chest x-ray signs

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October 31, 2014 1 CAÙC DAÁU HIEÄU X QUANG LOÀNG NGÖÏC BS.NGUYEÃN QUYÙ KHOAÙNG BS.NGUYEÃN QUANG TROÏNG KHOA CHAÅN ÑOAÙN HÌNH AÛNH BEÄNH VIEÄN AN BÌNH -TP.HCM

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October 31, 2014 1

CAÙC DAÁU HIEÄ

X QUANG LOÀNG NGBS.NGUYEÃN QUYÙ KHOAÙNGBS.NGUYEÃN QUANG TROÏNG

KHOA CHAÅN ÑOAÙN HÌNH ABEÄNH VIEÄN AN BÌNH -TP.H

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2October 31, 2014

DAØN BAØIÑaïi cöông.

1.Daáu hieäu boùng bôø (

Silhouette sign

).2.Daáu hieäu coå

-

ngöïc (

Cervico

-

thoracic sign

).3.Daáu hieäu ngöïc

-

buïng hay Daáu hieäu taûng baêng

(

Thoraco

-

abdominal sign or Iceberg sign

).4.Daáu hieäu caùnh buoàm (

Sail sign

).

5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(

Hilum overlay sign & Hilum convergence sign

).7.Daáu hieäu khí aûnh noäi pheá quaûn (

Air bronchogram sign

).8.Daáu hieäu S

-

Golden (

S

-

Golden’s sign

).9.Daáu hieäu lieàm khí (

Air crescent sign

).10.Daáu hieäu luftsichel (

Luftsichel sign

).11.Daáu hieäu phaúng eo (

Flat waist sign

).

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4October 31, 2014

DAØN BAØIÑaïi cöông.

1.Daáu hieäu boùng bôø (

Silhouette sign

).2.Daáu hieäu coå

-

ngöïc (

Cervico

-

thoracic sign

).3.Daáu hieäu ngöïc

-

buïng hay Daáu hieäu taûng baêng

(

Thoraco

-

abdominal sign or Iceberg sign

).4.Daáu hieäu caùnh buoàm (

Sail sign

).

5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(

Hilum overlay sign & Hilum convergence sign

).7.Daáu hieäu khí aûnh noäi pheá quaûn (

Air bronchogram sign

).8.Daáu hieäu S

-

Golden (

S

-

Golden’s sign

).9.Daáu hieäu lieàm khí (

Air crescent sign

).10.Daáu hieäu luftsichel (

Luftsichel sign

).11.Daáu hieäu phaúng eo (

Flat waist sign

).

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5October 31, 2014

ÑAÏI CÖÔNGCaùc daáu hieäu X quang chính laø tri

chöùng hoïc X quang giuùp ta ñöa ra

nhöõng chaån ñoaùn chính xaùc.

Coù daáu hieäu chung cho moät soá b

lyù,nhöng cuõng coù nhöõng daáu hie

hieäu cho moät beänh lyù.

Rieâng veà loàng ngöïc,cho ñeán nay

nhieàu daáu hieäu ñöôïc ñöa ra vaø se

tieáp tuïc boå sung theo thôøi gian.

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6October 31, 2014

DAØN BAØIÑaïi cöông.

1.Daáu hieäu boùng bôø (

Silhouette sign

).

2.Daáu hieäu coå

-

ngöïc (

Cervico

-

thoracic sign

).3.Daáu hieäu ngöïc

-

buïng hay Daáu hieäu taûng baêng

(

Thoraco

-

abdominal sign or Iceberg sign

).4.Daáu hieäu caùnh buoàm (

Sail sign

).

5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(

Hilum overlay sign & Hilum convergence sign

).7.Daáu hieäu khí aûnh noäi pheá quaûn (

Air bronchogram sign

).8.Daáu hieäu S

-

Golden (

S

-

Golden’s sign

).9.Daáu hieäu lieàm khí (

Air crescent sign

).10.Daáu hieäu luftsichel (

Luftsichel sign

).11.Daáu hieäu phaúng eo (

Flat waist sign

).

