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May 27 2011, 6:45 PM EDT
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Change: The PA chest projection image shows some prominent interstitial markings. There appears to be gas under the right hemidiaphragm. Note that there is bowel gas superimposed over the liver suggesting colonic interposition- a known cause of false pneumoperitoneum. If this appearance represented pneumoperitoneum, you would expect to see air-contrasted liver.
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Dec 29 2010, 9:36 AM EST
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Change: This is in fact air above the diaphragm rather than under it. This patient has a right sided pneumothorax with a deep sulcus sign. The pneumothorax is also visible at the right lung apex (arrowed)Discussion Pneumoperitoneum is an important plain film finding.
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Dec 29 2010, 9:25 AM EST
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Change: This paient has a pneumothorax. The right hemidiaphragm contrasted with air in the pleural space resembles the liver contrasted with free air in the peritoneum(left)This appearance of colonic interposition does bear some similarity to the appearance of pneumoperitoneum (above left).The white arrowed structure is
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Dec 29 2010, 3:05 AM EST
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Change: interposition and pneumothorax. The black arrow identifies the aircontrasted liver. The aircontrasted costal muscle slip is marked with a white arrowThis appearance of colonic interposition does bear some similarity to the appearance of pneumoperitoneum (above left).The white arrowed structure is probably a
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Dec 28 2010, 8:23 AM EST
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Change: This is a 60 year old lady with known Crohn's disease and abdominal pain. She was referred for an abdominal plain film. The large bowel wall is visible along both flanks. The liver is also outlined by fat.There is fat interposed between the
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Dec 28 2010, 7:16 AM EST
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Change: withthe aircontrasted liverliver. andThe aircontrasted costal muscle slip is marked with a white arrowThis appearance of colonic interposition does bear some similarity to the appearance of pneumoperitoneum (above left).The white arrowed structure is probably a haustral marking and the black arrowed structure is diaphragmatic Discussion
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Dec 28 2010, 7:09 AM EST
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Change: It is useful to be able to distinguish between the appearance of air under the right hemi-diaphragmand colonic interposition. The black arrow identifies with aircontrasted liver and aircontrasted costal muscle slip is marked with a white arrowThis appearance of colonic interposition does bear
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Dec 28 2010, 6:55 AM EST
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Dec 28 2010, 6:53 AM EST
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Change: The PA chest projection image shows some prominent interstitial markings. There appears to be gas under the right hemidiaphragm. Note that there is bowel gas superimposed over the liver suggesting colonic interposition- a known cause of false pneumoperitoneum. If this appearance represented pneumoperitoneum, I would expect to see air-contrasted liver.
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Feb 8 2010, 3:04 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 3:04 AM EST
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Dec 26 2009, 6:02 AM EST
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Change: the base of an inferior accessory fissure.There are three metallic rings associated with the mitral valve surgery.There is loss of visualisation of the left hemidiaphragm associated with a left pleural effusion. Discussion Pneumoperitoneum is an important finding on plain film
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Dec 26 2009, 5:57 AM EST
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Change: view image similarly demonstrates a negative 'silhouette sign' involving the liver (black arrow). There appears to be a 'juxtaphrenic peak' (solid white arrow) and three metallic rings associated with the mitral valve surgery.There is loss of visualisation of the left hemidiaphragm associated with a left pleural effusion. Discussion Pneumoperitoneum
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Dec 26 2009, 5:55 AM EST
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Change: Dynamic radiology of the abdomen: normal and pathologic anatomyThe lateral chest view image similarly demonstrates a negative 'silhouette sign' involving the liver (black arrow). There appears to be a 'juxtaphrenic peak' (solid white arrow) and three metallic rings associated with the mitral valve surgery.There is loss
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Dec 26 2009, 5:43 AM EST
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Change: This in-patient was referred for chest radiography following open mitral valve surgery. There appears to be free air under the right hemidiaphragm. This was interpreted
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Aug 2 2009, 3:24 AM EDT
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Change: down. For reasons of practicality, the side that is up is often marked. (perhaps we should channge thisup. convention!) There is evidence of free air between the abdominal wall and the liver (white arrow). There is also evidence of free fluid in the peritoneum (black arrow). 5. Rigler’s Sign
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Apr 11 2008, 7:03 PM EDT
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Change: views to concusively demonstrate the pathology. Moreover, they will also have the opportunity to report the finding immediately to the referring doctor. The "picture-taking", photo-centric radiographer's days may be numbered... the clinically orientated radiographer has arrived! ....back to the applied radiography home page here
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Apr 3 2008, 7:46 PM EDT
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Change: This patient is in the left lateral decubitus position. It is conventional in radiography to mark the side the side that is down. For reasons of practicality, the side that is up is often marked. (perhaps we should channge this convention!) There is evidence of
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Apr 3 2008, 7:37 PM EDT
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Change: This sign is known as Doges Cap sign. The Italian Doges wore this distinctively shaped cap. Gas in Morrison's pouch is only loosely shaped like a Doges cap and should not be taken too literally. Bear in mind that the "triangle Sign" was already taken! http://bp3.blogger.com/_iAsK5lmVXqM/Rpn6Q091zNI/AAAAAAAAAQE/qDaIjgpsZa4/s320/doge.jpg 3. Air
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Apr 3 2008, 7:31 PM EDT
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Change: sign refers to free air in Morrison's pouch. Morrison's pouch is normally a potential space between the right kidney and the liver. This is a
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Apr 3 2008, 7:11 PM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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