The following PA and lateral chest x-rays are from a 12 year old with mild cough. What can be deduced from the x-ray?
[peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”]
The PA chest x-ray shows obscuration of the right heart border. The lateral chest x-ray shows a pectus excavatum. There is no air space opacity or collapsed lung segment overlapping the heart shadow.
3 causes of silhouetting of the right heart border are:
- Right middle lobe consolidation involving the medial segment
- Right middle lobe collapse involving the medial segment
- Pectus excavatum.