Elderly dementia patient in late 80s presenting after a fall off bed resulting in ankle fracture. Relatives report a few days of coughing. Inflammatory markers are raised, the patient is treated for a suspected chest infection. Vital signs are stable. ECG shows no ischemic changes, but troponin is significantly elevated. The patient has not reported any chest pain, but he is diabetic. How would you describe the appearance of this chest film?
Calcified aortic knuckle Round opaque shadow pushing/compressing trachea from lt side Prominent bronchovascular markings bilateral Rt hilar haziness COPD with suspicious lt hilar lymphadenopathy Malignancy should be r/o Or likely aortic aneurysm
* COPD WITH CARDIOMEGALY Heart size enlarged. B/ l hyperinflation and bronchovascular makings prominent. Needs further investigation and evaluation to rule out any eventuality.
Bil diffuse parenchymal reticulonoduler infiltration seen Cardiomegaly with aortic knuckle calcification seen DDs. pulmonary embolism. sepsis, which is a severe and potentially life-threatening reaction to an infection entering the bloodstream. chronic kidney disease.
Cardiomegaly with congestion but tropt positive go for 2 decho will give fair idea of akinesia dilation
CARDIOMEGALY
Cardiomegaly with pulm hypertension with LVF with ccf
COPD Cardiomegaly Aneurysm Aspiration pneumonia
COPD Emphysema CCF Ad 2DECHO
COPD with cardiomegaly,with CHF Need of HRCT CHEST n 2D Echo
Cardiomegaly with congestion 2 decho angiography must echo& trop positive then decide plasty or cabg
Cases that would interest you
- Login to View the image
42 yrs old male pt admitted with complaints of breathlessness and anasarca. .. 1. ecg findings? 2. differential diagnosis?
Dr. Suresh Narayanan2 Likes35 Answers - Login to View the image
85 year old lady who is a known case of CAD,UA,breathlessness now c/o sudden onset of fatiguability,breathlessness,3 episodes of vomiting along with alleged history of involuntary movements of limbs,uprolling of eyes and froathing of saliva from mouth.o/e, PR-85,SPO2-84, fine basal creps present,old ECG changes of T inversion in cjest leads and 1,AVL....suggest your diagnosis. @alona @aiswarya
Dr. Abhijith Varma3 Likes17 Answers - Login to View the image
70 yrs old presented with dyspnea bilateral pedal edema raised jvp Known case of asthma on inhalers Total count 18000 Bp160/90 Treated as acute asthma Ecg shows p pulmonale Tdy out put is decreased to 500ml ???Sepsis/rvf/ccf// Plz comment on xray !!!
Dr. Vinayak Hiremath1 Like32 Answers - Login to View the image
mild breathlessness, ghabrahat, Ecg normal, smoker 55 yr, is any abnormality in X-ray
Dr. Surender Kumar3 Likes25 Answers - Login to View the image
Here is hanumanthappa,75 year male presenting chief complaints as fever since 8days,cough with expectoration since 8days,urinary incontinence and bowel incontinence after admission,altered sensorium,anorexia.Personal History: Chronic Cigerrate smoker for 20 year. GP: Pallour+, BP: 140/98mmHg,pulse rate 76bp, Temp:100.2F ,respiratory rate: 18 cycles/min RS: Crepitous and wheeze heard. CVS: S1 and S2 heard no murmur. P/A: Non tender,no organomegally. plz kindly give DX and line of treatment.
Ravindra Kumar S Chauhan1 Like8 Answers
2 Likes