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7October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

Daáu hieäu naøy ñöôïc ñöa ra vaøo naêm 1935 bôûDr.H.Kennon Dunham,sau ñoù ñöôïc phaùt trieån bôûBenjamin Felson.Ñònh nghóa: Moät boùng môø trong loàng ngöïc coùdòch, tieáp xuùc veà maët giaûi phaãu vôùi bôø cutruùc coù ñaäm ñoä dòch trong loàng ngöïc (tim,ñochuû,voøm hoaønh) seõ xoùa bôø tieáp xuùc vôùi laïi,neáu khoâng tieáp xuùc veà maët giaûi phaãu t

caùc caáu truùc ñoù vaãn hieän roõ treân phim chochoàng laáp leân nhau.Khi coù hieän töôïng xoùa bôø ta goïi laøSilhouette sign (+).Khi khoâng xoùa bôø ta goïi laøSilhouette sign (-).

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8October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

Ñaây laø daáu hieäu côbaûn vaø quan troïngnhaát trong X quangloàng ngöïc qui öôùc.Trong moät soá tröôønghôïp,noù giuùp chuùng tañònh vò ñöôïc caùc boùngmôø trong loàng ngöïcmaø khoâng caàn ñeánphim ngöïc nghieâng.

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9October 31, 2014

DAÁU HIEÄU BOÙNGSILHOUETTE SIGN

BOÙNG (SILHOUETTE) THUØY HOAËC PHAÂN THUØYVoøm hoaønh (P). Caùc phaân thuøy ñaùy- thuøy döôùi phoåi (P).

Bôø tim (P). Phaân thuøy trong (medial)- thuøy giöõa phoåi(P)ÑMC leân. Phaân thuøy tröôùc- thuøy treân phoåi (P).Quai ÑMC. Phaân thuøy sau- thuøy treân phoåi (T).

Bôø (T) tim. Phaân thuøy döôùi (inferior)- thuøy löôõi (lingulaÑMC xuoáng. Phaân thuøy ñænh & trong– thuøy döôùi phoåi (Voøm hoaønh (T). Caùc phaân thuøy ñaùy- thuøy döôùi phoåi (T).

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10October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

SILHOUETTE SIGN (+) SILHOUETTE SIGN (-)

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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11October 31, 2014

SILHOUETTE SIGN (+) SILHOUETTE SIGN ( -)

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13October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

SILHOUETTE SIGN (+): THYMUS

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14October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

SILHOUETTE SIGN (+): TRAØN DÒCH MAØNG PH

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15October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

SILHOUETTE SIGN (+): XEÏP THUØY GIÖÕA (P)

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16October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

SILHOUETTE SIGN (+): XEÏP THUØY LÖÔÕI A.J.Chandrasekhar,M.D.Chest X-ray Atlas.

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17October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

SILHOUETTE SIGN (+)

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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18October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

SILHOUETTE SIGN (-)

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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19October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

SILHOUETTE SIGN (-)

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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20October 31, 2014

DAÁU HIEÄU BOÙNG BSILHOUETTE SIGN

SILHOUETTE SIGN (-): TRAØN DÒCH MAØNG PHKHU TRUÙ PHÍA SAU

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21October 31, 2014

DAØN BAØIÑaïi cöông.1.Daáu hieäu boùng bôø (Silhouette sign).2.Daáu hieäu coå-ngöïc (Cervico-thoracic sign).3.Daáu hieäu ngöïc-buïng hay Daáu hieäu taûng baêng

(Thoraco-abdominal sign or Iceberg sign).4.Daáu hieäu caùnh buoàm (Sail sign).5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(Hilum overlay sign & Hilum convergence sign).7.Daáu hieäu khí aûnh noäi pheá quaûn (Air bronchogram sign).

8.Daáu hieäu S-Golden (S-Golden’s sign ).9.Daáu hieäu lieàm khí (Air crescent sign).10.Daáu hieäu luftsichel (Luftsichel sign).11.Daáu hieäu phaúng eo (Flat waist sign).

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22October 31, 2014

DAÁU HIEÄU COÅ NGÖCERVICO-THORACIC SIGN

Bình thöôøng ñænh phoåi cao leân töø tröôùc ra sacuûa trung thaát tröôùc keát thuùc ngang möùc xöôDo vaäy,bôø treân moät boùng môø trung thaát biegaëp xöông ñoøn thì coù nghóa laø boùng môø naèphaàn ôû coå,moät phaàn ôû trung thaát tröôùc.LulaøCervico-thoracic sign (+):beänh lyù thöôøng gaëp laBöôùu giaùp thoøng.Ngöôïc laïi,moät boùng môø trung thaát thaáy roõ xöông ñoøn thì noù phaûi naèm ôû trung thaát sauta goïi laøCervico-thoracic sign (-):beänh lyù thöôøng galaø Neurinoma.

