CXR Case 143

70 year old man admitted from respiratory clinic with cough and dyspnoea.

CXR CASE 143 CXR LITFL

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 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 |

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