</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="477.56" class="sg nowrap f1" style="z-index:11;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:142.54px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Overinflation, not emphysema</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="466.76" class="sg nowrap f1" style="z-index:15;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:185.75px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Usually presents in childhood</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="435.20" class="sg nowrap f1" style="z-index:17;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:228.96px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Thorax may be asymmetric</span></span></p><p para="{in:2}"><span data-textwidth="129.38" class="sg nowrap f1" style="z-index:19;color:#FFFF00;font-weight:bold; font-size:156%; left:236.10px;top:264.96px;">in adults</span></p></div></div></div> <div class="sg" id="s874" data-sgid="Picture 11" style="z-index:6;left:491.18px;top:156.74px;width:228.82px;height:248.37px"> <img class="sg" src="8F776A99.jpg" id="s874_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:228.82px;height:248.37px" > </div>
<div class="sg sgTitle" id="s877" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s877_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:72.75px;top:17.96px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s878" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:77.96px;width:648.52px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s878_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:274.61px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="434.83" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.39px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Panlobular emphysema</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="475.04" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:58.52px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Alpha-1-antitrypsin deficiency</span></span></p><p para="{in:2,bl:{ch:8211},spbf:0.20}"><span data-textwidth="482.84" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:98.85px;">–<span style="position:relative;bottom:3px;"><span style="letter-spacing:5.17px"> </span>Methylphenidate (Ritalin) lung</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="289.12" class="sg nowrap f1" style="z-index:14;color:#FFFF00;font-weight:bold; font-size:156%; left:73.00px;top:139.18px;">Severe <span style="position:relative;bottom:3px;">emphysema</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="409.99" class="sg nowrap f1" style="z-index:16;color:#FF0000;font-weight:bold; font-size:150%; left:55.95px;top:180.47px;">X <span class="f1" style="font-size:104%; color:#FFFF00;position:relative;bottom:3px;">Lower lobe predominance</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="159.51" class="sg nowrap f1" style="z-index:18;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:220.31px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Bilateral</span></span></p></div></div></div> <div class="sg" id="s879" data-sgid="Group 5" style="z-index:3;left:70.60px;top:210.51px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s881" data-sgid="Straight Connector 8" style="z-index:2;left:10.00px;top:-2.94px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="A81C8986.png" id="s881_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s882" data-sgid="Straight Connector 6" style="z-index:1;left:-1.87px;top:12.67px;width:18.35px;height:15.72px" data-pointer-events="none"> <img class="sg" src="52F9BF2F.png" id="s882_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.72px" > </div> </div> <div class="sg" id="s880" data-sgid="Picture 11" style="z-index:6;left:491.18px;top:156.74px;width:228.82px;height:248.37px"> <img class="sg" src="8F776A99.jpg" id="s880_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:228.82px;height:248.37px" > </div>
<div class="sg sgTitle" id="s883" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s883_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:72.75px;top:17.96px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s886" data-sgid="Group 8" style="z-index:4;left:70.60px;top:171.00px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s887" data-sgid="Straight Connector 13" style="z-index:2;left:10.00px;top:-2.86px;width:18.35px;height:29.96px" data-pointer-events="none"> <img class="sg" src="E08450A0.png" id="s887_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.96px" > </div> <div class="sg" id="s888" data-sgid="Straight Connector 12" style="z-index:1;left:-1.87px;top:12.72px;width:18.35px;height:15.72px" data-pointer-events="none"> <img class="sg" src="E7B60835.png" id="s888_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.72px" > </div> </div> <div