It has been a long time since I last produced an article containing a radiographic images. Here is one to add to the other 101 cases:
A 60-year-old man with diabetes mellitus presented with a non-healing ulcer on his left foot. Below are two images that belonged to him:
Questions:
1. What radiographic imaging was done for this patient?
2. What is the abnormality detected in the imaging scans?
230512 @ 0820
Not too long ago, I had a patient who has been under follow-up in my clinic for a while now who one day complained of prolonged coughing. When asked how long has the cough been, he answered, “A few months”.
There was no fever and the cough was dry. Auscultation of the chest was normal.
When asked why he did not seek advise earlier, he said, “Oh, I knew that Methadone (he used to be on Methadone to help kick his intravenous drug use habit) will suppress the cough and so for the last 2 months, I restarted myself on Methadone!”
On a hunch, we ordered an X-ray of his chest and this was what we saw:
Sigh…
The patient was immediately started on anti-TB medications. To think that he has been sitting together with many of my immuno-suppressed patients in the air-conditioned waiting room outside the clinic and coughing his lungs out makes me shudder.
A 40+ man presents with history of cranial surgery a few years ago for meningioma. Below are 2 slices of the CT brain.
Questions:
1. What abnormality can be seen in the films?
2. What is the thing indicated by the red arrow (and why do you say so)?
Mon, 120710 @ 0700
This 32-year-old man was recently diagnosed with Diabetes mellitus.
Here is his AXR:
Questions:
1. Identify the abnormality.
2. Name 3 causes for this abnormality.
Wed, 280410 @ 1630
This 57-year-old woman presented with a right breast lump.
Below are her mammograms:
Question:
1. Based on the mammograms, which part of the right breast is involved?
2. Describe the findings.
3. What is the final diagnosis?
Mon, 290310 @ 0700
This young man was involved in an accident. Here are the Xrays of his hand.
Questions:
1. Describe the injuries sustained in the first Xray.
2. What procedure was done on him, in the 2nd Xray?
Mon, 180110 @ 0700
Below is a radiograph which my colleague MMS-ed to me recently.
Scroll down slowly and tell me your first reaction on seeing it, okay? Leave your comment here and I will tell you what happened later.
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My first reaction was this:
eeeeeEEEEEEEEEOOOOUUUUUUCCCCHHHHHHHHHHHHH!!!!!!!!!!
This 24 year old woman felt an uneasy discomfort on the left side of her chest from morning which worsened progressively. By noon, she decided to go to the hospital. When she presented to the hospital, she was in distress, having suddenly developed acute breathlessness. She collapsed and was resuscitated requiring mechanical ventilation.
This Xray was taken a short while before she collapsed.
Click to enlarge.
Question:
1. What is the most likely diagnosis?
Mon, 301109 @ 0700
This is the chest radiograph of a young man with HIV. He complains of progressively worsening shortness of breath of 3 weeks duration with occasional low grade fever. On examination, he is tachypnoeic, afebrile, and auscultation of the lungs reveals occasional scattered crepitations. His oxygen saturation on room air is 72%.
Questions:
1. Describe the abnormality in the film.
2. What is the most likely diagnosis?
Mon, 091109 @ 0700
This patient walked like a duck! Below is the patient’s pelvic Xray.
Questions:
1. Describe the abnormalities seen.
2. Give TWO (2) causes of the abnormality.
Tues, 131009 @ 0700
