Q: What is the clinical benefit of chest x-ray in a patient with splenomegaly?
Answer: Left-sided pleural effusion in presumed pleural effusion is most probably consistent with splenic abscess or an infectious etiology such as HIV, proved otherwise.
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References:
1. Lee CH, Leu HS, Hu TH, Liu JW. Splenic abscess in southern Taiwan. J Microbiol Immunol Infect 2004; 37:39.
2. Zambetti EF, Haramati LB, Jenny-Avital ER, Borczuk AC. Detection and significance of splenomegaly on chest radiographs of HIV-infected outpatients. Clin Radiol. 1999 Jan;54(1):34-7. doi: 10.1016/s0009-9260(99)91237-0. PMID: 9915508.
3. Pugh P, Brenner M, Milne EN. Splenic size on routine chest films in AIDS: diagnostic and prognostic significance. J Thorac Imaging. 1988 Apr;3(2):40-51. doi: 10.1097/00005382-198804000-00005. PMID: 3361627.
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