P: multiple osteolytic lesion
D: most probably histocytosis ( generalized type )

P: ventriculoperitoneal shunt

P: multiple white dots ( scattered calcification)
D: most probably toxoplasmosis

P: multiple white/ black dots ( salt paper appearance)
D: hyperparathyroidism

Skull x-ray 👆

P.
- Gastric air bubbles on the right side.
- The left border of the heart is formed by the right atrium while the right border is formed by the pulmonary artery, left atrium and left ventricle.
D.
Dextrocardia ( situs inversus totalis)

P.
- Boat shaped heart ( coeur en sabot )
- Cardiophrenic angle is more prominent
- Uplifted apex
- Increase waist of the heart
- Oligemic lung
D.
Most probably fallot tetralogy

P.
- Egg on side appearance of the heart
- Plethoric lung
D.
Most probably TGA

P.
1. Cardiomegaly
2. Flask shaped heart
D.
Most probably pericardial effusion
N.B
Most important vital sign is pulsus paradoxus

P.
Hypertranslucency around the heart
D.
Most probably pneumopericardium
Causes:
1. Penetrating trauma
2. Thoracic surgery
3. Positive pressure ventilation

P.
Miliary shadow in both lungs (bilateral)
DD:
1. Pulmonary TB
2. Interstitial pneumonia (viral, bacterial or fungal infection)
3. Pulmonary hemosidrosis
4. Histocytosis
5. Sarciodosis
مرتبه على ال most common

P. Homogeneous opacity in Rt upper and middle lobes of the lung with centralized mediastinum
D. Most probably lobar pneumonia in upper and middle lobes of the right lung

P.
- Homogeneous opacity in the lower lobe of the right lung with obliteration of right costophrenic angle and rising to axilla
- Trachea is shifted to the left side
D. Most probably pleural effusion in right lower lobe

P. Hypertransleucency around the mediastinum and around the heart
D. Most probably pneumomediastinun
Cause:
Rupture of cyst

P.
- Homogeneous opacity in the lower lobe of the right lung with hypertranslucency of the middle lobe of Rt lung and fluid level inbetween
- Shifting of mediastinum to the left side
D. Most probably Rt side hydroneumothorax

P.
- Cystic like lesions in the left lung extending from the abdomen
- Left copula of diaphragm is obliterated
- Mediastinum pushed to the right side
D. Most probably diaphragmatic hernia

P.
1. Recoil of nasogastric tube
2. Air inside the stomach
D. Most probably esophageal atresia with tracheoesophageal fistula
Types of TEF:
1. Type B ( proximal TEF and blind distal esophagus)
2. Type C ( distal TEF and blind proximal pouch of esophagus) > most common
3. Type D ( proximal and distal TEF ) > 2nd most common

Types of esophageal atresia:
1. Type A ( blind proximal and distal pouches of esophagus)
2. Type B ( proximal TEF and a blind distal esophagus)
3. Type C ( distal TEF and a blind proximal pouch of the esophagus)
4. Type D ( proximal and distal TEF)