José Vilar and Friends Case 17 (Update: Solution!)

Dear friends,

The fall is here and after a hike in the Teruel mountains I collected some mushrooms (“lactarius deliciosus” and “lepista nuda”, the blue one) and now, after tasting them, and perfectly healthy, I am ready to send you a new case.


This is a 73-year-old lady with a fractured hip; she had a this preoperatory chest radiograph. No respiratory symptoms.


Let us see what you think and more images will follow in a couple of days.


If you asked for the lateral projection here it is.

Does this clarify the case?

Click here for the answer

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    Oct 2019
    DISCUSSION 4 Comments

    4 Responses to : José Vilar and Friends Case 17 (Update: Solution!)

    1. Skblue says:

      Enlarged left pulmonary artery

    2. Fingers crossed says:

      Lower mediastinal mass, looks calcified, could be cold abscess. Need lateral view and hystory. And a CT would be nice, also.

    3. PedroP15 says:

      I see the “sign of the third Mugel” in the left side of the heart.

    4. karen walker says:

      Hello, I am a PA student and am looking for some help with interpreting CXRs. Please email [email protected] if anyone is willing to help me, it would be much appreciated. Thank you.