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on May 21, 2013

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X-Ray Library

Glioblastoma

CT scan shows a left parietal haemorrhage with an underlying mass which demonstrates some enhancement post contrast. There is surrounding vasogenic oedema and a small amount of midline shift.

Intussusception of ileum and caecum.

CT shows a long segment intussusception in the right upperquadrant, which is thought to involve the ileum and caecum.

Note inferior portion of renal cyst visible posterior to intussusception

Glioblastoma

A rim enhancing lesion is visible in the LEFT parietal lobe in keeping with a glioblastoma

Surrounding the lesion is an area of vasogenic oedema, extending into the left periventricular region.

Miliary tuberculosis

CXR shows multiple, ill-defined nodules throughout both lungs

Meningeal tuberculosis

T1W sagittal MRI following intravenous gadolinium shows multiple enhancing meningeal deposits. 

Tuberculosis,

Complex CT scan. Some fissural and peribronchovascular nodules with upper zone predominance and associated parenchymal distortion. Also tree-in-bud nodules and some cavitating nodules in the upper zones (not shown).

Kartagener\'s Syndrome

Situs inversus (right sided cardiac apex and right sided stomach bubble) with lower lobe ring shadows consistent with bronchiectasis. There is also bilateral hilar enlargement.

Kartagener\'s Syndrome

Axial CT slice shows situs inversus - liver on the left and spleen/stomach bubble on the right. Also note transposition of the normal positions of the IVC and aorta.

Girdlestones excision arthroplasty 

Girdlestone excision arthroplasty

If both hips were visible in a pelvic view, then the affected side would have the tip of the trochanter in a higher plane than the unaffected side. 

Tuberculosis

Erect CXR, with good inspiration.

Bilateral upper lobe consolidation with evidence of cavitation in the left upper lobe.

Anaplastic thyroid cancer with retrosternal progression

CXR-  There is a well circumscribed opacity in the medial aspect of the right upper zone that extends above the clavicles,  with added soft tissue opacity in the right side of the neck, suggesting that this is likely to represent a superior mediastinal mass.

The diagnosis was later confirmed to be thyroid related with CT scan.

Cavitation lesion in RIGHT lung

CXR demonstrating RIGHT upper zone shadowing, with the appearance of a cavitating lesion, most likely an infectious consolidation - TB is being investigated, and malignancy cannot be ruled out.

Features suggestive of acute interstitial pneumona (AIP) in early exudative phase. Pneumocystis pneumonia (PCP) is also another diagnosis being entertained

Marked ground glass attenuation bilaterally. There is no evidence of COPD, bronchiectasis or lung fibrosis. Lung fields show extensive patchy areas of ground glass haziness with some centrilobular nodularity. There is early traction bronchiectasis in the periphery. There are some areas of air trapping.

\"Cannon Ball\" shadows on CXR

Extensive "Cannon ball" shadows suggesting metastatic malignancy across both lung fields

\"Saddle thrombus\" in Pulmonary artery

Large "Saddle Pulmonary Embolism".

\" thumb-printing \" sign on AXR

"Thumb-printing " sign which suggests bowel wall oedema from fulminant colitis.

Large scrotal hernia Right total hip replacement  

Large scrotal hernia containing loops of bowel.

General osteopenia.

Right total hip replacement

Mutliple, widespread Liver Metastases

Selected axial image from a contrasted CT examination demonstrates mulitple, widespread low attenuation lesions throughout the liver consistent with liver metastases. 

The primary malignancy is in sigmoid colon (Not visualised on this image)

completet rupture of knee ligaments, ACL, PCL, MCL abd LCL

Lateral translocation of tibia, disrupting left knee joint. No bony fractures