from now on, i've decided to put up a case every now and then for the benefit of us all. this one is taken from jimbo's blog. so credit to the owner.
This 20-year-old Nepalese presents with 1 month history of cough and low grade fever.
CXR
1) describe the CXR
2) what is the diagnosis?
answer
1)
2) In keeping with common things being common, the obvious diagnosis would be an active pulmonary tuberculosis because:
This 20-year-old Nepalese presents with 1 month history of cough and low grade fever.
CXR
1) describe the CXR
2) what is the diagnosis?
answer
1)
- a PA view CXR.
- Sightly over-penetrated as one can see the thoracic spine behind the cardiac shadow.
- It is slightly rotated, so the trachea position cannot be commented on, however, it is probably not deviated.
- The costophrenic angles are well visualised, indicating no effusion.
- The right upper and middle third of the lungs are hazy with multiple cavities of varying sizes seen.
- The mediastinum is not widened.
2) In keeping with common things being common, the obvious diagnosis would be an active pulmonary tuberculosis because:
- cavities are an indication of active PTB.
- there is no evidence of fibrosis.
- the history is suggestive.
