Presently, I have submitted three new articles, spanning the categories of Images in Clinical Medicine, Correspondence, and Clinical Problem-Solving.
Of the three, the one I thought might be accepted the most was the last to be returned with a rejection decision next day. As expected, the correspondence was also rejected for publication a week later.
To my surprise, the image case has been on the submission site for almost a month. I am an optimist, but as far as this journal is concerned, I think there is a 10% chance of acceptance. I look forward to hearing the final decision of the journal.