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Pleural effusion most likely caused by Ovarian Hyperstimulation Syndrome; however, final diagnosis was not known prior to submission

Bell AEB - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pleural effusion most likely caused by Ovarian Hyperstimulation Syndrome; however, final diagnosis was not known prior to submission

History: 31 year old female G3P0020 who is day 2 status post IVF cycle and now complains of difficulty breathing.

Findings: Bilateral lung opacities with blunting of costophrenic angles and menisci consistent with moderate sized pleural effusions and bilateral focal areas of atelectasis or airspace disease. Heart size difficult to assess due to overlapping pleural opacities. Mild thoracolumbar dextroscoliosis Patient has pelvic shielding consistent with pregnancy Trachea mid-line, no pneumothorax, vasculature not enlarged Findings are new when compared with normal CXR in 2006.

Ddx: Ovarian Hyperstimulation Syndrome Meigs Syndrome Cardiac, liver, or renal failure Infection Pulmonary embolism Malignant effusion

Dxhow: Radiography and patient history and physical.

Exam: HCG positive Serum estradiol 2638 CBC: 16.5/16.6/48.8/312

No MeSH data available.


Normal PA chest radiograph (1 year PTA) for comparison
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MPX2398_synpic39386: Normal PA chest radiograph (1 year PTA) for comparison


Pleural effusion most likely caused by Ovarian Hyperstimulation Syndrome; however, final diagnosis was not known prior to submission

Bell AEB - MedPix (2007)

Normal PA chest radiograph (1 year PTA) for comparison
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2398&req=5

MPX2398_synpic39386: Normal PA chest radiograph (1 year PTA) for comparison

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pleural effusion most likely caused by Ovarian Hyperstimulation Syndrome; however, final diagnosis was not known prior to submission

History: 31 year old female G3P0020 who is day 2 status post IVF cycle and now complains of difficulty breathing.

Findings: Bilateral lung opacities with blunting of costophrenic angles and menisci consistent with moderate sized pleural effusions and bilateral focal areas of atelectasis or airspace disease. Heart size difficult to assess due to overlapping pleural opacities. Mild thoracolumbar dextroscoliosis Patient has pelvic shielding consistent with pregnancy Trachea mid-line, no pneumothorax, vasculature not enlarged Findings are new when compared with normal CXR in 2006.

Ddx: Ovarian Hyperstimulation Syndrome Meigs Syndrome Cardiac, liver, or renal failure Infection Pulmonary embolism Malignant effusion

Dxhow: Radiography and patient history and physical.

Exam: HCG positive Serum estradiol 2638 CBC: 16.5/16.6/48.8/312

No MeSH data available.