Change: likely toright behilum associated(arrowed) withis thehorizontal atelectasisfissure identified.or atelectasis. There are multiple pleural plaques associated with previous asbestos exposure (black arrow). Conveniently for this case study, there is   View changes from previous version. (Word count: 890)

Change:  When you compare this appearance with the normal chest, the differences may appear subtle. I would argue that the fact that the patient has a raised right hemidiaphram, the flattened look of the diaphragm and the concave looking horizontal fissue would be enough to suggest a subpulmonic effusion http://www.med.yale.edu/intmed/cardio/imaging/cases/pleural_effusion_subpulmonic/index.html   View changes from previous version. (Word count: 911)

Change:  (you may see nothing under the diaphragms on a slightly underexposed radiograph for example)Blunting of affected costophrenic angle- usually only seen with larger effusionsa blunted posterior costophrenic sulcus may be seen on the lateral filmPseudodiaphragm can appear to "peak" more laterallyPseudodiaphragm can appear   View changes from previous version. (Word count: 817)

Change:  (2) Case 1 This is a PA chest image. The radiographer has positioned the patient with the shoulders rolled well forward affording a good view of the lungfields. The linear opacity above the right hemidiaphragm is subsegmental atelectasis (lower white arrow). The horizontal fissure is not horizontal,   View changes from previous version. (Word count: 791)

Change: A subpulmonic effusion can be mimicked by "subdiaphragmatic abscess, enlarged liver, paralysis and eventration of the diaphragm, and ascites" Case 1 This is a PA chest image. The radiographer has positioned the patient with the shoulders   View changes from previous version. (Word count: 761)

Change:  a a subpulmonic effusion warrants a lateral decubitus chest view. It would not not be unexpected, for example, for a patient to have a subpulmonic effusion post thoracic surgery. Subjecting a patient to the rigors of adopting the lateral decubitus position unnecessarily is undesirable undesirable for a variety   View changes from previous version. (Word count: 610)

Change:  Question: If the diaphragmatic plaque identifies the position of the left hemigiaphragm.... what is the structure marked by the white arrow? Answer: The white arrow identifies the visceral pleural surface of the left lung base. The The appearance is complicated somewhat by the apparent air fluid level (not (not marked),   View changes from previous version. (Word count: 609)

Change:  diaphragmatic plaque is marked by the grey arrow....so what is the structure marked by the white arrow? The white arrow identifies the visceral pleural surface of the lung base. The appearance is complicated somewhat by the apparent air fluid level,level (not marked), suggesting that there is air as   View changes from previous version. (Word count: 539)

Change: and likely to be a significant finding, a lateral decubitus chest view may assist the radiologist, referring doctor and ultimately the patient. ...back to the Applied Radiography home page   View changes from previous version. (Word count: 486)

Change: Locked by M.J.Fuller Jul 4 2008, 10:08 AM EDT for: no reason given