CXR Case 010

80 year old female presents with palpitations. She has been more breathless recently and has been taking her inhalers more frequently.

CXR CASE 010 LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

The lung fields are hyperinflated with flattened hemidiagragms consistent with overinflation from airways disease (probable COPD).

*There is a safety pin that appears to be in the stomach, or external artifact*


CLINICAL CORRELATION

This lady is having arrhythmias and tachycardia from excessive beta-2 agonist use (short and long acting).

*A history of safety pin ingestion should also be taken…*


CLINICAL PEARLS

Chronic poorly controlled asthma can present as a COPD-like picture, even in never smokers.

The long term airways inflammation leads to airway fibrosis and chronic airways limitation with over-inflation.


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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