Case 1.

87 Year-Old man admitted as an emergency with a two week history of being unwell and three days of increased shortness of breath with a non-productive cough. Ex-Smoker, otherwise previously well. On admission unwell, tachycardic, tachypnoeic, apyrexial, cyanosed on air, with bilateral basal crackles.

Describe the radiological features on the admission X-Ray.

What is the differential diagnosis

List three important steps in the management of this patient.

Case 2.

 30 Year old Somalian man presented to A&E with right sided pleuritic pain and increased breathlessness for 5 days. He had recently seen his GP complaining of lethargy, sweats and weight loss.

What are the radiological signs on this CXR?

What is the diagnosis?

What are the first three things you would do in managing this patient?

Case 3.

 78 year old woman with long-standing atrial fibrillation and congestive cardiac failure admitted with increased breathlessness and chest pain on several occasions. The CXRs shown are from two consecutive admissions three months apart.

What are the radiological signs on each CXR?

What is the differential diagnosis?

What further investigations would you do?