November 2015 Imaging Case of the Month

Thursday, November 5, 2015 at 8:00AM
Rick Robbins, M.D. in Birt-Hogg-Dubé, Birt-Hogg-Dubé syndrome, CT scan, chest x-ray, cystic lung disease, differential diagnosis, folliculin, papules, pneumothorax, skin papules

Michael B. Gotway, MD 

Department of Radiology

Mayo Clinic Arizona

Scottsdale, AZ

Clinical History: A 48-year-old non-smoking woman with a history of hysterectomy and right oophorectomy, and cholecystectomy, otherwise previously healthy, presented with right-sided chest pain. A frontal chest radiograph (Figure 1) was performed.

Figure 1. Frontal chest radiograph.

Which of the following statements regarding the chest radiograph is most accurate? (Click on the correct answer to proceed to the second of eight panels)

1. The frontal chest radiograph shows a right-sided pneumothorax
2. The frontal chest radiograph shows abnormal mediastinal contours
3. The frontal chest radiograph shows bilateral pleural thickening
4. The frontal chest radiograph shows no abnormal findings
5. The frontal chest radiograph shows small lung volumes with multiple small nodules

Cite as: Gotway MB. November 2015 imaging case of the month. Southwest J Pulm Crit Care. 2015;11(5):218-25. doi: http://dx.doi.org/10.13175/swjpcc140-15 PDF

Article originally appeared on Southwest Journal of Pulmonary, Critical Care and Sleep (https://www.swjpcc.com/).