CXR Case 047
A 76 year old lady presents with dizzy spells – a routine CXR is performed
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There are calcified nodules in the left mid zone and left upper zone behind the clavicle.
*The aorta is unfolded.
*Lung volumes look a little small, with no evidence of interstitial lung disease this may be related to her extrathoracic adiposity.
CLINICAL PEARLS
A Gohn focus is also referred to as a Ghon lesion and a tuberculuma (i.e. calcified tuberculous caseating granuloma).
*When associated with a calcified ipsilateral hilar node it is known as a Ranke complex.
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 | ICIS Course ANZ