Cray cxr

1. Chest and heart
x-ray cases
Done by
Muhanna Alhusayni

2. Normal chest x- ray
1- 1st 3 (describe same for all)
Frontal chest X-ray
2- centralization (clavicle)
Px is well centralized.
3- trachea and mediastinum
Are unremarkable.
4- both lungs
clear
5- Cardiomediastinal silhouette within
the normal limits
6- bones and soft tissues
Are unremarkable.
7- findings and Dx
Normal Chest-ray

3. 1- 1st 3 (describe)
Frontal chest x-ray
2- Centralization (clavicle)
Px is well centralized.
3- Trachea and Mediastinum
Are unremarkable.
4- Both Lungs are
Clear
5- Cardiomediastinal silhouette
Enlarged cardiac silhoutte
6- Bones and Soft Tissues
Are unremarkable
7- Findings & Dx
1- Markedly enlarged
cardiac silhouette.
2- There is a double contour to the
right heart border which indicates
“Right atrial enlargement”
Poor exercise tolerance
Cardiomegaly

4. 1- 1st 3 (describe)
Frontal Chest x-ray
2- Centralization (clavicle)
Px is well centralized.
3- Trachea and Mediastinum
Are unremarkable.
1 week of cardiac chest pain
4- Both Lungs are
clear
5- Cardiomediastinal silhouette
There is markedly enlarged cardiac silhouette.
6- Bones and Soft Tissues
normal and clear
7- Findings and Dx
A- There is markedly enlarged cardiac
silhouette.
B- with sagging appearance of its margins on
both sides resulting to a
water bottle configuration.
Pericardial Effusion

5. 1- 1st 3 (describe)
Frontal Chest x-ray
2- Centralization (clavicle)
Px is NOT well centralized.
3- Trachea and Mediastinum
Are unremakble
Obese 65-year-old patient.
Acutely short of breath.
Inspiratory crepitations in both
lungs
4- Both Lungs are
A- opacified in the middle and lower zones
B- with both CP angels obliterated.
5- Cardiomediastinal silhouette
increased of cardiothoraci ratio (enlarged
heart)
6- Bones and Soft Tissues
unremarkble
7- Findings and Dx
• Bilateral perihilar airspace opacification with upper
lobe venous distension.
• Fluid in the horizontal fissure. Pulmonary edema

6. 1- 1st 3 (describe)
Frontal Chest x-ray
2- Centralization (clavicle)
Px is well centralized.
3- Trachea and Mediastinum
Are unremarkble
Cough, high fever and chills
with left died pleurisy
4- Both Lungs are
A- right lung is clear
( no consolidation or cavitation or opacification )
but show compensated emphysema
• Left lung have opacity in its middle zone
With obliterated of left CPA
5- Cardiomediastinal silhouette
UNREMARKBLE
6- Bones and Soft Tissues
Unremarkble
7- Findings and Dx
• A few air bronchograms are also
seen. Lobar pneumonia
• Reticular pattern at the left upper
lung zone.

7. 1- 1st 3 (describe)
Frontal Chest x-ray
2- Centralization (clavicle)
Px is well centralized
3- Trachea and Mediastinum
Are unremrkable
Fever and cough with
hyperglycemia for 10 days. On
antibiotics for 8 days
4- Both Lungs have
A- Extensive airspace opacities throughout
both lungs with cavitations.
B- both CP angels clear
5- Cardiomediastinal silhouette
within the normal limits of size and shape
with normal of cardiothoracic ratio
6- Bones and Soft Tissues
Normal and grossly unremarkble
7- Findings and Dx
Multiple cavitating lesions in both
upper lobes.
Tuberculosis

8. 1- 1st 3 (describe)
Frontal Chest x-ray
2- Centralization (clavicle)
Px is well centralized.
3- Trachea and Mediastinum
Are grossly unremarkble
Fever and cough with
hyperglycemia for 10 days.
On antibiotics for 8 days
4- Both Lungs have
Multiple cavitating lesions at the right upper lobe. The left
Lung is clear.
B- both CP angels clear
5- Cardiomediastinal silhouette
within the normal limits of size and shape
with normal CT ratio
6- Bones and Soft Tissues
Are unremarkble
7- Findings and Dx
Multiple cavitating lesions at the right upper lobe
Tuberculosis

