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QJM Advance Access originally published online on February 22, 2006
QJM 2006 99(3):193; doi:10.1093/qjmed/hcl023
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© The Author 2006. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Clinical picture

Chest X-ray: what feature is of most concern?

Dr D.K.C. Lee, Dr P.S. Borade and Dr G.P. Currie

Department of Respiratory Medicine, Ipswich Hospital, Ipswich Department of Respiratory Medicine, Aberdeen Royal Infirmary, Aberdeen, UK.

email: dkclee{at}doctors.org.uk


Formula

The most obvious feature is probably the bilateral calcified pleural plaques, which are benign and consistent with previous asbestos exposure. However, the feature warranting most concern is the loss of the gastric air bubble. This 72-year-old man presented with a non-specific general deterioration in health. He subsequently underwent computed tomography scanning of his thorax and abdomen, which not only demonstrated the calcified pleural plaques, with no evidence of parenchymal disease, but also showed an enhancing soft tissue mass along the lesser curvature of the stomach extending towards the fundus, consistent with a gastric tumour.


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This Article
Right arrow Extract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
99/3/193    most recent
hcl023v1
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Right arrow Articles by Lee, D.K.C.
Right arrow Articles by Currie, G.P.
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