Caceres’ Corner Case 124 (Update: Solution)


Dear Friends,

Today we are showing radiographs of a 59-year-old man with chest pain. What do you see?
Check the images below, leave your thoughts in the comments section, and come back on Friday for the answer.

PA chest

lateral chest

Click here for the answer to case #124

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    Nov 2015
    DISCUSSION 26 Comments

    26 Responses to : Caceres’ Corner Case 124 (Update: Solution)

    1. magda says:

      dilatation of pulmonary vessels

    2. francesco says:

      Pleural tickening in the upper lobes, more evident at right.

    3. gaborini says:

      double contour of the aortic knob and the descending aorta. Suspicious for aortic dissection, given the chest pain of the patient.

    4. Ryan says:

      On lateral X ray i can see some blastic lesions on the vertebrae. Maybe malignancy related?

      • Jose Caceres says:

        The sclerotic findings are secondary to degenerative changes. CT did not show any blastic metastases

    5. ivan says:

      Aberrant right subclavian artery

    6. gus says:

      Aberrant right subclavian artery between oesophagus and trachea

      • Jose Caceres says:

        Aberrant subclavian goes behind the esophagus. I believe you are thinking of aberrant left pulmonary artery (pulmonary sling)

    7. devjani chaudhuri says:

      morgagni hernia?

    8. genchi bari italia says:

      …vi è una impronta, vascolare, dietro la trachea in LL…quindi una anomalia vascolare di decorso dell’aorta( destroposta ?) o dei suoi rami collaterali….di più non si può dire , dai radiogrammi standard…

    9. Andrey says:

      I see hyperlucency above left diaphragm: maybe rapture of diaphragm?

    10. Elena says:

      Posterior superior mediastinal mass? Does he have dysphagia?

    11. sht says:

      soft opacity between trachea and esophagus, pushing trachea forward, indenting posterior margin.
      can aberrant left pulm artery be that large?

      Round opacity right paratracheal region?

    12. Hellene says:

      tumor mass located in the middle mediastinum ( superior).
      + is suspected the zone of calcification of cartilage of the first rib on the left.

    13. mouhannad says:

      lateral view:
      posterior indintation of tracheal wall due to posterior course of aberrant left subclavian artery