A comparison of the chest radiograph and computerised tomography in assessing lung changes in acute spinal injuries—an assessment of their prevalence and the accuracy of the chest X-ray compared with CT in their assessment

Background: Tuberculosis (TB) and diabetes mellitus (DM) prevalence rates are increasing rapidly, especially in developing countries like Indonesia. There is a relationship between TB and DM that are very prominent, which is the prevalence of pulmonary TB with DM increased by 20 times compared with pulmonary TB without diabetes. Chest X-ray picture of TB patients with DM is atypical lesion. However, there are contradictories of pulmonary TB lesion on chest radiograph of DM patients. Nutritional status has a close relationship with the morbidity of DM, as well as TB.Objectives: The purpose of this study was to determine the relationship between the lesions of TB on the chest radiograph of patients who su?er from DM with their Body Mass Index (BMI) in Hasan Sadikin Hospital Bandung.Material and Methods: The study was conducted in Department of Radiology RSHS Bandung between October 2014 - February 2015. We did a consecutive sampling of chest radiograph and IMT of DM patients with clinical diagnosis of TB, then the data was analysed by Chi Square test to determine the relationship between degree of lesions on chest radiograph of pulmonary TB on patients who have DM with their BMI.Results: The results showed that adult patients with active pulmonary TB with DM mostly in the range of age 51-70 years old, equal to 62.22%, with the highest gender in men, equal to 60%. Chest radiograph of TB in patients with DM are mostly seen in people who are obese, which is 40% and the vast majority of lesions are minimal lesions that is equal to 40%.Conclusions: There is a signifcant association between pulmonary TB lesion degree with BMI, with p = 0.03

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Portable Ventilation/Perfusion Scanning is Useful for Evaluating Clinically Significant Pulmonary Embolism in the ICU Despite Abnormal Chest Radiography

Journal of Intensive Care Medicine ◽

10.1177/0885066618807859 ◽

2018 ◽

Vol 35 (10) ◽

pp. 1032-1038 ◽

Cited By ~ 1

Author(s):

Aaron S. Weinberg ◽

William Chang ◽

Grace Ih ◽

Alan Waxman ◽

Victor F. Tapson

Keyword(s):

Pulmonary Embolism ◽

Chest Radiograph ◽

High Probability ◽

Hemodynamic Instability ◽

X Rays ◽

X Ray ◽

Abnormal Chest ◽

Chest X Ray ◽

Low Probability ◽

Clinically Significant

Objective: Computed tomography angiography is limited in the intensive care unit (ICU) due to renal insufficiency, hemodynamic instability, and difficulty transporting unstable patients. A portable ventilation/perfusion (V/Q) scan can be used. However, it is commonly believed that an abnormal chest radiograph can result in a nondiagnostic scan. In this retrospective study, we demonstrate that portable V/Q scans can be helpful in ruling in or out clinically significant pulmonary embolism (PE) despite an abnormal chest x-ray in the ICU. Design: Two physicians conducted chart reviews and original V/Q reports. A staff radiologist, with 40 years of experience, rated chest x-ray abnormalities using predetermined criteria. Setting: The study was conducted in the ICU. Patients: The first 100 consecutive patients with suspected PE who underwent a portable V/Q scan. Interventions: Those with a portable V/Q scan. Results: A normal baseline chest radiograph was found in only 6% of patients. Fifty-three percent had moderate, 24% had severe, and 10% had very-severe radiographic abnormalities. Despite the abnormal x-rays, 88% of the V/Q scans were low probability for a PE despite an average abnormal radiograph rating of moderate. A high-probability V/Q for PE was diagnosed in 3% of the population despite chest x-ray ratings of moderate to severe. Six patients had their empiric anticoagulation discontinued after obtaining the results of the V/Q scan, and no anticoagulation was started for PE after a low-probability V/Q scan. Conclusion: Despite the large percentage of moderate-to-severe x-ray abnormalities, PE can still be diagnosed (high-probability scan) in the ICU with a portable V/Q scan. Although low-probability scans do not rule out acute PE, it appeared less likely that any patient with a low-probability V/Q scan had severe hypoxemia or hemodynamic instability due to a significant PE, which was useful to clinicians and allowed them to either stop or not start anticoagulation.

