Radiological Quiz Series- CXR- Winners to be featured here.
Here is another case, a CXR, for your opinion what are the findings and possible diagnosis? What investigations do you want to see now? We will be uploading the answer and confirmatory studies soon. Please submit your answer in the comment section with full name to be featured here.
Winners - None, no one gave this even in the differentials
Answer: Pectus excavatum: the sternum is depressed so that the ribs on each side protrude anteriorly more than the sternum itself. Posteroanterior radiograph depicts an area of increased density in the inferomedial portion of the right hemithorax. Along with blurred right cardiac border and displacement of heart towards left. CT images confirming the diagnosis are also provided.
Answer: Pectus excavatum: the sternum is depressed so that the ribs on each side protrude anteriorly more than the sternum itself. Posteroanterior radiograph depicts an area of increased density in the inferomedial portion of the right hemithorax. Along with blurred right cardiac border and displacement of heart towards left. CT images confirming the diagnosis are also provided.
Radiological Quiz Series- CXR- Winners to be featured here.
Reviewed by Sumer Sethi
on
Monday, January 23, 2012
Rating:
Reviewed by Sumer Sethi
on
Monday, January 23, 2012
Rating:
Sumer Sethi
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
13 comments:
Bilateral Reticulonodular opacities with Hyperventilated lung fields !
Blunting of right CP angle ? Thickening ?? Effusion !
HRCT advised for both reticulonodular and For effusion confiramation Lateral decubitus ?
ILD / Malignancy ?
Cardiac apex is shifted superiorly, suggesting right ventricular hypertrophy. ECHO suggested.
elevated cardiac apex..
right ventricular hypertorphy..
mediastinal widening in bilateral lower paratracheal region.
Elevated apex of the heart denoting right ventricular hypertrophy , enlarged main pulmonary artery segment with pulmonary plethora denoting pumonary vavlve stenosis
it the patient is achild and non cyanotic i will suugest VSD with left to right shunt
Sir, first of all it looks like a scout of CT so likely a confirmatory CT has been done. The scout reveals upturned cardiac apex, widened carinal angle (~90 degree) and prominent aorta - Next investigation should be a Echo which would help in diagnosis. Possible diagnosis - ?TOF/ ? Pulmonary hypertension/ ?Dilated right ventricular cardiomyopathy.
mediastinal widening with blunting of right cp agle. laterL film will help more.
mediastinal widening with blunting of right cp angle. upturned cardiac apex. a lateral film will help more, followed by echo.
widening of anterior mediastinum
cardiomegaly with left ventricular enlargemnt
ADV Cardiac CT
Dear Sir,
Can we see a zoomed in version of the scan to adequately look at the lung fields?
Congenital pericardial defect.
No pulmonary plethora to suggest Fallot.
PECTUS EXCAVATUM, Cardaiomegaly is a result of Reduced AP dia of Thorax
PECTUS EXCAVATUM, Cardiomegaly is a result of reduced AP Diameter - MVP.The heart can be displaced and/or rotatedBase lung capacity is decreased
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