Dr. Pepe’s Diploma Casebook: Case 95 – A painless approach to interpretation (Chapter 2)

diploma_casebook_case95

Dear Friends,

As you may remember from Diploma Case 94, when I’m facing a chest radiograph I start by asking three questions:

a) Is there any visible abnormality?
b) It is intra- or extrapulmonary?
c) What does it look like?

Today we will discuss the second question, showing chest radiographs in two different patients. Is the abnormality intra- or extrapulmonary? Check the images below, leave your thoughts in the comments and come back for the answer and discussion on Friday.

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Caceres’ Corner Case 143 (Update: Solution)

esr_2016_blog-cacerescorner-143

Dear Friends,

Today we are presenting pre-op radiographs for inguinal hernia in a 37-year-old-man. Check the images below, leave your thoughts in the comments section, and come back on Friday for the answer.

Diagnosis:

1. Pulmonary arterial hypertension
2. Thymoma
3. Pericardial cyst
4. None of the above

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19
Sep 2016
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Dr. Pepe’s Diploma Casebook: Case 94 – A painless approach to interpretation (Chapter 1) – SOLVED!

Diploma_casebook_case94

Dear Friends,

This year I intend to discuss the basic principles of interpreting chest radiographs, under the heading, “The Beauty of Basic Knowledge”.

I plan to structure the discussion into three main parts, which will take us through the whole academic year:

Part 1. A painless approach to interpretation
Part 2. To err is human: how to avoid slipping up
Part 3. The wisdom of Dr. Pepe

This week’s case is the first chapter of my ‘painless approach to interpretation’. Interpreting chest radiographs is not difficult if we follow Confucius’ saying: “ A journey of a thousand miles begins with a single step”. As a clinical radiologist, my first step is to ask myself three questions:

a) Is there any visible abnormality?
b) It is intra or extrapulmonary?
c) What does it look like?

Today I’ll discuss the first question. Below you can see the chest radiographs of three different patients. Do you see any visible abnormality in any of them? Let me know in the comments section and come back on Friday for my answer.

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Caceres’ Corner Case 142 (Update: Solution)

ESR_2016_Blog-CaceresCorner-142

Dear Friends,

Welcome back! To start the academic year I would like to show a case seen by Dr. Pepe while I was vacationing in Minorca.

Radiographs belong to a 35-year-old woman with pain in the mandible for the last two years. CT of the mandible before biopsy and pre-op PA chest radiograph are shown. After seeing both, Dr Pepe suggested a diagnosis. What do you think?

Check the images below, leave your thoughts in the comments section, and come back on Friday for the answer.

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05
Sep 2016
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Dr. Pepe’s Diploma Casebook: Case 93

Diploma_casebook_case93

Dear Friends

This is the last case of the first semester. It has been a hard year and I need some quiet time. Will see you again on Monday, September 5 with new cases. Relax and enjoy your vacation!

This week’s case follows the pattern of a ‘Meet the Examiner’ presentation, with questions and answers similar to a real examination. Take your time before scrolling down for the answer. And no peeking!

The images were obtained during routine CT screening in a 72-year-old man, heavy smoker.

What would be your diagnosis?

1. Carcinoma in LUL and cyst in LLL
2. Carcinoma in LUL and cystic carcinoma in LLL
3. Tuberculosis
4. None of the above

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13
Jun 2016
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Caceres’ Corner Case 141 (Update: Solution)

ESR_2016_Blog-CaceresCorner-141

Dear Friends,

Showing today pre-op radiographs for a hip prosthesis in a 62-year-old man.
What do you see?

Check the images below, leave your thoughts in the comments section, and come back on Friday for the answer.

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06
Jun 2016
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Dr. Pepe’s Diploma Casebook: Case 92 – SOLVED!

Diploma_casebook_case92

Dear Friends,

Today I am showing radiographs of a 62-year-old man with moderate dyspnoea. No acute symptoms. What do you see?

Check the images below, leave me your thoughts in the comments section, and come back on Friday for the answer.

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Caceres’ Corner Case 140 (Update: Solution)

ESR_2016_Blog-CaceresCorner-140

Dear Friends,

The case of this week is a pre-op radiograph for a knee prosthesis in a 57-year-old woman. What do you see?

Check the image below, leave your thoughts in the comments section and come back on Friday for the answer.

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23
May 2016
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Dr. Pepe’s Diploma Casebook: Case 91 – SOLVED!

Diploma_casebook_case91

Dear Friends,

Today I am showing images of a 48-year-old man with two brain lesions and a pre-op chest radiograph. What would be your diagnosis regarding the chest?

Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.

Diagnosis:

1. Carcinoma
2. Hydatid cyst
3. Pulmonary infarct
4. None of the above

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Caceres’ Corner Case 139 (Update: Solution)

ESR_2016_Blog-CaceresCorner-139

Dear Friends,

Dr. Pepe is back and he refuses to show easy cases. He has forced me to present the following images which belong to a 38-year-old woman with right chest pain. Check the three images below, leave us your thoughts in the comments section and come back on Friday for the answer.

Diagnosis:
1. Carcinoma
2. TB granuloma
3. Hamartoma
4. None of the above

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09
May 2016
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DISCUSSION 33 Comments