Question
A chronic smoker presented with progressive shortness of breath and cough.Chest X ray showed the following features.What can be the most probable diagnosis?
A. Right upper lobe Collapse.
B. Right sided Pneumonia.
C. Right sided Pneumothorax.
D. Normal X ray.
Show Answer
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Correct Answer » A
Explanation
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Ans:A. Right upper lobe collapse.
Chest X ray in the image shows:
- The horizontal fissure has been displaced upwards from its original position (shown by yellow arrow)
- Dense opacification of the medial part of the right upper zone (shown by red circle)
Enlarged right hilum.
Probable diagnosis is Collapse of Right upper lobe.
- The underlying cause might be a lung cancer causing obstruction to the right upper lobe bronchus(as there is a history of chronic smoking)