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Hubungan antara Pola Resistensi OAT Lini Pertama dan Gradasi Gambaran Foto Toraks Penderita TB Paru MDR

Jurnal Respirasi ◽

10.20473/jr.v2-i.1.2016.1-5 ◽

2019 ◽

Vol 2 (1) ◽

pp. 1

Author(s):

Pramanindyah Bekti Anjani ◽

Soedarsono Soedarsono

Keyword(s):

Drug Resistance ◽

Chest Radiograph ◽

Outpatient Clinic ◽

Multi Drug Resistance ◽

Resistance Pattern ◽

First Line ◽

X Ray ◽

Resistance Patterns ◽

Mdr Tb ◽

Chest X Ray

Background: Tuberculosis (TB) is a disease which has long been known and is still a cause of death in the world. The emergece of the drug resistance in TB treatment, particularly Multi drug-Resistance Tuberculosis (MDR TB) become a significant public health problem in many countries. The diagnosis of MDR TB based on culture results. In some cases radiographic feature with severe abnormalities consideres as MDR TB. From this phenomenon, there is no research that connects the resistance pattern of first line ATD with chest x-ray feature in patients with MDR TB. Methods: The research design are analytical observational with cross-sectional study conducted in outpatient clinic of MDR TB in Dr. Soetomo hospital. Subjects were patients who are following a theraphy program in outpatient clinic of MDR TB in Dr. Soetomo hospital from 2012 to 2014 who meet the inclusion and exclusion criteria. A total of 65 patients. Result: the result of this study showed that of all patterns of resistance, most of the MDR TB patients were classified as having severe chest radiograph. 27 patients with RH resistance patterns, there were 14(51.9%) who had a chest radiograph are classified as severe. 5 patients with RHS resistance patterns, 2(60%) vwho had a chest radiograph are classified as severe. 13 patients RHES resistance patterns, 8(61.5%) who had a chest radiograph are classified as severe. 20 patients with RHE resistance patterns, 14(70%) who had a chest radiograph are classified as severe. Conclusion: There were no significant association between resistance pattern of first line ATD and chest x-ray feature in patient with MDR TB.

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THE SUPPLEMENTARY VALUE OF TRANSTHORACIC ULTRASOUND FOR CHEST-RADIOGRAPH IN DIAGNOSIS THORACIC ANORMALIES

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2014.1.10 ◽

2014 ◽

pp. 61-67

Author(s):

Thi Ngoc Ha Hoang ◽

Thanh Binh Nguyen ◽

Dinh Tuan Nguyen ◽

Thi Thu Hien Dang ◽

Trong Khoan Le

Keyword(s):

Pleural Effusion ◽

Chest Wall ◽

Chest Radiograph ◽

University Hospital ◽

Lung Pathology ◽

X Ray ◽

Pleural Thickening ◽

First Choice ◽

Chest X Ray ◽

Transthoracic Ultrasound

Background: Chest X-ray was recommended as the first choice for lung pathology for longtime. Transthoracic ultrasonography can explore effectively the anomaly of chest wall, the pleura and the peripheral lung parenchyma. This diagnostic tool was not routinely applying in Viet Nam. Objective of this study is to confirm the supplementary value for chest radiograph of transthoracic ultrasound. Material and methods: Cross descriptive study from 4/2013 to 11/2013 on 32 patients with pleural, lung and chest wall pathology by ultrasound and chest radiograph at Hue University Hospital. Results: 17 trauma and 15 non trauma patients with almost man (81.2%) at the working-age (71.9%). The most common clinical sign is chest pain (84.4%), then pleural effusion, shortness of breath, glare pain point (31-34%). The ultrasound is more sensitive than chest X ray in diagnosis of pleural effusion, rib fracture, pleural thickening... The fracture of the 8th–10th ribs are well diagnosed on US were missed on chest radiograph. The characteristic of pleural effusion and the minimum of pleural thickening were explored on US only. Conclusion: The supplementary value of transthoracic US for chest X ray in diagnosis the anomaly of pleura and chest wall is now justified, especially in case traumatism. Key words: X-ray, lung pathology, transthoracic

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A rib abnormality mimicking pulmonary nodule: a pitfall in the plain chest x-ray

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2015.734 ◽

2016 ◽

Vol 81 (1-2) ◽

Author(s):

Yeliz Akturk ◽

Serra Ozbal Günes ◽

Baki Hekimoglu

Keyword(s):

