[medicalimaging] For your opinion: x-rays
Ravi Kadasne
What do you think about the shadow in first film which looks like dilated descending aorta ? it is not seen in other films.
x1.jpg
x2.jpg
x3.jpg
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DR. JOE ANTONY
Hi Ravi,
Looks like a classic unfolding of the aortic knuckle....
But other 2 xrays dont show it....so CT advisable to rule out mediastinal effusion/ fluid collection. I think USG might also cast some light (sound ....ha ha) 
Joe.
82 yr male (a friends father): slipped while walking-In first film ... two rib fractures seen posteriorly on left side.Last film (taken 14 hrs after the trauma) shows opacity in left lower zone; could be extrapleural hematoma / lung contusion, ultrasound of the thorax- will confirm it...or x-ray chest left lateral will show "extra-pleural" density.
What do you think about the shadow in first film which looks like dilated descending aorta ? it is not seen in other films.Anything else- am i missing something ?Quality of the photographs is not good.-ravi.
x1.jpg
x2.jpg
x3.jpg
These pictures were sent with Picasa, from Google.
Try it out here: http://picasa.google.com/
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Ravi Kadasne
V Ganesan
hello everybody
it is only unfolded aorta
age and history warrants no further investigation
there is a bullet image from your camera !!!
DR.V.Ganesan --- On Mon, 24/5/10, Ravi Kadasne <ravikadasne@gmail.com> wrote: |
|
Ravi Kadasne
Ali Khan
The rib fractures are obvious but it is unusual to get a haemothorax or lung contusion with rib fractures.
A lung contusion represents a bruise of the lung. It is usually caused by blunt trauma. Following blunt trauma, such as that produced by a deceleration or blast injury, a pressure wave compresses the thoracic cavity, injuring the underlying lung. In the young, the pliable thoracic wall usually returns to its initial state, and no rib fracture may occur despite underlying lung injury. In older individuals, rib fractures with underlying lung contusion are common.
A lung contusion is usually a combination of alveolar hemorrhage with interstitial hemorrhage and edema. Most patients have minimal respiratory deficit as a result of the injury. Extensive contusions may result in respiratory difficulty or progress to acute respiratory distress syndrome.
However I have concerns that the aorta may be aneurysmal and the left basal pleural effusion may be related to an aneurym rupture or aortic dissection?
To: icandiagnose@gmail.com; asifamomin@gmail.com; atreal@gmail.com; cbavare@gmail.com; drsanjeevmani@gmail.com; drjaydeep@gmail.com; drgunjanpuri@gmail.com; vyadkikar@gmail.com; medicalimaging@yahoogroups.com; drkhan1966@msn.com; mhatre81@rediffmail.com
From: ravikadasne@gmail.com
Date: Mon, 24 May 2010 09:35:43 +0400
Subject: [medicalimaging] For your opinion: x-rays
What do you think about the shadow in first film which looks like dilated descending aorta ? it is not seen in other films.
x1.jpg
x2.jpg
x3.jpg
These pictures were sent with Picasa, from Google.
Try it out here: http://picasa.google.com/
Gunjan Puri
Then u need to teach her photography first
Ali Khan
No not necessarily at that age both could be silent
ank
To: medicalimaging@yahoogroups.com
From: apurbanto@gmail.com
Date: Mon, 24 May 2010 21:36:33 +0700
Subject: Re: [medicalimaging] For your opinion: x-rays
Sent from my iPod
The rib fractures are obvious but it is unusual to get a haemothorax or lung contusion with rib fractures.
A lung contusion represents a bruise of the lung. It is usually caused by blunt trauma. Following blunt trauma, such as that produced by a deceleration or blast injury, a pressure wave compresses the thoracic cavity, injuring the underlying lung. In the young, the pliable thoracic wall usually returns to its initial state, and no rib fracture may occur despite underlying lung injury. In older individuals, rib fractures with underlying lung contusion are common.
A lung contusion is usually a combination of alveolar hemorrhage with interstitial hemorrhage and edema. Most patients have minimal respiratory deficit as a result of the injury. Extensive contusions may result in respiratory difficulty or progress to acute respiratory distress syndrome.
However I have concerns that the aorta may be aneurysmal and the left basal pleural effusion may be related to an aneurym rupture or aortic dissection?
To: icandiagnose@gmail.com; asifamomin@gmail.com; atreal@gmail.com; cbavare@gmail.com; drsanjeevmani@gmail.com; drjaydeep@gmail.com; drgunjanpuri@gmail.com; vyadkikar@gmail.com; medicalimaging@yahoogroups.com; drkhan1966@msn.com; mhatre81@rediffmail.com
From: ravikadasne@gmail.com
Date: Mon, 24 May 2010 09:35:43 +0400
Subject: [medicalimaging] For your opinion: x-rays
82 yr male (a friends father): slipped while walking-In first film ... two rib fractures seen posteriorly on left side.Last film (taken 14 hrs after the trauma) shows opacity in left lower zone; could be extrapleural hematoma / lung contusion, ultrasound of the thorax- will confirm it...or x-ray chest left lateral will show "extra-pleural" density.
