Dr. Pepe’s Diploma Casebook: Case 54 – SOLVED!

Dr_Pepe_Casebook_54

Dear Friends,

Welcome to this week’s case. Radiographs belong to a 43-year-old male with chest pain. Leave me your thoughts and diagnosis in the comments and come back on Friday for the answer.

Diagnosis:

1. Hypertrophic cardiomyopathy
2. Mitral disease
3. Non-cyanotic congenital heart disease.
4. None of the above

Read more…

Dr. Pepe’s Diploma Casebook: Case 52 – SOLVED!

Diploma_casebook_case52_ECR

Dear Friends,

Today I am presenting radiographs of a 43-year-old woman with moderate dyspnoea. Disregard the widening of the right superior mediastinum, secondary to long-standing goiter. Leave me your thoughts and diagnosis in the comments sectiona and come back on Friday for the answer.

Diagnosis:
1. Thymoma
2. Heart disease
3. Lymphoma
4. None of the above

Read more…

Dr. Pepe’s Diploma Casebook: Case 51 – SOLVED!

Diploma_casebook_case51

Dear Friends,

I am back with radiographs of a 63-year-old woman with malaise and low-grade fever. Check the images below and leave me your thoughts and diagnosis in the comments section. Come back on Friday for the answer.

Diagnosis:
1. Carcinoma of the lung
2. Pneumonia
3. Thymoma
4. None of the above

Read more…

Dr. Pepe’s Diploma Casebook: Case 50 – SOLVED!

Diploma_casebook_case50

Dear friends,

Today I am presenting radiographs and CT of a 27-year-old male with fever and malaise. Leave me your thoughts and diagnosis in the comments section and come back on Friday for the answer.

Diagnosis:

1. Teratoma
2. Thymoma
3. Lymphoma
4. None of the above

Read more…

Dr. Pepe’s Diploma Casebook: Case 49 – SOLVED!

Diploma_casebook_case49

Dear Friends,

The first case of 2014 belongs to a 40-year-old male with a mild cough. What would you suspect?

1. Tuberculosis
2. Carcinoma
3. Enlarged left pulmonary artery
4. None of the above

Check out the images below and leave your thoughts and diagnosis in the comments section.

Read more…

Dr. Pepe’s Diploma Casebook: Case 48 – SOLVED!

Diploma_casebook_case48

Dear Friends,

This week I am presenting images of a 49-year-old woman with abdominal pain and moderate distension. Examine the images below, leave your thoughts in the comments section, and come back on Friday for the answer.

What would be your diagnosis?

1. Hepatomegaly
2. Subpulmonary fluid
3. Diaphragmatic eventration
4. None of the above

Read more…

Dr. Pepe’s Diploma Casebook: Case 47 – SOLVED!

Diploma_casebook_case47

Dear Friends,

Today I’m showing a vintage case, seen thirty years ago when I was a promising young staffer. The images below belong to a 57-year-old missionary living in Africa and undergoing yearly controls at our institution for unilateral hyperlucent lung.

Leave me your thoughts and diagnosis in the comments section and come back on Friday for the solution.

Diagnosis:

1. Swyer-James/Macleod syndrome
2. Bronchial tumour
3. Pulmonary artery stenosis
4. None of the above

Read more…

Dr. Pepe’s Diploma Casebook: Case 46 – SOLVED!

Diploma_casebook_case46

Dear Friends,

Today I am presenting the case of a 52-year-old man who underwent a bilateral lung transplant two years ago. He developed chest pain following bronchoscopy and endobronchial biopsy.

Examine the images below and leave your thoughts in the comments section.

What do you see?
It is significant?

Read more…

Dr. Pepe’s Diploma Casebook: Case 45 – SOLVED!

Diploma_casebook_case45

Dear Friends,

Today I am presenting the case of a 73-year-old woman who had preoperative radiographs for haemorrhoid treatment.

Check the two images below and leave me your comments and diagnosis in the comments. Come back on Friday for the answer!

Diagnosis:
1. Cyanotic heart disease
2. Acyanotic heart disease
3. No heart disease
4. None of the above

Read more…

Dr. Pepe’s Diploma Casebook: Case 44 – SOLVED!

Diploma_casebook_case44

Dear Friends,

Presenting the case of a 45-year-old man with fever, one week after coronary surgery. I apologise for the poor quality of the PA radiograph, but it does not influence the diagnostic evaluation.

Check the images below and leave your opinion in the comments. The answer will be posted on Friday.
Diagnosis:

1. Pericardial fluid
2. Pleural fluid
3. Both
4. Anything else

Read more…