Med home unit chest cases 2
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Med Home Unit Chest 2: Pleural and MediastinalCases RAH Radiology
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Transcript of Med home unit chest cases 2
Med Home Unit Chest 2: Pleural and MediastinalCases
RAH Radiology
Review: Chest Xray interpretation
“In-to-out” approach -cardiomediastinum -> hilar -> lung fields -> pleura -> bones + soft tissues
Location of the abnormality - Pleura – dependant or anti-dependant, posterior recesses, veilingMediastinum – anterosuperior, middle, posterior
Pneumo -absent lung markings > pleural edgetensionmediastinal layer in pneumomediastinum
Diagnosis: Right sided pneumothorax with rib fractures and subcut emphysema
Diagnosis: Left sided hydropneumothorax.
Diagnosis: Subtle left apical pneumothorax. No lung markings.
Diagnosis: Supine pneumothorax. Lucent right side with “deep sulcus”.
Diagnosis: Left sided tension pneumothorax.
Diagnosis: Left sided tension pleural effusion, semi-erect.
Diagnosis: Right sided pleural effusion.
Diagnosis: Right sided pleural effusion (supine).
Diagnosis: Anterosuperior mediastinal mass. Terrible lymphoma
Diagnosis: Anterosuperior mediastinal mass. Terrible lymphoma.
Diagnosis: Anterosuperior mediastinal mass. Teratoma.
Diagnosis: Anterosuperior mediastinal mass. Thymoma.
Diagnosis: Posterior mediastinal mass. Extramedullary haematopoeisis (anemia).
Diagnosis: Posterior mediastinal mass. Neuroblastoma.
Diagnosis: CT example of posterior mediastinal mass. Nerve sheath tumour.
Diagnosis: Middle mediastinal mass, hiatus hernia.
Diagnosis: Aortic root aneurysm.
Diagnosis: Aortic aneurysm (with variant anatomy).