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23October 31, 2014

DAÁU HIEÄU COÅ NGÖCERVICO-THORACIC SIGN

B:CERVICO-THORACIC SIGN (+) A:CERVICO-THORACIC S

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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24October 31, 2014

DAÁU HIEÄU COÅ NGÖCERVICO-THORACIC SIGN

CERVICO-THORACIC SIGN (+):BÖÔÙU GIAÙP THOØNG

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25October 31, 2014

DAÁU HIEÄU COÅ NGÖCERVICO-THORACIC SIGN

CERVICO-THORACIC SIGN (+):BÖÔÙU GIAÙP THOØNG

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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26October 31, 2014

DAÁU HIEÄU COÅ NGÖCERVICO-THORACIC SIGN

CERVICO-THORACIC SIGN (-): NEUROBLASTOMA

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27October 31, 2014

DAÁU HIEÄU COÅ NGÖCERVICO-THORACIC SIGN

CERVICO-THORACIC SIGN (-):NEURINOMA

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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28October 31, 2014

DAÁU HIEÄU COÅ NGÖCERVICO-THORACIC SIGN

CERVICO-THORACIC SIGN (-)POSTERIOR MEDIASTINUM + CALCIFICATIONNEUROBLASTOMA

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29October 31, 2014

DAØN BAØIÑaïi cöông.1.Daáu hieäu boùng bôø (Silhouette sign).2.Daáu hieäu coå-ngöïc (Cervico-thoracic sign).3.Daáu hieäu ngöïc-buïng hay Daáu hieäu taûng baêng

(Thoraco-abdominal sign or Iceberg sign).4.Daáu hieäu caùnh buoàm (Sail sign).5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(Hilum overlay sign & Hilum convergence sign).7.Daáu hieäu khí aûnh noäi pheá quaûn (Air bronchogram sign).

8.Daáu hieäu S-Golden (S-Golden’s sign ).9.Daáu hieäu lieàm khí (Air crescent sign).10.Daáu hieäu luftsichel (Luftsichel sign).11.Daáu hieäu phaúng eo (Flat waist sign).

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30October 31, 2014

DAÁU HIEÄU NGÖÏC-BUÏNGTHORACO-ABDOMINAL SIGN (ICEBERG SIGN

Döïa treân daáu hieäu boùng bôø ngöôøi ta ñöa ra naøy ñeå ñònh vò moät boùng môø trung thaát sauNeáu bôø döôùi cuûa moät boùng môø trung thaát coät soáng roài bieán maát trong ñaäm ñoä dòch cubuïng,thì boùng môø naøy naèm trong oå buïng (pcuûa taûng baêng) vôùi phaàn noåi cuûa taûng baêtrong loàng ngöïc.Ta goïi laøIceberg sign (+).Neáu bôø döôùi cuûa boùng môø vaãn thaáy roõ vphía coät soáng thì boùng môø naøy naèm hoaøn tloàng ngöïc.Ta goïi laøIceberg sign (-).

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31October 31, 2014

DAÁU HIEÄU NGÖÏC-BUÏNGTHORACO-ABDOMINAL SIGN (ICEBERG SIGN

ICEBERG SIGN (+) ICEBERG SIGN (-)

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32October 31, 2014

DAÁU HIEÄU NGÖÏC-BUÏNGTHORACO-ABDOMINAL SIGN (ICEBERG SIGN

ICEBERG SIGN (+)NEUROBLASTOMA

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33October 31, 2014

DAÁU HIEÄU NGÖÏC-BUÏNGTHORACO-ABDOMINAL SIGN (ICEBERG SIGN

ICEBERG SIGN (+) :NEUROBLASTOMA

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34October 31, 2014

DAÁU HIEÄU NGÖÏC-BUÏNGCHAÅN ÑOAÙN PHAÂN BIEÄT

ICEBERG SIGN (+) :NEUROBLASTOMA

BOÙNG MÔØ TAM GIAÙC SAXEÏP THUØY DÖÔÙI PHOÅ

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35October 31, 2014

DAÁU HIEÄU NGÖÏC-BUÏNGTHORACO-ABDOMINAL SIGN (ICEBERG SIGN

ICEBERG SIGN (-) : NEUROBLASTOMA

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36October 31, 2014

DAÁU HIEÄU NGÖÏC-BUÏNGTHORACO-ABDOMINAL SIGN (ICEBERG SIGN

ICEBERG SIGN (-): NEURINOMA

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37October 31, 2014

DAØN BAØIÑaïi cöông.1.Daáu hieäu boùng bôø (Silhouette sign).2.Daáu hieäu coå-ngöïc (Cervico-thoracic sign).3.Daáu hieäu ngöïc-buïng hay Daáu hieäu taûng baêng

(Thoraco-abdominal sign or Iceberg sign).4.Daáu hieäu caùnh buoàm (Sail sign).5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(Hilum overlay sign & Hilum convergence sign).7.Daáu hieäu khí aûnh noäi pheá quaûn (Air bronchogram sign).

