CXR Case 044

Routine‘ CXR on a 64 year old female attending the emergency department after an hour of central chest pain

CXR CASE 044 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is a calcified suprahilar lymph node on the right (station 4R).
Remaining mediastinum, lung parenchyma and pleural are normal.


CLINICAL CORRELATION

This is old tuberculosis (TB).
Any history of active disease (cough, fevers, weight loss) should be sought – although this is likely decades old


CLINICAL PEARLS

The use of corticosteroids for immune suppression, chemotherapy and immune modulators such as anti-TNF for inflammatory arthritis are all associated with reactivation of old TB.


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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