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 106 – To err is human: how to avoid slipping up (Chapter 5) – SOLVED!

Dear Friends,

This week I’m continuing with another chapter of “To err is human”; and today I am presenting chest radiographs of a 64-year-old man. These images were taken one month after a myocardial infarction.

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

Diagnosis:
1. Aortic elongation
2. Aortic dissection
3. Aortic aneurysm
4. Any of the above

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Dr. Pepe’s Diploma Casebook: Case 104 – To err is human: how to avoid slipping up (Chapter 3) – SOLVED!

Dear Friends,

Today I am presenting chest radiographs taken during a routine check-up of a 60-year-old woman. Radiographs were read as normal. 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 103 – To err is human: how to avoid slipping up (Chapter 2) – SOLVED!

Dear Friends,

Today I am presenting radiographs of a 30-year-old man. They were taken because an abnormal ECG was found in a routine check-up. 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 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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Dr. Pepe’s Diploma Casebook: Case 95 – A painless approach to interpretation (Chapter 2) – SOLVED!

diploma_casebook_case95

Dear Friends,

As you may remember from Diploma Case 94, when I’m facing a chest radiograph I start by asking three questions:

a) Is there any visible abnormality?
b) It is intra- or extrapulmonary?
c) What does it look like?

Today we will discuss the second question, showing chest radiographs in two different patients. Is the abnormality intra- or extrapulmonary? Check the images below, leave your thoughts in the comments and come back for the answer and discussion on Friday.

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Dr. Pepe’s Diploma Casebook: Case 92 – SOLVED!

Diploma_casebook_case92

Dear Friends,

Today I am showing radiographs of a 62-year-old man with moderate dyspnoea. No acute symptoms. 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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