CLINICAL DETAILS:
Residual cystic hygroma.
CLINICAL DETAILS:
Right pleuritic pain. Improving but still right basal signs
CHEST + LATERAL:
there is a new irregular ovoid lesion present in the apical segment of the left lower lobe (most clearly seen on the lateral). Bronchogenic carcinoma is the most likely diagnosis, and further investigation is warranted with a CT scan. There is blunting of the right costophrenic angle and there may be a little fluid present here. Some rather ill defined density projected over the lower left cardiac border is present, and is likely to be long standing and pleural.
CONCLUSION:
Strong suspicion of left lower lobe (apical segments) carcinoma. Further investigation is necessary.
CLINICAL DETAILS:
Post NG tube insertion. Chronic renal failure. Ex smoker. Hoarse voice. ?Neoplasm.
CHEST:
The tip of the NG tube is projected over T10 vertebra and lies at the level of the GO junction. The tube should be further advanced into the stomach. The tip of the right subclavian permcath is projected over the SVC. There is a small left pleural effusion, and pulmonary venous hypertension. No alveolar pulmonary oedema.
CLINICAL DETAILS:
Previous allergic bronchopulmonary aspergillosis. COAD. Repaired hiatus hernia.
CHEST:
The retrocardiac gastric silhouette is not visible post repair. Irregularity of the left hemidiaphragm at the cardiophrenic angle is in keeping with previous surgery at this site. The severe thoracic scoliosis concave to the left is unchanged. Lungs clear. No plain film evidence of ABPA.
CLINICAL DETAILS:
Right hilar carcinoma. DXR.
CHEST + LATERAL:
Left subclavian transvenous pacemaker wire in situ. there is been a right hilar mass. There is also a moderate sized right pleural effusion. Also, the cardiac silhouette is increased slightly and appears slightly flush which could raise a possibility of a pericardial effusion.
CLINICAL DETAILS:
Radical RT for SCC lung.
CHEST:
There is a left sided PPM in situ. There is widespread pleural reaction on the right which is especially in the apical region. This may be due to fluid or pleural thickening post radiotherapy.
CLINICAL DETAILS:
Radical RT for SCC lung.
CHEST
There is a left sided PPM in situ. There is widespread pleural reaction on the right which is especially in the apical region. This may be due to fluid or pleural thickening post radiotherapy.
CLINICAL DETAILS:
? Cryptococcal pneumonia.
CHEST:
There is prominent peripherally based soft tissue opacity at the left lung base. No other definite abnormality can be found.
CLINICAL DETAILS:
Pleuritic chest pain on right. Smoker.
CHEST:
There are four soft tissue nodules in the right hemithorax. The largest measures approximately 5x3cm and abuts the right cardiac border. The three others measure 1.5 to 2cm and lie at the right apex, above the right horizontal fissure and in the right base. There is possibly some cavitation in the two higher lesions. No definite abnormalities in the left lung. No evidence ofdependent pleural fluid. Cardiomediastinal contours are normal. There is a mild left-sided scoliosis of the mid and lower thoracic spine.
CONCLUSION:
There are four pulmonary nodules. These are possibly metastatic in origin. A granulomatous lesions would be the main differential. Referral to a chest physician is indicated.
CLINICAL DETAILS:
Sjogrens and vasculitis. Recent haemoptysis. Neck pain radiating down left arm.
CHEST
There is a pleural opacity in the left mid zone. There is no other pulmonary opacification. The mediastinum and cardiac shadow are with in normal limits.
CLINICAL DETAILS:
Cough, sputum.
CHEST + LATERAL:
The lungs are hyperinflated. There is an area of increased shadowing in the left apex. No lung lesion seen.
CLINICAL DETAILS:
Renal cell Ca. Left upper zone lesion.
CHEST + LATERAL:
There is a poorly defined opacity in the left upper zone peripherally which may well represent a pulmonary metastasis. No other definite lesion is seen. The heart size is normal. Degenerative thoracic spine disease is present.
COMMENT
There may well be a solitary left upper zone pulmonary metastasis. CT scanning would be useful for further assessment.
CLINICAL DETAILS:
Cough and sputum.
CHEST:
The heart size is normal. There is unfolding of the aorta. There is some linear fibrotic changes radiating from the left perihilar region together with some small adjacent cystic changes. A few bullae and a little pleural thickening are noted in the apex of the right lung. These appearances are related to old tuberculous disease. In view of the recent history I think it would be worth proceeding to an apical view which would allow a more accurate assessment of the changes at the right apex. The rest of the lung fields are clear.
CLINICAL DETAILS:
Eisenmenger VSD. Pulmonary hypertension +++. Widespread crackles and pyrexia. ?Worsening chest infection.
CHEST:
There is an increase in shadowing in the right upper zone and possibly in the left mid and upper zone. Infection is suspected.
CLINICAL DETAILS:
VSD. Eisenmenger syndrome. ?Chest infection. ?PE.
CHEST:
AP sitting and lateral.
There are large smooth walled lobulated opacities arising from both hila. The lateral margin of the right perihilar mass is calcified. Features are consistent with aneurysmal disease of the pulmonary arteries secondary to the patient's Eisenmenger syndrome. The lung fields are plethoric consistent with a left to right shunt. The cardiac shadow is enlarged in transverse diameter. For further assessment a CT is suggested.
CLINICAL DETAILS:
Dry cough for 6 months. ? Mass right hilum.
CHEST:
Median sternotomy, CABG and right mediastinal sutures. There is a faint paraspinal bulge in the region of the sutures but no other obvious mass lesion. The lungs appear clear.
CLINICAL DETAILS:
Right paratracheal mass.
CHEST + LATERAL:
There is a mass below the right hilum. The trachea in the supracarinal region is indented anteriorly presumably from the mass noted in the right paratracheal region. This appearance is most consistent with a bronchogenic carcinoma with associated lymphadenopathy. The left lung and pleural spaces are clear. No bone lesion identified.
CLINICAL DETAILS:
Right paratracheal mass
CHEST + LATERAL:
There is a mass below the right hilum. The trachea in the supracarinal region is indented anteriorly presumably from the mass noted in the right paratracheal region. This appearance is most consistent with a bronchogenic carcinoma with associated lymphadenopathy. The left lung and pleural spaces are clear. No bone lesion identified.
CLINICAL DETAILS:
A RUZ opacity. ? increase in size. Old right sided pleural disease.
CHEST + LATERAL:
There is a single nodule in the right upper lobe, and this has a rather irregular outline. There is an associated right sided pleural effusion, plus or minus pleural thickening. Both lungs are hyperinflated. The diagnosis is a bronchogenic carcinoma (until proven otherwise). A CT should be performed.
CLINICAL DETAILS:
Cough. Crepes Lt base.
CHEST:
The heart is enlarged (CTR 19/32). Mediastinal contour is normal. The lungs are clear.
CLINICAL DETAILS:
Cough. Crepes Lt base.
CHEST:
The heart is enlarged (CTR 19/32). Mediastinal contour is normal. The lungs are clear.
CLINICAL DETAILS:
Chronic severe persistent asthma perstistent airflow obstruction. Sputum daily. Probable bronchiectasis. Multiple allergies.
CHEST:
The chest is hyperexpaned and the lungs are large volume. There is bronchiectasis involving the lower lobes of both lungs.
COMMENT:
The chest x-ray apearances are consistent with bronchiectasis and COAD.
