On Monday Mornings, I post a clinical image to the blog, you have until Friday Afternoon at 5PM to email me your diagnosis before the answer goes live.

Of the WCH trainees, the person with the most correct answers at the end of the block gets a prize.

This 25 year old woman presents with shortness of breath. What is the diagnosis?

This chest x ray shows a pleurally based wedge-shaped opacity in the periphery of the left lower lobe which is referred to as the Hampton hump sign – found in pulmonary embolism. Also, there is also blunting of the costophrenic angles consistent with bilateral pleural effusions; left greater than right.