LEFT sided lower zone pneumothorax in patient with COPD.
Note hyperinflated lungs and coarse lung markings
Mediastinal drains in situ. Pericardial effusion and bilateral pleural effusions with collapse/consolidation of the adjacent lung.
Gross cardiomegally with dilated right atrium and upper lobe blood diversion.
Hyperinflated, large volume lungs with a narrow mediastinum and flat diaphragms.
Lungs are also hyperlucent, typical of COPD
Subarachnoid haemorrhage with blood in the basal cisterns, the ventricular system and in the cerebral sulci (including the sylvian fissure on the right).
A large intraparenchymal bleed can be seen within the right frontal lobe. There is significant dilatation of the ventricular system indicative of hydrocephalus. There is evidence of cerebral oedema with effacement of the sulci.
There is moderate dilatation of the left renal pelvis and left calyces which has been attributed to a previously demonstrated renal calculus
The dense contrast within the left pelvicalyceal system however obscures this left sided calculus.
A surgical defect can be seen in the LEFT medial orbital wall and orbital floor with herniation of orbital fat into the adjacent paranasal sinuses.
Surgical defects were produced to release intra-orbital pressure
Massive RIGHT frontal intracerebral bleed - presumed secondary to arterio-venous malformation (confirmed with CT angiography to be an AVM of the MCA)
Haemorrhage was seen to have ruptured into the ventricular system.
Suggestion of concomitant subarachnoid blood. Soft tissue swelling anteriorly on the right side, with midline
Subarachnoid bleed with blood seen within the sylvian fissures, suprasellar and pre-pontine cisterns and the third ventricle (not shown).
Source of bleed subsequently found to be an AVM located in the posterior ciruculation.
Minor dilatation of the left temporal horn of the lateral ventricle
Heterogenous liver enhancement due to hepatic congestion. Dilated hepatic veins. Ascites more obvious on more caudal images
A large intracranial mass lesion can be seen in the right frontal lobe with some areas of haemorrhage surrounding. The haemorrhage is particularly prominent medially. Significant midline shift is noted, along with substantial oedema around the lesion.
A large complex haemorrhagic space occupying lesion can be seen in the right basal ganglia region extending to the right frontal and right temporal lobes. There is midline shift due to mass effect and oedema surrounding the mass.
Images acquired following left decompressive craniotomy and aspiration of left temporal intracerebral haematoma. The decompression has reduced the mass-effect on the left ventricle, with resolution of previous hydrocephalus. There remains haemorrhage involving the left temporoparietal lobes. Intracranial pressure monitor visible in right frontal region.
Chest x-ray shows 2 embolization coils in the left lung.
AP erect CXR demonstrates 2 coils in the left lung, which represent AVM's that have been treated with coil embolisation.
CT showed large spinal tumour at T7 causing cord compression
There is diffuse reticulo-nodular shadowing, which is most marked in the lower lower zones bilaterally. There is differential volume loss in the lower zones. There are reticular changes seen adjacent to the heart borders and subpleurally. Findings are suggestive pulmonary fibrosis. The radiographic appearances are most typical of Idiopathic Pulmonary fibrosis.
The heart is enlarged. There is bilateral perihilar linear shadowing representing intersititial oedema. There is also upper lobe venous blood diversion. There is also thickening of the right horizontol fissure. Features are in keeping with pulmonary oedema.
Large scrotal hernia containing loops of bowel.
Right total hip replacement
Pagets disease of hip
Asymetrical presentation of the disease, as is commonly the case, localising to LEFT femur and LEFT half of the pelvis
Image shows classical picture of Paget's with:
- Scattered steolytic (lucent) regions of bone
- Coarsened trabeculae particularly so on the left femur
- Bony enlargement, particularlt of the left femur and left hemi-pelvis