Chest X-Ray breakdown: How to assess the posterior mediastinum on Chest X-Ray скачать в хорошем качестве

Chest X-Ray breakdown: How to assess the posterior mediastinum on Chest X-Ray

A male in his 40s with an underlying medical condition presents with a cough. It is difficult to take a full history due to a language barrier What is the differential for the X-Ray findings? ———————— EXTRAMEDULLARY HAEMATOPOESIS 👨🏽‍💻This is a tricky X-Ray to decipher and comes down to understanding two concepts: 1. The hilum overlay sign - if the hilar vessels overlie a mass, the lesion likely does not arise from the middle mediastinum meaning anterior and posterior mediastinal lesions are more likely 2. Looking for abnormality within the posterior mediastinum: look at the vertebrae, azygo-oesophageal recess, descending aorta and paraspinal lines 👨🏽‍💻Here the left paraspinal line is abnormal pointing us towards the posterior mediastinum 👨🏽‍💻Once we know there is a history of thalassemia the diagnosis becomes more straight forward. CT showed the characteristic fat containing paravertebral masses as well as splenomegaly 👨🏽‍💻Biopsy of these lesions is very high risk given potential haemorrhage so remembering the differential when there is an underlying predisposing condition is important FIND THIS USEFUL? SUBSCRIBE FOR THE WHOLE SERIES OF CASE EXPLANATIONS 🔻@theradiologistpage ———- ✅Patient consent obtained #theradiologist #radiology #radiologist #physician #physicianassistant #medicine #medstudent #medicalstudent #medschool #medicalschool #radtech #xray #medical #mribrain #doctor #medicalstudents #frcr