ATS Quick Hits
Images in various forms, including radiographs, ultrasounds, waveforms, and other several other graphic representations, are a key part of pulmonary and critical care medicine. The Assembly on Clinical Problems is pleased to provide brief, image-based cases with key clinical questions.
We welcome the submission of any brief, image-based case/question. Each submitted case will be assigned for review by a section editor, based primarily on the type of image. Cases can be submitted using this template. Please review our list of archived cases (below). We are especially interested in novel cases with diagnoses that are not already represented on this website.
Please contact us with any comments or questions.
Janaki Deepak, MD, MBBS, FACP & Megan Acho, MD, MS
Quick Hits Editors
Due to unprecedented circumstances and the ongoing widespread effects of the COVID 19 pandemic ATS Quick Hits is experiencing delays in turn around times for the reviews. All our reviewers understandably have had to prioritize patient care. We will work diligently to get the reviewed back to you in a reasonable time frame.
Thank you all for your submissions and for your continued patience
Latest Quick Hit
- Cobble Stones in the Lungs
- Real Time Therapeutic Thoracentesis
- A Bloody Mass
- Feeling the Pressure
- To Poke or Not to Poke
- The Missing Link
Cardiovascular
Acute Coronary Syndrome
- NONE
Arrhythmias
- A Deadly Load
- A Helpful Story
- An Elderly Woman with Acute Onset Chest Pain
- An unexpected etiology of ventricular dysrhythmia
- To Cath or Not to Cath?
Hemodynamics
- A Common Strain of Dyspnea
- An unusual case of syncope
- Achy Breaky Heart
- Distressing Dyspnea in a Patient with Lupus
- Echocardiography in Acute Multi-Organ Dysfunction
- Myxed Up
- Trouble on the Horizon
Heart Failure
- Looking in the Mirror
- A patient with acute onset of chest pain
- A Rare Pericardial Disease
- Echocardiography in Acute Multi-Organ Dysfunction
- Orthopnea in a patient with Doxorubicin Exposure
- Stressed Out!
- Stress while vacationing in the mountains
- The 'Pain in my Heart'
- Trouble on the Horizon
Mechanical Circulatory Support
Shock
- A Rare Finding in post-ROSC Bedside Echocardiography
- A helpful study
- A patient with acute onset of chest pain
- A Woman Visiting from China Presents with Shortness of Breath and Fever
- An Elderly Nursing Home Patient with a Cryptic Source of Sepsis
- An unusual case of syncope
- Achy Breaky Heart
- Echocardiography in Acute Multi-Organ Dysfunction
Valvular Heart Disease
Diffuse Parenchymal Lung Disease
Cystic
Drug-Induced
Interstitial Lung Disease
- A “gripping” case of myositis
- Alphabet Soup: Differentiating Interstitial Lung Diseases
- Chronic Cough and Dyspnea
- Combing Through the Honeycomb
- Diagnosis needed STAT
- Pun About Bone
- The Diagnosis is in the Hands
Occupational
- A 37-year-old Man with Dyspnea and Pulmonary Nodules
- Alphabet Soup: Differentiating Interstitial Lung Diseases
- Chronic Cough and Dyspnea
Sarcoidosis
Gastroenterology
Hematology/Oncology
Complications of Cancer Treatment
- NONE
Hematologic/Oncologic Syndromes
- NONE
Liquid Tumors
- NONE
Solid Tumors
- NONE
Infections
Extra-Pulmonary
- A Woman Visiting from China Presents with Shortness of Breath and Fever
- An Elderly Nursing Home Patient with a Cryptic Source of Sepsis
- Why do the splits always hurt?
Pulmonary
- A Bloody Mass
- To Poke or Not to Poke
- A Batty Non-resolving Lung Abnormality
- A Black Rose in the Airway
- A CT Finding No Longer Zebra-Specific
- A stranger in the lung
- A young man with malaise and dyspnea
- Fever, chest pain, and pulmonary nodules
- Fire in the Chest
- Holes in the Chest
- Lots of Lung Nodules
- Malignancy Imposture
- My Neck Hurts and I Can’t Breathe
- Not All That Glitters is Bird
- TB or Not TB
- The White Plague
Interventional Pulmonology
Bronchoscopy
- Clogged Pipe
- A Black Rose in the Airway
- A CT Finding No Longer Zebra-Specific
- All in the Loop
- Case of the curious opacification
- Clogged up Lungs
- Postoperative Bleeding… in the Airway?
