Friday, August 12, 2005

Friday Radiology - Chest Xray

What is the finding on the chest xray and what is thus the likely diagnosis of this patient? I'll post the chest CT on Monday. Have a good weekend all....



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Mike L said...

This may be the worst resolution yet.
Anyway, his left hemidiaphragm is kind of high with a straight line along the left hemithorax.
I am typically bad reading cxr's, but I will guess that he may have some collapse of his medial segment of his LLL causing elevation of his left hemidiaphragm.

Baleeiro said...

I agree that the resolution is very grainy.
There is loss of volume on the left with the mediastinum shifting to the left with a double-silhouete along the L heart border. There seems to be collapse of one of the LLL basal segments (medial?) but there is also a similar process in the LUL seen on the lateral, it looks like an abnormal vascular structure with perhaps an anatomic variant to the take off of central vessels.

Mendez said...

On the lateral view, I am impressed by the kyphotic posture. I may be way off, but I'm thinking of Ankylosing Spondylitis with associated ILD. However, I'm not sure if see the "bamboo spine" on the PA that I remember from the textbooks. He does appear to have some dilated airways in the LLL (?tram tracks) which could be secondary to traction.