What's the abnormality ?



Large thin walled cyst in right lung.

Look carefully for the distribution of bronchovascular markings and compare both sides.

Dont miss the corners of Radiograph :

1)

Right breast Mass

2)

Lytic lesions involving right 4th rib and scapula just beneath the glenoid-? metastasis/? Brown tumors

Rheumatoid arthritis of Hip joint :

Another patient with rheumatoid arthritis :

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OM with fractures

Elderly patient. History of trauma -his foot was hit by household gas cylinder when he was trying to lift it 8 days back. Pain, swelling and redness over the foot since 8 days-

Fracture involving the proximal shaft of proximal phalanges of 3rd to 5th toe.
Marrow lytic areas along all the phalanges with soft tissue swelling s/o osteomyelitis.

Left atrial enlargement 

Enlarged left atrium moves to right and back causing  double density along right heart border, lateral displacement of the pulmonary veins making them prominent, splaying of carina and indenting the anterior wall of lower 1/3rd of thoracic esophagus.

Causes-

• Mitral stenosis
• Left ventricular failure
• congenital heart disease-PDA,VSD