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CHEST RADIOLOGY ,[object Object],[object Object],[object Object],[object Object]
The 12-Step: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Quality Control Findings } } Pre-read }
Chest X-Ray Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NORMAL CHEST X-RAY PA LATERAL Two (2) projections are needed for most x-rays to locate structures in 3 planes  (1)Right or Left , (2) Anterior or Posterior)  or (3) Superior or Inferior.
NORMAL HEART BORDERS Note cardiac chambers that account for margins on the chest X-ray
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LEFT 4 TH  RIB   POSTERIOR  AND  ANTERIOR  PORTIONS POSTERIOR ANTERIOR 4 A P
AORTIC ARCH LT. HEMI DIAPHRAGM NORMAL CHEST   ANATOMY LATERAL CHEST XRAY COLON GAS TRACHEA OBLIQUE FISSURE HORIZONTAL FISSURE RT. HEMI DIAPHRAGM Diaphragm-AP view Diaphragm- Lateral view LT. LT. RT. LT.
CARINA LT. MAIN BRONCHUS RT. MAIN BRONCHUS TRACHEA OBLIQUE FISSURE (major) OBLIQUE FISSURE major HORIZONTAL FISSURE minor BRONCHOGRAM—CONTRAST OUTLINING AIRWAY
HORIZONTAL FISSURE FISSURES DIVIDE  LUNGS INTO LOBES RIGHT  lung has: UPPER  MIDDLE  lobes LOWER LEFT  lung has: UPPER  lobes LOWER
[object Object],INFECTION NEOPLASTIC CARDIOVASCULAR TRAUMA
 
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object],[object Object]
TB
[object Object]
CaVity
[object Object]
PNEUMOTHORAX PLEURAL EFFUSION
PLEURAL EFFUSION NORMAL
PLEURAL EFFUSION
[object Object]
Bilateral pleural effusions
PNEUMOTHORAX
[object Object]
TENSION PNEUMOTHORAX
TENSION PNEUMOTHORAX
Hyperinflation
Hemothorax
Aortic dissection with hemothorax
[object Object]
[object Object]
Chest mass, emphysema Hilar mass
[object Object]
Subcutaneous emphysema
ARDS ,[object Object],[object Object],[object Object],[object Object]
Bulla
SARCOIDOSIS ,[object Object],[object Object],[object Object]
ATELECTASIS ,[object Object],[object Object],[object Object],[object Object]
NORMAL HEART  CARDIOMEGLY
[object Object]
Cardiomegaly Cardiac silhouette greater than 50% of width of thorax
CARDIOMEGLY CONGESTIVE   HEART FAILURE Evolution of congestive heart failure and pulmonary edema. With Progressive Lt. Ventricular failure blood backs into the left atrium—then to the pulmonary veins (PULMONARY VENOUS HYPERTENSION) then to the pulmonary interstitium (INTERSTITIAL EDEMA) then to the alveoli (ALVEOLAR EDEMA)
Congestive Heart Failure ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Pericardial effusion
Pulmonary Edema
Pulmonary Embolism
Kerley B line
VSD
ASD
Tetrology Of Fallot (Boot Shaped)
Aortic dissection
[object Object]
Free air Free air beneath diaphragm
[object Object]
Empyema after trauma Clavicle fracture Cavitary lesion Opacified hemithorax
Pneumonectomy
Pneumonectomy Entire mediastinum shifted left, indicating  volume loss Opacified left hemithorax Trachea shifted left, indicating  volume   loss
[object Object]
PULMONARY METASTATIC NODULES
Clavicle dislocation Medial clavicle is displaced inferiorly
Clavicle fracture, distal
LT. Rib fracture on the left are associated with a small pleural effusion blunting the costophrenic angle. Compare with normal RT. side.
FRONTAL LATERAL WHAT AND WHERE IS IT? Air stripe Coin in esophagus shows a wider diameter than possible in the trachea and is posterior to the tracheal air stripe on the lateral chest x-ray.
Diaphragm rupture
Smoke inhalation, chronic changes
 
Right Lower Lobe Pneumonia
Right side tension pneumothorax
Fracture of posterior rib #7
Right Side Pleural Effusion
Left Sided Pneumothorax
 

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Chest xray

Hinweis der Redaktion

  1. Two (2) projections are needed for most x-rays to locate structures in 3 planes (1)Right or Left , (2)Anterior or Posterior) or (3) Superior or Inferior.
  2. Note cardiac chambers that account for margins on the chest X-ray
  3. This exam shows barium contrast outlining the bronchial tree. This is an old exam not done now with CT imaging replacing it. It does demonstrate the anatomy of the hila which superimpose over the pulmonary arteries and veins. This is why anatomy here on the chest X-ray is difficult in this region.
  4. With heart failure edema builds up in lungs and edema along fissures allows them to be seen more easily on chest x-ray
  5. Pleural effusion developing on the left
  6. Air in the pleural space separates the visceral and parietal pleura. This limits effective ventilation of the lung.
  7. Here air has built up under pressure in the pleural space and collapsed the lung severely compromising ventilation. The pressure builds due to a ball valve type leak of air into the pleural space with air going into the space on each inspiration.
  8. Evolution of congestive heart failure and pulmonary edema. With Progressive Lt. Ventricular failure blood backs into the left atrium—then to the pulmonary veins (PULMONARY VENOUS HYPERTENSION) then to the pulmonary interstitium (INTERSTITIAL EDEMA) then to the alveoli (ALVEOLAR EDEMA)
  9. Multiple lesions in the chest are typical for metastatic disease since the pulmonary capillary bed is often the first site metastatic lesions appear as they spread and embolize the pulmonary capillaries and grow in the new location.
  10. Rib fracture on the left are associated with a small pleural effusion blunting the costophrenic angle. Compare with normal RT. side.
  11. Coin in esophagus shows a wider diameter than possible in the trachea and is posterior to the tracheal air stripe on the lateral chest x-ray.