Volume 154, Issue 4, Pages e107-e111 (October 2018)

Slides:

Advertisements

Similar presentations

Debapriya Datta, MD, FCCP, Vanessa Yap, MD CHEST

Advertisements

Cavitary Lung Lesion in a Patient With Congestive Heart Failure

A 28-Year-Old Woman With Branching Opacity and Chest Pain

Britta K. Sundquist, MD, Paul G. Comber, MD, PhD, Scott H. Beegle, MD

A 51-Year-Old Woman With an Increasing Chest Wall Mass Years After Resection of an Early Stage Lung Cancer Ajay Dhakal, MBBS, Hongbin Chen, MD, PhD,

Volume 150, Issue 3, Pages e87-e91 (September 2016)

Chest Pain and Progressive Miliary Infiltrates in an Elderly Man

A 48-Year-Old Woman With Headache and Respiratory Failure

Man With Sudden Lower Leg Numbness

Volume 151, Issue 5, Pages e119-e122 (May 2017)

A 28-Year-Old Woman With Branching Opacity and Chest Pain

Hangyul M. Chung-esaki, MD, Sara Nikravan, MD CHEST

Asem Qadeer, MD, Sahar Ahmad, MD CHEST

A Woman in Her 30s With a History of Cervical Cancer Presents With Shortness of Breath and Pleuritic Chest Pain Jing Gennie Wang, MD, Patrick Gerard.

Volume 153, Issue 1, Pages e5-e8 (January 2018)

A 71-Year-Old Woman Presenting With Abdominal Pain and Dyspnea

Volume 153, Issue 2, Pages e33-e36 (February 2018)

Matteo Trezzi, MD, Scott M. Bradley, MD, Andrew J. Savage, MD, Minoo N

A 28-Year-Old Woman With Branching Opacity and Chest Pain

A 67-Year-Old Man With Psoriatic Arthritis and New-Onset Dyspnea

A 61-Year-Old Caribbean Man With Thrush and Acute Respiratory Failure

A 70-Year-Old Woman With Acute Chest Pain and a Paracardiac Mass

A 26-Year-Old Man With a Pleural Effusion and Headache

Peter Hountras, MD, Hector Cajigas, MD CHEST

A 77-Year-Old Woman With Acute Shortness of Breath and Chest Pain

Debapriya Datta, MD, FCCP, Vanessa Yap, MD CHEST

An Elderly Man With Dyspnea and Chest Pain

Britta K. Sundquist, MD, Paul G. Comber, MD, PhD, Scott H. Beegle, MD

A 20-Year-Old Man With Fever, Chest Pain, and Lung Nodules

CT Chest in Cavitary Lung Disease

Volume 149, Issue 1, Pages e29-e33 (January 2016)

A 56-Year-Old Man With Cardiac Tamponade and Eosinophilia

Recurrent Pulmonary Aneurysms

A 39-Year-Old Postpartum Woman With Foot Drop and Shortness of Breath

A 63-Year-Old Man With Recurrent Dyspnea

A 70-Year-Old Woman With Dyspnea and Chest Pain

Volume 155, Issue 2, Pages e51-e54 (February 2019)

A 45-Year-Old Man With Severe Respiratory Failure After Cardiac Arrest

Elderly Woman With Chest Pain and Cough

Alexander Zider, MD, Nader Kamangar, MD, FCCP CHEST

A 57-Year-Old Man With Subacute Progressive Hemoptysis and Fevers

Volume 152, Issue 2, Pages e25-e28 (August 2017)

Resistant Hypertension

Volume 153, Issue 5, Pages e113-e117 (May 2018)

Bedside Calibration Of Pulmonary Artery Catheters

Volume 155, Issue 1, Pages e17-e20 (January 2019)

A Man in His 70s Presenting With Chest Pain and Hematuria

Spherical Pneumonia CHEST

Volume 155, Issue 3, Pages e69-e74 (March 2019)

A Patient With Effusion Undergoing Pleural Biopsy

A 40-Year-Old Woman With Multiple Pulmonary Nodules

Sean Connolly, MD, Peter Hountras, MD CHEST

Craig Fryman, MD, Sahar Ahmad, MD CHEST

Chronic Cough in a 70-Year-Old Woman

A 30-Year-Old Woman With Tricuspid Valvectomy Presents With Shock

Use of Endobronchial Ultrasound for Bedside Diagnosis of Acute Pulmonary Embolism in a Critically Ill Patient Colleen L. Channick, MD, FCCP, Richard.

Seema Amin, MD, David Stone, MD, Christina Anderlind, MD CHEST

Luke A. Seaburg, MD, Hiroshi Sekiguchi, MD CHEST

Pulmonary Artery Rupture Illustrations

Volume 156, Issue 1, Pages e5-e8 (July 2019)

An 87-Year-Old Woman With Pleural Effusion and Tortuous Aorta

A Diagnostic Conundrum

Bilal A. Jalil, MD, J. Shaun Smith, DO, Karim El-Kersh, MD CHEST

A Woman in Her 80s With Weakness, Hypoxia, and Bone Marrow Granulomas

Volume 155, Issue 5, Pages e141-e144 (May 2019)

A Woman Admitted to the ED With Severe Acute Respiratory Failure

Volume 153, Issue 6, Pages e123-e128 (June 2018)

Volume 155, Issue 5, Pages e149-e154 (May 2019)

A 58-Year-Old Woman With Pneumonia and Gram-Negative Diplococci

A 76-Year-Old Woman With Incidental Right Middle Lobe Atelectasis

Presentation transcript:

Volume 154, Issue 4, Pages e107-e111 (October 2018) A 62-Year-Old Woman With Acute Respiratory Failure and a Painful Right Lower Limb David Lagier, MD, Marine Gaudry, MD, Hubert Lepidi, MD, PhD, Cindy Perron, MD, Catherine Guidon, MD CHEST Volume 154, Issue 4, Pages e107-e111 (October 2018) DOI: 10.1016/j.chest.2018.05.036 Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 1 Bilateral pulmonary edema and right-sided pleural effusion on the chest radiograph. CHEST 2018 154, e107-e111DOI: (10.1016/j.chest.2018.05.036) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 2 Long-axis parasternal view with transthoracic echocardiography revealed (A) thickening of the aortic cusps and (B) severe aortic regurgitation with color Doppler imaging. CHEST 2018 154, e107-e111DOI: (10.1016/j.chest.2018.05.036) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 3 Three-dimensional reconstruction of CT angiography (left anterior oblique view) showing the site of thrombosis in the right external iliac artery. Calcified aortic bifurcation and common iliac arteries are shown. Residual perfusion of the right femoral artery results from a branch of the internal iliac artery. CHEST 2018 154, e107-e111DOI: (10.1016/j.chest.2018.05.036) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 4 Pathologic analysis of the aortic valve. Note the bland thrombus (yellow asterisk) to the valvular surface (white asterisk). The valve tissue and the thrombus are devoid of inflammation (hematoxylin-eosin-saffron, original magnification ×25). CHEST 2018 154, e107-e111DOI: (10.1016/j.chest.2018.05.036) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 5 18F-fluorodeoxyglucose PET/CT imaging revealed (A) a retrocardiac hypermetabolic lesion of the right lung and (B) hypermetabolic lesions in the left subclavian lymph nodes. CHEST 2018 154, e107-e111DOI: (10.1016/j.chest.2018.05.036) Copyright © 2018 American College of Chest Physicians Terms and Conditions