CXR Case 062
A 76 year old lady is sent in by her GP with worsening dyspnoea and wheeze after failing to respond to oral corticosteroids and antibiotics
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is over-inflation of both lung fields with flattening of the hemidiapragms.
There is a large spiculated mass in the right upper lobe.
CLINICAL CORRELATION
This is consistent with COPD (predominant emphysema as gas trapping ++) and a primary lung cancer
CLINICAL PEARLS
After adjustment for tobacco smoke exposure, the presence of COPD remains an independent risk factor for development of lung cancer.
This is probably related to the chronic inflammatory milieu in the lungs.
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