4. NORMAL CHEST X-RAY PA LATERAL Two (2) projections are needed for most x-rays to locate structures in 3 planes (1)Right or Left , (2) Anterior or Posterior) or (3) Superior or Inferior.
5. NORMAL HEART BORDERS Note cardiac chambers that account for margins on the chest X-ray
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8. LEFT 4 TH RIB POSTERIOR AND ANTERIOR PORTIONS POSTERIOR ANTERIOR 4 A P
55. CARDIOMEGLY CONGESTIVE HEART FAILURE Evolution of congestive heart failure and pulmonary edema. With Progressive Lt. Ventricular failure blood backs into the left atrium—then to the pulmonary veins (PULMONARY VENOUS HYPERTENSION) then to the pulmonary interstitium (INTERSTITIAL EDEMA) then to the alveoli (ALVEOLAR EDEMA)
77. LT. Rib fracture on the left are associated with a small pleural effusion blunting the costophrenic angle. Compare with normal RT. side.
78. FRONTAL LATERAL WHAT AND WHERE IS IT? Air stripe Coin in esophagus shows a wider diameter than possible in the trachea and is posterior to the tracheal air stripe on the lateral chest x-ray.
Two (2) projections are needed for most x-rays to locate structures in 3 planes (1)Right or Left , (2)Anterior or Posterior) or (3) Superior or Inferior.
Note cardiac chambers that account for margins on the chest X-ray
This exam shows barium contrast outlining the bronchial tree. This is an old exam not done now with CT imaging replacing it. It does demonstrate the anatomy of the hila which superimpose over the pulmonary arteries and veins. This is why anatomy here on the chest X-ray is difficult in this region.
With heart failure edema builds up in lungs and edema along fissures allows them to be seen more easily on chest x-ray
Pleural effusion developing on the left
Air in the pleural space separates the visceral and parietal pleura. This limits effective ventilation of the lung.
Here air has built up under pressure in the pleural space and collapsed the lung severely compromising ventilation. The pressure builds due to a ball valve type leak of air into the pleural space with air going into the space on each inspiration.
Evolution of congestive heart failure and pulmonary edema. With Progressive Lt. Ventricular failure blood backs into the left atrium—then to the pulmonary veins (PULMONARY VENOUS HYPERTENSION) then to the pulmonary interstitium (INTERSTITIAL EDEMA) then to the alveoli (ALVEOLAR EDEMA)
Multiple lesions in the chest are typical for metastatic disease since the pulmonary capillary bed is often the first site metastatic lesions appear as they spread and embolize the pulmonary capillaries and grow in the new location.
Rib fracture on the left are associated with a small pleural effusion blunting the costophrenic angle. Compare with normal RT. side.
Coin in esophagus shows a wider diameter than possible in the trachea and is posterior to the tracheal air stripe on the lateral chest x-ray.
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