Patients goes to his doctor with complaints of chest pain and fever.

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Patients goes to his doctor with complaints of
chest pain and fever.
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Diagnosis__Rt. Middle lobe pneumonia
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diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures .
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Lt clavicle
RADIOLOGY EXAM PA Lateral Chest X-ray
CLINICAL INDICATION Chest pain
cough   REPORT Blurred right heart border in the
area of the right middle lobe(Silhouette sign)
Wedged shaped density in the right middle lobe
seen on the lateral view.      CONCLUSION
Right Middle lobe pneumonia    
Lt. pulmonary artery
Opacified Rt . middle lung
Lt. Lung
Opacified Rt. middle lobe
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Three bullet points about pathology
identified
OR Management of the identified
process 50 words or
less 1-Blurred right heart border indicative
of loss of normal volume of right middle
lobe. 2-Wedge shaped density in the right middle
lobe indicative of pneumonia. 3- Patient will
likely need antibiotic therapy.
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56 year old female goes to ED with cough and
fever.
Diagnosis Rt. Upper lobe Pneumonia
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diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures.
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Lt clavicle
Lung
RADIOLOGY EXAM Frontal Lateral chest
x-ray CLINICAL INDICATION 56 yoF with a cough
and fever.   REPORT Chest radiograph shows
abnormal density in the upper lobe of the right
lung.    CONCLUSION Soft tissue density in the
upper lobe most typical for segmental
pneumonia.    
Abnormal density in upper Rt. lung
Lt. ventricular border
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Three bullet points about pathology identified
OR
Management of the identified process
50 words or less Pneumonia is an
infection of the lungs that causes the alveoli to
become inflamed and fill with fluid. It can be
bacterial, viral or fungal, and symptoms can vary
from mild to severe. It is most serious in the
very young and very old. Pneumonia can be
diagnosed via chest x-ray (seen as abnormal
densities in the lungs), physical exam (abnormal
lung sounds, such as rales and ronchi, and/or
blood and mucus testing. (white blood cell count
or testing for specific pathogens).
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4 week old infant taken to the ED because of a
cough x 2 weeks
Diagnosis Normal Chest
Normal Thymus
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diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures
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RADIOLOGY EXAM AP Chest CLINICAL INDICATION
Cough x 2 weeks   REPORT Large wing shaped soft
tissue structure that appears to be located
anterior to the Upper lobe of the Rt. lung. The
lungs overall appear normal. The cardiac size
and shape are as expected.   CONCLUSION Normal
pediatric chest-normal Thymus.    
Clavicle
Thymus
Snap on Shirt
Liver
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OR
Management of the identified process
50 words or less The Thymus gland
varies greatly during infancy and early
childhood. Enlarged but normal for this stage in
life. During infancy, the thymus makes up the
greatest proportion of overall body weight
compared to any other time of life.
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Patient in Doctors office with peripheral edema.
Diagnosis Cardiomegaly
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diagnosis and /or other abnormalities. Use blue
arrows to identify 3 normal structures.
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RADIOLOGY EXAM Frontal Chest x-ray CLINICAL
INDICATION Peripheral edema   REPORT The heart
is enlarged and causes a widened mediastinum.
     CONCLUSION Cardiomegaly .    
Lt. Lung
5th Rib
Hemi diaphragm
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• Three bullet points about pathology identified
• OR
• Management of the identified process
• 50 words or less
• Cardiomegaly is defined as a cardiothoracic ratio
  of more than .50.
• Cardiomegaly can be the result of Left or Right
  ventricular hypertrophy.
• It is the result of low cardiac output with
  dilation of the ventricle as compensation.

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Patient in the ICU with decreased 02 saturation
over 12 hours.
Diagnosis Congestive edema
Alveolar edema
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diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures.
RADIOLOGY EXAM Supine Chest x-ray CLINICAL
INDICATION Decreased O2 sat.   REPORT
Vascular engorgement indicating pulmonary venous
hypertension . Bilateral opacity of the lungs
indicating alveolar edema     CONCLUSION
Alveolar Edema/ Congestive Edema    
Lt. Clavicle
Cardiac electrode
Alveolar edema
Rt. lobe of the liver
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OR
Management of the identified process
(50 words or less) Left ventricular
failure leads to pulmonary venous congestion in
the lungs. With increasing failure interstitial
edema and subsequently alveolar edema develop.
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CHEST CASE 6 35 YEAR OLD MALE PRESENTS TO THE ED
WITH SOB
Diagnosis Pneumothorax tension component
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Your report here
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RADIOLOGY EXAMFrontal Chest X-Ray CLINICAL
INDICATION SOB REPORT 35 yo male reports to ED
with SOB. Auscultation of right lung revealed
decreased breath sounds. Tension Pneumothorax is
suspected   REPORT Chest X-ray revealed
mediastinal shift to left, collapsed right lung,
and an accumulation of air under pressure in the
right pleural space.   CONCLUSION Right
Pneumothorax Tension Component
Add red arrows captions that confirm the
diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures.
Trachea
Aorta
Pneumothorax
Collapsed Lung
Left Ventricle
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• Three bullet points about pathology identified
• OR
• Management of the identified process
• (50 words or less)
• Management
• Place patient on oxygen
• Perform emergency needle decompression of right
  pleural space
• After needle decompression, insert thoracostomy
  tube and continue to monitor and assess breathing.

