Dear Friends,
Today I am presenting radiographs of a 51-year-old man with low-grade fever and malaise. Previous history of car accident.
Do you see any abnormalities?
Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.
Dear Friends,
After the ECR, we all deserve an easy case. Showing routine control radiographs of a 51-year-old man operated on for synovial sarcoma of his right leg fourteen years ago.
Do you see any abnormality?
Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.
Watch this session on ECR Live: Sunday, March 8, 8:30–10:00, Room E1
Tweet #ECR2015E1 #NH17
Besides personalised imaging, a new paradigm is emerging in radiology that should re-shape clinical practice and benefit the patient immensely. Supported by new technologies that enable radiologists to image the body faster and better, radiologists are now trying to broaden their focus during examinations.
If there is a field where these advances make a tremendous difference, it is cardiothoracic imaging, an area where diseases are more often than not intertwined. Cardiovascular and chest radiologists will explain how the comprehensive personalised approach impacts their work and try to convince radiologists on both sides to take an interest in the other, in a New Horizons session on Sunday at the ECR.
For years, the trend was for radiologists to subspecialise as much as they could. Cardiovascular radiologists and chest radiologists would focus on their own area with little or no interest beyond that. But among these subspecialists, an increasing number are now changing their approach, as mounting evidence shows that diseases of the heart and chest are very often related, according to Dr. Christian Loewe, deputy head of the section of cardiovascular and interventional radiology at the Medical University of Vienna, Austria.
Dr. Christian Loewe is deputy head of the cardiovascular and interventional radiology section at the Medical University of Vienna, Austria.
“In the past patients were investigated by either focusing on chest or cardiac diseases. This choice was mainly driven by their first clinical examination. However, there are a lot of situations and diseases where chest problems are caused by cardiac diseases and vice versa. There’s a huge interaction between heart and chest, and that’s why it’s interesting and important to look at this relationship in more detail today,” he said.
To prove his point, Loewe, a cardiovascular radiologist, will talk about acute and chronic chest pain during the session. Some of the most severe causes of chest pain are due to cardiovascular diseases, including myocardial infarction or acute aortic diseases. However, acute chest pain can also be caused by a number of pulmonary diseases, including pulmonary embolism, pneumonia and others. Therefore, radiologists must learn the different life-threatening disorders that cause chest pain, whether they are respiratory or cardiovascular.
Dear Friends,
After a short interlude, I am back with radiographs of a 71-year-old smoker with dyspnoea and haemoptysis. Previous history of TB. Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.
PS. Good luck to everyone taking the European Diploma in Radiology examinations at ECR 2015 this week!
Diagnosis:
1. Active TB
2. Carcinoma of the lung
3. Bronchiectasis
4. None of the above
Dear Friends,
Dr. Pepe has eloped to the Bahamas with Miss Piggy and forgot to prepare the Diploma case. Hope he returns happy and suntanned. In the meantime I will show images of a 57-year-old woman with acute chest pain and mild fever. Check the images below, leave your thoughts and diagnosis in the comments section and come back on Friday for the answer.
Diagnosis:
1. Pneumonia
2. Pulmonary infarct
3. Pleural fluid
4. None of the above
Dear Friends,
Muppet insists on showing the following case that he saw recently: preoperative chest radiographs of a 25-year-old male with seminoma. Check the images below, leave us your thoughts in the comments, and come back on Friday for the answer.
Diagnosis:
1. Tuberculosis
2. Metastases
3. Mucous impaction
4. None of the above
Dear Friends,
Today I am showing chest radiographs of a 34-year-old male with dyspnea. Check the images below, leave your diagnosis in the comements section and come back on Friday for the answer.
Diagnosis:
1. Mitral disease
2. Pulmonary arterial hypertension
3. Interstitial pneumonia
4. None of the above
Dear Friends,
Muppet is in Naples this week and left me alone to present the case of a 58-year-old man, asymptomatic. Check the images below, leave me your thoughts and diagnosis in the comments section, and come back on Friday for the answer.
Diagnosis:
1. Epicardial fat pad
2. Morgagni’s hernia
3. Pericardial cyst
4. None of the above
Dear Friends,
Today I am showing radiographs of a 61-year-old woman who underwent surgery for ovarian carcinoma three years ago.
Examine the images below, leave your diagnosis in the comments section and come back on Friday for the answer.
Diagnosis:
1. Carcinoma of the lung
2. Metastases
3. Tuberculosis
4. None of the above
Dear Friends,
Today I am showing a recent case seen by my good friend Dr. Josep Mata. Radiographs belong to a 48-year-old man with haemoptysis and history of previous TB. Have a look at the images below, leave your thoughts and diagnosis in the comments section, and come back on Friday for the answer.
Diagnosis:
1. Infected bulla
2. Reactivation TB
3. Carcinoma in previous cavity
4. None of the above
