plain Chest film
• 1 name , date of exposure
• 2.Lung apex..
• 3. trachea..
• 4. hilum ..
• 5. heart..
• 6. diaphragm..
• 7. cost phrenic angles..
• 8 .lung fields
• 9.Bones..ribs, clavicle, scapula
• 10. soft tissue. Neck , breast, gas under diaph.
Chest trauma
Pulmonary contusion
contusion
• Disruption of the micro- scopical
architecture of the lung with
hemorrhage in the alveoli as a result
of damage to capillaries. This will
interfere with gas exchange leading to
hypoxia , it dose not involve tear or
cut of the lung tissue
laceration
• More serious condition .. With
penetrating trauma .stab wound
..there is macro scopical lung
disruption with the lung torn or
cut.. It can cause air to leak out of
the lacerated lung in to the pleural
space .
Pneumo thorax due to pulmonary
laceration
Pulmonary contusion may mask
pulmonary laceration on plain chest
film.. Associated flail chest and sub
cut. Emphysema
Flail chest
• A broken seg . Of the rib cage which
become detached from the rest of
the chest wall ..it occur when
multiple adjacent ribs are broken in
to multiple places.. It is usually
accompanied by pulmonary
contusion ..causing paradoxical
breathing in which the flail seg
move in to opposite direction to
the rest of the chest wall
Continuous diaphragm sign
