• Emerg Med J · Jul 2019

    Case Reports

    Curious CXR.

    • Graham Pluck, Max Friedman, and Henrietta McGrath.
    • Emergency Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
    • Emerg Med J. 2019 Jul 1; 36 (7): 442-450.

    AbstractA 98-year-old man with 2 days of headache, nausea, malaise and unsteadiness was referred to the ED by his GP with a suspicion of an intracranial bleed. His medical history included atrial fibrillation (AF) (taking warfarin). Observations were SpO2 95% on air, RR24, HR88, BP210/104, GCS14, Temp 34.3. On examination he had bilateral creps and was sleepy but not confused. A septic screen was undertaken and intravenous ceftriaxone given. His CTH was essentially normal. His CXR is shown in figure 1 emermed;36/7/442/F1F1F1Figure 1Anteropsterior(AP) CXR at presentation. QUESTION: What is the diagnosis?Acute collapse and consolidation secondary to pneumonia.Spontaneous haemothorax.Acute consolidation with underlying old TB.Traumatic lung contusions.© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

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