CXR Case 134

An 86 year old man is admitted to ED with cough and breathlessness.

CXR CASE 134 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There are endovascular stents in situ in the right brachiocephalic artery and right axillary artery.
Fluid in the horizontal fissure.
There are patchy changes in both lower lung fields and some left pleural thickening.


CLINICAL CORRELATION

The pleural thickening may require investigation – old CXR’s will be very useful.
The vascular stents are incidental.


CLINICAL PEARLS

This man had suffered a motor vehicle accident 40 years ago with severe pain on his left side – never investigated.
Presumably he had a small haemothorax which as led to this (stable) pleural thickening.


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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