Amir Sam Images Flashcards
What does this CXR show? Diagnosis?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/007/q_image_thumb.jpg?1659526047)
Arrow pointing to area of slightly darker. Area of oligaemia (Westamark’s sign)- vessels distal to the clot have collapsed. V. rare to see on CXR (2% of PEs). So PE is the diagnosis- seen on CTPA- sudden cut off where no more contrast is going beyond- big clot).
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/009/q_image_thumb.jpg?1659526047)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- COPD
Hyperinflated lungs with flattened diaphragm
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/010/q_image_thumb.jpg?1659526048)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Pneumothorax (left sided)
compare left and right sides
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/011/q_image_thumb.jpg?1659526048)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Pneumonia (right middle zone)
Fluffy, airspace shadowing, unilateral. Cannot see right heart border. Consolidation in right middle lobe.
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/025/q_image_thumb.jpg?1659526048)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Left lower lobe consolidation
loss of left hemidiaphragm. loss of cardiophrenic border. loss of costophrenic angles.
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/026/q_image_thumb.jpg?1659526048)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Pulmonary oedema
Bilateral fluffy airspace shadowing (bat wings)- could be bilateral pneumonia
Pulmonary oedema most likely (could be pneumonia)- depend on history (fever and green sputum- pneumonia; breathless when lie flat, elevated BNP, abnormal echo- heart failure and pulmonary oedema)
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/027/q_image_thumb.jpg?1659526048)
1. COPD
2. Pneumothorax
3. Pneumonia
4. Left lower lobe consolidation
5. Pulmonary oedema
6. Fibrosing alveolitis
7. Pleural effusion
8. Lung collapse
9. Cavitating lesion
10. Pericardial effusion
11. Bilateral hilar lymphadenopathy
12. Pleural plaques
13. Mastectomy
14. Pacemaker or ICD
- Fibrosing alveolitis (Pulmonary fibrosis)
Reticulo-nodular shadowing
Idiopathic, CTDs, drugs (amiodarone, phenytoin), asbestosis, EAA
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/030/q_image_thumb.jpg?1659526049)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Pleural effusion (left sided)
Homogeneous shadow, unilateral, meniscus
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/031/q_image_thumb.jpg?1659526049)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Collapsed lung (right sided)
Homogeneous white (pleural effusion or pneumonectomy). Pneumonectomy as trachea is deviated towards white space (pleural effusion would push it away) (collapsed lung or pneumonectomy- look for scars).
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/032/q_image_thumb.jpg?1659526049)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Cavitating lesion
left sided
Lesion (coin lesion) with an air fluid level (in which a cavity has formed)
either a tumour (squamous cell carcinoma) or TB or inflammatory nodule. (want to make sure it’s not malignant)
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/033/q_image_thumb.jpg?1659526049)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Pericadial effusion
Lungs are normal
Heart is large and globular big pericardial effusion- fluid inside the pericardium
Causes: infection (TB), inflammation (CTDs- rheumatoid nodule or Wegener’s granulomatosis), malignancy (squamous cell carcinoma)
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/034/q_image_thumb.jpg?1659526049)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Bilateral hilar lymphadenopathy (Sarcoidosis)
Large hilar on both sides
Infection (TB), inflammation (Sarcoidosis), malignancy (lymphoma)
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/035/q_image_thumb.jpg?1659526050)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Pleural plaques
Well-defined plaques- pleural plaques. Exposure to asbestos (not asbestosis)
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/036/q_image_thumb.jpg?1659526050)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Mastectomy (right)
Missing
What does this X-ray show?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/143/913/037/q_image_thumb.jpg?1659526050)
- COPD
- Pneumothorax
- Pneumonia
- Left lower lobe consolidation
- Pulmonary oedema
- Fibrosing alveolitis
- Pleural effusion
- Lung collapse
- Cavitating lesion
- Pericardial effusion
- Bilateral hilar lymphadenopathy
- Pleural plaques
- Mastectomy
- Pacemaker or ICD
- Pacemaker or ICD
look where leads go- atrial lead and ventricular lead so dual chamber cardiac pacer