What is your diagnosis doctor?
History: A 84yr old gentlemen walks into your office with complaint of chest pain and coughing. He states he has been battling this “chest cold” for a matter of months. He notes being a chronic smoker for the past 60+ years and had an occupation as a painter. Today he states having al fever, but nothing that a “few Tylenol” wouldn’t take care of. He notes having midback pain the area of T3-6 and has been to multiple chiropractors whom all just adjusted him without any further orthopedic/xray/further diagnostic testing.
He states that most recently he notes having issues with deep inhalation and coughing bouts 2-3x per day. He also states walking 2 miles per day.
You decide to have an xray taken and this is what comes back
Xrays:
What is your DDX? What are you thinking is going on? Please comment below
Answer to be revealed in the comments
