Dear Friends,
Since we had very few answers in the previous case (too easy or too difficult?), Muppet is reverting to plain films and straightforward questions. The following are pre-employment radiographs of a 43-year-old female. She was told that she had enlargement of the ascending aorta. What would be your diagnosis?
1. Marfan’s
2. Aortic coarctation
3. Aortic valvular disease.
4. None of the above
Dear Friends,
Muppet is getting old and soft and from now on will show only easy cases. Today’s case is a 33-year-old girl with fever and malaise.
Diagnosis:
1. Lymphoma
2. TB
3. Wegener’s
4. None of the above
Dear Friends,
Muppet is impressed with your knowledge. He tries very hard to post teaching cases and has decided to skip the multiple-choice questions in the following chest case, which is that of an asymptomatic 56-year-old male.
Questions in this case are:
1. Where is the lesion?
2. What is your diagnosis?
The first five radiologists to suggest the correct diagnosis will be given a DVD at the next European Congress of Radiology.
Dear Friends,
Since you are getting used to difficult cases, Muppet is showing you an easy one. May the Force be with you. It is a pre-op chest radiograph of a 37-year-old woman with breast carcinoma.
Diagnosis:
1. Metastases
2. Granuloma TB
3. Hydatid cyst
4. None of the above
Dear friends,
Since some of you have been complaining about the cases being difficult, Muppet wants to show a really difficult case: a 76-year-old woman with previous heart troubles and currently asymptomatic.
Diagnosis:
1. Calcified pericardial cyst
2. Hydatid cyst of the heart
3. Intracardiac calcified aneurysm
4. None of the above
Dear Friends,
Muppet is feeling good today (love letter from Miss Piggy) and wants to show you an easy case: a 69-year-old male with chest pain and productive cough. TB in his youth.
Diagnosis:
1. Active TB
2. Empyema necessitatis
3. Pleural abscess
4. None of the above
Dear Friends,
Muppet is feeling mean today and wishes to inflict upon you the following case: a 56-year-old woman with a history of respiratory infections. She was operated on for osteogenic sarcoma of the right leg eight years earlier.
Diagnosis:
1. Metastases from sarcoma
2. Carcinoma of the lung
3. Tuberculosis
4. None of the above
Dear Friends,
Muppet has chosen to show a case from the Iron Islands. Winter is coming …
An 83 year-old lady with cough and moderate dyspnea.
Diagnosis:
1. Normal for age
2. One process
3. Two processes
4. Three processes
Dear Friends,
Muppet is becoming soft and wants to show easy cases. The following case is a 44-year-old woman with a cough, low-grade fever, and back pain.
Diagnosis:
1. Lung mass
2. Loculated pleural fluid
3. Chest wall mass
4. None of the above
Dear Friends,
Muppet has the silly notion that he is good at semiology and wants to test your interpretation skills with the following two cases.
Case 1 is an isolated lateral chest and the question is:
Which one is the right hemidiaphragm?
1. A
2. B
3. Can´t tell
