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CHEST AND HEART
X-RAY
BY
DR. MOHAMED ABDEL-TAWAB
LECTURER OF RADIOLOGY - ASSIUT UNIVERSITY
CRITERIA OF GOOD
XR FILM
 ID
 Side RT, LT
 PA view
 Erect, Supine
 Penetration; contrast
 Field
Chest and heart x ray
CRITERIA OF GOOD
XR FILM
 ID
 Side RT, LT
 PA view
 Erect, Supine
 Penetration; contrast
 Field
NORMAL ANATOMY
CARDIAC BORDERS
NORMAL ANATOMY
CARDIAC BORDERS
LOBES
REPORTING
1- PLAIN X RAY
Barium swallow: left atrial ++ indents
esophagus
2- VIEW OF X  RAY
Lateral XR
3- CENTRALIZATION
IN THE X  RAY
Medial clavicle at equidistance from spinous
process
4- BONY
THORAX
Fracture ribs  pneumothorax
5- DIAPHRAGM
Right copula > left copula
6- MEDIASTIUM
Bilateral hilar adenopathy
Sarcoidosis
7- HEART
8- LUNG FIELDS
APICAL, UPPER, MIDDLE, LOWER
REPORT ITEMS + SUMMARY OF LESIONS
 Clear both lung fields
 Clear costophrenic angles = No pleural effusion.
 Normal cardiac size and shape.
 No hilar adenopathy or mediastinal masses
 Intact bony thorax. No bony cervical ribs
Impression
NORMAL CHEST X-RAY
Chest and heart x ray
CARDIOMEGALY
CARDIOMEGALY
CARDIOMEGALY
CARDIOMEGALY
Mitralization due to mitral stenosis
CARDIOMEGALY
WITH
CHARACTERISTIC
SHAPE
FLASK SHAPED HEART
WATER BOTTLE
SIGN
Pericardial
effusion
EGG ON SIDE = TRANSPOSITION OF GREAT
VESSELS
BOOT SHAPED HEART (COEUR EN SABOT) =
FALLOTS TETRALOGY HEART IN FRENCH
enlarged RV
dilated aorta (RT)
exaggerated waist
DUMBBELL SHAPED HEART
 Aneurysmal dilatation of both
pa in primary pulmonary
hypertension, cor pulmonale
COLLAPSE
COLLAPSE
COLLAPSE -
CT
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
Lobar pneumonia
PNEUMONIA
Bronchopneumonia
LUNG
ABSCESS
T.B.
GHONS FOCUS
T.B.
POST-PRIMARY
T.B.
MILIARY TB
PLEURAL
EFFUSION
PNEUMOTHORAX
TENSION
PNEUMOTHORAX
PNEUMOTHORAX
BRONCHIECTASIS
EMPHYSEMA
EMPHYSEMA
 marked hyperinflation of the
lungs
 flattened diaphragm,
 increased retrosternal air space
 hyperlucency of the lungs
 distorted parenchymal
architecture.
 Ribbon shaped heart
IDIOPATHIC
PULMONARY
FIBROSIS
???
MEDIASTINAL
MASS
LUNG CANCER
LUNG
CANCER
LUNG
CANCER
METASTASIS
LUNG CANCER
METASTASIS
MILIARY
Cholangiocarcinoma
Thyroid
Breast
METASTASIS
CANNON BALL
Chest and heart x ray
METASTASIS
CANNON BALL
renal cell carcinoma
choriocarcinoma
prostate carcinoma
endometrial carcinoma

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