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Related to Costophrenic angle: pleural effusion, pneumothorax
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of Incidental Radiographs Findings n= 224 (a) n=1408 N (%) % Relevant (n=72) Findings Suggestive of 42 (18.75) 2.98 Possible Active TB Nodules 16 (7.14) 1.14 SPN 7 (3.13) 0.50 Pleural Effusion 5 (2.23) 0.36 Cardiomegaly 2 (0.89) 0.14 Probably Relevant (n=52) Signs of COPD 29 (12.95) 2.06 Blunt Costophrenic Angle 23 (10.27) 1.63 Not Relevant (n=100) Scoliosis (Mild) 18 (8.04) 1.28 Fibrosis 19 (8.48) 1.35 Pleural Thickening 16 (7.14) 1.14 Cervical Rib (b) 13 (5.80) 0.92 Calcified Nodules 10 (4.46) 0.71 Azygos Fissure 4 (1.79) 0.28 Others (c) 20 (8.93) 1.42 (a) Reported in 210 radiographs.
He was immediately resuscitated with IVF bolus and oxygen supplementation; his chest X-ray revealed right sided obliteration of costophrenic angle and displaced right lung (Figure 1).
Chest X ray showed in-homogenous opacities in the right upper lobe, linear fibrotic opacities in the right middle lobe and blunting of right costophrenic angle (Figure 3).
Repeated chest X-ray showed expanded lungs, but the left dome of the diaphragm was elevated and the costophrenic angle was blunted with retained blood in the left thoracic cavity [Figure 4].
This is seen on the lateral view with rounding of the costovertebral angle as well as on the frontal view with the disappearance of the right costophrenic angle. The right hemidiaphragm appeared elevated partly because of the accumulation of fluid in the pleural space.
A chest X-ray demonstrated occupation of the right costophrenic angle.
Pericardial cysts are rare benign structures, most frequently located in the right costophrenic angle. Pericardial cysts are usually asymptomatic and discovered incidentally on chest X-ray or echocardiography.
Chest radiograph showed hyperlucent lungs with atelectatic bands in both lower zones and blunting of the right costophrenic angle. Abdominal sonography revealed a large, thick walled, unilocular cyst anterior to head and body of the pancreas.
Her chest x-ray showed blunting of the left costophrenic angle and her abdominal x-ray showed multiple dilated small bowel loops with faecal loading in the descending colon.