X-Rays. Prepared by Prof.Dr. Magda Hassab Allah Assist.lecturer Marwa Al Hady

Transcription

1 X-Rays Prepared by Prof.Dr. Magda Hassab Allah Assist.lecturer Marwa Al Hady

2 CHEST X-RAYS

3 Normal Chest X-ray

4 Comments on chest X ray includes examination of 1- Bony cage (ribs,clavicles &vertebral column ) 2- Position of the trachea 3- Cardiac shadow 4- Lung fields 5- Lung hilea 6- Diaphragmatic cuplea and costophrenic angles Normal chest X ray

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9 Cardiac X ray

10 Cardiomegaly

11 Cardiomegaly + heterogeneous lung opacity (bronchopneumonia)

12 Cardiomegaly (flask shaped) Pericardial Effusion

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14 Cardiomegaly with increased pulmonary vascular marking

15 dextrocardia Note left Stomach bubble on left Right diaphragm lower Position of heart determines which diaphragm is lower, not liver.

16 dextrocardia

17 fallot tetralogy Chest x ray shows uplifted left cardiac border ( Nose-like bulging ), small and concave pulmonary segment with decreased pulmonary vasculature.

18 fallot tetralogy

19 fallot tetralogy

20 fallot tetralogy

21 Transposition of great arteries (TGA ) Chest x ray shows cardiac enlargement ( right atrial and right ventricular ), narrow cardiac base and increased pulmonary vasculature.

22 TGA

23 Scimitar Sign Anomalous pulmonary venous drainage

24 Chest X ray

25 bronchopneumonia

26 Bilateral heterogeneous opacity with honey comb appearance

27 Interstitial pneumonia Chest X ray showing reticulonodular opacities in both lung fields. Viral pneumonia is the most common cause. Other causes of reticulonodular opacities include : mycoplasma pneumonia, fungal infections, pulmonary hemosiderosis, and Histocytosis.

28 Rt upper lobar homogenous opacity

29 Middle lobar homogenous opacity

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31 Middle lobar pneumonia

32 Rt middle lobar peumonia

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37 Rt upper lobar homogenous opacity

38 Lower lobar homogenous opacity

39 X ray chest shows an opacity occupying the upper half of the right hemithorax with central mediastinum, a picture of lobar pneumonia. Lobar consolidation

40 Rt plural effusion

41 Bilateral Plural effusion

42 Bilateral plural effusion

43 . Chest roentgenogram showing massive opacification of the right hemithorax,obliteration of costophrenic angle and marked shift of the mediastinum to the opposite side. Pleural effusion

44 Lf hemithorathic opacity

45 left hemithorax opacity

46 Massive lf sided plural effusion

47 Multiple cavitating lesions Thick walled cavities Right pleural effusion

48 Right lung collapse

49 Left lung collapse

50 LLL colapse

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52 Total Left lung collapse

53 Massive lung collapse X ray chest shows dense homogenous opacification of the left hemithorax, crowdening of ribs with marked mediastinal shift to the same side. Complete obstruction of the left main bronchus is the most probable cause.

54 X ray chest shows a triangular opacity occupying the lower half of the left hemithorax with the mediastinum shifted to the same side, a picture of lobar atelectasis. Lobar collapse

55 left hemithorax opacity

56 Pneumothorax Chest roentgenogram showing hypertranslucency ( Jet black ) of the right hemithorax.

57 RT Pneumothorax

58 LF Pneumothorax

59 Rt pneumothorax

60 Emphysema Hyperlucent lung fields Multiple blebs Avascular zones Prominent pulmonary arteries Radiologic TLC

61 Hydropneumothorax

62 Hydropneumothorax

63 Hydropneumothorax X ray chest shows an opacity occupying the lower half of the left hemithorax with horizontal upper ( fluid level ) and hypertranslucency devoid of lung markings in the upper half

64 Cavity with air fluid level

65 Lung abscess

66 Lung Abscess Cavitation of right upper lobe with air fluid level

67 Cavity with air fluid level

68 Diaphragmatic hernia

69 Diaphragmatic hernia

70 Diaphragmatic hernia

71 Eventration Diaphragm

72 Air Fluid Level

73 Lung Abscess

74 RDS

75 Hyaline membrane disease X ray chest shows bilateral fine granular opacities ( ground glass appearance ) with air brochogram.

76 Pneumatocele

77 Solitary Pulmonary Nodule

78 Lymphoma Bilateral hilar and mediastinal nodes

79 miliary shadow

80 Millry Tuberculosis Interstitial nodules (Uniform size Sharper edges)

81 Non cardiogenic pulmonary oedema

82 Pulmonary Edema

83 Saccular Bronchiectasis