Transcript LECTYRE OF THE CHEST X-RAY

A.WEISS M.D
D.E.S ,Chirurgie Générale, Viscérale et Laparoscopique
A.F.S/A.F.S.A/DU - FRANCE
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Basics .
Best exam results .
Appreciate the role radiology plays .
Instil an interest in radiology .
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•Densities
•Techniques
•Anatomy
•CXR Interpretation
•Common Pathologies
•Questions
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The big two densities are:
(1) WHITE - Bone
(2) BLACK - Air
The others are:
(3) DARK GREY- Fat
(4) GREY- Soft tissue/water
And if anything Man-made is on
the film, it is:
(5) BRIGHT WHITE - Man-made
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LOW
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HIGH
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RIGHT UPPER LOBE
RIGHT MIDDLE LOBE
RIGHT LOWER LOBE
LEFT LOWER LOBE
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LEFT UPPER LOBE WITH LINGULA
LINGULA
LEFT UPPER LOBE – UPPER DIVISION
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RIGHT BORDER : EDGE OF ( R ) ATRIUM
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LEFT BORDER : ( L ) VENTRICLE + ATRIUM
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POSTERIOR BORDER : REFT VENTRICLE
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ANTERIOR BORDER : RIGHT VENTRICLE
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Superior vena cava
Inferior vena cava
Right atrium (blue)
Right ventricle (blue)
Left ventricle (red)
Aorta
Pulmonary trunk
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Made of :
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2.
Pulmonary Art.+Veins
The Bronchi
Left Hilus higher (max 1-2,5 cm)
Identical : size, shape, density
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POSTERIOR-ANTERIOR VIEW
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LATERAL VIEW
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Rib
Sternum
Breast
Position of oblique fissure
Position of horizontal fissure
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•Type
•Orientation
•Rotation
•Penetration
•Inspiration
- expiration
•Lungs
Density
• Symmetry
• Lesions
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SIZE
•Size
of heart
•Size
of individual
chambers of heart
•Size
of pulmonary
vessels
•Evidence of
stents, clips, wires
and valves
•Outline
of aorta
and IVC and SVC
Width
• Contour
• AP window
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HILA
• Size
• Location
Apices
• Behind the heart
• CP angles
• Below the diaphragm
• Soft tissues ( breast, surgical emphysema)
• Ribs & clavicle
•Vertebrae
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Causes
1. Adenopathies (neoplasia, infection)
2. Primary Tumor
3. Vascular
4. Sarcoidosis
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