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Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations)
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- Title:
- X-ray (chest), LAT, Adult Male, Thoracic Bullet
- 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.
- Keyword:
- Roentgenography, Thoracic, Bullet, Wounds and Injuries, Radiography, X-Ray, Diagnostic, Radiology, Diagnostic X-Ray, X-Ray Radiology, Diagnostic, Diagnostic X-Ray Radiology, Diagnostic X-Ray, Diagnosis, Foreign Bodies
- Subject:
- Diagnostic Imaging, Multimodal Imaging, Foreign Bodies, Wounds and Injuries, Diagnostic Techniques and Procedures
- Creator:
- Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations)
- Publisher:
- NBE
- Language:
- English
- Copyright Holder:
- Anurag Agarwal, MD
- Rights:
- http://www.i-human.com/service-agreement-print
- Resource Type:
- Medical Imaging
- Identifier:
- 1383
- Title:
- X-ray (chest), LAT, Adult Male, Thoracic Bullet
- 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.
- Keyword:
- Diagnostic X-Ray Radiology, Thoracic, Bullet, Foreign Bodies, Radiology, Diagnostic X-Ray, Roentgenography, Diagnostic X-Ray, Diagnosis, X-Ray, Diagnostic, Wounds and Injuries, X-Ray Radiology, Diagnostic, Radiography
- Subject:
- Diagnostic Imaging, Wounds and Injuries, Diagnostic Techniques and Procedures, Foreign Bodies, Multimodal Imaging
- Creator:
- Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations)
- Publisher:
- NBE
- Language:
- English
- Copyright Holder:
- Anurag Agarwal, MD
- Rights:
- http://www.i-human.com/service-agreement-print
- Resource Type:
- Medical Imaging
- Identifier:
- 1383
- Title:
- X-ray (chest), AP, Adult Male, Thoracic Bullet, Annotated Answers
- 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.
- Keyword:
- Diagnostic X-Ray Radiology, Bullet, Diagnostic X-Ray, Wounds and Injuries, Roentgenography, Radiology, Diagnostic X-Ray, Thoracic, X-Ray, Diagnostic, Diagnosis, Radiography, X-Ray Radiology, Diagnostic, Foreign Bodies
- Subject:
- Wounds and Injuries, Diagnostic Techniques and Procedures, Foreign Bodies, Multimodal Imaging, Diagnostic Imaging
- Creator:
- Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations)
- Publisher:
- NBE
- Language:
- English
- Copyright Holder:
- Anurag Agarwal, MD
- Rights:
- http://www.i-human.com/service-agreement-print
- Identifier:
- 1383
- Title:
- X-ray (chest), PA, Calcified Mediastinal Nodes, Adult Male
- Description:
- CXR PA - Adult male, Calcified Mediastinal nodes 1. Multiple symmetric calcified nodes. Note the nodes are even slightly more radio opaque than bone. 2. The rim or border of the nodes appears to be more calcified than the center. This is likely eggshell calcification. Eggshell calcification is usually due to: Silicosis, Coal-workers pneumoconiosis, or Sarcoidosis
- Keyword:
- Roentgenography, X-Ray, Diagnostic, Diagnosis, eggshell calcification, Besnier-Boeck-Schaumann Syndrome, Boeck Disease, X-Ray Radiology, Diagnostic, Schaumann's Syndrome, Besnier-Boeck Disease, Radiology, Diagnostic X-Ray, Boeck's Sarcoid, Lung Diseases, Interstitial, Radiography, Schaumann Syndrome, coal worker's pneumoconiosis, Boeck's Disease, Diagnostic X-Ray Radiology, Lymphoproliferative Disorders, Diagnostic X-Ray, Schaumann Disease
- Subject:
- Respiratory Tract Diseases, Sarcoidosis, Multimodal Imaging, Diagnostic Techniques and Procedures, Diagnostic Imaging, Silicosis, Lung Diseases, Hemic and Lymphatic Diseases, Pneumoconiosis, Lymphatic Diseases
- Creator:
- Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations)
- Publisher:
- NBE
- Language:
- English
- Copyright Holder:
- Anurag Agarwal, MD
- Rights:
- http://www.i-human.com/service-agreement-print
- Resource Type:
- Medical Imaging
- Identifier:
- 1385
- Title:
- X-ray (chest), PA, Calcified Mediastinal Nodes, Adult Male
- Description:
- CXR PA - Adult male, Calcified Mediastinal nodes 1. Multiple symmetric calcified nodes. Note the nodes are even slightly more radio opaque than bone. 2. The rim or border of the nodes appears to be more calcified than the center. This is likely eggshell calcification. Eggshell calcification is usually due to: Silicosis, Coal-workers pneumoconiosis, or Sarcoidosis
- Keyword:
- Schaumann Syndrome, Besnier-Boeck-Schaumann Syndrome, Boeck's Sarcoid, Boeck Disease, Lymphoproliferative Disorders, Schaumann Disease, X-Ray Radiology, Diagnostic, Diagnosis, Diagnostic X-Ray Radiology, Diagnostic X-Ray, coal worker's pneumoconiosis, Lung Diseases, Interstitial, Radiography, Schaumann's Syndrome, Besnier-Boeck Disease, Radiology, Diagnostic X-Ray, Roentgenography, eggshell calcification, X-Ray, Diagnostic, Boeck's Disease
- Subject:
- Sarcoidosis, Respiratory Tract Diseases, Silicosis, Lymphatic Diseases, Pneumoconiosis, Hemic and Lymphatic Diseases, Diagnostic Imaging, Lung Diseases, Diagnostic Techniques and Procedures, Multimodal Imaging
- Creator:
- Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations)
- Publisher:
- NBE
- Language:
- English
- Copyright Holder:
- Anurag Agarwal, MD
- Rights:
- http://www.i-human.com/service-agreement-print
- Resource Type:
- Medical Imaging
- Identifier:
- 1385
- Title:
- X-ray (chest), PA, Calcified Mediastinal Nodes, Adult Male
- Description:
- CXR PA - Adult male, Calcified Mediastinal nodes 1. Multiple symmetric calcified nodes. Note the nodes are even slightly more radio opaque than bone. 2. The rim or border of the nodes appears to be more calcified than the center. This is likely eggshell calcification. Eggshell calcification is usually due to: Silicosis, Coal-workers pneumoconiosis, or Sarcoidosis
- Keyword:
- Diagnosis, Roentgenography, Diagnostic X-Ray Radiology, Schaumann Disease, eggshell calcification, coal worker's pneumoconiosis, Schaumann's Syndrome, Radiology, Diagnostic X-Ray, Schaumann Syndrome, Diagnostic X-Ray, Boeck's Sarcoid, Besnier-Boeck-Schaumann Syndrome, Boeck Disease, X-Ray, Diagnostic, Besnier-Boeck Disease, X-Ray Radiology, Diagnostic, Lymphoproliferative Disorders, Radiography, Lung Diseases, Interstitial, Boeck's Disease
- Subject:
- Lymphatic Diseases, Silicosis, Lung Diseases, Multimodal Imaging, Pneumoconiosis, Sarcoidosis, Diagnostic Imaging, Hemic and Lymphatic Diseases, Respiratory Tract Diseases, Diagnostic Techniques and Procedures
- Creator:
- Anurag Agarwal, MD, Radiologist, NBE (radiograph)Lars Ensign, MD (annotations)
- Publisher:
- NBE
- Language:
- English
- Copyright Holder:
- Anurag Agarwal, MD
- Rights:
- http://www.i-human.com/service-agreement-print
- Resource Type:
- Medical Imaging
- Identifier:
- 1385