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Mediastinal pleura is displaced from heart border. The most common finding is air outlining the left heart border.
Visualization of central part of diaphragm : continuous diaphragm sign

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Comment by MOSAAB BABIKIR ABD ELLATIF AHMED on May 5, 2011 at 1:48pm

Chest x.ray showed:

-The left border of the heart is solhouting by radiolucent pattern, with thin white line near and parallel to the upper left cardiac border could be visceral plueral displaced medially,, which indicative to the pneumothorax and pneumo mediastinum.

- Radiopaque tube seen in the left lung extending from downwards to upwards which implement to Chest tube.

- Absent or attenuated pulmonary vascular marking mainly at right lung(hyperlucent),with obscured the underlying ribs, may be another pneumothorax in right lung or techniqal fault(high KV??)..

-- prominant aortic knob may be due to compression by pneumo-mediastinum.

--the left diaphgramtic copula is at  same level of the right side my be relted to the gastric gas or splenic flexure.

-- both cpa are free.

-- Normal cardiac diameter.

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