This time, a more detailed history is provided, and you are the inexperienced medical intern, not the seasoned radiologist. If you missed last week’s challenge, you can still give it a shot.
You are asked to examine an 84 year old Hispanic female who was admitted to the hospital with shortness of breath.
- Her past medical history includes congestive heart failure, diabetes, osteoarthritis, diverticulosis and hypertension.
- Her surgical history includes a left total knee replacement and a hysterectomy for endometrial cancer 6 years prior to admission.
- She is well-groomed & overweight, and her vital signs & physical exam are unremarkable. She smoked 2 packs of cigarettes daily for 40 years before quitting 6 years ago, and reports using alcohol socially.
- On review of systems, she complains of headaches, morning stiffness, periodic shortness of breath as well as a poorly characterized epigastric pain that comes and goes. She also notes that she has been feeling full earlier in her meals and complains of belching.
She receives a CT scan as part of her work-up; your medical student decides to view the images before the official radiology report is back and asks you to comment on the sagittal slice below:
What do you say?
A) There is no pathology present on this cut
B) There is a hernia
C) There is a mass in the stomach
D) There is a mass in the lung
E) There is a mass in the liver
School your med student below & check back in 24-48 hours for the answer.