Narrowing of trachea steeple sign

In radiology, the steeple

sign is a radiologic sign
found on a frontal neck
radiograph where subglottic
tracheal narrowing
produces an inverted "V"
shape within the trachea
itself. The presence of the
steeple sign indicates a
diagnosis of croup.

Acute laryngotracheal
bronchitis
Thumb sign swollen
epiglottis

Dx : acute
epiglottis
Widened pre vertebral
space
Right upper lobe pneumonia

Homogenous
opacity of right
upper lobe with
air
bronchograms.
collapse
Empyema, tracheal shift
 bronchiectasi
s
Bronchiectasis
Hyperinflated
lung fields
Bronchopneum
onia
Dilated
bronchioles
Marked linear
streaking
(railroad
tracks)
Miliary tb
Lung abscess

Thick walled cavity with

air fluid levels
Pyopneumothorax
Homogenous
opacity on right
side obliterating
the cardiophrenic
angle and
costophrenic
angle with fluid
level and
mediastinal shift
to left.
Pulmonary edema

Classical bat
wing
appearance
is visible as
bilateral hilar
haze.
 Wavy sail appearance of normal
thymus on right.
 Black
arrows:
subcutane
ous
emphysem
a.

White
arrows:
pneumome
Congenital Diaphragmatic
Hernia
Congenital Cystic Adenomatoid
Malformation
CCAM on chest
radiograph in a
newborn. Large
cystic changes
in the left lung,
leading to a
mediastinal
shift to the right
due to their
mass effect.
ventricular septal defect
There is cardiomegaly,
prominent main pulmonary
artery segment and right
pulmonary artery. Enlarged left
pulmonary artery shadow is
seen below the left cardiac
border, within the cardiac
silhouette. The enhanced
vascular markings are visible
on the right side whereas it is
obscured by the cardiac
shadow on the left side. This
child needs cardiac
catheterisation for evaluation
of shunt and pulmonary
vascular resistance and its
reversibility to decide on
surgical option.
TGV egg on string
appearance
TOF boot shaped heart
TOF
Diagnosis- Supracardiac
TAPVC
Total Anomalous Pulmonary
venous connection
1. Snowman appearance- Head
of snowman is made of
superior mediastinal shadow
formed by SVC on right side,
vertical vein on left side and
left brachicephalic vein
superiorly. Body of snowman
is the heart. Also called
figure of eight or cottage
loaf .

2. Snowman in snowstorm
appearance- Snowstorm is due to
Ebsteins Anomaly
Box shaped
cardiomegal
y due to
enlargemen
t of right
atrium and
ventricle.
Dextrocardia
Pericardial effusion

Fluid in the
pericardial
cavity is
typically seen as
a water bottle
shaped heart.
Mucopolysaccharidosis
Oar shaped
ribs
Legg-Calve-Perthes disease

Femoral
head
flattened
and
fragment
ed
Intestinal perforation air under
diaphragm
Hirschsprungs disease
Craniopharyngioma
Communicating
hydrocephalus
Neurocysticercosis
Thalassemia hair on end
appearance
HMD
diffuse
reticulogranular or
ground glass
appearance to
lungs due to
microatelectasis.
Air bronchogram
seen at lung bases.
Pulmonary
interstitial
emphysema may
develop with
therapy.
 Meconium Aspiration
Syndrome
patchy aeration of both lungs. Over-
distention.
CDH
Angle of Wiberg normal is
20-40
Sturge weber railroad calcification
Ewings sarcoma
Scurvy
scurvy