Dear Friends,
Presenting today the leading case of the next webinar. PA radiograph of a 58-year-old woman with cough and fever.
What do you see?
The answer will be published on Friday. While you wait, you can check the first three webinars, check the EBR youtube channel!
Click here to see the image
Click here to see the answer
Findings: PA chest radiograph shows an ill-defined opacity behind the right hemidiaphragm (A, red arrows), better seen in the cone-down view (B, red arrows). The fact that the opacity is visible indicates that it is surrounded by air, placing it in the right lower lobe.
A lateral view confirms air-space disease in the RLL (C, circle), blurring the posterior aspect of the right hemidiaphragm.
Final diagnosis: RLL pneumonia
Congratulations to archanareddyt who was the first to see the opacity and to MK who saw it and suggested the right diagnosis.
Teaching point: Remember that in the PA view the lower lobes go deep behind the diaphragm. Pulmonary disease of any kind can be seen in the upper quadrants of the abdomen, as demonstrated by the present case.
Remember to check the webinar published on the EBR youtube channel!