129 results for “chest imaging”
57y · Female·Haemothorax following acute thoracic aortic dissection in a woman with congenita…
…ation of the aorta, and bicuspid aortic valve, presented to ED on 23 March 2012 with severe acute back and chest pain (8/10). A chest X-ray revealed widened mediastinum. She was admitted to CCU under cardiologist Dr G..…
51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…
…ark Gordon, 51, presented to Royal Hobart Hospital Emergency Department on 20 March 2015 with sudden onset chest pain. Initial assessment suspected acute coronary syndrome with elevated troponin. Over 36 hours he experi…
34y · Male·Cardiac tamponade due to hemopericardium from acute aortic dissection of the asc…
A 34-year-old previously healthy man presented to the ED with sudden-onset central chest pain. He was discharged with a diagnosis of GORD after negative troponin and symptomatic relief with antac…
66y · Male·carcinomatosis complicated by recurrent sepsis and multisystem failure in a man …
…nd multisystem failure. Critical clinical lesson: haematuria in 2005 was not adequately investigated with imaging despite recurrence and negative infection workup. A prison doctor (Dr H.) initially recognised the need f…
Female·haemopericardium due to aortic dissection (all three cases)
…ot preventable due to high surgical mortality (60-70%) and comorbidities. Heather West (79) presented with chest pain radiating to back in May 2017 and was discharged after ACS protocol ruled out heart attack; aortic di…
71y · Female·Haemothorax and haemopericardium secondary to ruptured dissecting aneurysm of th…
A 71-year-old woman with hypertension and prior myocardial infarction presented to emergency with sudden chest pain, jaw pain, and syncope. Aortic dissection was appropriately suspected and a contrast CT-aortagram was…
34y · Male·multi-organ failure with right-sided tension pneumothorax
…d spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admission despite clear indicators of …
38y · Male·metastatic lung carcinoma
…te, and a persistent cough. Despite multiple medical consultations and investigations (X-rays, CT scans), imaging focused on musculoskeletal pathology and missed the underlying malignancy. When sent to Bendigo Hospital …
69y · Male·thoracic aortic aneurysm with dissection
…aneurysm with dissection on 22 August 2021. He presented to Calvary Hospital on 19 August 2021 with sudden chest discomfort and neurological symptoms. A CT angiogram was performed but the radiologist, Dr CD, failed to i…
61y · Female·aspiration pneumonia
…6. She was discharged, then attended her GP three times over two weeks for respiratory symptoms (wheezing, chest infection) treated with antibiotics and bronchodilators. She deteriorated with worsening dyspnoea, product…
86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall
… to adequately assess his back pain. Rib fractures went undiagnosed despite being the critical injury. The chest x-ray had low sensitivity for fractures. Additionally, an ED clinician erroneously prescribed 100mg therap…
70y · Male·Hemopericardium due to ruptured aortic dissection contributed to by hypertension
…on and atrial fibrillation, died from hemopericardium due to ruptured aortic dissection. He collapsed with chest pain while at work in the correctional facility and was promptly attended to by corrective officers and Ju…
77y · Male·Stroke; cardiogenic shock; severe aortic stenosis with three vessel coronary art…
…vascular access. Critical lapses identified include: inadequate transfer of vascular disease severity and imaging from referring hospital; failure of the proceduralist to review available prior angiographic/ultrasound i…
68y · Male·bronchopneumonia in a man with carcinoma in the lung and chronic obstructive pul…
…) haemoptysis in a heavy smoker with COPD warrants investigation for malignancy, not just infection; (2) a chest CT should have been urgently arranged; (3) SJOG staff failed to adequately investigate or document a furth…
71y · Female·cardiac tamponade due to ascending aortic dissection
…pain requiring morphine. Despite clinical features concerning for acute aortic dissection (severe stabbing chest pain radiating to back, relieved by leaning forward, systolic ejection murmur, ECG changes), she was diagn…
44y · Male·Metastatic small cell neuroendocrine carcinoma of lung
…ate parole. He had presented to PAH emergency department on 28 September 2010 with respiratory symptoms. A chest x-ray that day revealed a mediastinal density reported by radiology as possibly requiring CT investigation…
91y · Female·Complications of pelvic fractures sustained in a fall
…rtly after antibiotic administration and died. Post-mortem CT revealed pelvic fractures missed on initial imaging. Key clinical lessons: the initial hip x-ray failed to detect pelvic fractures that contributed to her de…
55y · Male·Cardiac tamponade due to ruptured aortic dissection (Type A) against a backgroun…
…inson, a 55-year-old man, presented to St Andrew's War Memorial Hospital after experiencing severe central chest pain and lower back pain with numbness at the gym. The treating senior doctor failed to adequately assess …
63y · Male·Metastatic carcinoma of the lung
…on 23 March 2008 was addressed only by telephone consultation rather than face-to-face examination, and no chest X-ray was ordered despite persistent respiratory symptoms and antibiotic relapse. While earlier diagnosis …
Philip Byrne: pulmonary thromboembolism due to right calf deep vein thrombosis; …
…without ordering ultrasound despite his history of previous DVT. Mrs Weaver presented with left calf pain, chest pain and palpitations in August 2012 after recent long-haul travel; her GP diagnosed muscle strain and str…
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