Thoracic Intro - CXR Tips and Tricks

What does this chest radiograph show?

• Simple left sided pneumothorax

• Left sided tension pneumothorax

• Left sided mass

• Bowel obstruction, possibly volvulus

• Normal

What would have been helpful in this case?

• Review previous imaging

• Ask a radiologist to review study

• CT before intervention

• Lateral CXR

• Nothing (optimal management undertaken)

Where is the abnormality? (Draw where you think it is)

What is the abnormality?

• Pleural effusion

• Pneumothorax

• Mass

• Consolidation

What is the sign being displayed here?

• Spine sign

• Air crescent sign

• S sign of Golden

• Incomplete border sign

• Veil sign

What does it signify?

• Right upper lobe bleeding

• Right upper lobe collapse with central obstructing mass

• Right upper lobe consolidation

• Right sided pneumothorax

• Aberrant right subclavian artery

Where is the mass?

• Lung

• Pleura

• Anterior mediastinum

• Posterior mediastinum

• Middle mediastinum

Where is the loss of silhouette?

• Heart

• Spine

• Vessels

• Ribs