November 2016 imaging case of the month

• Main Author: Gotway MB
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2016-11-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: IgG4; IgG4 related disease; chest x-ray; CT scan; nodule; consolidation; liver; kidney; mass; treatment
• Online Access: http://www.swjpcc.com/imaging/2016/11/4/november-2016-imaging-case-of-the-month.html

No abstract available. Article truncated at 150 words. Clinical History: A 38-year-old man presented to his primary care physician with complaints of pruritus, jaundice, and poor appetite. The patient had been diagnosed with hypertension one year earlier and was treated with hydrochlorothiazide and an angiotensin-converting enzyme inhibitor, but evidently did not tolerate the regimen well, and developed “tea-colored” urine following initiation of this therapy. He was also recently diagnosed with diabetes mellitus and also complained of intermittent right upper quadrant pain. Laboratory data, include white blood cell count and serum chemistries were within normal limits. Oxygen saturation on room air was 99%. Frontal and lateral chest radiographs (Figure 1) were performed. Which of the following statements regarding the chest radiograph is most accurate? 1. Frontal and lateral chest radiography appears normal; 2. Frontal and lateral chest radiography shows a focal, poorly defined right base opacity; 3. Frontal and lateral chest radiography shows bilateral peribronchial and mediastinal lymph node ...