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Last updated: Hypothermia
on May 20, 2013

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Pneumonia - upper lobe consolidation

It should be noted that this CT scan shows a rather expiratory scan (note collapse of bronchi).

There is a dense consolidation of the right upper and lower lobes with some adjacent ground glass consolidation.

There is a small right pleural effusion. Tiny left pleural effusion with adjacent atelectasis. 

Pneumonia

Right sided consolidation + pleural effusion. Note also important hardware: endotracheal tube, right sided central venous catheter and ECG leads.

Right heart failure with ascites

Heterogenous liver enhancement due to hepatic congestion. Dilated hepatic veins. Ascites more obvious on more caudal images

Aspiration pneumonia with right sided consolidation.  

Right sided patchy consolidation.

Previous oesophagectomy and gastric pull-through overlying left chest wall.

Infective Exacerbation of Asthma

Right Upper lobe consolidation + collapse

Horizontal fissure visible

Anaplastic thyroid cancer with retrosternal progression

CXR-  There is a well circumscribed opacity in the medial aspect of the right upper zone that extends above the clavicles,  with added soft tissue opacity in the right side of the neck, suggesting that this is likely to represent a superior mediastinal mass.

The diagnosis was later confirmed to be thyroid related with CT scan.

Coiled pulmonary Arterial-Venous Malformation (AVM) in patient with Hereditary Hemorrhagic Telangiectasia (HTT).

AP erect CXR demonstrates 2 coils in the left lung, which represent AVM's that have been treated with coil embolisation.

Pseudomyxoma Peritonei

A selected coronal image from a contrasted CT examination of the abdomen and pelvis demonstrates:

1. A large quantity of intra-abdominal ascites.

2. Inferior scalloping of the right lobe of the liver due to pressure effect, indicating the dense and likely mucinous composition of the ascitic fluid.

2. Peritoneal enhancement and a swollen appendix.

Diagnosis:

Features suggestive of acute interstitial pneumona (AIP) in early exudative phase. Pneumocystis pneumonia (PCP) is also another diagnosis being entertained

Marked ground glass attenuation bilaterally. There is no evidence of COPD, bronchiectasis or lung fibrosis. Lung fields show extensive patchy areas of ground glass haziness with some centrilobular nodularity. There is early traction bronchiectasis in the periphery. There are some areas of air trapping.

Fibroids

Four calcified fibroids

\" thumb-printing \" sign on AXR

"Thumb-printing " sign which suggests bowel wall oedema from fulminant colitis.