AHMED you are really great ,i am really admired the way you diagnosed the cases
and you know ,DR.ADNAN AL JUBORI is one of the best doctors who tought me some of the few tricks in medicine that i will never forget.
best regards to him ,

good luck bro

i think it's constictive pericarditis... ma adry.loool

Thanx dear Dr. Fara7 for your nice words ..
U don't know how my father miss his students ..
We are : طــلاب طــب بغـــداد
& I think it is enough, right ?
The best college of Medicine on earth & the best Teaching Staff we had ..
Hope we will be back to our situation & our college soon ..
Take Care ..


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Ahmed A. Al-Jubouri

well, Dr. Zaid put the correct answer about the previous CXR ..
It is Hiatus Hernia ..
Good job Dr. Zaid ..

As U see there is an air-fluid level behind the heart shadow, & it is typical of Hiatus Hernia, & U dear Dr. Loay if it was Costrictive Pericarditis there should be Calcifications in pericardial shadow & it is better seen by Lateral view film ..

Waiting from other STAGEERS to participate in these topics ..


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Ahmed A. Al-Jubouri

ee walla you are right ahmed, really i do miss the college and the teaching staff there, we had NAMES who were very good in teaching ,i do respect them and respect the way they tought us,and dr.adnan al jubory was one of
the best ,i am not saying this because he is your father,no walla
but really i admired him and also dr.KHALID AL KHAZRAJAY he is a
great dr. as well and he is very honest in the way he is teaching the
students and many many other names.
may god bless them ya rab and save them for the medical future
because walla they are treasures

God bless

What about this CXR ??



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Ahmed A. Al-Jubouri

see,i am not good in xrays,not yet
but i want to try anyways coz i really like the idea..
anyways i can see that the heart is being pushed to the right side and the trachea as well,and the left costphrenic angel is oblirated and the left diphramatic dome is being pushed downword ,i can't see it actually,so there is something wrong with the left lung,which is i guess a pleural effusion but i don't think pleural effusin can take this appearance,i don't know
the heart is either being pushed to the righ side or pulled to there

nottttttttttttttttt sure
tell us the correct answer

Well I see that lavie put a nice descriptions for this x-ray but my Dx will be Pnemothorax... I can see the margin of the left lung which is atelectatic.

hi ahmed
as Dr. zaid says it is pneumothorax of the left lung that push the medistinum to the right side and pushes down the left dome of the diafraghm
mo???
noor th. noori

Just want to say this is REALLY a nice topic
and I have absolutely NO IDEA abt the answer
so enlighten us plz
we r learning good stuff from you walla

thnx Dr.Ahmed

gr8 topic


BUT I want 2 ask 1 question 2 everyone who graduated :

where do u study X-ray??????( in the course of medicine or else???)

cos really I found difficuty till now in knowing the DX & even the finding through X-ray

u will have a 2 weeks course in radiology department in the minorat course.

it will help u alot to understant x-ray.


ali

Well, Dr. Zaid & Dr. Noor put the correct answer ..

It is the classical film of " Tension Pneumothorax " ..

As U know, Tension Pneumothorax is little different from the Ordinary Pneumothorax ..
In Tension Pneumothorax, the whole mediastinum ( the trachea & the heart ) had been pushed to the opposit side ( black arrows ), & there is atelectasis of the leftl lung ( white arrows ) + there is increase in the translucency of the left lung ( more black in color than the right lung ) ..
While in the Ordinary Pneumothorax, there will be less atelectasis & the mediastinum could be in its normal position or slightly pushed to the opposit side ( not severly pushed as in Tension Pneumothorax ) ..

Hope U enjoy such subjects ..



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Ahmed A. Al-Jubouri

What about this CXR ?


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Ahmed A. Al-Jubouri

Well Dr.Ahmed I bet that you can diagnose almost any x-ray we put in here so I suggest that you become the manager of this nice topic rather being a competitor

For this one I see bilateral diffuse multiple shadows, peribronchial fibrosis, and hyperinflated lungs... I would say Bronchiactasis due to Cystic Fibrosis