Wednesday, April 30, 2008

50 year old female with chronic cough , off and on hemoptysis , off and on dyspnoea and wheeze.
Pt is a diabetic and has had koch's 5 years ago.
What is the clinicoradiological diagnosis.?

Tuesday, April 22, 2008

Why no shift?

This is obviously a large pleural collection .
Question - Why there is no mediastinal shift to opposite side ?
What are likely diagnosis
?

Answer - Most likely cause is an endobronchial obstruction ( mass lesion)causing the lung to collapse and compensate .

In this case there was none . This was a slowly evolving , loculating tubercular empyema which developed over 6 months.

Wednesday, April 09, 2008

This is a patient with cough, copious sputum , frequent LRTI
What is your diagnosis ? What are two classical radiological signs on this image ?

Bronchiectasis . 1) Signet Ring sign 2) Tram tracks sign

Tuesday, April 08, 2008

Honeycombing seen from a different viewpoint

77 year old male , progressive exertional dyspnoea over 3 years, extensive leathery rales
What is the likely diagnosis ? How will you confirm ?
IPF -UIP , Thoracoscopic lung biopsy if relevant ,

Sunday, April 06, 2008

Tap ? Drain ? Surgery?

60 year old man presented with fever ,dyspnoea , chest pain for 2 months.
Question - What is the diagnosis ? How will you treat this condition.?
Loculated Empyema . Thoracoscopic drainage and biopsies.

Friday, April 04, 2008

Bronchopulmonary Segment

Can you identify the segment of maximal involvement ?
Answer - RUL anterior and posterior segments

Thursday, April 03, 2008



This is a CT image of a man presenting with severe dyspnoea, hypoxemia and chest discomfort.

What is the imaging called as ? What is the diagnosis?

Answer -CT pulmonary angiogram . This is pulmonary thromboembolism

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Tuesday, April 01, 2008


This is a 30 odd year old man who had a small amount of hemoptysis . Presently he has right lower chest pain.
What is the diagnosis ? How will you confirm it ?

Answer - Pulmonary AV malformation , CT pulmonary angiogram

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25 year old male with 1 month history of high grade fever, 2 kg weight loss, loss of appetite.
What is your diagnosis ? How will you confirm it ?
Answer - Tuberculosis , Bronchoscopy