Portable Chest X – Ray in COVID -19 Positive Cases in a Tertiary Care Centre in Central India. (A Retrospective Analysis of 739 Cases)

–PCR. Portable chest radiography is the first imaging modality that can be used to detect lung abnormalities and get follow up when required. Radiological findings observed in various CXR are ground-glass opacity/haziness, Consolidations, Peripheral air space opacities, diffuse air space involvement, and uncommon findings – pleural effusion, cavitation, pneumothorax, subcutaneous emphysema and pneumomediastinum. Use of Portable CXR is helpful to avoid transport of patients to CT room and subsequently avoid frequent decontamination of the CT room. Portable CXR is of much value where CT facility is not available and its use reduces radiation dose to patients and radiation staff. The objective is to analyze chest X-ray findings in proven cases of COVID -19 as per classification of British Society of Thoracic Imaging (BSTI) in the form of various radiological patterns and severity assessment. Subjects and Methods: This is a retrospective study of chest x-ray of COVID-19 positive patients, confirmed by RT-PCR and was admitted to designate COVID center: LNMC and JK Hospital, Bhopal in the duration of 31 July 2020 to 31 Aug 2020. Chest X-ray of 739 patients was studied and the mean age group was calculated. Lung involvement and pattern of distribution of disease were analyzed and classified according to BSTI classification and documented in frequencies and percentages. Results: In our retrospective analysis of a total of 739 CXR of which the number of males was 457 (61.84% ) and the number of females was 282 (38.16%). The average age group was ranging from 0 (1month) year age to 90 years age with the mean age group of 41 to 50 (20.2%). The mean age of the patients was 40.5 years. 393 (53.1%) patients have normal chest radiographs. Conclusion:The radiological findings in patients with COVID-19 infection varies with the severity of the disease. In the early phase of the disease, CXR was normal. The most common findings are basal / lower lobe consolidation more on right, followed by ground glass densities, peripheral air space densities, diffuse airspace disease. Basal / lower lobe consolidation was the usual findings in the mild category. In the moderate category, a variable pattern of all findings was seen. In the severe category of disease, diffuse air space densities and peripheral air space opacities were seen. Pleural effusion is the least seen.

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TO CORRELATE ECG CHANGES AND CLINICO-RADIOLOGICAL FINDINGS WITH THE SEVERITY OF VSD.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i12.1583 ◽

2020 ◽

Vol 4 (12) ◽

Author(s):

Deepak Kumar Uikey ◽

Ankur Roy

Keyword(s):

Pulmonary Hypertension ◽

Ventricular Hypertrophy ◽

Septal Defect ◽

Left Ventricular ◽

Age Group ◽

Radiological Findings ◽

Ecg Changes ◽

X Ray ◽

Chest X Ray ◽

Grade Ii

Background & Method: This study was conducted in 56 children in age group of 02 months to 14 years with Echocardio graphically proved Ventricular Septal Defect, over a period of 01 and a half year, after taking consent from the parents and explaining them the purpose and method of this study. Result: Out of these 27 patients in 2 to 6 months age group, 11 were large VSDs, 16 were moderate VSDs and 2 were small VSDs. Out of 17 patients in age group 6 to 12 months, 10 patients were large VSDs, 5 patients had moderate VSDs and 3 patients were with small VSDs. Among patients with moderate VSDs only 4out of 25 patients had signs of right ventricular hypertrophy (16%). Left ventricular hypertrophy was evident clinically in 24 patients out of 25 (96%) & obviously no patients had biventricular hypertrophy. A loud ESM was heard (grade II-IV). Conclusion: Clinical examination can also suggest LVH in moderate VSD & sometimes BVH in large VSD, Palpable P2 and loud P2 are very important findings that suggest pulmonary hypertension. Pansystolic murmur is heard in small-moderate VSD and ESM in large VSD. Complications like CCF, pulmonary hypertension, malnutrition and FTT are mostly present in moderate-large VSD. Chest x-ray suggests cardiomegaly, plethora and also enlargement of PA segment in moderate –large VSD. Keywords: ECG, Clinico-radiological, VSD & Severity. Study Designed: Observational Study.

