To use silouhette sign you need to know what structure are adjacent to each silouhette.
| Silouhette | Adjacent lobe/segment |
| Right Diaphragm | RLL/Basal segments |
| Right Heart margin | RML/Medial segment |
| Ascending Aorta | RUL/Anterior segment |
| Aortic knob | LUL/Posterior segemnt |
| Left Heart margin | Lingula/Inferior segment |
| Descending Aorta | LLL/Superior and medial segments |
| Left Diaphragm | LLL/Basal segments |
You should know that Pleura encircles lung and diseases of pleura can also can obliterate the silhouettes.
Same is true for mediastinal masses.
I will show you few examples.
Rt Heart Margin obliterated by RML pneumonia
Lt diaphragm obliterated by LLL pneumonia
Pleural
effusion: Diaphragm and right heart margins are not detectable.
Posterior mediastinal mass: Aortic knob is indistict.