A 23-year-old female was admitted for fever, cough, and right pleuritic pain in January 2015. Chest X-ray revealed right pleural effusion. Subsequent computed tomography of the thorax demonstrated necrotising pneumonitis in the right lower lobe, with large right empyema and multiple left lung centrilobular nodules suspicious of tuberculosis (Fig 1a). On admission, haemoglobin level was only 84 ...

A case of subtle oesophageal perforation caused by a foreign body is described. A 48-year-old woman had had a chicken bone impacted in the upper oesophagus for 4 days. At presentation, the bone was dislodged at endoscopy, and two small round depressions at opposite sides of the oesophageal wall were visible. The chest X-ray findings were normal. Computed tomography of the thorax detected a smal...

A 60-year-old man (figure 1) was referred with an incidental abnormality in the right lower zone of his chest X-ray. He was otherwise well. Forty years previously a segment of his left lower lobe had been removed for a benign lesion. Two siblings had died from intracranial haemorrhage. High-resolution computed tomography (CT) scan of the thorax (figure 2) was performed. Before any treatment was...

A 13-year old Malay school girl who had been apparently normal previously, presented with a three-month history of fever, malaise and loss of weight. She had anemia and raised values for ESR, lactic dehydrogenase, C-reactive protein, ferritin and a positive mantoux test. Her routine chest x-ray showed hilar prominence suggestive of hilar lymph node enlargement. C.T. Scan of the thorax revealed ...

Nanomaterials are being used in medicine, manufacturing and consumer products, but their effects on organisms and the environment are not well understood because of the difficulty in detecting them. Here dual-energy X-ray K-edge subtraction was used to track two-dimensional yttrium oxide nanoparticles (which can be found in such household objects as color televisions) in adult mealworms (Tenebr...

A 2-year-old patient of Romanian origin, with no prior history, presented limping of the lower right extremity lasting for 3 months. The child, a female, presented no fever and upon inspection presented aversion to walking and support with the affected limb. Upon examination there was evident pain and limitation to external rotation and hip abduction. The X-ray showed de-structuration of the fe...

To cite: Souza AS Jr, de Souza LS, Zanetti G, et al. Thorax Published Online First: [please include Day Month Year] doi:10.1136/ thoraxjnl-2013-203732 A 56-year-old woman underwent chest x-ray for evaluation of a pelvic tumour. The x-ray showed a unique pattern of bilateral, anomalous, curvilinear vessels (figure 1A). CTwith volume-rendered reconstruction (figure 1B), coronal (figure 1C) and ax...