Dr. Pepe’s Diploma Casebook: Case 48 – SOLVED!

Diploma_casebook_case48

Dear Friends,

This week I am presenting images of a 49-year-old woman with abdominal pain and moderate distension. Examine the images below, leave your thoughts in the comments section, and come back on Friday for the answer.

What would be your diagnosis?

1. Hepatomegaly
2. Subpulmonary fluid
3. Diaphragmatic eventration
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 47 – SOLVED!

Diploma_casebook_case47

Dear Friends,

Today I’m showing a vintage case, seen thirty years ago when I was a promising young staffer. The images below belong to a 57-year-old missionary living in Africa and undergoing yearly controls at our institution for unilateral hyperlucent lung.

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

Diagnosis:

1. Swyer-James/Macleod syndrome
2. Bronchial tumour
3. Pulmonary artery stenosis
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 46 – SOLVED!

Diploma_casebook_case46

Dear Friends,

Today I am presenting the case of a 52-year-old man who underwent a bilateral lung transplant two years ago. He developed chest pain following bronchoscopy and endobronchial biopsy.

Examine the images below and leave your thoughts in the comments section.

What do you see?
It is significant?

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Dr. Pepe’s Diploma Casebook: Case 45 – SOLVED!

Diploma_casebook_case45

Dear Friends,

Today I am presenting the case of a 73-year-old woman who had preoperative radiographs for haemorrhoid treatment.

Check the two images below and leave me your comments and diagnosis in the comments. Come back on Friday for the answer!

Diagnosis:
1. Cyanotic heart disease
2. Acyanotic heart disease
3. No heart disease
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 44 – SOLVED!

Diploma_casebook_case44

Dear Friends,

Presenting the case of a 45-year-old man with fever, one week after coronary surgery. I apologise for the poor quality of the PA radiograph, but it does not influence the diagnostic evaluation.

Check the images below and leave your opinion in the comments. The answer will be posted on Friday.
Diagnosis:

1. Pericardial fluid
2. Pleural fluid
3. Both
4. Anything else

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Dr. Pepe’s Diploma Casebook: Case 43 – SOLVED!

Diploma_casebook_case43

Dear Friends,

Today I’m presenting radiographs of a 54-year-old male with chest pain (below).

Would you call these radiographs normal?
If not, where is the abnormality?

Leave me your answers in the comments section and look out for the answer on Friday.

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Dr. Pepe’s Diploma Casebook: Case 42 – SOLVED!

Diploma_casebook_case42

Dear Friends,

To continue reviewing basic chest patterns, I present the case of a 52-year-old man with a solitary pulmonary nodule.

Diagnosis:

1. Probably malignant
2. Probably benign
3. Indeterminate
4. Need previous films

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

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Dr. Pepe’s Diploma Casebook: Case 41 – SOLVED!

Diploma_casebook_case41

Dear Friends,

This year I plan to show only chest cases, emphasising the diagnostic approach to basic patterns in the plain film. Hopefully, this monographic approach will help you with the diploma examination.

Cases will be posted every other Monday and answers will be given on Friday.

Radiographs (below) of the first case belong to a 57-year-old man, asymptomatic. Study them carefully, leave your opinions in the comments section, and look out for the answer on Friday.

Diagnosis:

1. Thymoma
2. Teratoma
3. Mediastinal fat
4. Can’t tell

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Dr. Pepe’s Diploma Casebook: Case 40 – SOLVED!

Diploma_casebook_case40

Dear Friends,

Showing you the last case before Summer vacation (July and August). Presenting radiographs of a 47-year-old man with moderate dyspnea.

Diagnosis:

1. Collapse of right lung
2. Right pneumonectomy
3. Congenital absence of right lung
4. None of the above

Read more…

24
Jun 2013
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Dr. Pepe’s Diploma Casebook: Case 39 – SOLVED!

Diploma_casebook_case39Dear friends,

Presenting mammograms of a 45 y.o. woman with a palpable abnormality in the left breast.

Diagnosis:
1. Carcinoma
2. Fibroadenoma
3. Intrammamary lymph node
4. All of the above

Read more…