CHEST RADIOLOGY

Clinical presentation: 45 year old female presented with chest pain. Findings: Frontal chest radiography demonstrate subtle opacity with sharp border projected over the APW. On the lateral radiography it is easy to appreciate the obliteration of the retrosternal space.  CT scan of the chest with contrast confirmed the anterior medistinal lesion.  The lesion demonstrate moderate metabolic activity on PET/CT, with SUV of 4.4  The lesion was biopsied through CT guidance , and path proven thymoma. 

  CLINICAL PRESENTAION: 47 year old male status post urethroplasty 4 days back , developed acute sudden chest pain that subsided after few minutes but the patient continue to have shortness of breath.   FINDINGS: The portable chest radiography demonstrate premiant right inferior pulmonary artery ( Fleishner's sign ) with abrupt caliber change ( Chang's sign ) highly suggestive of acute pulmonary embolism. The patient has a previous radiograph, one year back ; which demonstrate normal pulmonary artery size.   CTPA demonstrate bilateral main pulmonary arteries filling defects in keeping with acute pulmonary embolism.

  CLINICAL PRESENTAION: 41 year old female presented with acute hemoptysis without other respiratory or constitutional symptoms.  FINDINGS: Frontal chest radiograph demonstrate right upper lung zone opacity.  CT scan of the chest reveals right upper lobe , posterior segment , cavitary lesion with satellite nodules , the findings are highly suggestive of post-primary mycobacterium tuberculosis. Confirmed by culture. 

  Clinical presentation: 62 year old male patient with suspicion of malignancy.  Imaging findings: Accessory sternalis muscle of the left anterior chest wall is a normal variant.  Should not be mistaken as pathology. 

Clinical presentation: 80 year old ex-smoker female with chronic cough Imaging manifestations: Right middle lobe syndrome refer to chronic right middle lobe collapse without obstructing lesion that is associated with bronchiectasis.