class="sg" id="s884" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:77.96px;width:648.52px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s884_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:667.98px;height:274.61px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="436.03" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.39px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Swyer-James syndrome</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="594.34" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:58.52px;">p<span style="position:relative;bottom:3px;">ost-infectious obliterative bronchiolitis</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="150.51" class="sg nowrap f1" style="z-index:12;color:#FFFF00;font-weight:bold; font-size:156%; left:78.52px;top:98.85px;">Unilateral</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="501.20" class="sg nowrap f1" style="z-index:13;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:139.66px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Hyperlucency (and air trapping)</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="321.66" class="sg nowrap f1" style="z-index:18;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:182.87px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Lucent lung is small</span></span></p></div></div></div> <div class="sg" id="s885" data-sgid="Picture 11" style="z-index:3;left:491.18px;top:156.74px;width:228.82px;height:248.37px"> <img class="sg" src="8F776A99.jpg" id="s885_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:228.82px;height:248.37px" > </div>
<div class="sg sgTitle" id="s889" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s889_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:72.75px;top:17.96px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s897" data-sgid="Rectangle 2" style="z-index:15;left:479.65px;top:63.09px;width:262.18px;height:24.45px" data-valign="top" data-pointer-events="none"> <div id="s897_t" class="sg" style="z-index:2;left:-0.96px;top:-0.48px;width:263.15px;height:29.36px;"><div><p><span data-textwidth="208.72" class="sg nowrap f2" style="z-index:2;color:#FF6600;font-size:78%; left:8.95px;top:6.57px;">N <span style="position:relative;bottom:1px;">Engl J Med 2014; 370:e14, 2014</span></span></p></div></div></div> <div class="sg" id="s896" data-sgid="Picture 1" style="z-index:14;left:475.57px;top:59.72px;width:244.43px;height:170.04px"> <img class="sg" src="D551EBAF.jpg" id="s896_i" title="" alt="Screen shot 2016-11-27 at 1.27.08 AM.png" style="z-index:1;left:0px;top:0px;width:244.43px;height:170.04px" > </div> <div class="sg" id="s891" data-sgid="Group 6" style="z-index:3;left:70.60px;top:172.09px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s898" data-sgid="Straight Connector 10" style="z-index:2;left:10.00px;top:-2.87px;width:18.35px;height:30.10px" data-pointer-events="none"> <img class="sg" src="717DB879.png" id="s898_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:30.10px" > </div> <div class="sg" id="s899" data-sgid="Straight Connector 9" style="z-index:1;left:-1.87px;top:12.70px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="A8E5B16C.png" id="s899_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s890" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:77.96px;width:648.52px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s890_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:277.62px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="460.03" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.39px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.28px"> </span>Vanishing lung syndrome</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="568.05" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:58.52px;">(Idiopathic giant bullous emphysema)</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="322.74" class="sg nowrap f1" style="z-index:5;color:#FFFF00;font-weight:bold; font-size:156%; left:97.96px;top:98.85px;">Unilateral <span style="position:relative;bottom:3px;">or bilateral</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="188.91" class="sg nowrap f1" style="z-index:7;color:#FFFF00;font-weight:bold; font-size:167%; left:74.80px;top:139.66px;">Upper lobes</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="419.59" class="sg nowrap f1" style="z-index:8;color:#FFFF00;font-weight:bold; font-size:156%; left:74.80px;top:184.79px;">Occupies <span style="position:relative;bottom:3px;"><u>></u> 1/3 of hemithorax</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="481.05" class="sg nowrap f1" style="z-index:12;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:226.08px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> “Trampoline” sign (peripheral)</span></span></p></div></div><img class="sg" src="45B04503.png" id="s890_tt" style="left:-12.37px;top:-6.73px;width:660.90px;height:277.62px;z-index:1" > </div> <div