8.Daáu hieäu S-Golden (S-Golden’s sign ).9.Daáu hieäu lieàm khí (Air crescent sign).10.Daáu hieäu luftsichel (Luftsichel sign).11.Daáu hieäu phaúng eo (Flat waist sign).

Á Ù

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38October 31, 2014

DAÁU HIEÄU CAÙNH BUSAIL SIGN

Boùng tuyeán öùc bìnhthöôøng (normalthymus) ôû treû döôùi

3 tuoåi ñoâi khi bòchaån ñoaùn laàm laøkhoái u trung thaát.Hình aûnh thaáyñöôïc treân X quangraát ña daïng,trongñoù daáu hieäu caùnhbuoàm laø ñieån hình.

Á Ù

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39October 31, 2014

DAÁU HIEÄU CAÙNH BUSAIL SIGN

THYMIC SAIL SIGN

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40October 31, 2014

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41October 31, 2014

THYMIC SAIL SIGN

Caáu truùc hoài aâm luoân lu

ñoàng daïng

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42October 31, 2014

DAØN BAØIÑaïi cöông.1.Daáu hieäu boùng bôø (Silhouette sign).2.Daáu hieäu coå-ngöïc (Cervico-thoracic sign).3.Daáu hieäu ngöïc-buïng hay Daáu hieäu taûng baêng

(Thoraco-abdominal sign or Iceberg sign).4.Daáu hieäu caùnh buoàm (Sail sign).5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(Hilum overlay sign & Hilum convergence sign).7.Daáu hieäu khí aûnh noäi pheá quaûn (Air bronchogram sign).

8.Daáu hieäu S-Golden (S-Golden’s sign ).9.Daáu hieäu lieàm khí (Air crescent sign).10.Daáu hieäu luftsichel (Luftsichel sign).11.Daáu hieäu phaúng eo (Flat waist sign).

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43October 31, 2014

DAÁU HIEÄU CHE LAÁP ROÁN PHOÅI & DAÁU HIEÄUHILUM OVERLAY SIGN & HILUM CONVERGENCE S

Daáu hieäu naøy ñöôïc ñöa ra bôûi Benjamine FelsKhi ñoïc phim oâng ta nhaän thaáy raèngroán phoåi hai beânnaèm caïnh boùng tim hoaëc ngay trong bôø cuûa ôû 98% tröôøng hôïp,chæ coù 2% tröôøng hôïp roánaèm chìm trong bôø boùng tim # 1cm.Moái quan heä naøyvaãn giöõ nguyeân khi coù Traøn dòch maøng timhoaëc Phình ÑMP.Moät boùng môø trung thaát tröôùc coù theå laàm dòch maøng tim,Tim to hoaëc Phình ÑMP.

Ta noùiHilum convergence sign (+):Khi boùng roán phoåi naèmngay bôø boùng timTraøn dòch maøng tim,Tim to hoaëc PhÑMP.Ta noùiHilum overlay sign (+):Khi boùng roán phoåi ôû saâu >trong bôø boùng timBoùng môø trung thaát tröôùc.

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44October 31, 2014

DAÁU HIEÄU CHE LAÁP ROÁN PHOÅI & DAÁU HIEÄUHILUM OVERLAY SIGN & HILUM CONVERGENCE S

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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45October 31, 2014

DAÁU HIEÄU CHE LAÁP ROÁN PHOÅI & DAÁU HIEÄUHILUM OVERLAY SIGN & HILUM CONVERGENCE S

HILUM CONVERGENCE SIGN:PHÌNH ÑOÄNG MAÏCH PHOÅI (T)

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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46October 31, 2014

HILUM CONVERGENCE SIGN:TAÊNG AÙP ÑOÄNG MAÏCH PHOÅI / ÑAÛO NGÖÔÏC

PHUÛ TAÏNG

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47October 31, 2014

DAÁU HIEÄU CHE LAÁP ROÁN PHOÅI & DAÁU HIEÄUHILUM OVERLAY SIGN & HILUM CONVERGENCE S

HILUM OVERLAY SIGN:TERATOMA

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48October 31, 2014

DAÁU HIEÄU CHE LAÁP ROÁN PHOÅI & DAÁU HIEÄUHILUM OVERLAY SIGN & HILUM CONVERGENCE S

HILUM OVERLAY SIGN:THYMOMA

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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49October 31, 2014

DAÁU HIEÄU CHE LAÁP ROÁN PHOÅI & DAÁU HIEÄUHILUM OVERLAY SIGN & HILUM CONVERGENCE S

HILUM OVERLAY SIGN:TERATOMA

A.J.Chandrasekhar,M.D.Chest X-ray Atlas.