Pulmonary Nodule ◽

Lung Nodule ◽

Middle Part ◽

Computerised Tomography ◽

Diagnostic Quality ◽

X Ray ◽

Wide Range ◽

Plain Chest ◽

Metastatic Lung ◽

Chest X Ray

The ribs show a wide range of normal and pathologic radiographic appearences as well as congenital variations. Intrathoracic ribs are isolated and rare anomalies. They are usually super-numerary, more often right-sided, and involve the middle part of the thorax. We describe a case with intrathorasic rib abnormality mimicking a peripheral metastatic lung nodule in the plain chest x-ray and emphasize the use of coronal and sagittal reformatted images in thorasic imaging. Utilisation of multiplanar reformatted images in chest computerised tomography increase diagnostic quality.

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Isoniazid-Resistant Cavitary Tuberculosis in a Physician Following Isoniazid Prophylaxis

Infection Control and Hospital Epidemiology ◽

10.1086/501983 ◽

2002 ◽

Vol 23 (10) ◽

pp. 622-625

Author(s):

Tobi B. Karchmer ◽

John D. Phipps ◽

Eve T. Giannetta ◽

Barry M. Farr

Keyword(s):

Chest Radiograph ◽

Soft Tissue Density ◽

X Ray ◽

Single Drug ◽

Resistant Tuberculosis ◽

Tuberculin Skin Test Conversion ◽

Chest X Ray ◽

Drug Prophylaxis ◽

Isoniazid Prophylaxis ◽

Active Disease

Abstract Single-drug prophylaxis is recommended after tuberculin skin test conversion, but not when there is active disease on chest radiograph because resistance develops frequently. Isoniazid-resistant tuberculosis developed in a physician receiving prophylaxis despite “faint left upper lobe soft tissue density” on chest radiograph. Ignoring active disease on chest x-ray renders this strategy counterproductive and cost ineffective. '(Infect Control Hosp Epidemiol 2002;23:622-625).

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UTILITY OF CLINICAL AND RADIOLOGICAL SIGNS IN AIRWAY FOREIGNBODIES

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i5.255 ◽

2019 ◽

Vol 3 (5) ◽

Author(s):

Deepchand . ◽

Pooja D Nayak ◽

Vivek Samor ◽

Ramchandra Bishnoi

Keyword(s):

Foreign Body ◽

Physical Examination ◽

Chest Radiograph ◽

Gold Standard ◽

Foreign Body Aspiration ◽

X Ray ◽

History Of ◽

Chest X Ray ◽

Grave Problem ◽

Delays In Diagnosis

Background: Foreign Body Aspiration (FBA) is a grave problem in children and delays in diagnosis and management can be devastating. The history is very often vague, with subtle physical and chest radiograph abnormalities Aim: To assess the diagnostic accuracy of the triad: history of chocking, unilateral reduction in air entry to lungs, unilateral hyperinflation or collapse on chest X-ray. Results: In our study sensitivity of history of chocking in detection of FB was 80.47%, specificity was 20.45%. Sensitivity of examination finding of unilateral decrease in air entry to lungs in detection of FB was 71.59%%, specificity was 4.545%. Sensitivity and specificity of chest radiograph in detection of FB was 54.43% and 47.72% respectively. When the triad of history of chocking, decreased air entry on examination and chest radiograph finding of hyperinflation or collapse was considered in detection of FB in airway sensitivity was 59.76% while specificity was 79.54%. Conclusion: Bronchoscopy is a gold standard in diagnosis of FBA. History, physical examination and radiologic studies have a very low specificity in detection of FBA. The triad of history of chocking, decreased air entry on examination and chest radiograph finding of hyperinflation or collapse has a better specificity in detection of FBA than individual parameters.

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Radiology

Oxford Handbook of Clinical and Laboratory Investigation ◽

10.1093/med/9780199233717.003.0013 ◽

2010 ◽

pp. 705-792

Keyword(s):

Computed Tomography ◽

Chest Radiograph ◽

X Rays ◽

Digital Radiology ◽

X Ray ◽

Barium Studies ◽

Chest X Ray ◽

Cardiac Enlargement

Radiology & the role of imaging 706 Plain X-rays 708 Digital radiology 709 Chest X-ray: useful landmarks 710 Chest radiograph 712 Patterns of lobar collapse 717 Cardiac enlargement 719 Computed tomography of the thorax 722 Abdominal X-ray: useful landmarks 724 Plain abdominal X-ray 726 Barium studies ...

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