Which of the following is not a typical finding of sickle cell disease on a chest x-ray?
- Upper lobe predominant opacities – Pulmonary opacities in sickle cell disease have preferential lower lobe involvement. These can represent pneumonia, atelectasis or infarct.
A chest x-ray obtained from the emergency department was normal. Given the patient’s history of DVT/PET, the following VQ scan was then obtained
What is the best explanation for the abnormal finding?
- Extensive pulmonary embolism in the right pulmonary artery
- Severe obstructive lung disease
- External compression of the right pulmonary artery
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