Subscribe to:
Post Comments (Atom)
Each post is a different clinical case. The intention is to discuss the cases in the comments.
Rad Files at RSNA 2005
AuntMinnie.com Headlines
American Journal of Roentgenology current issue
European Radiology
Radiographics current issue
Radiology - Continuous Publishing articles
Radiology Links
Radiology Blog´s
Blog Archive
Utilidades
RAD FILES was present in InfoRAD at RSNA 2005
<-- Copyright © 2005 Luis Tata, MD mailto:ltata@sapo.pt -->
4 comments:
Findings:
Emphysema with small subpleural bullae. Small area of subpleural fibrosis with a small cavity in the right apex. Mild fibrosis in the left apex. Right sided Aortic arch with right-sided Descending Aorta.
Based on the information given, I think the hypoxia is due to his emphysema. Does he have any other cardiac anomaly? It is very unlikely that the apical lesions are active and are the cause of his problems.
Thank´s for your comment! As you noted the patient have a right sided Aortic arch and also a left liver (situs inversus). He also have enfisema and a cavited apical lesion as you pointed. But the actual problem is more subtil. Try to magnifie the last image (click on it).
Hi lmt,
Thanks.
On the enlarged image I can see some discrete and confluent small subpleural nodules. The differential diagnosis would be very wide.
Is there some specific finding that I have missed? What is your diagnosis?
Thank´s Vijay.
The patient had a tree in bud pattern that is best visualized in the 7 mm images (this HRCT images have motion artifact). So in this patient our diagnosis is bronchogenic tuberculosis.
Post a Comment