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50October 31, 2014

DAØN BAØIÑaïi cöông.1.Daáu hieäu boùng bôø (Silhouette sign).2.Daáu hieäu coå-ngöïc (Cervico-thoracic sign).3.Daáu hieäu ngöïc-buïng hay Daáu hieäu taûng baêng

(Thoraco-abdominal sign or Iceberg sign).4.Daáu hieäu caùnh buoàm (Sail sign).5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(Hilum overlay sign & Hilum convergence sign).7.Daáu hieäu khí aûnh noäi pheá quaûn (Air bronchogram sign).

8.Daáu hieäu S-Golden (S-Golden’s sign ).9.Daáu hieäu lieàm khí (Air crescent sign).10.Daáu hieäu luftsichel (Luftsichel sign).11.Daáu hieäu phaúng eo (Flat waist sign).

Á Ä Í Û Ä

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51October 31, 2014

DAÁU HIEÄU KHÍ AÛNH NOÄI PAIR BRONCHOGRAM SIGN

Bình thöôøng caùc pheá quaûntrong phoåi khoâng thaáy ñöôïcbôûi chuùng chöùa khí vaø baoquanh bôûi caùc pheá nangcuõng chöùa khí.Khi nhu moâ phoåi bò ñoângñaëc,caùc pheá nang laáp ñaàydòch,trong khi loøng pheá quaûncoøn thoâng thoaùng,luùc naøy taseõ thaáy roõ loøng caùc pheáquaûn treân phim:Airbronchogram sign (+).

Á Ä Í Û Ä

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52October 31, 2014

DAÁU HIEÄU KHÍ AÛNH NOÄI PAIR BRONCHOGRAM SIGN

RUL Consolidation Strep Pneumonia

A.J.Chandrasekhar,M.D.Chest X-ray Atlas.

Á Ä Í Û Ä

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53October 31, 2014

DAÁU HIEÄU KHÍ AÛNH NOÄI PAIR BRONCHOGRAM SIGN

Khi moät boùng môø coùAir bronchogram sign (+)thì tacoù theå khaúng ñònh toån thöông ôû trong phoåi.

Air bronchogram sign (+)giuùp loaïi tröø moät toånthöông thaønh ngöïc,maøng phoåi vaø trung thaát.Air bronchogram sign (+)thöôøng gaëp trong Vieâmphoåi,Phuø phoåi vaø ñoâi khi trong Nhoài maùu p

Caùc khoái u phoåi thöôøng coùAir bronchogram sign (-),ngoaïi tröø alveolar cell carcinoma.

DAÁU HIEÄU KHÍ AÛNH NOÄI P

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54October 31, 2014

DAÁU HIEÄU KHÍ AÛNH NOÄI PAIR BRONCHOGRAM SIGN

D.Anthoine et al.L’Imagerie Thoracique.1996 -1998.

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DAÁU HIEÄU KHÍ AÛNH NOÄI P

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56October 31, 2014

DAÁU HIEÄU KHÍ AÛNH NOÄI PAIR BRONCHOGRAM SIGN

AIR BRONCHOGRAM SIGN (+)PHUØ PHOÅI DO NGUYEÂN NTHAÀN KINH

(CHAÁN THÖÔNG SOÏ NAÕO

DAÁU HIEÄU KHÍ AÛNH NOÄI P

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57October 31, 2014

DAÁU HIEÄU KHÍ AÛNH NOÄI PAIR BRONCHOGRAM SIGN

Joseph K.T.Lee. Lee computed body tomography with MRI correlation. 1998

AIR BRONCHOGRAM SIGN (+):VIEÂM PHOÅI

DAÁU HIEÄU KHÍ AÛNH NOÄI P

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58October 31, 2014

DAÁU HIEÄU KHÍ AÛNH NOÄI PAIR BRONCHOGRAM SIGN

AIR BRONCHOGRAM SIGN (+):PHUØ PHOÅI TOÅN THÖÔNG

DAÁU HIEÄU KHÍ AÛNH NOÄI P

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59October 31, 2014

DAÁU HIEÄU KHÍ AÛNH NOÄI PAIR BRONCHOGRAM SIGN

U PHEÁ QUAÛN PHAÂN THUØY 2 PHOÅI (P)(BRONCHIOLOALVEOLAR CARCINOMA)

Alain Blum.Scanographie volumique multicoupe.MASSON.

