Massive pleural effusion – left side
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X-ray chest anteroposterior view showing massive pleural effusion on left side and mediastinal shift to right
Patient presented with symptoms of dyspnoea, cough and fever for 1 week duration
On examination, breath sounds were absent on left side with stony dullness on percussion
Patient’s spouse was an active case of tuberculosis, hence tuberculous pleural effusion was suspected

Anterior wedge compression fracture of vertebra
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Compression fracture of the anterior part of vertebral body occurring in forward flexion
Usually does not produce neurological deficits
It is a stable fracture as only the anterior column of spine is involved
Caused by : Road traffic accidents, Fall from height
Predisposing factors : Osteoporosis

Chest X-ray showing a mass lesion in the left upper and middle zones
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Continuos diaphragm sign in pneumomediastinum
Continuos left hemidiaphragm sign in lateral view
Air anterior to heart in pneumomediastinum
Halo sign in pneumopericardium

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Minimal pleural effusion on the right side seen as obliteration of right costophrenic angle. Even such small pleural effusions will measure about 300 ml of pleural fluid.

Radiograph showing mastectomy of left breast. The breast shadow is visible on the right side, whereas it is not seen on the left side.

An apical lordotic view of chest x-ray used to taken to visualise the lung apices better, to look for apical tumours like Pancoast tumour or superior sulcus tumour and apical tuberculosis. In the usual chest x-ray, this region is partially covered by the clavicles, while in the apical lordotic view the clavicles are away from the field. This view is seldom used now a days because of the frequent availability of CT scans which provide much superior diagnostic information.

In the field of general medicine, X-ray skull lateral view is often obtained to see the pituitary fossa and also to look for punched out osteolytic lesions in multiple myeloma.