Learning scripts - Master standard scripts for standard cases

Certain descriptions and scripts can be used on description of most cases... Make sure that you write your own scripts to make sure that you talk about FINDINGS, INTERPRETATIONS, DD, Principal Diagnosis and Management.

Example 1:

FRCR, techniques, Dubai FRCR course, Dr Nadeem Akram Butt

  • Findings

–loss of volume in right lung and

–Crowding of ribs on right side

–increased trans-radiance of the left lung.

–Displacement of the horizontal fissure superiorly forming a Golden S sign ----- due to

–collapse of right upper lobe.

–There is/is not infilling of the hilar angle in keeping with hilar lymphadenopathy

  • In keeping with

–Centrally obstructing mass lesion resulting in right upper lobe collapse

–Appearances are in keeping with malignancy and

  • I would

–Refer the patient to respiratory team, activate cancer tracker pathway

–discuss the case at multidisciplinary team or tumour board

–Suggest biopsy and staging scan including Body CT and PET CT.

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Example 2:

 

FRCR course, viva, Dr Nadeem Akram Butt

  • There is

–loss of volume in left hemithorax and

–Veil like opacity  with

–Increased lucency at the left lung apex likely due to the hyperinflated lower lobe (Luftsichel sign)

–increased trans-radiance of the right lung.

–Crowding of ribs on left side.

–Mediastinal shift from right TO left

–No pleural effusion

–collapse of left upper lobe

  • In keeping with

–Centrally obstructing mass lesion resulting in left upper lobe collapse

–Appearances are in keeping with malignancy and

  • I would

–Refer the patient to respiratory team, activate cancer tracker pathway

–discuss the case at multidisciplinary team or tumour board

–Suggest biopsy and staging scan including Body CT and PET CT.

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Case 3:

  • There is

–loss of volume in left hemithorax and

–Sail like opacity in the left retrocardiac region

–with loss of silhouette for medial part of left hemidiaphragm. with

–No visible left hilum (difference with left basal consolidation)

–Increased trans-radiance of the right lung.

–Crowding of ribs on left side.

–collapse of left lower lobe

  • In keeping with

–Centrally obstructing mass lesion resulting in left lower lobe collapse

–Appearances are in keeping with malignancy and

  • I would

–Refer the patient to respiratory team, activate cancer tracker pathway

–discuss the case at multidisciplinary team or tumour board

–Suggest biopsy and staging scan including Body CT and PET CT.

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Case 4:

  • Flaring of the distal end of both femora and proximal ends of both tibia due to formation of several exostoses.
  • These exostoses are directed away from the joint with medullary cavity communicating with medullary cavity of long bones. These appear to represent the osteochondromas.
  • Overall appearances are in keeping with polyostotic multiple osteochondromas or diaphyseal eclasia.
  • DIFFERENTIAL DIAGNOSIS:
  • MANAGEMENT:
  • –Radiological –
  • a. compare with past
  • B. symptomatic area – MRI

–Medical surgical: symptomatic, biopsy,

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