CXR Case 146
A 75 year old lady presents with worsening cough.
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 | ICIS Course ANZ