Chest X-Rays Every Resident Should Know

Part 1Arcot J. Chandrasekhar, M.D., F.A.C.P.

Professor of MedicineLoyola University of Chicago

achandr@lumc.edu

Normal

RUL ConsolidationStrep Pneumonia

Lobar densityAir bronchogramNo loss of lung volume

Loss of left heart margin

Intact left diaphragm

Consolidation LingulaAir bronchogram

Radiation Pneumonia

Air bronchogram

Pleural effusion

Radiation Port

Round PneumoniaBlastomycosis

Segmental PneumoniaAspiration Lung Abscess

Superior segment of RLL

LUL Atelectasis

ObliqueFissure

LUL atelectasis

Herniated right lung

Azygous lobeRML atelectasis

RML atelectasis

Plate like atelectasis

PneumothoraxRelaxation atelectasisHydro-pneumoLarge right hemithorax

Diffuse adhesive atelectasisARDS

Diffuse alveolar infiltratesPulmonary edema

Butterfly patternLobarAir bronchogramPulmonary hemorrhage

Autoppsy Hemorrhagic lung

Chronic diffuse aleveolarAlveolar proteinosis

Miliary nodulesInterstitial diseaseTuberculosis

Kerley linesSub-pulmonic effusionFull hilumLymphangitic spread

Tram linesMultiple cavitiesGloved fingers

BronchiectasisCystic fibrosis

Unilateral hazinessLeft lung atelectasis

Unilateral hazinessUnilateral pulmonary edemaPneumothorax

Pneumothorax with tubePreceding pulmonary edema

Unilateral hyperlucencyLeft hilum pulled upLUL resectionCompensatory hyperinflation LL

Pleural effusionLUL cavityTuberculosis

Loculated empyema

Sub pulmonic effusion

LoculatedEmpyema

Sub pulmonicEffusion

Massive effusion

Pleural massesIatrogeic pneumothorax

Triangular retrocardiac densityLLL atelectasis

PneumomediastinumOutliningRight pulmonaryartery

LLL atelectasis