Monday, September 9, 2013

Granuloma in Chest X-ray

 PA chest x-ray 
Right lateral chest x-ray

A foreign worker came for medical check up and a PA view was done.
There is a 3mm nodule at the right lower zone below the level of the diaphragm.
Do you think that is a granuloma or an end on vessel?

Discussion: 

Both end on vessel and granuloma looks alike. However, granuloma at lower zones are uncommon.

Subsequently, a right lateral view was done and the nodule may be seen posterior to the diaphragmatic shadow.
This confirmed that the nodule is a granuloma and not an end on vessel.

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