August 2014 Imaging Case of the Month

Michael B. Gotway, MD

Department of Radiology

Mayo Clinic Arizona

Scottsdale, AZ

Clinical History: A 42-year-old non-smoking woman presented with a history of relatively sudden onset left chest pain and shortness of breath. Her past medical history was remarkable for psoriasis, treated with Enbrel® (etanercept). She also had a history of partial hysterectomy for fibroids and right oophorectomy. Frontal and lateral chest radiography (Figure 1) were performed.

Figure 1. Frontal (A) and lateral (B) chest radiography.

Which of the following statements regarding the chest radiograph is most accurate? (Click on the correct answer to move to the next panel)

1. The chest radiograph shows a left-sided pneumothorax
2. The chest radiograph shows a mediastinal mass
3. The chest radiograph shows bilateral linear and reticular opacities
4. The chest radiograph shows multifocal, bilateral consolidation
5. The chest radiograph shows numerous small nodules

Reference as: Gotway MB. August 2014 imaging case of the month. Southwest J Pulm Crit Care. 2014;9(2):83-90. doi: http://dx.doi.org/10.13175/swjpcc104-14 PDF