A 55 year old man is brought to ED with ‘dizzy spells’. Routine CXR is performed.
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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.
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.
Patients with cardiovascular disease frequently have tobacco smoke exposure as a common risk factor with respiratory disease and lung cancer.