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Table of Contents
RADIOLOGICAL DIAGNOSIS
Year : 2021  |  Volume : 9  |  Issue : 2  |  Page : 132-133

Radiological diagnosis


1 Department of General Medicine, Basaveshwara Teaching and General Hospital Attached to M R Medical College, Gulbarga, Karnataka, India
2 S B Medical Center, Gulbarga, Karnataka, India

Date of Submission17-Nov-2020
Date of Decision16-Mar-2021
Date of Acceptance16-Mar-2021
Date of Web Publication21-Apr-2021

Correspondence Address:
Dr. Sangram Biradar
S B Medical Center, #14, Lahoti Enclave, Station Road, Gulbarga, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajim.ajim_91_20

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How to cite this article:
Kulkarni S, Biradar S. Radiological diagnosis. APIK J Int Med 2021;9:132-3

How to cite this URL:
Kulkarni S, Biradar S. Radiological diagnosis. APIK J Int Med [serial online] 2021 [cited 2021 Jun 12];9:132-3. Available from: https://www.ajim.in/text.asp?2021/9/2/132/314207



A 65-year-old female presented with a complaint of breathlessness since 3 days, which was gradual onset and progressive in nature, the Modified Medical Research Council grade IV, with no positional variation, no history of orthopnea and paroxysmal nocturnal dyspnea, aggravated on exertion, relieved on taking rest, associated with scanty nonproductive cough. She also complains of giddiness, nausea, loss of appetite, and loss of weight. She was hypertensive since 20 years, on regular treatment. The patient had a history of breathlessness on exertion since 15 years. The patient gave a history of working in a glass factory 15 years back with exposure to dust. She had past history of joint pain in both the knees since 10 years. At the time of admission, the patient was maintaining saturation at room air with blood pressure of 140/90 mmHg and pulse rate of 92 beats/min. On inspection, there was decreased chest movements over bilateral mammary areas and on palpation, the chest expansion was reduced to 1 cm. On auscultation, fine crepitations were heard over the mammary, axillary, and infrascapular area. Cardiac, abdominal, and nervous system examination was normal. A chest X-ray [Figure 1] and high-resolution computed tomography (HRCT) thorax [Figure 2] were done.
Figure 1: X-ray

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Figure 2: High-resolution computed tomography thorax lung window

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  Questions Top


  1. What is the chest x-ray indicative of?
  2. What is the most probable diagnosis?
  3. What is the differential diagnosis?
  4. What is the HRCT thorax suggestive of?




Click here to view answer. View Answer
Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest




    Figures

  [Figure 1], [Figure 2]



 

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