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Triple-rule out chest scan

    Author: Axel Küttner, MD, Erlangen, Germany
    Body Region: Chest

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • A 62-year-old man was referred to our emergency room for cough, expectoration of sputum, subfebrile temperatures, elevated C-reactive protein and leukocytosis.
    • Chest radiography showed no pneumonic infiltrations. Echocardiography showed pericardial effusion.
    • Antibiotic treatment was initiated.
    • Repeat chest radiography two days later showed small bilateral pleural effusions.
    • The following day, since the patient had not improved, chest CT was ordered to rule out
      pulmonary embolism or coronary artery disease.
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