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You searched for: Creator Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations) Remove constraint Creator: Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations) File Format png (Portable Network Graphics) Remove constraint File Format: png (Portable Network Graphics) Subject Multimodal Imaging Remove constraint Subject: Multimodal Imaging
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  1. X-ray (chest), PA, Miliary Tuberculosis (TB), Adult Male, Numbered

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    Description: 1. Miliary pattern of lung disease with innumerable discrete opacities usually the size of a millet seed (1-3 mm) more or less evenly distributed throughout both lungs. This finding is highly suggestive of disseminated M. tuberculosis, but may also be seen with fungal, viral, parasitic, bacterial, neoplastic, and inflammatory lung diseases as well. 2. Tracheostomy tube suggests this is a very sick patient. 3. Indistinct opacities that distort the mediastinal contour suggest mediastinal lymph node enlargement. Note the mediastinal borders on the comparison view. 4. Indistinct heart border demonstrating silhouette sign. Note distinct borders on comparison view.
    Keywords: Kochs Disease, Gram-Positive Bacterial Infections, Diagnostic X-Ray Radiology, Diagnosis, Radiography, X-Ray, Diagnostic, Koch's Disease, Radiology, Diagnostic X-Ray, X-Ray Radiology, Diagnostic, Roentgenography, Diagnostic X-Ray

  2. X-ray (chest), PA, Miliary Tuberculosis (TB), Adult Male, Answers

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    Description: 1. Miliary pattern of lung disease with innumerable discrete opacities usually the size of a millet seed (1-3 mm) more or less evenly distributed throughout both lungs. This finding is highly suggestive of disseminated M. tuberculosis, but may also be seen with fungal, viral, parasitic, bacterial, neoplastic, and inflammatory lung diseases as well. 2. Tracheostomy tube suggests this is a very sick patient. 3. Indistinct opacities that distort the mediastinal contour suggest mediastinal lymph node enlargement. Note the mediastinal borders on the comparison view. 4. Indistinct heart border demonstrating silhouette sign. Note distinct borders on comparison view.
    Keywords: Diagnostic X-Ray Radiology, Gram-Positive Bacterial Infections, Diagnostic X-Ray, Diagnosis, X-Ray Radiology, Diagnostic, Roentgenography, Radiology, Diagnostic X-Ray, X-Ray, Diagnostic, Radiography

  3. X-ray (chest), PA, Miliary Tuberculosis (TB), Adult Male

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    Description: 1. Miliary pattern of lung disease with innumerable discrete opacities usually the size of a millet seed (1-3 mm) more or less evenly distributed throughout both lungs. This finding is highly suggestive of disseminated M. tuberculosis, but may also be seen with fungal, viral, parasitic, bacterial, neoplastic, and inflammatory lung diseases as well. 2. Tracheostomy tube suggests this is a very sick patient. 3. Indistinct opacities that distort the mediastinal contour suggest mediastinal lymph node enlargement. Note the mediastinal borders on the comparison view. 4. Indistinct heart border demonstrating silhouette sign. Note distinct borders on comparison view.
    Keywords: Kochs Disease, Radiography, Diagnostic X-Ray, Radiology, Diagnostic X-Ray, Koch's Disease, Diagnosis, Roentgenography, X-Ray Radiology, Diagnostic, Diagnostic X-Ray Radiology, X-Ray, Diagnostic, Gram-Positive Bacterial Infections

  4. X-ray (chest), PA and Lateral, Encysted Effusion with Answers, Adult Male

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    Description: 1. Fluid density (same density as the heart), biconcave, lens shape consistent with an encysted effusion in the horizontal fissure. 2. Fluid "tails out" along the horizontal fissure characteristic of an encysted effusion 3. Note the hyperinflation of the lungs (more than 10 rib spaces visible) and the flattening of the usual dome-shaped configuration of the diaphragms, also visible on the lateral view. This is consistent with "air trapping" conditions such as asthma and emphysema.
    Keywords: Diagnosis, Radiology, Diagnostic X-Ray, Diagnostic X-Ray Radiology, Bronchial Asthma, lung effusion, Roentgenography, X-Ray, Diagnostic, Diagnostic X-Ray, Asthma, Bronchial, Radiography, X-Ray Radiology, Diagnostic

