Dr. Pepe’s Diploma Casebook: Case 84 – SOLVED!

Diploma_casebook_case84

Dear Friends,

Today’s images belong to a 63-year-old man with moderate dyspnea.
What do you see?

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


q1

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Click here for the answer

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13 Responses to : Dr. Pepe’s Diploma Casebook: Case 84 – SOLVED!

  1. aloria says:

    emphysema; a small aneurysm of ascending aorta

  2. Hellene says:

    Expanding the superior mediastinum bilateral mostly right. On the lateral view the trachea is displaced anterior – may be – goitre.

  3. sht says:

    Rt paratracheal round opacity – ?dilated azygos

  4. gus says:

    Ascending aortic aneurysm

  5. genchi bari italia says:

    …vi è una patologia espansiva nel mediastino superiore che in AP deborda dal profilo mediastinico superiore dx “oscurando” l immagine tracheale…..quest’ultima in LL è improntata anteriormente ,e sospinta in dietro…..non è un gozzo intratoracico….la TC chiarirà la patologia….

  6. Evija says:

    Anterior-superior mediastinal mass, could be tymoma, lymphoma, substernal goiter….there is visible trahea compression

  7. Dorota Grochowska says:

    Golden S signe-right uporem Łobez colaps due to tu probably

  8. genchi bari italia says:

    …penso che “anche” questo caso sia stato già pubbilicato! Aneurisma aorta ascendente ….

  9. Dr Pepe says:

    Congratulations to all of who made the right observation (posterior displacement of th trchea in the lateral view)

  10. int. dr. eren cengiz says:

    aortic aneurysm.

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