What do you think about the shadow in first film which looks like dilated descending aorta ? it is not seen in other films.Anything else- am i missing something ?Quality of the photographs is not good.-ravi.
x1.jpg
x2.jpg
x3.jpg
These pictures were sent with Picasa, from Google.
Try it out here: http://picasa.google.com/
Apurbanto
Sent from my iPod
The rib fractures are obvious but it is unusual to get a haemothorax or lung contusion with rib fractures.
A lung contusion represents a bruise of the lung. It is usually caused by blunt trauma. Following blunt trauma, such as that produced by a deceleration or blast injury, a pressure wave compresses the thoracic cavity, injuring the underlying lung. In the young, the pliable thoracic wall usually returns to its initial state, and no rib fracture may occur despite underlying lung injury. In older individuals, rib fractures with underlying lung contusion are common.
A lung contusion is usually a combination of alveolar hemorrhage with interstitial hemorrhage and edema. Most patients have minimal respiratory deficit as a result of the injury. Extensive contusions may result in respiratory difficulty or progress to acute respiratory distress syndrome.
However I have concerns that the aorta may be aneurysmal and the left basal pleural effusion may be related to an aneurym rupture or aortic dissection?
To: icandiagnose@gmail.com; asifamomin@gmail.com; atreal@gmail.com; cbavare@gmail.com; drsanjeevmani@gmail.com; drjaydeep@gmail.com; drgunjanpuri@gmail.com; vyadkikar@gmail.com; medicalimaging@yahoogroups.com; drkhan1966@msn.com; mhatre81@rediffmail.com
From: ravikadasne@gmail.com
Date: Mon, 24 May 2010 09:35:43 +0400
Subject: [medicalimaging] For your opinion: x-rays
82 yr male (a friends father): slipped while walking-In first film ... two rib fractures seen posteriorly on left side.Last film (taken 14 hrs after the trauma) shows opacity in left lower zone; could be extrapleural hematoma / lung contusion, ultrasound of the thorax- will confirm it...or x-ray chest left lateral will show "extra-pleural" density.
What do you think about the shadow in first film which looks like dilated descending aorta ? it is not seen in other films.Anything else- am i missing something ?Quality of the photographs is not good.-ravi.
x1.jpg
x2.jpg
x3.jpg
These pictures were sent with Picasa, from Google.
Try it out here: http://picasa.google.com/
Ravi Kadasne
The rib fractures are obvious but it is unusual to get a haemothorax or lung contusion with rib fractures.
A lung contusion represents a bruise of the lung. It is usually caused by blunt trauma. Following blunt trauma, such as that produced by a deceleration or blast injury, a pressure wave compresses the thoracic cavity, injuring the underlying lung. In the young, the pliable thoracic wall usually returns to its initial state, and no rib fracture may occur despite underlying lung injury. In older individuals, rib fractures with underlying lung contusion are common.
A lung contusion is usually a combination of alveolar hemorrhage with interstitial hemorrhage and edema. Most patients have minimal respiratory deficit as a result of the injury. Extensive contusions may result in respiratory difficulty or progress to acute respiratory distress syndrome.
However I have concerns that the aorta may be aneurysmal and the left basal pleural effusion may be related to an aneurym rupture or aortic dissection?
To: icandiagnose@gmail.com; asifamomin@gmail.com; atreal@gmail.com; cbavare@gmail.com; drsanjeevmani@gmail.com; drjaydeep@gmail.com; drgunjanpuri@gmail.com; vyadkikar@gmail.com; medicalimaging@yahoogroups.com; drkhan1966@msn.com; mhatre81@rediffmail.com
From: ravikadasne@gmail.com
Date: Mon, 24 May 2010 09:35:43 +0400
Subject: [medicalimaging] For your opinion: x-rays
82 yr male (a friends father): slipped while walking-In first film ... two rib fractures seen posteriorly on left side.Last film (taken 14 hrs after the trauma) shows opacity in left lower zone; could be extrapleural hematoma / lung contusion, ultrasound of the thorax- will confirm it...or x-ray chest left lateral will show "extra-pleural" density.
What do you think about the shadow in first film which looks like dilated descending aorta ? it is not seen in other films.Anything else- am i missing something ?Quality of the photographs is not good.-ravi.
x1.jpg
x2.jpg
x3.jpg
These pictures were sent with Picasa, from Google.
Try it out here: http://picasa.google.com/
chandrika opendg
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