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Curious CXR

Abstract

A 98-year-old man with 2 days of headache, nausea, malaise and unsteadiness was referred to the ED by his GP with a suspicion of an intracranial bleed. His medical history included atrial fibrillation (AF) (taking warfarin). Observations were SpO2 95% on air, RR24, HR88, BP210/104, GCS14, Temp 34.3. On examination he had bilateral creps and was sleepy but not confused. A septic screen was undertaken and intravenous ceftriaxone given. His CTH was essentially normal. His CXR is shown in figure 1.

Figure 1

Anteropsterior(AP) CXR at presentation.

Question What is the diagnosis?

  1. Acute collapse and consolidation secondary to pneumonia.

  2. Spontaneous haemothorax.

  3. Acute consolidation with underlying old TB.

  4. Traumatic lung contusions.

  • chest
  • geriatrics
  • infectious diseases
  • bacterial
  • pneumonia/infections
  • x-ray

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