- An elderly male with coronary artery disease as well as atrial fibrillation on rivaroxaban presented following a syncopal episode. Workup revealed acute non–ST-elevation myocardial infarction. Aspirin and clopidogrel were administered followed by coronary angiography. Twelve hours after his procedure, he developed delirium, fever, tachycardia, and hypotension. Urgent chest computed tomography revealed acute subsegmental pulmonary emboli for which heparin drip was initiated. Empiric antibiotics were also started due to concern for sepsis; ultimately, no infectious source was identified.
- A male in his 60s, nonsmoker, with history of gastroesophageal reflux disease, hiatal hernia repair, and recurrent bronchitis presented to an otolaryngology subspecialty clinic with 1 month of mild dyspnea. Office bronchoscopy identified a paratracheal diverticulum and abnormal scar tissue in the mainstem bronchi bilaterally. The trachea demonstrated posterior scar bands with intermittent dilations (Figure 1). Computed tomography (CT) imaging revealed a 44×18–mm cystic, extrapulmonary lesion along the right side of the trachea, as well as tracheobronchomegaly (Figure 2).
- Polypoid corditis (also called Reinke edema) is a benign condition that arises in chronic smokers. The Reinke space is the loose connective tissue directly subjacent to the basement membrane of the squamous-lined true vocal fold. Devoid of glandular tissue and lymphatic channels, this area is prone to react to trauma, either due to smoke, excessive phonation, or otherwise. Given the lack of lymphatic channels, the tissue may become edematous with increased vascularization, so-called Reinke edema, and may manifest clinically as a polypoid projection into the airway.