Caceres’ Corner Case 118 (Update: Solution)


Dear Friends,

An easy case to get ready for summer vacation. Images belong to a 43-year-old woman with recurrent episodes of chest pain. What would be your diagnosis?

Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.




Click here for the answer to case #118

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    Jun 2015
    DISCUSSION 20 Comments

    20 Responses to : Caceres’ Corner Case 118 (Update: Solution)

    1. DrPedro says:

      Reccurent spontaneous pneumothorax due to bullous emphysema.

    2. genchi bari italia says:

      …la diagnosi è semplice e pronta… come il simpaticissimo professore aspetterò a dirla…..come lui divertendomi….donna…polmone pulito…pntoraci recidivanti… lo sai lA riconosci….il tutto parte da molto lontano,,,,la pelvi!!!!è esclusiva delle donne fertili…..

    3. Fares says:

      Female patient between the ages of 30 and 50 years with recurrent pneumothoraces we should think in: Pulmonary lymphangioleiomyomatosis.

    4. Alberto Montemayor says:

      Catamenial pneumothorax

    5. Matt says:

      Chronic pneumothorax in a patient with pectus excavatum.

    6. Raul Medina Mireles MD says:

      Interstitial intralobular progressive infiltrate with air trapping and neumothorax…

    7. Sherif says:

      Hydro pneumothorax RT side

    8. Jose Caceres says:

      Good, I see you all are warming up!
      For those of you diagnosing LAM, do you see any lung changes?

      • Fares says:

        Findings which suggest LAM:
        Hydrompneumothorax, the fluid ma be from a chylous pleural effusion.
        Hyperinflation of both lungs
        Some diffuse bilateral reticulonodular densities, more seen in RUL.
        + Recurrent pneumothoraces

        • Jose Caceres says:

          Don’t you think it unusual that the pneumothorax is always in the right side?

    9. Fares says:

      The second DD is Catamenial Pneumothorax.
      but a spontaneous pneumothorax occurring always within 72 hours of menstruation and most of patients has evidence of endometriosis.

    10. Dylan Kurda says:

      Hyperexpanded lungs…Pneumothorax (Image 1 and perhaps 2 if supine), indistinct right cardiac border…I am thinking of Pectus excavatum (with possible Marfan’s)…

    11. Dylan Kurda says:

      Hyperexpanded lungs…recurrent pneumothorax…indistinct cardiac border in favour of pectus excavatum…I am thinking of Marfan’s

    12. genchi bari italia says:

      …la chiave di lettura è nel 1 radiogramma ove si osserva chiaramente un ispessimento ed irregolarità della pleura viscerale….il polmone sottostante è ” pulito”( non enfisema nè linfagioleeiomiomatosi)…pertanto la diagnosi è di pntoraci recidivanti in rapporto ad endometriosi pleurica…

    13. Yvette says:

      Right pneumothorax. L AM or catamenial pneumothorax due to pulmonary endometriosis.

    14. Vincenzo says:

      Very interesting and useful, as always! 🙂