Caceres’ Corner Case 177 (Update: Solution)

Dear Friends,

I am presenting an unknown case (no final answer yet), but I believe that I have the answer, pending further studies. Radiographs belong to a 67-year-old woman and were taken during a routine check-up. Will show more images on Wednesday.

What do you see?

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

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05
Feb 2018
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DISCUSSION 25 Comments

Caceres’ Corner Case 176 (Update: Solution!)

Dear Friends,

Today, I am showing radiographs of a 68-year-old man with pain in the chest. 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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22
Jan 2018
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DISCUSSION 8 Comments

Caceres’ Corner Case 175 (Update: Solution!)

Dear Friends,

Happy New Year! To start 2018 with an easy case, I am showing pre-op PA radiograph and CT of a 49-year-old woman with carcinoma of the breast.

Diagnosis:

1. Metastasis
2. Neurogenic tumour
3. Duplication cyst
4. Any of the above

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

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08
Jan 2018
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DISCUSSION 9 Comments

Caceres’ Corner Case 174 (Update: Solution!)

Dear Friends,

Today I am showing radiographs of a close friend of mine, a 76-year-old man who had an abdominal CT for renal stones. Some abnormalities were detected at the base of the right lung, and chest radiographs and CT were done.

What do you see?

This is the last case of 2017. Next case will be presented on Monday, January 8. Wish you the best for the coming year!

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

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18
Dec 2017
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DISCUSSION 15 Comments

Dr. Pepe’s Diploma Casebook: Case 116 – SOLVED!

Dear Friends,

This will be the last Diploma Casebook case posted on the ESR Blog. Following the steps of Neymar, I have been offered a succulent contract by the European Board of Radiology and next year I will posting my cases on the EBR website, starting on Monday, January 15. I am excited about this new challenge and hope you will be too!

Radiographs of today’s case belong to a 76-year-old man with pain in the chest after a fall. 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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11
Dec 2017
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DISCUSSION 9 Comments

Caceres’ Corner Case 173 (Update: Solution!)

Dear Friends,

Vacation is near and in the Christmas spirit I am presenting two easy cases that I saw last week. Both are pre-op chest radiographs: Case 1 an 18-year-old man and case 2 a woman aged 48.

What do you see?

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04
Dec 2017
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DISCUSSION 4 Comments

Caceres’ Corner Case 172 (Update: Solution!)

Dear Friends,

Today I am showing pre-op  PA radiograph of a non-European 48-year-old woman,  with endometrial carcinoma.

What do you see?

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27
Nov 2017
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DISCUSSION 7 Comments

Caceres’ Corner Case 171 (Update: Solution!)

Dear Friends,

Today’s images belong to a 38-year-old woman treated with antibiotics for a sore throat with fever. Six days later she goes to the ER with left chest pain and moderate dyspnea.

What do you see?

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20
Nov 2017
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DISCUSSION 11 Comments

Dr. Pepe’s Diploma Casebook: Case 115 – SOLVED!

Dear Friends,

Today I am presenting radiographs of a 60-year-old man with a cough and moderate fever.

Diagnosis:

1. Viral pneumonia
2. Non-cardiac pulmonary edema
3. Pulmonary hemorrhage
4. None of the above

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

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13
Nov 2017
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DISCUSSION 10 Comments

Slowly but surely, emergency radiology subspecialisation is being recognised, says Denmark’s first full-time emergency radiologist

This year, the main theme of the International Day of Radiology is emergency radiology. To get some insight into the field, we spoke to Dr. Csaba Traply, head of the emergency department radiology unit and chief emergency radiology consultant at the radiology department of Odense University Hospital in Odense, Denmark.

European Society of Radiology: Could you please describe the role of the radiologist in a typical emergency department in your country?
Csaba Traply: Our emergency department, which opened five years ago, is the first of its kind in Denmark. I was the first Danish radiologist to be employed as a full-time, emergency radiologist.
Together with my younger colleagues (who are in rotation in various radiology subsections, including our emergency section) we are part of a team in the emergency department. Our main focus is to give optimal, expedient examinations and diagnoses to incoming patients. Our goal is for patients to have a preliminary diagnosis within four hours of arriving at the emergency department, no matter what the time of day. In our case, patients usually receive a final diagnosis within this period, thanks to having a radiology unit physically located in the emergency department and available around the clock.
In other hospitals in Denmark, similar emergency departments have just been established. Unfortunately, not all of these will include an on-site radiology unit, and among those that do, not all will have an on-site radiologist.
Personally, I cannot imagine emergency radiology without the constant, physical presence of a radiologist, as the condition and required diagnostics for emergency patients can change rapidly. Therefore, I think that our presence and participation as part of the emergency team is essential.

Dr. Csaba Traply is head of the radiology unit in the emergency department and chief consultant in emergency radiology at the radiology department at Odense University Hospital in Odense, Denmark.

ESR: What does a typical day in the emergency department look like for a radiologist?
CT: In the early morning, only few new patients arrive. At around 10:00, the number of patients starts to increase, and the number of visitors peaks between 14:00–20:00. I think that this is a universal pattern in all emergency departments. Naturally, the workload follows this timeline.
Every morning begins by reporting examinations from the previous night, as well as visitation of the previous referrals and the beginning of new examinations. In the meantime, examinations of the newly arriving patients also commence.

ESR: Teamwork is crucial in an emergency department. How is this accomplished in your department and who is involved?
CT: As I already mentioned, in our emergency department, there is an on-site radiology unit with an on-site radiologist and technicians. We are an active part of the team, and in many cases, we are guiding clinicians to choose the appropriate examinations, and often our report influences patients’ treatment. This happens through direct communication and collaboration with the clinicians, often before our final report is released. So far, this works well and is a model in emergency medicine in Denmark. This is why I find it difficult to imagine that examinations take place in the emergency department, but the reporting takes place outside the emergency department.
If necessary, we cooperate and consult with the other subsections in our radiology department (e.g. neuroradiology, thoracic and abdominal radiology).

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