Dr. Pepe’s Diploma Casebook: Case 110 – The Wisdom of Dr. Pepe (Chapter 3) – SOLVED!

Dear Friends,

To continue with the third chapter of The Wisdom of Dr. Pepe, I am​ showing radiographs of an asymptomatic 52-year-old man with previous history of asbestos exposure.

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

Diagnosis:
1. Fibrous tumour of pleura
2. Large pleural plaque
3. Pleural fat
4. Any of the above

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Dr. Pepe’s Diploma Casebook: Case 109 – The Wisdom of Dr. Pepe (Chapter 2) – SOLVED!

Dear Friends,

To continue with the second chapter of The wisdom of Dr. Pepe, I am​ showing radiographs of a 75-year-old man with cough and haemoptysis.
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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Dr. Pepe’s Diploma Casebook: Case 108 – The Wisdom of Dr. Pepe (Chapter 1) – SOLVED!

Dear Friends,

Today we’ll start the third part of The Beauty of Basic Knowledge series, entitled The Wisdom of Dr. Pepe, in which I intend to summarise my basic approach to chest interpretation. Here I am showing radiographs of a 27-year-old man with moderate cough.

As usual, check the images below, leave your thoughts in the comments section, and come back on Friday to find out the solution.

Diagnosis:

1. RML disease
2. Pleural effusion
3. RLL mass
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 107 – To err is human: how to avoid slipping up (Chapter 6) – SOLVED!

Dear Friends,

To conclude the section “To err is human” I am presenting PA radiographs of a 57-year-old hairdresser with interstitial lung disease, who is on the waiting list for lung transplant. 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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Dr. Pepe’s Diploma Casebook: Case 102 – To err is human: how to avoid slipping up (Chapter 1) – SOLVED!

Dear Friends,

Today we’ll start the second part of The Beauty of Basic Knowledge series, titled ‘To err is human: how to avoid slipping up’. In the next six chapters I intend to analyse the most common causes of errors in chest imaging and how to avoid them. As Cicero said: All men can err, but only the ignorant persevere in the error.

This week I am presenting two cases. Case 1 shows the PA radiograph of a 57-year-old man with a cough. Would you say the chest is normal?
1.Yes
2.No
3.Need a lateral view
4.Need a CT

Case 2 presents PA and lateral radiographs of the yearly check-up of a 70-year-old man. CT done in another institution was reported as chronic post-TB changes. Do you agree?

Check the images below, leave your thoughts in the comments section and come back on Friday for the full solution!

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Dr. Pepe’s Diploma Casebook: Case 101 – A painless approach to interpretation (Chapter 8) – SOLVED!

Dear Friends,

Today I am presenting the last chapter of the Painless Approach to Interpretation. Showing chest radiographs taken during an annual check-up of a 70-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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Dr. Pepe’s Diploma Casebook: Case 100 – A painless approach to interpretation (Chapter 7) – SOLVED!

diploma_casebook_case100

Dear Friends,

Today I present the seventh chapter of the Painless Approach to Interpretation, which also happens to be case number 100 of Dr. Pepe’s Diploma Casebook. It makes me very proud to have shared with you one hundred cases and hope they have been useful.

Showing chest radiographs of a 47-year-old woman with mild fever and chest pain.

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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Dr. Pepe’s Diploma Casebook: Case 99 – A painless approach to interpretation (Chapter 6) – SOLVED!

diploma_casebook_case99

Dear Friends,

We’re moving on to a new chapter of the Painless Approach to Interpretation, and this week I’m showing the routine control radiographs of a 48-year-old woman, surgically treated for carcinoma of the breast ten years ago.
What do you see?

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

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Dr. Pepe’s Diploma Casebook: Case 98 – A painless approach to interpretation (Chapter 5) – SOLVED!

diploma_casebook_case98

Dear Friends,

Today we are moving to a new chapter in the Painless Approach to Interpretation, addressing what to do when the chest radiograph does not show an obvious abnormality.

For this purpose I am presenting the PA and lateral radiographs of a 57-year-old man with a chronic cough. What do you see?

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

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Dr. Pepe’s Diploma Casebook: Case 97 – A painless approach to interpretation (Chapter 4) – SOLVED!

diploma_casebook_case97-bobk

Dear Friends,

Now that we’ve looked at the three key questions to ask when facing a chest radiograph (chapters 1, 2 and 3), we move on to the interpretation of pulmonary lesions.

Today I am showing chest radiographs of a 31-year-old woman with marked dyspnoea for the last three days.

What would you call the predominant pattern?

1. Reticulonodular
2. Septal
3. Air-space disease
4. None of the above

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

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