The document discusses various abnormal signs seen on chest x-rays. It describes the silhouette sign as the loss of depiction of an anatomic border due to similar radiographic densities of adjacent structures. The hilum overlay sign refers to visibility of pulmonary arteries through a mediastinal mass. An air bronchogram is visualization of air-filled bronchi surrounded by airless lung. Patterns of parenchymal opacities include alveolar/interstitial opacities which can appear as reticular, reticulonodular or nodular patterns. Kerley lines are indicative of interstitial disease and can have transient or persistent causes such as edema, metastases or fibrosis. Signs of lung collapse include opacification
In this presentation our agenda is
Brief introduction
Radiological Modalities
Radiological Features
Radiological Imaging Of Complications of lung cancer.
I followed Dahnert and try to describe all findings in lung cancer.
Hope it will prove an atlas in Lung cancer imaging.
Right Paratracheal Stripe
Posterior wall of the bronchus intermedius
Left Paratracheal Stripe
Left subclavian artery border
Posterior-superior junction line
In this presentation our agenda is
Brief introduction
Radiological Modalities
Radiological Features
Radiological Imaging Of Complications of lung cancer.
I followed Dahnert and try to describe all findings in lung cancer.
Hope it will prove an atlas in Lung cancer imaging.
Right Paratracheal Stripe
Posterior wall of the bronchus intermedius
Left Paratracheal Stripe
Left subclavian artery border
Posterior-superior junction line
4 BASIC TYPES OF DENSITY - air , water /soft tissues, metal /bone , fat
Two substances of the same density, in direct contact, cannot be differentiated from each other on an x-ray.
This phenomenon, the loss of the normal radiographic silhouette (contour), due to loss of difference in density is called the silhouette sign.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
Abnormal sign in chest X- Ray
1. 1/1/2013
1
Abnormal Sign in Chest X-
ray
Silhouette sign:
Density difference delineation of the outline.
There are four basic densities in x-ray images:
gas
fat
water / soft tissue
bone / calcium
Loss of density difference of the adjacent
structures loss of silhouette.
Silhouette sign contd…
• The silhouette sign is the absence of depiction
of an anatomic soft-tissue border resulting
from the juxtaposition of structures of similar
radiographic attenuation.
• The sign actually refers to the absence of a
silhouette.
• If the borders are retained
– Not adjacent to each other or
– Of different radiographic densities.
Silhouette Sign
• Cardiac margins are clearly seen because there
is contrast between the fluid density of the heart
and the adjacent air filled alveoli.
• If the adjacent lung is devoid of air, the clarity of
the silhouette will be lost.
• Pleura encircles the lung and diseases of the
pleura can also obliterate silhouettes. The same
is true for mediastinal masses.
Silhouette Adjacent
Lobe/Segment
Right diaphragm RLL/Basal segments
Right heart margin RML/Medial segment
Ascending aorta RUL/Anterior segment
Aortic knob LUL/Apicoposterior segment
Left heart margin Lingula/Inferior segment
Descending aorta LLL/Superior and medial
segments
Left diaphragm LLL/Basal segments
Chest radiograph shows silhouette sign, with
obscuration of right border of heart (arrows).
2. 1/1/2013
2
Lingular segment consolidation
Hilum overlay sign
• This is the same concept as a silhouette sign.
• If the interlobar pulmonary artery can be seen
through the mass, it means that the mass seen
is either in front of or behind it.
• Visibility of pulmonary artery
more than a centimeter within the lateral edge of what
appears to be the cardiac silhouette.
– Useful in differentiating the enlarged cardiac shadow
from anterior mediastinal mass.
Hilum Overlay Sign: hilar vessels are seen through a
mediastinal mass Hilum convergence sign
• If pulmonary artery branches converge
towards the opacity enlarged artery
• If converge towards heart (i.e., seen
through the opacity) hilar/mediastinal
mass
3. 1/1/2013
3
Cervico-thoracic sign
– If the thoracic lesion is in anatomic contact with soft tissues of
neck its contiguous border will be lost.
• Lesion clearly visible above the clavicles lies
posteriorly within the thorax.
