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61 Possible Causes for Chest X-Ray Abnormal, Cotton Wool Spots

  • Malignant Hypertension

    Laboratory and tests: Abnormalities on CT scan, EKG, chest X-ray, and/or urinalysis. Therapy: Parenteral (IV or IM) in the ER followed by in-patient care.[] Cotton-wool spots, or cytoid bodies, are not exudates, but rather are retinal infarcts. Hypertensive optic neuropathy is a late finding.[] Decrease in visual acuity (6/7 patients) and scotoma (5/7) were the main symptoms and Elschnig spot, flamed shaped haemorrhage, serous retinal detachment, cotton wool spots[]

  • Multiple Myeloma

    Physical Examination On head, ears, eyes, nose, and throat (HEENT) examination, the eyes may show exudative macular detachment, retinal hemorrhage, or cotton-wool spots.[]

  • Plasmacytoma

    A 49-year-old woman with a history of multiple myeloma consulted to our pulmonary service with progressive dyspnoea and cough and abnormal chest X-ray.[] […] multiple myeloma ocular findings may include: exudative macular detachment, crystal or copper deposition in the cornea, [11] ciliary body cysts, retinal hemorrhages, and cotton-wool[] spots. [4] Symptoms Patients present with proptosis, ptosis, eyelid swelling, tearing, diplopia or decreased vision.[]

  • Nitrofurantoin Toxicity

    The chest X-ray showed extensive pulmonary abnormalities with bronchial wall thickening, patchy lesions and extensive bilateral-infiltration – suggestive of atypical infection[] Capillary nonperfusion, microaneurysm formation, cotton wool spots and venous loops.[] The GP examined Elisa and queried chest infection or heart failure as a cause of the symptoms. After examination, a chest X-ray was ordered.[]

  • Pneumocystis Carinii Pneumonia

    […] normal or minimally abnormal chest X ray in a subset of cases.[] Pneumocystis infection may present in almost any organ system, as follows: CNS Bone marrow (may have necrosis with resultant pancytopenia) Lymphadenopathy Eyes (may have retinal cotton-wool[] […] present in almost any organ system, as follows: Central nervous system Bone marrow (may have necrosis with resultant pancytopenia) Lymphadenopathy Eyes (may have retinal cotton-wool[]

  • Granulomatosis with Polyangiitis

    Chest x-rays may be abnormal, either showing diffuse disease (67%) or isolated areas (58%).[] Retinal vascular manifestations range from relatively benign cotton-wool spots, with or without associated intraretinal hemorrhages, to more severe vaso-occlusive disease,[] Also, blood tests aimed at measuring kidney function may show abnormalities. Chest x rays are used to determine if the lungs are involved.[]

  • Fat Embolism

    The chest X-ray shows bilateral patchy pulmonary infiltrates, the ECG reveals sinus tachycardia without evidence of ischemia, infarct, or other abnormalities, and ABG analysis[] Other findings Retinopathy (exudates, cotton wool spots, hemorrhage) Lipiduria Fever DIC Myocardial depression (Right heart strain) Thrombocytopenia/Anemia Hypocalcemia[] wool spots, hemorrhages, and retinal edema. 2 Transcranial dopplers (TCD’s) can be used for microemboli monitoring; the finding of numerous bilateral microemboli is supportive[]

  • Pulmonary Arterial Hypertension

    An ECG may show some abnormalities that may be suggestive of right heart failure. Chest x-ray may also show enlargement of the chambers of the right heart.[] The cotton-wool spots resolved 8 weeks after presentation and visual acuity remained stable at 20/25.[] Tests may include: Chest X-ray. A test that takes pictures of internal tissues, including the heart. ECG.[]

  • Acute Myelocytic Leukemia

    A chest X-ray , blood tests, and other tests are done to assess your general well-being. What is the treatment for acute myeloid leukaemia?[] Characteristic signs of leukemic retinopathy include bilateral intra-retinal hemorrhage, white-centred hemorrhage, macular hemorrhage and cotton-wool spots.[] The aim of treatment is to kill all the abnormal cells. This then allows the bone marrow to function normally again and produce normal blood cells.[]

  • Systemic Lupus Erythematosus

    X-ray to look for fluid in the lungs; cardiac stress test; echocardiogram, which uses sound waves to visualize the heart Neurologic disorder Reduced or abnormal brain function[] Extensive cotton wool spots were observed in the right fundus, and retinal capillary occlusions were detected by OCT angiography of the left eye.[] Acute lupus retinopathy with cotton wool spots, haemorrhages, arterial narrowing, venous dilation and tortuosity. F ig . 2.[]

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