A 36-year-old housewife presents in the emergency department complaining of progressively increasing breathlessness over the last two 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 of 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.

    Deteriorating shortness of breath in a smoker
    The breathless asthmatic
    An icy fall
    Difficulty swallowing
    A mechanical fall in an elderly patient
    Jaundice following cholecystectomy
    Heartburn, epigastric pain and a cough
    Lines, catheters and tubes on a radiograph
    Weakness and slurring while out for a drink
    Back pain relieved only by aspirin
    A persistent cough in an ex-smoker
    A retired schoolmaster with progressive breathlessness
    Numb right arm
    Right upper abdominal upper pain
    Infant with clicking hips
    Painful wrist after falling
    Constipation in a woman with known ovarian tumour
    Thirty-year-old man with headache
    Persistent cough
    Chest pain and dyspnoea
    Young man with neck swelling
    Collapse and possible seizure
    Premature neonate with abdominal distension
    Young child with painful arm
    Acute epigastric pain
    Man with atypical chest pain
    Young woman with shortness of breath and chest pain
    Chest discomfort and dyspnoea
    Skateboarder with a painful foot
    Left-sided loin pain
    Unable to bear weight after a cycling accident
    Strange bone appearance after falling
    Lower back pain
    Vomiting baby boy
    Painless haematuria
    Sudden onset weakness in an 80-year-old woman
    Young man with ankle pain
    Painful shoulder
    Chest pain after falling
    Swelling of the big toe
    A young man with progressive dyspnoea on exertion
    Pain on deep inspiration
    An elbow injury
    Pain in the hand following a punching injury
    A fall on the hand and pain in the wrist
    Shortness of breath and pleuritic chest pain
    A new arrival with cough and a fever
    A seatbelt injury
    A device in the pelvis
    A cardiac abnormality
    A mirror image
    A distended and painful abdomen
    Bloody sputum and weight loss
    A soft fluctuant lump
    Abdominal distension and shifting dullness
    A painful hand
    A retired construction worker with a cough
    Distended abdomen and unable to pass gas
    Torrential haematemesis
    An incidental finding on chest radiograph
    A worried nurse in intensive care
    Young man with abdominal pain
    Skin plaques and achy hands
    Teaching sport can be a headache at times
    A chesty infant
    Difficulty in swallowing
    Pregnant woman with vomiting
    Infant with a head injury
    Abdominal distension in a woman with ovarian cancer
    A woman with a breast lump
    A rising creatinine
    Neck pain after falling
    A young man with back pain
    A child with an injury
    A renal tract abnormality
    Shooting leg pain following lifting
    A chronic productive cough
    General fatigue and weakness
    A cervical spine injury following a horse riding accident
    Abdominal pain and diarrhoea in a 28-year-old woman
    Pain in the left wrist following a fall
    A known case of inflammatory bowel disease
    A tourist from New Zealand
    Spontaneous nose bleeds in a young person
    Abdominal weight gain and distension despite dieting
    Left mid zone crackles
    Traumatic injury to a farmer's foot
    An accountant with abdominal pain
    Pain in a lady with breast cancer
    Headache and visual field defects
    A claudicant with worsening leg pain
    Normal variant on a chest radiograph
    Flank pain and haematuria
    Patient with an intractable headache
    An unwell patient with a rash
    Chest wall swelling and a pleural effusion
    Chest wall deformity in a pacemaker patient
    Sudden onset back pain in a 72-year-old woman
    Constipation and colicky abdominal pain
    An ankle injury

    Biography

    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