• If cephalic border of the lesion disappears as it
approaches the clavicle cervico-thoracic lesion
(partly in anterior mediastinum and partly in neck)
Cervicothoracic sign
mass extending above the level of the clavicle and there is lung tissue
in front of it, so this must be a mass in the posterior mediastinum.
Thoraco-abdominal sign
• Posterior costophrenic sulcus extends
more caudally than anterior basilar lung.
• Lesion extends below the dome of
diaphragm must be in posterior chest
whereas lesion terminates at dome must
be anterior.
Air bronchogram
• Visualization of air-filled bronchi
surrounded by air-less lung.
Normal lung. Bronchi not seen Bronchi visible because the air
in the surrounding alveoli has
been replaced by fluid.
4. 1/1/2013
4
Air Bronchogram
• In a normal chest x-ray, the tracheobronchial
tree is not visible beyond 4th order.
• The lumen of bronchus contains air and the
surrounding alveoli contain air. Thus there is no
contrast to visualize bronchi.
• The air column in bronchi beyond 4th order
becomes recognizable if the surrounding alveoli
is filled, providing a contrast = Air
bronchogram.
Chest x-ray of a patient with right upper lobe consolidation.
• Indicates that the lesion is intrapulmonary.
• Seen in
– Pneumonia
– Pulmonary edema
– Hyaline membrane disease
– Alveolar cell carcinoma
– Lymphoma
– Radiation pneumonitis
Bilateral upper lobe consolidation
• Air alveologram
– Tiny areas of radiolucency within the
surrounding air-less lung
Patterns of Parenchymal Opacity
• Shadowing in the lungs is due to:
– Alveolar disease
– Interstitial disease
• This distinction is sometimes difficult and there is
often overlap between the two.
• But it does help in interpretation and deciding
the possible cause of an abnormality. There are
often features of both.
5. 1/1/2013
5
• Alveolar / Air-space / Acinar opacities
– Acinus
• functional unit, distal to a terminal bronchiole
• 6-8 mm in size
• Communication via pores of Kohn and channels of
Lambert
Acinar Shadows
• Features
– Acinar nodules – 6-8mm sized nodules
– Fluffy (ill-defined) margins
– Early coalescence consolidation
– Air bronchogram / alveologram
– Segmental / lobar distribution
– Bat's wing (butterfly) distribution
– Rapidly changing over time
• Alveolar nodules
Alveolar cell ca
• Acinar Nodules
• Nodules of varying
size with irregular
margins
Interstitial opacities
Interstitium the tissue in which the blood
vessels and bronchi lie within the lungs.
• leads to a non homogenous pattern of shadowing
which may take many forms.
• alveoli are still aerated and therefore there is no air
bronchogram or silhouette sign.
• disease may be diffuse or localised.
Interstitial Opacity
Type Example
• Reticular/linear
•Reticulonodular
• Branching
•Idiopathic pulmonary
fibrosis
•Sarcoidosis
•Allergic
bronchopulmonary
aspergillosis
6. 1/1/2013
6
Contd..
Type of Interstitial
opacities
Example
Nodular
•Miliary (<2 mm)
• Micronodule (2–7 mm)
•Nodule (7–30 mm)
• Mass (>30 mm)
•Atelectasis
•Miliary tuberculosis
•Acute hypersensitivity pneumonitis
•Metastatic disease, granuloma
•Bronchogenic carcinoma
•Endobronchial neoplasm
Patterns of Interstitial
Opacities in CXR
reticular pattern
• a reticular pattern is a collection of
innumerable small linear opacities that, by
summation, produce an appearance
resembling a net.
Chest radiograph shows reticular pattern
reticulonodular pattern
• A combined reticular and nodular pattern, the
reticulonodular pattern is usually the result of the
summation of points of intersection of
innumerable lines, creating the effect on chest
radiographs of superimposed micronodules.
• The dimension of the nodules depends on the
size and number of linear or curvilinear
elements.
Chest radiograph shows reticulonodular pattern
7. 1/1/2013
7
Bilateral reticulonodular shadowing most obvious at the bases.
This patient had rheumatoid arthritis.
