what about this CXR ?

emphesematouse lung mo?

ali

Thanx Dr. Ali for your reply ..
Actually it is " Spontanous Pneumothorax " ..

Salam ..

I wanted to put this nice chest x-ray for Miliary TB to differentiate it from Post primary TB...

Thanx Navigator , i really was confused between them

Hi all Docters how r u?
thanks dr.Zaid for answer my question
could any one tell the Dx of this CXR

I think it is either :
1- Coarctation Of the Aorta ( COA )
Because there is Rib Notching (white arrows), & there is Bulging of the left ventricle (black arrows) due to left ventricular hypertrophy ..

2- Pott's Disaese ( Tuberculosis of the Spine )
Because there is Scoilosis of the spine (black straight lines ) & this may be associated with TB Pericarditis & this explain the Enlarged Heart ..

I have no clue for dx but i can describe what i see

the diaphragm is a bit elevated and over lapping with the heart shadow on the left (red arrow)
still the right dome is more elevated then the left(normal) but still i think it is elevated could it be paralysis of the diaphragm ?!!!

the second thing is about the skeleton look at the spinous process they are not centrally located (green arrows) this goes with scoliosis.

hope to hear the answer
Farah Baha

good job dr.Ahmed the correct answer is Coarctation Of the Aorta ( COA ),
cause of prominent rib notching and this case presented with hypertesion& radiofemral delay, and for the spine there is nothing wrong with it but the patient a little bit rottated during taking the film.
thanks for ur answers

Thanx Dr. OmerKs ..

But, if U concentrate well on the spine, there is a Scoilosis, & it is not related to the patient position ..

Salam ..

Well dr.Ahmed I agree with u that there is some degree of scoilosis but in xray report the radiologist didnt mention that & say that there is some patient movement,
anyway the important thing is the COA diagnosis and I hope all get benifit from the film.