Allow yourself ONE MINUTE to consider the following clinical information. After this time click the Next button to show the OSCE scenario image.
Mrs Johnson is a 72 year old life long smoker. She has a long history of increasing shortness of breath and reduction in excercise tolerance.
She has had many hospital admissions and has been treated with oral steroids at varying doses over several years.
Recently she has complained of increasing generalised chest pain, with pain specifically worse on coughing.
On examination she has quiet breath sounds. You note that she finds examination generally uncomfortable, and there are several points of severe rib tenderness over her chest wall.
You have requested a chest radiograph to investigate the cause of her chest pain. You will be asked to present the findings of the chest radiograph and to summarise your findings in view of the clinical history.