Case 1
Using the ABCDE system, (A-airway, B-bones, C-cardiomediastinal, D-diaphragm, E-everything else), decide which area is abnormal in this case.
Question 1:
a) What are three things that could produce this appearance?
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Answer:
The trachea is deviated to the right and slightly narrowed. This could represent many different processes, including aneurysm, hematoma, adenopathy, goiter, or abscess.
The trachea is deviated to the right and slightly narrowed. This could represent many different processes, including aneurysm, hematoma, adenopathy, goiter, or abscess.
b) What additional imaging would be helpful?
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Answer:
The lateral view should help to localize the process, and likely a CT scan should be done to further evaluate all of these possibilities.
The lateral view should help to localize the process, and likely a CT scan should be done to further evaluate all of these possibilities.