100 Cases in Radiology

A 36 year-old housewife presents in the Emergency Department complaining of progressively increasing breathlessness over the last 2 weeks, accompanied by wheeze and a productive cough. You are the medic on duty... 100 Cases in Radiology presents 100 radiological anomalies commonly seen by medical students and junior doctors on the ward, in outpatient clinics or in the emergency department. A succinct summary of the patient's history, examination and initial investigations, including imaging photographs, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors. Making clinical decisions and choosing the best course of action is one of the most challenging and difficult parts of training to become a doctor. These cases will teach students and junior doctors to recognize important radiological signs, and the medical and/or surgical conditions to which these relate, and to develop their diagnostic and management skills.   About the Author Robert Thomas, Specialist Registrar, Guy's & St Thomas' NHS Trust, London, UK James Connelly, Specialist Registrar, Guy's & St Thomas' NHS Trust, London, UK Christopher Burke, Specialist Registrar, Guy's & St Thomas' NHS Trust, London, UK Table of Contents Acknowledgements Case 1 Deteriorating shortness of breath in a smoker Case 2 The breathless asthmatic Case 3 An icy fall Case 4 Difficulty swallowing Case 5 A mechanical fall in an elderly patient Case 6 Jaundice following cholecystectomy Case 7 Heartburn, epigastric pain and a cough Case 8 Lines, catheters and tubes on a radiograph Case 9 Weakness and slurring while out for a drink Case 10 Back pain relieved only by aspirin Case 11 A persistent cough in an ex-smoker Case 12 A retired schoolmaster with progressive breathlessness Case 13 Numb right arm Case 14 Right upper abdominal upper pain Case 15 Infant with clicking hips Case 16 Painful wrist after falling Case 17 Constipation in a woman with known ovarian tumour Case 18 Thirty-year-old man with headache Case 19 Persistent cough Case 20 Chest pain and dyspnoea Case 21 Young man with neck swelling Case 22 Collapse and possible seizure Case 23 Premature neonate with abdominal distension Case 24 Young child with painful arm Case 25 Acute epigastric pain Case 26 Man with atypical chest pain Case 27 Young woman with shortness of breath and chest pain Case 28 Chest discomfort and dyspnoea Case 29 Skateboarder with a painful foot Case 30 Left-sided loin pain Case 31 Unable to bear weight after a cycling accident Case 32 Strange bone appearance after falling Case 33 Lower back pain Case 34 Vomiting baby boy Case 35 Painless haematuria Case 36 Sudden onset weakness in an 80-year-old woman Case 37 Young man with ankle pain Case 38 Painful shoulder Case 39 Chest pain after falling Case 40 Swelling of the big toe Case 41 A young man with progressive dyspnoea on exertion Case 42 Pain on deep inspiration Case 43 An elbow injury Case 44 Pain in the hand following a punching injury Case 45 A fall on the hand and pain in the wrist Case 46 Shortness of breath and pleuritic chest pain Case 47 A new arrival with cough and a fever Case 48 A seatbelt injury Case 49 A device in the pelvis Case 50 A cardiac abnormality Case 51 A mirror image Case 52 A distended and painful abdomen Case 53 Bloody sputum and weight loss Case 54 A soft fluctuant lump Case 55 Abdominal distension and shifting dullness Case 56 A painful hand Case 57 A retired construction worker with a cough Case 58 Distended abdomen and unable to pass gas Case 59 Torrential haematemesis Case 60 An incidental finding on chest radiograph Case 61 A worried nurse in intensive care Case 62 Young man with abdominal pain Case 63 Skin plaques and achy hands Case 64 Teaching sport can be a headache at times Case 65 A chesty infant Case 66 Difficulty in swallowing Case 67 Pregnant woman with vomiting Case 68 Infant with a head injury Case 69 Abdominal distension in a woman with ovarian cancer Case 70 A woman with a breast lump Case 71 A rising creatinine Case 72 Neck pain after falling Case 73 A young man with back pain Case 74 A child with an injury Case 75 A renal tract abnormality Case 76 Shooting leg pain following lifting Case 77 A chronic productive cough Case 78 General fatigue and weakness Case 79 A cervical spine injury following a horse riding accident Case 80 Abdominal pain and diarrhoea in a 28-year-old woman Case 81 Pain in the left wrist following a fall Case 82 A known case of inflammatory bowel disease Case 83 A tourist from New Zealand Case 84 Spontaneous nose bleeds in a young person Case 85 Abdominal weight gain and distension despite dieting Case 86 Left mid zone crackles Case 87 Traumatic injury to a farmer's foot Case 88 An accountant with abdominal pain Case 89 Pain in a lady with breast cancer Case 90 Headache and visual field defects Case 91 A claudicant with worsening leg pain Case 92 Normal variant on a chest radiograph Case 93 Flank pain and haematuria Case 94 Patient with an intractable headache Case 95 An unwell patient with a rash Case 96 Chest wall swelling and a pleural effusion Case 97 Chest wall deformity in a pacemaker patient Case 98 Sudden onset back pain in a 72-year-old woman Case 99 Constipation and colicky abdominal pain Case 100 An ankle injury Index