A chronic smoker presented with chronic shortness of breath with recent worsening.Chest X ray showed the following features.What can be the most probable diagnosis?
A. Right sided Lung carcinoma.
B. Right sided Pleural Effusion.
C. Right sided Pneumothorax.
D. Right sided Pneumonia.
Ans:A. Right sided Lung carcinoma.
Chest X ray in the image shows:
- The left costophrenic angle is sharply defined (normal)(marked by yellow arrow)
- The right costophrenic angle is blunt (abnormal)(marked by red arrow)
- There is volume loss in the right hemithorax with corresponding shift of the mediastinum and trachea to the right (marked by blue arrow)
- Note: Pleural effusions do not cause volume loss.
- Lung cancer occluding the central airways with collapse of the right middle and lower lobes – which can be confirmed by CT and bronchoscopy