chest

Various Chest disease & their XR findings & appearance

Normal chest XR PA & lateral view

Look carefully on both diaphragmatic cruse costo & cardio phrenic angles

Don't forget to use rib in asses lung Zones

Who to asses cardiac size

Cardiac borders in AP view

Mitral valve disease

Mitral valve disease (double density RT cardiac border)

Pericardial effusion Globe shape

TGO

Ebstain anomaly box shape

Dextro cardia

Orange arrow pharynx pushed anteriorly

Retrosternal Goiter

Lymphoma of middle mediastinum

Lymph adenopathy

Bilateral hilar LAP

RT upper lobe consolidation

Bulging fissure sign

Lobular consolidation ( broncho pneumonia )


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 .

Interstitial pulmonary edema

Pulmonary edema ( alveolar pulmonary edema)

Bat wing sign ( alveolar pulmonary edema)

Golden S sign collapse with RT ULC

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

Emphysema

Total collapse total consolidation

Total collapse

Pleural effusion

Pleural effusion

Encysted PE

Pneumothorax

pneumothorax

Tension pneumothorax

Hydro pneumothorax

Bronchiectasis

Post primary TB broncho pneumoniacotton wool sign


Post primary TB Bronch pneumonia

Q ???? Be careful in description & Dx

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

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

Miliary TB

miliary TB

TB lung abscess

Aspergilloma

Hydatid cyst simple rupture ( water Lilly )

BGCA

BGCA

BGCA

Pancosts tumor

Secondary metastasis

DDX of coin shadow

???????? Answer

Lung abscess

abscess

DDX of soap bubble appearance of the hemi thorax

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 .

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 )

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


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


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