CXR Case 149

77 year old male presents with central chest pain.

CXR CASE 149 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

The lung parenchyma are clear.
There are prominent anterior domes of the hemidiaphragms, most notable on the left.
There are mid-line sternotomy wires and a mitral valve replacement (MVR).


CLINICAL CORRELATION

He has had a mitral valve replacement.
Given his presenting complaint, it would be important to know if he has had CABG as well.


CLINICAL PEARLS

Examine the legs for evidence of harvesting the long saphenous veins for grafting.


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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