Male 46 yrs. Maybe x-ray were done after high fever, chills.

1.

Male 46 yrs. Maybe x-ray were done after high fever, chills.

Adequate film.

Not able to count all the ribs.

Rays are too hard-look very dark.

Can’t distinguish whether AP or PA.

Structure of internal shadow are seen more clearly.

Shadow is in middle and inferior zone.

We can say maybe the lower segment of upper lobe is involved.

High intensity of shadow.

Shadow is not homogenous.

We can see sharp outline.

Cavity is seen, on some part it is transparent and some part not transparent.

Mediastinum is slightly displaced to the right. Reason of displacement- because of cavity and abscess formation, and thus pressing the mediastinum and displacing it.

Cavity-the level of fluid is seen.

2.

Male.

Adequate x-ray.

PA view-can see space between apex and clavicle.

Anterior is sharper.

Shadows can be seen in middle and lower lobe right lung. And shadow can be seen near medioclavicular line in left lung.

Position of domes-left diaphragm is lower than right one.

Intercoastal spaces are dark and wider- we can think about emphysema.

Inflammation on right side is more than left side.

Infiltration seen.

Shadow is not homogenous.

Shadow is of moderate intensity.

Right lung-shadow in middle and lower lobe.

Margins of shadow are uneven and blurred.

Inflammation can be chronic and can cause deformation in position of domes.

Cancer of lung can start with repeated pneumonia.

Conclusion- RIGHT SIDED PNEUMONIA.

3.

Tomography.

Male.

Adequate x-ray.

Shadow in upper zone of right lung. And lower and middle zone of left lung.

Shadow is irregular and oval in shape.

High intensity of shadow – left lung. And low intensity of shadow- right lung.

Outline is blurred and uncleared.

Mediastinum shifted to the right. (can determine by placing ruler at trachea)

Signs are not clearly seen.

Homogenous shadow because of chronic pneumonia.

Process in upper lobe- can think of TUBERCULOSIS.

4.

Male.

Adequate x-ray.

PA view (can clearly see distance between apex and clavicle).

Right Lateral view (can see the separation between the 2 domes, we don’t see the aorta).

We can see the shadow in the middle zone of right lung.

Shadow is not homogenous.

On some part we see moderate intensity of shadow, and on other part high intensity of shadow.

Diaphragm lower on left side compared to right side-about 1.7 cm.

Mediastinum is not shifted.

Sharp border of shadow is seen.

Lower border is unlimited-maybe because of interlobar fissure.

No cavity is seen.

5.

Male. Adequate x-ray. PA position(clearly see distance between apex and clavicle) and Right Lateral position.

Middle and lower zone right lung affected. Can see some shadow in left lung too.

Shadow is oval like,size 8x6 cm.

Moderate intensity of shadow, and internal structure is not homogenous.

Outline of shadow is blurred and uneven. Seeing the lateral view, we can say that the shadow is in the S4 and S5 segment(middle lobe and lower lobe).

The lung pattern is increased. Normal intercoastal space.

Infiltration seen.

Pleural effusion-see left lung(down at left side).

Conclusion-SEGMENTAL PNEUMONIA.

6.

Male 48 yrs. Inadequate x-ray(we cant see the apex of the lung clearly).

PA view –can see distance between apex and clavicle.

Lesions seen in middle zone of the right lung.

Single shadow, with irregular shape.

Shadow is of moderate intensity.

Shadow corresponds to one segment.

Shadow is non homogenous.

Intercoastal space increases and is darker-EMPHYSEMA present.

Dome of diaphragm at 6^th rib.

Conclusion- RIGHT LUNG PNEUMONIA.

7.

Male 71 yrs old. Inadequate x-ray.

PA view(can see distance between apex and clavicle).

Multiple shadows can be seen.

Shadows are irregular in shape.

In some lesions shadows are homogenous and in others shadow not homogenous.

Shadows are uneven and blurred.

Must measure smallest shadow-2cm, biggest-5cm.

Intercoastal space increases and darker- can think of EMPHYSEMA.

Intensity of shadow-some place high and some place low.

Cant describe mobility-fluoroscopy is needed for that.

Multiple metastasis may be there due to age of patient.

Lesions are not clear cut. No malignancy problem.

Conclusion- LOBAR PNEUMONIA.

8.

Female 51 yrs.

x-ray maybe done after cols or fever.

Adequate x-ray.

PA view-can clearly see distance between apex and clavicle.

Lower zone of both lungs are affected.

Bilateral involvement up to 4^th rib.

Shape of shadow not clear and irregular.

Lung volume is reduced.

Both high and moderate intensity of shadows at different places.

Shadows are uncleared and uneven.

By seeing shadow we can see lesions are diffusing.

Pleural effusion up to 4^th rib.

Left lung-clear shadow of pleural effusion.

(must do ultrasound to confirm whether fluid is in acute phase).

9.

Female 48 yrs.

Adequate x-ray.

Normal form of chest and normal intercoastal space.

Irregular shadow in middle and lower zone of right lung.

And shadow in upper and lower zone of left lung.

Healthy lung is reduced.

High intensity of shadow.

Both homogenous and unhomogenous part are seen.

Upper zone of left lung-shadow is not homogenous.

Cant determine mobility(fluoroscopy needed for that).

Shift of trachea to the right.

Pleural effusion of left side.

No atelectasis(homogenous of left lung).

PNEUMONIA in both right and left lung.

Дата добавления: 2015-11-05