Home
Print
E-mail
Reprint
altHere is a fun case for the 50% of you who are still reading your own plain films after hours (me too!). An elderly gentleman arrives with a dry cough and shortness of breath for several days. Family reports him to be “a little confused.” There is no history of trauma.

Vitals show P 65, RR 24, sat 93% RA, BP 145/68, Temp 37.3 C. He has a history of coronary angioplasty, and is taking metoprolol 50mg daily.You round up the usual suspects: possible pneumonia or PE, rule out cardiac ischemia or CHF. ABG shows a PaO2 of 62 mmHg. Labs are pending, and a chest X-ray is shown below. You request admission from the hospitalist, who in turn requests a CT scan to “rule out PE.”

What does the X-ray show? What will the CT show? 

Click next for conclusion
 

Comments   

# jeffryl joy 2012-07-04 04:08
i just wanna know the treatment for paracar diac pneumonia
Reply

Add comment

Security code
Refresh

Popular Authors

  • Greg Henry
  • Rick Bukata
  • Mark Plaster
  • Kevin Klauer
  • Jesse Pines
  • David Newman
  • Rich Levitan
  • Ghazala Sharieff
  • Nicholas Genes
  • Jeannette Wolfe
  • William Sullivan
  • Michael Silverman

Subscribe to EPM