Dr. Pepe’s Diploma Casebook: Case 84 – SOLVED!


Dear Friends,

Today’s images belong to a 63-year-old man with moderate dyspnea.
What do you see?

Check 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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    13 Responses to : Dr. Pepe’s Diploma Casebook: Case 84 – SOLVED!

    1. aloria says:

      emphysema; a small aneurysm of ascending aorta

    2. Hellene says:

      Expanding the superior mediastinum bilateral mostly right. On the lateral view the trachea is displaced anterior – may be – goitre.

    3. sht says:

      Rt paratracheal round opacity – ?dilated azygos

    4. gus says:

      Ascending aortic aneurysm

    5. genchi bari italia says:

      …vi è una patologia espansiva nel mediastino superiore che in AP deborda dal profilo mediastinico superiore dx “oscurando” l immagine tracheale…..quest’ultima in LL è improntata anteriormente ,e sospinta in dietro…..non è un gozzo intratoracico….la TC chiarirà la patologia….

    6. Evija says:

      Anterior-superior mediastinal mass, could be tymoma, lymphoma, substernal goiter….there is visible trahea compression

    7. Dorota Grochowska says:

      Golden S signe-right uporem Łobez colaps due to tu probably

    8. genchi bari italia says:

      …penso che “anche” questo caso sia stato già pubbilicato! Aneurisma aorta ascendente ….

    9. Dr Pepe says:

      Congratulations to all of who made the right observation (posterior displacement of th trchea in the lateral view)

    10. int. dr. eren cengiz says:

      aortic aneurysm.