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

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Dr. Pepe’s Diploma Casebook: Case 43 – SOLVED!

Diploma_casebook_case43

Dear Friends,

Today I’m presenting radiographs of a 54-year-old male with chest pain (below).

Would you call these radiographs normal?
If not, where is the abnormality?

Leave me your answers in the comments section and look out for the answer on Friday.

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Dr. Pepe’s Diploma Casebook: Case 42 – SOLVED!

Diploma_casebook_case42

Dear Friends,

To continue reviewing basic chest patterns, I present the case of a 52-year-old man with a solitary pulmonary nodule.

Diagnosis:

1. Probably malignant
2. Probably benign
3. Indeterminate
4. Need previous films

Check the images below, leave your thoughts and conclusion in the comments section and come back on Friday for the answer.

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Dr. Pepe’s Diploma Casebook: Case 41 – SOLVED!

Diploma_casebook_case41

Dear Friends,

This year I plan to show only chest cases, emphasising the diagnostic approach to basic patterns in the plain film. Hopefully, this monographic approach will help you with the diploma examination.

Cases will be posted every other Monday and answers will be given on Friday.

Radiographs (below) of the first case belong to a 57-year-old man, asymptomatic. Study them carefully, leave your opinions in the comments section, and look out for the answer on Friday.

Diagnosis:

1. Thymoma
2. Teratoma
3. Mediastinal fat
4. Can’t tell

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Dr. Pepe’s Diploma Casebook: Case 39 – SOLVED!

Diploma_casebook_case39Dear friends,

Presenting mammograms of a 45 y.o. woman with a palpable abnormality in the left breast.

Diagnosis:
1. Carcinoma
2. Fibroadenoma
3. Intrammamary lymph node
4. All of the above

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Dr. Pepe’s Diploma Casebook: Case 38 – SOLVED!

Diploma_casebook_case38

Dear Friends,

This week I’m showing screening mammograms of a 39-year-old woman in whom an abnormality was found.

Diagnosis:
1. Radial scar
2. Carcinoma
3. Surgical scar
4. All of the above

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Dr. Pepe’s Diploma Casebook: Case 37 – SOLVED!

Diploma_casebook_case37

Dear friends,

Presenting images of a 65-year-old asymptomatic woman with left parotid mass.

Possible diagnosis:

1. Benign mixed tumor
2. Non-Hodgkin lymphoma
3. Carcinoma
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 36 – SOLVED!

Diploma_casebook_case36
Dear friends,

Presenting liver MR images of a 63-year-old diabetic woman with mild pain in the RUQ over the last few weeks.

Possible diagnoses:

1. Hepatocellular carcinoma
2. Hepatocellular adenoma
3. Liver angiomyolipoma
4. Liver metastases

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Dr. Pepe’s Diploma Casebook: Case 35 – SOLVED!

Diploma_casebook_case35

Dear Friends,

Today I’m presenting a 55-year-old male with pain in the right hemithorax.

Diagnosis:

1. Pulmonary infarction
2. Pneumonia
3. Carcinoma
4. None of the above

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Dr. Pepe’s Diploma Casebook: Case 34 – SOLVED!

Diploma_casebook_case34

Dear Friends,

Presenting MRI of lumbar spine in a 57-year-old male with lower-back pain.

Diagnosis:

1. Ependymoma
2. Meningioma
3. Paraganglioma
4. None of the above

Read more…