Caceres’ Corner: Case No.5 (Update: Solution)

Dear friends,

Welcome to case #5.

Case #5 is also from my wife. It is a 27-year-old female with a chronic infiltrate in the right upper lobe. My Wife asked us (ordered, according to Muppet) to help her with the case, because she doesn’t know what it is.

Diagnosis:

1. Tuberculosis
2. Aspiration pneumonia
3. Bronchioalveolar carcinoma
4. Lymphoma

I didn’t make the diagnosis, but the Muppet did! What is the Muppet’s diagnosis?

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16
Nov 2011
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ECR Hotel Focus: affordable style on a budget at the Motel One

The Motel One is our top tip for delegates on a budget who appreciate a stylish touch. © One Hotels & Resorts AG

ECR 2012 might still be several months away, but we know that many of you are already planning your trips to Vienna. With that in mind, we looked at some of the hotels available through the ESR Travel Service booking platform to find some of Vienna’s accommodation highlights. We picked out a few establishments to suit different requirements, to hopefully help you find a home-from-home for the congress. The first on our list? The Motel One.

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11
Nov 2011
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Caceres’ Corner: Case No.4 (Update: Solution)

 

Dear friends,

Welcome back to Caceres’ corner.
I’m already keen on your suggestions on Case #4.

Clinical history: Pre-operative chest radiograph for ophthalmologic surgery in a 57 y. o. male

Most likely diagnosis:

1. Carcinoma of the lung
2. Unilateral hyperlucent lung
3. Pulmonary embolism
4. Giant bulla

Read more…

02
Nov 2011
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Shoe Salesmen + X-rays = ‘Pedoscope’

We see a fair number of odd x-ray images in the ESR office, especially in the search for interesting stories for our Facebook pages. Some can make your stomach turn, some make you laugh, and others just make you think ‘ouch!’  This picture of a foot unnaturally contorted in a high heel shoe naturally caused the latter response…


A little digging around on the internet for ‘shoes’ and ‘x-rays’ found a possible source of this image but it also revealed a slightly alarming shady past that radiology and shoes have in common. We’re all aware of the benefits of radiology that nearly everyone gets to experience at least once in their life, but throughout history x-ray technology and radiation have also been used for some, let’s say, ‘questionable purposes’. One of those is certainly the shoe fitting fluoroscope.

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27
Oct 2011
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Caceres’ Corner: Case No.3 (Update: Solution)

 

Welcome to case number three!

My wife, who works in a primary care centre, sent this case to me. The patient is a 76 year-old male, who was operated on three years ago for carcinoma of the larynx. The PA and lateral radiographs show two nodular lesions in the lower lung fields.

The obvious response is metastatic disease. But the Muppet, trying to impress both of us, suggested an alternative diagnosis.

Can you guess the Muppet’s diagnosis?

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20
Oct 2011
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Caceres’ Corner: Case No.2 (Update: Solution)

Caceres Corner Case 02 Clinical history: asymptomatic 75 year-old man, operated on ten years ago for carcinoma of the larynx. Current chest radiographs were obtained during the yearly routine control.

Most likely diagnosis:

1. Radiation pneumonitis

2. Tuberculosis

3. Carcinoma of the lung

4. Pulmonary hypertension Read more…

10
Oct 2011
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Making a better movie

These days there is practically no better way to show people what you do and what you offer than in the form of a short video. It has many clear advantages over other methods and is one of the best ways to combine an insight, a glimpse of all the various aspects of the subject and even to catch some of the atmosphere if done correctly. That’s where it gets difficult.

We had a great cameraman working with us at ECR 2011, who captured a whole catalogue of moments on video. Beside his good eye he also had some very nice equipment (a Canon 5D Mark II) and managed to catch some great shots that show the more emotional side of the meeting: people anxious about their lectures, cheering, a lot of laughing and excitement. Even some lovebirds enjoying a musical performance from one of our ‘ESR Meets’ countries.

Using a DSLR camera has pros and cons. As always, when used the right way you can create stunning results that are comparable with the work of great photographers because you are using the same tools. I have already mentioned that we got some really nice shots, so my first decision was to create a traditional video, using all those strong pictures and some fitting music. The result was a two-minute-long video, scored by some elegant classical music, which was nice to watch.

You can see it here:

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30
Sep 2011
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Caceres’ Corner: Case No.1 (Update: Solution)

Meet Professor Jose Caceres and his Muppet

Meet Professor Jose Caceres and his Muppet

Dear friends, welcome to Caceres’ Corner. The objective of this post is to remember basic principles of chest imaging, with the emphasis on conventional radiography. Interpreting a chest radiograph is becoming a lost art and I would like to slow this tendency by reviewing the current approach to chest x-ray.

Nowadays, the initial question when facing a chest radiograph should be: “is there any abnormality present? And, if so, should we do any additional examination?” (CT in the great majority of cases).

With this approach in mind, let’s start with a sample case:  62 year old male with liver cirrhosis and upper gastrointestinal bleeding. No other symptoms. History of pulmonary tuberculosis 20 years ago.

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23
Sep 2011
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Top congress city Vienna still waltzing ahead

ECR 2011 delegates flock into the Austria Center Vienna

ECR 2011 delegates flock into the Austria Center Vienna

Vienna has long been a popular tourist destination, as any visitor in search of last minute accommodation will bitterly tell you.

But holidays are not the only reason to come and relish the remnants of the Habsburgs’ golden age, and a trained eye will often be able to spot many visitors carrying congress bags instead of back packs.

For the past 12 years, in the beginning of March, these bags have invariably displayed the logo of our own European Congress of Radiology (ECR), but many other professions, medical or otherwise, also choose to meet in Vienna. So many, in fact, that the city has recently topped a chart of the most popular congress destinations in the world… for the sixth time in a row!

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16
Sep 2011
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ESR Abroad at Home: World Congress of Ultrasound, Vienna/Austria

The WFUMB technical exhibition

The WFUMB technical exhibition

This time we didn’t have to travel very far for another episode of our congress coverage, just a couple of stops on the underground and we found ourselves once more at the Austria Center Vienna (ACV), every ESR employee’s second home. But this time there was a difference, 35 degrees outside and the danger of getting sunburn while walking from the underground station to the ACV. So, this is clearly not a story about the ECR, which always takes place in rather more temperate March (and also will take place in March 2012). No, this time nearly the whole ESR staff came to the Austria Center to participate in and help to set up a unique event that has never happened before and will never take place in this form again; the world congress of ultrasound (WFUMB) in conjunction with the EUROSON (congress of the EFSUMB) and the ‘Dreiländertreffen’ (three-country meeting) of Austria, Germany and Switzerland’s ultrasound societies (ÖGUM, DEGUM, SGUM), all held together on 26–29 August, 2011.

One of the big advantages of having our main congress in March is that the ACV is much more comfortable in the cooler times of the year because for some reason it’s easier to heat the building up than to cool it down. On the second day of the congress a big thunderstorm hit Vienna which, besides a lot of rain, brought a welcome drop in temperature. But enough about the weather, after all, our participants came for the congress and its scientific highlights.

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08
Sep 2011
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