xray teaching

8/12/2019 Xray Teaching

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- Plain X ray chest- Postero-anterior view- The patient is not well centralized- Costophrenic angles are free on both sides- Cardio-thoracic ratio increased about 70% in (1 and 2) , 60 %in ( 3) denoting cardiomegaly- Cardiophrenic angle on the left side is not visualized in (1)

obtuse in (2 , 3 ) denoting left ventricle dilatation)- Prominent pulmonary conus (pulmonary artery dilatation)- Bulging right cardiac border (right atrium dilatation) in 1 & 2(normal Rt border in 3)- Increase pulmonary vascular markings (hilar congestion)

Cardiomegaly due to enlargement of left ventricle, left atrium,pulmonary artery and right atrium ( not in 3), most probablydue to :

Rheumatic heart disease


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- Plain X ray chest - Postero-anterior view - The patient is not well

centralized

- Costophrenic angles are free on both sides- Cardio-thoracic ratioincreased about 70%

- Cardiophrenic angle on the left side is acute ( right ventricle dilatation)

- Shelfing of the left cardiac border

- There is heterogeneous opacity in the middle and lower third of the rightlung (pneumonia)

overlapping most of the right cardiac border.

Cardiomegaly due to enlargement of Rt ventricle for differential diagnosis

Right side pneumonia


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- Plain X ray chest - Postero-anterior view - The patient is wellcentralized

- Costophrenic angles are free on both sides- Cardio-thoracic ratioincreased about 70%

- Cardiophrenic angle on the left side is acute ( right ventricle

dilatation)

- Bulging of the right cardic border ( Rt atrium dilatation)

- The heart is globular in shape

- Pulmonary vascular markings are slightly increased

Generalized enlargement of cardiac chamber ( globular shapeheart)..


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pericardial effusion


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Cardiomegaly due to enlargement of Rt ventricle andRt atrium


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- Plain X ray chest - Postero-anterior view

- The patient is not centralized- Costophrenic angles are free on both sides- Cardio-thoracic ratio increased about 70%- Cardiophrenic angle on the left side is acute (right

ventricle dilatation)- Marked bulge of the right border (right atrium dilatation)

- The base of the heart is narrow- In (1) : Increased pulmonary vascular markings andheterogenous opacity in the upperand middle zone of the right lung (pneumonia). In (2)normal bronchovascular markings.

Cardiomegaly in the form of (Egg on side) most probablyduetransposition ofgreat arteries + pneumonia in 1


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- Plain X ray chest

- Postero-anterior view- The patient is not centralized- Costophrenic angles are free on both sides- Cardio-thoracic ratio is normal or mildlyincreased- Cardiophrenic angle on the left side is acutewith uplifted apex(Rt ventricle hypertrophy)- Exaggerated waist (pulmonary hypoplasia)- Decreased pulmonary vascular markings(lung

oligemia)Coeur en saboau : boot shaped heart:tetralogy of Fallot ??


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Pneumopericardium RDS - left side pneumothorax (1)


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Pneumopericardium


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Situs inversus totalis


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Right side (left side ) massive pleural effusion


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Bilateral pleural effusion


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Right side lobar pneumonia


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Left side massive lung collapse (1,2,3)- Right side massive lung collapse ( 4)


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Left side pyopneumothorx(orhydropneumothorax


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Right side pyopneumothorx(orhydropneumothorax)


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Right side lung abscess


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Left side pneumonia with pneumatoceles


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Rt side pneumonia with pneumatocele-right side

pleural effusion


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Left side lung collapse


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Right side pneumothorax with right lung compressioncollapse


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Left side pneumothorax with left lungcompression collapse


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Left side congenital lobar emphysemaRight lung lobar collapse


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Rt side congenital diaphragmatichernia


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Intestinal obstruction


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Duodenal atresia (double bubble


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- Plain x ray chest and abdomenupright position- Free air (hypertranslucent area)in the peritoneal space

under the diaphragm above the liver .- in (2) the abdominal viscera are pushedcentrally by the air- The abdomen is distended with gasses

Pneumoperitoneum


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Intussusception


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Congenital hypertrophic pyloric stenosis


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Active rickets


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