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

February 2014 Imaging Case of the Month

Michael B. Gotway, MD

Department of Radiology

Mayo Clinic Arizona

Scottsdale, AZ

Clinical History: A 60-year-old man presented with a history of weight loss and dysphagia for about 2 weeks duration. There was a possible history of asthma accompanied by ongoing shortness of breath first noticed nearly 2 years ago. Frontal chest radiography (Figure 1) was performed.

Figure 1.  Frontal chest radiography.

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

1. The chest radiograph shows a mass
2. The chest radiograph shows hilar and mediastinal lymph node enlargement
3. The chest radiograph shows multifocal consolidation
4. The chest radiograph shows multifocal, somewhat basal predominant linear opacities suggesting fibrosis
5. The chest radiograph shows multiple nodules

Reference as: Gotway MB. February 2014 imaging case of the month. Southwest J Pulm Crit Care. 2014;8(2):88-95. doi: http://dx.doi.org/10.13175/swjpcc010-14 PDF

March 2013 Imaging Case of the Month

Michael B. Gotway, MD*

Sudheer Penupolu, MD^‡

Jasminder Mand, MD^†

*Department of Radiology, Mayo Clinic, Arizona

^‡Fellow, Pulmonary Medicine, Mayo Clinic Arizona

^†Pulmonary and Critical Care Medicine, Maricopa Medical Center

Clinical History: A 54-year old Hispanic woman with no significant past medical history presented with complaints of cough and worsening dyspnea. She was in her usual state of health until 4-5 weeks prior to presentation when she started noticing gradually worsening dyspnea on exertion. She reported a dry cough initially which subsequently became productive of whitish, mucoid sputum. The patient denied chest pain, sore throat, sick contacts, or recent travel history. A chest x-ray was performed (Figure 1).

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

Which of the following statements regarding the chest radiograph is most accurate?

1. The chest radiograph shows bilateral linear and reticular abnormalities
2. The chest radiograph shows nodular interstitial thickening
3. The chest radiograph shows multiple, bilateral circumscribed nodules
4. The chest radiograph shows mediastinal and hilar lymph node enlargement
5. The chest radiograph shows mediastinal widening

Reference as: Gotway MB, Penupolu S, Mand J. March 2013 imaging case of the month. Southwest J Pulm Crit Care. 2013;6(3):112-24. PDF