Effect of morbid obesity (portable chest x-ray)

Case contributed by Dr Balint Botz

Presentation

BMI over 40, septic, right jugular CVC placement.

Patient Data

Age: 30
Gender: Male
X-ray

Supine AP CXR (mobile unit)

Contrast and image quality (note diffuse haziness) is greatly reduced by the extreme thickness of subcutaneous fatty tissue. The CVC appears in a normal position, no gross abnormalities can be seen. 

Case Discussion

Morbid obesity is a true diagnostic challenge, limiting if not ruling out entirely the access to axial imaging modalities, and significantly reducing the usefulness of ultrasound and x-ray. Not being able to perform state of the art imaging exams on these patients further worsens their mortality. 

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Case information

rID: 63288
Published: 23rd Sep 2018
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included
Institution: University of Pécs

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