Companion Shadows-CXR
An Immigrant medical X ray for excluding primarily Tuberculosis shows a summation of soft tissue opacities along superior border of clavicle and inferolateral border of 1st and 2nd ribs on right mimicking an abnormal etiology which includes fissure, pleural tags or fibrotic streaks.
Teaching points by Dr MGK Murthy, Dr Prasanna
- Companion shadows accompany bones and can be bothersome in differentials in chest . They are produced by soft tissues accompanying the bones and become visible or prominent depending on being tangential to the X ray beam
- Ribs, Clavicle, Scapulae (particularly medial border) are the usual places of occurrence with occasional presence among the lower ribs. In case of any difficulty ,Lordotic projections, lateral view or cross sectional imaging would help
Companion Shadows-CXR
Reviewed by Sumer Sethi
on
Thursday, March 26, 2015
Rating:
Reviewed by Sumer Sethi
on
Thursday, March 26, 2015
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.
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