Radiology 4

7/28/2019 Radiology 4

1/70

1www.chadialraies.blogspot.com

Chest Radiography

Interpretation

Part IVM Chadi Alraies, MD

Chief Medical Resident

St. Vincent Charity Hospital

Case Western Reserve University

Thursday, April 18, 2013


2/70

www.chadialraies.blogspot.com 2

Patient 16


3/70



4/70



5/70


Right large bullae with

flattening of thediaphragm in patient with

COPD/Emphysema


6/70


Patient 17


7/70



8/70


ARDS


9/70


Patient 18

56 year old white male with history of kidney

transplant 4 year ago on immunosuppressant

therapy presented with fever and hemoptysis

for 2 days duration associated with SOB and

DOE.


10/70



11/70



12/70


Differential?

What is the next step?


13/70



14/70



15/70



16/70



17/70



18/70



19/70


RUL fungus ball

(Pulmonary zygomycosis)


20/70


Treatment?

Aggressive surgical debridement

Amphotericin B


21/70


Prognosis?

Mortality rates 87 %


22/70


Patient 19


23/70



24/70


Right upper lobe collapse

Right hilar mass

Left upper lobe necrotizing pneumonia Right chest tube


25/70



26/70


Same patient with right

tension pneumothorax


27/70


Patient 20


28/70



29/70



30/70


RUL cpllapse


31/70


Patient 21


32/70



33/70


Diagnosis?Next step?

Management?


34/70


Interstitial reticular infiltrate

Left upper lobe mass


35/70



36/70



37/70



38/70



39/70



40/70



41/70



42/70



43/70


Treatment?

Steroids?


44/70


What 2 problems do yourule out in a person with

probable IPF beforestarting steroids?


45/70



46/70


Patient 22


47/70



48/70



49/70


Right Hydropneumothorax

RLL mass

Lung CA


50/70


Palliative care consult?


51/70


Patient 23


52/70



53/70


Right heart border

silhouette signRLL infiltrate or mass


54/70


Patient 24


55/70



56/70


Left upper lobe infiltrate

with a mass lesion


57/70


Patient 26


58/70



59/70


Patient 27


60/70



61/70


Patient 28


62/70



63/70


Left subcutaneous emphysema

Left total lung resection (pneumonectomy)

Left hiatal hernia

Compensating expanding right lung.


64/70


Patient 29


65/70



66/70



67/70


Patient 30


68/70



69/70



70/70

www.chadialraies.blogspot.com

Thank you
http://www.chadialraies.blogspot.com/http://www.chadialraies.blogspot.com/

Radiology 4

Documents

Transcript of Radiology 4