9. 1- 1st 3 (describe)
Frontal chest x-ray
2- Centralization (clavicle)
Px is well centralized.
3- Trachea and Mediastinum
Midline and clear and grossly
unremarkble
Background of Crohn's disease
and immunosuppression with
Cough and fever
4- Both Lungs
Large pulmonary cavity with
Air-fluid level within the cavity
B- with clear CP angles
5- Cardiomediastinal silhouette
within the normal limits of size and shape
with normal CT ratio
6- Bones anSoft Tissues
normal and clear and grossly unremarkble
7- Findings & Dx
• Large pulmonary cavity with Air-fluid level within the cavity.
- Patchy airspace opacification more inferiorly within left
lower zone.
Lung abscess
• Scarring/atelectasis within lateral aspect of right upper
zone.

10. 1- 1st 3 (describe)
Frontal Chest x-ray
2- Centralization (clavicle)
Px is NOT well centralized.
3- Trachea and Mediastinum
Shifted to the right
Male patient with
chest pain and SOB
4- Both Lungs
A- right lung is clear .
• left lung show Visible visceral pleural edge
B- both CP angels clear
5- Cardiomediastinal silhouette
within the normal limits of size and shape
with normal cardiothoracic ratio but slightly sifted
to the right
6- Bones and Soft Tissues
normal and clear
7- Findings and Dx
• Radiolucent left lung & left hemithorax compared to rt.
• Visible visceral pleural edge is seen as a very thin,
sharp white line and No lung markings are seen
peripheral to it
• Lung may completely collapse
Tension pneumothorax
• Mediastinum shift away to the right
side with Depression of the left hemidiaphragm

11. 1- 1st 3 (describe)
Frontal Chest x-ray
2- Centralization (clavicle)
Px is well centralized.
3- Trachea and Mediastinum
Shifted to the left
4- Both Lungs
A- left lung is clear .
• Right lung show collapsed lung with air fluid level
B- CP angle is clear on left
But obliterated on right
5- Cardiomediastinal silhouette
within the normal limits of size and shape
with normal cardiothoracic ratio but slightly sifted
to the right
6- Bones and Soft Tissues
normal and clear and grossly
unremarkble
7- Findings and Dx
• Large right hydropneumothorax with collapsed right
lung and mediastinal shift.
• Left lung clear. Heart size normal.
Male patient with chest
pain and SOB
Hydropneumothorax
• Normal bony thorax.

12. 1- 1st 3 (describe)
Frontal Chest x-ray
2- Centralization (clavicle)
Px is well centralized.
3- Trachea and Mediastinum
Are unremarkble
Low grade fever 1mo associated
with cough minimal expectoration
and dyspnea and loss of 7kg of wt
4- Both Lungs are
• The right lung shows opacity in its lower zone
obliterated of right CP
angle
The left lung and CP
angle are clear.
5- Cardiomediastinal silhouette
Grossly unremarkable
6- Bones and Soft Tissues
Grossly unremarkable
7- Findings and Dx
- The opacity seen to track along the lateral
chest wall.
- The right CP angle is
obliterated with a meniscus sign
noted.
Right Pleural Effusion

13. 1- 1st 3 (describe)
Frontal Chest x-ray
2- Centralization (clavicle)
Px is well centralized.
3- Trachea and Mediastinum
Normal and clear
45yo Px presented with
acute abdominal pain
4- Both Lungs are
A- clear and symmetrical BV
( no consolidation or cavitation or opacification )
B- CP angle is clear on both side
5- Cardiomediastinal silhouette
within the normal limits of size and shape
with normal CT ratio
6- Bones and Soft Tissues
normal and clear
7- Findings and Dx
• Free air underneath the right diaphragm
delineating the right diaphragm and liver margins.
• There is also air underneath the central
tendon of the diaphragm.
• The visualized upper abdomen shows
distended bowel loops.
Pneumoperitoneum