Cocaine-induced rhabdomyolysis. Findings on bone scintigraphy.

During the examination of a young patient with acute renal failure, bone imaging was performed for evaluation of possible osteomyelitis. Marked soft tissue activity was seen on the bone scan. The patient admitted to recent intravenous cocaine use. Vasoconstriction from cocaine use was thought to induce rhabdomyolysis, which led to acute renal failure with myoglobulinuria.

Intercostal pulmonary/diaphragmatic hernia.

A case of post-traumatic herniation of the lung and diaphragm through the lateral thoracic wall is presented. The pathogenesis of lung hernias, their clinical signs and symptoms, as well as methods of radiographic diagnosis, are discussed.