José Vilar and Friends Case 19 (Update: Solution!)

Dear Friends,

I am spending few days near Barcelona and, of course, I had lunch with my friend José Caceres, master of the blogs. José ( and the Muppet) advised me to show you this case, so here it is.

This is a case that will test your ability to integrate the findings. Lets see…

56-year-old woman who has persistent cough.

Click here for the answer

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    25
    Nov 2019
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    DISCUSSION 7 Comments

    7 Responses to : José Vilar and Friends Case 19 (Update: Solution!)

    1. Laura says:

      Pneumonia in the Middle lobe

    2. Louis says:

      Middle lobe consolidation

    3. Samir Najma says:

      Rt Middle lobe consolidation with collapse

    4. José Vilar says:

      Pneumonia is a possible diagnosis, but the patient had no fever or other symptoms of infection. Any other possibilities?. Do you see any additional finding that could help?.

    5. PedroP15 says:

      I think that an Atelectasia of the middle lobe can be another option.
      There is a displacement of the minor and oblique fissures of the right lung in the PA and lateral films.
      There is a elevation of the right diaphragm too.
      In fact, the defined density abulting the right heart border

    6. kannan kanakaraj says:

      pneumonia with air bronchogram sign seen in the rt middle lobe with partial volume loss, the oblique fissure moving forward.
      the minor fissure is seen in frontal projection. there is also pneumonic patch in the ant segment of upper lobe. there is also ectasia of bronchiole aroud the rt hilum.
      right mammary shadow not seen
      there is suggestion of widening of pedicle of d 10 vertebra in lat view.
      probably a case of ca breast with mastectomy with radiation pneumonitis

    7. Albert says:

      Radiation pneumonitis

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