Chest Radiography

Dr Khawaja Khurshid Ahmad

Associate Professor of Radiology

King Edward Medical University /

Mayo Hospital , Lahore

Case One

Chest Radiology

History

• Age / Sex 39 / female

• Chief complaint Cough and sputum for

one month

HRCT

Mediastinal Window

Diagnosis

• Primary lung cancer (adenocarcinoma) in

RLL with miliary metastasis and pericardial

seeding

Case Two

Chest Radiology

History

• Age / Sex 21 /M

• Chief complaint Palpable chest

wall mass and

neuralgia in gaiting for

one month

Diagnosis

• Metastasis of Osteosarcoma

Case Three

Chest Radiology

History

• Age / Sex 32 / M

• Chief complaint Weight loss , fatigue,

and poor oral intake for

two months

Diagnosis

Sarcoidosis

Case Four

Chest Radiology

History

• Age/Sex: 27/M

Chief complaints: Fever

Diagnosis: Mediastinal TB.

lymphadenitis

with Esophagomediastinal

fistula

?

PA

Lateral

COLLAPSE

LLL Collapse

LUL Collapse

RUL COLLAPSE

RML COLLAPSE

RLL COLLAPSE

Consolidation

Lingular

LLL

LUL

RUL

Tumor

SPN – Hamartoma

CA Thyroid

Cannon Ball

Pleural Mets

Absent Clavicle-Metastasis

CA causing RUL Collapse

CA Lung

Pancoast Tumor

Lymph nodes

Lymphoma

Diaphragm

Air under diaphragm

Localized Eventration

Supradiaphragmatic mass

Hernia

Infective

Miliary TB

Tuberculous Cavity with

Aspergilloma

Bronchiectasis

Bronchiectasis

Bronchiectasis

Abscess

Lucent Lung

Agenesis Pulmonary Artery

Breast Resection

Emphysema

Pneumothorax

Pneumo Mediastinum

Miscellaneous

Myositis Ossificans

Achlasia

Kartegner

Goiter

Pulmonary Hypertension

Barium Aspirated

Asbestosis

Reference Sources

• Teaching files of Radiology Department Mayo

Hospital , Lahore

• Teaching Files of Prof MA Jawed Siddiqui

• Website www.xray2000.co.uk

• Website www.Chestxrayatlas.com

• Academic cases of Korean Society of Thoracic

Radiology

THANK YOU

CA Lung

Chondroma

Sarcoidosis

Radiologic Findings

• Chest radiograph shows poorly-defined, patchy opacities in the bilateral lungs, involving mainly mid and lower zones with hilar enlargement and right paratracheal mediastinal widening.

• Kerley's lines are seen in the lower lung zones with right pleural effusion.

• Thin-section CT scans show extensive ground-glass opacities in the both lungs sparing peripheral regions.

• Bronchovascular bundles are markedly thickened and interlobular septal thickening are also seen with fine subpleural micronodules.

Hernia

ARDS

Interstitial Lung

UIP

IPF

ARDS

Peanut obstruction

IPF

IPF

Unfolding Aorta

Alveolar Microlithiasis