A 90-Year-Old Man with Involuntary Right-Sided Movements

A 71 year old man with right sided facial droop.

The online version of this Endgames picture quiz by Saad Saheecha and colleagues (BMJ 2011;343:d5121, doi:10.1136/ bmj.d5121) contained a mistake in the labelling of figure 2. The explanations for labels D and E were published the wrong way round. D should have in fact indicated left ventricular aneurysm with thrombus [not the " descending aorta " ] and E should have indicated the descending ao...

A 47 year old man with nonproductive cough and right-sided chest pain.

A 47 yr old man was admitted to our hospital because of persisting nonproductive cough, dyspnoea on exer-tion and right-sided chest pain of several weeks duration. He was febrile (37.5°C) and had noticed a weight loss of 5 kg within the last 2 months. The only pertinent medical history was a cluster headache, for which he was treated intermittently with methysergide. He had taken a cumulative d...

A 74-year-old man with an incidental right-sided pleural effusion.

A 74-year-old man was found to have an incidental right-sided pleural effusion during a renal ultrasound. Five months previous, he had an acute respiratory illness, including fever, chills, and cough productive of green sputum for several weeks. His cough resolved, but persistent dyspnea on exertion remained. A review of systems also revealed early satiety and vague abdominal pain. His medical ...

A 29-year-old male with right-sided chest pain.

A 50 Year Old Man with Fever and Abdominal Pain

The patient is a 50-year-old man who has been diagnosed with abdominal pain, fever, shivering and constipation with nausea and vomiting with a possible diagnosis of typhoid. Computed tomography (CT) of the abdomen and pelvis was performed by injection of contrast agent for the patient. What is your diagnosis?