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2 Ndchestpath
2 Ndchestpath
B-bone strx
C-cardiac silhouette
D-diaphragm
E-everything else
F-foreign body
-hx of cough;crackles
-confluent haziness in R lower lung
is a consolidation(fluids/exudate)
-cardiac border is visible in L side;L
diaphragm is very distinct whereas
the R diaphragm is indistinct
(silhouette sign)
Absence of left
costopherenic angle
Dx:Pneumonia bases
L:clear
R:haziness
Lateral: consolidation that is wedge shape in
nature
Dx:PTB
Class’n:
Minimal
Moderately advance
Far advance
Minimal:no cavity
Mod: < 4cm
FA: >4cm
Both apices here are involved
Try to transfer the infiltrates on one
side,approximate it;
Mode of spread:hematogenous
Dx:MILIARY TB
Tracheal tube-yung red curve
Lung mass,with calcification
w/c indicates pleurisity
except if minute,chain
calcification in
mammography (malignancy)
Dx:Tuberculoma
In other cases:pulmonary
calcifications are seen in
both lung fields
Diaphragm are almost at the same level
Normally, R is higher
In here,there might be a mass in the L diaphragm
pushing it down;or a mass below the L diaphragm
pushing it up making it same level with the R one
Dx:Atelectasis
Cardiac shadow deviates to L
Trachea deviates to L side
No cardiac shadow on the vertebra,rather it is
on the L
If >3cm,pulmonary mass na
RF:smoking
Pulmonary solitary nodule
Nodule parin
Pulmonary mass L lung
R hilar mass
L hilar mass
R hilar mass
Tx:radiotherapy
Nilampasan ni dok
Request for lateral view to check
the exact location of the mass
Mass lies posteriorly
Normodensity of L lung
Radioluscent almost black R lung
Dx: R Pneumothorax
L Pneumothorax
-loss of lung markings sa L
-radioluscency
Complete collapse-PE
findings is no breath
sounds
An emergency case
Tx:reexpand the lung
Lung edema
-fluid in the air sacs
Pulmonary edema
hx:/PE:dyspnea
Dob dt sob
Fluid w/in the thoracic/lung cavity (not
in the air sac)
SOB,DOB,as if drowning,prefer to
sleep on sitting position
Lung metastasis
Lung metastasis
Convex density duuuun sa L
lung,yung parang natapyasan dun
na letter C sa L lateral
Mass is always on the lateral part of
thoracic cage and the base is attached on
thoracic wall vs pulmonary mass w/c is
w/in the parenchyma
PLEURAL MASS
Mass ulit
Pleural mass
The mass is attached
to the ribs
Pneumoperitoneum
Deficient in surfactant
Premature babies
aka RDS
Ground glass plus air bronchogram
-HMD
ET tube
Request instant CXR-thick meconium baby—
risk for meconium aspiration
Foreign body-coin at esophagus