75 year old female admitted for investigation of weight loss and dysphagia.
CXR requested after patient developed a worsening cough following an investigative procedure.
Describe and interpret this CXR – what investigation has been performed?
CHEST X-RAY INTERPRETATION
There is barium within both lower lobes, worse on the right. Some barium has reached the gastrointestinal tract. There is an NG tube in situ and a left renal / ureteric stent.
Video fluoroscopy Interpretation:
Video fluoroscopy demonstrates free flow of contrast into the trachea.
This barium bronchogram is unlikely to harm the patient or lung parenchyma, no specific treatment is required
This chest X-ray appearance is is unlikely to resolve.
Bronchography used to be widely performed before computed tomography and involved (deliberately) passing radiological contrast into the airways – very useful for delineating structural abnormalities such as bronchiectasis.