Presentation
Fever for investigation.
Patient Data
Age: 60 years
Gender: Female
From the case:
Anorexia nervosa - thoracic manifestations
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/113395/annotated_viewer_json?_c=1655531276\u0026lang=us"}
Hyperinflated lungs. No focal consolidation, lobar collapse or pleural effusion. Narrow cardiomediastinal contour. Thoracolumbar scoliosis. Mid thoracic vertebral compression fracture.
Case Discussion
This patient had a long history of anorexia nervosa, manifesting on this chest x-ray as:
- marked lack of subcutaneous fat
- hyperinflated lungs possibly representing emphysema (can be due to autophagy)
- narrowed cardiomediastinal contour (reduced cardiac mass and mediastinal fat)
- thoracic vertebral crush fracture (related to osteopenia)
Unable to process the form. Check for errors and try again.