CXR (Chest X-Ray) Cases @cxrcases Channel on Telegram

CXR (Chest X-Ray) Cases

@cxrcases

New CXR Case Every Tuesdays

CXR (Chest X-Ray) Cases (English)

Are you a medical professional looking to enhance your skills in interpreting chest x-rays? Look no further! Introducing 'CXR (Chest X-Ray) Cases' Telegram channel, where you can find a new case every Tuesday to test and improve your knowledge. This channel, with the username '@cxrcases', is dedicated to providing medical professionals with real-life chest x-ray cases for educational purposes. With advancements in technology, interpreting chest x-rays accurately is crucial in diagnosing various respiratory and cardiac conditions. Each Tuesday, a new case is posted on the channel for subscribers to analyze and discuss. By participating in these cases, you can enhance your skills in identifying abnormalities, understanding different pathologies, and making accurate diagnoses based on chest x-ray findings. Whether you are a medical student, resident, or seasoned physician, 'CXR (Chest X-Ray) Cases' is a valuable resource for continuous learning and professional development. Stay updated with the latest cases and improve your diagnostic skills in interpreting chest x-rays. Join the channel today and challenge yourself with new cases every week! Don't miss out on this opportunity to sharpen your skills in chest x-ray interpretation. Follow '@cxrcases' on Telegram and become part of a growing community of medical professionals dedicated to improving their diagnostic abilities. Enhance your expertise and stay ahead in your medical career with 'CXR (Chest X-Ray) Cases'!

CXR (Chest X-Ray) Cases

31 Oct, 16:56

Two identical chest radiographs.
This is an example of an air bronchogram caused by severe bilateral consolidation.
The air bronchogram is marked in green on the inferior radiograph.
(You can also see: endotracheal tube in situ, nasogastric tube in situ, ECG leads and large cannula in superior vena cava.)
🩻 @CXRcases
5,601
CXR (Chest X-Ray) Cases

27 Oct, 16:55

Two identical chest radiographs.
This is an example of an air bronchogram caused by severe bilateral
consolidation. The air bronchogram is marked in green on the inferior radiograph.
(You can also see: endotracheal tube in situ, nasogastric tube in situ, ECG leads and large cannula in superior vena cava.)
🩻 @CXRcases
6,361
CXR (Chest X-Ray) Cases

27 Oct, 16:52

Air bronchogram
It can appear when there is consolidation (e.g. pneumonia), collapse or pulmonary oedema in the
surrounding alveoli.
🩻 @CXRcases
4,495
CXR (Chest X-Ray) Cases

25 Oct, 16:52

Two identical chest radiographs showing left lower lobe consolidation.
The patchy airspace shadowing corresponds to the left lower lobe and there is no loss of lung volume. We know the consolidation is in the left lower lobe as there is loss of definition of the left hemidiaphragm.
The right radiograph shows the consolidation marked in green.
🩻 @CXRcases
4,561
CXR (Chest X-Ray) Cases

22 Oct, 16:51

Two identical chest radiographs showing consolidation in the lingula. There is patchy airspace shadowing and
no loss of lung volume.
We know the consolidation is in the lingula as there is loss of the left heart border.
The right radiograph shows the consolidation marked in green.
🩻 @CXRcases
4,860
CXR (Chest X-Ray) Cases

18 Oct, 16:50

Two identical chest radiographs showing middle lobe and left lower lobe consolidation.
The patchy airspace shadowing corresponds to the middle lobe and left lower lobe and there is no loss of lung volume. We know the consolidation is in the middle lobe as there is loss of the right heart border and the superior border is the horizontal fissure.
We know the consolidation is in the left lower lobe as there is loss of definition of the left hemidiaphragm and the left heart border is still visible.
The right radiograph shows the consolidation marked in green.
🩻 @CXRcases
5,061
CXR (Chest X-Ray) Cases

17 Oct, 16:49

Two identical chest radiographs showing middle lobe consolidation.
The patchy airspace shadowing corresponds to the middle lobe and there is no loss of lung volume. We know the consolidation is in the middle lobe as there is loss of the right heart border and the superior border is the horizontal fissure.
The right radiograph shows the consolidation marked in green.
🩻@CXRcases
4,533
CXR (Chest X-Ray) Cases

