1. HISTORY Unwell. Cough and fever.

What does this CXR show? Be very precise in terms of any

QUESTION anatomical aspects / conclusions.

ANSWER
 2. HISTORY Feeling unwell and short of breath today.

What does this CXR show? Be very precise in terms of any

QUESTION anatomical aspects / deductions / conclusions. ( You might also
suggest a logical next step in terms of diagnosis ).

ANSWER
 3. HISTORY High impact Road Traffic Accident (RTA). Injury to lower limbs and
to the chest. Very short of breath.
What does this CXR show? Be very precise in listing your
QUESTION observations and conclusions.

ANSWER
 4. HISTORY Chest pain started earlier today. Now distressed and very short of
breath.
What does this CXR show? Be very precise in stating your
QUESTION observations and conclusions.

ANSWER
 5. HISTORY Female. 64 years. Cough for one month. Otherwise well.

Normal or abnormal CXR?

QUESTION

ANSWER
 6. HISTORY Female. 30 years. Erythema nodosum and arthralgia. No other
symptoms.
Report on this CXR.
QUESTION

ANSWER
 7. HISTORY Male. 42 years. Persistent cough. Otherwise well.

Normal or abnormal CXR?

QUESTION

ANSWER
 8. HISTORY Female. 52 years. Chest pain.

Report on this CXR.

QUESTION

ANSWER
 9. HISTORY Male. 75 years. Cough and a slight fever - during the last week.

Normal or abnormal?
QUESTION

ANSWER
 10.HISTORY Female. 70 years. Persistent and troublesome cough.

Explain these appearances.

QUESTION

ANSWER
 11. HISTORY Male. 32 years. Complains of severe left sided chest pain.

Can you suggest the cause of the pain?

QUESTION

ANSWER
 12.HISTORY Male 60 years. Recent onset of shortness of breath and wheezing.

Normal or abnormal?
QUESTION

ANSWER
 13.HISTORY Male. 22 years. Loss of weight and generalised weakness.

Explain this appearance.

QUESTION

ANSWER
 14.HISTORY Female. 65 years. Acute left sided chest pain.

Are there any significant abnormalities? Is the cause of the chest pain
QUESTION explained?

ANSWER
 15.HISTORY Female. 85 years. Previously well. Now attends her General
Practitioner c/o increasing shortness of breath. Temperature normal.
This is a standard PA chest radiograph.
QUESTION
Explain the appearances.

ANSWER
 16.HISTORY Female. 82 years. Very short of breath. No previous adverse medical
history
Explain these appearances.
QUESTION

ANSWER
 Male. 45 years. Persistent cugh. Loss of appetite.
17. HISTORY

Explain the findings.

QUESTION

ANSWER
 18.HISTORY Female. 66 years. Fit and well. Routine CXR for insurance purposes.
No previous/past CXR examinations.
How would you report on this radiograph?
QUESTION

ANSWER
 19.HISTORY Male. 54 years. Long standing cough and episodic sputum.

Diagnosis?
QUESTION

ANSWER
 20.HISTORY Male. 45 years. Persistent cough.

How would you report this CXR?

QUESTION

ANSWER
 21.HISTORY Female. 42 years. Unexplained dyspnoea.

Explain these shadows.

QUESTION

ANSWER
 22.HISTORY Male. 29 years. Rugby player. Short of breath and a fever. A week
ago he was well.
Normal or abnormal CXR?
QUESTION
ANSWER

Female 48 years. Persistent dry cough and breathless on exertion - for

23.HISTORY several weeks. Good appetite. No loss of weight.

No adverse finding on clinical examination. Temperature - normal.

Normal or abnormal CXR?
QUESTION
ANSWER

Female. 51 years.
24.HISTORY
Lethargic, tired, and complains of chest pain.
What observations - and conclusions - do you make?
QUESTION
ANSWER

25.HISTORY Male. 56 years. Persistent cough. Smoker.

Normal or abnormal CXR?

QUESTION
ANSWER

26.HISTORY Female. 29 years. Unexplained loss of weight.

