A 60 year-old smoker presents to her GP with weight loss and haemoptysis.
What does this CXR show? Enter your answer in the space provided.
See image 1.
The CXR image likely shows left upper lobe collapse. This is suggested by the presence of the "veil sign," which refers to a hazy opacity seen on the CXR due to the collapsed lung. Upper lobe collapse is also a possible answer as it is a more general term that encompasses left upper lobe collapse. The patient's symptoms of weight loss and haemoptysis are concerning for lung cancer, which can lead to lobar collapse.
A 70 year-old man presents with progressive breathlessness. On exmaination he is cyanosed and has finger clubbing.
What is the most likely diagnosis? Enter your answer in the space provided.
See image 2.
The most likely diagnosis for a 70-year-old man presenting with progressive breathlessness, cyanosis, and finger clubbing is idiopathic pulmonary fibrosis. This condition is characterized by the scarring and thickening of the lung tissue, leading to impaired lung function and difficulty breathing. The term "idiopathic" indicates that the cause of the fibrosis is unknown. Other terms such as pulmonary fibrosis, cryptogenic fibrosing alveolitis, fibrosis, and interstitial fibrosis are all related to the same condition.
A 55 year-old man with a history of prostate cancer complains of chest pain.
What is the cause of his chest pain?
See image 3.
C. Rib metastasis
The most likely cause of the 55-year-old man's chest pain is rib metastasis. Rib metastasis refers to the spread of cancer cells from another primary tumor to the ribs. In this case, the patient's history of prostate cancer suggests that the cancer may have metastasized to the ribs, leading to the chest pain. This is a common occurrence in advanced stages of cancer, where cancer cells can spread to other parts of the body through the bloodstream or lymphatic system.
Which of these abnormalities are present in this chest x-ray?
See image 4.
More than one answer may be correct.
E. Rib fractures
The chest x-ray shows evidence of pneumothorax and rib fractures. A pneumothorax is indicated by the presence of air in the pleural space, which can be seen as a dark area around the lung. Rib fractures are identified by the presence of discontinuities or breaks in the ribs. These abnormalities can be observed in the chest x-ray image provided.
What is visible below the diaphragm on this chest x-ray?
See image 5.
C. Oesophageal stent
The correct answer is "Oesophageal stent". An oesophageal stent is a medical device that is used to treat narrowing or blockages in the oesophagus. On the chest x-ray, the oesophageal stent would be visible as a metallic or radiopaque structure in the region of the oesophagus.