Demographics:
63 years old, Male
Indication:
Fever, dyspnea
Findings
- Widening of the superior mediastinum with a rounded lucency overlying the right mediastinal border and a linear lucency extending along the right aspect of the trachea
- Coarsened interstitial markings with bibasilar patchy airspace opacities
- Small right pleural effusion with fluid tracking in the minor fissure
- Remote bilateral rib fractures
Diagnosis
Mediastinititis
Sample Report
Widening of the superior mediastinum with a rounded lucency along the right mediastinal margin, which findings raise particular concern for mediastinitis in the patient presenting with fever. Loculated mediastinal gas may relate to a necrotizing infection and/or communication with the trachea or esophagus. Recommend CT chest for further evaluation.
Patchy bibasilar airspace opacities are concerning for aspiration and/or pneumonia.
Small right pleural effusion.
Discussion