Dear Friends,
I hope you remember the three questions to ask when facing a chest radiograph:
a) Is there any visible abnormality? (Chapter 1)
b) Is it intra or extrapulmonary? (Chapter 2)
c) What does it look like?
To discuss the third question, I’m showing chest radiographs of a 36-year-old woman with chest pain.
What does the lesion look like?
1. Pericardial fat pad
2. Thymic tumour
3. Pericardial cyst
4. Any of the above
Check the two images below, leave your thoughts in the comments section and come back on Friday for the solution.
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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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Dear Friends,
This year I intend to discuss the basic principles of interpreting chest radiographs, under the heading, “The Beauty of Basic Knowledge”.
I plan to structure the discussion into three main parts, which will take us through the whole academic year:
Part 1. A painless approach to interpretation
Part 2. To err is human: how to avoid slipping up
Part 3. The wisdom of Dr. Pepe
This week’s case is the first chapter of my ‘painless approach to interpretation’. Interpreting chest radiographs is not difficult if we follow Confucius’ saying: “ A journey of a thousand miles begins with a single step”. As a clinical radiologist, my first step is to ask myself three questions:
a) Is there any visible abnormality?
b) It is intra or extrapulmonary?
c) What does it look like?
Today I’ll discuss the first question. Below you can see the chest radiographs of three different patients. Do you see any visible abnormality in any of them? Let me know in the comments section and come back on Friday for my answer.
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Dear Friends
This is the last case of the first semester. It has been a hard year and I need some quiet time. Will see you again on Monday, September 5 with new cases. Relax and enjoy your vacation!
This week’s case follows the pattern of a ‘Meet the Examiner’ presentation, with questions and answers similar to a real examination. Take your time before scrolling down for the answer. And no peeking!
The images were obtained during routine CT screening in a 72-year-old man, heavy smoker.
What would be your diagnosis?
1. Carcinoma in LUL and cyst in LLL
2. Carcinoma in LUL and cystic carcinoma in LLL
3. Tuberculosis
4. None of the above
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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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Dear Friends,
Today I am showing images of a 48-year-old man with two brain lesions and a pre-op chest radiograph. What would be your diagnosis regarding the chest?
Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.
Diagnosis:
1. Carcinoma
2. Hydatid cyst
3. Pulmonary infarct
4. None of the above
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Dear Friends,
I am back with a new case, provided by my good friends Paula García and Alberto Villanueva. Images belong to a 52-year-old man with a dry cough. Operated on for cutaneous melanoma ten years earlier. Check the images below, leave us your thoughts in the comments section and come back on Friday for the answer.
Diagnosis:
1. Tuberculosis
2. Metastases
3. Varicella pneumonia
4. Any of the above
Read more…
Dear Friends,
This week we are presenting radiographs of a 42-year-old diabetic man with chest pain and fever. 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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Dear Friends,
This week’s case follows the pattern of a “Meet the Examiner” presentation, with questions and answers similar to a real examination. Take your time before scrolling down for the answer. And no peeking!
The chest radiographs belong to a 54-year-old man in treatment for RUL carcinoma.
What do you see?
Read more…
Dear Friends,
Today I am presenting radiographs of an 83-year-old woman who has had a cough and fever for the last four weeks.
Check the images below, leave your thoughts in the comments section, and come back on Friday for the answer.
Diagnosis:
1. Acute RML pneumonia
2. RML syndrome
3. RML neoplasm
4. Any of the above
Read more…
