Interpretation of

chest x-ray.

My medical

CR
Interpretation
:

Silhouette
sign.
Consolidation,
Infiltrate or
opacity.
Air
bronchogram.
Nodule and
masses.
Cavitory

Right middle lobe

consolidation silhouette
the right cardiac border
intact diaphragmatic

Density in left lower

lung field,
left heart silhouette
intact, loss

Infiltrate is when your alveolar spaces are

filled with some sort of fluid, i.e.
transudate, exudate. Consolidation is more
of a measure of the texture and hardening
of the lungs. But on a CXR you can't
distinguish between the two.

Air

Nodules and
A solitary pulmonary
Masses. nodule or SPN is

defined as a discrete, well-marginated,

rounded opacity less than or equal to 3 cm
in diameter.
It has to be completely surrounded by
lung parenchyma, does not touch the
hilum or mediastinum and is not
associated with adenopathy, atelectasis or
pleural effusion.
The differential diagnosis of SPN is
basically the same as of a mass except
that the chance of malignancy increases
with the size of the lesion.
Lesions smaller than 3 cm, i.e. SPN's are

Pulmonary

Pulmonary

Causes of cavitating
lung lesions.

. Abscess.
. Neoplasm.
. Cavitating
pneumonia.
. Cavitations in
infarcts.

Pneumonia with

Pneumonia with abscess

formation.

Patholo
gy.

Tension pneumothorax with

Causes of
pneumothorax.

Spontaneous(Rupture of subpleural bleb).

Iatrogenic/trauma.
Obstructing lung disease, e.g.
asthma, COPD.
Infection, e.g. pneumonia,
tuberculosis cystic fibrosis.
Connective Tissue Disorder, e.g.
Marfan,s , Ehlers-Danlos.

Lung
nodules.

Cavitory lesions of
the lung.

Multiple

T.B
disease.

Primary T.B with

lymphadenopathy.

T.B RUL infiltrate with 3 peri-hilar

Cavitory lesions.

T.B RUL
infiltrate

Military
T.B.

Mediastinal
lesions.

Posterior mediastinal

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