最新:The Chest XRay:胸部X光检查文档资料.ppt

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1、Objectives:,Basic Radiology 101Film InterpretationAppreciate the role radiology playsArtifacts in X-Rays,Contents:,DensitiesTechniquesAnatomyCXR InterpretationCommon PathologiesQuestions,Densities,The big two densities are:(1)WHITE-Bone(2)BLACK-AirThe others are:(3)DARK GREY-Fat(4)GREY-Soft tissue/w

2、ater And if anything Man-made is on the film,it is:(5)BRIGHT WHITE-Man-made,Techniques-Projection,P-A(relation of x-ray beam to patient),Techniques-Projection(continued),A-P Supine/Erect,Techniques-Projection(continued),Lateral,Techniques-Projection(continued),Lateral Decubitus,Techniques-Projection

3、(continued),Oblique,Orientation,Orientation,Rotation,Rotation(continued),Penetration,Inspiration/Expiration,Anatomy,Anatomy,Anatomy,Lobes,Right upper lobe:,Lobes(continued),Right middle lobe:,Lobes(continued),Right lower lobe:,Lobes(continued),Left lower lobe:,Lobes(continued),Left upper lobe with L

4、ingula:,Lobes(continued),Lingula:,Lobes(continued),Left upper lobe-upper division:,Pleura,Layers:,Heart,Right border:Edge of(r)Atrium3.Left border:(l)Ventricle+Atrium4.Posterior border:Reft Ventricle5.Anterior border:Right Ventricle,Heart(continued),Heart(continued),Heart(continued),Valves,Mediastin

5、um,Hilum,Made of:1.Pulmonary Art.+Veins2.The Bronchi Left Hilus higher(max 1-2,5 cm)Identical:size,shape,density,Hilum,Ribs,Soft tissue&bones,Lateral CXR,Lateral CXR(continued),Lateral CXR(continued),Lateral CXR(continued),Lateral CXR(continued),CXR Interpretation,Technical Details,TypeOrientationRo

6、tation Inspiration/expirationPenetration,Lungs:,Lungs Density Symmetry Lesions,Heart,Size:,Heart,Size of heart Size of individual chambers of heart Size of pulmonary vesselsEvidence of stents,clips,wires and valvesOutline of aorta and IVC and SVC,Mediastinum:,Width Contour AP window,Hila:,Size Locat

7、ion,Review areas:,Apices Behind the heart CP angles Below the diaphragm Soft tissues(breast,surgical emphysema)Ribs&clavicle Vertebrae,Identify the lesion localise the lesion describe the lesion give DDNever stop looking,carry on with your systematic approach!,Pathology,RUL pneumonia,RML pneumonia,R

8、LL pneumonia,LUL pneumonia,LLL pneumonia,Consolidation on CT,Hilar m l,The Enlarged Hila,Causes:1.Adenopathies(neoplasia,infection)2.Primary Tumor3.Vascular4.Sarcoidosis,Multiple Masses,Hilar Lymphadenopathy-BL,Pleural Effusion,Pulmonary Fibrosis,?,Heart failure,Pneumothorax,RUL collapse,LLL collapse,Air under the diaphragm,Emphysema,Cervical Rib,Cavitating lesion,Hiatus hernia,Miliary shadowing,Chest Tube,NG Tube,Pulm.artery cath,Dextrocardia,

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