class="sg" id="s892" data-sgid="Group 8" style="z-index:6;left:71.37px;top:214.02px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s900" data-sgid="Straight Connector 12" style="z-index:2;left:9.96px;top:-2.96px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="6B5A8436.png" id="s900_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s901" data-sgid="Straight Connector 11" style="z-index:1;left:-1.93px;top:12.76px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="4C8D713F.png" id="s901_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s895" data-sgid="Group 15" style="z-index:11;left:70.69px;top:254.47px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s902" data-sgid="Straight Connector 17" style="z-index:2;left:10.02px;top:-2.87px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="E6BD48EE.png" id="s902_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s903" data-sgid="Straight Connector 16" style="z-index:1;left:-1.84px;top:12.71px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="14ECACB8.png" id="s903_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s893" data-sgid="Picture 13" style="z-index:9;left:491.18px;top:156.74px;width:228.82px;height:248.37px"> <img class="sg" src="8F776A99.jpg" id="s893_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:228.82px;height:248.37px" > </div> <div class="sg" id="s894" data-sgid="Picture 14" style="z-index:10;left:475.57px;top:228.09px;width:244.43px;height:176.06px"> <img class="sg" src="2FDD48E2.jpg" id="s894_i" title="" alt="2015-04-09 - CT-3 - 2.jpg" style="z-index:1;left:0px;top:0px;width:244.43px;height:176.06px" > </div>
<div class="sg" id="s912" data-sgid="Straight Arrow Connector 15" style="z-index:9;left:385.86px;top:62.61px;width:76.41px;height:54.81px" data-pointer-events="none"> <img class="sg" src="FFB2321.png" id="s912_i" style="z-index:1;left:0px;top:0px;width:76.41px;height:54.81px" > </div> <div class="sg" id="s911" data-sgid="Straight Arrow Connector 11" style="z-index:8;left:378.29px;top:141.02px;width:65.98px;height:70.75px" data-pointer-events="none"> <img class="sg" src="2F89C74.png" id="s911_i" style="z-index:1;left:0px;top:0px;width:65.98px;height:70.75px" > </div> <div class="sg" id="s907" data-sgid="Straight Arrow Connector 5" style="z-index:4;left:328.99px;top:125.19px;width:54.35px;height:97.28px" data-pointer-events="none"> <img class="sg" src="DA6D339A.png" id="s907_i" style="z-index:1;left:0px;top:0px;width:54.35px;height:97.28px" > </div> <div class="sg" id="s905" data-sgid="Picture 4" style="z-index:2;left:0.00px;top:-0.48px;width:365.35px;height:379.32px"> <img class="sg" src="BF6D20BA.jpg" id="s905_i" title="" alt="2014-06-19 - DX-34016 - 1.jpg" style="z-index:1;left:0px;top:0px;width:365.35px;height:379.32px" > </div> <div class="sg" id="s904" data-sgid="Picture 2" style="z-index:1;left:387.30px;top:12.11px;width:332.70px;height:366.72px"> <img class="sg" src="916D4F23.jpg" id="s904_i" title="" alt="2014-06-19 - DX-34016 - 2.jpg" style="z-index:1;left:0px;top:0px;width:332.70px;height:366.72px" > </div> <div class="sg" id="s906" data-sgid="Straight Arrow Connector 3" style="z-index:3;left:-18.12px;top:192.00px;width:54.35px;height:86.81px" data-pointer-events="none"> <img class="sg" src="8561BC13.png" id="s906_i" style="z-index:1;left:0px;top:0px;width:54.35px;height:86.81px" > </div> <div class="sg" id="s910" data-sgid="Straight Arrow Connector 10" style="z-index:7;left:376.37px;top:232.06px;width:54.35px;height:86.33px" data-pointer-events="none"> <img class="sg" src="9F2B4229.png" id="s910_i" style="z-index:1;left:0px;top:0px;width:54.35px;height:86.33px" > </div> <div class="sg" id="s909" data-sgid="Straight Arrow Connector 9" style="z-index:6;left:265.92px;top:239.60px;width:54.32px;height:86.35px" data-pointer-events="none"> <img class="sg" src="F74A57D2.png" id="s909_i" style="z-index:1;left:0px;top:0px;width:54.32px;height:86.35px" > </div> <div class="sg" id="s908" data-sgid="Straight Arrow Connector 7" style="z-index:5;left:44.86px;top:261.42px;width:54.35px;height:86.35px" data-pointer-events="none"> <img class="sg" src="C8699D17.png" id="s908_i" style="z-index:1;left:0px;top:0px;width:54.35px;height:86.35px" > </div>
<div class="sg" id="s914" data-sgid="Picture 4" style="z-index:2;left:0.00px;top:-0.48px;width:365.35px;height:379.32px"> <img class="sg" src="BF6D20BA.jpg" id="s914_i" title="" alt="2014-06-19 - DX-34016 - 1.jpg" style="z-index:1;left:0px;top:0px;width:365.35px;height:379.32px" > </div> <div class="sg" id="s913" data-sgid="Picture 2" style="z-index:1;left:387.30px;top:12.11px;width:332.70px;height:366.72px"> <img class="sg" src="916D4F23.jpg" id="s913_i" title="" alt="2014-06-19 - DX-34016 - 2.jpg" style="z-index:1;left:0px;top:0px;width:332.70px;height:366.72px" > </div>
