Dear Friends,
Muppet has the silly notion that he is good at semiology and wants to test your interpretation skills with the following two cases.
Case 1 is an isolated lateral chest and the question is:
Which one is the right hemidiaphragm?
1. A
2. B
3. Can´t tell
Dear Friends,
During August, Muppet would like to discuss some basic principles of interpretation. The first case is a 46-year-old male with neurofibromatosis and bullous emphysema, who presents with fever.
Diagnosis:
1. Hidroneumothorax
2. Infected bulla
3. Lung abscess
4. None of the above
Dear friends,
As summer is here and the weather is hot, Muppet wants to show you an easy case:
Preoperative chest for urethral stenosis in a 26-year-old male.
Diagnosis:
1. Pleural mesothelioma
2. Lung tumor
3. Loculated fluid
4. None of the above
Dear Friends,
This case has been provided by Dr. Oscar Persiva, a former resident and good friend (even though he is a fan of Real Madrid).
The case is a 38-year-old man who came to the Emergency Room with moderate chest pain. Chest radiograph and CT shown.
Diagnosis:
1. Pleural metastases
2. Neurogenic tumour
3. Fibrous tumour of pleura
4. All of the above
Dear Friends,
This case was provided by my good friend Alberto Villanueva, who is a fan of Real Madrid. Aside from that, he is normal.
Preoperative chest in a 68-year-old man with a 6cm abdominal aortic aneurysm.
Diagnosis:
1. Leaking aneurysm
2. Fibrous tumor of pleura
3. Chronic empyema
4. None of the above
Dear Friends,
Muppet is very happy to have reached the 25th case and hopes for twenty-five more!
Forty-nine-year-old woman with persistent cough for the last two months.
Diagnosis:
1. Carcinoma
2. Tuberculosis
3. Bronchiectasis
4. None of the above
Dear Friends,
Dr. Manel Escobar has contributed a new case: 23-year-old woman with cough and low-grade fever.
Diagnosis:
1. Tuberculosis
2. Sarcoid
3. Lymphoma
4. None of the above
Dear Friends,
Muppet is very happy with your progress and wants to test you with an unusual case.
A 57-year-old male with liver carcinoma. No chest symptoms.
What are the densities in the upper lung and mediastinum?
1. Veins
2. Arteries
3. Lymph nodes
4. Esophagus
Warning: this is a difficult case!
Dear Friends,
Muppet strives to give satisfaction (like Jeeves) and presents you with an easy case:
Fifty-one-year-old male smoker with moderate cough, no fever.
Diagnosis:
1. Metastases
2. Carcinoma of the lung
3. Allergic aspergillosis
4. None of the above
Dear Friends,
Muppet promises never again to show a bone case. He has been severely reprimanded!
Back to good ol’ chest imaging:
29-year-old male heavy smoker. Admitted with mild dyspnea.
Diagnosis:
1. Mediastinal tumour
2. Dilated cardiomyopathy
3. Pericardial effusion
4. None of the above
