Take a look at the following seven chest X-Rays. The accompanied history is super vague on purpose I swear. Post your answers in the comments. Enjoy!
Toddler with tachypnea and upper respiratory infection
School age child with fever and cough
Child with sickle cell anemia and chest pain
Teen that developed chest pain abruptly while playing basketball
Driver of a rollover motor vehicle accident
Infant with congestion, cough and tachypnea
Infant with congestion, cough and tachypnea
Since no one else will make any guesses:
1) Boot shaped heart? Tetrology of Falot?
2) Mediastinal Mass? Lymphnode/lymphoma?
3) Dunno, cardiomegally?
4) Pneumo
5) Pneumo and ET tube
6) RML pna?
7) Bilateral infiltrates, some peribronchial cuffing. viral pneumonitis? RSV?
Meh, they probably all have rsv, (except 4&5, they definitely have a pneumo…and rsv). Why are you getting so many x-rays on kids with rsv?
#1 is close, it isn’t Tetralogy, but the odd shape is due to a Right sided aortic arch
#2 is a classic example of a round pneumonia most often caused by strep pneumo
#3 is Cardiomegaly – BINGO!
#4 is a Pneumothorax
#5 is a Tension Pneumothorax
#6 and #7 are both the dreaded “viral versus reactive airways disease”
Great series
Thanks! I’ll look to include some more like this is the future
awesome xrays to review brad!
Jack
No problem – thanks Jack
Could the person in #4 also have Marfan’s? If so, we may need to consider other cardiac etiologies of sudden onset chest pain.
Great pictures. Thanks for posting.
Interesting thought Dave – in my institution we “allow one” spontaneous pneumo and don’t necessarily do genetic studies unless there is a family or personally concerning history
[…] Chest X-Ray Challenge! – Are you up for it, and the history doesn’t give you much! […]
Enjoyed the images. Learned through comments. Thanks all!
PA student- UW