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SET T0028 - Emergency Department - Chest Radiographs

CASE 1

HISTORY

Young female patient.

Fit and well yesterday -  but chest pain developed today. 

No history of trauma. No shortness of breath.

QUESTION

Normal or abnormal CXR?

ANSWER

CASE 2

HISTORY

Middle aged female. Found unconscious on the floor. On recovering consciousness she is complaining of pain on the right side of the thorax. She is somewhat confused and not a good historian. The pain is "everywhere".

QUESTION

Is this CXR normal or abnormal? [Ignore the densities over the cardiac shadow - clothing artefact].

ANSWER

CASE 3

HISTORY

Young adult female. Previously fit and well. Presents with a recent onset of a cough, shortness of breath, and thoracic pain.

On examination the patient has a high fever. 

 

QUESTION

This CXR is abnormal. Please ignore the shadow in the midzone of the right lung - it represents an area of linear atelectasis (collapse) and will probably explain her cough.

There are other abnormal features on this CXR - can you detect them? If you can, then it will point you to the anatomical site that needs further investigation.

ANSWER

CASE 4

HISTORY

Adult female. No surgery. No trauma. No recent intervention by a physician.

Presents as: acutely unwell; drowsy; septic. Additional history: two weeks diarrhoea, nausea & vomiting.

QUESTION

Describe and list the abnormal appearances that you detect on this CXR.

What is the likely explanation for the abnormal shadows?

ANSWER