Case 4
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 diagnostic possibilities to consider for this case?
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Answer:
There is a mass on the right that appears to be centered on the diaphragm. This could be a lung mass (but it appears a bit too well defined for that), a pleural mass, a diaphragm mass, or an abdominal process protruding through the diaphragm.
There is a mass on the right that appears to be centered on the diaphragm. This could be a lung mass (but it appears a bit too well defined for that), a pleural mass, a diaphragm mass, or an abdominal process protruding through the diaphragm.
b) What additional imaging is needed?
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Answer:
Again, the lateral view will likely help to localize the process, and likely a CT scan will be needed to further characterize it. Comparison to prior studies would also be helpful to decide if this process is acute or chronic.
Again, the lateral view will likely help to localize the process, and likely a CT scan will be needed to further characterize it. Comparison to prior studies would also be helpful to decide if this process is acute or chronic.
