CXR Case 059

A 55 year old man is brought to ED with ‘dizzy spells’. Routine CXR is performed.

click images to enlarge


Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is a rounded opacity laterally in the right upper lobe.
Sternotomy wires and a Carpentier-Edwards AVR are noted.

Lateral film demonstrates the AVR in situ more clearly.


CLINICAL CORRELATION

Incidental fast AF accounted for his ‘dizzy spells’.
The lung mass was new as compared to CXR from around the time of his CABG and AVR 3 years ago.
CT brain was normal.


CLINICAL PEARLS

Patients with cardiovascular disease frequently have tobacco smoke exposure as a common risk factor with respiratory disease and lung cancer.


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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