CHEST X RAY1

CHEST X RAYCHEST X RAYREVEALEDREVEALED

PRESENTED BYPRESENTED BYRAKESH VALLITTAYILRAKESH VALLITTAYIL

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DEFENITION:

A CHEST X RAY IS A PROCEDURE USED TO EVALUATE ORGANS AND STRUCTURES WITHIN THE CHEST FOR SYMPTOMS OF DISEASE

STRUCTURES: CHEST X RAY INCLUDES VIEWS OF LUNGS, HEART, PORTION OF THE GI TRACT THYROID GLAND BONES OF CHEST AREA

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HOW TO READ A CHEST X RAYIT MAY PROVE QUITE RIGHT BUT STOP AND BE CERTAIN HOW LUNG APPEAR

I-IDENTIFICATION M-MARKERS P-POSITION Q- QUALITY R- RESPIRATION(FULL INSPIRATION) S- SOFT TISSUE(SWELLING ETC) A- ABDOMEN (FREE ABDOMINAL AIR) B-BONE (# AT LATERAL ENDS) C- CENTRAL SHADOW (>50% =ENLARGEMENT ) H-HILA(HILAR LYMPH ADENOPATHY) A-ABSENT STRUCTURES

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How to readHow to read

FIRST LOOK AT MEDIASTINAL CONTOURSFIRST LOOK AT MEDIASTINAL CONTOURS TRACHEA SHOULD BE CENTRALTRACHEA SHOULD BE CENTRAL AORTIC ARCH IS THE FIRST STRUCTURE AORTIC ARCH IS THE FIRST STRUCTURE

IN THE LEFT.IN THE LEFT. THEN WE CAN SEE P. ARTERIES FANNING THEN WE CAN SEE P. ARTERIES FANNING

OUTTHROUGH LUNGOUTTHROUGH LUNG TWO THIRD OF THE HEART LIES IN THE TWO THIRD OF THE HEART LIES IN THE

LEFT.LEFT. LEFT BORDER MADE UP OF LEFT ATRIUM LEFT BORDER MADE UP OF LEFT ATRIUM

AND VENTRICLEAND VENTRICLE RIGHT BORDER WITH RIGHT ATRIUM RIGHT BORDER WITH RIGHT ATRIUM

ALONEALONE LUNGS SHOULD BE BLACK.LUNGS SHOULD BE BLACK. COSTOPHRENIC AND CARDIOPHRENIC COSTOPHRENIC AND CARDIOPHRENIC

ANGLES SHOULD NOT BE BLUNDED ANGLES SHOULD NOT BE BLUNDED WHICH SUGGEST EFFUSION.WHICH SUGGEST EFFUSION.

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COMMON RADIOLOGICAL ABNORMALITIES

CONSOLIDATION:HOMOGENOUS OPACITIES WITH WELL DEFINED MARGINSCOLLAPSE:HOMOGENOUS OPACITIES WITH CLEARCUT CONCAVE

MARGINESFIBROSIS:STREAKY LINEAR SHADOWS WITH SHIFT OF TRACHEA N

MEDIASTINUMPLEURAL EFFUSION:PRESENCE OF SMALL QUANTITY OF FLUID IN PLEURAPNEUMOTHORAX:PRESENCE OF AIR IN THE PLEURACAVITIES:AREAS OF CENTRAL TRANSLUENCYOPACITIES IN THE LUNG: MAY BE SINGLE OR MULTIPLE

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CHEST X RAYS IN VARIOUS CLINICAL

CONDITIONS

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DEXTRO CARDIACDEXTRO CARDIAC VISCERA ,ATRIA . AORTIC VISCERA ,ATRIA . AORTIC

ARCH ARE IN NORMAL ARCH ARE IN NORMAL POSITION BUT CARDIAC APEX POSITION BUT CARDIAC APEX IS ON RIGHTIS ON RIGHT

DEXTROPOSITION IS THE DEXTROPOSITION IS THE SHIFTING OF HEART TO RIGHT SHIFTING OF HEART TO RIGHT DUE TO LESIONS.DUE TO LESIONS.

BOTHARE DIFFERENTBOTHARE DIFFERENT

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NGT

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CHEST TUBECHEST TUBE

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ENDOTRACHEAL TUBEENDOTRACHEAL TUBE

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PACE MAKERPACE MAKERPACE MAKERPACE MAKER

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TRACHEOSTOMY

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BRONCHOGENIC CARCINOMA• TUMOUR FROM

BRONCHIAL WALL.

• ‘COIN LESION’ IS A CIRCULAR SHADOW WHICH IS THE CHARECTERESTIC

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ASPIRATION OF COIN

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BULLOUS EMPHYSEMA Hyperlucency Low set flat

diaphragm Vertical heart Barrel shaped chest Avscular zones

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ASPHYXIATING CHEST ASPHYXIATING CHEST DYSTROPHYDYSTROPHY

BREATH LESS NESS BREATH LESS NESS DUE TO DUE TO CONGENITAL CONGENITAL MALFORMATION OF MALFORMATION OF CHESTCHEST

PROGRESSIVE PROGRESSIVE MUSCULAR MUSCULAR WEAKNESSWEAKNESS

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PNUEMO PERICARDIUMPNUEMO PERICARDIUM

• ACCUMULATION OF AIR IN THE PERICARDIAL CAVITY

• CONGENITAL AND TRAUMATIC

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LYMPHOMA IT IS A TYPE OF

SOLID NEOPLASM THAT ORGINATES IN LYMPHOCYTES

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CANNON BALL MULTIPLE BALL LIKE

OPACITIES MAINLY DUE TO

CANCER METASTASIS

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Pneumo thorax ‘Collapsed lung’ is a

medical emergency Caused by the

accumulation of gas in pleural cavity

Mostly due to penetrating wounds

Picture shows left sided tension pneumo thorax

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Pleural effusion IT IS THE ACCUMULATION

OF EXCESS FLUID IN PLEURAL CAVITY

BLOOD-HEMOTHORAX SEROUS FLUID –

HYDROTHOAX CHYLE- CHYLOTHORAX PUS- PYOTHORAX OR

EMPHYSEMA IN PICTURE:A SHOWS FLUID

LAYERING AND B SHOWS NORMAL

WIDTH OF THE LUNGrakesh vallittayil

THANK YOUTHANK YOU

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Wellcome to kerala

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