Dr. Pepe’s Diploma Casebook: Case 9 – SOLVED!

Dear Friends,

As keen followers of my career will know, the chest is my particular area of expertise, so that’s where we’re returning this week. This case is a 39 year-old woman with a cough.

Read more…

Dr. Pepe’s Diploma Casebook: Case 8 – SOLVED!

Dear Friends,

This week’s case is a 61-year-old man who was treated surgically for colon cancer 9 months ago. Normal CT at that time.

Fig. 1

Most likely diagnosis:

1. Liver metastasis
2. Nodular fatty infiltration of the liver
3. Hepatocellular carcinoma
4. None of the above

Click here for the answer

Dr. Pepe’s Diploma Casebook: Case 7 – SOLVED!

Dear Friends,

MRI of the heart is now a standard tool in diagnostic imaging. This week, I want to show you an MRI examination of a 62-year-old man with dyspnoea.

Read more…

Dr. Pepe’s Diploma Casebook: Case 6 – SOLVED!


Dear friends,

This week I want to show you a neuro/skeletal case, relating to a 25-year-old male with a 3-month history of sciatica.

Fig. 1

Read more…

Dr. Pepe’s Diploma Casebook: Case 5 – SOLVED!

Dear friends

Today, I want to show you a classic case of vertebral affectation. I’m hoping for 100% correct answers.

59-year-old female with lumbar pain.

Fig 1

Fig 2

Read more…

Dr. Pepe’s Diploma Casebook: Case 4 – SOLVED!

Dear Friends,

Abdominal films are being displaced nowadays by CT and US; but they are still useful if interpreted properly. In this case you are provided with a supine film of an 84-year-old man who has experienced epigastric pain, vomiting and abdominal distension for several days.

Read more…

Dr. Pepe’s Diploma Casebook: Case 3 – SOLVED!

Dear Friends,

Moving forward on our journey through the systems, our next stop is the heart. I want to put your diagnostic skills to the test with the following cardiac case.

Our patient is a 60-year-old male with dyspnea and fatigability.

Read more…

Dr. Pepe’s Diploma Casebook: Case 2 – SOLVED!

Dear Friends,

Following the usual pattern of an oral examination (mixed cases from all the subspecialities), I challenge you with the following neuro case, below.

Look out for the answer on Thursday. Good luck!

This week’s patient is a 61-year-old immunocompetent male with progressive disorientation and general weakness

Read more…

Dr. Pepe’s Diploma Casebook: Case 1 – SOLVED!

Dear diploma fans,

Welcome to the very first entry from my diploma casebook!

This is just the first of many weekly cases I’m going to show here on the ESR blog, to help you prepare for the European Diploma in Radiology. They are all typical of what you might expect to find in the exam and I will guide you through each one and remind you of the key points to consider.

To start off, I’m going to follow in the footsteps of my good friend Jose Caceres (although I will be more compassionate), and show you a chest case. If you have any comments or questions, please leave them in the comments section under this post. The answer will be posted on Thursday.

Good luck!

Read more…