Patient came for medical checkup required for his new job. There is no chief complaint as such. What is the abnormality here and how to proceed?
Hiatus hernia No pleural effusion Normal repots
* Hitus herniation Except X-ray chest no other reports show any abnormalities detected. Pt is fit to resume his duties .
COPD Emphysema Rt base is collapsed PTB Sequel
Dome of diaphragm looks normal to me... ill defined opacities in patenchyma not visible may b due to poor pic quality... azygoesophageal recess is intact so i dont think there is any hiatus hernia... Although u can proceed with cect chest and usg abdomen to completely rule it out
Rt sided diaphragmic eventration seen. Could be normal or pathological. Needs evaluation like usg abdomen. ECG NSR S1 T3 Q3 sugg of Rt ventricular strain. Adv Echo CD to rule out RA RV dilatation. Further management accordingly.
Xray chest shows straightening of rt dome with a bump in cardiophrenic angle which is more likely hitus herniation I don't see any effusion Rest of reports are normal In my opinion pt is fit for job
Right side diphtagmatic eventration may be because of liver pathology abscess or hydatid cyst. Rule out it with CECT abdomen
POSSIBLY... HYDATED CYST LIVER. ABSCESS ADVISABLE.. C. T. SCAN
Rt. Lower lower lobe collapse ,get ct thorax ys snd
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### Asthma and COPD represent the tip of the iceberg for the non pulmonologists !!! Case 1 : Sliding hiatus hernia (misdiagnosed as asthma) Case 2 : Cryptogenic organizing pneumonia (COP)(misdiagnosed as chest infection) Case 3: Simple pulmonary eosinophilia (misdiagnosed as lung adenocarcinoma) Case 4: Kartagners syndrome (misdiagnosed as chest infection) Case 5: Round pneumonia (misdiagnosed as tumor) Case 6: Tracheal tumor (misdiagnosed as asthma) Case 7: Hiatus hernia (misdiagnosed as asthma) Case 8: Osteoblastic metastasis from prostate cancer (misdiagnosed as chest infection) Here comes the importance of specialist referral when in doubt. Not all wheezes is asthma !!! Not all glitters is gold !!!
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