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Case #15

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Demographics: 58 years old, Female
Indication: Dyspnea

Case #15

Findings

Chest radiograph

  • Widespread bilateral interstitial and alveolar opacities
  • Thoracic aortic atherosclerosis

CT

Chest

  • Multifocal patchy groundglass opacities and interlobular septal thickening ("crazy paving" pattern)
  • Small right greater than left pleural effusions
  • Thoracic aortic atherosclerosis without aneurysm
  • Mild coronary artery calcification
  • Mildly enlarged prevascular lymph nodes in the superior mediastinum, likely reactive
  • 1.6 cm right thyroid nodule

Upper abdomen

  • No acute findings

MSK

  • No acute findings

Diagnosis

Acute respiratory distress syndrome (ARDS)

Sample Report

Multifocal patchy bilateral interstitial and airspace disease for which differential considerations include multifocal pneumonia, ARDS, and alveolar proteinosis. Recommend follow-up chest CT after treatment to monitor progression.

Small right greater than left pleural effusions.

1.6 cm right thyroid nodule. Recommend nonemergent thyroid ultrasound for further evaluation if not previously performed.

Discussion

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References

  • Zompatori M, Ciccarese F, Fasano L. Overview of current lung imaging in acute respiratory distress syndrome. Eur Respir Rev 2014; 23(134): 519-530.

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