CXR Case 143
70 year old man admitted from respiratory clinic with cough and dyspnoea.
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is volume loss on the right side as a result of the right upper lobectomy (mediastinal surgical clips).
There is airspace shadowing in the right upper zone and blunting of the right costophrenic angle.
Left lung parenchyma and pleura are clear.
CLINICAL CORRELATION
This man has had a right upper lobectomy for previous lung cancer and therefore the airspace shadowing and blunted costophrenic angle are concerning for recurrence.
A contrast CT is required.
CLINICAL PEARLS
Approximately a third of patients who have lobectomy for early stage lung cancer either recur or develop new lung primaries.
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 | ICIS Course ANZ