Dear friends, welcome to Caceres’ Corner. The objective of this post is to remember basic principles of chest imaging, with the emphasis on conventional radiography. Interpreting a chest radiograph is becoming a lost art and I would like to slow this tendency by reviewing the current approach to chest x-ray.
Nowadays, the initial question when facing a chest radiograph should be: “is there any abnormality present? And, if so, should we do any additional examination?” (CT in the great majority of cases).
With this approach in mind, let’s start with a sample case: 62 year old male with liver cirrhosis and upper gastrointestinal bleeding. No other symptoms. History of pulmonary tuberculosis 20 years ago.
The most likely diagnosis would be:
- Blood aspiration
- Loculated pleural fluid
- Carcinoma of the lung
- None of the above
I will be back with the solution in 1-2 weeks depending upon the number of answers posted. My muppet and I will be delighted to answer all your questions and comments (muppet will be in charge of the difficult ones).
Click here for the answer to Case #1!