Endobronchial Ultrasonography (EBUS)
Pleural
- Real Time Therapeutic Thoracentesis
- A leak in the ICU
- A patient with cough and fever
- A patient with dyspnea
- A stranger in the lung
- Acute Onset Shortness of Breath, Pleuritic Chest Pain, and Cough
- Reading between the lungs
- Sudden onset chest pain in a teenage boy
- The Air is Everywhere
- The Pleura Doesn't Slide
- Unwanted Residents in the Pleural Space: polymicrobial growth in empyema as an indicator for esophageal pleural fistula
Tracheostomy
Lung Neoplasm
Benign Neoplasms
Malignant Neoplasms
Lung Nodules
Mediastinal Disease
- NONE
Paraneoplastic Disease
- NONE
Lung Transplant
- NONE
Mechanical Ventilation
Invasive
- The Missing Link
- Don’t Hold Your Breath
- A Moving Target
- Acute Hypoxemic Respiratory Failure: Ultrasound to the Rescue
- An Agitated Patient
- An Equal and Opposite Reaction
- Lung Protective Ventilation: More Than Simply Setting the Tidal Volume
- Not Enough
- "The Breathing Dead"
- "Waste Not, Want Not"
Non-Invasive
- NONE
Miscellaneous
- Air in the Chest
- A CT Finding No Longer Zebra-Specific
- A Helpful Story
- A leak in the ICU
- A patient with cough and fever
- A Rare Pericardial Disease
- Case of the curious opacification
- Clogged up Lungs
- Cold Hearted
- Hypoxemia After a Road Accident in Kenya
- It’s Just Water Vapor
- Myxed Up
- Pleural Effusion Confusion
- Shortness of Breath with a History of Cardiac Arrest
- Stress while vacationing in the mountains
- To Cath or Not to Cath?
Neurology
Brain Death
- NONE
Hemorrhagic Stroke
- NONE
Miscellaneous
Ischemic Stroke
Seizures/Status Epilepticus
- NONE
Spinal Cord Injury/Disease
- NONE
Obstetrics
Obstructive Lung Disease
Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Other
Pediatric Pulmonology
Bronchopulmonary Dysplasia (BPD)
- NONE
Congenital Lung Disease
- A Hole in the Roof
- A Patient with Lifelong Episodes of Shortness of Breath
- An embryonic cause of cough
- Progressive Life-Long Dyspnea
- Too Much Air in There
- When You Can't Ease the Wheeze
General Pediatric Pulmonology
- Cough After Visiting the Family Farm
- What White Lungs You Have
- A Tangled Case of Incidental Hypoxemia
- Pediatric Anemia: A Bloody Mess
- TB or Not TB
- Mind the Gap
- Nocturnal Stridor and Noisy Breathing
Pediatric Cardiopulmonary Disease
Pediatric Interstitial Lung Disease
- Persistent chest x-ray abnormalities and worsening hypoxemia in a one year old boy
- Progressive Respiratory Failure in a Term Infant
- Slow winds in a dark and starry night
Pediatric Obstructive Lung Disease
- A Case of Two Siblings: Different or the Same?
- Never Ending Wet Cough
- Snap Crackle Pop: Respiratory Failure in a Term Infant
- The Air is Everywhere
Pediatric Sleep Medicine
Pharmacology/Toxicology
Pulmonary Vascular Disease
Pulmonary Emboli/Venous Thromboembolic Disease
- A Common Strain of Dyspnea
- A patient with acute onset of chest pain
- Endobronchial Ultrasound: beyond tumors and lymph nodes
- Hiding in Plain Sight
- Point of Care Changing the Place of Care
- Trouble on the Horizon
Pulmonary Hypertension
- A Helpful Story
- Achy Breaky Heart
- Distressing Dyspnea in a Patient with Lupus
- Hiding in Plain Sight
- Not a Good 'Short-Cut' to Take!
Vasculitis
Renal, Endocrine, and Metabolic Disorders
Acid-Base Disorders
Endocrinologic Disorders
- NONE
Rheumatologic Disorders
Sleep Medicine & Neuromuscular Disorders
Hypersomnia
- NONE
Insomnia
- NONE
Neuromuscular Disorders
Obstructive Sleep Apnea/Obesity Hypoventilation Syndrome/Central Sleep Apnea
Surgery
Disclaimer: Information on the Quick Hits Website is for general educational purposes and does not establish a medical standard of care to be followed in every patient encounter.