<div class="sg sgTitle" id="s915" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s915_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="572.26" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:38.30px;top:17.96px;">Differential Diagnosis #2</span></p></div></div></div> <div class="sg" id="s916" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:77.96px;width:648.52px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s916_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:299.46px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="536.73" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.39px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Congenital lobar overinflation</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="434.83" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:60.48px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Panlobular emphysema</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="436.03" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:106.57px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Swyer-James syndrome</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="460.03" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:152.66px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.28px"> </span>Vanishing lung syndrome</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="461.84" class="sg nowrap f1" style="z-index:14;color:#FFFF00;font-weight:bold; font-size:178%; left:20.07px;top:198.75px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Neurofibromatosis, type 1</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="334.37" class="sg nowrap f1" style="z-index:17;color:#FFFF00;font-weight:bold; font-size:178%; left:20.07px;top:244.84px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Proteus syndrome</span></span></p></div></div></div> <div class="sg" id="s917" data-sgid="Picture 5" style="z-index:3;left:461.19px;top:124.23px;width:258.81px;height:280.88px"> <img class="sg" src="1357B7D7.jpg" id="s917_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:258.81px;height:280.88px" > </div>
<div class="sg sgTitle" id="s918" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s918_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:72.75px;top:17.96px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s920" data-sgid="Group 6" style="z-index:3;left:70.60px;top:129.10px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s923" data-sgid="Straight Connector 10" style="z-index:2;left:10.00px;top:-2.83px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="8F172C6E.png" id="s923_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s924" data-sgid="Straight Connector 9" style="z-index:1;left:-1.87px;top:12.77px;width:18.35px;height:15.72px" data-pointer-events="none"> <img class="sg" src="E7B60835.png" id="s924_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.72px" > </div> </div> <div class="sg" id="s921" data-sgid="Group 13" style="z-index:6;left:71.37px;top:167.37px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s925" data-sgid="Straight Connector 15" style="z-index:2;left:9.96px;top:-2.83px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="81FB5E56.png" id="s925_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s926" data-sgid="Straight Connector 14" style="z-index:1;left:-1.93px;top:12.74px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="D697D306.png" id="s926_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s919" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:77.96px;width:648.52px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s919_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:319.35px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="461.83" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.39px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Neurofibromatosis, type 1</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="304.49" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-weight:bold; font-size:156%; left:97.96px;top:58.52px;">Emphysema <span style="position:relative;bottom:3px;">or cysts</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="355.38" class="sg nowrap f1" style="z-index:6;color:#FFFF00;font-weight:bold; font-size:150%; left:78.52px;top:98.61px;">Soft tissue abnormalities</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="242.81" class="sg nowrap f1" style="z-index:7;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:138.22px;">X<span class="f1" style="font-size:90%; color:#FFFF00;position:relative;bottom:3px;"> Neurofibromas</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="407.71" class="sg nowrap f1" style="z-index:9;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:181.43px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Ribbon deformities of ribs</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="386.71" class="sg nowrap f1" style="z-index:11;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:224.64px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Vertebral abnormalities</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="459.08" class="sg nowrap f1" style="z-index:13;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:267.84px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Hemihypertropy / dysplasias</span></span></p></div></div></div> <div class="sg" id="s922" data-sgid="Picture 17" style="z-index:9;left:461.19px;top:124.23px;width:258.81px;height:280.88px"> <img class="sg" src="1357B7D7.jpg" id="s922_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:258.81px;height:280.88px" > </div>
