Radiology Quiz 37004 | Radiopaedia.org

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Questions
Findings

What important differential diagnoses could imaging help identify/exclude?

What the chest symptoms, a pulmonary embolus could be a potential diagnosis, even in an otherwise healthy individual. Consolidation from pneumonia should be considered. Weight loss and progressive symptoms could suggest malignancy. Heart failure could also explain breathlessness and leg swelling.

Question 2

What will be your choice of imaging modality?

Show Answer

Plain chest radiograph would be an appropiate initial imaging choice. CT could be considered to further investigate any abnormalities.

Presentation

Emergency admission with pleuritic chest pain, shortness of breath, cough and leg swelling. Generally unwell over two weeks, with significant weight loss over a few months. No known medical history. Non-smoker. Vacation within the last month with three hour flight. No medications. New fast AF (215 bpm).

Patient Data

Age:	25
Gender:	Male