◆This is the long-awaited book version of the popular weekly magazine "Nihon Iji Shimpo" series "Image Diagnosis Dojo: What It Really Was." This series focuses on chest imaging diagnosis, focusing on X-rays and CT scans, and includes a wide range of case studies across medical specialties.
◆A variety of cases, from basic to advanced, are presented in quiz format. Experts explain key points in interpretation, along with important messages with lessons learned.
◆Try the quiz based on your current medical history, blood test results, and images, or organize your knowledge based on lessons learned and diagnoses—one book offers two ways to learn.
◆The HTML version allows you to access the answers from the quiz with one click.
Table of Contents
Overview 1
Problems & Cases 9
1. How would you describe this X-ray image when referring it to another hospital? 10
2. Considering key points when interpreting chest X-rays, what would be the diagnosis for this case? 11
3. What would you do when you saw this CT image? 12
4 Pneumonia after influenza. What is the causative agent? 13
5 What is the diagnosis for the mass shadow superimposed on the cardiac shadow? 14
6 Could it be bacterial pneumonia? Or...? 15
7 Cardiomegaly, negative T waves, elevated CK level... Is it myocardial infarction? 16
8 Can we be sure that this is cardiac hypertrophy due to Fabry disease? 17
9 You mention chest and back pain. Is this aortic dissection? Or...? 18
10 Dyspnea, chest pain, back pain... What is the diagnosis, taking into account the precautions for echocardiography? 19
11 What should we interpret in the Gram stain image of multiple abnormal shadows that appeared in the lungs after acute pharyngitis? 20
12 Abnormal catheter path. Where is it pathing? 21
13 FDG accumulation in lymph nodes, spleen, and skin... Is it malignant lymphoma? 22
14 Hypertensive cardiac hypertrophy? Hypertrophic cardiomyopathy? Or...? 23
15 Decreased blood flow, mainly in the septum, observed on cardiac nuclear medicine scan... What is the cause? 24
16 Mass shadow on chest X-ray/CT in a smoker... Inflammatory granuloma? Pulmonary tuberculosis? What is this? 25
17 Can you identify the abnormality on this plain chest X-ray? 26
18 Cough and fever after ascending aorta replacement for aortic dissection... What is the cause? 27
19 What is the cause of cardiogenic shock? 28
20 Acute type B aortic dissection is observed... Is that all? 29
21 Abnormal structure attached to the mitral valve? What is the diagnosis? 30
22 Multiple right coronary aneurysms and stenotic lesions observed on coronary CT/coronary angiography... What is the cause? 31
23 Acute coronary syndrome in a young woman with no risk of atherosclerosis? What is the cause? 32
24 Can you identify the abnormal chest shadow on this image? ① 33
25 Is this really miliary tuberculosis? Please confirm! 34
26 Can you identify the abnormal chest shadow in this image? ② 35
27 Shock after myocardial infarction... What is the cause of mitral regurgitation? 36
28 Is it emphysema? 37
29 Calcified nodule... Is it a chronic change? 38
30 Is it heart failure? Wait a minute... 39
31 Chest pain and loss of consciousness... Is it an aortic dissection? 40
32 Can you identify the abnormal chest shadow in this image? ③ 41
33 Pneumonia? Lung cancer? Or...? 42
34 What are the abnormal findings on the chest X-ray? 43
35 Pneumonia? Bronchitis? Or...? 44
36 Bronchial wall thickening, granular to small nodules, ground-glass infiltrate... Is this an acute exacerbation of COPD? 45
37 Recurrent pulmonary infiltrates and dyspnea. Pneumonia? Or...? 46
38 Chest pain and dyspnea can be a sign of various diseases, but what about this case? 47
39 Multiple pulmonary cysts in a young person? What is the differential diagnosis? 48
40 Sudden chest pain, back pain, and fever. Is this pleurisy? Or...? 49
41 Pneumonia? Asthma? Or...? 50
42 What can we learn from a chest X-ray after endotracheal intubation? 51
43 What is the causative agent of lobar pneumonia in heavy drinkers and diabetics? 52
44 Lung cancer? Or...? 53
45 Sudden lung lesions in a patient with sepsis... What is the cause? 54
46 Abnormal shadows on a chest CT scan during a medical checkup. What is the cause? 55
47 Interstitial pneumonia? Or...? 56
48 A tumor shadow was observed in the left hilar region, but FDG uptake was low... What is the differential diagnosis? 57
49 An irregular nodule with spiculation. Is it lung adenocarcinoma? 58
50 Can you identify any new signs of lung cancer? 59
51 What is the cause of the abnormal shadow on a medical examination plain radiograph? 60
52 What is the diagnosis of a small ground-glass attenuation lesion discovered incidentally on a CT scan? 61
53 Miliary tuberculosis? ...But something's different. What is this? 62
54 What is the blood flow indicated by the arrow? 63
55 Is it pneumonia? Or...? 64
56 What is the diagnosis of an anterior mediastinal tumor? Why was the needle biopsy unable to diagnose it? 65
57 There are few vascular shadows in the left lung? Mediastinal shift with tentorial elevation of the diaphragm... What is the diagnosis? 66
58 What is the causative agent? 67
59 Is chest pain ischemic or non-ischemic? What causes it? 68
60 What causes pulmonary lesions? 69
Answers & Explanations 71
Index 192