Dear Friends,
We are having a December sale (everything must go!) and during this month Muppet will show only cases with air-fluid level. We start with a vintage case (2002) of a 76-year-old male with left lower lobe pneumonia.
Diagnosis:
1. Infected bulla
2. Congenital cyst
3. Pneumatocele
4. None of the above
Dear friends,
Muppet is in Chicago at the RSNA meeting. While looking for Miss Piggy, he found time to discover the following case: 65-year-old female asymptomatic.
Do you think the chest is normal? If not, then where is the abnormality?
Dear Friends,
After the trepidation of case 42, Muppet hopes you get this case easily. Sixty-eight-year-old male with pain in the chest.
Diagnosis:
1. Tuberculosis
2. Bronchoalveolar carcinoma
3. Actinomycosis
4. None of the above
Dear Friends,
Muppet is seriously considering retirement, seeing your level of expertise! You have nailed the previous two cases. We hope you diagnose the following one just as well: 45-year-old man with vague chest pains.
Diagnosis:
1. Aortic aneurysm
2. Intrathoracic goiter
3. Thymoma
4. None of the above
Dear Friends,
Muppet is so happy with your performance that he has chosen a challenging case. The following radiographs belong to a 52-year-old woman with two episodes of chest pain in six weeks. The initial radiograph is shown, as well as a radiograph taken during the second episode. At that time, a CT was done.
Dear Friends,
Since we had very few answers in the previous case (too easy or too difficult?), Muppet is reverting to plain films and straightforward questions. The following are pre-employment radiographs of a 43-year-old female. She was told that she had enlargement of the ascending aorta. What would be your diagnosis?
1. Marfan’s
2. Aortic coarctation
3. Aortic valvular disease.
4. None of the above
Dear Friends,
Muppet is getting old and soft and from now on will show only easy cases. Today’s case is a 33-year-old girl with fever and malaise.
Diagnosis:
1. Lymphoma
2. TB
3. Wegener’s
4. None of the above
Dear Friends,
Muppet is impressed with your knowledge. He tries very hard to post teaching cases and has decided to skip the multiple-choice questions in the following chest case, which is that of an asymptomatic 56-year-old male.
Questions in this case are:
1. Where is the lesion?
2. What is your diagnosis?
The first five radiologists to suggest the correct diagnosis will be given a DVD at the next European Congress of Radiology.
Dear Friends,
Since you are getting used to difficult cases, Muppet is showing you an easy one. May the Force be with you. It is a pre-op chest radiograph of a 37-year-old woman with breast carcinoma.
Diagnosis:
1. Metastases
2. Granuloma TB
3. Hydatid cyst
4. None of the above
Dear friends,
Since some of you have been complaining about the cases being difficult, Muppet wants to show a really difficult case: a 76-year-old woman with previous heart troubles and currently asymptomatic.
Diagnosis:
1. Calcified pericardial cyst
2. Hydatid cyst of the heart
3. Intracardiac calcified aneurysm
4. None of the above
