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Similar to Radiology chest assessment
Radiology chest assessment
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- 3. Findings with marks CXRof adult female Bilateral symmetrical bulky hila (3) lungs = N (1) CP angles = N (1) Dx = Sarcoidosis ( stage 1) (3) DD = lymphoma (1) What next = CT chest (1)
- 5. CXR PAview Large rounded nodules in bilateral upper zones (1) Containing calcific specks (1) Peripheral emphysema upper lobes (1) Tiny nodules mid and lower zones (2) Dx : Pneumoconiosis with progressive massive fibrosis (4) What next = CT chest (1) Findings
- 7. Findings CXR Youngchild (1) Left upper lobe hypertransradiant (1) Overinflated and herniated to towards right (2) Marked attenuation of vessels in it (1) Crowding of vessels in left lower lung (1) DX= Congenital lobar emphysema (4)
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- 9. Findings CTPA (1) Filling defectsin Bilateral pulmonary arteries (2) Bilateral pleural effusions (2) Soft tissue opacity right lung (1) Dx : Pulmonary Embolism (3) What Next = Doppler scan of lower limbs (1)
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- 11. Findings • CXR • Adultfemale (1) • Right mastectomy (2) • Tenting of right hemi diaphragm (1) • Heterogeneous opacities right lower zone (1) • Ipsilateral cardiac shift(1) • Dx= CA right breast ( mastectomy ) with radiation fibrosis (4)
- 13. Findings • CXR • Bilateralbulky central pulmonary arteries (2) • Peripheral pruning of vessels (2) • Normal cardiac size (1) • Right cervical rib (1) • Dx= Pulmonary hypertension (3) • What Next = Echocardiography (1)
- 14. Case 7 :Sudden shortness of breath
- 15. Findings • CXR • Hyperinflated left lung (2) • Hyper lucent left lung (1) • Mediastinal shift towards right (1) • Increased intercostal space between left sided ribs (1) • Dx = obstructive emphysema ( FB inhalation) (3) • What Next = bronchoscopy (2)
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- 17. Findings CXR Hypertransradiantleft lung (2) Oligemic left lung (1) Increase bronchovascular markings in left retrocardiac region (2) Right lung = N (1) Dx = Left lower lobe collapse with compensatory hyperinflation of upper lobe (3) What Next = Lateral CXR, CT (1)
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- 19. • CT chestwith contrast ( lung + mediastinal window) (1) • Large, heterogeneous mass right breast (1) • Skin thickening + nipple retraction (1) • Nodules right upper lobe (1) • Reticulations right upper lobe (1) • Bilateral pleural effusions (1) • Hypodense area in liver (1) • Dx = CA breast with lymphangitis carcinomatosa and liver metastasis (2) What Next = FNAC breast (1) Findings
- 20. Case 10 :Asthmatic patient c/o cough
- 21. Findings CT chest axialimage ( lung window) (1) Bilateral bronchiectasis (2) Mucus plugs ( glove finger ) (3) Dx = ABPA (4)
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- 23. Findings CXR Opaque left hemithorax with air fluid level (2) Ipsilateral mediastinal shift (2) Overinflated right lung (2) Dx =Left pneumonectomy (4)
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- 25. Findings • CT chestlung and mediastinal windows axial + coronal views (1) • Small, lucent left lung (2) • ipsilateral mediastinal shift (1) • Left sided bronchiectasis (1) • Small left pulmonary artery (2) Dx: Macleod's syndrome (3)
- 27. Findings X-ray chestPA view of adult male (01) Opaque left hemi thorax (01) Mediastinal shift toward left (01) No air-bronchogram, cavitations or bony lesion (02) Normal right lung (01) Diagnosis: - Collapse left lung (due to hilar mass ?) (03) Advised: - CECT chest (01)
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- 29. Findings • CXR • Lungapical lung mass (1) • Destruction of left 4th rib (2) • CP angles = clear (1) • Right lung = normal (1) • Dx : pancoast tumor (4) • What Next = CT chest (1)
- 31. Findings X-ray chest PAview of adult male (01) Cystic shadows in both lower zones (02) Dextrocardia with blurring of cardiac outline (02) Diagnosis: - Dextrocardia with bilateral bronchiectasis (02) (Kartagener's syndrome ) (02) Advised: -X-ray PNS (01)