15 Oct, 16:48

Two identical chest radiographs showing right upper lobe consolidation with sparing of the apical segment.
The patchy airspace shadowing corresponds to the right upper lobe and there is no loss of lung volume. The right radiograph shows the consolidation marked in green.
🩻@CXRcases
4,348
CXR (Chest X-Ray) Cases

13 Oct, 16:46

Two identical chest radiographs showing consolidation. There is consolidation in both lungs with moderate
sparing of the apical segment of the right upper lobe (seen as darker than the rest).
There is patchy airspace shadowing, no loss of lung volume and if you look carefully, you can see air bronchograms in both lungs.
The right radiograph shows the consolidation marked in green. (You can also see: endotracheal tube in situ, nasogastric tube in situ, ECG leads and large cannula in superior vena cava.)
🩻 @CXRcases
4,471
CXR (Chest X-Ray) Cases

12 Oct, 16:45

Consolidation/Airspace shadowing
🔴 Patchy shadowing : non - uniform shadowing and the border is not well demarcated.
🔴 Lobar or segmental density : the density should correspond anatomically to a lobe or lung segment.
🔴 Air bronchogram: the presence of an air bronchogram would confirm that the density
(fluid/pus) was in the alveoli and not the larger airways. Bronchial breathing is the clinical equivalent of
the air bronchogram.
🔴 No loss of lung volume : lung volumes may actually increase in the early stages of consolidation. In
later stages there can be a small loss of lung volume due to secretions obstructing airways; however, as
a general rule, there is no significant loss of lung volume in consolidation.
🩻 @CXRcases
4,552
CXR (Chest X-Ray) Cases

09 Oct, 16:44

Two identical chest radiographs showing widening of the carinal angle. The carinal angle is greater than 100 ° .
The right radiograph shows the trachea, right mainstem bronchus and left mainstem bronchus marked in blue.
🩻 @CXRcases
5,490
CXR (Chest X-Ray) Cases

09 Oct, 16:44

Carinal angle
Normally the angle is between 40 ° and 100 ° . An increase in the carinal angle is an indirect sign of pathology in the heart, mediastinum or lungs.
• sub - carinal mass (a mass below the carina, e.g. bronchial carcinoma, hiatal hernia)
• left atrial enlargement , cardiomegaly or a pericardial effusion
• right or left upper lobe collapse (pulling the mainstem bronchus upwards).
🩻 @CXRcases
5,561
CXR (Chest X-Ray) Cases

08 Oct, 16:42

Two identical chest radiographs showing right tracheal deviation.
The trachea is shown in blue on the right radiograph.
(You can also see: mass lesion in the right lung and hilum, with resultant middle lobe collapse, pulling the
trachea to the right.)
🩻 @CXRcases
5,077
CXR (Chest X-Ray) Cases

06 Oct, 16:42

Tracheal deviation
🔴 Deviated towards diseased side
– lung collapse
– pneumonectomy (removal of a lung) or lobectomy (removal of just one lobe)
– unilateral fibrosis
– agenesis of lung (also called lung aplasia – complete absence of a whole lung and its bronchus).
🔴 Deviated away from diseased side
– tension pneumothorax
– pleural effusion (large)
– mediastinal masses
– para - tracheal masses.
🩻 @CXRcases
4,937
CXR (Chest X-Ray) Cases

04 Oct, 16:40

E – Everything else
🔴Look at the hemidiaphragms specifically for air under the diaphragm.
🔴Look at the edges of the body and all over the film for surgical emphysema .
🔴 In a female patient look for the breast shadows .
🔴Look for foreign bodies and ‘ other unnatural presences ’ .
🩻 @CXRcases
5,010
CXR (Chest X-Ray) Cases

02 Oct, 16:38

A normal chest radiograph. Rotating the radiograph makes it easier to look for fractures or bony abnormalities.
🩻 @CXRcases
5,426
CXR (Chest X-Ray) Cases

01 Oct, 16:37

D – Disability
How to look
🔴 Look for any fracture or bony abnormality of the ribs . Don’t forget to rotate the radiograph 90 °.
🔴 Step closer to the radiograph and follow the edges of each individual bone to look for fractures.
🔴Look for areas of blackness within each bone and compare the density of the bones on both sides. They should be the same.
🔴Repeat, looking for any fracture or bony abnormality of the vertebrae , clavicles or shoulder girdle.
🩻 @CXRcases
3,725
CXR (Chest X-Ray) Cases

