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Chest X Rays

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collection of 100 chest x rays of common conditions

Published in: Health & Medicine

Chest X Rays

  1. 1. 100 Chest X Rays for Study Group by Dr. Suneet Khurana
  2. 2. Approach to - Chest X Ray (shadow of the viscera on a photographic plate)• Gas appears Black• Fat appears Dark Grey• Water Appears as Light Grey• Bone appears White
  3. 3. Approach to Chest X Ray• Views1)Postero – Anterior (PA) - Standard2)Antero – Posterior (AP)3)Apical Lordotic (Apex of lungs)4)Oblique5)Lateral Decubitus (pleural effusions)
  4. 4. Steps to Systematic Approach1) Scan patient data and Determine the Film Quality ( Exposure, Inspiration, Position)2) Examine the Chest Walla) Vertebral Columnb) Ribsc) Clavicles & Proximal Humerid) Skin and Subcutaneous Tissues + Soft Tissuese) Breasts
  5. 5. Steps to Systematic approach3) Examine the Abdomen4) Examine the Diaphragm5) Examine the Pleura6) Examine the Heart7) Examine the Mediastinum8) Examine the Hila9) Examine the Lungs
  6. 6. Mediastinal Masses• Thyroid goitre/carcinoma, Lymphoma, Neural tumours• Tuberculosis, Histoplasmosis Metastatic lymphadenopathy• Germ cell tumours, Sarcoidosis• Thymoma, Hiatal hernia, Aortic aneurysm• Pericardial fat, Esophageal diseases• Metastatic lymphadenopathy
  7. 7. Case 1 – Foreign Body Right Lower Lobe
  8. 8. Case 2 – Foreign Body – Sword Swallow
  9. 9. Case 3 – Bilateral Hilar Adenopathy
  10. 10. Case 4 – Previous Thoracotomy Left Lung
  11. 11. Case 5 - B/L Lower Lobe Pneumonia
  12. 12. Case 6 – R Lower Lobe Consolidation – TB in HIV
  13. 13. Case 7 – TB with Cavitation
  14. 14. Case 8 – Ruptured Liver Abscess in Pleural Cavity
  15. 15. Case 9 – Ruptured Liver Abscess (Shock, Fever x 4 days)
  16. 16. Case 10 – Retrosternal Goiter (Asymptomatic 70 y F)
  17. 17. Case 11 – Retrosternal Goiter
  18. 18. Case 12 – Pneumonia (Fever, Cough, Sputum 35y M)
  19. 19. Case 13 – Mediastinal Emphysema
  20. 20. Case 14 – Mediastinal Emphysema
  21. 21. Case 15 – Interstitial Emphysema
  22. 22. Case 16 – Mediastinal & Interstitial Emphysema
  23. 23. Case 17 – Mediastinal Lipomatosis
  24. 24. Case 18 – Anomalous Pulmonary Venous Drainage
  25. 25. Case 19 – Posterior Mediastinal Mass – Neurogenic Origin
  26. 26. Case 20 – Posterior Mediastinal Mass – Sarcomatoid Carcinoma
  27. 27. Case 21– Active Pulmonary Tuberculosis
  28. 28. Case 22 – Squamous Cell Carcinoma with Malignant Pleural Effusion (arising from R bronchus)
  29. 29. Case 23 – Broncholithiasis in Previously Treated TB
  30. 30. Case 24 – Displaced Pulmonary Artery Catheter (MI management in CCU)
  31. 31. Case 25 – Bronchiolitis Obliterans Organizing Pneumonia
  32. 32. Case 26 – Bamboo Spine – Ankylosing Spondylitis
  33. 33. Case 27 – Mediastinal Hematoma (Malpositioned Central Venous Catheter, Neck Hematoma)
  34. 34. Case 28 – Silicosis with Massive Pulmonary Fibrosis
  35. 35. Case 29 – Bronchiectasis
  36. 36. Case 30 – AML with Pulmonary Angio – Invasive Aspergillosis
  37. 37. Case 31 – Invasive Pulmonary Aspergillosis
  38. 38. Case 32 – Right Upper Lobe Collapse (Golden’ Sign)
  39. 39. Case 33 – Westmark Sign of Acute Pulmonary Embolism
  40. 40. Case 34 – Left Primary Spontaneous Pneumothorax
  41. 41. Case 87 – Radiation Fibrosis of R Lung
  42. 42. Case 31 – Miliary Tuberculosis
  43. 43. Case 35 – Right Pneumothorax (COPD with bullae)
  44. 44. Case 36 – 100 Pack yr (5y Dyspnea) COPD (hyperinflation)
  45. 45. Case 37 – B/L First Rib Fractures
  46. 46. Case 38 – Mediastinal Lipomatosis
  47. 47. Case 39 – Bronchogenic Cyst
  48. 48. Case 40 – Dissecting Thoracic Aortic Aneurysm
  49. 49. Case 41 – Chronic Eosinophilic Pneumonia (Cough, Fever, Raised Eosinophils x 3 months)
