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Radiology FMGE 2019 c32d2c21

A patient presented with complaints with dyspnoea. The shown X- ray is suggestive of:-

A
Consolidation
B
Exudative pleural effusion
C
Pneumothorax
D
Hydropneumothorax
High-Yield Explanation
Chest X-ray with pleural effusion Obliteration of CP angle Distinct border Concave upward curve called ELLIS CURVE 150-200 ml on PA view > 5 ml lateral view 15-20 ml on lateral decubitus view Right Pleural Effusion Pneumothorax: ON CXR: - Absent bronchoalveolar markings - Visceral pleural reflection - Deep sulcus sign in supine patient - Best view: expiratory view - IOC: CT USG of pneumothorax: - Hypoechoic pleural line - SEASHORE sign present in Normal lung Absent = pneumothorax: M mode USG: BARCODE/ STRATOSPHERE sign Tension pneumothorax: Pneumothorax with mediastinal shift Tension pneumothorax: Pneumothorax with mediastinal shift - Absent bronchoalveolar markings - Visceral pleural reflection - Lung Collapses towards hilum FALLEN LUNG sign: Fracture of bronchus - Lungs fall down inferiorly and laterally - If point supine - fall posteriorly Hydropneumothorax: Horizontal Air Fluid Levels CONSOLIDATION: Opacity not obscuring CP Angle Ill-defined fluffy borders No mediastinal shift Consolidation of Right Middle Lobe: SILHOUETTING of Right Hea Border. SILHOUETTING of Left Hea Border: Lingular Pathology

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