Imaging Case of the Week 180 Answer

[ad_1] The frontal chest x-ray shows a widened mediastinum with a prominent aortic arch. The trachea is displaced towards the right. The chest x-ray features are concerning for a dissecting aortic aneurysm. This patient went on to have a CTA chest which showed a Stanford type-B aortic dissection. Stanford A – affects the ascending aorta. Surgically managed. Stanford…

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Imaging Case of the Week 179 Answer

[ad_1] The chest x-ray shows a large right-sided hydropneumothorax. There is a right-sided intercostal chest drain in situ. Subcutaneous emphysema can be seen in the right chest wall, as well as the neck. Causes of hydropneumothorax: Complication of thoracocentesis (which is the case in this particular patient) Bronchopleural fistula Oesophageal rupture Post-pneumonectomy Chest trauma How to differentiate a pleural…

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