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Patient in the ICU becomes SOB
Diagnosis Rt. Pleural effusion
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diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures.
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RADIOLOGY EXAM CLINICAL INDICATION   REPORT
Excess fluid has accumulated between the
parietal and visceral pleura. Displacement of
the right lung medially is noted due to fluid.
Affected area spans the diaphragm to clavicle.
  CONCLUSION Right pleural effusion    
Clavicle
Spine of scapula
Excess fluid
Costophrenic angle
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• Three bullet points about pathology identified
• OR
• Management of the identified process
• (50 words or less)
• Occurs when the pleural space accumulates an
  abnormal amount of fluid due to an imbalence in
  production and resorbtion.
• Pleural space has key role in respiration through
  strategic chest wall movement and lung movement.

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Diagnosis Lt. Pleural effusion
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diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures.
RADIOLOGY EXAM Frontal chest x-ray CLINICAL
INDICATION Dyspnea   REPORT Large fluid
density collection in the Lt lung base typical of
a large pleural effusion.       CONCLUSION
Large left effusion    
Fluid accumulation in pleural cavity
Clavicle
Rt. Hemi diaphragm
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Three bullet points about pathology identified
OR
Management of the identified process
(50 words or less) To improve patient
comfort and lung function a thoracentesis is
required. Fluid is analyzed in the lab to
determine the etiology and respective treatment
options of the effusion. For example , if caused
by CHF diuretics can be used. In case of
recurrent effusions, pleurodesis, via
thoracoscopic talc poudrage placement has been
shown to be safe an d effective on preventing
future effusions.
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Diagnosis Et tube distally placed in Rt.
main stem bronchus with atelectasis of the left
lung.
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diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures.
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RADIOLOGY EXAM Frontal chest x-ray CLINICAL
INDICATION Patient in ED s/p MVA   REPORT An
endotracheal tube has been placed in the trachea
and extends inferolaterally down the Rt. main
stem bronchus. This is limiting the ventilation
of the lt. lung with secondary atelectasis      CO
NCLUSION ET tube placed into the Rt. main stem
bronchus.    
Rt. clavicle
Scapula
ET tube in Rt. main stem bronchus
Atelectatic Lt. Lung
CVP in SVC
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• Three bullet points about pathology identified
• OR
• Management of the identified process
• (50 words or less)
• ET tubes preferentially extend laterally into
  the Rt. bronchus if positioned too far.
• Lt. hemithorax is opacified.
• Typically opacified hemithorax is due to
  atelectasis or large effusion.

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33 year old male post 4-wheeler accident
Diagnosis Fracture of the Lt. 7th 8th ribs
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diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures.
RADIOLOGY EXAM Chest X-Ray CLINICAL
INDICATION Trauma to chest   REPORT Patient is
a 33 yr old male examined post 4 wheeler
accident. Fracture of the lateral aspect of the
7th and 8th ribs is demonstrated. The cardiac
silhouette is normal. No pneumothorax
seen. Atelectasis of the lt. lung base is
noted.    CONCLUSION Multiple rib fractures of
the Lt. inferolateral thoracic cage secondary to
trauma of the chest.    
Aortic arch
Rt. pulmonary artery
Carina
Stomach
Rib fractures
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• Three bullet points about pathology identified
• OR
• Management of the identified process
• (50 words or less)
• Fractured ribs normally take 1-2 months to
  completely heal.
• Ribs 4-10 are the ribs mostly likely to be
  broken.
• Complications from rib fractures include
  pneumothorax, internal bleeding damage to major
  blood vessels and internal organs.

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Mother brings child into the ED stating that the
child has swallowed something and is now drooling
extensively.
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Diagnosis Impacted coin in the esophagus.
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diagnosis and /or other abnormalities. Use blue
arrows to indicate 3 normal structures.
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RADIOLOGY EXAM PA Lateral Cheat
X-ray CLINICAL INDICATIONDrooling due to
inability to swallow properly.   REPORT X-ray
exam shows a coin in the esophagus. There is
normal ventilation of the lungs. CONCLUSION 
Coin in esophagus
Rt. atria
The size of the coin leads us to believe that it
will not pass through the GI tract therefore it
needs to be extracted via endoscopic removal.
Sternum
Trachea
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• Three bullet points about pathology identified
• OR
• Management of the identified process
• (50 words or less)
• Coins are the most common esophageal foreign body
  in children.
• Coins in esophagus do not generally result in
  airway obstruction.
• In some cases, foreign bodies may pass through
  the GI tract without difficulties however, they
  may need to be removed via endoscopy.