<div class="sg sgTitle" id="s927" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s927_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="503.48" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:72.75px;top:17.96px;">Differential Diagnosis</span></p></div></div></div> <div class="sg" id="s929" data-sgid="Group 6" style="z-index:3;left:70.60px;top:174.93px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s933" data-sgid="Straight Connector 10" style="z-index:2;left:10.00px;top:-2.96px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="A81C8986.png" id="s933_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s934" data-sgid="Straight Connector 9" style="z-index:1;left:-1.87px;top:12.76px;width:18.35px;height:15.57px" data-pointer-events="none"> <img class="sg" src="ACF8D0FF.png" id="s934_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.57px" > </div> </div> <div class="sg" id="s928" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:77.96px;width:648.52px;height:267.89px" data-valign="top" data-pointer-events="none"> <div id="s928_t" class="sg" style="z-index:2;left:-12.37px;top:-6.73px;width:660.90px;height:313.36px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="334.37" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:178%; left:20.07px;top:14.39px;">•<span style="position:relative;bottom:4px;"><span style="letter-spacing:8.52px"> </span>Proteus syndrome</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="253.72" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:156%; left:56.07px;top:58.52px;">? “Elephant man”</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="304.49" class="sg nowrap f1" style="z-index:5;color:#FFFF00;font-weight:bold; font-size:156%; left:97.96px;top:98.85px;">Emphysema <span style="position:relative;bottom:3px;">or cysts</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="371.10" class="sg nowrap f1" style="z-index:7;color:#FFFF00;font-weight:bold; font-size:156%; left:73.00px;top:139.18px;">Unilateral or asymmetric</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="331.86" class="sg nowrap f1" style="z-index:8;color:#FFFF00;font-weight:bold; font-size:156%; left:73.72px;top:179.51px;">Soft tissue overgrowth</span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="330.42" class="sg nowrap f1" style="z-index:9;color:#FF0000;font-weight:bold; font-size:167%; left:55.95px;top:220.31px;">X<span class="f1" style="font-size:93%; color:#FFFF00;position:relative;bottom:3px;"> Osseous overgrowth</span></span></p><p para="{in:2,spbf:0.20}"><span data-textwidth="339.66" class="sg nowrap f1" style="z-index:11;color:#FFFF00;font-weight:bold; font-size:156%; left:74.20px;top:265.44px;">(Pulmonary embolism)</span></p></div></div></div> <div class="sg" id="s930" data-sgid="Group 8" style="z-index:6;left:69.68px;top:213.82px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s935" data-sgid="Straight Connector 12" style="z-index:2;left:9.95px;top:-2.87px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="D4BD078F.png" id="s935_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s936" data-sgid="Straight Connector 11" style="z-index:1;left:-1.91px;top:12.70px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="8AB6682E.png" id="s936_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div> <div class="sg" id="s932" data-sgid="Picture 17" style="z-index:12;left:461.19px;top:124.23px;width:258.81px;height:280.88px"> <img class="sg" src="1357B7D7.jpg" id="s932_i" title="" alt="2015-04-09 - CT-350 - 1.jpg" style="z-index:1;left:0px;top:0px;width:258.81px;height:280.88px" > </div> <div class="sg" id="s931" data-sgid="Group 14" style="z-index:9;left:69.53px;top:257.58px;width:25.76px;height:25.76px" data-shape="group"> <div class="sg" id="s937" data-sgid="Straight Connector 16" style="z-index:2;left:9.99px;top:-2.86px;width:18.35px;height:29.99px" data-pointer-events="none"> <img class="sg" src="3FD3235E.png" id="s937_i" style="z-index:1;left:0px;top:0px;width:17.35px;height:29.99px" > </div> <div class="sg" id="s938" data-sgid="Straight Connector 15" style="z-index:1;left:-1.87px;top:12.60px;width:18.35px;height:15.60px" data-pointer-events="none"> <img class="sg" src="B8828331.png" id="s938_i" style="z-index:1;left:0px;top:0px;width:18.35px;height:14.60px" > </div> </div>
