Dear Friends,
Muppet gratefully acknowledges the contribution of Dr. Jose Vizuete and Dr. Vilar, who supplied this case (Muppet also wants to point out that any complaints should be addressed to them!).
AP chest of an 11-year-old girl with dyspnea for the last week and mild fever.
Diagnosis:
1. Staphylococcal pneumonia
2. Mediastinal mass
3. Foreign body
4. None of the above
Dear Friends,
Muppet is getting soft in his old age and presents you with an easy case: pre-op chest in a 40-year-old male with a brain tumour.
Diagnosis:
1. Lung metastases
2. Lung carcinoma
3. Pleural tumour
4. None of the above
Dear Friends,
Sorry about the delay in posting a new case, but Muppet was invited to the ECR, got drunk every night and did not cooperate at all. By the way, he sends his warmest regards to Marina, a very smart resident.
Our new patient is a 36 year-old lady with lupus, admitted with mild dyspnea.
Diagnosis:
1. Myocardiopathy
2. Pericarditis
3. Hilar adenopathy
4. None of the above
Dear Friends,
Muppet is very happy with your progress. But, given his mean disposition, he wants to test you with this case:
Forty-year-old woman with a moderate cough.
Diagnosis:
1. Tuberculosis
2. Vascular malformation
3. Aspergillosis
4. None of the above
Dear friends,
Here’s case 12…
Clinical history: 27-year-old woman, operated on for cyanotic congenital heart disease fourteen years ago.
Muppet was intrigued about the rounded opacity in the right lung.
Diagnosis:
1. Hamartoma
2. Hydatid cyst
3. Pulmonary varix
4. Arterio-venous malformation
Dear friends,
Muppet saw this case three weeks ago. Clinical history was: 36-year-old woman hairdresser, pre-op chest.
Diagnosis:
1. Sarcoidosis
2. Extrinsic allergic pneumonitis
3. Lymphangitic carcinomatosis
4. Histiocytosis X
Dear friends,
The Muppet is getting bored with me and has decided to invite a new player every month. Our first guest is José Vilar, a good friend and excellent teacher who has chosen the following case:
“41 year old male with thalassemia minor who had a CT as a routine follow-up after an episode of pulmonary embolism three months previously.”
Diagnosis:
1. Pleural plaques
2. Fibrous mesothelioma
3. Scarring post-infarction
4. None of the above
Dear friends,
Here is an easy case to facilitate the transition into the new year.
Sixty-seven year old lady with dyspnea for about a month. Previous history of bronchiectasis.
Diagnosis:
1. Infected bronchiectasis
2. Pulmonary embolism
3. Bonchioloalveolar carcinoma
4. Pleural disease
Dear Friends,
Here is case number 8:
Sixty-three year old male admitted to the Emergency Room with possible pulmonary embolism. Chest radiographs show a bulge in the descending aorta. Enhanced CT from the apex of the lungs to the diaphragmatic domes confirms the embolism. A more caudal axial CT shows a rounded opacity surrounding the aorta.
Diagnosis:
1. Neurofibromatosis
2. Lymphoma
3. Cystic lymphangioma
4. None of the above
Muppet is very frustrated about the previous case. He thought you would all diagnose it easily and says that if you don’t get the new one, he will retire to a nunnery…
Dear friends,
Presenting a case chosen by the Muppet (beware: he is devious!).
Radiographs and face picture of a 52-year-old woman admitted to the emergency room with dyspnea. Radiographs before and after thoracentesis.
Chest radiograph seven years earlier (not available) reported as possible thymoma. No treatment since.
Diagnosis:
1. Thymoma
2. Schwannoma
3. Fibrous mesothelioma
4. Hydatid cyst
