Tag Archives: pneumotorax

Case Analysis: a problem of perception

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Havana,Cuba? No, Málaga, Spain

He was my patient. A serious and educated 55- year-old man with a diagnosis of metastatic colon cancer waiting to start chemotherapy. I started my usual physical examination, normal conjuntival coloration, normal heart sounds, but something keeps my attention: no ventilation in the left basal lung. No signs of pleural effusion or atelectasia. No dyspnea or thoracic pain. I asked for a thoracic X-ray but nothing attracts my attention.

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Black and white: how many details can you see?

 

 

 

IMG-20151220-WA0003_resized
Highlands, Scotland

Classical radiology is based in the contrast between black (air) and white (soft tissue) and is still a valuable tool for diagnosis but the observation must be systematic. How many abnormalities you see in the next X-ray?

A: 1                     B:2            C:3             D:0

 

Continue reading Black and white: how many details can you see?