QuestionSBA
QuestionChoice
The costophrenic angles are well-defined in the CXR with no obvious effusion.
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c
Pleural effusion
QuestionChoice
This history is less suggestive of a malignancy, which would be more likely to present with chronic systemic symptoms.
10035488
b
Adenocarcinoma of the lung
QuestionChoice
This history is not suggestive of pneumothorax and there is no evidence of pneumothorax seen on this CXR.
10035491
e
Pneumothorax
QuestionChoice
This is a complication of severe pneumonia. Radiolucency over the region of consolidation may instead be seen on CXR.
10035490
d
Cavitating pneumonia
QuestionChoice
This history suggests a patient who is at higher risk of aspiration due to the patient’s poor functional baseline and cognitive impairment. The CXR shows a right-sided pneumonia typical of aspiration.
10035487
a
Aspiration pneumonia
Concept
Chapter
2693
4389
Aspiration Pneumonia
Topic
132
Respiratory
19501
Aspiration pneumonia commonly occurs in patients with cognitive impairment and poor functional status, leading to increased risk of respiratory infections.
Picture
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An 87-year-old female has a productive cough and appears more confused than normal according to her carers. The carers state that her sputum is green in colour and that the patient seems to be slightly breathless when talking. She has a poor functional baseline and has lived in a care home, since her diagnosis of Alzheimer’s disease 5 years ago.

Her CXR is seen below:

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What is the most likely diagnosis?
a