Bruce Dick X-ray Collection
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Hiatus Hernia
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Female age 63 years
with diarrhoea and melaena |
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Mediastinal teratoma
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Female age 43 years This tumour was detected at a Mass X-ray, apparently symptomless Histology confirms the teratomatous nature of the tumour AP X-ray shows a rounded shadow overlying the 8th, 9th and 10th ribs, projecting from the mediastinum and displacing the left lung.Lateral. This shows the tumour mass in the anterior mediastinum opposite the lower sternum in the characteristic position of a teratomatous tumour.
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Pleuropericardial Cyst
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Female age 35 years. Incidental finding on Mass X-ray Small shadow is present on the right side above the diaphragm
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Mediastinal emphysema
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Female Cause unknown The air in the tissue spaces is demonstrated by irregular dark areas in the superior mediastinum.
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Vena Azygos
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Male age 15 years Pick up on routine chest radiograph Repeat PA with vertebra manoeuvre illustrated collapse with large vena azygos or disappearance of the "tumour".
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Mediastinal tumour
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Male age 74 years Pain in left shoulder associated with climbing stairs for 4 months caused by ischaemia. Patient blind. BP 180/95; ECG normal; WR negative. X-ray showed slight pulsation of the smooth round lesion above the left hilum. It was difficult to say whether this was transmitted pulsation or true pulsation, but the former was the more likely. Both hemidiaphragms move 5 cms on deep respiration. There was no paradoxical movement on sniffing. Barium swallow was normal. The findings are slightly more in favour of aneurysm of the sinus of Valsalva or a mediastinal cyst rather than a bronchogenic carcinoma.
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Mediastinal Lymphosarcoma
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Male age 23 years Gland in neck. Loss of weight Shadow present in the superior mediastinum, extending to both sides of the outline of the vertebral column. The shadow is seen to lie in front of the vertebral column and anterior to the trachea. The outline is indefinite indicating the presence of an infiltrating tumour.
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Malignant Thymoma
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Male age 33 years Gland in neck Mediastinal swelling located centrally and above heart shadow.
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Neuroma
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Female Incidental finding X-ray shows a round shadow the size of a ping-pong ball lying between the third and fourth ribs. It is approximately 3.5 cms in circular diameter.
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Retrosternal goitre
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Female age 59 years X-ray shows a lobulated tumour in the mediastinum and this was found to be a retrosternal goitre |
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Mediastinal abscess
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Female age 23 years Malaise, shivering, sweating, cough, followed by central upper retrosternal pain. Developed tracheal obstruction. At operation a retrosternal abscess was drained. X-ray shows a lobulated mass in the superior mediastinum. This was thought to represent a tumour or abscess.Radiographs taken two days post-operatively showed the disappearance of the shadow.
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