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Chest PA Chest Lat
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Chest PA Chest Lat

Jan 30, 2016

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Chest PA Chest Lat. Chest PA. Trachea. Patient’s PA CXR. Normal PA CXR. (-) tracheal deviation. (-) flattening of the R&L hemidiaphragm. (-) pulmonary congestion. (-) blunting of the costophrenic angle. (-) bone deformities. (-) pulmonary infiltrates. Patient’s PA CXR. - PowerPoint PPT Presentation
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Page 1: Chest PA Chest Lat

Chest PA Chest Lat

Page 2: Chest PA Chest Lat

Chest PA

Page 3: Chest PA Chest Lat

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

Page 4: Chest PA Chest Lat

Patient’s PA CXRNormal PA CXR

(+) heart enlargement

Slight straightening of the L cardiac border

Page 5: Chest PA Chest Lat

Normal location of the apex: 5th ICS, MCL

Normal PA CXR

Page 6: Chest PA Chest Lat

The patient’s apex is located on the 7th ICS MCL

– DOWNWARD DISPLACEMENT OF THE APEX

Patient’s PA CXR

Page 7: Chest PA Chest Lat

Patient’s PA CXRNormal PA CXR

Cardio-thoracic Ratio

Page 8: Chest PA Chest Lat

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)

Page 9: Chest PA Chest Lat

Patient’s PA CXRNormal PA CXR

Prominent L atrial appendage

Left Atrial Enlargement

Page 10: Chest PA Chest Lat

Patient’s PA CXRNormal PA CXR

Carina not appreciated (cannot be measured for widening)

Page 11: Chest PA Chest Lat

Patient’s PA CXRNormal PA CXR

No double density along the R cardiac border

Page 12: Chest PA Chest Lat

Normal PA CXR

Downward dipping of

the left heart

Patient’s PA CXR

Possible L Ventricular Enlargement

Page 13: Chest PA Chest Lat

Normal PA CXR

LV outflow tract

Patient’s PA CXR

Possible L Ventricular Enlargement

Page 14: Chest PA Chest Lat

Possible R Ventricular EnlargementNormal PA CXR

Rounding of the cardiac apex

Patient’s PA CXR

Page 15: Chest PA Chest Lat

Lateral Chest Xray

Page 16: Chest PA Chest Lat

Normal Lateral CXR Patient’s Lateral CXR

Trachea

EsophagusTrachea

Esophagus

Heart

Heart

Page 17: Chest PA Chest Lat

Left atrial enlargement

Esophagus

Retrocardiac free space

Esophagus

Retrocardiac free space

Page 18: Chest PA Chest Lat

LV outflow tract

Left cardiac border

Left cardiac border

LV outflow tract

Left venticular enlargement

Page 19: Chest PA Chest Lat

Convex posterior heart border

Posterior margin of the IVC Obliterated posterior margin of the IVC

Left venticular enlargement

Page 20: Chest PA Chest Lat

Left venticular enlargement

Hoffman Rigler sign

Page 21: Chest PA Chest Lat

Right ventricular enlargement

Retrosternal space

2/31/3

Retrosternal space