Caceres’ Corner Case 74 (Update: Solution)
Dear friends,
After a two-month vacation, we return with renewed energy. I had a long conversation with Dr. Pepe and we decided to present our cases alternately: I will show my cases one week and Dr. Pepe will present the diploma cases the following week. Cases will be posted on Monday morning and answers will be offered on Friday. This way we will not compete with each other and can remain good friends.
Considering that most of you are still on vacation or with a half-functioning brain, Muppet has selected an easy warm-up case of a 46-year-old woman, asymptomatic.
As usual, leave your thoughts and answers in the comments section below.
Diagnosis:
1. Filariasis
2. Talc aspiration
3. Cysticercosis
4. None of the above
46-year-old woman, PA chest
Click here for the answer to case #74.
None of the above.
Any suggestion?
None of the above.
Muppet would love to have your alternative diagnosis
Wellcome back!!! None of the above. I would like to believe that those serpigious lines are from patient ‘s skin. What about a profil image?
Only a PA view was taken. Sorry. What were you thinking?
None of the above. Artifact. 46-year-old woman. Something that the patient was wearing. Her blouse?
Patient was not wearing anything when the picture was taken. But you are getting closer
Any kind of surgery?
Implants?
Good.Can you guess the kind of surgery?
Only a PA view was taken. Sorry. What were you thinking?
Artifacts on the film/IP?
Glad to have you back professor !!!
I think also that it is an artifact. Since the patient is not wearing anything, it could be due to dermal calcifications (from old tattoo?)
Good guess. But it is not a tattoo. See answer to LL
I tnink that is cysticercosis
…il professore è tornato allegro dalle vacanze e vuole scherzare! Esiti di linfoscintigrafia x ricerca di linfonodo-sentinella.
Welcome back, my friend! Actually, I was working during August and saw this case two weeks ago. No lymphography performed. Whatever was done is more modern.
…non sono esperto in senologia….allora penso a qualcosa di più moderno in questo campo: Reperaggio di un’area sospetta in mammografia per biopsia/chirurgia MAMMOTOME -assistita.
I cannot see the breast silhouette. those artifacts could be related with bilateral breast surgery?
In a way, yes
I think this patient had a breast cancer with involvement of the internal mamary chains/anterior thoracic wall, and then she went to surgery + radiotheraphy.
Keep thinking. Answer on Friday
Vascular calcifications
Penso possa essere solfato di bario finito nelle vie aeree durante esame contrastografico.
Should not the barium be in the lower lobes too?
Penso sia solfato di bario finito nelle vie aeree durante esame contrastografico.
Latissimus dorsi flap bilateral breast reconstruction ?
No, sorry
4. None of above
May be… oriental acupunctured needles on patient’s chest wall?
Good guess, but they are more straight
4
Dermal calcifications from breast surgery/RDT.
Since you are so eager, you deserve a hint: opacities are metallic. A lateral view would show them under the skin of the anterior chest wall. Search the web for subcutaneous metallic sutures. Good luck!
LOL, thanks Professor I will check in the web 😉
Fantastico professore, prima della scadenza dei “tempi” regolamentari, penso che il “piccolo” Bari sia riuscito a fare goal al “grande” Barcellona: Esiti di mastopessi semplice(Lifting seno)mediante tecnica “round block” .Quello che vediamo sono le suture ,sottocutanee, metalliche. per il “riposizionamento” del seno.
Bravo! You are officially the winner. Full answer tomorrow
Grazie Mitico!!!! Il bari è ULTIMO in serie B a -1!!!!!
none of the above…artifacts of breast