DAÁU HIEÄU KHÍ AÛNH NOÄI P

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60October 31, 2014

DAÁU HIEÄU KHÍ AÛNH NOÄI PAIR BRONCHOGRAM SIGN

K TIEÅU PHEÁ QUAÛN-PHEÁ NANG LAN TOÛ

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61October 31, 2014

DAØN BAØIÑaïi cöông.1.Daáu hieäu boùng bôø (Silhouette sign).2.Daáu hieäu coå-ngöïc (Cervico-thoracic sign).3.Daáu hieäu ngöïc-buïng hay Daáu hieäu taûng baêng

(Thoraco-abdominal sign or Iceberg sign).4.Daáu hieäu caùnh buoàm (Sail sign).5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(Hilum overlay sign & Hilum convergence sign).7.Daáu hieäu khí aûnh noäi pheá quaûn (Air bronchogram sign).

8.Daáu hieäu S-Golden (S-Golden’s sign ).9.Daáu hieäu lieàm khí (Air crescent sign).10.Daáu hieäu luftsichel (Luftsichel sign).11.Daáu hieäu phaúng eo (Flat waist sign).

DAÁU HIEÄU S

GOLDEN

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62October 31, 2014

DAÁU HIEÄU S-GOLDENS-GOLDEN’S SIGN

Moät khoái u naèm caïnhpheá quaûn,khi phaùttrieån seõ cheøn eùp pheáquaûn gaây xeïpphoåi.Bôø cuûa vuøngphoåi xeïp cuøng vôùikhoái u taïo thaønh hìnhchöõ S.

Daáu hieäu naøy ñieånhình thaáy ôû khoái upheá quaûn thuøy treânphoåi (P).

DAÁU HIEÄU S

GOLDEN

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63October 31, 2014

DAÁU HIEÄU S-GOLDENS-GOLDEN’S SIGN

Non–small cell carcinoma of the bronchus(S-Golden’s sign)

Weissleder et al.Diagnostic Imaging Expert.1998

DAÁU HIEÄU S

GOLDEN

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64October 31, 2014

DAÁU HIEÄU S-GOLDENS-GOLDEN’S SIGN

Dalia Megiddo,M.D et al. Chest X-ray interpretation. Academia Medica,Jerusalem,ISRAEL.

DAÁU HIEÄU S

GOLDEN

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65October 31, 2014

DAÁU HIEÄU S-GOLDENS-GOLDEN’S SIGN

Joseph K.T.Lee. Lee computed body tomography with MRI correlation. 1998

XEÏP THUØY TREÂN PHOÅI (T) (caùc ñaàu muõi DO U PHEÁ QUAÛN (muõi teân)S-GOLDEN’S SIGN

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66October 31, 2014

DAØN BAØIÑaïi cöông.1.Daáu hieäu boùng bôø (Silhouette sign).2.Daáu hieäu coå-ngöïc (Cervico-thoracic sign).3.Daáu hieäu ngöïc-buïng hay Daáu hieäu taûng baêng

(Thoraco-abdominal sign or Iceberg sign).4.Daáu hieäu caùnh buoàm (Sail sign).5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(Hilum overlay sign & Hilum convergence sign).7.Daáu hieäu khí aûnh noäi pheá quaûn (Air bronchogram sign).

8.Daáu hieäu S-Golden (S-Golden’s sign ).9.Daáu hieäu lieàm khí (Air crescent sign).10.Daáu hieäu luftsichel (Luftsichel sign).11.Daáu hieäu phaúng eo (Flat waist sign).

