José Vilar and Friends Case 51 (Solution+Teaching point!)

Hello everybody.

I am back after a long and profitable vacation, hiking in the Spanish mountains and swimming in the nearby sea. Wonderful.
I hope that all of you are well and in better conditions than last year. COVID 19 is still around and we have to stay alert.

To warm up, I will just show you a very brief case that was sent to me by Dr Ana Villanueva ( see case 49).

This is a newborn with vomiting.

Look carefully. What is the diagnosis?

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06
Sep 2021
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DISCUSSION 7 Comments

José Vilar and Friends Case 50 (Solution+Case Lessons!)

Dear friends,

sorry about the wait, but I do hope you enjoy it!

This case was shown to me by Dr Santiago Isarría from Hospital Universitario Dr. Peset. Valencia. Spain. The case was a bit shocking to me, and I asked Dr Isarría if he could let me show it in the blog because it contains several interesting features. Dr Silvia Medrano, a smart radiology resident, provided me with the images and the pertinent information.

The patient is a 72-year-old lady with a history of multiple myeloma being followed. Now she complains of right dorsal chest pain.
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22
Jun 2021
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DISCUSSION 5 Comments

José Vilar and Friends Case 49 (Solution+Teaching Tips!)


Dear Friends,

This case was sent to me by Dr. Ana Villanueva, a young Spanish radiologist actually training at Sunnybrook Health Sciences Centre (Toronto).
Ana is a good representation of the new generation of radiologists. Her father, Dr. Alberto Villanueva has contributed to this blog (Case 31) and probably is partly responsible for Ana´s interest in thoracic Radiology.

This is a case from Sunnybrook Health Sciences Centre in Toronto, Canada
Dr Mohamed Saber and Assoc Prof Frank Gaillard et al.

Case 49:
16 year-old female

Reason for the study: history: cough, shortness of breath, right sided chest pain, fever x 3 days
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07
Jun 2021
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DISCUSSION 15 Comments

José Vilar and Friends Case 48 (Update: Solution+Teaching tips!)

Hello friends, this time, my good friend and former Resident, Dr Lucía Flors sends me a case that fits perfectly with our line of interesting and teaching cases.
Dr Flors is presently at UCLA in Los Angeles as Associate Professor of Clinical Radiology with special dedication to thoracic imaging. She has already participated in this blog with interesting cases.

A picture some years ago when Dr Flors, to my right side, was finishing her residency at Hospital Universitario Dr Peset. To my left Drs Elena Lonjedo and José Martinez, excellent interventional radiologists actually in Valencia.

The case: This is an 84-year-old patient with acute chest pain.
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24
May 2021
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DISCUSSION 4 Comments

José Vilar and Friends Case 47 (Update: Solution!)

Hello everybody.

Here is a new case from my collection to test your ability to see and your knowledge-

Preoperatory radiographs. No significant symptoms.
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10
May 2021
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DISCUSSION 5 Comments

José Vilar and Friends Case 46 (Update: Solution+Correction!)

Dear Friends,

This is a case that was provided to me some time ago by Dr Javier Lucaya, a superb pediatric radiologist from Barcelona.

A two year old with acute severe cough.

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26
Apr 2021
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DISCUSSION 14 Comments

José Vilar and Friends Case 45 (Update: Solution!)

Hello everybody.

I’m back after a short Easter holiday recess. Now, let’s get back to a new case provided to me by Dr Juan Malo Ascaso, a young radiology resident, at Hospital Universitario Dr. Peset.

This is a 24 year old woman from Central America who presented with fever, cough and dyspnea.

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12
Apr 2021
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DISCUSSION 7 Comments

José Vilar and Friends Case 44 (Update: Solution!)

Hello everybody! 

Let me show you a case from my file- A case that may teach something about chest radiography.

This is a 30-year-old woman, radiology technician, with a recent pneumothorax. ( “rule out pneumothorax ”).

How would you read this image?

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22
Mar 2021
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DISCUSSION 5 Comments

José Vilar and Friends Case 43 (Update: Solution!)

Dear Friends, let me challenge you with two cases of the same disease.

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08
Mar 2021
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DISCUSSION 8 Comments

José Vilar and Friends Case 42 (Update: Solution!)

Dear friends,

We embark today in a case less focused in finding a radiologic sign and more in a clinical context, but, of course from the imaging point of view.

This case provided to me by Dr Ruben Ruiz, a senior resident and Dr Santiago Isarría already known in this blog, both from Hospital Universitario Dr. Peset in Valencia. Spain.

This is a 52-year-old woman with Lupus erythematosus and a history of cervical cancer treated with radiation therapy.

The lady complains of right chest pain at deep inspiration.

Read more…

22
Feb 2021
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DISCUSSION 9 Comments