x ray in_a_mass
TRANSCRIPT
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AMRUT PRITAM SATPATHY
040201221
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POINTS TO NOTE IN CXR
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Pulmonary hamartoma
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Pneumoconiosis( multiple lesions)
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Pulmonary emboli
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METASTASIS IN LUNG
Usually bilateral, affecting both lungs equally, with basal predominanceFew mms-cmsSpherical with well defined marginCavitation-sq. cell ca.Calcification -rare
Cannon ball opacities
bilateral multiple pulmonary nodules due to metastasis
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BENIGN LESIONHydatid Cyst
Smooth Margins
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Irregular or spiculated margins of the mass in the right lung present centrally
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CENTRAL MASS
Arise centrally,grow slowly and cavitate more often
Squamous cell carcinoma of the right upper lobe
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PERIPHERAL MASS
larger,poorly defined , lobulated or umblicated margins
Usually adenocarcinomasCavitate less often
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cavitation
Squamous cell carcinoma with cavitation
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Cavitary metastasis
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CALCIFICATION
CALCIFICATION OF THE MIDZONE SEEN IN TUBERCULOSIS
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-obvious mass with bone destruction or asymmetrical pleural thickening
-Arise at the apex
ASSOCIATED RIB DESTRUCTION
PANCOAST TUMOUR