CXR Case 019

30 year old female presents with night sweats, weight loss and a cough

CXR CASE 019 LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is bilateral hilar lymphadenopathy

The lung fields are otherwise clear*


CLINICAL CORRELATION

Bilateral hilar lymphadenopathy should always be further investigated, as lymphoma (primarily Hodgkin’s) is an important cause.

Differentials include: sarcoidosis, silicosis and tuberculosis.


CLINICAL PEARLS

Up to half of patients with Hodgkin’s lymphoma have radiographic evidence of lymphadenopathy on plain CXR at the time of clinical presentation and about 85% on CT, which would be the next investigation of choice.

*The clear lung fields should not put clinicians of the possibility of TB or sarcoidosis*


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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