Dear Friends,. Posted here find two x-ray chest Please enumerate the findings in both the  x-ray.. A... .. B….. Thanks Dr K N Poddar

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ANSWERS... A.. Fracture 7th,8th,9th and 10th rib posteriorly right chest.. Left lung shows evidence of fibrosis in the lower zone with fibro cystic lesions in the left mid and upper zone sequele to probably an old tubercular infection B... Trachea is shifted to right. Cardiac shadow is also shifted to the right.. Right sided destroyed lung with multiple medium to big sized cavitation.. Area of fibrosis around the cavitations.. Pulling the right diaphragm up..Probably sequele to old healed infection. Left lung shows compensatory emphysema.

2:-rt sided fibrosis of lung with pulling of diaphragm with Rt sided pleural effusion.hyperinflation of left lung with bronchiectasis of left middle zone.sugggestive pushing of mediastinum towards rt.

A:-heterogenous opacity present in left lower zone and costophrenic angle left.hyperinflation of Rt lung . bronchiectasis of left upper and middle zone.rt middle and lower zone.xray suggestive of COPD with Koch's left lung with bilateral bronchiectasis.

A) Rt dome of diaphragm is flat. Elongated heart. There are old healed fractures of 5 to 8ribs. On lt side increased bronchovascular margins and lt basal consolidation. There are small ring shadows dominently on lt side suggestive of bronchiectasis. COPD emphysema . B)Mediastinal shift to right. Collapse of rt lung. on rt side transverse fluid level is seen . Chronic abcess or empyema? Thre is hyperinflation on lt side. Small heart shadow. Chroni c emphysema complicated on Rt side by empyema?

cxr A shos multiple rib fracture and hazy infiltrate over Lt. hemithorax...possibly pulmonary hemorrhage.. Cxr B..pulled up trachea towards Rt..firosis Rt lung with pleirsl effusion...Lt hemithx is not clearly visible...no bv markings..pneumothorax?..

rather old multiple rib fracture...callous seen in cxr A..
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A OLD # RIBS RT RT MIDDLE LOBE COLLAPSE ( LOSS OF RT BORDER OF HEART) FIBROTIC CHANGES BRONCHIACTATIC CHANGES LT POSSIBLY LT LOWER LOBE COLLAPSE B TRACHEA DRAWN TO RT LOSS OF LUNG VOLUME RT EXTENSIVE FIBROTIC CHANGES RT COMPENSATORY HYPERTROPHY LT. SIDE WITH MEDIASTINAL HERNIATION FIBROTIC & BRONCHIACTATIC CHANGES

Rt lung fibrosed volume lost Trachea and media pulled to rt As rt cp angle is occupied so we can go for usg of rt cp angleto see for fliud Reactivity is to be judged It is for scan b

A- small heart size with bronchiectatic changes left upper and middle zone with flattening of domes of diaphragm B-mediastinum shift to right,collapse of rt lung with rt plueral effusion with lt hyperinflation with small cardiac size

A-Follow up case of Koch,s lesion,rt.lung with multiple cavities in the lower zone. B- Infilration in the lt.subclavicular region (Koch s lesion)Paychy opacity inthe lt. Lower zone. Likely to be covid needing confirmation.

A lt side mz traction bronchiectasis with retrocardiac bronchiectasis B rt fibrocavitory lund with mediastenum shifted to rt with lt side compensatory emphysema

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