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Chest PA Chest Lat

Chest PA Chest Lat

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Chest PA Chest Lat

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  1. Chest PA Chest Lat

  2. Chest PA

  3. 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

  4. Patient’s PA CXR Normal PA CXR (+) heart enlargement Slight straightening of the L cardiac border

  5. Normal PA CXR Normal location of the apex: 5th ICS, MCL

  6. Patient’s PA CXR The patient’s apex is located on the 7th ICS MCL – DOWNWARD DISPLACEMENT OF THE APEX

  7. Cardio-thoracic Ratio Normal PA CXR Patient’s PA CXR

  8. Which chamber/s is/are enlarged? Normal LVE LAE LAE & LVE (in long-standing MS) 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 Squire’s Fundamentals of Radiology, 6th ed.

  9. Normal PA CXR Patient’s PA CXR Left Atrial Enlargement Prominent L atrial appendage

  10. Normal PA CXR Patient’s PA CXR Carina not appreciated (cannot be measured for widening)

  11. Normal PA CXR Patient’s PA CXR No double density along the R cardiac border

  12. Possible L Ventricular Enlargement Normal PA CXR Patient’s PA CXR Downward dipping of the left heart

  13. Normal PA CXR Possible L Ventricular Enlargement Patient’s PA CXR LV outflow tract

  14. Possible R Ventricular Enlargement Normal PA CXR Patient’s PA CXR Rounding of the cardiac apex

  15. Lateral Chest Xray

  16. Normal Lateral CXR Patient’s Lateral CXR Trachea Trachea Esophagus Esophagus Heart Heart

  17. Left atrial enlargement Esophagus Esophagus Retrocardiac free space Retrocardiac free space

  18. Left venticular enlargement LV outflow tract LV outflow tract Left cardiac border Left cardiac border

  19. Left venticular enlargement Posterior margin of the IVC Obliterated posterior margin of the IVC Convex posterior heart border

  20. Left venticular enlargement Hoffman Rigler sign

  21. Right ventricular enlargement Retrosternal space Retrosternal space 1/3 2/3