CXR Case 144

A 78 year old lady is admitted from gastroenterology clinic with worsening productive cough. What procedures has she had?

CXR CASE 144 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is an oesophageal stent in situ with an naso-jejunal tube (NJT).
There are surgical clips in the left lower mediastinum indicating a previous lobectomy.
Further surgical clips in the right upper quadrant, presumably from cholecystectomy.
There are patchy, probably inflammatory changes in both lung fields, with some pleural reaction in the right base.


CLINICAL CORRELATION

This lady developed a broncho-oesophageal fistula 55 years after her left lobectomy for bronchiectasis.


CLINICAL PEARLS

With decent antibiotics and postural drainage, lobectomy for bronchiectasis is very rarely performed these days.


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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