Diagnosis Please certificates of recognition awarded to Tammam Nehme, MD, and to International and North American radiology resident groups.

Anthony V. Proto, MD The 8th year of Diagnosis Please cases (cases 85–96) was completed in March 2006. We continue to receive hundreds of responses each month from the many Radiology readers who enjoy participating in this challenging diagnostic exercise. As I wrote in January 2005, Diagnosis Please cases have become “a teaching exercise for residents in programs both within and outside of North America” (1). Thus, we now allow resident group responses in addition to those from individual readers who submit the most likely diagnosis (2). I am delighted to announce the single individual who submitted the highest number of correct answers for cases 85–96, as well as the international and North American resident groups who did the same. Tammam Nehme, MD (Fig 1), attended American University of Beirut School of Medicine (Lebanon), from which he received his MD degree in 1997. He trained for 1 year in internal medicine at American University Hospital in Beirut, followed by an additional year of transitional internship at St Luke’s Medical Center, Milwaukee, Wis. He then entered radiology residency training at St Luke’s and completed that training in 2003. Since then, he has been practicing radiology at Central Washington Hospital in Wenatchee, Wash. When I notified Dr Nehme that he was the individual winner for cases 85–96, he responded, “It has been a privilege participating in this competition. I have been trying to win this prize since my last year of residency.” He compared the positive feeling of submitting the most likely diagnosis with the feeling he experienced when making the correct diagnosis at a case conference during his residency. He also noted that “this is one of the very few competitions that celebrate the general radiologists in this era of subspecialization.” The first international radiology resident group (Fig 2) submitting the highest number of correct answers is from the Hospital Italiano of Cordoba, Argentina. The resident group informed me that Hospital Italiano of Cordoba is a 150-bed hospital founded in 1903. Radiology residency training began at the hospital in 1987. There are currently eight residents in the program. In their letter to me, the residents noted that each Diagnosis Please case is downloaded from Radiology Online each month. A resident is assigned to investigate the case, but the entire resident group discusses it to reach a final answer, which is then submitted. The residents have found these cases to be very challenging: Sometimes they think a case is simple but then realize it is not. They note that this monthly exercise “is a very stimulating activity!” In closing, they mention that they expect to continue this monthly diagnostic exercise, hoping to submit the most likely diagnosis. The first North American radiology resident group (Fig 1) submitting the highest number of correct answers is from the Hospital of the University of Pennsylvania, University of Pennsylvania Medical Center, Philadelphia. The Department of Radiology at the Hospital of the University of Pennsylvania is highly regarded and well known. Numerous residents are enrolled in the program—the class of 2009 alone has 11 residents. When I notified the residents that they had been identified as the first North American radiology resident group winner, they responded, “Our participation in Diagnosis Please Published online 10.1148/radiol.2412061404