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  1. X-ray (chest), LAT, Adult Male, Thoracic Bullet

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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 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

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

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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 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

  3. X-ray (chest), PA, Calcified Mediastinal Nodes, Adult Male

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    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
    Keywords: 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

  4. X-ray (chest), PA, Calcified Mediastinal Nodes, Adult Male

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    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
    Keywords: 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

  5. X-ray (chest), PA, Calcified Mediastinal Nodes, Adult Male

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    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
    Keywords: 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

  6. X-ray (chest), PA and Lateral, Blunted Costophrenic Angles, Adult Female

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    Description: CXR PA and Lat, adult female with blunted costophrenic angles
    Keywords: Radiology, Diagnostic X-Ray, Diagnosis, Diagnostic X-Ray Radiology, Roentgenography, Diagnostic X-Ray, Radiography, X-Ray, Diagnostic, X-Ray Radiology, Diagnostic, costal angle, Musculoskeletal Diseases, costo phrenic angle

  7. X-ray (chest), PA and Lateral, Blunted Costophrenic Angles, Adult Female

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    Description: CXR PA and Lat, adult female with blunted costophrenic angles
    Keywords: Musculoskeletal Diseases, costo phrenic angle, X-Ray, Diagnostic, Radiology, Diagnostic X-Ray, Diagnostic X-Ray Radiology, costal angle, Diagnosis, Radiography, Roentgenography, X-Ray Radiology, Diagnostic, Diagnostic X-Ray

  8. X-ray (chest) PA, Adult Female, Lung Mass

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    Description: CXR PA - Adult female, lung mass
    Keywords: X-Ray, Diagnostic, Neoplasms, Pulmonary, Lung Cancer, Cancer of Lung, Diagnostic X-Ray Radiology, Radiography, Neoplasms, Diagnostic X-Ray, Radiology, Diagnostic X-Ray, Cancer of the Lung, X-Ray Radiology, Diagnostic, Pulmonary Neoplasms, Diagnosis, Pulmonary Cancer, Roentgenography, Neoplasms, Lung

  9. X-ray (spine), Metastatic Cancer

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    Description: Xray - spine, metastatic cancer
    Keywords: Neoplasm Metastases, Diagnosis, X-Ray Radiology, Diagnostic, Neoplasms, Radiography, Diagnostic X-Ray, Musculoskeletal Diseases, X-Ray, Diagnostic, Neoplastic Processes, Metastasis, Neoplasm, Roentgenography, Diagnostic X-Ray Radiology, Radiology, Diagnostic X-Ray, Metastases, Neoplasm, Metastasis

  10. X-ray (chest), Lateral, Adult Male, Normal

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    Description: CXR PA and Lateral - Adult male, normal
    Keywords: Radiography, X-Ray, Diagnostic, X-Ray Radiology, Diagnostic, Diagnosis, Roentgenography, Diagnostic X-Ray Radiology, Thoraces, Radiology, Diagnostic X-Ray, Diagnostic X-Ray, Chest