TY - JOUR T1 - Curious CXR JF - Emergency Medicine Journal JO - Emerg Med J SP - 442 LP - 450 DO - 10.1136/emermed-2019-208453 VL - 36 IS - 7 AU - Graham Pluck AU - Max Friedman AU - Henrietta McGrath Y1 - 2019/07/01 UR - http://emj.bmj.com/content/36/7/442.abstract N2 - 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?Acute collapse and consolidation secondary to pneumonia.Spontaneous haemothorax.Acute consolidation with underlying old TB.Traumatic lung contusions. ER -