SPOTTER : GIVE YOUR DIAGNOSIS

Pulmonary Medicine Blog By Dr Deepu

Mr X came to the out patient department with hemoptysis since 2 weeks, and chest pain in the right upper part anteriorly since 2 weeks. On questioning he further revealed weight loss since 2 months.
Chronic smoker with 60 pack years.
Examination revealed grade 3 clubbing. Clinical examination was normal.
This Chest X ray was taken.

1. What does the CXR show?
2. What is the differential diagnosis ?
3.  Diagnosis more likely?

4. Further Investigations required.

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SUGGESTED READING

1. Chest X Ray Part 1- Normal Anatomy And ItsVariants

2. BASICS OF CHEST X RAY- PART 2 , EASY WAY TO INTERPRET CXR.

3.Basics of Chest X Ray Part 3- systematic approach, silhouette sign and Hidden areas in chest Xray

4. BASICS OF CHEST X RAY-PART 4, THE HEART AND PERICARDIUM