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  1. X-ray (chest), PA, Pneumonia RML Silhouette Sign, Adult Male

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    Description: 1. Right middle lobe airspace opacification. Opacification can be due to multiple causes: blood, infection, edema, infarction, infiltration, or consolidation are the main causes. 2. Obscured right heart border c/w silhouette sign. 3. Slight blunting of right costophrenic angle c/w small pleural effusion. ****parapneumonic effusion**** the old adage is never let the sun set (or rise depending on your shift) on a parapneumonic effusion 4. Silhouette of right hemidiaphragm as well as right heart border.
    Keywords: X-Ray Radiology, Diagnostic, Pneumonitis, Diagnosis, X-Ray, Diagnostic, Pulmonary Inflammation, Experimental Lung Inflammation, Diagnostic X-Ray Radiology, Radiology, Diagnostic X-Ray, Diagnostic X-Ray, Pneumonia, Lobar, Roentgenography, Radiography, Lobar Pneumonia, Lung Inflammation

  2. X-ray (chest), PA, Pneumothorax, Adult Male, Answers

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    Description: 1. Absence of lung tissue markings. Compare to #4 2. Trachea deviated to the right suggestive of tension pneumothorax. Note that even with this severe tension pneumothorax there is minimal tracheal deviation up in the neck. This helps to demonstrate the part of the reason for the poor sensitivity of physical exam findings for the detection of tension pneumothorax. 3. Depression and flattening of the left heimdiaphragm due to increased pressure within the left hemithorax. Also note the increased space between ribs. 4. Normal lung markings.
    Keywords: Primary Spontaneous Pneumothorax, X-Ray Radiology, Diagnostic, Spontaneous Pneumothorax, Roentgenography, Tension Pneumothorax, Diagnostic X-Ray, Diagnosis, Diagnostic X-Ray Radiology, Radiography, X-Ray, Diagnostic, Pressure Pneumothorax, Pneumothorax, Radiology, Diagnostic X-Ray

  3. X-ray (chest), PA, Pneumothorax, Adult Male, Numbered

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    Description: 1. Absence of lung tissue markings. Compare to #4 2. Trachea deviated to the right suggestive of tension pneumothorax. Note that even with this severe tension pneumothorax there is minimal tracheal deviation up in the neck. This helps to demonstrate the part of the reason for the poor sensitivity of physical exam findings for the detection of tension pneumothorax. 3. Depression and flattening of the left heimdiaphragm due to increased pressure within the left hemithorax. Also note the increased space between ribs. 4. Normal lung markings.
    Keywords: Diagnostic X-Ray, Primary Spontaneous Pneumothorax, Radiography, X-Ray Radiology, Diagnostic, Spontaneous Pneumothorax, Pressure Pneumothorax, X-Ray, Diagnostic, Diagnostic X-Ray Radiology, Radiology, Diagnostic X-Ray, Roentgenography, Tension Pneumothorax, Diagnosis, Pneumothorax

  4. X-ray (chest), PA, Pneumothorax, Adult Male

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    Description: 1. Absence of lung tissue markings. Compare to #4 2. Trachea deviated to the right suggestive of tension pneumothorax. Note that even with this severe tension pneumothorax there is minimal tracheal deviation up in the neck. This helps to demonstrate the part of the reason for the poor sensitivity of physical exam findings for the detection of tension pneumothorax. 3. Depression and flattening of the left heimdiaphragm due to increased pressure within the left hemithorax. Also note the increased space between ribs. 4. Normal lung markings.
    Keywords: Diagnostic X-Ray Radiology, Spontaneous Pneumothorax, Diagnosis, Tension Pneumothorax, Pressure Pneumothorax, Primary Spontaneous Pneumothorax, X-Ray, Diagnostic, Radiography, Roentgenography, Diagnostic X-Ray, Pneumothorax, X-Ray Radiology, Diagnostic, Radiology, Diagnostic X-Ray

  5. X-ray (chest), AP, Normal Inspiration and Expiration

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    Description: CXR AP - Adult male, normal inspiration and expiration
    Keywords: Diagnostic X-Ray, Radiology, Diagnostic X-Ray, X-Ray, Diagnostic, Roentgenography, X-Ray Radiology, Diagnostic, Diagnostic X-Ray Radiology, Radiography, Diagnosis, Respiratory Physiological Phenomena, Breathing

  6. X-ray (chest), PA, Normal Inspiration and Expiration

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    Description: CXR PA - Adult male, normal inspiration and expiration
    Keywords: X-Ray, Diagnostic, Radiography, X-Ray Radiology, Diagnostic, Breathing, Diagnostic X-Ray, Respiratory Physiological Phenomena, Diagnostic X-Ray Radiology, Roentgenography, Diagnosis, Radiology, Diagnostic X-Ray

  7. 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

  8. 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

  9. 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

  10. 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