CXR Case 125

78 year old female with unexplained syncope has a routine CXR

CXR CASE 125 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is a calcified, unfolded aorta and large hiatus hernia.
The trachea is slightly deviated to the right.
Both costophrenic angles are obscured and there is a trace of fluid in the horizontal fissure.


CLINICAL CORRELATION

None of these signs are likely to account for the clinical presentation, although it would be worthwhile exploring symptoms of heart failure (and perhaps arrhythmia).


CLINICAL PEARLS

This is a good example of a very prominent finding on an X-Ray distracting the reader from more subtle findings – stick to your routine despite what you find!


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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