Don't look at the answers solve it your self

3. Investigation. Brachiocephalic angiogram 01
 Catheter in arch of aorta ---- 01
findings
 Right sided cervical rib --- 02
 Mild narrowing of the right subclavian artery 02
Diagnosis. Thoracic outlet syndrome ----- 03
Next– EMG ( electromyography)/ CT angio ---- 01

4. CASE 2

5. •X-ray chest PA view of a child (01)
•Enlarged heart (02)
•Sharp margins (01)
•No specific chamber enlargement (01)
•Lungs ------ clear (02)
•Diagnosis: - Pericardial effusion (02)
•Advised: - Echocardiography (01)

6. CASE 3

7. •X-ray chest PA view of adult male patient (01)
•Cardiac shadow enlarged with smooth bulge along left
ventricular border (02)
•Main pulmonary and aorta ---- Normal (01)
•Lungs ------ Normal (01)
•Diagnosis: - Left ventricular Aneurysm (03)
•Diffrential diagnosis ; pericardial cyst. Hydatid cyst (01)
•Advised: - Echocardiography (01)

8. CASE 4

9. •X-ray chest PA view of adult male patient (01)
•Enlarged aortic arch on left side (02)
•Prominent ascending aorta (02)
•Bilateral inferior rib notching (02)
•Diagnosis: - Coarctation of aorta (02)
•Advised: - CT / MRI (01)

11. Chest xray of a child ---01.
Findings
 Central venous line on the left side– 02
 Right sided pneumothorax ----- 01
 ETT --- 01
 N/G tube in stomach ------ 01
 Sternotomy sutures------ 01
Diagnosis ---- left sided SVC with pneumothorax -
02
Next --- echo 01

13. •X-ray chest PA view of adult male patient (01)
•Enlarged main pulmonary artery (01)
•Enlarged hilar vessels (01)
•Cardiomegaly (01)
•Hyperinflated, hypertransradiant lungs with flat diaphragm (02)
•Diagnosis: - Pulmonary arterial hypertension secondary to
COPD (03)
•Advised: - Echocardiography
(01)

15. Investigation. DSA arch aortogram ----02
Findings.
 Multifocal areas of stricturing and narrowing
of all the major branches of arch of aorta at –03
 Complete occlusion of right subclavian –01
 Collaterals --- 01
Diagnosis --- takayasu arteritis 02
D. Diagnosis – atherosclerosis 01

16. CASE 8

17. •X-ray chest AP view of a child (01)
•Double-density shadow (02)
•Splaying of the carina (02)
•Strightening of left heart border (01)
•Upper lobe blood diversion (01)
•Diagnosis: - Mitral valve disease (02)
•Advised: - Echocardiography
(01)

19. Investigation
CT chest with contarst mediastinal window---- 01
Findings.
 Dense pericardial calcification --- 03
 No pericardial effusion --- 01
 Lungs --- clear – 01
Diagnsois – constrictive pericarditis 03
Next-- echo --- 01

21. Investigation
CT scan chest and upper abdomen soft tissue window. --01
Findings
 Dilated azygos vein in its whole length ---- 02
 Draining into the SVC --- 02
 Heart normal – 01
Diagnosis; azygos continuation of IVC --- 02
D. Diagnosis --- 02
 Right sided aortic arch
 Enlarged L.N
 Obstruction of SVC and IVC