abnormal CXR challenge TEASER

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Can you figure out what is wrong here?

I'd love to hear your comments and guesses before you follow the link below to the BLOG post with the full discussion!

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Emphysema, COPD. Advanced lung cancer. All of the above.

JJDigitalartStudio
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Is that a plastic spoon in his upper right lobe?

marydevling
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AP view
Underexposed
Not rotated
Fracture left clavicle?
Not on full inspiration
Subcutaneous emphysema bilaterally
Artifacts --> electrodes on right side
No lines and tubes noted
Costophrenic angles blunted
Cardiophrenic angles blunted
Silhouette sign
Hilar regions engorged
Lung fields --> interstitial pattern

:)

jpbarbosa
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I think that's SQ emphysema. Was this PT in a trauma?

monkeymeghan
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maybe ARDS with Subcutaneus Emphysema?

oOoironhideoOo
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The link in the description won't load within YouTube's app. I tried to get it to load externally but it just times out.

*Update* Works now! (1:11AM EST)

kitterzy
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Is that a pace maker or is it the electrodes?

cristyramirez
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patron miliar en ambos pulmones y derrame bilateral, se ve bien extraña.

Axel
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Otherwise its a bad case of sub-q emphysema

marydevling