X-Rays. Kunal D Patel Research Fellow IMM. The 12-Steps. }. 1 : Name 2 : Date 3 : Old films 4 : What type of view(s) 5 : Penetration 6 : Inspiration 7 : Rotation 8 : Angulation 9 : Soft tissues / bony structures 10 : Mediastinum 11 : Diaphragms 12 : Lung Fields.
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Kunal D Patel
"The trachea is central, the mediastinum is not displaced. The mediastinal contours and hila seem normal. The lungs seem clear, with no pneumothorax. There is no free air under the diaphragm. The bones and soft tissues seem normal."
1. Identification of abnormal shadows
2. Localization of lesion
3. Identification of pathological process
4. Identification of etiology
5. Confirmation of clinical suspension
A single, 3cm relatively thin-walled cavity is noted in the left midlung. This finding is most typical of squamous cell carcinoma (SCC). One-third of SCC masses show cavitation
LUL Atelectasis: Loss of heart borders/silhouetting. Notice over inflation on unaffected lung
Right Middle and Left Upper Lobe Pneumonia over inflation on unaffected lung
Cavitation:cystic changes in the area of consolidation due to the bacterial destruction of lung tissue. Notice air fluid level.
TENSION PNEUMOTHORAX to the bacterial destruction of lung tissue. Notice air fluid level.
Widened Mediastinum: Aortic Dissection to the bacterial destruction of lung tissue. Notice air fluid level.
Right Middle Lobe Pneumothorax: complete lobar collapse to the bacterial destruction of lung tissue. Notice air fluid level.
Perihilar mass: Hodgkin’s disease to the bacterial destruction of lung tissue. Notice air fluid level.
Well demarcated paucity of pulmonary vascular markings in right apex
Left spontaneous pneumothorax