<div class="sg sgTitle" id="s939" data-sgid="Title 1" style="z-index:1;left:35.51px;top:8.51px;width:648.52px;height:68.37px" data-valign="middle" data-pointer-events="none"> <div id="s939_t" class="sg" style="z-index:2;left:0.00px;top:-5.87px;width:648.52px;height:93.19px;"><div><p para="{al:2}"><span data-textwidth="497.96" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:75.51px;top:17.96px;">Dr. Reddy’s Diagnosis</span></p></div></div></div> <div class="sg" id="s940" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:90.67px;width:648.52px;height:268.03px" data-valign="top" data-pointer-events="none"> <div id="s940_t" class="sg" style="z-index:2;left:0.00px;top:-8.51px;width:648.52px;height:276.54px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="384.06" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:222%; left:132.40px;top:16.18px;">Proteus syndrome</span></p></div></div></div>
<div class="sg" id="s941" data-sgid="Title 3" style="z-index:1;left:53.50px;top:125.33px;width:612.56px;height:87.52px" data-valign="middle" data-pointer-events="none"> <div id="s941_t" class="sg" style="z-index:2;left:-0.37px;top:-0.37px;width:613.26px;height:97.25px;"><div><p para="{al:2}"><span data-textwidth="119.78" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:244%; left:246.92px;top:22.15px;">Stop!</span></p></div></div></div>
<div class="sg sgTitle" id="s942" data-sgid="Title 1" style="z-index:1;left:35.51px;top:15.94px;width:648.52px;height:83.72px" data-valign="middle" data-pointer-events="none"> <div id="s942_t" class="sg" style="z-index:2;left:-0.37px;top:-24.56px;width:649.26px;height:108.65px;"><div><p para="{al:2}"><span data-textwidth="427.99" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:115.25px;top:18.06px;">Correct Diagnosis: </span></p></div></div></div> <div class="sg" id="s944" data-sgid="Title 1 (2)" style="z-index:3;left:35.51px;top:16.06px;width:648.52px;height:83.72px" data-valign="middle"> <div id="s944_t" class="sg" style="z-index:2;left:0.00px;top:-24.57px;width:648.52px;height:146.07px;"><div><p para="{al:2}"><span data-textwidth="427.99" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-weight:bold; font-size:244%; left:114.88px;top:18.07px;">Correct Diagnosis: </span><span data-textwidth="422.83" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-weight:bold; font-size:244%; left:113.07px;top:70.88px;">Proteus syndrome</span></p></div></div></div> <div class="sg" id="s943" data-sgid="Content Placeholder 2" style="z-index:2;left:35.51px;top:117.87px;width:678.51px;height:288.91px" data-valign="top" data-pointer-events="none"> <div id="s943_t" class="sg" style="z-index:2;left:-8.63px;top:-10.66px;width:687.49px;height:299.94px;"><div><p para="{bl:{ch:8226},spbf:5.00}"><span data-textwidth="298.25" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.33px;top:11.38px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Congenital disorder</span></span></p><p para="{bl:{ch:8226},spbf:5.00}"><span data-textwidth="325.37" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.33px;top:41.38px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Overgrowth of tissues</span></span></p><p para="{bl:{ch:8226},spbf:5.00}"><span data-textwidth="630.34" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.33px;top:71.27px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Normal appearance at birth but progressive </span></span><span data-textwidth="154.35" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:144%; left:43.33px;top:96.23px;">afterwards</span></p><p para="{bl:{ch:8226},spbf:5.00}"><span data-textwidth="626.02" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.33px;top:126.24px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Heterogeneous (mosaic) distribution within </span></span><span data-textwidth="70.57" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-weight:bold; font-size:144%; left:43.33px;top:151.21px;">body</span></p><p para="{bl:{ch:8226},spbf:5.00}"><span data-textwidth="450.79" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:144%; left:16.33px;top:181.21px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:12.00px"> </span>Most common organs affected:</span></span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="73.94" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:122%; left:52.33px;top:209.38px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.01px"> </span>Skin</span></span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="483.93" class="sg nowrap f1" style="z-index:16;color:#FFFFFF;font-weight:bold; font-size:122%; left:52.33px;top:233.51px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:9.01px"> </span>Musculoskeletal (limbs, vertebra, skull)</span></span></p><p para="{in:2,bl:{ch:8211},spbf:3.00}"><span data-textwidth="305.70" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-weight:bold; font-size:122%; left:52.33px;top:257.63px;">–<span style="position:relative;bottom:2px;"><span style="letter-spacing:8.89px"> </span>Vascular malformations</span></span></p></div></div></div>
