X Ray Findings - Chest

Heart & Blood Vessels

Flask-shaped / Pear-shaped / Leathe- bottle / Money-bag shaped heart
Boot-shaped heart / Coer-en-sabot - Fallot's tetralogy
Box shaped appearance - Tricuspid atresia
Jug Handle appearance - Primary pulmonary artery hypertension
"3" like appearance - Coarctation of Aorta
Egg on side appearance - Transposition of great vessels
Egg in cup appearance - Constrictive pericarditis
Snow-man heart - TAPVC (total anomalous pulmonary venous connection)
Figure of '8' - TAPVC (total anomalous pulmonary venous connection)
Cottage Leaf appearance - TAPVC
Pericardial calcification - Constrictive pericarditis
Calcification in heart wall - is seen in - Carcinoid syndrome
Calfication of ascending aorta - Atherosclerosis, Syphilis
Hilar dance on fluoroscopy - Atrial Septal Defect
Xray finding in Ebstein's anomaly - Pulmonary oligemia
Posterior displacement of trachea - seen in - aneurysm of aorta
Obliteration of left border of heart (PA view of chest) is - suggestive of - Lin
Bat's wings appearance - Pulmonary oedema
Pruned tree appearance (of pulmonary circulation) - Pulmonary artery hypert
Lungs
Ground glass appearance - Hyaline membrane disease
Solitary pulmonary mass lesion > 4cms - is most commonly due to - Bronch
Honey Comb appearance Sarcoidosis
Histiocytosis X
Interstitial lung disease
Tuberculosis
Collagen disorders
Pneumoconiosis
Drugs - bleomycin, busulphan, melphalan, cyclophosphamide

Meniscus sign / Crescent sign (mobile mass in pulmonary cavity) is most com
Egg-Shell calcification - Silicosis, Sarcoidosis, Coal miner's pneumoconiosis, L
Pop-corn calcification / Craggy pop-corn calcification - Pulmonary Hamart
Pleural calcification - commonest cause is - Tuberculosis (Asbestosis)
Diaphragmatic Pleura calcification - is due to - Asbestosis
Calcification in a pulmonary metastasis - is most commomly due to - Osteo
Coin shadow in the lung (single), with calcification in the centre - Epidermo

For radiologically evident pleural effusion - the minimal amount of pleural fluid t
Plethoric lung fields - seen in - L-R shunts ( VSD, PDA, ASD)
Oligemic lung fields - Pulmonary atreisa, Stenosis; Ebstein's anomaly
Perihilar fluffy opacities - seen in - Pulmonary venous hypertension
Ribs
Superior surface notch of ribs - seen in - Hyperparathyroidsm, Neurofibromat
Inferior surface notch of ribs -seen in - Coarctation of Aorta, SVC obstruction
Unilateral notching of ribs - Coarctation of Left subclavian artery, Subclavian a
Others
Displacement of tracheal shadow - most common cause is - Thyroid swelling
Water Lily sign - Ruptured hydatid cyst
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