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Reply To: Radiograph Quiz!

Emma Holt

I have so many questions about the first one; it looks like a pneumomediastinum, but what is the underlying cause?
-The history of an intermittent cough doesn’t fit with the normal presentation.
-How long had it been coughing for?
-Did it get a CT and was there any underlying pathology present to explain why the pneumomediastinum had occurred (history of trauma, abscess, migrating FB?)
-Treatment-wise; if you haven’t found an underlying cause and the cough is mild are you just monitoring in the hope it will resolve on it’s own within a couple of weeks?

With the second one, showing mega-oesophagus; did you manage to get the radiograph conscious or was some sedation needed? Did you find an underlying cause for the MO?