Saturday, August 4, 2012

Identification of Chest X-rays of Common Lung Diseases

How to Identify Chest X-rays of Common Lung Diseases?

Chest x-rays of common respiratory diseases on finger tips


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lung disease, aspergilloma, Pulmonary Diseases, Respiratory disease, aspergilloma cxr | aspergilloma chest x ray
Airbronchogram sign Produced as a result of airspace opacification of the lung parenchyma. This results in visibility of the normally invisible black bronchi against a background of white opacification | Seen in consolidation and collapse with at least some patency of the bronchus
Complete opacification of right hemithorax without significant contralateral shift of mediastinum Absence of shift is indicative of concomitant collapse Usually a sign of malignancy
Loss of gradually increasing transradiancy down the spine One hemidiaphragm is clearly visible Oblique fissure is displaced posteriorly
Ipsilateral shift of trachea, carina and mediastinum Bronchial cut-off sign (left mainstem bronchus) Rib crowding Loss of volume Compensatory hyperinflation of right lung
Oblique fissure displaced anteriorly Opacification anterior to the oblique fissure
Loss of volume on left side Ipsilateral shift of trachea and mediastinum Compensatory hyperinflation of left lung Raised left hemidiaphragm (compare with right) with tenting Haziness over the aortic knuckle (silhouette sign)
Loss of volume on right side Opacification of right upper lobe Transverse fissure raised Right hilum is also raised
Mediastinal widening in upper part mediastinum Loss of volume on left side Double opacity behind the heart Left hemidiaphragm not visible Heart shifted to the left side
Left sided pleural effusion Associated lobulated pleural thickening No shift of mediastinum due to encasement by mesothelioma
Multiple small millet sized nodules throughout both lung fields
Cat under the rug appearance indicative of pleural based origin Angle between chest wall and opacity is obtuse (>90o)
Left sided apical pneumothorax Visceral pleural line is clearly visible There should be no lung markings distal to the visceral pleural line
Ipsilateral shift of mediastinum and trachea Bronchial cut-off sign suggestive of endobronchial obstruction Rib crowding Loss of volume Obscured right mediastinal and cardiac outline Obscured right hemidiaphragm (silhouette sign) Compensatory hyperinflation of left lung Prominent left pulmonary artery (cardiac output passing through single artery)
Loss of gradually increasing transradiancy down the spine Only one hemidiaphragm is visible (left) Suspicion of mass in lower lobe with lymph node in mediastinum
Loss of volume on right side Opacification of right upper lobe Transverse fissure raised Right hilum is also raised
Oblique fissure displaced anteriorly Transverse fissure pulled upwards Opacification with loss of volume of right upper lobe
Bilateral hilar lymphadenopathy Right paratracheal strip enlargement Bilateral infiltrates involving predominantly the mid zones
 Air fluid level at right costophrenic angle Deeper right costophrenic angle as compared to the left Contralateral shift of mediastinum

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