chest pa chest lat. chest pa trachea patient’s pa cxr normal pa cxr (-) blunting of the...
TRANSCRIPT
Chest PA Chest Lat
Chest PA
Trachea
Patient’s PA CXRNormal PA CXR
(-) blunting of the costophrenic angle(-) pulmonary congestion
(-) pulmonary infiltrates (-) bone deformities
(-) flattening of the R&L hemidiaphragm(-) tracheal deviation
Patient’s PA CXRNormal PA CXR
(+) heart enlargement
Slight straightening of the L cardiac border
Normal location of the apex: 5th ICS, MCL
Normal PA CXR
The patient’s apex is located on the 7th ICS MCL
– DOWNWARD DISPLACEMENT OF THE APEX
Patient’s PA CXR
Patient’s PA CXRNormal PA CXR
Cardio-thoracic Ratio
Which chamber/s is/are enlarged?
Squire’s Fundamentals of Radiology, 6th ed.
1 – R brachiocephalic vessels
2 – Ascending aorta and superimposed SVC
3 – R atrium
5 – L brachiocephalic vessels
6 – Aortic arch
7 – Pulmonary trunk
8 – L atrial appendage
9 – L ventricle
Normal LVE LAE LAE & LVE (in long-standing MS)
Patient’s PA CXRNormal PA CXR
Prominent L atrial appendage
Left Atrial Enlargement
Patient’s PA CXRNormal PA CXR
Carina not appreciated (cannot be measured for widening)
Patient’s PA CXRNormal PA CXR
No double density along the R cardiac border
Normal PA CXR
Downward dipping of
the left heart
Patient’s PA CXR
Possible L Ventricular Enlargement
Normal PA CXR
LV outflow tract
Patient’s PA CXR
Possible L Ventricular Enlargement
Possible R Ventricular EnlargementNormal PA CXR
Rounding of the cardiac apex
Patient’s PA CXR
Lateral Chest Xray
Normal Lateral CXR Patient’s Lateral CXR
Trachea
EsophagusTrachea
Esophagus
Heart
Heart
Left atrial enlargement
Esophagus
Retrocardiac free space
Esophagus
Retrocardiac free space
LV outflow tract
Left cardiac border
Left cardiac border
LV outflow tract
Left venticular enlargement
Convex posterior heart border
Posterior margin of the IVC Obliterated posterior margin of the IVC
Left venticular enlargement
Left venticular enlargement
Hoffman Rigler sign
Right ventricular enlargement
Retrosternal space
2/31/3
Retrosternal space