analyse_media
analyse_media
Reading File
Here is a detailed radiological report for both X-rays for Rojmary K, 20Y/F (Star Diagnostics, 26-Jun-26):
X-Ray 1: Chest PA View
Technical adequacy: PA projection, adequate inspiration, no rotation. ECG electrodes visible bilaterally in the upper chest.
Findings:
| Region | Finding |
|---|---|
| Lung fields | Both lungs are clear - no consolidation, infiltrates, nodules, or masses |
| Pleura | No pleural effusion; costophrenic and cardiophrenic angles are sharp |
| Pneumothorax | None |
| Heart | Cardiothoracic ratio within normal limits - no cardiomegaly |
| Mediastinum | Normal contour; trachea midline, no deviation |
| Hila | Bilateral hila normal in size and density - no lymphadenopathy |
| Diaphragm | Both hemidiaphragms smooth and normally domed; gastric bubble visible under left |
| Bones | Ribs, clavicles, and visualized vertebrae - no fractures or lytic lesions |
| Soft tissues | Normal |
Impression: Normal chest PA radiograph. No active cardiopulmonary pathology.
X-Ray 2: PNS Waters' View
Technical adequacy: Standard Waters' view, good positioning with open mouth for sphenoid projection.
Findings:
| Sinus | Finding |
|---|---|
| Right maxillary | Clear and well-aerated - no opacification, mucosal thickening, or air-fluid level |
| Left maxillary | Clear and well-aerated - symmetric to right, no pathology |
| Frontal sinuses | Bilateral, well-developed, normally aerated - no clouding or fluid |
| Ethmoid air cells | No significant opacification or clouding |
| Sphenoid sinus | Appears normally aerated through open-mouth projection |
| Nasal septum | Midline or minimal physiological deviation - normal variant |
| Bony structures | Orbital margins, zygomatic arches, and maxillary bones intact - no fractures or lytic lesions |
Impression: Normal PNS Waters' view. No radiological evidence of acute or chronic sinusitis (no air-fluid levels, no significant opacification or mucosal thickening).
Summary
Both radiographs are within normal limits for a 20-year-old female:
- Chest PA: Normal - no pneumonia, TB, effusion, or cardiac enlargement.
- PNS Waters': Normal - no acute sinusitis, no mucosal disease.
Clinical correlation is essential. If the patient has symptoms of sinusitis (facial pain, nasal congestion, purulent discharge) that are not explained by this X-ray, a non-contrast CT of the paranasal sinuses is more sensitive and would be the recommended next investigation, as plain X-rays can miss early mucosal thickening and small air-fluid levels.
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