José Vilar and Friends Case 38 (Update: Solution + Teaching cases)

Hello everybody. Are you ready for another case?

This is a case that was provided by Drs Isarría and García Dosdá from the Radiology Dept. Hospital Universitario Dr. Peset. Valencia.

This patient is a lady 78 years old with suspected eventration. In her workup she had a Chest Radiographic examination and an abdominal CT.
Please look carefully at the images. The case is not easy, but I believe that it contains some teaching points…
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Dr. Pepe’s Diploma Casebook: Case 112 – The Wisdom of Dr. Pepe (Chapter 5) – SOLVED! (for real this time)

Dear Friends,

The fifth chapter of “The wisdom of Dr. Pepe” is the last presentation of this blog series and ends the present season.

The axial CT images below belong to a 37-year-old woman, who was operated on five years ago for a retroperitoneal tumour. 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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Dr. Pepe’s Diploma Casebook: Case 111 – The Wisdom of Dr. Pepe (Chapter 4) – SOLVED!

Dear Friends,

To continue with the fourth chapter of The Wisdom of Dr. Pepe, I am​ showing PA radiograph of a 57-year-old woman with asthenia.
What do you see?

Check the image carefully, leave your thoughts in the comments section, and come back on Friday for the answer.

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Dr. Pepe’s Diploma Casebook: Case 110 – The Wisdom of Dr. Pepe (Chapter 3) – SOLVED!

Dear Friends,

To continue with the third chapter of The Wisdom of Dr. Pepe, I am​ showing radiographs of an asymptomatic 52-year-old man with previous history of asbestos exposure.

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

Diagnosis:
1. Fibrous tumour of pleura
2. Large pleural plaque
3. Pleural fat
4. Any of the above

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Dr. Pepe’s Diploma Casebook: Case 109 – The Wisdom of Dr. Pepe (Chapter 2) – SOLVED!

Dear Friends,

To continue with the second chapter of The wisdom of Dr. Pepe, I am​ showing radiographs of a 75-year-old man with cough and haemoptysis.
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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Dr. Pepe’s Diploma Casebook: Case 108 – The Wisdom of Dr. Pepe (Chapter 1) – SOLVED!

Dear Friends,

Today we’ll start the third part of The Beauty of Basic Knowledge series, entitled The Wisdom of Dr. Pepe, in which I intend to summarise my basic approach to chest interpretation. Here I am showing radiographs of a 27-year-old man with moderate cough.

As usual, check the images below, leave your thoughts in the comments section, and come back on Friday to find out the solution.

Diagnosis:

1. RML disease
2. Pleural effusion
3. RLL mass
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 107 – To err is human: how to avoid slipping up (Chapter 6) – SOLVED!

Dear Friends,

To conclude the section “To err is human” I am presenting PA radiographs of a 57-year-old hairdresser with interstitial lung disease, who is on the waiting list for lung transplant. 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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Dr. Pepe’s Diploma Casebook: Case 102 – To err is human: how to avoid slipping up (Chapter 1) – SOLVED!

Dear Friends,

Today we’ll start the second part of The Beauty of Basic Knowledge series, titled ‘To err is human: how to avoid slipping up’. In the next six chapters I intend to analyse the most common causes of errors in chest imaging and how to avoid them. As Cicero said: All men can err, but only the ignorant persevere in the error.

This week I am presenting two cases. Case 1 shows the PA radiograph of a 57-year-old man with a cough. Would you say the chest is normal?
1.Yes
2.No
3.Need a lateral view
4.Need a CT

Case 2 presents PA and lateral radiographs of the yearly check-up of a 70-year-old man. CT done in another institution was reported as chronic post-TB changes. Do you agree?

Check the images below, leave your thoughts in the comments section and come back on Friday for the full solution!

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Dr. Pepe’s Diploma Casebook: Case 101 – A painless approach to interpretation (Chapter 8) – SOLVED!

Dear Friends,

Today I am presenting the last chapter of the Painless Approach to Interpretation. Showing chest radiographs taken during an annual check-up of a 70-year-old man.

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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Dr. Pepe’s Diploma Casebook: Case 100 – A painless approach to interpretation (Chapter 7) – SOLVED!

diploma_casebook_case100

Dear Friends,

Today I present the seventh chapter of the Painless Approach to Interpretation, which also happens to be case number 100 of Dr. Pepe’s Diploma Casebook. It makes me very proud to have shared with you one hundred cases and hope they have been useful.

Showing chest radiographs of a 47-year-old woman with mild fever and chest pain.

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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