The Chest XRay胸部X光检查.pptVIP

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 Hilum Ribs Soft tissue bones Lateral CXR Lateral CXR (continued) Lateral CXR (continued) Lateral CXR (continued) Lateral CXR (continued) CXR Interpretation Technical Details Type Orientation Rotation Inspiration/expiration Penetration Lungs: Lungs Density Symmetry Lesions Heart Size: Heart 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 Mediastinum: Width Contour AP window Hila: Size Location 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 RLL 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 The Chest X-Ray For: Nottingham SCRUBS 26th August 2006 Presented by: Matthew Objectives: Basic Radiology 101 Film Interpretation Appreciate the role radiology plays Artifacts in X-Rays Contents: Densities Techniques Anatomy CXR Interpretation Common Pathologies Questions Densities 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 Techniques - Projection P-A (relation of x-ray beam to patient) Techniques - Projection (continued) A-P Supine/Erect Techniques - Projection