  5. X-ray (chest), PA and Lateral, Encysted Effusion with Numbers, Adult Male

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    Description: 1. Fluid density (same density as the heart), biconcave, lens shape consistent with an encysted effusion in the horizontal fissure. 2. Fluid "tails out" along the horizontal fissure characteristic of an encysted effusion 3. Note the hyperinflation of the lungs (more than 10 rib spaces visible) and the flattening of the usual dome-shaped configuration of the diaphragms, also visible on the lateral view. This is consistent with "air trapping" conditions such as asthma and emphysema.
    Keywords: Radiography, Asthma, Bronchial, Radiology, Diagnostic X-Ray, X-Ray Radiology, Diagnostic, Diagnostic X-Ray Radiology, Bronchial Asthma, Diagnostic X-Ray, Roentgenography, lung effusion, X-Ray, Diagnostic, Diagnosis

  6. X-ray (chest), PA and Lateral, Encysted Effusion, Adult Male

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    Description: 1. Fluid density (same density as the heart), biconcave, lens shape consistent with an encysted effusion in the horizontal fissure. 2. Fluid "tails out" along the horizontal fissure characteristic of an encysted effusion 3. Note the hyperinflation of the lungs (more than 10 rib spaces visible) and the flattening of the usual dome-shaped configuration of the diaphragms, also visible on the lateral view. This is consistent with "air trapping" conditions such as asthma and emphysema.
    Keywords: X-Ray, Diagnostic, Roentgenography, Asthma, Bronchial, Diagnostic X-Ray Radiology, Bronchial Asthma, Diagnostic X-Ray, Radiography, lung effusion, X-Ray Radiology, Diagnostic, Diagnosis, Radiology, Diagnostic X-Ray

  7. X-ray (chest), PA, Aortic Dissection, Adult Male

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    Description: CXR PA - Adult male, aortic dissection 1. Tip of endotracheal tube. Ideally the tip of the endotracheal tube should be 3-5 cm above the carina. 2. Tip of central venous catheter in proper location at the junction of the SVC and the right atrium. Line placed in left subclavian vein. 3. Catheter placed into the right IJ vein that traverses the cardiac chambers most likely representing a Swan-Ganz hemodynamic monitoring catheter. 4. Wide mediastinum greater than 8 cm with indistinct AP window consistent with aortic dissection or aneurysm. Compare this to the normal mediastinum and sharp contour of the aorta on the right. Unfortunately, in clinical practice aortic dissection and aneurysm is usually much more subtle than on this study, particularly when you are seeing a patient that is still salvageable. The chest x-ray has a poor sensitivity and specificity for picking up this disastrous condition. If you think your patient may have this disease, do not be tricked into ruling it out based on a normal chest x-ray! 5. Deviation of the trachea to the right of the midline, likely due to mass effect from the aortic disease.
    Keywords: X-Ray Computerized Axial Tomography, CT Scan, X-Ray, Cine-CT, Computed X Ray Tomography, Tomography, Xray Computed, Tomography, Transmission Computed, Computerized Tomography, X-Ray, Tomography, X-Ray Computerized, Tomodensitometry, Electron Beam Tomography, X-Ray Tomography, Compute, Electron Beam Computed Tomography, Tomography, X Ray Computed, Computerized Tomography, X Ray, X-Ray Computer Assisted Tomography, Aortic Dissection, X Ray Tomography, Computed, Diagnosis, Tomography, X-Ray Computerized Axial, CAT Scan, X-Ray, CT X Ray, CAT Scan, X Ray, Computed Tomography, X-Ray, aorta, Tomography, X-Ray Computer Assisted, aortic, X Ray Computerized Tomography

