October 2011 Case of the Month

Michael B. Gotway, MD

Associate Editor Imaging

Reference as: Gotway MB. October 2011 Case of the month. Southwest J Pulm Crit Care 2011;3:145-9. (Click here for a PDF version of the manuscript)

Clinical History

A 67-year-old man with a history of squamous cell carcinoma of the throat, melanoma, and anemia presented with vague complaints of chest pain. A frontal chest radiograph (Figure 1) was performed.

What is the main finding on the chest radiograph? How would you describe the finding?  (Click on the answer to proceed)

1. A solitary pulmonary nodule
2. Diffuse linear and reticular abnormalities suggesting interstitial lung disease
3. A posterior mediastinal mass
4. Multiple cavitary nodules
5. Bilateral pleural effusions and thickening