Friday, September 19, 2014

Kenya Mobile X-ray Unknown Case


Our mobile X-ray truck continues to work well, which is incredibly exciting.  Today, our first patient had a really good, interesting X-ray.  

37 yo with history of Tb that was treated.  She successfully finished her course of treatment, but has persistent chest pain, which is worse with coughing.

The clinical officers here had never seen a finding like this and would have missed the diagnosis, which changed treatment.  

Leave a comment with your diagnosis :-)

6 comments:

informaticsguy said...

Congenital aplasia / hypoplasia of L lung.

Marc Kohli said...

There is some volume loss on the left but it's not congenital.

Jennifer Medley said...

Bronchopleural fistula? -Jen

Jeff Dunkle said...

Airway FB on right?

Marc Kohli said...

Tarver confirmed diagnosis - bronchpleural fistula. Thanks to informatics guy, Jen and Jeff for commenting!

Richard Wiggins said...

any temporal bone CTs? HA!