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Pericardial Lipoma on Chest XRay and CT

Dr. Jacobo Kirsch @kirschj

#Pericardial #Lipoma #ChestCT #ChestXRay #CXR #Lateral #CXR
Pericardial Lipoma ... on Chest XRay and ... CT Dr. ... ChestCT #ChestXRay #CXR ... #Lateral #CXR #
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
2-view chest 0.02 ... and lateral abdomen ... 200 CXRs Chest ... CT 3 mSv 150 CXRs ... Imaging #ChestXRay #CXR
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the lung will lie ... against the anterior ... part of the lung ... the heart or pericardial ... Clinical #Radiology #CXR
On the left another patient with a large cardiac silhouette on the chest x-ray due to
silhouette on the chest ... x-ray due to pericardial ... Pericardial effusion ... on the coronal CT-reconstruction ... Clinical #Radiology #CXR
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
looking at the lateral ... must be located anteriorly ... in the left lung ... Clinical #Radiology #CXR
Pericardial cyst
Pericardial cysts are connected to the pericardium and usually contain clear fluid.
The majority of pericardial
Pericardial cyst ... cysts arise in the anterior ... On the chest x-ray ... On CT however there ... Clinical #Radiology #CXR
First study the CXR.
We know that in some cases there is an extra joint in the
First study the CXR ... extra joint in the anterior ... also seen on the lateral ... Continue with the PET-CT ... Clinical #Radiology #CXR
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
ARDS: Clinical Cheat ... , inflammatory lung ... permeability, lung ... be detected on CT ... or CXR ● PaO2/
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... lesions than the chest ... The chest film shows ... On the CT cavitation ... Clinical #Radiology #CXR