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?

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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

Thanx dr Ashok Leel
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* COPD WITH CARDIOMEGALY Heart size enlarged. B/ l hyperinflation and bronchovascular makings prominent. Needs further investigation and evaluation to rule out any eventuality.

Thanks Dr Dhaval Acharya
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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

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