  50. 50. Case 42 – L Upper Lobe Collapse due to Lung Cancer (Hemoptysis, Loss of Wt x 2 months)
  51. 51. Case 43 – Severe Pneumonia
  52. 52. Case 44 – Osler Weber Rendu (AVM, Epistasis) Hereditary Hemorrhagic Telengiectasia
  53. 53. Case 45 - Pulmonary Edema
  54. 54. Case 46 – Eisenmenger Syndrome due to PDA
  55. 55. Case 47 – Right Pleural Effusion (Cirrhosis of liver)
  56. 56. Case 48 - Hamartoma
  57. 57. Case 49 –Asbestosis
  58. 58. Case 50 – Acute Respiratory Distress Syndrome (Secondary to Pancreatitis)
  59. 59. Case 51 - Acute Respiratory Syndrome
  60. 60. Case 52 - Massive Left Pleural Effusion
  61. 61. Case 53 – Chiladiti Sign (Transverse Colon between Liver and Right Hemidiaphragm)
  62. 62. Case 54 – Malignant Mesothelioma
  63. 63. Case 55 - R Lower Lobe Consolidation due to TB in HIV
  64. 64. Case 56 – Right Sided Aortic Arch
  65. 65. Case 57 - Chronic Eosinophilic Pneumonia
  66. 66. Case 58 – Eventration of Right Hemidiaphgram
  67. 67. Case 59 - Traumatic Aortic Disruption
  68. 68. Case 60 – Pneumothorax
  69. 69. Hydatid Cyst (Echinococcosis)
  70. 70. Case 61 – Posterior Mediastinal Mass - Neuoroblastoma
  71. 71. Case 62 – Bronchiectasis
  72. 72. Case 62 – Solitary Pulmonary Nodule
  73. 73. Case 63 – Lung Sequestration Right Heart Border (Hemoptysis)
  74. 74. Case 64 – Crush Injury - Left Diaphgramatic Hernia
  75. 75. Case 65 – Calcified Left Ventricular Aneurysm (Post MI)
  76. 76. Case 66 - Metastasis from Colorectal Cancer
  77. 77. Case 67 - Dextrocardia
  78. 78. Case 68 – Fracture Clavicle & Scapula
  79. 79. Case 69 - Boerhaave’s Syndrome
  80. 80. Boerhaave’s Syndrome (Esophageal Perforation)
  81. 81. Case 70 - Phrenic Nerve Palsy
  82. 82. Case 71 – Tracheal Tumor (Adenoid Cystic CA)
  83. 83. Case 72 - Pulmonary Pesudo-nodules due to Nipple Shadows
  84. 84. Case 73 – Cryptogenic Fibrosing Alveolitis
  85. 85. Case 74 – Pericardial Cyst
  86. 86. Case 75 – Cardiac Tamponade
  87. 87. Case 76 - Mediastinal Lymphadenopathy secondary to Lymphoma
  88. 88. Case 77 - Malpositioned Nasogastric Tube
  89. 89. Case 78 – Azygous Lobe (Tear drop shaped accessory lobe of the R Lung)
  90. 90. Case 79 – Silicosis (Sand Quandry Worker)
  91. 91. Hydropneumothorax Vs Pleural Effusion
  92. 92. Case 80 – B/L Calcified Pleural Plaques (Asbestosis)
  93. 93. Case 81 – Lytic Lesion Right Humerus
  94. 94. Case 82 - Loculated Pleural Effusion R Lung
  95. 95. Case 83 – Hiatus Hernia
  96. 96. Case 85 - Massive Cardiomegaly (End Stage Valvular Ds) D/D of Pleural Effusion – (Thoracentesis Contraindicated)
  97. 97. Case 86 – Left Lower Lobe Lobectomy
  98. 98. Case 87 - Chronic Calcific Pericarditis
  99. 99. Case 88 – Collapse of Left Lung
  100. 100. Case 89 – Aspergilloma (Post Rx TB R Lung)
  101. 101. Case 90 - Fractured Ribs with Callus
  102. 102. Case 91 – Oligemia of R Lung (Carcinoid tumor of Right Main Stem Bronchus)
  103. 103. Case 92 – Pneumoperitoneum
  104. 104. Case 93 - Cardiomegaly
  105. 105. Case 94 – Thoracoplasty (1950 – removal of upper TB infected lung, with subsequent pleural calcification)
  106. 106. Case 95 – Left Lower Lobe Collapse
  107. 107. Case 96 – Tracheal Stenosis due to Tracheopathia Osteochondroplastica
  108. 108. Case 97 – Mass in Bronchus (Collapse of Middle, and Lower Lobe R Lung
  109. 109. Case 98 – Primary Pulmonary Hypertension
  110. 110. Case 99 – Lung Abscess
  111. 111. Case 100 - Lung Cancer with Lymphangitis Carcinomatosis
  112. 112. Case 101– Pneumocystis Carinii Pneumonia
  113. 113. Case 102 – Pericardial Fat Pad (No Change in cardiac shadow over a period of 16 months)
  114. 114. Case 103 – Accessory Cervical Ribs
  115. 115. Thank You

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