40 yo M from Mexico with fevers and pleuritic chest pain

Case, content, original post by Lauren Brown, MD
Expert radiology interpretation by David Godwin, MD
Edited by Yilin Zhang, MD


OBJECTIVE

CASE

40 yo man from Mexico with 15 pack-year smoking history who presented with five weeks of subjective fevers, dyspnea, and pleuritic chest discomfort which did not respond to antimicrobial treatment. He denies known tuberculosis exposure and has been living in the U.S. for the last 3 years.

Vital signs and physical examination are normal.

CXR

How do you determine normal aortic size on chest x-ray? 


DIAGNOSIS AND OUTCOME

TAKE HOME POINTS

ADDITIONAL LEARNING