Chest ImagingChest Imaging Few slides to share with my Few slides to share with my

collegues.collegues. Material is collected mainly while Material is collected mainly while

working in Zambiaworking in Zambia

Dr. Rekha KhareDr. Rekha Khare MD Radiology MD Radiology

Pulmonary InfectionPulmonary InfectionTB in HIV+ve caseTB in HIV+ve case

Pulmonary InfectionPulmonary InfectionB/L alveolar destruction inB/L alveolar destruction in

HIV related T.B.HIV related T.B.

Pulmonary Infection Pulmonary Infection

B/L widespread patchy consolidation _ HIV related opportunistic infection ( Pt. died )? PCP

Pulmonary Infection Pulmonary Infection Aspergilus mycetoma Aspergilus mycetoma

(air crescent +ve)(air crescent +ve)

Pulmonary InfectionPulmonary Infection

Radiation Pneumonitis

(H/O Radiotherapy chest)

HIV related T.B.HIV related T.B.Encysted Pleural effusionEncysted Pleural effusion

and loculated and loculated hydropneumothorax hydropneumothorax

Lung consolidationLung consolidationminimal pneumothorax cause?minimal pneumothorax cause?

(cardiac case)(cardiac case)

Reticular/ Honeycombing Reticular/ Honeycombing lesionlesion

Bronchectasis cause ?Volume loss and mediastinal shift

Chest _ pleural calcificationChest _ pleural calcificationcase of old empyemacase of old empyema

Lung mass lesionLung mass lesionPrimary_Pancoast tumourPrimary_Pancoast tumour

Lung mass lesionLung mass lesionspiculated soft tissue spiculated soft tissue

cavitating mass ?Sq. cell Cacavitating mass ?Sq. cell Ca

Primary malignancy LungPrimary malignancy Lung

Consolidation RMZConsolidation RMZcause ?cause ?

Bronchoalveolar Ca.Bronchoalveolar Ca.

Lung mass lesionLung mass lesion

Multiple metastasisMultiple metastasis primary: primary:

osteogenicosteogenic sarcomasarcoma

Lung mass lesionLung mass lesionMetastasisMetastasis

Primary: Wilms tumour Primary: Wilms tumour

Lung mass lesionLung mass lesion Metastasis : Primary ? Metastasis : Primary ?

(Healed TB case) (Healed TB case)

Mediastinal wideningMediastinal wideningmalignant retrosternal thyroidmalignant retrosternal thyroid

compressing/ displacing compressing/ displacing tracheatrachea

Mediastinal wideningMediastinal wideningNon Hodgkins LymphomaNon Hodgkins Lymphoma

(HIV related TB) (HIV related TB)

Mediastinal wideningMediastinal wideningTubercular lymphadenopathyTubercular lymphadenopathy

Mediastinal wideningMediastinal wideningPericardiac /spring water cystPericardiac /spring water cyst

(operated in SA) (operated in SA)

Mediastinal wideningMediastinal wideningAneurysmal dilatation of aortaAneurysmal dilatation of aorta

calcification in wallcalcification in wall

Mediastinal wideningMediastinal wideningParavertebral abscessParavertebral abscess

(Pott’s spine)(Pott’s spine)

Mediastinal wideningMediastinal wideningAtypical empyemaAtypical empyema

Mass left chestMass left chestEmbryonal mass_ Embryonal mass_

extrathoracicextrathoracic(operated in UTH Zambia)(operated in UTH Zambia)

Mass right chestMass right chestReticulum cell sarcoma Reticulum cell sarcoma

D/D MesotheliomaD/D Mesothelioma

Point of attention Point of attention

Chest x-ray is the basic imagingChest x-ray is the basic imaging Any unusual x-ray sign needs CT Any unusual x-ray sign needs CT

scan chestscan chest Unusual consolidation in HIV+ve Unusual consolidation in HIV+ve

case ? PCP case ? PCP Mediastinal lymphadenopathy in Mediastinal lymphadenopathy in

HIV+ve case ? NHL HIV+ve case ? NHL