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X-Ray
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Chest radiographs and TB
Plan of this sessionNomal chest x-rayNormal chest x-ray looking abnormalPathological chest x-rayAbnormal chest x-ray looking normalTB mimics/ differentialsExercise
Normal chest x-ray
View of the chest x-rayPhase of respirationExposure
Normal chest x-ray
What findings we will look for?
Name, DateOrientation Position Lung fieldsLung apicesTracheaHeart Hila Soft tissueBonesDiaphragmAngle
How to interpret a chest X-ray
Lungs fields are clear on both sides.Trachea is centrally placed.Both domes of the diaphragm are normal in position.Costophrenic and cardiophrenic angles are clear on both sides.The heart is normal in transverse diameter.Bony configaration is normal.
Normal chest x-ray but looking abnormal
Common X-Ray presentation in TB
Pulmonary Patchy opacityConsolidationHilar lyphadenopathyCavitary lesionCollapseFibrosisCalcificationMilliary shadowOthers
Extra pulmonaryPleural effusionEncysted pleural effusionEmpyema Potts disease/Bone TBPneumothoraxHydropneumothoraxNodule Cardiomegaly Pericardial calcificationOthers
Radiological feature of active TB
Presence of pulmonary cavityPleural effusionPneumothorax Milliary TBAppearance of new lesion in serial films or increase in the size of lesions
Radiological feature of inactive TB
Primary focus/calcified granulomaCoin lesion(?)Fibrosis
Pathological x-ray
Apparently normal
TB mimics/ Differentials
10
Exercise
13
19
8
Thank you
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