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case_images: (A) Generalized acne on the patient's face; (B) Wide purplish striae on the patient's abdomen.
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case_images: She was investigated for Cushing's syndrome as she had facial acne, purplish abdominal striae, skin thinning and easy bruising (Figure 1).
case_images: Serial chest radiographs showing acute pulmonary oedema from her previous 4 admissions. (A) left pleural effusion with bat's wings appearance and cardiomegaly; (B) left pleural effusion with cardiomegaly; (C) upper lobe diversion with bat's wings appearance and cardiomegaly; (D) left pleural effusion.
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case_images: At 27 weeks of gestation, she was readmitted for acute pulmonary oedema (Figure 2) with hypertensive crisis.
case_images: (A) Lateral view of thoracolumbar X-ray showing the compression fracture at T9 to L1 spine with osteopenic bone; (B) Volumetric 3D reconstruction of the thoracolumbar spine from CT images showing compression fracture.
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case_images: During her clinic review at 4 months postpartum, she complained of severe lower back pain which corresponded to T9 to L1 osteoporotic compression fracture (Figure 3).
case_images: (A) CT adrenal pre-contrast scan showing the right adrenal adenoma (blue arrow); (B) CT adrenal post-contrast scan showing the well-defined hypodense lesion at the medial limb of the right adrenal gland.
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case_images: Adrenal CT scan was only performed at 6 months postpartum which revealed a right medial limb adrenal adenoma measuring 3.1 x 1.9 x 2.9 cm with pre-contrast HU of 31 and 96% absolute contrast washout (Figure 4).