Lol. JR Roentgen. you witty bastard hiding down there in your dark cave. always ready to let me know that the bilateral intersitial inflitrates could be CHF, vs Bilateral PNA, vs atelectasis. follow up films and $2000 CT scan recommended for further eval." How in the heck would any of us ever come to a diagnosis without you? sigh.
well i think its adult respiratory distress syndrome since this is an ICU patient and patchy lungs may indicate infiltration,penumonia is a possible too since she has a scolosis-a pretty bad one- and a denture (oral hygeine maybe defective) adam issolom@yahoo.co.uk
What is your dynamic differential diagnosis? 
Without relevant history I will not formulate a differential, but, here's what I can see on the X-Ray so far...
ReplyDelete1. Scoliosis, obviously,
2. Aortic calcification,
3. Osteopenia,
4. Bilateral haziness of both lung fields R>L,
5. Some interstitial process, honeycombing,
6. Blunting of CPAs,
6. Enlarged heart shadow,
7. ??? Pericardial effusion?
8. Dentures :-)
9. Older female obviously
What else?
renal failure. (that's a dialysis cather)
ReplyDelete....too much medical intervention.
ReplyDeleteGomer?
ReplyDeleteMehmet Hee. Gomere?
ReplyDeleteLOL :) I had to look-up what "Gomere" meant. We learn something new everyday. :))))
ReplyDeleteBlah, blah, blah..................blah. A CT angiogram followed by a gadolinium contrast MRI may be more definitive. Clinical correlation recommended.
ReplyDeleteImpression: No Acute Disease
/Thank You for allowing me to participate in the care of your patient.
J R Roentgen MD
ABC Medical Center
Radiology Dept
slightly rotated. but otherwise NAD compared with previous.
ReplyDelete/vide supra
Lol. JR Roentgen. you witty bastard hiding down there in your dark cave. always ready to let me know that the bilateral intersitial inflitrates could be CHF, vs Bilateral PNA, vs atelectasis. follow up films and $2000 CT scan recommended for further eval." How in the heck would any of us ever come to a diagnosis without you? sigh.
ReplyDeletewell i think its adult respiratory distress syndrome since this is an ICU patient and patchy lungs may indicate infiltration,penumonia is a possible too since she has a scolosis-a pretty bad one- and a denture (oral hygeine maybe defective)
ReplyDeleteadam
issolom@yahoo.co.uk