Chest radiology, ABR, American Board of Radiology, Indian Radiology, Indian board of radiology, Indian Radiology MD

1. Chest Radiology Case
Conference
August 2, 2017.
Dr. Jayanth H. Keshavamurthy.M.D.

2. 2 chest radiographs 6 days apart
7.19.2017 7.13.2017

4. PE with Wesetermark sign in left lung on 2 nd
Chest X ray

7. Renal osteodystrophy
• Rugger jersey spine
• Dense sclerotic bones.
• Fraying at the ends of the clavicles.

11. Idiopathic pulmonary hemosiderosis
• Diagnosis of exclusion.
• Surgically proven by biopsy.

13. What did you miss? See closely again.

15. LUL lung cancer

17. Left image is 3 days after the right image.

18. Deep sulcus sign left

19. Left X ray obtained after placement of left IJ line

21. Deep sulcus sign left

23. CLINICAL STATEMENT: found walking
around after being in ditch for 24
hours, GCS 15, ? Thrown from car?

25. Pneumomediastinum

28. One month later

29. Complete left pneumonectomy changes

31. Name the sign

32. Air bronchogram sign

34. INDICATION: 76-year-old female complaining of abdominal pain
with nausea and emesis.

36. 1. Perforated distal esophagus with pneumomediastinum
(Boerhaave's)
consultation with cardiothoracic surgery is recommended.

38. Chest pain

39. Few weeks later Post op

40. Weave procedure for sternal dehiscence

45. http://www.ajnr.org/site/com/2017jan.xhtml
Pantopaque

47. Post and pre thoracentesis

48. Drainage of left hemothorax

50. CLINICAL STATEMENT: 90 years" s/p complex PCI with chest pain"
90 yr old Caucasian woman with a PMH of CAD s/p CABG about 8 yrs.

51. At discharge

52. Hemothorax as a complication of RCA
perforation with pericardial blood
connecting to right pleural space as patient
had CABG and so no cardiac tamponade.

55. 2 months apart

56. Tunneled left IJ chemotherapy port tip
terminates within the azygos vein.

60. Ectopic thyroid

62. CLINICAL STATEMENT: " 39 yo concern
for allergic reaction"

64. 4 days later

65. Non cardiogenic pulmonary edema.
• Alveolar edema is > interstitial edema is a big clue.

68. Congenital pulmonic valvular stenosis
• https://3s.acr.org/CiP/Pages/CaseView?CaseId=3QeMrqDbFWo%3d&Arc
hive=true