Weitere ähnliche Inhalte Ähnlich wie Chest X Rays (20) Kürzlich hochgeladen (20) Chest X Rays1. 100 Chest X Rays for Study Group
by Dr. Suneet Khurana
2. Approach to - Chest X Ray (shadow of the
viscera on a photographic plate)
• Gas appears Black
• Fat appears Dark Grey
• Water Appears as Light
Grey
• Bone appears White
3. Approach to Chest X Ray
• Views
1)Postero – Anterior (PA) - Standard
2)Antero – Posterior (AP)
3)Apical Lordotic (Apex of lungs)
4)Oblique
5)Lateral Decubitus (pleural effusions)
4. Steps to Systematic Approach
1) Scan patient data and
Determine the Film
Quality ( Exposure,
Inspiration, Position)
2) Examine the Chest Wall
a) Vertebral Column
b) Ribs
c) Clavicles & Proximal
Humeri
d) Skin and Subcutaneous
Tissues + Soft Tissues
e) Breasts
5. Steps to Systematic approach
3) Examine the Abdomen
4) Examine the Diaphragm
5) Examine the Pleura
6) Examine the Heart
7) Examine the Mediastinum
8) Examine the Hila
9) Examine the Lungs
6. Mediastinal Masses
• Thyroid goitre/carcinoma, Lymphoma, Neural tumours
• Tuberculosis, Histoplasmosis Metastatic lymphadenopathy
• Germ cell tumours, Sarcoidosis
• Thymoma, Hiatal hernia, Aortic aneurysm
• Pericardial fat, Esophageal diseases
• Metastatic lymphadenopathy
7. Case 1 – Foreign Body Right Lower Lobe
8. Case 2 – Foreign Body – Sword Swallow
10. Case 4 – Previous Thoracotomy Left Lung
12. Case 6 – R Lower Lobe Consolidation – TB in HIV
14. Case 8 – Ruptured Liver Abscess in Pleural Cavity
15. Case 9 – Ruptured Liver Abscess (Shock, Fever x 4 days)
16. Case 10 – Retrosternal Goiter (Asymptomatic 70 y F)
18. Case 12 – Pneumonia (Fever, Cough, Sputum 35y M)
22. Case 16 – Mediastinal & Interstitial Emphysema
24. Case 18 – Anomalous Pulmonary Venous Drainage
25. Case 19 – Posterior Mediastinal Mass – Neurogenic
Origin
26. Case 20 – Posterior Mediastinal Mass – Sarcomatoid
Carcinoma
28. Case 22 – Squamous Cell Carcinoma with Malignant
Pleural Effusion (arising from R bronchus)
29. Case 23 – Broncholithiasis in Previously Treated TB
30. Case 24 – Displaced Pulmonary Artery Catheter (MI
management in CCU)
31. Case 25 – Bronchiolitis Obliterans Organizing
Pneumonia
32. Case 26 – Bamboo Spine – Ankylosing Spondylitis
33. Case 27 – Mediastinal Hematoma (Malpositioned
Central Venous Catheter, Neck Hematoma)
34. Case 28 – Silicosis with Massive Pulmonary Fibrosis
36. Case 30 – AML with Pulmonary Angio – Invasive
Aspergillosis
37. Case 31 – Invasive Pulmonary Aspergillosis
38. Case 32 – Right Upper Lobe Collapse (Golden’ Sign)
39. Case 33 – Westmark Sign of Acute Pulmonary
Embolism
40. Case 34 – Left Primary Spontaneous Pneumothorax
43. Case 35 – Right Pneumothorax (COPD with bullae)
44. Case 36 – 100 Pack yr (5y Dyspnea) COPD
(hyperinflation)
48. Case 40 – Dissecting Thoracic Aortic Aneurysm
49. Case 41 – Chronic Eosinophilic Pneumonia (Cough,
Fever, Raised Eosinophils x 3 months)
50. Case 42 – L Upper Lobe Collapse due to Lung Cancer
(Hemoptysis, Loss of Wt x 2 months)
52. Case 44 – Osler Weber Rendu (AVM, Epistasis)
Hereditary Hemorrhagic Telengiectasia
54. Case 46 – Eisenmenger Syndrome due to PDA
55. Case 47 – Right Pleural Effusion (Cirrhosis of liver)
58. Case 50 – Acute Respiratory Distress Syndrome
(Secondary to Pancreatitis)
61. Case 53 – Chiladiti Sign (Transverse Colon between
Liver and Right Hemidiaphragm)
63. Case 55 - R Lower Lobe Consolidation due to TB in HIV
66. Case 58 – Eventration of Right Hemidiaphgram
70. Case 61 – Posterior Mediastinal Mass -
Neuoroblastoma
73. Case 63 – Lung Sequestration Right Heart Border
(Hemoptysis)
74. Case 64 – Crush Injury - Left Diaphgramatic Hernia
75. Case 65 – Calcified Left Ventricular Aneurysm (Post MI)
76. Case 66 - Metastasis from Colorectal Cancer
82. Case 71 – Tracheal Tumor (Adenoid Cystic CA)
83. Case 72 - Pulmonary Pesudo-nodules due to Nipple
Shadows
84. Case 73 – Cryptogenic Fibrosing Alveolitis
87. Case 76 - Mediastinal Lymphadenopathy secondary to
Lymphoma
89. Case 78 – Azygous Lobe (Tear drop shaped accessory
lobe of the R Lung)
90. Case 79 – Silicosis (Sand Quandry Worker)
92. Case 80 – B/L Calcified Pleural Plaques (Asbestosis)
94. Case 82 - Loculated Pleural Effusion R Lung
96. Case 85 - Massive Cardiomegaly (End Stage Valvular Ds) D/D
of Pleural Effusion – (Thoracentesis Contraindicated)
100. Case 89 – Aspergilloma (Post Rx TB R Lung)
102. Case 91 – Oligemia of R Lung (Carcinoid tumor of Right
Main Stem Bronchus)
105. Case 94 – Thoracoplasty (1950 – removal of upper TB
infected lung, with subsequent pleural calcification)
107. Case 96 – Tracheal Stenosis due to Tracheopathia
Osteochondroplastica
108. Case 97 – Mass in Bronchus (Collapse of Middle, and
Lower Lobe R Lung
109. Case 98 – Primary Pulmonary Hypertension
111. Case 100 - Lung Cancer with Lymphangitis
Carcinomatosis
113. Case 102 – Pericardial Fat Pad (No Change in cardiac
shadow over a period of 16 months)