Caceres’ Corner Case 193 (Update: Solution!)

Dear Friends,

Today’s radiographs belong to a 70-year-old man with a chronic cough. What do you see?

Check the images below and leave your thoughts in the comments section. More images will be shown on Wednesday, followed by the answer on Friday.

Dear Friends, now showing images of enhanced CT. Do they help?

Click here for the answer





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12
Nov 2018
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DISCUSSION 14 Comments

14 Responses to : Caceres’ Corner Case 193 (Update: Solution!)

  1. GONZALO LECUMBERRI CORTES says:

    Distal traqueal stenosis.

  2. Pratiba says:

    There is a right paratracheal density on the frontal view. The lateral chest X-ray shows obliteration of the Raider’s triangle with indentation on the posterior trachea. Likely oesophageal dilation causing chronic cough due to recurrent aspiration.

  3. Trinity says:

    Good evening sir. Ap view.There is retro cardiac silhouette seen on the right side. Increased size and density of the left hilum is also noted.
    Lat view shows decreased vertebral body height of D3.

  4. Fingers crossed says:

    Bulla in the right lower zone, trachea and intermediate bronchus seem dilated and tortuos.

  5. tr says:

    Greetings;
    widening of the superior mediastinum on the PA view with obliteration of the retro-tracheal space on the lateral view with mild compression of the posterior wall of the trachea.

    DDX of the retrotracheal space lesions:

    1-vascular lesions/anomalies.
    2-esophageal abnormalities.
    3- mediastinal abnormalities (tumors, infections, and intra-thoracic goiter).

  6. MK says:

    Good moorning!

    Distal trachea estenosis and right paratracheal line widening (probably adenopathies).
    In the lateral view there is a protrusion on the trachea probably because of an esophageal lesion.

    Perhaphs there is a double cardiac contour because of an increased of the left atrium (?).

  7. ali L A says:

    Bilateral prominent interstitial marking, mainly basaly with Kerley’s lines, both hilai are enlarged, double right heart border and splaying of carina, pictures of left atrial enlargement, mitral diseases.
    obscured left heart border, suspected of lingular consolidation.

  8. sonchi says:

    sarcoidosis

  9. Clever says:

    ? Aberrant right subclavian artery aneurysm causing right paratracheal density and posterior tracheal bulging (Kommerell’s diverticulum)

  10. tr says:

    Greetings,
    an air-fluid level can be seen posterior to the trachea, a small air bubble anterior to the this lesion probably represents the normal esophageal lumen, no abnormalities noted in the spine or para-spinal soft tissue.

    impression: zenker diverticulum.

  11. SUBBARAO KAKARLA says:

    Achalasia cardia

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