Pediatrics: Pneumothorax

PNEUMOTHORAX

• Deep Sulcus sign
• hyperlucent and deep costophrenic sulcus in affected side
• Double diaphragm sign
• Air in anterior CPS on lateral film
• d/t air anteriorly and inferiorly
• Could be simulated by:
• Skin folds
• Bullae
• concave to chest wall rather than convex (pneumothorax)
• CT Scan
• best diagnostic tool
• linear parenchymal tissue traversing avascular areas

ENT: Snail Shell Aspiration

Pediatrics: Tetralogy of Fallot

TETRALOGY OF FALLOT

• Boot-shaped heart
• Apex lateral and more superior d/t R ventricle enlargement
• Decreased pulmonary markings
• Right-sided arch of aorta (also seen in Persistent Truncus Arteriosus)
• Trachea displaced to the left

1. High VSD
2. Aorta overriding VSD
3. Pulmonary Stenosis
4. Right Ventricular Hypertrophy

Cyanotic congenital heart disease

Right to Left Shunt

Aortic enlargement