WWWTP #22 (What’s Wrong With This Picture?) Answer…

February 3, 2015

WWWTP


Patient presented short of breath.  Here is his chest xray:

WWWTP #22 PA WWWTP #22 LA

What’s wrong with this picture?

The findings are very subtle.  This patient has multiple lucencies in the bony structures including ribs, clavicles, scapula, and visualized proximal humerus:

WWWTP 22 edited

This patient turned out to have leukemia.  His shortness of breath was actually symptomatic anemia and he had a severe leukocytosis with a WBC nearing 180 K/MM3.

Remember to approach all imaging with a systematic approach so you don’t miss subtle findings like this!

Author:  Russell Jones, MD

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