Presentation
Cough and dyspnea.
Patient Data
Age: 90 years
From the case:
Tortuous trachea
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the trachea is tortuous
artefactual mediastinal enlargement with probable true cardiomegaly (this is an erect anteroposterior chest view)
bilateral alveolar and reticular opacities
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loss of volume of the left lung and blunting of the costophrenic angles
Case Discussion
Tortuous airways are anatomical variants seen generally in eldery patients with skeletal deformities (e.g. kyphoscoliosis)1. It should be recognized because it may be challenging to intubate these patients.
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