Jillian Smith MD

What's the Diagnosis? By Dr. Lynn Manganiello

A 70 yo presents to your ED intubated by medics. The patient was reportedly having worsening respiratory distress, was trialed on CPAP but failed, ultimately requiring intubation prior to ED arrival. A stat portable CXR is done and shown below. What's the diagnosis?  (scroll down for answer)

 

 

 

 

Answer: Complete opacification of R hemithorax

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What's the Diagnosis? By Dr. Rebecca Fieles

24yo male with no significant PMH presents with acute onset sharp chest pain located in the anterior lower right chest. Pain started this morning while walking to the bathroom. The pain is pleuritic and worse with exertion. Xray is shown below. What’s the diagnosis? (scroll down for answer)  

 

 

 

 

Answer: Spontaneous Pneumothorax

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What's the Diagnosis? By Dr. Karen O'Brien

A 66 yo M w/ history of prior duodenal perforation s/p numerous graham patch repairs and prior endovascular aortic repair presents to the ED w/ altered mental status and hypotension w/ a SBP in 60s. He is emergently intubated. RUSH exam is done and free fluid is noted in the abdomen. His post-intubation CXR is shown below. What's the diagnosis? (scroll down for answer)

 

 

 

 

 

Answer: Pneumoperitoneum

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What's the Diagnosis? By Dr. Eric Chavis

A 27 yo M with a PMHx of osteosarcoma s/p R hip disarticulation and numerous lung metastases s/p L upper lobe wedge resection (1 year prior) presents to ED with DOE and "abnormal findings on outpatient CT scan." On ED arrival he is tachycardic w/ HR 135, RR is 18 and SpO2 is 93% on RA. On exam he has diminished but present breath sounds bilaterally. A CXR is obtained and shown below. What's the diagnosis? (scroll down for answer) 

 

 

 

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