Test yourself: X-thorax

Case Study 1.

A 24-year-old man presents to his GP with general malaise and dyspnea
complaints present for 2 days.
History of asthma.

A chest X-ray is made (fig. 1).

CollegeThorax_Casus1a_PneumorhotaxAP_BLANCO4.jpgCollegeThorax_Casus1b_PneumorhotaxLinks_lateraal_BLANCO4.jpg

Figure 1. PA and lateral chest X-ray.

Findings?

Diagnosis?

Show answer

Case Study 2.

A 55-year-old man presents to the Emergency Assistance department with complaints of acute dyspnea and pain when breathing.
Lab: leukocytes 20, CRP 250.
History of hypertension, smoking
A chest X-ray is made (fig. 2)

Figure 2: PA and lateral chest X-ray.

Findings?

Diagnosis?

Show answer

Case Study 3.

A 41-year-old man presents to his GP with general malaise and complaints of dyspnea. The dyspnea has been present for a few weeks, but for three days now patient has also had a fever (Temp 38.3).
History: rheumatoid arthritis, sinusitis.

Figure 3. PA and lateral chest X-ray

Findings?

Diagnosis?

Show answer

Case Study 4.

A 20-year-old woman presents to her GP with complaints of dyspnea and fever. 
The patient has just returned from a holiday in Spain.
History: none.

CollegeThorax_Casus4a_infiltraatLOK_AP_BLANCO3.jpg

CollegeThorax_Casus4b_infiltraatLOK_Lateraal_BLANCO3.jpg

Figure 4. PA and lateral chest X-ray.

Findings?

Diagnosis?

Show answer

Case Study 5.

A 35-year-old man has had ‘complaints of tightness on the chest’ for years and would like to know the cause. Patient has no fever at the time of presentation.
History: smoking ++, alcohol +.

Figure 5. PA and lateral chest X-ray.

Findings?

Diagnosis?

Show answer