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Unusual x ray image
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  • Published on:
    Surprised!

    Dear Editor,

    The initial blood gas that was mentioned (pH-6.9, pCO2-11 & BE 12.8) was interpreted as severe metabolic acidosis. But this is in fact, combined respiratory and metabolic acidosis. The 2 possible differentials from the CXR are pneumothorax and cystic congenital adenomatoid malformation. In such a respiratory compromise (as evident from the blood gas) and a CXR picture, I am surprised that this...

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    Conflict of Interest:
    None declared.
  • Published on:
    Cystic lung lesion, a nasogastric tube and plain chest x-ray

    Dear Editor,

    I read with interest the report of late presentation of congenital diaphragmatic hernia. The authors report that after initial chest xray a ct scan was performed and then followed by another ct scan with contrast via NG tube.

    The rare presentation of diaphragmatic hernia as a solitary cystic lesion may led to a dealy in diagnosis and at times insertion of chest drain. However, it is a we...

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    Conflict of Interest:
    None declared.