IF LU 001c Problem

Pooja Sikka MD Ashley Davidoff MD

Problem

CXR – Hyperinflation and LLL infiltrate and Tubular Structures in the Upper Lobes
77 year old female with history of asthma,  allergic bronchopulmonary aspergillosis (ABPA) and COPD
CXR shows hyperinflation, and  consolidation in the left lower lobe silhouetting the left hemidiaphragm, with prominent bronchovascular bundles in the upper lung fields seen both on the PA and the lateral Diagnosis: Asthma  Allergic Bronchopulmonary Aspergillosis (ABPA) COPD
Ashley Davidoff TheCommonVein.net
Silhouette sign, right middle lobe pneumonia. Initial frontal (A) and lateral (B) radiographs in a patient with clinical suspicion of pneumonia demonstrate obliteration of the right heart border. Follow-up radiographs the next day (C, D) illustrate dense opacification on the lateral view and persisting loss of the right heart border, confirming the presence of a right middle lobe pneumococcal pneumonia.
Source
Signs in Thoracic Imaging
Journal of Thoracic Imaging 21(1):76-90, March 2006.

Solution Next

Back to “Image First” Case List

Links and References