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Methimazole-Induced Pleural Effusion in the Setting of Graves’ Disease

Case Reports in Endocrinology ◽

10.1155/2019/5748938 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Le Yu Khine ◽

Dong Won Kim ◽

Omolola Olajide ◽

Chelsey White ◽

Yousef Shweihat ◽

...

Keyword(s):

Pleural Effusion ◽

Lower Lobe ◽

Antineutrophil Cytoplasmic Antibody ◽

Endobronchial Ultrasound ◽

Ventricular Rate ◽

Mediastinal Lymphadenopathy ◽

Graves Disease ◽

X Ray ◽

Chest X Ray ◽

The Right

Methimazole is a thionamide drug that inhibits the synthesis of thyroid hormones by blocking the oxidation of iodine in the thyroid gland. We report a case of methimazole-induced recurrent pleural effusion. A 67-year-old female with recently diagnosed Graves’ disease on methimazole 20mg daily was admitted with dyspnea and new onset atrial fibrillation with rapid ventricular rate. Chest X-ray revealed a unilateral right pleural effusion, which was consistent with a transudate on thoracocentesis. She was managed as a case of congestive heart failure and methimazole dose was increased to 30 mg daily. She was readmitted twice with recurrent right pleural effusion. The fluid revealed an exudative process on repeat thoracocentesis. CT scan of the chest with contrast showed mediastinal lymphadenopathy and a diffuse ground glass process involving the right lower lobe suggestive of pneumonitis. Bronchoalveolar lavage showed neutrophil predominant fluid, and cytology and adenosine deaminase were negative. Patient also had an endobronchial ultrasound guided biopsy of the lymph nodes (EBUS). She was treated empirically with steroids 40 mg for 10 days and the methimazole was also discontinued. The antinuclear antibodies (ANA) came back positive with a speckled pattern; antineutrophil cytoplasmic antibody (c-ANCA) and antimyeloperoxidase were also positive. The effusion resolved but recurred on rechallenge with methimazole. She was referred for urgent thyroidectomy. The patient’s repeat chest X-ray showed complete resolution of the pleural effusion after stopping the methimazole. Few weeks later, repeat ANCA and antimyeloperoxidase antibody were both negative. Our case report highlights the importance of the recognition of a rare side effect of methimazole. Timely diagnosis would ensure that appropriate treatment is given.

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Clinicoradiological Correlation of Covid19 Patients in Western Uttar Pradesh, India: A Descriptive Study

International Journal for Research in Applied Science and Engineering Technology ◽

10.22214/ijraset.2021.39411 ◽

2021 ◽

Vol 9 (12) ◽

pp. 1134-1148

Author(s):

Dr. Yasmeen Usmani

Keyword(s):

