Dear Friends,
As some of you may be taking the Diploma examination during ECR 2013, I’d like to introduce a new type of post that I call ‘Face the Examiner’. Its purpose is to simulate a real examination: images will be shown and you will be asked to describe the findings. You should then offer a differential diagnosis and suggest a procedure that will confirm your preferred option.
The only difference with respect to a real examination is that you will be given the correct answers during the exercise. I’ll try to keep it simple by not giving long lists of possible diagnoses and by making sure the possibilities are coherent with the imaging features.
Our first ‘Face the Examiner’ case concerns preoperative chest radiographs in a 75-year-old man with prostate carcinoma.
Dear Friends,
Muppet is traveling abroad on a dangerous mission. If he doesn’t make it back, he hopes you will remember him fondly. For this reason he is showing a clear-cut case of pre-op radiographs in a 81-year-old patient with prostate carcinoma and right shoulder pain. Diagnosis?
1. Lung carcinoma
2. Fibrous tumour of pleura
3. Chest wall metastases
4. None of the above
Read more…
Dear Friends,
Showing radiographs of a 42-year-old woman with high fever.
Diagnosis:
1. Carcinoma of the lung
2. Pulmonary abscess
3. Loculated empyema
4. None of the above
Read more…
Dear Friends,
Muppet wishes to present the case of a 75-year-old woman with bilateral mastectomies for carcinoma 10 and 7 years previously. Chest radiographs and CT are shown.
Diagnosis:
1. Pleural metastases
2. Mesothelioma
3. Pleural TB
4. None of the above
Read more…
Dear Friends,
Muppet is so happy to have reached our 50th case, that he wants everybody to get the right answer. Here we have radiographs of a 52-year-old man with mild fever, blood-tinged sputum and left chest pain.
Diagnosis:
1. Carcinoma of the lung
2. Tuberculosis
3. Pulmonary embolism
4. None of the above
Read more…
Dear Friends,
My second case of 2013 relates to a 49-year-old man with shortness of breath. PA and lateral radiographs are shown.
Read more…
Dear Friends,
Muppet wants to leave air-fluid levels behind and put your collective minds to work!
The first case of 2013 presents the radiographs of a 56-year-old female who came to the emergency room with syncope. There is an abnormal opacity in the aortic knob. What do you think it is?
Read more…
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.
Read more…
Dear Friends,
In the best Christmas spirit, Muppet is presenting a nice case. These radiographs belong to an 86-year-old lady who came to the emergency room with chest pain. Pulmonary nodules were visible. What would be your diagnosis?
Read more…
Dear Friends,
Continuing with the December sale, I am presenting the case of a 25-year-old epileptic male with three weeks of fever and one episode of haemoptysis.
Diagnosis:
1. Tuberculosis
2. Pulmonary abscess
3. Carcinoma of lung
4. None of the above
Read more…
