Monday, January 16, 2006

Radiology Monday

This is one of our regular patients in his 60's with chronic cough and dyspnea. What do you think of the CxR?

4 comments:

  1. The xray is hard to read. Am I reading it correctly if I say there appears to be thickened lines, in a reticular pattern (seen best on the lateral) I don't want to go through the whole ddx if lower lobe ILD if the above is wrong. On the PA there appears to be some b/l haziness but I can't zoom in to see if there is an alveolar filling process or if this is all just interstitial dease in a "butterfly" pattern

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  2. Those are good comments, check out the lateral particularly the retro-sternal area.

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  3. Is there a rounded opacity/mass just anterior to the cardiac border?

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  4. It looks like your radiology dept has the same problem as ours... cuts off the costophrenic angles bilaterally.
    In addition to Jennings' comments, I would mention that the hilae look full with the left being more prominent than the right. This may explain the "nodule" visualized in the retrosternal area.

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