DAÁU HIEÄU LIEÀM KHÍ

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67October 31, 2014

DAÁU HIEÄU LIEÀM KHÍAIR CRESCENT SIGN

Khi banh naám(fungus ball) phaùttrieån trong moät caáutruùc hang thì dobanh naám laên troøntrong hang,cho neân

ta seõ thaáy 1 lieàm khíôû vò trí caoPulmonaryAspergillosis

DAÁU HIEÄU LIEÀM KHÍ

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68October 31, 2014

DAÁU HIEÄU LIEÀM KHÍAIR CRESCENT SIGN

AØ AØ

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69October 31, 2014

DAØN BAØIÑaïi cöông.1.Daáu hieäu boùng bôø (Silhouette sign).2.Daáu hieäu coå-ngöïc (Cervico-thoracic sign).3.Daáu hieäu ngöïc-buïng hay Daáu hieäu taûng baêng

(Thoraco-abdominal sign or Iceberg sign).4.Daáu hieäu caùnh buoàm (Sail sign).5,6.Daáu hieäu che laáp roán phoåi & Daáu hieäu hoäi tuï roán phoåi

(Hilum overlay sign & Hilum convergence sign).7.Daáu hieäu khí aûnh noäi pheá quaûn (Air bronchogram sign).

8.Daáu hieäu S-Golden (S-Golden’s sign ).9.Daáu hieäu lieàm khí (Air crescent sign).10.Daáu hieäu luftsichel (Luftsichel sign).11.Daáu hieäu phaúng eo (Flat waist sign).

DAÁU HIEÄU LUFTSICHEL

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70October 31, 2014

DAÁU HIEÄU LUFTSICHELLUFTSICHEL SIGN

Daáu hieäu naøy ñöôïc caùctaùc giaû ngöôøi Ñöùc ñöara (luft:air.sichel:crescent).Khi thuøy treân phoåi (T)bò xeïp,noù seõ bò keùo vaøotrong vaø leân treân.Bôø

treân trong cuûa thuøytreân seõ taïo vôùi trungthaát moät lieàm khí vôùiquai ÑMC.

DAÁU HIEÄU LUFTSICHEL

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71October 31, 2014

DAÁU HIEÄU LUFTSICHELLUFTSICHEL SIGN

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DAÁU HIEÄU PHAÚNG E

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73October 31, 2014

DAÁU HIEÄU PHAÚNG EFLAT WAIST SIGN

Khi thuøy döôùi (T) xeïp hoaøn toaøn,noù seõ keùo roán phoåi (T) boùng tim bò xoay, laøm cho maát bôø ngoaøi cuûa roán phoåi (T)

DAØN BAØI ( i á h

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74October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU WESTEMARK

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75October 31, 2014

DAÁU HIEÄU WESTEMARKWESTEMARK’S SIGN

Daáu hieäu naøy coùñöôïc khi thuyeân taécñoäng maïch phoåilaøm giaûm töôùi maùu(oligemia) phaànphoåi sau taéc ngheõn.

DAÁU HIEÄU WESTEMARK

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76October 31, 2014

DAÁU HIEÄU WESTEMARKWESTEMARK’S SIGN

DAØN BAØI ( i á h

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77October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

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BÖÔÙU HAMPTON

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79October 31, 2014

BÖÔÙU HAMPTONHAMPTON’S HUMP

BÖÔÙU HAMPTON

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80October 31, 2014

BÖÔÙU HAMPTONHAMPTON’S HUMP

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DAØN BAØI (ti á th

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83October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU FLEISCHNER

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84October 31, 2014

DAÁU HIEÄU FLEISCHNERFLEISCHNER’S SIGN

Thöôøng ñi keøm theodaáu hieäu Westemark laødaáu hieäu Fleischner(Fleischner's sign):Phình ÑMP goác (muõi

teân) do taéc ngheõn ôû haïlöu.

DAØN BAØI (ti á th

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85October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU THANH MAÕ

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86October 31, 2014

DAÁU HIEÄU THANH MAÕSCIMITAR SIGN

Daáu hieäu naøy thaáy trong beänh lyù Söï trôû veà baát thöôøng vtoaøn cuûa tónh maïch phoåi (Partial anomalous pulmonary venous return -PAPVR). Caùc TM phoåi (P) thay vì ñoå veà nhó (T),thì hôïp laïi thaøchung ñoå veà TMCD taïo neân hình aûnh thanh göôm Thoå Nhó K

DAÁU HIEÄU THANH MAÕ T

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87October 31, 2014

DAÁU HIEÄU THANH MAÕ TSCIMITAR SIGN

DAØN BAØI (tieáp the

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88October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU HÌNH SOÁ 3

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89October 31, 2014

DAÁU HIEÄU HÌNH SOÁ 3FIGURE 3 SIGN (MOGUL SIGN)

Vò trí cuûa thaét eo ÑMC thöôøng ôû sau nôi xuaát phaùt ÑgM dö(T).Qua choã thaét eo ÑMC seõ phình ra sau heïpTaïo thaønh hình soá 3ngay döôùi quai ÑMC (Figure 3 sign).

