Triple-rule out chest scan

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

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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