ChiroACCESS Article



Diagnostic Imaging Case Report: A Forty-seven-year old male with neck pain and stiffness



This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Jack Henry, DC, DACBR

  

Radiology Diagnostics, LLC



Published on

May 13, 2010

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Hello. My name is Jack Henry, DC, DACBR. I am Radiologist-in-Chief of Radiology Diagnostics, LLC, an industry leader of Chiropractic Radiology Services and Digitized Spinographic analyses. All of our services are provided at no cost to doctor and no/low cost to patients.

Selected cases will be presented for your evaluation. The studies may or may not have abnormalities. Use the arrow keys or the scroll bar to carefully evaluate the films.

Step 1: Is the study abnormal or normal?

Step 2: If the study is abnormal, what is your best diagnosis?

Step 3: Which follow-up imaging option would be best?

Step 4: Compare your results with the correct diagnosis.

HISTORY


A Forty-seven-year old male with neck pain and stiffness.  The patient reports dizziness and a non-productive cough.  No reported trauma.  No fever.  Orthopedic exam is unremarkable.



FINDINGS

Large soft tissue mass noted adjacent to right hilum.


DISCUSSION

This lesion must be considered malignant until proven otherwise.


FOLLOW UP PROTOCOL

After a thorough history and physical examination, PA and Lateral chest studies are recommended.  Attempts should be made to obtain previous studies for comparison.  A CT guided biopsy would be the most sensitive and specific exam.
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