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Image Contributor/Source: Douglas Tilton, M.D.
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History:
A 65-year-old, right hand dominant woman presents with intermittent presyncopal episodes, usually experienced during the day while working around the house. She also c/o of progressive right hand and forearm paresthesias. She has a 90 pack-year smoking history and approximately 10 year history of mild hypertension for which she does not take medication.





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Arch injection - early image

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MedPix™ Image: 1105 :: Close Box
Uploaded by: Paul J Cunningham ::
Submitted by: Paul J Cunningham - Author Info
Case/Image Editor: James G. Smirniotopoulos, M.D. - Editor Info
Case Approved By: James G. Smirniotopoulos, M.D. - Editor Info
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