▫️Select the most likely diagnosis on these 10 cases and then expand the thread and scroll through for explanations
▫️Some may be normal!
✅All cases consented
CASE 1: Female 60s, right sided pain
CASE 1: the most likely cause for the right sided lesion is:
CASE 1: explanation 1/3
CASE 1: explanation 2/3
CASE 1: explanation 3/3
Further reading: clinicalradiologyonline.net/article/S0009-…
‘Non-malignant lesions tend to exhibit thinner walls, but more perilesional consolidation and centrilobular nodules than malignant lesions.’
CASE 2: Male 70s cough
CASE 2: Which of the following best describes the findings?
CASE 2: explanation 1/5
CASE 2: explanation 2/5
CASE 2: explanation 3/5
CASE 2: explanation 4/5
CASE 2: explanation 5/5
CASE 3: Male 20s, cough and haemoptysis
CASE 3: Which of the following is most likely?
CASE 3: explanation 1/3
CASE 3: explanation 2/3
CASE 3: explanation 3/3
CASE 4: female 60s, cough
CASE 4: diagnosis?
CASE 4: explanation 1/4
CASE 4: explanation 2/4
CASE 4: explanation 3/4
CASE 4: explanation 4/4
CASE 5: Male 60s, breathless
CASE 5: what best describes the abnormality?
CASE 5: explanation 1/3
CASE 5: explanation 2/3
CASE 5: explanation 3/3
CASE 6: Female 40s cough
CASE 6: what best describes the main abnormality?
CASE 6: explanation 1/4
CASE 6: explanation 2/4
CASE 6: explanation 3/4
CASE 6: explanation 4/4
CASE 7: Male 70s, breathless
CASE 7: what best describes the main abnormality
CASE 7: explanation 1/5
CASE 7: explanation 2/5
CASE 7: explanation 3/5
CASE 7: explanation 4/5
CASE 7: explanation 5/5
CASE 8: Male 80s, cough
CASE 8: what best describes the main abnormality?
CASE 8: explanation 1/3
CASE 8: explanation 2/3
CASE 8: explanation 3/3
CASE 9: Female 40s, breathless
CASE 9: what best describes the main abnormality?
CASE 9: explanation 1/3
CASE 9: explanation 2/3
CASE 9: explanation 3/3
CASE 9: further reading - recently published hypersensitivity pneumonitis ATS/JRS/ALAT Clinical Practice Guideline
Firstly orientate yourself - the fibula marks out the lateral side
1️⃣Soft tissues: scan the image for any soft tissue swelling - this can lead you to the site of any fracture
2️⃣Alignment: draw a vertical line down from the most lateral margin of the femur, you should only see a maximum of 5mm of the tibia to the lateral aspect of this line. If there is more than this (i.e. too much of the tibia is lateral) then suspect a fracture of the tibial plateau