 Normal or abnormal CXR?
QUESTION

ANSWER
 27.HISTORY Female. 48 years. Persistent cough.

Normal or abnormal CXR?

QUESTION

ANSWER
 28.HISTORY Male. 35 years. Generally unwell for some weeks.

Is this frontal CXR normal or abnormal?

QUESTION

ANSWER
 29.HISTORY Male. 45 years. Persistent cough.

General Practitioner has requested this CXR - and asks for a report.
QUESTION How would you report this CXR?

ANSWER
 30.HISTORY Female 42 years. Loss of appetite and loss of weight.

Explain these appearances.

QUESTION

ANSWER
 31.HISTORY Female. 58 years. Persistent cough.

Normal or abnormal?
QUESTION

ANSWER
 Female. Age 23 years.
32.HISTORY
Long standing cough. Otherwise - well.

On examination: reduced air entry on the left side of the chest.

Normal or abnormal CXR?
QUESTION

ANSWER
 33.HISTORY Male. 45 years. Persistent cough.

General Practitioner has requested this CXR - and asks for a report.
QUESTION How would you report this CXR?

ANSWER
 34.HISTORY Female 42 years. Loss of appetite and loss of weight.

Explain these appearances.

QUESTION

ANSWER
 35.HISTORY Female. 58 years. Persistent cough.

Normal or abnormal?
QUESTION

ANSWER
 Female. Age 23 years.
36.HISTORY
Long standing cough. Otherwise - well.

On examination: reduced air entry on the left side of the chest.

Normal or abnormal CXR?
QUESTION

ANSWER
 Young female patient.
37.HISTORY
Fit and well yesterday - but chest pain developed today.

No history of trauma. No shortness of breath.

Normal or abnormal CXR?
QUESTION

ANSWER
 38.HISTORY Middle aged female. Found unconscious on the floor. On recovering
consciousness she is complaining of pain on the right side of the
thorax. She is somewhat confused and not a good historian. The pain
is "everywhere".
Is this CXR normal or abnormal? [Ignore the densities over the
QUESTION cardiac shadow - clothing artefact].

ANSWER
 Young adult female. Previously fit and well. Presents with a recent
39.HISTORY onset of a cough, shortness of breath, and thoracic pain.

On examination the patient has a high fever.

This CXR is abnormal. Please ignore the shadow in the midzone of

QUESTION the right lung - it represents an area of linear atelectasis (collapse)
and will probably explain her cough.

There are other abnormal features on this CXR - can you detect
them? If you can, then it will point you to the anatomical site that
needs further investigation.

ANSWER
 Adult female. No surgery. No trauma. No recent intervention by a
40.HISTORY physician.

Presents as: acutely unwell; drowsy; septic. Additional history: two

weeks diarrhoea, nausea & vomiting.
Describe and list the abnormal appearances that you detect on this
QUESTION CXR.

What is the likely explanation for the abnormal shadows?

ANSWER
1. The patient shown below most likely has:

a. Atelectasis of the left lung

b. A large left pleural effusion
c. A large right pneumothorax
 d. Pneumonia in the left lung
e. Unilateral pulmonary edema

2. The patient shown below most likely has:

a. A large right pleural effusion

b. A large left pneumothorax
c. Atelectasis of the right lung
d. Pneumonia in the right lung
e. Unilateral pulmonary edema
3. The patient shown below most likely has:

a. A large left pleural effusion

b. A large right pneumothorax
c. Atelectasis of the left lung
 d. Pneumonia in the left lung
e. Unilateral pulmonary edema

4. The patient shown below most likely has:

a. A large left pleural effusion

b. A large right pneumothorax
c. Atelectasis of the left lung because of a mucus plug
d. Pneumonia in the left lung
 e. Atelectasis of the left lung because the ETT is too low

5. Why is this hemithorax opaque?

a. There is a large left pleural effusion

b. There is a large right pneumothorax
c. Atelectasis of the left lung because of a mucus plug
d. Pneumonia in the left lung
e. The left lung has been surgically removed