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Old 12-07-2011
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X Ray All the Chest X ray findings for your CK prep

Hi all: I found this on the internet and i found it helpful. Hopefully you like it, too:
X Ray Findings - Chest
Heart & Blood Vessels
  • Flask-shaped / Pear-shaped / Leathe- bottle / Money-bag shaped heart - Pericardial effusion
  • Boot-shaped heart / Coer-en-sabot - Fallot's tetralogy
  • Box shaped appearance - Tricuspid atresia
  • Jug Handle appearance - Primary pulmonary artery hypertension
  • "3" like appearance - Coarctation of Aorta

  • Egg on side appearance - Transposition of great vessels
  • Egg in cup appearance - Constrictive pericarditis
  • Snow-man heart - TAPVC (total anomalous pulmonary venous connection)
  • Figure of '8' - TAPVC (total anomalous pulmonary venous connection)
  • Cottage Leaf appearance - TAPVC
  • Pericardial calcification - Constrictive pericarditis
  • Calcification in heart wall - is seen in - Carcinoid syndrome
  • Calfication of ascending aorta - Atherosclerosis, Syphilis
  • Hilar dance on fluoroscopy - AtrialĀ Septal Defect
  • Xray finding in Ebstein's anomaly - Pulmonary oligemia
  • Posterior displacement of trachea - seen in - aneurysm of aorta
  • Obliteration of left border of heart (PA view of chest) is - suggestive of - Lingular pathology (left lung)
  • Bat's wings appearance - Pulmonary oedema
  • Pruned tree appearance (of pulmonary circulation) - Pulmonary artery hypertension
  • Ground glass appearance - Hyaline membrane disease
  • Solitary pulmonary mass lesion > 4cms - is most commonly due to - Bronchial adenoma
  • Honey Comb appearance -
    • Sarcoidosis
    • Histiocytosis X
    • Interstitial lung disease
    • Tuberculosis
    • Collagen disorders
    • Pneumoconiosis
    • Drugs - bleomycin, busulphan, melphalan, cyclophosphamide

  • Meniscus sign / Crescent sign (mobile mass in pulmonary cavity) is most commonly seen in - Aspergilloma (fungal ball lesion)
  • Egg-Shell calcification - Silicosis, Sarcoidosis, Coal miner's pneumoconiosis, Lymphoma following radiotherapy
  • Pop-corn calcification / Craggy pop-corn calcification - Pulmonary Hamartoma
  • Pleural calcification - commonest cause is - Tuberculosis (Asbestosis)
  • Diaphragmatic Pleura calcification - is due to - Asbestosis
  • Calcification in a pulmonary metastasis - is most commomly due to - Osteosarcoma
  • Coin shadow in the lung (single), with calcification in the centre - Epidermoid carcinoma
  • For radiologically evident pleural effusion - the minimal amount of pleural fluid that should be present is - 250 ml
  • Plethoric lung fields - seen in - L-R shunts ( VSD, PDA, ASD)
  • Oligemic lung fields - Pulmonary atreisa, Stenosis; Ebstein's anomaly
  • Perihilar fluffy opacities - seen in - Pulmonary venous hypertension
  • Superior surface notch of ribs - seen in - Hyperparathyroidsm, Neurofibromatosis, Connective tissue disorders
  • Inferior surface notch of ribs -seen in - Coarctation of Aorta, SVC obstruction, Chest wall AV fistula, Aortic Thrombosis,
  • Unilateral notching of ribs - Coarctation of Left subclavian artery, Subclavian artery block, Blalock-Taussig Operation
  • Displacement of tracheal shadow - most common cause is - Thyroid swelling
  • Water Lily sign - Ruptured hydatid cyst
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