Question
A patient presented with Weight loss and increasing shortness of breath.He is a chronic smoker.Chest X ray shows the following features.What can be the most probable diagnosis?
A. Left sided Pneumothorax.
B. Left sided Pleural Effusion
C. Left sided Pneumonia
D. Left sided Lung collapse
Show Answer
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Correct Answer » B
Explanation
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Ans:B. Left sided Pleural Effusion.
Chest X ray in the image shows:
- The left lower zone is uniformly white
- At the top of this white area there is a concave surface – meniscus sign(marked by red dots)
- The left heart border, costophrenic angle and hemidiaphragm are obscured
Diagnosis is large left sided Pleural Effusion.
- The cause might be underlying Bronchogenic Carcinoma as a history of chronic smoking and weight loss is present.
