Stephen M. Koch, M.D.
Joseph L. Nates, M.D.
Memorial Hermann Hospital
University of Texas Medical School-Houston
Houston, Texas
The correct citation of this article for reference is:
Koch S, Nates J: Case of the Month; Case 2. The Internet Journal of Emergency and Intensive Care Medicine 1999; Vol3 N1: http://www.ispub.com/journals/IJEICM/Vol3N1/case2.htm . Published January 28, 1999; Last Updated January 28, 1999.
No need for words.

1. What abnormalities are demonstrated by the cardiac silhouette?
2. What is your differential diagnosis of this chest x-ray?
3. How does this chest x-ray findings relate to the Brooklyn Bridge in New York City?
Please e-mail your responses to :
jnates@anes1.med.uth.tmc.eduThe answers will appear in the next issue.
© Internet Scientific
Publications, L.L.C., 1996 to 1999.
First Published: October 1996
Internet Journal of
Emergency and Intensive Care Medicine
Internet Journal of
Anesthesiology