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Internal Medicine

Public·86 members

28 y M

No significant PMHx

Presented to the clinic with SOB x weeks and getting worse for the last 1 week

What is your DD

Mazen Kherallah
Ayham Alagha

•What is obvious in CXR is widened mediastinum with loss of normal Aortic knuckle shadow suggestive of Dilated Ascending aorta possibly AAA.

•Apart from that, Reduction RT lung Volume, Obliteratiion RT costophrenic angle due to pleural effusion.

» Other differential diiagnosis of Widened mediastinum include:

•Lymphoma

•Thymoma

•Retrosternal Goiter (Less likely in this scenario)

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