Chest radiographs and

TB

Plan of this session

Nomal chest x-ray

Normal chest x-ray looking abnormal
Pathological chest x-ray
Abnormal chest x-ray looking normal
TB mimics/ differentials
Exercise

Normal chest x-ray

View of the chest x-ray
Phase of respiration
Exposure

Normal chest x-ray

What findings we will look

for

1. Name, Date
2. Orientation
3. Position
4. Lung fields
5. Lung apices
6. Trachea
7. Heart
8. Hila
9. Soft tissue
10.Bones
11.Diaphragm
12.Angle

How to interpret a chest

X-ray

1.Lungs fields are clear on both sides.

2.Trachea is centrally placed.
3.Both domes of the diaphragm are
normal in position.
4.Costophrenic and cardiophrenic
angles are clear on both sides.
5.The heart is normal in transverse
diameter.
6.Bony configaration is normal.

Normal chest x-ray but

looking abnormal

Common X-Ray
presentation in TB

Pulmonary

Patchy opacity
Consolidation
Hilar lyphadenopathy
Cavitary lesion
Collapse
Fibrosis
Calcification
Milliary shadow
Others

Extra pulmonary

Pleural effusion
Encysted pleural effusion
Empyema
Potts disease/Bone TB
Pneumothorax
Hydropneumothorax
Nodule
Cardiomegaly
Pericardial calcification
Others

Radiological feature of active

TB

Presence of pulmonary cavity

Pleural effusion
Pneumothorax
Milliary TB
Appearance of new lesion in serial films
or increase in the size of lesions

Radiological feature of
inactive TB
Primary focus/calcified granuloma
Coin lesion(?)
Fibrosis

Pathological xray

Apparently
normal

TB mimics/
Differentials

10

Exercise

13

19

Thank you