Saturday, 21 December 2013

X - Ray finding chest

Heart and blood vessels
1. Flake shaped / pear shaped / Leath - bottle /money bag shaped heart - Pericardial effussion
2. Boot shaped heart / Coer - en - sabot - Fallot's tetralogy
3. Box - shaped appearence - Tricuspid atresia
4. Jug handled appearence - primary pulmonary artery hypertension
5. '3' appearence - Coarctation of aorta
6. Egg on side appearence - Trans position of great vessels
7. Egg in cup appearence - Constrictive pericarditis
8. Snow man heart - TAPVC (Total Anomalus Pulmonary Venus Connection )
9. Figure of '8' - TAPVC ( Total Anomalus Pulmonary Venus Connection )
10 . Cottage leaf apeearence - TAPVC
11. Perecardial calcification - Constrictive perecarditis
12 . Calcification in heart wall - is seen in - Carcinoid syndrome
13 . Calcification of ascending aorta - Atherosclerosis , syphilis
14 . Hilar dance on fluroscopy - Atreal septal defect
15 . X -ray finding in 'Ebstein's anomaly - Pulmonary oligaemia
16 . Posterior displacement of trachea - seen in - Aneurysm of Aorta
17 . Oblitaration of left border of heart (PA viewchest ) - is - suggestive of - Linguler pathology(Left lung )
18 . Bat wing's appearence - Pulmonary oedema
19 . Pruned tree appearance (of pulmonary circulation ) - Pulmonary artery hypertension
Lungs -
1. Ground glass appearence - Hyaline membrane disease
2. Solitary pulmonary mass lession - > 4 cms is - most commonly due to - Broncheal adenoma
3 . Honey comb appearance - Cystic fibrosis , cystic bronchiactasis , collagen disorders - Rheumatoid arthritis , scleroderma
Pneumoconiosis , tuberculosis , histyocytosis ,intersticial lung disease , sarcoidosis
drugs - Bleomycin , Busulphan , melphalan ,
cyclophosphamide
4. Meniscus sign / crescent sign (mobile mass in pulmonary cavity ) is most commonly seen in - Asperglloma (fungal ball lession )
5. Egg cell calcification - sillicosis , sercoidosis , coal - minors pneumoconiosis , lymphoma following radiotherapy
6. Pop corn calcification / craggy popcorn calcification - Pulmonary hemartoma
7. Plural calcification - commonest cause is - tuberculosis (Asbestosis )
8. Diaphragmatic plura calcification - is due to -Asbestosis -
9. Calcification in a pulmonary metastasis - most common cause is - Osteosercoma
10 . Coin shadow in the lung (single ) - With calcification - Epidermoid carcinoma
11. For radiologically evedent plural effussion - The minimal amount of plural fluid that should be present is - 250 ml .
12 . Plethoric lung field seen in - L - R shunt (VSD ,PDA , ASD )
13 .Oligemic lung fields - Pulmonary atresia , stenosis , Ebstein's anomaly
14 . Peri hilar fluffy opacities - seen in Pulmonary venous hypertension.

Ribs
1. Superior surface notch of ribs - seen in - - Hyperparathyroidism , neurofibromatosis , connective tissue disorder
2. Inferior surface notch of ribs - seen in - Coarctation of Aorta , SVC obstruction , chest wall
AV fistula AV thrombosis , Aortic thrombosis
3. Unilateral obstruction - seen in - Coarctation of left subclavian artery , subclavian artery block , Blacklock Taussig operation
Others
Displacement of Tracheal shadow - most common cause is - Thyroid swelling
Watery lily sign - Ruptured hydatid cyst

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