2. Various Chest disease & their XR findings & appearance

8. Normal chest XR PA & lateral view

9. Look carefully on both diaphragmatic cruse costo & cardio phrenic angles

11. Don't forget to use rib in asses lung Zones

13. Orange arrow pharynx pushed anteriorly

17. Retrosternal Goiter

18. Lymphoma of middle mediastinum

19. Lymph adenopathy

20. Bilateral hilar LAP

21. RT upper lobe consolidation

22. Bulging fissure sign

27. Lobular consolidation ( broncho pneumonia )

28. 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 .

29. Interstitial pulmonary edema

30. Pulmonary edema ( alveolar pulmonary edema)

33. Golden S sign collapse with RT ULC

34. What is the main difference between 2 films
What is the main difference between 2 films ??? What is the shape of each one ??? A B.

37. Emphysema

38. Total collapse total consolidation

39. Total collapse

40. Pleural effusion

41. Pleural effusion

42. Encysted PE

44. Pneumothorax

45. pneumothorax

46. Tension pneumothorax

48. Hydro pneumothorax

49. Bronchiectasis

50. Post primary TB broncho pneumonia cotton wool sign

51. Post primary TB Bronch pneumonia

52. Q ???? Be careful in description & Dx

53. Both of them have similar appearance of broncho pneumonic shadow
??????
What is being the pit fall in such films ???
How can you differentiate ???

54. Answer the Q in the KEY After discussion with the students & get their ideas about each films .

55. Miliary TB

56. miliary TB

57. TB lung abscess

58. Aspergilloma

59. Hydatid cyst simple rupture ( water Lilly )

60. BGCA

61. BGCA

62. BGCA

63. Pancosts tumor

64. Secondary metastasis

65. DDX of coin shadow
???????? Answer

67. Lung abscess

68. abscess

69. DDX of soap bubble appearance of the hemi thorax

70. 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 .

71. 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 )

72. 35. LT. lower lobe consolidation ( PA & Lat. view ) 36
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

73. 53. pnuemothorax 54. pneumothorax 55
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

74. 66. miliary TB 67. upper apical TB cavity 68. Aspergilloma 69
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