BMJ Case Reports 2013; doi:10.1136/bcr-2012-007715
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Missing clues for a radiologist

  1. Tushar Ramesh Sahasrabudhe
  1. Department of Pulmonary Medicine, Padmashree Dr. D.Y. Patil Medical College, Pune, Maharashtra, India
  1. Correspondence to Professor Tushar Ramesh Sahasrabudhe, drtrs{at}


A 48- year-old man presented with predominant nocturnal cough with minimal sputum, since 2 years. He had frequent retrosternal pain with occasional lower dysphagia since 6 months. He had no weight loss, fever or wheeze. He was a hypertensive for 9 years. He had left leg fracture at the age of 11 and developed permanent limb shortening in spite of multiple surgeries. He had mild cognitive defect since 1 year.

His chest x-ray …

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