Chest X-Ray guide: how to assess the hilar regions

Описание: A female in her 50s presents with a few month history of a cough and has a chest X-Ray. What does it show?





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LUNG CANCER AND ENLARGED HILAR NODES
👨🏽‍💻The key to this case is assessing the hilar regions in detail

👨🏽‍💻The density of the right hilum is abnormal when compared with the left whilst the morphology also does not resemble branching tapering vessels as you would expect

👨🏽‍💻The second abnormality is an extra contour next to the right hilum. Given this is separate to the hilum this must lie anterior or posterior to the hilum

👨🏽‍💻Infective consolidation with enlarged nodes is possible but given the lesion is very well defined lung cancer with enlarged nodes at the hilum must be considered

👨🏽‍💻This was confirmed on CT, PET-CT and CT biopsy

👨🏽‍💻The key here is to be able to piece apart the hilar regions - remember to assess the density and morphology and look for anything overlying them

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