Magnified chest radiograph shows a nodular
pattern.
Kerley Lines
• Indicative of interstitial disease.
• A: Long wavy lines in upper and mid lung field
• B: 2-3 cm long, 1-2mm thick, pleural based in
bases perpendicular to lateral chest; reliable,
thickening of interlobular septa.
• C: Fine fibrillatory lines: You can imagine this on
most cases
Kerley C lines
Kerley A lines
Kerley B lines
Kerley lines Causes of Kerley’s lines (A,B & C)
• Transient
– Common: Pulmonary edema
– Rare: Pneumonia, pulmonary hemorrhage, Transient
respiratory distress of newborn
• Persistent
– Common:
• Lymphangitic metastases
• Pneumoconiosis
• Rheumatic mitral valve disease
– Rare:
• Alveolar cell carcinoma
• Congenital heart disease
• Interstitial fibrosis of any cause
• Lymphoma
• Mineral oil aspiration etc.
8. 1/1/2013
8
Signs of collapse of lungs
– Direct signs
• Opacity/loss of aeration of the affected lobe
• Crowding of vessels
• Dispalcement / bowing of fissures
– Indirect signs
• Compensatory hyperinflation of normal lung
• Ipsilateral mediastinal/ tracheal displacement
• Displacement of hilum
• Elevation of hemi-diaphragm
• Crowding of ribs on affected side
• Lobar collapse
The lobes collapse in characteristic fashion:
– 1. The upper lobes collapse upwards,
medially and anteriorly
– 2. The middle lobe goes downwards and
medially
– 3. The lower lobes collapse posteriorly,
medially and downwards.
The lesser
fissure moves
upwards but
remains pivoted
at the R hilum
medially
Lateral view.
The upper lobe
collapses
upwards,
anteriorly, and
towards the
mediastinum.
Collapse of the R upper lobe.
Opacity in the upper lobe,
silhouette sign upper
mediastinum & upward
displacement of the lesser
fissure.
S Curve of Golden
• When there is a mass adjacent to a
fissure, the fissure takes the shape of an
"S". The proximal convexity is due to a
mass, and the distal concavity is due to
atelectasis.
Posteroanterior radiograph of the chest demonstrates the
Golden S sign. Note the convexity (arrowhead) from the
mass and the concavity (arrow) of the minor fissure
• Golden S sign
9. 1/1/2013
9
Lt upper lobe collapse
•Mediastinal shift to left
•Density left upper lung field
•Loss of aortic knob and left hilar
silhouettes
Bowing Sign
• In LUL atelectasis or following resection,
the oblique fissure bows forwards (lateral
view).
• Bowing sign refers to this feature.
Bowing sign Luftsichel sign
• Luft = air; sichel = crescent
• With complete collapse, the left upper lobe retracts
medially and superiorly.
• Hyperexpanded superior segment of the left lower lobe
produces a crescent of lucency interposed between the
atelectatic left upper lobe and the aortic arch.
• This crescent of air is termed the luftsichel sign.
• Other features of left upper lobe collapse are present
Luftsichel sign
Rt. middle lobe collapse. There
is a density next to the heart,
below the R hilum, which is
roughly triangular in shape
Lateral view shows the middle
lobe collapse more clearly. The
triangular opacity anteriorly is
the collapsed lobe
10. 1/1/2013
10
Atelectasis Right Lower Lobe
• Density in right
lower lung field
• Indistinct right
diaphragm
• Right heart
silhouette retained
• Transverse fissure
moved down
• Right hilum
moved down
Left Lower Lobe Atelectasis
•Inhomogeneous cardiac
density
•Left hilum pulled down
•Non-visualization of left
diaphragm
•Triangular retrocardiac
atelectatic LLL
Plate (linear) atelectasis
• Is a focal area of subsegmental atelectasis with a linear
configuration, almost always extending to the pleura.
• Also known as discoid or plate like atelectasis.
• It is commonly horizontal but sometimes oblique or
vertical.
• The thickness of the atelectasis may range from a few
millimeters to more than 1 cm.
• Seen in impaired diaphragmatic motion: thoracic trauma,
subphrenic disease, pathologic elevation of diaphragm,
normal hypersthenic individuals with a high diaphragm.
