October 2012 Imaging Case of the Month

Tuesday, October 2, 2012 at 10:46AM
Rick Robbins, M.D. in airway obstruction, carcinoid tumor, diffuse idiopathic neuroendrocrine cell hyperplasia, hyperinflation, neuroendocrine cell hyperplasia

Michael B. Gotway, MD

Associate Editor Imaging

Department of Radiology

Mayo Clinic Arizona

Scottsdale, AZ

Clinical History: A 65-year-old non-smoking woman presented with a history of cough, exertional dyspnea, and occasional wheezing. Frontal chest radiography (Figure 1) was performed.

Figure 1. Admission chest x-ray.

 Which of the following statements regarding the chest radiograph is most accurate?

1. The frontal chest radiograph is normal
2. The frontal chest radiograph is non-specifically abnormal
3. The frontal chest radiograph shows numerous small nodules, consistent with a “miliary” pattern
4. The frontal chest radiograph shows significant right lung volume loss, suggesting endobronchial obstruction
5. The frontal chest radiograph shows diffuse fibrotic lung disease

Reference as: Gotway MB. October 2012 imaging case of the month. Southwest J Pulm Crit Care 2012;5:186-92. PDF

Article originally appeared on Southwest Journal of Pulmonary, Critical Care and Sleep (https://www.swjpcc.com/).