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Published byAmanda Curtis Modified over 8 years ago
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Various Chest disease & their XR findings & appearance
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Normal chest XR PA & lateral view
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Look carefully on both diaphragmatic cruse costo & cardio phrenic angles
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Don't forget to use rib in asses lung Zones
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Who to asses cardiac size
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Cardiac borders in AP view
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Mitral valve disease
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Mitral valve disease (double density RT cardiac border)
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Pericardial effusion Globe shape
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TGO
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Ebstain anomaly box shape
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Dextro cardia
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Retrosternal Goiter
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Lymphoma of middle mediastinum
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Lymph adenopathy
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Bilateral hilar LAP
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RT upper lobe consolidation
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Bulging fissure sign
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Lobular consolidation ( broncho pneumonia )
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Very important to consider that pulmonary edema in normal sized heart have close similar appearance to broncho pneumonia The important Golden Key differentiation is the cardiac size being enlarged in pulmonary edema.
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Interstitial pulmonary edema
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Pulmonary edema ( alveolar pulmonary edema)
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Bat wing sign ( alveolar pulmonary edema)
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Golden S sign collapse with RT ULC
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What is the main difference between 2 films ??? What is the shape of each one ??? A. B.
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Emphysema
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Total collapse total consolidation
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Total collapse
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Pleural effusion
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Encysted PE
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Pneumothorax
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pneumothorax
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Tension pneumothorax
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Hydro pneumothorax
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Bronchiectasis
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Post primary TB broncho pneumonia cotton wool sign
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Post primary TB Bronch pneumonia
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Q ???? Be careful in description & Dx
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Both of them have similar appearance of broncho pneumonic shadow ?????? What is being the pit fall in such films ??? Who can you differentiate ???
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Miliary TB
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miliary TB
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TB lung abscess
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Aspergilloma
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Hydatid cyst simple rupture ( water Lilly )
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BGCA
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Secondary metastasis
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DDX of coin shadow ???????? Answer
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Lung abscess
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abscess
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DDX of soap bubble appearance of the hemi thorax
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Key of chest seminr 1,2,3.presentation 4.normal chest film ( PA ) view 5.PA vs AP view 6.lateral film position 7.decubitus film 8.normal chest XR PA & lat. view 9.normal radiologic anatomy of the chest 10.normal chest anatomy 11.Radiological lung zone 12.sequence for XR reading 13.who to asses cardiac size 14.cardiac border in AP view 15.mitral valve disease & their sign 16.MVD 17. Globe shape heart (pericardial effusion ) 18.boot shape heart (TOF) 19.Egg on side heart y(Transposition f great vessels ) 20.box shape heart (Ebestain anomaly) 21.Dextrocardia.
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22.Retrophyrengeal abscess 23.normal neonatal chest XR ( normal thymus gland ) 24. normal chest XR of the infant( normal thymus gland) 25.retrosternal Goiter 26.retrosternal Goiter 27.lymphoma of the middle mediastinum 28.chest XR ( bilateral hilar lymph adenopathy ) 29.chest XR ( bilateral hilar lymph adenopathy ) 30.RT UL consolidation 31. RT UL consolidation(bulging fissure sign ) klebsiella pneumonia. 32.RT ML consolidation ( PA & lat. view ) 33.RT ML consolidation (Lat. view ) 34.LUL consolidation (PA & Lat. View )
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35.LT.lower lobe consolidation ( PA & Lat. view ) 36.lobuler consolidation (lobular pneumonia ) 37.discussion 38.interstial pulmonary edema 39.pulmonary edema ( alveolar pulmonary edema ) 40.batwing sign ( alveolar pulmonary edema ) 41.RT UL collapse 42.RT UL collapse 43.golden S sign 44.A.RT middle lobe consolidation B.RT middle lobe collapse 45.LT lower lobe collapse 46.LT lower lobe collapse 47.Emphyzema 48.opasified hemi thorax 49.total collapse 50.pleural effusion 51.pleural effusion. 52.Encysted pleural effusion
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53.pnuemothorax 54. pneumothorax 55. pneumothorax Right sided aspect 56.tension pneumothorax left sided aspect 57. tension pneumothorax right sided aspect 58.hydropneumothorax 59.Bronchiactasis 60.post primary TB ( cotton wool appearance ) 61.post primary TB notice upper apical Broncho pneumonic shadow 62.Q??? Film 63.Q assessment 64.answer this film of Broncho pneumonic (lobular pneumonia ) VS upper zone apical Broncho pneumonic shadow due to post primary TB 65.Miliary TB
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66. miliary TB 67. upper apical TB cavity 68. Aspergilloma 69. Hydatid cyst simple & rupture water lily sign 70. Bronchogenic CA. 71. BGCA 72. BGCA 73. pancosts tumor 74. secondary metastasis to the lung ( canon ball appearance ) 75. DDX of coin shadow 76. Coin lesion. 77. Lung abscess ( air fluid level ) 78. Lung abscess 79. Diaphragmatic hernia Vs congenital cystic adenomatous malformation
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