Fleischner sign: prominent dilated central pulmonary artery. Enlargement can be associated with massive embolus enlarging the luminal diameter of the proximal artery in the acute setting; or pulmonary hypertension in the subacute to chronic setting
ATMIST handover - 28 y/o male, injured 25 mins ago, penetrating chest trauma, Asherman seal anterior chest, RR 35, deteriorating, high flow O2 administered.
Chest X-ray interpretation
C. H. Joseph Chang (1929 - 2017) was an American radiologist. Chang sign (CXR finding in pulmonary embolus) decribed in 1965
Additional reading from Normal CXRs; Eric Strong Interpretation series; the DRABCDE approach; CXR for the OSCE and of course the Top 150 CXR to try your luck!
OSCE examination: Question: Please describe the main features on this chest x-ray in particular the mediastinum.
Chest X-Rays (CXR) are routine investigation in clinical practice and consequently it is important for medical students and clinician’s alike to know how to interpret them. There are many approaches to CXR interpretation, each trying to ensure that key abnormalities are identified and no area is overlooked.