Showing today the leading case of the next webinar. PA radiograph belongs to an 86-year-old woman with chest pain.
What do you see?
More images will be shown on Wednesday. You can refresh your memory viewing the older webinars on our youtube channel.
Dear Friends, showing today a lateral film of the case. Hope it helps.
Click here to see the answer
Findings: PA radiograph shows a faint opacity in the left mid-lung field (A, arrow), better seen in the cone down view (B, arrow). The opacity is ill-defined, and my first impression would be an intrapulmonary lesion.
The lateral view shows that the opacity is located in the posterior chest wall. It has a typical pregnancy sign (C, arrow), indicating an extrapulmonary origin.
Enhanced axial CT confirms a low-density chest wall mass (D, arrow). Note the anterior displacement of the intercostal vessel (D, red arrow).
Final diagnosis: lymphoma of chest wall
Congratulations to all of you who diagnosed a chest wall lesion. Special mention to MK, who was the first to give the answer.
Teaching point: This case documents the importance of the lateral chest to clarify indeterminate findings in the PA radiograph.
Check the full webinar here