Chest Radiography ◽

Significant Proportion ◽

Lower Lobe ◽

Uttar Pradesh ◽

Medical Institute ◽

Shortness Of Breath ◽

X Ray ◽

Pictorial Review ◽

Air Space ◽

Chest X Ray

Abstract: A pilot study of 150 patients at premier medical institute of western Uttar Pradesh, INDIA. The purpose of this pictorial review article is to describe the most common manifestations and patterns of lung abnormality on CXR in COVID-19 in order to equip the medical community in its efforts to combat this pandemic. The varied spectra of COVID-19 presentation included fever, cough, shortness of breath, sore throat etc. Diabetes mellitus, hypertension, COPD/K-Chest and CAD were found as major comorbid conditions. Symptomatic presentation of COVID-19 was observed to be higher in patients with co morbid disease, especially if multiple. HRCT chest in COVID-19 patients had a major diagnostic and prognostic importance as positive CT findings were more prominent in symptomatic patients and co-morbid patients. Clinical symptoms of patients directly correlated with CT severity index. CT imaging was found to be useful in predicting clinical recovery of patients or progression of disease. Introduction: COVID-19 (coronavirus disease 2019) is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), declared as a pandemic on 11th March 2020. The chest imaging findings are nonspecific and most commonly show atypical or organizing pneumonia, often with a bilateral, peripheral and bi-basal predominant distribution. Our study is concerned with the data of COVID positive patients admitted in the institute for the period of March 16- May 17, 2020. Aims and Objectives 1) To correlate clinical and radiological spectra of covid positive patients and their final outcome. 2) To describe the spectrum of lung parenchyma changes in the symptomatic as well as asymptomatic in COVID- 19 patients. Review of literature: This case report series presents a summary of key findings frequently associated with COVID-19, which will assist radiologists and clinicians in preliminary clinical evaluation (PCE). Materials and Methods: The data for the study is sourced from clinically suspected patients from the Covid Ward, LLRM Medical College, Meerut,(U.P.),INDIA which were subjected to chest radiography on 60mAh portable X-Ray machine. The patients are followed up to correlate the findings with clinical outcome. The study has been conducted on a minimum of 150 patients with portable Chest X-Ray machine. Observations & Discussion: The most frequent findings encountered are airspace opacities are viz- Hazy pulmonary opacities, Bilateral lower lobe consolidations, Peripheral air space opacities, Uncommon CXR findings, Diffuse air space disease. Conclusion: Based on our study, few inferences have been deduced; A significant proportion of the clinically symptomatic cases shows characteristic radiological changes on chest X-ray and also how chest radiography can be used as a tool not to substitute but supplement RTPCR in evaluation of COVID positive cases. Keywords: Patchy areas of consolidation, shortness of breath, high resolution CT Scan, RTPCR.

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Retrospective analysis of neonatal chest X-ray reports – own experience

Postępy Neonatologii ◽

10.31350/postepyneonatologii/2019/2/pn2019018 ◽

2019 ◽

Vol 2019 (2) ◽

pp. 67-75

Author(s):

Piotr Nowak ◽

Diana Martonik ◽

Ewa Pasieka

Keyword(s):

Retrospective Analysis ◽

X Ray ◽

Chest X Ray

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Chest X-ray in Sarcoidosis: The Association of Age, Gender, and Ethnicity with Different Radiological Findings

Current Respiratory Medicine Reviews ◽

10.2174/1573398x14666180403142624 ◽

2018 ◽

Vol 13 (4) ◽

pp. 241-246 ◽

Cited By ~ 1

Author(s):

Saif Aldeen AlRyalat ◽

Mohammad Al-Essa ◽

Rawan Ghazal ◽

Enas Abusalim ◽

Dia Mobaideen ◽

...

Keyword(s):

Radiological Findings ◽

X Ray ◽

Chest X Ray

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Estimation of dose and cancer risk to newborn from chest X-ray in South-South Nigeria: a call for protocol optimization

Egyptian Journal of Radiology and Nuclear Medicine ◽

10.1186/s43055-021-00445-w ◽

2021 ◽

Vol 52 (1) ◽

Author(s):

Akintayo Daniel Omojola ◽

Michael Onoriode Akpochafor ◽

Samuel Olaolu Adeneye ◽

Isiaka Olusola Akala ◽

Azuka Anthonio Agboje

Keyword(s):

