@ashwleyjr:

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Saturday 16 November 2024 12:12:10 GMT

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urlasttyyy :

ayahnya perwira guys

2024-11-16 18:27:00

1465

shafira catur :

derita jadi cewe cakep, fypnya cewe cakep terus

2024-11-21 16:42:33

665

shitofki33 :

spill blazer kak

2024-11-18 00:15:32

82

imaa :

leher"

2024-11-30 00:56:58

74

NαyL 🧝🏻‍♀️ :

@shafira catur:derita jadi cewe cakep, fypnya cewe cakep terus

2024-11-26 14:28:16

6

ahmad_vlog_cek_🤙🤙 :

salfok sama orang nya salah❌ salfok sama kotak labubu nya ✅

2024-11-23 02:51:54

44

deaurbae :

anjirrr perwira cokkk

2024-11-25 10:23:38

40

a :

live napa al

2024-11-16 14:02:53

25

Syaeross :

masyaallah

2024-11-18 00:24:07

16

ArsyF :

masih sepi nih?

2024-11-16 12:23:58

12

ai :

cantik bangett

2024-11-20 17:00:56

2

Melyana fashion :

masyaallah

2024-11-25 03:10:56

1

pecelayam :

lucunya

2024-11-19 10:29:03

1

tir4misyuccakey :

cantiknyaaaah

2024-11-17 13:12:53

0

caca :

CAKEP BGT KAK

2024-11-17 03:43:37

1

chill guy :

cakep al

2024-11-16 12:30:08

0

blond 2 :

mampir vt ku ges

2024-12-07 05:31:13

0

arayobo🌺🦄 :

mirip ashel

2024-11-23 09:49:54

0

rapii :

p

2024-11-19 15:09:55

0

ma :

mampir k

2024-11-18 04:10:20

0

tyhah ❥ :

😚😚😚

2024-12-01 13:51:51

0

glendateves815 :

😁😁😁

2024-11-27 02:12:00

0

m ᥫ᭡ :

😳

2024-11-24 07:50:10

0

totohbensahibilib :

🥰🥰🥰

2024-11-19 06:32:38

0

wisy :

🥰🥰🥰

2024-11-18 13:40:11

0

To see more videos from user @ashwleyjr, please go to the Tikwm homepage.

Other Videos

#مبليات_الحاج_احمدحجاب #موبيليات_الحاج_احمدحجاب #محمداحمدحجاب #2025 #2025 ##اجمل #غرف #اثاث_منزلي #دكورات_داخلية #رائج #احدث_موديلات #محمداحمدحجاب #اثاث #غرفتي_الجديده #غرفة_نوم #غرف_اطفال #ركن #اثاث_تركي #اثاث_منزلي #غرفتي #الشعب_الصيني_ماله_حل😂😂

#مبليات_الحاج_احمدحجاب #موبيليات_الحاج_احمدحجاب #محمداحمدحجاب #2025 #2025 ##اجمل #غرف #اثاث_منزلي #دكورات_داخلية #رائج #احدث_موديلات #محمداحمدحجاب #اثاث #غرفتي_الجديده #غرفة_نوم #غرف_اطفال #ركن #اثاث_تركي #اثاث_منزلي #غرفتي #الشعب_الصيني_ماله_حل😂😂

#احمد رضا السمالوسي

#احمد رضا السمالوسي

Female in her 60s presents with chest pain. What does the X-Ray show? I posted the video recently but here is the case in carousel format for those that prefer it PRIMARY LUNG CANCER AND CHEST WALL METASTASIS 👨🏽‍💻First let’s think about the single cavitating lesion. Most SINGLE cavitating lesions are caused by one of two things: 1️⃣INFECTION Including bacterial pneumonia (classically staph, klebsiella), fungal infection and TB 2️⃣PRIMARY LUNG CANCER Classically squamous cell carcinoma 👨🏽‍💻Note that things change when we see multiple cavitating lesions and we can expand the differential out to include things like vasculitis, septic emboli and rheumatoid nodules 👨🏽‍💻How do we tell the difference between infection and cancer in this case? In practice having the clinical picture really helps as a patient presenting with sepsis is more likely to have an infection. But how can we tell the difference on imaging? ▫️Some studies have looked at the thickness of the wall of the cavitating lesion with a thicker wall (over 2 cm) more suggestive of a cancer ▫️The presence of consolidation and nodules around the lesion is more suggestive of an infection 👨🏽‍💻In our case the thick wall points towards cancer but there’s another finding - the posterior 9th rib is completely missing! Missing a whole rib can actually be more difficult to spot than a small erosion within a rib as when tracing the ribs you may not have realised that you have missed one out 👨🏽‍💻This is why it’s a good idea at some point during your chest X-Ray review that you zoom out, compare lung volumes and just check all the ribs are actually there! 👨🏽‍💻In this case the chest wall mass was biopsied and the histology confirmed that this was a case of primary lung cancer and chest wall metastasis ▫️KEY POINT: don’t miss a missing rib! This can be the only finding on CXR in metastatic cancer 🔻@theradiologistpage ✅ Patient consent obtained #radiology #theradiologist

Female in her 60s presents with chest pain. What does the X-Ray show? I posted the video recently but here is the case in carousel format for those that prefer it PRIMARY LUNG CANCER AND CHEST WALL METASTASIS 👨🏽‍💻First let’s think about the single cavitating lesion. Most SINGLE cavitating lesions are caused by one of two things: 1️⃣INFECTION Including bacterial pneumonia (classically staph, klebsiella), fungal infection and TB 2️⃣PRIMARY LUNG CANCER Classically squamous cell carcinoma 👨🏽‍💻Note that things change when we see multiple cavitating lesions and we can expand the differential out to include things like vasculitis, septic emboli and rheumatoid nodules 👨🏽‍💻How do we tell the difference between infection and cancer in this case? In practice having the clinical picture really helps as a patient presenting with sepsis is more likely to have an infection. But how can we tell the difference on imaging? ▫️Some studies have looked at the thickness of the wall of the cavitating lesion with a thicker wall (over 2 cm) more suggestive of a cancer ▫️The presence of consolidation and nodules around the lesion is more suggestive of an infection 👨🏽‍💻In our case the thick wall points towards cancer but there’s another finding - the posterior 9th rib is completely missing! Missing a whole rib can actually be more difficult to spot than a small erosion within a rib as when tracing the ribs you may not have realised that you have missed one out 👨🏽‍💻This is why it’s a good idea at some point during your chest X-Ray review that you zoom out, compare lung volumes and just check all the ribs are actually there! 👨🏽‍💻In this case the chest wall mass was biopsied and the histology confirmed that this was a case of primary lung cancer and chest wall metastasis ▫️KEY POINT: don’t miss a missing rib! This can be the only finding on CXR in metastatic cancer 🔻@theradiologistpage ✅ Patient consent obtained #radiology #theradiologist

قصة لزوجين 💔 #قصة #زواج #طلاق #سوء_تفاهم #مشاعر #احساس #احترام #علاقة #saudiarabia🇸🇦 #fyp #arab #بودكاست_كيف

قصة لزوجين 💔 #قصة #زواج #طلاق #سوء_تفاهم #مشاعر #احساس #احترام #علاقة #saudiarabia🇸🇦 #fyp #arab #بودكاست_كيف

wish i lived in the city so i could wear this out lol

wish i lived in the city so i could wear this out lol

Acoustics in the bathroom 👌 #desrocs

Acoustics in the bathroom 👌 #desrocs

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