Differences in PA versus AP projection on a chest radiograph

Case contributed by Dr Yi-Jin Kuok

Presentation

Motor bike accident

Patient Data

Age: 30
Gender: Male

The superior mediastinum appears widened due to AP magnification.

The heart appears enlarged - a combination of AP magnification and underinflation

There appears to be a bilateral interstitial infiltrate - also due to underinflation.

Same patient, repeat CXR the next day (PA projection this time) - completely normal.

Case Discussion

Projection and degree on inspiration are very important to note when interpreting chest x-rays. 

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Case information

rID: 17910
Published: 24th May 2012
Last edited: 22nd Jun 2018
System: Chest
Inclusion in quiz mode: Excluded

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