July 9, 2010
Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The answer to the mystery quiz is pleural effusion that is loculated in both the horizontal and right oblique fissures. Pleural effusion is seen as blunting of the right costophrenic…
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Posted in Mystery Quiz
July 4, 2010
Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The patient is a 61 year old man presenting with one month of worsening shortness of breath. The patient has a history of alcoholism and was diagnosed with atrial fibrillation…
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Posted in Mystery Quiz
March 28, 2010
Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The answer to the mystery quiz is progressive massive fibrosis. This condition is a severe form of silicosis. The chest radiograph (Image 3) shows bullous disease of the right upper lobe,…
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Posted in Mystery Quiz
March 17, 2010
Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The patient is a 39yo male followed in pulmonary clinic for chronic breathlessness and intermittent sputum production, sometimes blood tinged. Symptoms were first noted eleven years earlier at which time…
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Posted in Mystery Quiz
October 27, 2009
Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The answer to the mystery quiz is thoracic splenosis. The key to the solution is the past medical history of a gunshot wound. Shrapnel is seen on the plain CXR (Image…
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Posted in Mystery Quiz
October 23, 2009
Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
A 61 year old man was referred to the pulmonary service for an abnormal pulmonary function test (PFT). The patient was a lifelong smoker and had symptoms suggestive of obstructive…
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Posted in Mystery Quiz
July 23, 2009
Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The answer to the mystery quiz is bland alveolar hemorrhage. The CXR (image 1) shows cardiomegaly with mild increase in opacification of the right middle and right lower lobes. The…
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Posted in Mystery Quiz
July 18, 2009
Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The patient is a 74 year old man complaining of hemoptysis for four days. The patient has a history of hypertension, but had not been followed medically for many years…
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Posted in Mystery Quiz
May 1, 2009
Posted by Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The answer to the mystery quiz is sarcoidosis. The CXR shows diffuse, bilateral infiltration with a predominantly nodular pattern. The pulmonary hila are also prominent. The CT image shows…
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Posted in Mystery Quiz
April 28, 2009
Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The patient is a 42 year old man with a history of non-productive cough for several weeks. Three weeks prior to evaluation by the pulmonary service, the patient presented to…
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Posted in Mystery Quiz
March 10, 2009
Posted by Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The answer to the mystery quiz is allergic bronchopulmonary aspergillosis (ABPA). The CXR shows right upper lobe opacities, two of which appear round (Image 3, arrow) and another tubular (Image…
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Posted in Mystery Quiz
March 6, 2009
Posted by Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors
The patient is a 42 year old male non-smoker with history of poorly controlled asthma (first diagnosed in 1994, recurrent need for steroid treatments but never intubated), severe seasonal allergies…
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Posted in Mystery Quiz