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Calcified pulmonary nodules
A 78-year-old female with stroke and hydrocephalus post-ventriculo-peritoneal shunt insertion presented with shortness of breath, productive cough, and fever that had been present for several days. Physical examination revealed basal crackle and rale over the left low lung (LLL) field. Chest radiograph (Fig. 1) showed an alveolar pattern involving LLL and a left-side pleural effusion. In addition, we observed multiple calcified nodules over the whole lung field. No specific occupational exposure was recalled.Extra-tracheal air
A previously healthy 18-year-old male was presented with chest pain and shortness of breath for 1 day. He had developed a respiratory tract infection with severe cough and sputum production a few days earlier. There was no history of trauma or foreign body ingestion and physical examination was unremarkable. The findings at chest X-ray and computed tomography are shown in Fig. 1.Extra- and intra-pulmonary nodules
A 43-year-old female with neurofibromatosis type 1 (NF1) presented with gradual onset of shortness of breath and back pain for several months. She also noticed swelling over the right aspect of her anterior chest wall (Fig. 1a). She had no history of fever, cough, sputum, trauma, or weight-bearing. Physical examination revealed multiple nodules and two larger masses over the trunk, decreased right breath sounds, and dullness on percussion. Computed tomography (CT) findings are shown in Fig. 1b and c.A ‘full moon’ shadow in the abdomen
A 65-year-old man with benign prostatic hyperplasia presented with abdominal fullness and constipation for one week. He did not report any nausea, vomiting or abdominal pain but he mentioned having decreased urine output for the past few days. He recalled that he took some over-the-counter medication for common cold last week. Physical examination revealed a rounded, non-pulsatile mass, more than 15 cm in size, over the lower abdomen with dullness on percussion. Abdominal radiograph showed a huge, ‘full moon’ shadow in the lower abdomen, with severe compression of the adjacent colon (Fig. 1).
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