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

CXR CASE 062 CXR LITFL

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 |

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