Shortness of breath and unexpected imaging findings

The differential diagnosis for this patient included pneumonia, tuberculosis, pneumothorax, pleural effusion, pericardial effusion, and lung cancer. A view of the right lung base in the midaxillary line showed fluid above the diaphragm and a "spine sign" suggestive of pleural effusion [1]...

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Veröffentlicht in:The American journal of emergency medicine 2016-05, Vol.34 (5), p.938.e5-938.e6
Hauptverfasser: Berkowitz, Rachel, Mangan, James, Mahal, Jacqueline, Siadecki, Sebastian D., Rose, Gabriel, Sunderwirth, Ramona, Cramer, Kyle, Meyers, Brian K., Oliveira, Carlos, Saul, Turandot
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container_title The American journal of emergency medicine
container_volume 34
creator Berkowitz, Rachel
Mangan, James
Mahal, Jacqueline
Siadecki, Sebastian D.
Rose, Gabriel
Sunderwirth, Ramona
Cramer, Kyle
Meyers, Brian K.
Oliveira, Carlos
Saul, Turandot
description The differential diagnosis for this patient included pneumonia, tuberculosis, pneumothorax, pleural effusion, pericardial effusion, and lung cancer. A view of the right lung base in the midaxillary line showed fluid above the diaphragm and a "spine sign" suggestive of pleural effusion [1] but, more interestingly, also showed cardiac activity (Fig. 1). The result is ipsilateral shift of intrathoracic structures, loss of lung volume, limitation of chest wall excursion, and a restrictive pattern of lung physiology [2-4].
doi_str_mv 10.1016/j.ajem.2015.09.042
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subjects Dyspnea - etiology
Emergency medical care
Family medical history
Female
Fibrosis - complications
Fibrosis - diagnosis
Humans
Lung cancer
Middle Aged
Ostomy
Pleura - diagnostic imaging
Pleura - pathology
Pleural Diseases - complications
Pleural Diseases - diagnosis
Radiography
Spine
Tuberculosis
Ultrasonography
title Shortness of breath and unexpected imaging findings
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