Friday, September 09, 2005

Abnormal CxR

This patient has no pulmonary symptoms. He had cxr because of severe GERD-related issues. Here is his CXR:

His CT is shown here:
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Here is the CT reconstruction:
What is the abnormality and what's your differential. Dont worry about guessing way off base, just guess!
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2 comments:

  1. BaleeiroMon Sep 12, 03:28:00 PM

    The abnormality on the CT and the CxR looks more like a hollow viscus (e.g. small bowel) in the thorax. The extra vessel seems to originate from the aorta almost below the diaphragm. It seems like a congenital hernia or a congenital cystic adenomatoid malformation (which will be more "hollow" than bronchopulmonary sequestration) rather than a lung sequestration...

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  2. JenningsMon Sep 12, 04:33:00 PM

    See follow-up above. Yeah this reconstruciton is cool because you can see the arterial supply AND the venous drainage back to the atrium.

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