This patient is in A&E resus and you are asked to look at this CXR urgently. What do you say?
Large mediastinal mass with congestion and splaying of the carina. Most likely middle mediastinum. Options include ECHO if felt cardiac or CT to further assess.
There is splaying of the carina with a large subcarinal mass demonstrated. Prominent pulmonary vasculature at the hila and retrocardiac opacification / patchy consolidation is also demonstrated.