CXR Case 024

A 52 year old lady presents with worsening dyspnoea and hypoxaemia

click images to enlarge


Describe and interpret this CXR and CTPA


CHEST X-RAY INTERPRETATION

CXR Interpretation:
There is bilateral basal atelectasis with otherwise clear lung fields
AP, rotated film*

CT Interpretation:
CTPA demonstrates bilateral, proximal acute pulmonary emboli


CLINICAL CORRELATION

Atelectasis is a relatively uncommon but recognized feature of PE on plain CXR and small pleural effusions can be present in up to 40% of cases with PE


CLINICAL PEARLS

It is not the appearance on CTPA that dictates treatment – the physiological response to the PE is the critical element.

*See Pulmonary Embolus pondering


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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