Imaging

  • Pulmonary nodule management—patients first, guidelines second

    Louis S. H. Lam, MD
    • Cleveland Clinic Journal of Medicine August 2026, 93 (8) 485-486;
    • DOI: https://doi.org/10.3949/ccjm.93a.26060
    • How we communicate nodule findings to our patients can influence their perception and whether they agree with and adhere to recommendations.

  • Navigating pulmonary nodules: Guidelines on assessing risk and determining next steps in primary care

    CME Image
    Noah Gordon, DO, Raisa Munshi, MD, Mae Leef, DO, Axel W. Joob, MD and Abdul Hamid Alraiyes, MD
    • Cleveland Clinic Journal of Medicine August 2026, 93 (8) 475-484;
    • DOI: https://doi.org/10.3949/ccjm.93a.26004
    • The authors offer practical guidance on identifying pulmonary nodules that require surveillance, determining appropriate follow-up intervals, and deciding when specialist evaluation and intervention are needed.

  • When is brain MRI with and without contrast indicated for evaluation of headache?

    NJ Abdallah, DO and Madisen Olson, DO, MBA
    • Cleveland Clinic Journal of Medicine August 2026, 93 (8) 463-466;
    • DOI: https://doi.org/10.3949/ccjm.93a.25106
    • Secondary headache disorders such as neoplasm or infection are more often suspected than detected, but neuroimaging is warranted when red-flag features are present.

  • Ogilvie syndrome (colonic pseudo-obstruction)

    Mohamed Adam Ali, MBBS, BSc, Zahra Al-Badry and Fatima M. H. Ali, MBBS, MRCPCH
    • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 145-146;
    • DOI: https://doi.org/10.3949/ccjm.93a.21118
    • Two days after the patient underwent surgery to repair a left femur fracture, his abdomen became markedly distended, but without pain.

  • Westermark sign (focal oligemia) in pulmonary embolism

    Yusuke Namba, MD, PhD and Yusuke Kawai, MD, PhD
    • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 149-150;
    • DOI: https://doi.org/10.3949/ccjm.93a.25051
    • The patient’s chest radiograph showed a focal area of reduced blood flow in the middle and upper zones of the right lung.

  • Getting stuck on a name: An example of an eponymous syndrome

    Brian F. Mandell, MD, PhD
    • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 131-132;
    • DOI: https://doi.org/10.3949/ccjm.93b.03026
    • Debate continues about whether we should continue to use eponymous diagnostic nomenclature or shift entirely to an anatomic or pathophysiologic descriptive terminology.

  • What diagnostic tests should be done after discovering clubbing in a patient without cardiopulmonary symptoms?

    Karthik Meiyappan Udayappan, MD and Christopher V. Anstine, MD
    • Cleveland Clinic Journal of Medicine May 2025, 92 (5) 273-276;
    • DOI: https://doi.org/10.3949/ccjm.92a.24052
    • Computed tomography of the patient’s chest is indicated based on the robust association between clubbing and intrathoracic malignancy.

  • Pursuing the diagnosis of low back pain

    Brian F. Mandell, MD, PhD
    • Cleveland Clinic Journal of Medicine June 2024, 91 (6) 334-335;
    • DOI: https://doi.org/10.3949/ccjm.91b.06024
    • The recommended conservative approach eschewing initial imaging in patients with acute or subacute low back pain is unlikely to miss a significant clinical problem in those with no “red flags,” though the evaluation should be tempered in patients with chronic low back pain.

  • Low back pain: Spondylitis?

    Aditi Patel, MD and Jean Schils, MD
    • Cleveland Clinic Journal of Medicine June 2024, 91 (6) 339-340;
    • DOI: https://doi.org/10.3949/ccjm.91a.23086
    • A 37-year-old woman was referred to a rheumatology clinic due to symptoms concerning for spondylitis after noting intermittent back pain with right-sided groin pain.

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    Diagnosis and management of pancreatic cystic lesions for the non-gastroenterologist

    Arjun Chatterjee, MD, Tyler Stevens, MD, FACG, FASGE and Prabhleen Chahal, MD, FACG, FASGE
    • Cleveland Clinic Journal of Medicine February 2024, 91 (2) 96-102;
    • DOI: https://doi.org/10.3949/ccjm.91a.23019
    • A summary of current guidelines from several organizations on the diagnosis and surveillance of pancreatic cystic lesions.

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