Time for answers! Each answer corresponds to the slide number!
1. Normal
2. Right lower/mid zone pneumonia - patch consolidation
3. Pulmonary oedema - a classic exam question is list the 6 xray findings of heart failure/pulmonary oedema
A - Alveolar Oedema (Haziness around the hlium looks like bat wings)
B - Kerly B lines
C - Cardiomegaly
D - Dilated prominant upper lobe vessels
E - Pleural Effusions
F - Fluid in the horizontal fissure (right lung)
4. Left hilar mass - well circumscribed coin shape lesion likely lung cancer
5. Pneumoperitoneum
6. Large right sided pleural effusion
7. Large well circumscribed lesion in the right midzone likely lung carcinoma
8. Tension pneumothorax on the right side - note the tracheal and cardiac deviation AWAY from the lesion
9. Multiple pulmonary metastasis - no they are NOT cannonball metastasis from a renal tumour, remember to check the two important areas, behind the heart and the apices this is a left apical primary - Pancoast Tumour
10. Aspiration pneumonia with a oesophageal stent - bilateral lower zone patchy consolidation R>L and a oesophageal stent seen through the mediastinum
11. Bilateral pneumotharacies
12. Bilateral pleural effusions with a R sided tension pneumothorax - note the tracheal and cardiac deviation
13. A very large heart! - This is a pericardial effusion
14. A white out in the left lung, the tracheal deviation away from the lesion makes this a large pleural effusion
15. My favourite X-ray! You can see three causes of air on this x-ray - this is Tuberculosis
- Pneumothorax - Right upper zone
- Cavitating lesions - throughout the chest, most easily seen in the right upper zone
- Air Bronchogram - This is a small air like tree seen in the right mid zone, this is present in pneumonia differentiating this from lobar collapse
