An 80-year-old man with a right upper lobe opacity
| Autor: | Daniel Weiler-Ravell, Amer Saffuri, Hashem Bishara |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Mitral regurgitation business.industry 030204 cardiovascular system & hematology medicine.disease Pulmonary edema Surgery 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Heart failure medicine Etiology Immunology and Allergy Sputum Right upper lobe Radiology Differential diagnosis medicine.symptom business Mitral valve regurgitation Genetics (clinical) |
| Zdroj: | The Clinical Respiratory Journal. 11:126-129 |
| ISSN: | 1752-6981 |
| DOI: | 10.1111/crj.12293 |
| Popis: | Background and Aims The differential diagnosis of a right upper lobe pulmonary opacity in an elderly afebrile patient includes infectious and malignant etiology. However, unilateral lung edema should also be included in the differential diagnosis. Methods Case report of an 80-year-old afebrile patient who presented with cough, dyspnea and blood-tinged sputum and had an isolated right upper lobe infiltrate on chest X-ray on whom a diagnostic work-up including computed tomography scan of the chest and echocardiography was performed. Results Bilateral alveolar opacities and pleural effusions, not apparent on the chest X-ray, and a flail posterior leaflet with severe mitral valve regurgitation were revealed. His symptoms and findings responded to diuretic treatment. Conclusion Pulmonary edema should be considered in a patient with mitral valve regurgitation presenting with a unilateral lung infiltrate. Chest computed tomography scan findings consistent with heart failure and echocardiography demonstrating mitral valve regurgitation are the main clues to the diagnosis. Diuretic therapy should cause a rapid improvement of the radiologic and clinical findings. |
| Databáze: | OpenAIRE |
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