Cancer Risk ◽

Age Groups ◽

Field Size ◽

Radiological Protection ◽

International Studies ◽

X Ray ◽

Thermoluminescent Dosimeters ◽

Chest X Ray ◽

Neonatal Patient ◽

The Mean

Abstract Background The use of X-ray as a diagnostic tool for complication and anomaly in the neonatal patient has been helpful, but the effect of radiation on newborn stands to increase their cancer risk. This study aims to determine the mean, 50th percentile (quartile 2 (Q2)), and 75th percentile (quartile 3 (Q3)) entrance surface dose (ESD) from anteroposterior (AP) chest X-ray and to compare our findings with other relevant studies. The study used calibrated thermoluminescent dosimeters (TLDs), which was positioned on the central axis of the patient. The encapsulated TLD chips were held to the patients’ body using paper tape. The mean kilovoltage peak (kVp) and milliampere seconds (mAs) used was 56.63(52–60) and 5.7 (5–6.3). The mean background TLD counts were subtracted from the exposed TLD counts and a calibration factor was applied to determine ESD. Results The mean ESDs of the newborn between 1 and 7, 8 and 14, 15 and 21, and 22 and 28 days were 1.09 ± 0.43, 1.15 ± 0.50, 1.19 ± 0.45, and 1.32 ± 0.47 mGy respectively. A one-way ANOVA test shows that there were no differences in the mean doses for the 4 age groups (P = 0.597). The 50th percentile for the 4 age groups was 1.07, 1.26, 1.09, and 1.29 mGy respectively, and 75th percentile were 1.41, 1.55, 1.55, and 1.69 mGy respectively. The mean effective dose (ED) in this study was 0.74 mSv, and the estimated cancer risk was 20.7 × 10−6. Conclusion ESD was primarily affected by the film-focus distance (FFD) and the patient field size. The ESD at 75th percentile and ED in this study was higher compared to other national and international studies. The estimated cancer risk to a newborn was below the International Commission on Radiological Protection (ICRP) limit for fatal childhood cancer (2.8 × 10−2Sv−1).

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Routine Chest X-ray Examination?

PEDIATRICS ◽

10.1542/peds.62.5.859c ◽

1978 ◽

Vol 62 (5) ◽

pp. 859-860

Author(s):

David H. Baker ◽

Walter E. Berdon

Keyword(s):

Age Group ◽

X Ray ◽

Chest X Ray ◽

Routine Chest ◽

Preoperative Chest

In reference to the article by Sane et al. entitled "Value of Preoperative Chest X-ray Examinations in Children" (Pediatrics 60:669, November 1977), we would like to know if the authors broke down the abnormalities by age group—for instance, five-year segments. If so, did a preponderance of abnormalities of any variety occur at any particular age? We believe that should be stated, as it would strengthen their thesis if there was no difference between 0 and 19 years of age.

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Correlation between chest x-ray findings and outcomes of patients with mechanical ventilation

Paediatrica Indonesiana ◽

10.14238/pi53.1.2013.6-11 ◽

2013 ◽

Vol 53 (1) ◽

pp. 6

Author(s):

Indah Nurhayati ◽

Muhammad Supriatna ◽

Kamilah Budhi Raharjani ◽

Eddy Sudijanto

Keyword(s):

Mechanical Ventilation ◽

Retrospective Study ◽

Pleural Effusion ◽

Respiratory Distress ◽

Pulmonary Edema ◽

Patient Outcomes ◽

Morbidity And Mortality ◽

Chi Square ◽

X Ray ◽

Chest X Ray

Background Most infants and children admitted to the pediatricintensive care unit (PICU) have respiratory distress and pulmonarydisease as underlying conditions. Mechanical ventilation may beused to limit morbidity and mortality in children with respiratoryfailure.Objective To assess a correlation between chest x-ray findingsand outcomes of patients with mechanical ventilation.Methods This retrospective study was held in Dr. KariadiHospital, Semarang, Indonesia. Data was collected from themedical records of children admitted to the PICU from Januaryto December 2010, who suffered from respiratory distress andused mechanical ventilation. We compared chest x-ray findings tothe outcomes of patients. Radiological expertise was provided byradiologists on duty at the time. Chi-square and logistic regressiontests were used for statistical analysis.Results There were 63 subjects in our study, consisting of 28 malesand 35 females. Patient outcomes were defined as survived or died,43 subjects ( 68%) and 20 subjects (3 2%), respectively. Chest x-rayfindings revealed the following conditions: bronchopneumonia48% (P=0.298; 95%CI 0.22 to 1.88), pleural effusion 43%(P=0.280; 95%CI 0.539 to 4.837) , pulmonary edema 6%(P=0.622; 95%CI 0.14 to 14.62) and atelectasis 3% (P=0.538;95%CI 0.03 to 7 .62). None of the chest x-ray findings significantlycorrelated to patient outcomes.Conclusion Chest x-ray findings do not correlate to patientoutcomes in pediatric subjects with mechanical ventilation inthe PICU of Dr. Kariadi Hospital, Semarang, Indonesia.

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