Dr. Pepe’s Diploma Casebook: Case 67 – SOLVED!


Dear Friends,

The last Diploma case of the year presents the scout film of a 76-year-old woman after cardiac surgery. Is there something not right? Examine the images below, leave your thoughts in the comments section and come back on Friday for the answer.


Click here for the answer

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    Dec 2014
    DISCUSSION 10 Comments

    10 Responses to : Dr. Pepe’s Diploma Casebook: Case 67 – SOLVED!

    1. maka says:

      Thickend pleura…

    2. murzin says:

      Pleural fluid on the right is kind of obvious- pleural adhesions possible…
      the tracheal tube is too low in the right main bronchus…

    3. Elgebali says:

      CT scout of the chest of a an ill patient with history of thoracotomy and metallic valve replacement.
      Multiple Monitor wires and low lined ETT reaching the right lower lobe bronchus.
      Also the distal end of the NGT couldn’t be assessed.
      Increased density of the right hemithorax due to pleural effusion with possible loculation.
      Widening of the superior mediastinum.

    4. genchi bari italia says:

      ….intervento di sostituzione di valvola mitralica con protesi metallica….cuore “mitralico”….sternotomia mediana con “device” di assistenza cardio-respirattoria…..versamento pleurico da ritardata riespansione polmonare dx, come complicanza della intubazione tracheale….il versamento pleurico non è da scompenso del piccolo circolo…..

    5. DEEPAK GOYAL says:

      The scout film of a 76-year-old woman after cardiac surgery reveals right sided pleural effusion. The tip of the endotracheal tube is too low i.e. in the right main bronchus. The tip of the nasogastric tube is in the lower esophagus. There is unfolding of arch of aorta. Multiple sternal sutures and ECG leads are seen in place. Prosthetic Mitral valve is seen.

    6. […] of a catheter is not very glamorous, but it can avoid significant complications to the patient (see Diploma cases 67 and […]