chest x-ray
DESCRIPTION
Esam Alhamad, MD,FCCP, FACP Division of Pulmonary Medicine College of Medicine. Chest X-ray. Is this film centered?. Why do you have to know whether it is PA or AP film. ?. Is this a PA or AP film?. Is the exposure appropriate?. Mediastinal Masses. Anterior mediastinal masses (4Ts) - PowerPoint PPT PresentationTRANSCRIPT
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Esam Alhamad, MD,FCCP, FACPDivision of Pulmonary MedicineCollege of Medicine
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Is this film centered?
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Why do you have to know whether it is PA or AP film
?
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Is this a PA or AP film?
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Is the exposure appropriate?
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Mediastinal Masses
Anterior mediastinal masses (4Ts)
ThymomaTeratomaThyroidTerrible lymphoma
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Middle Mediastinal Masses
3 As
AdenopathyAneurysm/vascularAbnormalities of development
Bronchogenic cyst Pericardial cyst Esophageal cyst
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Posterior Mediastinal MassesNeural tumorNeurobalstoma, ganglioneuroma ,
Ganglineuroblastoma
Nerve root tumorsSchwannoma, neurofibroma
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Airbronchogram
Indicates that the opacity is parenchymal not mediastinal or pleural
DDx:Consolidation ,Hemorrhage, Edema, Bronchoalveolar Cell Carcinoma, Lymphoma, Sarcoidosis, Alveolar Proteinosis
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Pulmonary Hemorrhage
Pulmonary-renal syndrome
Wegener’s granulomatosisSLEGoodpasture’s syndromPolyarteritis nodosaHenoch Shonlein purpura
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Pulmonary Hemorrhage
Without renal diseaseAnticoagulationPulmonary infectionPulmonary embolismTraumaBone marrow transplantation
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Pleural effusion
InfectionNeoplasmCHFCirrhosisPancreatitisUremiaSubdiaphragmatic abscessCTD ( SLE, RA)HypothyrodismPulmonary embolism
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Pleural effusion
“ITCH” Large unilateral pleural effusion
InfectionTumorChylous ( ruptured thoracic duct lymphoma)Hemorrhage
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Pneumothorax
SpontaneousPrimaryCOPDAsthmaCystic fibrosisCavitary pneumoniaSarcoidosisPleural metastases
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Pericardial effusion
SerousCHF, Hypoalbuminemia, CTD, Hypothyroidism
BloodyAcute MI, Trauma, Neoplasm, CRF
PurulentBacterial, Viral ,Tuberculosis, Fungal
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