CXR Case 146

A 75 year old lady presents with worsening cough.

CXR CASE 146 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is right apical and lateral pleural thickening and volume loss of the right upper lobe causing mediastinal shift.

*Bilateral breast implants.


CLINICAL CORRELATION

The pleural appearances are most likely from old TB, it doesn’t always calcify.


CLINICAL PEARLS

Remember to add acid fast bacilli (AFB) to the sputum samples – TB can reactivate with age contributing to immune senescence.


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 |

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.