RADIOLOGY CASE REPORT
RADIOLOGY CASE REPORT
Patient ID: OH#__TOH 1086797-6_______ Date of Study: _Nov 15, 2008; 21:20______
Type of Study: _CXR____________________________________________________
1. Clinical Indication: __90 yo male admitted from Retirement Home with sudden SOB, increased cough x 1 month with purulent sputum and trace hemoptysis.
O/E: Chest – decreased air entry, RML dull, bibasilar crackles present, egophany present
ECG: ECG: NSR at 80, Normal axis, normal intervals, no ischemic changes
2. Picture:
2. Describe the radiological findings:
There is consolidation in the right middle lobe and mid left lung in keeping with pneumonia. Some air bronchograms are present. There is good inspiration with 7 ribs seen anteriorly. There is no air under the diaphragm or pleural effusions. The heart is within normal size limits ( 25 PMNs/lpf.
• Sputum culture
• Blood cultures before antibiotics
• SaO2 or PaO2
• Other laboratory evaluation: CBC with differential, electrolytes, BUN/Cr, glucose, LFTs
7. How would you explain to the patient about the possible risks and benefits of this test?
RISKS: X-rays are a form of electromagnetic radiation that pass through the body. Due to their high energy nature, they can damage cells in the body. This can lead to an increased risk of developing cancer. This risk is fairly low, but is cumulative with each X-ray a person receives.
BENEFITS: The benefit of the X-ray is that it will quickly provide a picture of what is happening in the lungs and help to confirm a suspected pneumonia. It is non-invasive, causes little discomfort for the patient, and if the patient is immobile can be administered at the bedside (portable - although not ideal).
8. What is the cost of this test?
The cost of a CXR is approximately $50-80, not including the cost of interpretation by a radiologist or physician. (Source: ). (Note: It was very difficult to find the actual cost of an x ray, although various databases and sources were searched including CIHI, e-medicine, Uptodate, etc.) _
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