Presentation
Epigastric pain.
Patient Data
Age: 76
Gender: Male
From the case:
Small bowel obstruction on lateral chest x-ray
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Cardiac silhouette is enlarged. Unfolded thoracic aorta. Lungs and pleural space are clear. No free subdiaphragmatic gas. Dilated loops of bowel with air fluid levels on the lateral projection, suggestive of obstruction. Thoracolumbar kyphosis secondary to mid/lower thoracic wedge compression fractures.
Case Discussion
Subsequent CT demonstrated a small bowel obstruction. The point of this case is that it is easy to overlook the corners of the film, and not interrogate the findings if you do seem them. The bowel loops are clearly dilated with numerous air-fluid levels.
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