  8. X-ray (chest), PA, Aortic Dissection, Adult Male

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    Description: CXR PA - Adult male, aortic dissection 1. Tip of endotracheal tube. Ideally the tip of the endotracheal tube should be 3-5 cm above the carina. 2. Tip of central venous catheter in proper location at the junction of the SVC and the right atrium. Line placed in left subclavian vein. 3. Catheter placed into the right IJ vein that traverses the cardiac chambers most likely representing a Swan-Ganz hemodynamic monitoring catheter. 4. Wide mediastinum greater than 8 cm with indistinct AP window consistent with aortic dissection or aneurysm. Compare this to the normal mediastinum and sharp contour of the aorta on the right. Unfortunately, in clinical practice aortic dissection and aneurysm is usually much more subtle than on this study, particularly when you are seeing a patient that is still salvageable. The chest x-ray has a poor sensitivity and specificity for picking up this disastrous condition. If you think your patient may have this disease, do not be tricked into ruling it out based on a normal chest x-ray! 5. Deviation of the trachea to the right of the midline, likely due to mass effect from the aortic disease.
    Keywords: Computed X Ray Tomography, Tomography, X-Ray Computerized Axial, Aortic Dissection, Tomodensitometry, aorta, Computerized Tomography, X-Ray, Cine-CT, Electron Beam Computed Tomography, Tomography, X Ray Computed, CT X Ray, X-Ray Computer Assisted Tomography, X Ray Computerized Tomography, CAT Scan, X-Ray, Tomography, X-Ray Computer Assisted, X-Ray Computerized Axial Tomography, Diagnosis, Tomography, X-Ray Computerized, X-Ray Tomography, Computed, CAT Scan, X Ray, Tomography, Transmission Computed, X Ray Tomography, Computed, Computed Tomography, X-Ray, Electron Beam Tomography, CT Scan, X-Ray, Computerized Tomography, X Ray, Tomography, Xray Computed, aortic

  9. X-ray (chest), AP, Adult Male, Thoracic Bullet, Annotated

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    Description: CXR AP and Lat - Adult male, thoracic bullet 1. Foreign body, more radio opaque than bone, consistent with a metallic object such as a bullet. It is unclear if this object is located within the thoracic or the abdominal cavity. Addition of the lateral view shows the bullet lies either deep within the posterior chest cavity or in the paraspinous musculature. 2. Curved, meniscus-shaped blunting of the left costophrenic angle consistent with pleural effusion. If this study was obtained in the setting of acute trauma then this finding would most likely represent an acute hemothorax and indicate the placement of a chest tube during ED stabilization. Also a bedside ultrasound to check for pericardial effusion would be very useful and potentially lifesaving. Note there is no evidence of pneumothorax: lung markings can be seen all the way to the periphery of both lungs. Also, if there were a hemo-pneumothorax on the left the pleural fluid would layer with an air-fluid level, not be meniscus-shaped.
    Keywords: Diagnostic X-Ray, Radiography, Thoracic, Bullet, Roentgenography, Wounds and Injuries, Radiology, Diagnostic X-Ray, Diagnostic X-Ray Radiology, Foreign Bodies, X-Ray, Diagnostic, Diagnosis, X-Ray Radiology, Diagnostic

  10. X-ray (chest), PA, Aortic Dissection, Adult Male

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    Description: CXR PA - Adult male, aortic dissection 1. Tip of endotracheal tube. Ideally the tip of the endotracheal tube should be 3-5 cm above the carina. 2. Tip of central venous catheter in proper location at the junction of the SVC and the right atrium. Line placed in left subclavian vein. 3. Catheter placed into the right IJ vein that traverses the cardiac chambers most likely representing a Swan-Ganz hemodynamic monitoring catheter. 4. Wide mediastinum greater than 8 cm with indistinct AP window consistent with aortic dissection or aneurysm. Compare this to the normal mediastinum and sharp contour of the aorta on the right. Unfortunately, in clinical practice aortic dissection and aneurysm is usually much more subtle than on this study, particularly when you are seeing a patient that is still salvageable. The chest x-ray has a poor sensitivity and specificity for picking up this disastrous condition. If you think your patient may have this disease, do not be tricked into ruling it out based on a normal chest x-ray! 5. Deviation of the trachea to the right of the midline, likely due to mass effect from the aortic disease.
    Keywords: aorta, X Ray Tomography, Computed, Computed Tomography, X-Ray, Tomography, Transmission Computed, Computed X Ray Tomography, aortic, Electron Beam Computed Tomography, CAT Scan, X-Ray, CT X Ray, Electron Beam Tomography, Aortic Dissection, Diagnosis, Computerized Tomography, X Ray, Tomography, X-Ray Computerized Axial, X-Ray Tomography, Computed, Tomography, X-Ray Computer Assisted, Cine-CT, CT Scan, X-Ray, Tomodensitometry, Tomography, Xray Computed, Tomography, X Ray Computed, X-Ray Computer Assisted Tomography, Computerized Tomography, X-Ray, X Ray Computerized Tomography, CAT Scan, X Ray, Tomography, X-Ray Computerized, X-Ray Computerized Axial Tomography