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Radiology X-RAYS 162ee341

A 45 yr old male comes to AIIMS emergency dept at 1am after binge drinking in night presents with severe chest pain following a episode of vomiting,the chest radiograph of this patient demonstrates which of following sign?

A
Silhouette Sign
B
Naclerio V sign
C
Spinnaker Sign
D
Hilum Overlay Sign
High-Yield Explanation
The given image shows lucency along the medial pa of left hemi-diaphragm and lateral aspect of aoa - known as Naclerio V sign. Seen in Boerhaave syndrome Naclerio V sign (X- ray) CT Hilum Overlay Sign - If the pulmonary vessels are visible through the lesion/mass (not obscured by the mass) then it means that the mass/lesion is in either Anterior or posterior mediastinum but not in the hilum Hilum Overlay Sign Spinnaker Sign/ Thymus Sail Sign/ Angel wing sign - Seen in Pneumomediastinum Spinnaker Sign

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