A 40-year-old female presents with fever, pleuritic chest pain and abdominal pain. She is too unwell to provide a history when she first arrives.

Initial vital signs include: HR 120, SBP 85, Sats 82% RA, RR 40, temp 38.1°C (100.6°F)

A portable CXR is performed

CT Case 056 01
Describe and interpret the CXR
CXR interpretation

Due to progressive respiratory distress, she requires intubation, and then proceeds to have a CT pulmonary angiogram and a CT abdomen.

Describe and interpret the CT findings
CT interpretation

Clinical Pearls


Provisional fellow in emergency radiology, Liverpool hospital, Sydney. Other areas of interest include paediatric and cardiac imaging.

Emergency Medicine Education Fellow at Liverpool Hospital NSW. MBBS (Hons) Monash University. Interests in indigenous health and medical education. When not in the emergency department, can most likely be found running up some mountain training for the next ultramarathon.

Dr Leon Lam FRANZCR MBBS BSci(Med). Clinical Radiologist and Senior Staff Specialist at Liverpool Hospital, Sydney

Sydney-based Emergency Physician (MBBS, FACEM) working at Liverpool Hospital. Passionate about education, trainees and travel. Special interests include radiology, orthopaedics and trauma. Creator of the Sydney Emergency XRay interpretation day (SEXI).

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