by Tim Milligan | Nov 12, 2015 | Pulmonary Parenchyma
Patchy alveolar infiltrates, widely distributed multiple irregular masses plus or minus pleural effusion and plus or minus thick-walled canvities. [courtesy of Dr. M. Hutcheon]
by Tim Milligan | Nov 12, 2015 | Pulmonary Parenchyma
In this patient, note the irregular, soft, fluffy opacification at the right heart border suggestive of a medial right lower lobe pulmonary contusion.
by Tim Milligan | Nov 12, 2015 | Pulmonary Parenchyma
Ill-defined infiltrating lesion in left hilar region.
by Tim Milligan | Nov 12, 2015 | Pulmonary Parenchyma
Cavitation in apical regions and posterior segments of upper lobe plus or minus calcification. [courtesy of Dr. M. Hutcheon]
by Tim Milligan | Nov 12, 2015 | Pleural Disease
In addition to the features of an uncomplicated pneumothorax, note the marked mediastinal shift to the left in this young patient with a right tension pneumothorax.
by Tim Milligan | Nov 12, 2015 | Pleural Disease
The patient’s left pneumothorax is more difficulty to diagnose on this supine film. This study demonstrates the “deep sulcus” sign, with the left costophrenic sulcus descending below the edge of the film. Other clues include a hyperlucent left...
by Tim Milligan | Nov 12, 2015 | Pleural Disease
This patient has a moderate-sized right pleural effusion. The lateral decubitus film places the effusion in the dependent position and will show layering unless the effusion is loculated. This is noted in the same patient’s left lateral decubitus film.
by Tim Milligan | Nov 12, 2015 | Pleural Disease
Normal PA film of a male. Note the right and left clavicles (cl), posterior (p1-4) and anterior (a1-2) ribs, right and left costophrenic angles(cpa), right cardiophrenic angles (cdpa), right and left hemidiaphragms (hd), gastric air bubble (gab), trachea (tr), right...
by Tim Milligan | Nov 12, 2015 | Normal
Normal PA film of a male. Note the right and left clavicles (cl), posterior (p1-4) and anterior (a1-2) ribs, right and left costophrenic angles(cpa), right cardiophrenic angles (cdpa), right and left hemidiaphragms (hd), gastric air bubble (gab), trachea (tr), right...
by Tim Milligan | Nov 12, 2015 | Normal
Because the AP projection positions the heart and mediastinum further from the x-ray film than the PA projection, these structures appear magnified with the AP view. Other clues that you are looking at an AP projection include clavicles that project above the lung...