CXR Case 058

An 86 year old man presents with worsening cough and haemoptysis. He stopped smoking 25 years ago.


Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is deviation of the trachea to the right with associated right upper lobe collapse.
The right hilum appears prominent. Pleural spaces clear.


CLINICAL CORRELATION

This is likely to be lung cancer. A CT chest and bronchoscopy are indicated.


CLINICAL PEARLS

Approximately 15 years after quitting tobacco smoking the relative risk of developing lung cancer falls to similar to that of a never smoker, however, the cumulative risk remains raised.


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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