Tuesday, August 23, 2005

Abnormal CxR

This is a healthy 37 y/o woman who presented to the ER with a cough and had the following chest radiograph:


What is the abnormality? And what is your differential Dx?

Read the comments then see here for a follow-up.
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3 comments:

  1. JenningsTue Aug 23, 09:43:00 AM

    I'm not going to comment till you comment on mine. so there.

    ReplyDelete
  2. AnonymousTue Aug 23, 11:21:00 AM

    There is definitely an abnormality in the right heart border. It seems like belongs to the pericardial sac, so a pericardial cyst is entertained. Enlargement of the atria is also a possibility; however, is not the classic finding.

    ReplyDelete
  3. AnonymousTue Aug 23, 01:30:00 PM

    Basal right lung alveolar opacity, no silhouette sign (= right lower lobe, medial basal segment), probably pulmonary sequestrum.

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