Dr. Pepe’s Diploma Casebook: Case 82 – SOLVED!

Diploma_casebook_case82

Dear Friends,

Today’s images belong to a 35-year-old man with chest pain. 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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Click here for the answer

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    17 Responses to : Dr. Pepe’s Diploma Casebook: Case 82 – SOLVED!

    1. Mark says:

      Right sided pneumothorax.

    2. gus says:

      -pulmonary hilum narrowing
      -round opacity in left cardiophrenic angle.(ivc?)
      -hepatomegaly.

    3. Aisha says:

      Right hydropneumothorax.

    4. genchi bari italia says:

      …penso che l’AP del torace sia in posizione supina….abnorme raccolta aerea si proietta contro la cupola diaframmatica dx, con profilo diaframmatico anomalo posteriormente in LL…sottile immagine rx-opaca curvilinea a livello dell’incrocio clavicola e 1 costa nonchè tra la 10 ed 11 costa in basso…. sulcus sign….il tutto come da pntorace….sufficiente completare con radiogramma in espirazione….

    5. nohammad ibrahim alshafie says:

      Right basal emphysematous bulla with right sided small pneumothorax.

    6. Hellene says:

      A small air-fluid level at the right costophrenic angle – V line and Right sided pneumothorax.

    7. Hellene says:

      After the heart (overlaps on the spine) there are viewing a line of transparent – maybe there is a pneumothorax loculated retrosternally.

    8. J.S. says:

      Right sided pneumothorax

    9. Ryan says:

      There is right sided air fluid level. Left hilum is slightly depressed in my opinion (same level with right hilum). Left lower lobe collapse with right hydrothorax? In lateral view i saw a vague triangular opacity at lung base.

      Ryan

    10. STEFANOS STEFANIDIS says:

      Right upper lobe pneumothorax

    11. murzin says:

      Right ap ica pneumothorax…
      Rib metastasis (es)…

    12. m19varis says:

      Right hydropneumothorax

    13. Dr. Pepe says:

      Congratulations to all of you. Final diagnosis is pneumothorax with V line.
      Special mention to Mark, who was the first to suggest the diagnosis.
      More information tomorrow

    14. devjani chaudhuri says:

      The vessels in the right lower zone are not reaching the periphery.
      A lucency appears superimposed pushing the posterior part of the right diaphragm down.
      Segmental emphysema?

    15. vijay says:

      right side pneumothorax

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