<div class="sg sgTitle" id="s945" data-sgid="Title 1" style="z-index:1;left:35.51px;top:20.99px;width:648.52px;height:79.86px" data-valign="middle" data-pointer-events="none"> <div id="s945_t" class="sg" style="z-index:2;left:-0.37px;top:-26.64px;width:649.26px;height:119.80px;"><div><p para="{al:2}"><span data-textwidth="581.02" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:200%; left:38.19px;top:14.93px;">Pulmonary findings of Proteus </span><span data-textwidth="192.63" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:200%; left:228.54px;top:58.14px;">syndrome</span></p></div></div></div> <div class="sg" id="s946" data-sgid="Content Placeholder 2" style="z-index:2;left:47.49px;top:117.87px;width:648.52px;height:257.36px" data-valign="top" data-pointer-events="none"> <div id="s946_t" class="sg" style="z-index:2;left:-9.23px;top:-11.15px;width:658.12px;height:268.88px;"><div><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="346.97" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:150%; left:16.95px;top:11.75px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.52px"> </span>Emphysema and bulla</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="623.74" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:150%; left:16.95px;top:44.15px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.52px"> </span>Often unilateral or strikingly asymmetric, </span></span><span data-textwidth="438.55" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:150%; left:43.95px;top:70.08px;">although may also be bilateral</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="534.56" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:150%; left:16.95px;top:102.49px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.52px"> </span>Hyperinflation with compression of </span></span><span data-textwidth="323.33" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:150%; left:43.95px;top:128.41px;">mediastinal structures</span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="473.11" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-weight:bold; font-size:150%; left:16.95px;top:160.82px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.52px"> </span>Pulmonary vascular anomalies</span></span></p><p para="{bl:{ch:8226},spbf:0.20}"><span data-textwidth="300.77" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-weight:bold; font-size:150%; left:16.95px;top:193.23px;">•<span style="position:relative;bottom:3px;"><span style="letter-spacing:11.52px"> </span>Thromboembolism</span></span></p></div></div></div>
<div class="sg" id="s948" data-sgid="Text Placeholder 4" style="z-index:2;left:56.38px;top:9.96px;width:612.53px;height:89.45px" data-valign="bottom" data-pointer-events="none"> <div id="s948_t" class="sg" style="z-index:2;left:-0.36px;top:-12.37px;width:613.26px;height:119.80px;"><div><p para="{al:2,spbf:0.20}"><span data-textwidth="498.68" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:200%; left:61.24px;top:14.93px;">RSNA 2016 Unknown Case </span><span data-textwidth="109.34" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-weight:bold; font-size:200%; left:252.19px;top:58.14px;">Panel</span></p></div></div></div> <div class="sg sgTitle" id="s947" data-sgid="Title 3" style="z-index:1;left:56.38px;top:147.86px;width:612.53px;height:132.88px" data-valign="top" data-pointer-events="none"> <div id="s947_t" class="sg" style="z-index:2;left:-9.71px;top:-5.99px;width:638.81px;height:221.62px;"><div><p para="{al:2}"><span data-textwidth="599.86" class="sg nowrap f1" style="z-index:2;color:#13B5EA;font-weight:bold; font-size:178%; left:19.58px;top:13.84px;">CONGRATULATIONS TO ALL OF THE </span><span data-textwidth="556.65" class="sg nowrap f1" style="z-index:3;color:#13B5EA;font-weight:bold; font-size:178%; left:41.18px;top:52.25px;">PANELISTS AND THANKS TO THE </span><span data-textwidth="564.81" class="sg nowrap f1" style="z-index:4;color:#13B5EA;font-weight:bold; font-size:178%; left:33.74px;top:90.66px;">AUDIENCE FOR YOUR ATTENTION</span><span data-textwidth="240.04" class="sg nowrap f1" style="z-index:5;color:#13B5EA;font-weight:bold; font-size:178%; left:196.13px;top:167.48px;">RON ZAGORIA</span></p></div></div></div>
<div class="sg" id="s950" data-sgid="Text Placeholder 2" style="z-index:2;left:56.38px;top:171.01px;width:612.53px;height:89.48px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg sgTitle" id="s949" data-sgid="Title 1" style="z-index:1;left:56.38px;top:259.63px;width:612.53px;height:81.30px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div>
