CXR Case 061

A 67 year old man presents with worsening breathlessness and cough unresponsive to antibiotics

CXR CASE 061 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is deviation of the trachea to the right and a raised right hilum with associated right upper lobe collapse.

The right heart border is lost indicating right middle lobe collapse.

There is resultant volume loss in the right hemithorax.

There are multiple rounded opacitites in both lung fields, the largest in the right upper lobe.


CLINICAL CORRELATION

This is metastatic lung cancer.


CLINICAL PEARLS

Dependent on the duration of symptoms and CT appearances, extrinsic collapse of lobar bronchi can be treated with endobronchial stents and endobronchial lesions with laser or cryotherapy.
Radiotherapy and chemotherapy continue to have a key role.


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 |

One comment

  1. The distal left clavicle look pretty concerning for a met.

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