Dr. Pepe’s Diploma Casebook: Case 23 – SOLVED!

Diploma_casebook_case23

Dear Friends,

This week I’m showing the case of a 26-year-old male presenting with chest pain.

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Dr. Pepe’s Diploma Casebook: Case 22

Diploma_casebook_case22_fte

Dear Friends,

As some of you may be taking the Diploma examination during ECR 2013, I’d like to introduce a new type of post that I call ‘Face the Examiner’. Its purpose is to simulate a real examination: images will be shown and you will be asked to describe the findings. You should then offer a differential diagnosis and suggest a procedure that will confirm your preferred option.

The only difference with respect to a real examination is that you will be given the correct answers during the exercise. I’ll try to keep it simple by not giving long lists of possible diagnoses and by making sure the possibilities are coherent with the imaging features.

Our first ‘Face the Examiner’ case concerns preoperative chest radiographs in a 75-year-old man with prostate carcinoma.

Dr. Pepe’s Diploma Casebook: Case 21 – SOLVED!

Diploma_casebook_case21

Dear Friends,

This week, we have an oncologic patient with liver nodule detected on US examination. Below are the images from an MRI examination.

Possible diagnoses:

1. Liver hemangioma
2. Hepatocellular carcinoma (HCC)
3. Liver metastasis
4. Focal nodular hyperplasia (FNH)

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Dr. Pepe’s Diploma Casebook: Case 20 – SOLVED!

Diploma_casebook_case20

Dear Friends,

Showing chest radiographs of an 81-year-old male with multiple bone fractures after a car accident. There is a rounded well-defined opacity in the posterior costophrenic sulcus. What do think it is?

1. Carcinoma of the lung
2. Bochladek’s hernia
3. Diaphragmatic cyst
4. All of the above
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Dr. Pepe’s Diploma Casebook: Case 19 – SOLVED!

Diploma_casebook_case19

Dear Friends,

The following case depicts MRI images of a 59-year-old woman with rapid cognitive decline, progressive change of character, ataxia and diplopia.

Diagnosis:
1. Posterior reversible encephalopathy
2. Wilson disease
3. Creutzfeldt-Jacob disease
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 18 – SOLVED!

Diploma_casebook_case18

Dear Friends,

My second case of 2013 relates to a 49-year-old man with shortness of breath. PA and lateral radiographs are shown.

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Dr. Pepe’s Diploma Casebook: Case 17 – SOLVED!

Dear friends,

to welcome the new year I am showing you the radiographs of a 70 year-old male being evaluated for possible lung metastases.

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Dr. Pepe’s Diploma Casebook: Case 16 – SOLVED!

 
Dear Friends,

I am taking a short break and will not post a case during the Christmas week. The next case will be posted on December 31st. In the meantime, I am presenting the chest radiographs of a 56-year-old man who came to the emergency room with chest pain and low-grade fever. He had a fracture of T-8 ten years ago.

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Dr. Pepe’s Diploma Casebook: Case 15 – SOLVED!

 

Dear Friends,

I have decided to show you a nice case before your Christmas holidays. Enhanced axial CT of a 69-year-old man with bone pain.

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Dr. Pepe’s Diploma Casebook: Case 14 – SOLVED!

Dear Friends,

I would like to begin a new subspecialty with the case of a 58-year-old male with a palpable nodule in the left breast.

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