Dr. Pepe’s Diploma Casebook: Case 21 – SOLVED!

Diploma_casebook_case21

Dear Friends,

This week, we have an oncologic patient with liver nodule detected on US examination. Below are the images from an MRI examination.

Possible diagnoses:

1. Liver hemangioma
2. Hepatocellular carcinoma (HCC)
3. Liver metastasis
4. Focal nodular hyperplasia (FNH)

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Dr. Pepe’s Diploma Casebook: Case 20 – SOLVED!

Diploma_casebook_case20

Dear Friends,

Showing chest radiographs of an 81-year-old male with multiple bone fractures after a car accident. There is a rounded well-defined opacity in the posterior costophrenic sulcus. What do think it is?

1. Carcinoma of the lung
2. Bochladek’s hernia
3. Diaphragmatic cyst
4. All of the above
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Dr. Pepe’s Diploma Casebook: Case 19 – SOLVED!

Diploma_casebook_case19

Dear Friends,

The following case depicts MRI images of a 59-year-old woman with rapid cognitive decline, progressive change of character, ataxia and diplopia.

Diagnosis:
1. Posterior reversible encephalopathy
2. Wilson disease
3. Creutzfeldt-Jacob disease
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 18 – SOLVED!

Diploma_casebook_case18

Dear Friends,

My second case of 2013 relates to a 49-year-old man with shortness of breath. PA and lateral radiographs are shown.

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Dr. Pepe’s Diploma Casebook: Case 17 – SOLVED!

Dear friends,

to welcome the new year I am showing you the radiographs of a 70 year-old male being evaluated for possible lung metastases.

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Dr. Pepe’s Diploma Casebook: Case 16 – SOLVED!

 
Dear Friends,

I am taking a short break and will not post a case during the Christmas week. The next case will be posted on December 31st. In the meantime, I am presenting the chest radiographs of a 56-year-old man who came to the emergency room with chest pain and low-grade fever. He had a fracture of T-8 ten years ago.

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Dr. Pepe’s Diploma Casebook: Case 15 – SOLVED!

 

Dear Friends,

I have decided to show you a nice case before your Christmas holidays. Enhanced axial CT of a 69-year-old man with bone pain.

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Dr. Pepe’s Diploma Casebook: Case 14 – SOLVED!

Dear Friends,

I would like to begin a new subspecialty with the case of a 58-year-old male with a palpable nodule in the left breast.

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Dr. Pepe’s Diploma Casebook: Case 13 – SOLVED!

Dear friends,

This week’s case is a sixty-year-old male with progressive exertional dyspnea.

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Dr. Pepe’s Diploma Casebook: Case 12 – SOLVED!


Dear Friends,

This week’s case is a 51 year-old woman with a history of chronic urinary tract infection. She consulted for left lumbar pain and intermittent mild fever of several weeks’ duration.
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