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CHEST X RAY1

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CHEST X RAY1

  1. 1. CHEST X RAYCHEST X RAY REVEALEDREVEALED PRESENTED BYPRESENTED BY RAKESH VALLITTAYILRAKESH VALLITTAYIL rakesh vallittayilrakesh vallittayil
  2. 2. DEFENITION:  A CHEST X RAY IS A PROCEDURE USED TO EVALUATE ORGANS AND STRUCTURES WITHIN THE CHEST FOR SYMPTOMS OF DISEASE STRUCTURES: CHEST X RAY INCLUDES VIEWS OF  LUNGS,  HEART,  PORTION OF THE GI TRACT  THYROID GLAND  BONES OF CHEST AREA rakesh vallittayil
  3. 3. HOW TO READ A CHEST X RAY IT MAY PROVE QUITE RIGHT BUT STOP AND BE CERTAIN HOW LUNG APPEAR  I-IDENTIFICATION  M-MARKERS  P-POSITION  Q- QUALITY  R- RESPIRATION(FULL INSPIRATION)  S- SOFT TISSUE(SWELLING ETC)  A- ABDOMEN (FREE ABDOMINAL AIR)  B-BONE (# AT LATERAL ENDS)  C- CENTRAL SHADOW (>50% =ENLARGEMENT )  H-HILA(HILAR LYMPH ADENOPATHY)  A-ABSENT STRUCTURES rakesh vallittayil
  4. 4. rakesh vallittayil
  5. 5. How to readHow to read  FIRST LOOK AT MEDIASTINALFIRST LOOK AT MEDIASTINAL CONTOURSCONTOURS  TRACHEA SHOULD BETRACHEA SHOULD BE CENTRALCENTRAL  AORTIC ARCH IS THE FIRSTAORTIC ARCH IS THE FIRST STRUCTURE IN THE LEFT.STRUCTURE IN THE LEFT.  THEN WE CAN SEE P.THEN WE CAN SEE P. ARTERIES FANNINGARTERIES FANNING OUTTHROUGH LUNGOUTTHROUGH LUNG  TWO THIRD OF THE HEARTTWO THIRD OF THE HEART LIES IN THE LEFT.LIES IN THE LEFT.  LEFT BORDER MADE UP OFLEFT BORDER MADE UP OF LEFT ATRIUM AND VENTRICLELEFT ATRIUM AND VENTRICLE  RIGHT BORDER WITH RIGHTRIGHT BORDER WITH RIGHT ATRIUM ALONEATRIUM ALONE  LUNGS SHOULD BE BLACK.LUNGS SHOULD BE BLACK.  COSTOPHRENIC ANDCOSTOPHRENIC AND CARDIOPHRENIC ANGLESCARDIOPHRENIC ANGLES SHOULD NOT BE BLUNDEDSHOULD NOT BE BLUNDED WHICH SUGGEST EFFUSION.WHICH SUGGEST EFFUSION. rakesh vallittayilrakesh vallittayil
  6. 6. COMMON RADIOLOGICAL ABNORMALITIES CONSOLIDATION:HOMOGENOUS OPACITIES WITH WELL DEFINED MARGINS COLLAPSE:HOMOGENOUS OPACITIES WITH CLEARCUT CONCAVE MARGINES FIBROSIS:STREAKY LINEAR SHADOWS WITH SHIFT OF TRACHEA N MEDIASTINUM PLEURAL EFFUSION:PRESENCE OF SMALL QUANTITY OF FLUID IN PLEURA PNEUMOTHORAX:PRESENCE OF AIR IN THE PLEURA CAVITIES:AREAS OF CENTRAL TRANSLUENCY OPACITIES IN THE LUNG: MAY BE SINGLE OR MULTIPLE rakesh vallittayil
  7. 7. CHEST X RAYS IN VARIOUS CLINICAL CONDITIONS rakesh vallittayil
  8. 8.  DEXTRO CARDIACDEXTRO CARDIAC  VISCERA ,ATRIA . AORTICVISCERA ,ATRIA . AORTIC ARCH ARE IN NORMALARCH ARE IN NORMAL POSITION BUT CARDIACPOSITION BUT CARDIAC APEX IS ON RIGHTAPEX IS ON RIGHT  DEXTROPOSITION IS THEDEXTROPOSITION IS THE SHIFTING OF HEART TOSHIFTING OF HEART TO RIGHT DUE TO LESIONS.RIGHT DUE TO LESIONS.  BOTHARE DIFFERENTBOTHARE DIFFERENT rakesh vallittayilrakesh vallittayil
  9. 9.  NGT rakesh vallittayil
  10. 10. CHEST TUBECHEST TUBE rakesh vallittayilrakesh vallittayil
  11. 11. ENDOTRACHEAL TUBEENDOTRACHEAL TUBE rakesh vallittayilrakesh vallittayil
  12. 12. PACE MAKERPACE MAKER PACE MAKERPACE MAKER rakesh vallittayilrakesh vallittayil
  13. 13. TRACHEOSTOMY rakesh vallittayil
  14. 14. BRONCHOGENIC CARCINOMA • TUMOUR FROM BRONCHIAL WALL. • ‘COIN LESION’ IS A CIRCULAR SHADOW WHICH IS THE CHARECTEREST IC rakesh vallittayil
  15. 15. ASPIRATION OF COIN rakesh vallittayil
  16. 16. BULLOUS EMPHYSEMA  Hyperlucency  Low set flat diaphragm  Vertical heart  Barrel shaped chest  Avscular zones rakesh vallittayil
  17. 17. ASPHYXIATING CHESTASPHYXIATING CHEST DYSTROPHYDYSTROPHY  BREATH LESS NESSBREATH LESS NESS DUE TODUE TO CONGENITALCONGENITAL MALFORMATION OFMALFORMATION OF CHESTCHEST  PROGRESSIVEPROGRESSIVE MUSCULARMUSCULAR WEAKNESSWEAKNESS rakesh vallittayilrakesh vallittayil
  18. 18. PNUEMO PERICARDIUMPNUEMO PERICARDIUM • ACCUMULATION OF AIR IN THE PERICARDIAL CAVITY • CONGENITAL AND TRAUMATIC rakesh vallittayilrakesh vallittayil
  19. 19. LYMPHOMA  IT IS A TYPE OF SOLID NEOPLASM THAT ORGINATES IN LYMPHOCYTES rakesh vallittayil
  20. 20. CANNON BALL  MULTIPLE BALL LIKE OPACITIES MAINLY DUE TO CANCER METASTASIS rakesh vallittayil
  21. 21. Pneumo thorax  ‘Collapsed lung’ is a medical emergency  Caused by the accumulation of gas in pleural cavity  Mostly due to penetrating wounds  Picture shows left sided tension pneumo thorax rakesh vallittayil
  22. 22. Pleural effusion  IT IS THE ACCUMULATION OF EXCESS FLUID IN PLEURAL CAVITY  BLOOD-HEMOTHORAX  SEROUS FLUID – HYDROTHOAX  CHYLE- CHYLOTHORAX  PUS- PYOTHORAX OR EMPHYSEMA  IN PICTURE:A SHOWS FLUID LAYERING AND B rakesh vallittayil
  23. 23. THANK YOUTHANK YOU rakesh vallittayilrakesh vallittayil
  24. 24. Wellcome to kerala rakesh vallittayil

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