Department of Medicine, 28730All India Institute of Medical Sciences, New Delhi, India.
Trop Doct. 2022 Oct;52(4):591-592. doi: 10.1177/00494755221105750. Epub 2022 Jul 26.
A middle-aged male with hypertension and dyslipidaemia presented with hoarseness of voice due to a left vocal palsy. The chest radiograph revealed a saccular opacity silhouetting the left border of the aortic knuckle, suggestive of a large aortic arch aneurysm. Routine investigations, such as a chest radiograph do occasionally identify potentially fatal pathology, even when perhaps not strictly indicated; uncommon presentations do occur!
一位患有高血压和血脂异常的中年男性因左侧声带麻痹而出现声音嘶哑。胸部 X 光片显示一个袋状不透明影,勾勒出主动脉结的左侧边界,提示为大型主动脉弓动脉瘤。即使可能并非严格指征,常规检查,如胸部 X 光片,偶尔也能发现潜在的致命性病理;不常见的表现确实会发生!