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Obscured Pulmonary Nodules
- No definite pulmonary nodules were visualized on the chest X-ray.
- Nanox.ARC images clearly demonstrated a sizable pulmonary nodule that was obscured on X-ray by the cardiac shadow.
- Nanox.ARC imaging allowed visualization of nodules located posterior to overlapping anatomical structures.
- Findings were later verified on CT, confirming the assessment.
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Necrotic Lung Mass
- On the chest X-ray, a subtle rounded opacity was present in the left mid-lung zone without clear cavitation or lesion definition
- Nanox.ARC images clearly demonstrate a cavitary lesion with a defined rim
- Additional satellite lesions were identified in the lung that were not clearly visualized on the chest X-ray
- Nanox.ARC images also provided improved visualization of scarring, bronchiectasis, and pleural thickening in the left pulmonary apex
- CT imaging confirmed the findings identified on Nanox.ARC.
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Subpleural Pulmonary Nodule
- Cardiomegaly, pleural effusion, and basilar consolidation are present on the chest X-ray, without visualization of a pulmonary nodule.
- The nodule is not visible on the chest X-ray due to overlapping structures and adjacent pathology.
- Nanox.ARC images clearly demonstrate a right-sided subpleural pulmonary nodule located anteriorly between adjacent ribs.
- Findings were later verified on CT, confirming the assessment.
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Pulmonary Infiltrate and Emphysema
- On the chest X-ray, the left lung appears relatively clear, while the right lung demonstrates volume loss with fluid.
- Nanox.ARC images provided improved visualization of mediastinal shift and confirmed the presence of a small right pleural effusion.
- Apical pleural thickening is better defined on Nanox.ARC compared with X-ray.
- Emphysema-related changes within the right lung are clearly visualized on Nanox.ARC images and are not apparent on the standard chest X-ray.
- Findings were later verified on CT, confirming the assessment.
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Advanced Lung Disease with Pneumothorax
- Chest X-ray demonstrated advanced lung disease with limited ability to characterize the full extent of pulmonary involvement.
- Nanox.ARC images provided detailed visualization of lung parenchyma, revealing extensive structural changes associated with advanced lung disease.
- The tracheobronchial tree is more clearly visualized on Nanox.ARC compared with chest X-ray.
- A pneumothorax is identified in the left pulmonary apex on Nanox.ARC imaging.
- Nanox.ARC allowed for clearer assessment of disease complexity and associated complications.
- Findings were later verified on CT, confirming the assessment.
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Lumbar Vertebral Compression Fracture (Lateral View)
- Nanox.ARC images demonstrated a lumbar vertebral body compression fracture.
- Compression deformity is clearly visualized, with involvement of both the superior and inferior endplates.
- Nanox.ARC digital tomosynthesis allowed detailed characterization of the vertebral body morphology, including subtle endplate impaction.
- The vertebral compression deformity is well visualized across multiple planes, supporting confident fracture assessment.
- Findings were later verified on CT, confirming the assessment.
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Odontoid Process Fracture
- The patient had an odontoid fracture located at the base of the odontoid process, which was not identified on the initial X-ray due to overlapping structures.
- Nanox.ARC digital tomosynthesis clearly demonstrates the fracture line.
- Nanox.ARC improved visualization of the fracture line without reliance on open-mouth positioning or patient cooperation.
- Findings were later verified on CT, confirming the assessment.
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Lumbar Vertebral Compression Fractures (L2–L3)
- The AP lumbar X-ray does not demonstrate obvious evidence of vertebral compression fracture.
- Nanox.ARC digital tomosynthesis clearly demonstrates compression deformities involving the L2 and L3 vertebral endplates.
- Scrolling through the tomosynthesis slices enabled clear visualization of the vertebral body architecture, improving detection of compression deformities not apparent on standard X-ray.
- Findings were later verified on CT, confirming the assessment.
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Occult Knee Fracture (Right Tibial Fracture)
- Nanox.ARC images demonstrated a fracture fragment along the lateral aspect of the tibial epiphysis, extending into the lateral tibial plateau.
- The fracture is clearly visualized when evaluating the mid-portion of the knee on tomosynthesis images and was later confirmed on CT.
- No additional fracture-related information was identified on CT beyond what was visualized on the Nanox.ARC images.
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Lisfranc Injury with Casted Midfoot Fracture
- Standard X-ray imaging of the casted foot did not clearly demonstrate midfoot fractures.
- Nanox.ARC images demonstrate a displaced fracture at the base of the second metatarsal.
- Additional subtle fractures are visualized involving the proximal aspects of the third and fourth metatarsals.
- Tomosynthesis images enable visualization of individual midfoot bones through the cast, improving assessment of fracture location and extent.
- The findings are consistent with a Lisfranc injury pattern that was not fully visualized on the standard X-ray.
- Findings were later verified on CT, confirming the assessment.
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Casted Wrist Fracture
- Standard X-ray imaging of the casted wrist provided limited evaluation of the distal radius and ulna due to overlying cast material.
- Nanox.ARC images clearly demonstrate a comminuted intra-articular fracture of the distal radius.
- An associated ulnar styloid fracture is also visualized.
- Fracture components and alignment are clearly depicted despite the presence of a cast, supporting detailed evaluation during immobilization.
- Findings were later verified on CT, confirming the assessment.
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Casted Knee – Comminuted Tibial Fracture
- Nanox.ARC images clearly demonstrate a comminuted tibial fracture involving the tibial plateau.
- Fracture components are visualized at the lateral tibial plateau, with extension from the epiphysis into the metaphysis.
- Both AP and lateral Nanox.ARC views provide sharp visualization of fracture lines despite the presence of a cast.
- Nanox.ARC enabled detailed assessment of complex fracture morphology that was limited on standard X-ray.
- Findings were later verified on CT, confirming the assessment.
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Occult Left Hip Fracture
- Standard X-ray images did not demonstrate evidence of a left hip fracture.
- Nanox.ARC digital tomosynthesis clearly demonstrates a left subcapital femoral neck fracture.
- A step-off is visualized along the lateral aspect of the left femoral head, extending into the femoral neck fracture.
- The fracture was clearly visualized on Nanox.ARC images and was later confirmed on CT.
- In the right hip, Nanox.ARC images demonstrate minimal metal-related artifact from the existing hip arthroplasty, allowing evaluation of adjacent bony structures that are typically obscured on CT by streak artifact.
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Knee Imaging with Orthopedic Hardware
- Conventional CT demonstrates significant streak artifact limiting evaluation of adjacent bony structures
- Nanox imaging shows negligible metal artifact, enabling clear visualization of the iliac, acetabular, and pubic bones
- Improved visualization supports more confident assessment of bone anatomy in the presence of orthopedic hardware
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