X-RAY CHEST: IN COMPARISON

BY
DR AUN BIN SHAHID
SENIOR REGISTRAR PULMONOLOGY
EXPOSURE
ALVEOLAR VS RETICULAR
• INFECTIONS
– BACTERIAL
• Mycoplasma
– VIRAL
• Measles
– FUNGAL
• Histoplasmosis
– MYCOBACTERIAL
• Tuberculosis
• NTM
• MALIGNANCY
– Lymphoma (Hodgkin and non Hodgkin)
– NSCLC
– SCLC
• sarcoidosis
• INFECTIONS
– Bacterial
– Parasitic
• Amoebiasis
– Mycobacterial
• Tuberculosis
• NTM
• INFECTIONS
– BACTERIAL
• Staph. Aureus
– MYCOBACTERIAL
• Tuberculosis
• NTM
• Malignancy
– Squamous cell carcinoma
• Vasculitis
– GPA
• INFECTIONS
– Bacterial
• Nocardia
• Septic emboli
– Viral
• VZV
• CMV
• HSV
• Measles
– Fungal
• Paracoccidiodomycosis
• Cryptococcus
• histoplasmosis
– Helminthic
• Hydatid cyst
– Protozoal
• Toxoplasmosis
• Cryptosporoidosis
– Mycobacterial
• Tuberculosis
• NTM
• MALIGNANCY
– Primary lung cancer
– metastasis
– Benign tumors
• Noninfectious
– Rheumatoid nodules
– Hamartoma
– Carcinoid
– Sarcoidosis
– Cryptogenic organizing pneumonia
– Vasculitis (granulomatous angiitis)
– Alveolar proteinosis (proteinaceous fluid)
– Alveolar sarcoid (lymphocyte-macrophage alveolitis or confluent granuloma)
– Desquamative interstitial pneumonia (macrophages)
– Diffuse alveolar hemorrhage (red blood cells; hemosiderin-filled macrophages)
– Eosinophilic pneumonia (eosinophils, macrophages; lymphocytes)
– Alveolar microlithiasis (calcium-phosphate microliths)
– Organizing pneumonia (Masson bodies)
– Exogenous lipoid pneumonia (lipid-filled macrophages)
– Acute hypersensitivity pneumonia (lymphoplasmacytic cells)
– Langhan cell histiocytosis
– Silicosis
– pneumoconiosis
X-RAY CHEST: DISEASE SPECIFIC

BY
DR AUN BIN SHAHID
SENIOR REGISTRAR PULMONOLOGY
40 yrs old male
Vomiting ++
After alcohol drink
Acute dyspnea
Chest pain

Diagnosis ?
Pulmonary Hypertension
Baggy heart of pericardial effusion
SEASONAL INFLUENZA
VARICELLA PNEUMONIA
CROUP
SWINE FLU
VZV PNEUMONIA
COCCIDIOIDOMYCOSIS
SILICOSIS
 Dyspnea/breathlessness/SOB
• Onset
• Duration
• Exertion
• Progressive
• Orthopnea
• PND
• Seasonal
• Associated symptoms
• Palpitations
• Chest pain
• Sweating
• Pedal edema
• Cough
• Sputum
• Wheezing
• Seasonal
• Allergies
• Pets and birds
• Allergies
• Smoking
• Occupation
• Myocardium
• Pericardium
• Parenchyma
• Pleura
• Mediastinum
• Airway
 Chest pain
• Site
• Onset
• Duration
• Radiation
• Referred
• Character
• Frequency and periodicity
• Aggravating factors
• Relieving factors
 Cough
• Onset
• Duration
• Frequency and severity
• Night or day
• Dry or productive
• hemoptysis