CLINICAL DETAILS:
Retroviral disease. Dyspnoeic. Pyrexial. Right pleural effusion. Diffuse consolidation.
CHEST:
Even allowing for technical factors, there appears to be a diffuse, patchy, interstitial and airspace changes in both lungs. The appearance is non-specific. Atypical infection is likely. The pleural effusions go against the infection being PCP alone, although multiple infective organisms cannot be excluded.
CLINICAL DETAILS:
Bullous emphysema. Weight loss. Gradually worsening shortness of breath . ? Suitable for lung reduction surgery?
CHEST + LATERAL:
FINDINGS:
Marked emphysematous change affecting both lungs, particularly their upper lobes, most marked on the right, with severe air trapping.
CLINICAL DETAILS:
LV dysfunction, ischaemic heart disease. Previous CABG.
CHEST:
Sternotomy wires consistent with previous CABG. There is loss of volume in the right apex with elevation of the right hilum. There is some pleural effusion/pleural reaction at both lung bases.
CLINICAL DETAILS:
SOB. Cough. Bronchiectasis.
CHEST:
There is patchy change at the left base in keeping with infection superadded on known bronchiectasis. Pulmonary arteries are noted to be enlarged. There is loss of height of multiple thoracic vertebral bodies and I note that the patient has longstanding osteoporosis.
CLINICAL DETAILS:
Left upper zone nodule on chest X-ray. ? Ca lung. For bronchoscopy.
CHEST + LATERAL:
There is a nodule in the left upper zone which has a slightly spiculated margin with no calcification or cavitation. This lesion lies peripherally in the posterior segment of the left upper lobe and is highly likely to represent a small peripheral neoplasm. The lungs remain hyperinflated consistent with COAD. There are no other significant features.
CLINICAL DETAILS:
TB. Bilateral pleural effusions, left more than right.
CHEST:
There is a moderately large right-sided pleural effusion extending into the oblique fissure. A small right basal chest drain is noted. There is no obvious left-sided pleural fluid. The lungs appear clear.
CLINICAL DETAILS:
Chest infection?
CHEST:
There is cardiac enlargement and bilateral fine air-space shadowing and bilateral pleural effusion. Features are more suggestive of cardiac failure than infection.
CLINICAL DETAILS:
SLE. Pulmonary hypertension
CHEST:
There is prominence of both hilum due to enlargement of pulmonary vessels. There is blunting of both costophrenic angles which could represent small pleural effusion/pleural reaction. There is pruning of peripheral pulmonary vessels findings are consistent with pulmonary hypertension.
CLINICAL DETAILS:
Repositioned chest tube.
CHEST:
The tube has been withdrawn slightly and now the tip lies on a convexity of the hemidiaphragm. There is only a small amount of pleural fluid remaining. There is patchy plate atelectasis at the left base. There is a small right pleural effusion and patchy right lower lobe atelectasis.
CLINICAL DETAILS:
Lupus. Bilateral pleural effusions clinically.
CHEST + LATERAL:
There are moderately large bilateral pleural effusions present. Septal lines are present along both chest walls basally. Predominantly air space shadowing is seen in a perihilar distribution in both lungs, with peribronchial cuffing.
The most likely diagnosis is pulmonary oedema with bilateral pleural effusions.
CLINICAL DETAILS:
Lupus. Bilateral pleural effusions clinically.
CHEST + LATERAL:
There are moderately large bilateral pleural effusions present. Septal lines are present along both chest walls basally. Predominantly air space shadowing is seen in a perihilar distribution in both lungs, with peribronchial cuffing.
The most likely diagnosis is pulmonary oedema with bilateral pleural effusions.
CLINICAL DETAILS:
Post VQ ? Right pleural effusion. Right pleuritic chest pain.
CHEST:
The right heart border and cardiac apex are relatively poorly defined,and may partially be explained by epicardial fatpads. There is some bronchial wall thickening in the right lower zone and there maybe an element of consolidation in the medial segments of the right middle lobe. The lungs are otherwise clear.
COMMENT:
The features are non specific and could equally well represent infective change or pulmonary embolic disease although I note this is considered unlikely on the
VQ scan.
CLINICAL DETAILS:
SLE. Right pleuritic pain.
CHEST + LATERAL:
Normal.
CLINICAL DETAILS:
Vomiting. Renal failure.
CHEST:
There is a large rounded opacity at the left costophrenic angle. This may simply represent a loculated pleural effusion. There is some associated consolidation in the left mid zone. A small pleural effusion is noted at the right base. A left lateral decubitus may be of value for further assessment.
CLINICAL DETAILS:
Post AVR
CHEST:
The heart is enlarged (CTR 17/31). A prosthetic aortic valve is noted in situ. The lungs are clear. Right sided Hickman line is present, the tip projecting over the superior vena cava.
CLINICAL DETAILS:
ANCA. Positive vasculitis in lung and gut involvement.
CHEST:
There is a curvi linear line of atelectasis in the left lower zone. The lungs are otherwise clear. Heart is slightly enlarged. No vasculitic features demonstrable on this current radiograph.
CLINICAL DETAILS: Chronic renal failure.
CHEST:
There is a right internal jugular dialysis catheter in situ with its tip projected over the lower SVC. No active lung lesion is seen.
CLINICAL DETAILS:
Line insertion.
CHEST:
The right sided Hickman central line remains in a satisfactory position. In addition, there is now a left sided long line with the tip projecting over the SVC. The lungs remain clear.
CLINICAL DETAILS: Post Hickman line insertion. Post op AVR. For long term antibiotics.
CHEST: A dual lumen Hickman line was inserted via the right internal jugular vein under ultrasound guidance. No immediate complications.
CLINICAL DETAILS: AVR Day 5.
CHEST: There is a right internal jugular line, its tip in the SVC. Mediansternotomy wires and AVR noted. There are small bilateral pleural effusions. Congenital right sided rib anomaly noted.
CLINICAL DETAILS: Post removal of chest drain.
CHEST: Sternal sutures, prosthetic valve and RIJ line are seen. Allowing for the poor inspiration, the lungs appear clear. Minor blunting of the left costophrenic angle is seen consistent with a small pleural effusion. Incidental partial fusion of the posterior aspects of the right fourth and fifth ribs is noted.
CLINICAL DETAILS: Endocarditis. For AVR.
CHEST: The heart is enlarged and has a left ventricular configuration. The lungs are clear. The right 4th and 5th ribs are deformed posteriorly and are fused in places. This does not have the typical appearance of a congenital anomaly and may be related to previous surgery or trauma.