Case of the Month May 2014

Submitted by Allen Ardestani, MD, PhD, and Thomas J. Learch, MD .

HPI: 30-year-old male with no significant past medical history presents with three months of progressive shortness of breath, cough, pleuritic chest pain, orthopnea, and night sweats.

Initial x-ray shows the following:

For larger pdf image, please click Ardestani 1


Which of the following is in the differential diagnosis for the findings on the initial CXR?

  • Cardiomegaly
  • Mediastinal mass
  • Pericardial effusion
  • Mediastinitis
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