Dear Friends,
Today we’re presenting a routine chest control of a 53-year-old woman who had a lumpectomy for carcinoma of the breast three years ago. Radiographs were read as normal. Do you agree? Any ideas?
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Dear Friends,
Today, we’re showing you radiographs of a 29-year-old non-European male with moderate dysphagia. Questions:
1. Where is the lesion?
2. What would be your diagnosis?
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Dear Friends,
This week we have the case of a 45-year-old man, who is an alcoholic with abdominal pain, jaundice, and weight loss.
Possible diagnoses:
1. Duodenal neoplasm
2. Focal pancreatitis of pancreatic head
3. Pancreatic neoplasm
4. None of the above
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Dear Friends,
Muppet insists on presenting another case of inspiration/expiration films to test your knowledge. Showing radiographs of a 29-year-old asymptomatic female. What do you think is happening?
29 y.o. asymptomatic female
Click here for the answer to case #59
Findings: PA radiographs in inspiration/expiration show hyperlucency of the left lung. The heart is displaced towards the right and there is shifting of the mediastinum towards the right on expiration, confirming air trapping of the left lung. In addition, a tubular structure is visible in the left lower lung (arrow).
Axial and coronal CT show hyperlucency of the left lower lung, limited by normal upper lung (white arrows). There is a non-enhancing tubular structure in the centre of the left lower lung (red arrows). The displacement of the heart towards the right is due to the expanded left lung plus a marked pectus excavatum.
Final diagnosis: Congenital bronchial atresia, left lower lobe.
Teaching point: Congenital lung lesions are not rare in adults. Focal hyperlucent lungs with air trapping and mucous impaction are findings highly suggestive of bronchial atresia.
Dear Friends,
Today I’m showing a case of a 63-year-old man with left heart dysfunction and angor.
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Dear Friends,
While I was in Vienna, Muppet prepared the following case for you: 21-year-old girl with marked dyspnea, no fever. What do you think it’s happening?
Inspiration – 21-year-old girl with marked dyspnea, no fever.
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Dear Friends,
Dr. Manel Martínez, a long-time friend of the Muppet, has provided the following case: an asymptomatic 67-year-old man in whom a mass was discovered in the chest radiographs.
Diagnosis:
1. Aortic aneurysm
2. Hydatic cyst of lung
3. Left pulmonary artery aneurysm
4. None of the above
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Dear Friends,
This week I’m presenting the case of a 9-year-old child with pain in the leg after trauma.
Diagnosis:
1. Aneurysmal bone cyst
2. Simple bone cyst
3. Giant-cell tumour
4. Osteosarcoma
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Dear friends,
Muppet cannot find difficult cases and, despite himself, is forced to show easy ones. Today we’re showing radiographs of a 48-year-old woman who has had moderate dyspnea for a while.
Diagnosis:
1. Swyer-James syndrome
2. Tumour left main bronchus
3. Old TB left lung
4. None of the above
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Dear friends,
This week I’m presenting you another new ‘Face the Examiner’ case which simulates a real examination. Showing radiographs of a 35-year-old male with high fever and left pleuritic pain.