Presentation
Severe abdominal pain with distension, nausea and vomiting. Bowel obstruction or perforation?
Patient Data
Age: 85 years
Gender: Female
From the case:
Satisfaction of search
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/102519/annotated_viewer_json?lang=us"}
AP
Rotated.
Right apical lung mass. Left lung clear.
Small volume pneumoperitoneum under the right hemidiaphragm.
Case Discussion
An unrelated and pretty unlikely combination of an apical lung mass (it was lung cancer) and a small volume pneumoperitoneum.
Did you spot both?
The rotated AP nature of the radiograph adds further to one's chance of missing both findings.
Unable to process the form. Check for errors and try again.