Chest radiograph shows basal linear atelectasis
• Plate atelectasis
• linear subsegmental atelectatic shadows
at the lung bases
Cut Off Sign
• An abrupt ending of visualized bronchus =
"cut off sign".
• It indicates an intrabronchial lesion.
• This is useful to identify the etiology of
atelectasis .
11. 1/1/2013
11
Open Bronchus Sign / Alveolar
Atelectasis
• Presence of air bronchogram in atelectatic
lung.
• indicates that the airways are patent.
• Commonly seen in adhesive alveolar
atelectasis.
Open bronchus sign
Close up view
Air crescent/ halo sign
• An air crescent is a collection of air in a
crescentic shape that separates the wall of a
cavity from an inner mass.
• The air crescent sign is often considered
characteristic of either Aspergillus colonization of
preexisting cavities or retraction of infarcted lung
in angioinvasive aspergillosis.
• other causes:
– tuberculosis, Wegener granulomatosis, intracavitary
hemorrhage, lung cancer, lung gangrene
Magnified chest radiograph shows air crescent
(arrows) adjacent to mycetoma
Halo Sign
In a cavity with fungus ball there is a crescentic lucent space along the upper
portion of a density giving the appearance of a halo.
12. 1/1/2013
12
Double Density
• Heart should be of uniform density, except over vertebra
and descending aorta.
• If increased density in one portion compared to rest of
the heart, consider an abnormal density either in front or
behind the heart.
• Left atrial enlargement can be recognized by the circular
double density.
• LLL disease, hiatal hernia and posterior mediastinal
masses will give double density over left side of heart.
• Esophageal disease, posterior mediastinal masses and
hiatal hernia can give double density over right side of
cardiac density.
Double density
Bulging Fissure Sign
Consolidation spreading rapidly, causing lobar expansion and
bulging of the adjacent fissure inferiorly .
The most common infective causative agents are
Klebsiella pneumoniae, Streptococcus pneumoniae,
Pseudomonas aeruginosa, Staphylococcus aureus
Continuous Diaphragm Sign
Continuous lucency outlining the
base of the heart, representing
pneumomediastinum .
Air in the mediastinum tracks
extrapleurally, between the heart
and diaphragm .
Pneumopericardium can have a
similar appearance but will show
air circumferentially outlining the
heart.
CT angiogram Sign
Identification of vessels within an
airless portion of lung on contrast-
enhanced CT .
The vessels are prominently seen
against a background of low-
attenuation material .
Associated with:
bronchoalveolar cell carcinoma
lymphoma
infectious pneumonias.
Deep Sulcus Sign
This sign refers to a deep
collection of intrapleural air
(pneumothorax) in the
costophrenic sulcus as seen
on the supine chest
radiograph .
13. 1/1/2013
13
Fallen Lung Sign
This sign refers to the appearance
of the collapsed lung occurring
with a fractured bronchus .
The bronchial fracture results in
the lung to fall away from the
hilum, either inferiorly and laterally
in an upright patient or posteriorly,
as seen on CT in a supine patient.
DD:
Pneumothorax causes a lung to
collapse inward toward the hilum.
Finger in Glove Sign
In allergic bronchopulmonary aspergillosis.
The impacted bronchi appear radiographically as opacities with distinctive
shapes.
Hampton Hump Sign
Pulmonary infarction secondary to pulmonary embolism produces
an abnormal area of opacification on the chest radiograph, which
is always in contact with the pleural surface.
Juxtaphrenic Peak Sign
This sign refers to a small triangular shadow that obscures the dome of the
diaphragm secondary to upper lobe atelectasis . The shadow is caused by
traction on the lower end of the major fissure, the inferior accessory fissure, or
the inferior pulmonary ligament.
THANK YOU
QUESTIONS
• Silhouette Sign.
• Hilum overlay sign.
• Air bronchogram.
• Patterns of parenchymal opacities.
• Causes of kerely’s line.
• Signs of collapse of lung.
• Luftsichel sign.
• Air crescent sign.
• Continous diaphragm sign.