Chest X-ray - Scenario 7
Scenario image interpretation
Tap on/off image to show/hide findings
Click image to align with top of page
Image Interpretation - Image 1
(Roll over image to show findings)
Quality
- Projection - PA - scapula retracted
- Rotation, inspiration and penetration - adequate
Findings
- Very large ring-like shadow forming the appearance of a cavity seen in the right lung upper/middle zones
- Increased density of right hilar structures
- Old, healed fractures of the left clavicle and ribs
Tap on/off image to show/hide findings
Click image to align with top of page
Image Interpretation - Image 2
(Roll over image to show findings)
Upper image - CT thorax (lung windows) at level of aortic arch
- The large cavity appears similar on CT as on the X-ray image
- The cavity appears to deviate the contour of the major/oblique fissure of the right lung (red line - also shown on left)
Lower image - CT abdomen at level of liver (purple line)
- Multiple areas of low density seen scattered throughout the liver have the typical appearance of metastatic deposits
- These metastases could be biopsied under imaging guidance