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Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Middle mediastinal, Posterior ... Lymphadenopathy • Pericardial ... Pneumomediastinum, Pericardial ... effusion • CXR ... #radiology
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Lobe: Apical, Posterior ... Anterior, Lateral, Posterior ... Anteromedial, Lateral, Posterior ... #CT #CTChest #pulmonary ... #clinical #radiology
The mediastinum can be divided into an anterior, middle and posterior compartment, each with it's own
anterior, middle and posterior ... #Clinical #Radiology ... #CXR #Lateral # ... Anterior #Middle #Posterior ... #Compartments #RadiologyAssistant
On the left another patient with a large cardiac silhouette on the chest x-ray due to
chest x-ray due to pericardial ... Pericardial effusion ... CT-reconstruction #Clinical ... #Radiology #CXR ... PericardialEffusion #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the chest the lung ... since the heart or pericardial ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
There is a lung ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
anteriorly in the left lung ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
periphery of the lung ... most typical of pulmonary ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
absence of the pericardium ... : - CXR: leftward ... apex located in a posterior ... #clinical #cardiology ... #radiology
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant