CXR Case 072

A 53 year old man is sent into emergency from the respiratory clinic, without notes, acutely short of breath clutching an XR

CXR CASE 072 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There are surgical wires over the left 5th and 6th ribs and surgical clips lateral to the left hilum.

The lung fields project differently – the right is suggestive of gas trapping and oligaemia; the left has normal appearances of the pulmonary vasculature.


CLINICAL CORRELATION

This man has had a left single lung transplant for severe emphysema (as seen in his right lung).


CLINICAL PEARLS

Single lung transplants can be performed for emphysema, double lung is definitely indicated for pulmonary fibrosis and any chronic supportive condition such as cystic fibrosis.


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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