Chest x-rays are usually abnormal, but are inadequate in the diagnosis or quantification of bronchiectasis. Tram-track opacities are seen in cylindrical bronchiectasis, and air-fluid levels may be seen in cystic bronchiectasis. Overall there appears to be an increase in bronchovascular markings, and bronchi seen end on may appear as ring shadows 8. Pulmonary vasculature appears ill-defined, thought to represent peribronchovascular fibrosis 8-9.
👨🏽💻Want to learn a system for reviewing a pelvic X-ray? Read on to find out and swipe left to touch up on your pelvic X-ray anatomy ⠀⠀⠀⠀⠀⠀⠀⠀⠀ 👨🏽💻The pelvic X-ray can be a tricky one but as always it is important to use a system! When I sat the final FRCR exam we had a test of 30 X-rays in 30 minutes and so it was important to use an efficient but robust system for every type of X-ray using a mental checklist ⠀⠀⠀⠀⠀⠀⠀⠀⠀ 👨🏽💻My checklist for the pelvic X-ray uses the mnemonic: ...
S is for Syringomyelia This condition is the most common issue associated with Chiari. Do you have Syringomyelia? How long? This is a condition where fluid-filled cysts (syrinx) form in the spinal cord. They can also form in the brainstem (syringobulbia). Syringomyelia is rare with 8.4 in 100,000 people having it. Chiari is the most common cause, but it can also be post-traumatic, from other conditions like tethered cord, rumour or idiopathic (unknown origin).