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Chest slides to share


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Few slides to share with my collegues

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Chest slides to share

  1. 1. Chest Imaging <ul><li>Few slides to share with my collegues. </li></ul><ul><li>Material is collected mainly while working in Zambia </li></ul><ul><li>Dr. Rekha Khare </li></ul><ul><li>MD Radiology </li></ul>
  2. 2. Pulmonary Infection TB in HIV+ve case
  3. 3. Pulmonary Infection B/L alveolar destruction in HIV related T.B.
  4. 4. Pulmonary Infection B/L widespread patchy consolidation _ HIV related opportunistic infection ( Pt. died ) ? PCP
  5. 5. Pulmonary Infection Aspergilus mycetoma (air crescent +ve)
  6. 6. Pulmonary Infection Radiation Pneumonitis (H/O Radiotherapy chest)
  7. 7. HIV related T.B. Encysted Pleural effusion and loculated hydropneumothorax
  8. 8. Lung consolidation minimal pneumothorax cause? (cardiac case)
  9. 9. Reticular/ Honeycombing lesion Bronchectasis cause ? Volume loss and mediastinal shift
  10. 10. Chest _ pleural calcification case of old empyema
  11. 11. Lung mass lesion Primary_Pancoast tumour
  12. 12. Lung mass lesion spiculated soft tissue cavitating mass ?Sq. cell Ca
  13. 13. Primary malignancy Lung
  14. 14. Consolidation RMZ cause ? Bronchoalveolar Ca.
  15. 15. Lung mass lesion <ul><li>Multiple metastasis </li></ul><ul><li>primary: osteogenic </li></ul><ul><li>sarcoma </li></ul>
  16. 16. Lung mass lesion Metastasis Primary: Wilms tumour
  17. 17. Lung mass lesion Metastasis : Primary ? (Healed TB case)
  18. 18. Mediastinal widening malignant retrosternal thyroid compressing/ displacing trachea
  19. 19. Mediastinal widening Non Hodgkins Lymphoma (HIV related TB)
  20. 20. Mediastinal widening Tubercular lymphadenopathy
  21. 21. Mediastinal widening Pericardiac /spring water cyst (operated in SA)
  22. 22. Mediastinal widening Aneurysmal dilatation of aorta calcification in wall
  23. 23. Mediastinal widening Paravertebral abscess (Pott’s spine)
  24. 24. Mediastinal widening Atypical empyema
  25. 25. Mass left chest Embryonal mass_ extrathoracic (operated in UTH Zambia)
  26. 26. Mass right chest Reticulum cell sarcoma D/D Mesothelioma
  27. 27. Point of attention <ul><li>Chest x-ray is the basic imaging </li></ul><ul><li>Any unusual x-ray sign needs CT scan chest </li></ul><ul><li>Unusual consolidation in HIV+ve case ? PCP </li></ul><ul><li>Mediastinal lymphadenopathy in HIV+ve case ? NHL </li></ul>