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Basic radiology for non radiologist

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basics of chest xray
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Basic radiology for non radiologist

  1. 1. Basic Radiology for Non Radiologist Dr. Muhammad Bin Zulfiqar PGR II SIMS/SHL
  2. 2. AIMS • Introduction and basics of – Plain Radiography (Chest X-Rays) – CT Scan – MR Imaging
  3. 3. Chest X-Rays • Patent ID and date • Projection----PA/AP/LAT • Centering----Rotated /Non-rotated • Exposure----Adequate /Poor • Inspiratory effort
  4. 4. A The cardiomediastinal contour is significantly magnified on this AP film. This needs to be appreciated and not overcalled. B On the PA film, taken only an hour later, the mediastinum appears normal.
  5. 5. Lateral View
  6. 6. • A well centred x-ray. Medial ends of clavicles are equidistant from the spinous process. • This patient is rotated to the left. Note the spinous process is close to the right clavicle and the left lung is ‘blacker’ than the right, due to the rotation.
  7. 7. Exposure
  8. 8. • The cardiothoracic ratio should be less than 0.5. • i.e. A/B<0.5. • A cardiothoracic ratio of greater than 0.5 (in a good quality film) suggests cardiomegaly.
  9. 9. Hilar Contour
  10. 10. Normal chest x-ray
  11. 11. Lobes and Fissures RUL LUL RLL RML LLL Left Lateral View Right Lateral View LUL LLL RUL RML RLL http://www.wikiradiography.com/page/Chest+Radiographic+Anatomy
  12. 12. Cervical Rib
  13. 13. Pleural Effusion Lobulated pleural effusion
  14. 14. Subpulmonic pleural effusion
  15. 15. • Bronchiectasis. There is widespread bronchial wall abnormality in both lungs, but particularly in the right lung. In the right lower zone, there is marked bronchial wall thickening (remember that the normal bronchial wall should be ‘pencil line’ thin) with ‘tram lines’ visible.
  16. 16. • Carcinoma with rib destruction. Dense opacification of the left upper lobe with associated destruction of the left second and third anterior ribs.
  17. 17. • Left Hilar Mass
  18. 18. • Chronic obstructive pulmonary disease. The lungs are hyperinflated with flattening of both hemidiaphragms. On the lateral view, the chest appears ‘barrel-shaped’ due to an increase in the retro-sternal air space.
  19. 19. Emphysema
  20. 20. Bulla
  21. 21. Asthma
  22. 22. Post traumatic DH Congenital
  23. 23. • Flail chest – case 2. Double fractures of the left posterior fifth and sixth ribs.
  24. 24. • Simple pneumothorax. The right lung edge is faintly visible on the inspiratory film. However, the pneumothorax becomes clearly evident on the expiratory film.
  25. 25. Tension pneumothorax
  26. 26. TB
  27. 27. Miliary TB
  28. 28. Retrosternal Goiter
  29. 29. Adult Respiratory Distress Syndrome
  30. 30. CT Brain
  31. 31. ICH
  32. 32. Subarachnoid Hemorrhage
  33. 33. Subdural Hematoma
  34. 34. Extradural Hematoma
  35. 35. Infarction
  36. 36. Pneumocephalous
  37. 37. SOL
  38. 38. Disc Prolapse
  39. 39. Disc Herniation
  40. 40. THANK YOU

Hinweis der Redaktion

  • Go over anatomy of Lobes on Chest X-ray with Residents
    Evaluation of the lobes and fissures allows you to localize the pathology

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