Chest X-Ray breakdown: clearing the retrocardiac region скачать в хорошем качестве

Chest X-Ray breakdown: clearing the retrocardiac region

A female in her 60s presents with a cough on a background of weight loss and upper abdominal pain and has a chest X-Ray. What does the X-Ray show? ————————————- PNEUMONIA AND RETROCARDIAC MASS 👨🏽‍💻There are two abnormalities on this film. Firstly there is consolidation which on the second film we can see obscures the left hemidiaphragm so know it involves the left lower lobe (loss of silhouette sign) 👨🏽‍💻This likely represents a pneumonia and accounts for the acute presentation of cough 👨🏽‍💻However if you look closer you will see the outline of a mass in the retrocardiac region which although could represent another focus of consolidation, given its well defined morphology is suspicious for an underlying mass 👨🏽‍💻Further workup revealed a mass in this region as well as left sided lung nodules and an upper abdominal mass with biopsy of one of the nodules revealing small cell lung cancer 👨🏽‍💻Small cell lung cancer is a highly aggressive subtype of lung cancer of neuroendocrine origin. Metastases are commonly found at diagnosis and given its central nature is not usually considered radically treatable with surgery 👨🏽‍💻Evaluating your chest X-Ray for mediastinal abnormalities and central masses is important to try and find potential cancers before metastasising ❓Find this useful? SUBSCRIBE for access to the full series of cases 🔻@theradiologistpage ——— ☑️Patient consent obtained #theradiologist #radiology #radiologist #physician #physicianassistant #medicine #medstudent #medicalstudent #medschool #medicalschool #radtech #xray #medical #radiography #radiologystudent #doctor #medicalstudents #interventionalradiology #chestxray #surgeon #medic #frcr #anatomy #lungcancer #usmle #medlife #exams #premed⁣