This is the chest x-ray for Ray Alderton from scenario SIC001US
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Clinical Picture
42-year-old man presenting with 2 day history of coryza and non-productive cough.
Stable renal transplant, no recent issues. No chest pain, no fever, no shortness of breath and no signs of sepsis. Daughter recently experienced similar symptoms.
Looks well, normal vital signs, normal physical examination.
Findings
Technical factors
Rotation – Normal
Inspiration – Adequate
Picture – Adequate
Exposure – Adequate
A-E Assessment
Airway – Trachea central
Breathing – Clear lung fields
Circulation – Normal heart size and border
Diaphragm – No abnormalities, no free air
Everything else – No abnormalities
Summary
This is a normal chest x-ray
Differential diagnosis
Appreciating there was a limited amount of information available, there was no significant concern in the patient history to suggest a sinister cause of cough. Though Ray had a renal transplant, he had no issues with it and the history was highly suggestive of a viral cause. Whilst it may be reasonable to inform Ray’s normal team of the situation, the most likely cause of the cough in this case was a viral respiratory tract infection.
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