29 Sep, 16:26

C – Circulation
How to look
🔴Look at the cardiac size . The width of the heart should be no more than half the total width of the
thorax.
🔴Look at the great vessels ( pulmonary vessels and aorta ).
The Latin for heart is ‘ cor ’ (as in cor pulmonale); therefore remember to look at the ‘ core ’ of the X - ray.
🔴Look at the mediastinum , both hila and look for a hiatus hernia.
🩻 @CXRcases @CXRcases @CXRcases
3,894
CXR (Chest X-Ray) Cases

23 Sep, 17:41

B – Breathing
1️⃣ Are the lungs uniformly expanded ?
2️⃣ Compare the lung fields and look for white
areas (shadows):
– compare left apex with right apex
– compare left upper zone with right upper
zone
– compare left mid zone with the right mid
zone
– compare the left lower zone with the right
lower zone.
3️⃣ Look around the edges of each lung.
4️⃣ Look at the costophrenic angles.
5️⃣ Look for the four silhouettes
❗️ Right heart border.
Loss of the right heart border indicates a loss of air in the middle lobe (due to collapse or consolidation).
❗️Left heart border .Loss of the left heart border indicates a loss of air in the lingula (the equivalent
to the middle lobe in the left lung).
❗️Right hemidiaphragm .iv. Left hemidiaphragm .
Loss of the clear diaphragmatic silhouette indicates there is loss of air in the lower lobe (collapse or consolidation) or that there is something between the diaphragm and the lower lobe of the lung (e.g. fluid).
🩻 @CXRcases
4,697
CXR (Chest X-Ray) Cases

21 Sep, 17:38

Start at the top and follow the trachea (1) inferiorly. It should be in the midline. It divides at the carina (2) to give off the left mainstem bronchus (3) and the right mainstem bronchus (4).
On the left, the airway ends at the bifurcation of the left mainstem bronchus, where it splits into the
upper lobe bronchus (5) and lower lobe bronchus (6).
On the right, the right mainstem bronchus gives off the upper lobe bronchus (7) and continues inferiorly as the intermediate bronchus (8).
The airway ends at the bifurcation of the intermediate bronchus, where it splits into the middle lobe bronchus (9) and lower lobe bronchus (10) .

🩻 @CXRcases
4,084
CXR (Chest X-Ray) Cases

19 Sep, 17:38

A is for Airway
1️⃣ Look at the trachea, right and left mainstem bronchi and intermediate bronchus.
B is for Breathing
1️⃣ Look to see if the lungs are uniformly expanded and compare the lung fi elds.
2️⃣ Look around the edges of each lung.
3️⃣ Look at the four silhouettes.
C is for Circulation
1️⃣ Look at the cardiac size.
2️⃣ Look at the great vessels (pulmonary vessels and aorta).
3️⃣ Look at the mediastinum and hila.
D is for Disability
1️⃣ Look for a fracture, especially of the ribs or shoulder girdle.
E is for Everything else
1️⃣ Look for air under the diaphragm.
2️⃣ Look at the edges for surgical emphysema.
3️⃣ Look for the breast shadows.
4️⃣ Look for foreign bodies and other ‘ unnatural presences ’ .

🩻 @CXRcases
4,120
CXR (Chest X-Ray) Cases

17 Sep, 17:34

Two identical chest radiographs showing lung under - inflation. Notice how the lung volume has markedly decreased. There is the false appearance of cardiomegaly. The right radiograph shows the anterior parts of ribs 1 to 4 marked in yellow and the flattened hemidiaphragms marked in orange. (You can also see: air under the right hemidiaphragm.)

🩻 @CXRcases
4,041
CXR (Chest X-Ray) Cases

15 Sep, 17:33

Two normal, identical chest radiographs. The right radiograph shows the anterior parts of ribs 1 to 6 marked in yellow. The left and right hemidiaphragm are marked in orange. Note how the diaphragm has a normal domed shape and not flattened.

🩻 @CXRcases
4,186

2025 All Right Reserved

Disclaimer: The content displayed on this website is solely provided by the respective Telegram channels. We hold no ownership or responsibility for the content shared by these channels.