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Cancer: Lung Cancer
Procedure: Cholecystectomy

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Preoperative chest radiograph
Clinical introduction A man in his 60s who had recently moved to the area attended a preoperative appointment for a cholecystectomy. He reported to be asymptomatic. He had a past medical history of hypertension and took Amlodipine and had no known allergies. A chest X-ray was performed as part of the workup (figure 1). Figure 1Preoperative chest X-ray What is the cause of abnormalities seen on the image? Prominent pericardial fat pad only Bilateral healed rib fractures Pneumoperitoneum Aortic coarctation Lung cancer Answer: D The correct answer is D, as there is evidence of bilateral inferior rib notching (—white che...
Source: Heart - July 13, 2022 Category: Cardiology Authors: Salehi, M., Rea, B. Tags: Image challenges Source Type: research