Presentation
Intermittent chest pain and palpitations, previous ablations for SVT. History of neurofibromatosis type 1.
Patient Data
Persistent left hemidiaphragm elevation containing loops of bowel is unchanged compared to previous study (and longstanding for several decades). This obscures the left heart border but allowing for this, the cardiothoracic ratio appears to be within normal limits. Associated left basal atelectasis. No obvious pleural effusion or focal consolidation. No pneumothorax. Surgical clips project over the left upper quadrant.
Multiple rounded densities projecting over the upper abdomen, posterior chest wall and breasts have increased in number since prior examination. Prior history of neurofibromatosis type 1 noted. Chronic scoliosis of the thoracolumbar junction.
Case Discussion
The patient had multiple NF1 skin lesions, some of which are apparent on this CXR.
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