Chest and heart x ray

Chest x-ray
Normal and abnormal findings
أشعة خامسة طب أسيوط

1. Chest and Heart X-ray By Dr. Mohamed Abdel- Tawab Lecturer of Radiology - Assiut University

2. Criteria of Good XR film ID Side RT, LT PA view Erect, Supine Penetration; contrast Field

3. Criteria of Good XR film ID Side RT, LT PA view Erect, Supine Penetration; contrast Field

4. Normal anatomy Cardiac borders

5. Normal anatomy Cardiac borders

6. Lobes

7. Reporting

8. 1- Plain X ray Barium swallow: left atrial ++ indents esophagus

9. 2- VIEW of X – ray Lateral XR

10. 3- CENTRALIZATION in the X – ray Medial clavicle at equidistance from spinous process

11. 4- BONY Thorax Fracture ribs  pneumothorax

12. 5- DIAPHRAGM Right copula > left copula

13. 6- MEDIASTIUM Bilateral hilar adenopathy Sarcoidosis

14. 7- HEART

15. 8- LUNG FIELDS APICAL, UPPER, MIDDLE, LOWER

16. Report items + summary of lesions Clear both lung fields Clear costophrenic angles = No pleural effusion. Normal cardiac size and shape. No hilar adenopathy or mediastinal masses Intact bony thorax. No bony cervical ribs Impression NORMAL CHEST X-RAY

17. Cardiomegaly

18. Cardiomegaly

19. Cardiomegaly

20. Cardiomegaly Mitralization due to mitral stenosis

21. Cardiomegaly with characteristic shape

22. Flask shaped heart Water Bottle sign Pericardial effusion

23. Egg on side = Transposition of great vessels

24. Boot shaped heart ( Coeur en sabot) = Fallot’s tetralogy Heart in french enlarged RV dilated aorta (RT) exaggerated waist

25. Dumbbell shaped heart Aneurysmal dilatation of both pa in primary pulmonary hypertension, cor pulmonale

26. Collapse

27. Collapse

28. Collapse - CT

29. Pneumonia

30. Pneumonia

31. Pneumonia

32. Pneumonia Lobar pneumonia

33. Pneumonia Bronchopneumonia

34. Lung abscess

35. T.B. Ghons Focus

36. T.B. Post-primary

37. T.B. Miliary TB

38. Pleural effusion

39. Pneumothorax Tension

40. Pneumothorax

41. Pneumothorax

42. Bronchiectasis

43. Emphysema

44. Emphysema marked hyperinflation of the lungs flattened diaphragm, increased retrosternal air space hyperlucency of the lungs distorted parenchymal architecture. Ribbon shaped heart 

45. Idiopathic pulmonary fibrosis

46. ???

47. Mediastinal mass

48. Lung cancer

49. Lung cancer

50. Lung cancer

51. Metastasis Lung cancer

52. Metastasis Miliary Cholangiocarcinoma Thyroid Breast

53. Metastasis Cannon ball

54. Metastasis Cannon ball renal cell carcinoma choriocarcinoma prostate carcinoma endometrial carcinoma