80     SA JOURNAL OF RADIOLOGY  •  June 2012

QUIZ CASE

Chest imaging by high-resolution computed 
tomography (HRCT)
S K Misser, MB ChB, FCRad (D) SA
Lake Smit and Partners, Durban

I A Abdullah, MB ChB, FCP (SA), FCCP
St Augustine’s Hospital, Durban

Corresponding author: S Misser (misser@lakesmit.co.za)

Presentation
A 39-year-old man presents with subacute dyspnoea and intermittent 
cough. The following images were obtained. Describe the relevant 
findings and provide the most appropriate clinical diagnosis. Please 

submit your response to Dr Misser at misser@lakesmit.co.za not later 
than 1 August 2012. The winning respondent will receive a R1 000 
award from the RSSA. A detailed diagnosis and discussion will be 
presented in the next issue of the SAJR.

Fig. 1. Plain PA chest radiograph. Fig. 2. Coronal reformat of lung fields. Fig. 3. Axial HRCT at aortic arch level.

Fig. 4. Axial HRCT at pulmonary artery level. Fig. 5. Axial HRCT at aortic root level. Fig. 6. Axial HRCT at diaphragm level.