Dr. Pepe’s Diploma Casebook: Case 71 – SOLVED!

Diploma_casebook_case71

Dear Friends,

After a short interlude, I am back with radiographs of a 71-year-old smoker with dyspnoea and haemoptysis. Previous history of TB. Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.

PS. Good luck to everyone taking the European Diploma in Radiology examinations at ECR 2015 this week!

Diagnosis:

1. Active TB
2. Carcinoma of the lung
3. Bronchiectasis
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 69 – SOLVED!

Diploma_casebook_case69

Dear Friends,

Today I am showing radiographs of a 61-year-old woman who underwent surgery for ovarian carcinoma three years ago.
Examine the images below, leave your diagnosis in the comments section and come back on Friday for the answer.

Diagnosis:
1. Carcinoma of the lung
2. Metastases
3. Tuberculosis
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 68 – SOLVED!

Diploma_casebook_case68

Dear Friends,

This week I am presenting the radiographs of a 50-year-old man with chest pain. Check the images below, leave your thoughts and diagnosis in the comments, and come back on Friday for the answer.

Diagnosis:
1. Multiple myeloma
2. Tumor of sternum
3. Fibrous tumour of pleura
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 63 – SOLVED!

Diploma_casebook_case63

Dear Friends,

Today I am presenting the case of a 43-year-old man with lymphoma, admitted with fever and left pleural effusion. Radiographs were taken after pleural fluid drainage. Check the images below, leave me your diagnosis in the comments section and come back on Friday for the answer.

Diagnosis:
1. Pneumonia
2. LLL collapse
3. Pleural fluid
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 62 – SOLVED!

Diploma_casebook_case62

Dear Friends,

Today I am showing PA chest and sagittal CT of a 66-year-old woman with a persistent RLL infiltrate and negative bronchoscopy. Check the images below, leave me your thoughts in the comments section, and come back on Friday for the answer.

Diagnosis:
1. Tuberculosis
2. Chronic aspiration pneumonia
3. Carcinoma
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 61 – SOLVED!

Diploma_casebook_case61

Dear Friends,

Today I am presenting pre-op chest films of a 48-year-old man with renal carcinoma. How will you define the lesion at the right cardiophrenic angle?

1. Benign nodule
2. Primary malignancy
3. Metastatic nodule
4. Can’t tell

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

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Dr. Pepe’s Diploma Casebook: Case 60 – SOLVED!

Diploma_casebook_case60
Dear Friends,

Today I am showing chest radiographs of a 78-year-old woman with moderate dyspnoea. Check the images below, leave your thoughts and diagnosis in the comments, and come back on Friday for the answer.

Diagnosis:

1. Mitral valve calcification
2. Pericardial calcification
3. Calcified ventricular aneurysm
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 59 – SOLVED!

Diploma_casebook_case59

Dear Friends,

This is the last case of the present term. I wish you all a very happy vacation. We will meet again in September.
The radiographs below belong to a 31-year-old man with vague chest pain. Diagnosis:

1. Aortic dissection
2. Aortic valve stenosis
3. Ascending aorta aneurysm
4. All of the above

Leave your thoughts and diagnosis in the comments section and come back on Friday for the answer.

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Dr. Pepe’s Diploma Casebook: Case 57 – SOLVED!

Diploma_casebook_case57

Dear Friends,

This week we are presenting radiography of a 64-year-old man with dyspea. Examin the images below, leave your thoughts and diagnosis in the comments section, and come back on Friday for the answer.

Diagnosis:

1. Mediastinal mass
2. Pulmonary nodule
3. Aortic aneurysm
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 56 – SOLVED!

Diploma_casebook_case56

Dear Friends,

Today I am presenting radiographs of of 41-year-old woman operated on for Ewing sarcoma of T-12 one year ago. Examine the images below, leave me your diagnosis in the comments and come back on Friday for the answer.

Diagnosis:
1. Enlarged azygos vein
2. Mediastinal lymph node
3. Mediastinal mass
4. None of the above

Read more…