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Last updated: Hypothermia
on May 21, 2013

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.

 

The AcuteMed X-ray Library is managed by:

James Alexander Gill, BSc, MSc, MbChb

AcuteMed Administrator and X-ray Library Project Lead General Practitioner Trainee West Midlands Deanery

Indrageet Das, MRCP, FRCR

X-ray Library Editor, Senior Radiology Registrar, University Hospitals Coventry and Warwickshire



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Pagets disease also known as osteitis deformans

Type: XRay Area: Abdomen/Pelvis

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

Emphysema - non-infective exacerbation

Type: XRay Area: Chest

PA film

midline sternotomy noted.

Emphysematous changes seen in both lung fields in keeping with COPD

No focal active lung lesion seen

Massive Cardiomegaly

Type: XRay Area: Chest

Cardiomegally

Scoliosis

No blunting of costophrenic angles

Fractured rib, left sides pneumothorax and haemothorax to left lung.  

Type: XRay Area: Chest

Fracture of 7th rib

Small pneumothorax and haemothorax to left lung with loss of costophrenic angle.

Visible artifact - nasal cannulae NOT chest drain

 

Large bowel obstruction or pseudoobstruction (no further CT scan done to distinguish)

Type: XRay Area: Abdomen/Pelvis

Generalised gaseous distention of the large and small bowel. No gas in the rectum.

Bronchiolitis and Pneumothorax

Type: XRay Area: Chest

Due to poor clinical picture a preliminary diagnosis of bronchiolitis was made.

X-ray was performed after admission showing a RIGHT pneumothorax of RIGHT upper lobe, with minimal compression of Middle and Lower lobes.

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

Type: XRay Area: Limbs/Periphery

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

CAECAL VOLVULUS

Type: XRay Area: Abdomen/Pelvis

"Kidney shaped" gas bubble of distended caecum, with evidence of complete bowel obstruction due to evidence of little gas in rest of lower GI tract

Found in usual location to the left of mid-line

No fluid level visible

 

 

Flexion deformity at C2

Type: XRay Area: Head

XR Cervical spine - an acute flexion deformity is visbile at C2. The posterior elements of C2 appear to be missing due to pathological fracture.

Left sided spontaneous pneuomothorax

Type: XRay Area: Chest

X-ray revealed a large left sided pneumothorax, admitted under the Cardiothoracic team and treated with a chest drain and serial imaging.

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