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Last updated: Acute Hyponatraemia
on May 17, 2012

X Ray Library

The X-ray Library has a different approach compared AcuteMed, in that the most important part of the Library is YOU! We want YOU to contribute, help us populate a library of REAL WORLD x-rays. CLASSICAL, COMMON, and IMPORTANT X-RAYS, as seen by you, of real patients. Not films cherry picked for a textbook.

 

How can you help?

 

If YOU see a radiological image of note, submit it to the Library here on AcuteMed. As the Library populates we hope to generate a comprehensive archive of images, which in turn will help YOU in interpreting YOUR patient’s radiology investigations.

All X-rays are moderated by our team, and the diagnosis confirmed by our resident consultant radiologist. Following this process, your x-ray will go live on the website, helping others and generating you, an E-Certificate which can be used in your ePortfolio.

 



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Pseudomyxoma Peritonei

Type: CT Area: Abdomen/Pelvis

A selected coronal image from a contrasted CT examination of the abdomen and pelvis demonstrates:

1. A large quantity of intra-abdominal ascites.

2. Inferior scalloping of the right lobe of the liver due to pressure effect, indicating the dense and likely mucinous composition of the ascitic fluid.

2. Peritoneal enhancement and a swollen appendix.

Diagnosis:

Adult Polycystic Kidney Disease(APKD)

Type: CT Area: Abdomen/Pelvis

CT Abdomin: Multiple cysts of varying sizes seen throughout both kidneys,liver and pancreas.

Coiled pulmonary Arterial-Venous Malformation (AVM) in patient with Hereditary Hemorrhagic Telangiectasia (HTT).

Type: XRay Area: Chest

AP erect CXR demonstrates 2 coils in the left lung, which represent AVM's that have been treated with coil embolisation.

Anaplastic thyroid cancer with retrosternal progression

Type: XRay Area: Chest

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.

Scoliosis

Type: XRay Area: Chest

Scoliosis Right prosthetic breast implant from previous reconstruction

Fracture of the RIGHT Fibula - not visible,  Vessel calcification seen in posterior tibial artery

Type: XRay Area: Limbs/Periphery

# right fibula (not seen on this lateral film) and vessel calcification.

Vessel calcification should prompt assessment of vascular risk factors, especially diabetes.

LEFT Pancoast tumour

Type: XRay Area: Chest

Left apical shadowing suspicious of Pancoast Tumour.

Subsequently confirmed on CT thorax

Bronchogenic carcinoma of left upper lobe

Type: XRay Area: Chest

Routine CXR in long term smoker with chronic cough. Focal density is visible in the left mid zone, given history potentially suspicious nature - CT scan requested to elicit nature of density, confirmed spiculated 2.9cm mass, in keeping with bronchogenic Ca

Coiled pulmonary arterial-venous malformation in patient with Hereditary Hemorrhagic Telangiectasia (HTT).

Type: CT Area: Chest

Chest x-ray shows 2 embolization coils in the left lung. 

Glioblastoma

Type: MRI Area: Head

Large mass in the RIGHT frontal lobe with midline shift to the LEFT, distorting the ventricles

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