DAÁU HIEÄU HÌNH SOÁ 3

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90October 31, 2014

DAÁU HIEÄU HÌNH SOÁ 3FIGURE 3 SIGN (MOGUL SIGN)

AORTIC COARCTATION

DAØN BAØI (tieáp the

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91October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU KHUYEÁT SÖÔØN

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92October 31, 2014

D U U U SÖÔØRIB NOTCHING SIGN

Trong beänh lyù thaét eo ÑMC maùu seõ thieáuhuït sau choã thaét eo,do vaäy tuaàn hoaønbaøng heä phaùt trieån:

A:Maùu seõ töø ÑMDÑ qua ÑgM vaixuoáng (descending scapular artery) ,tieáp noái vôùi ÑgM lieân söôøn ñeå trôû veà

ÑMC sau choã heïp.B:Maùu seõ töø ÑMDÑ qua ÑgM vuù trong(internal mammary artery), tieáp noái vôùiÑgM lieân söôøn ñeå trôû veà ÑMC sauchoã heïp.Löu yù raèng doøng maùu trong ÑgM lieânsöôøn ôû beänh lyù naøy-khaùc vôùi bìnhthöôøng-seõ chaûy ngöôïc veà ÑMC,vaøkhaåu kính seõ taêng leân nhieàu so vôùibình thöôøng. ÑgM lieân söôøn ñaäp maïnhlaøm khuyeát bôø döôùi cung söôøn.

Aortic Stenosis: Spectrum of Diseases Depicted at Multisection CT. Carmen Sebastià, MD. ( Radiographics. 2003;23:S79-S91.)

DAÁU HIEÄU KHUYEÁT SÖÔØN

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93October 31, 2014

DAÁU HIEÄU KHUYEÁT SÖÔØNRIB NOTCHING SIGN

Aortic Stenosis: Spectrum of Diseases Depicted at Multisection CT. Carmen Sebastià, MD. ( Radiographics. 2003;23:S79-S91.)

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DAÁU HIEÄU KHUYEÁT SÖÔØN

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95October 31, 2014

RIB NOTCHING SIGN

AORTIC COARCTATION / TURNER’S SYNDROME (XO)

DAÁU HIEÄU KHUYEÁT SÖÔØN

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96October 31, 2014

RIB NOTCHING SIGN

Pediatric Ribs: A Spectrum of Abnormalities. Ronald B. J. Glass, MD ( Radiographics. 2002;22:87-104.)

NEUROFIBROMATOSIS:Treû gaùi 15 tuoåi,khuyeá

xöông bôø döôùi moät soá cusöôøn do u ôû caùc daây thakinh lieân söôøn.Löu yù co

neurofibromas ôû vuøng ñæphoåi hai beân.Nhö vaäy,ngoaøi nguyeân nh

Thaét eo ÑMC,thìNeurofibromatosis cuõng la

moät nguyeân nhaân gaâykhuyeát xöông ôû bôø döôù

cung söôøn.

DAØN BAØI (tieáp the

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97October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU CON MEØO DÖÔÙI

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98October 31, 2014

CAT UNDER THE RUG SIGN

PLASMACYTOMA RIB

Daáu hieäu naøy giuùp chaån ñoaùn moät boùng môø ngoaøi phoåi

DAØN BAØI (tieáp the

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99October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU MÖÏC THUÛY

-

KHÍ

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100October 31, 2014

SIGNE DES NIVEAUX

Daáu hieäu naøy ñöôïc phoå bieánôû Phaùp bôûi Joseù REMY.Noù

giuùp phaân bieät hình aûnh möïcthuûy-khí ôû trong nhu moâ phoåihay ôû maøng phoåi.Neáu A = A’ ÔÛ trong nhumoâ phoåi.Neáu P # P’ ÔÛ maøng phoåi.

DAÁU HIEÄU MÖÏC THUÛY

-

KHÍ

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101October 31, 2014

SIGNE DES NIVEAUX

A = A’ = 6cm

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102October 31, 2014

P # P’ A = A’

DAØN BAØI (tieáp the

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103October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU GOÙC SÖÔØN HOA

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104October 31, 2014

DEEP SULCUS SIGN

Daáu hieäu naøy thaáy ñöôïc treâncaùc phim chuïp beänh nhaân ôûtö theá naèm trong caùc phoøngchaêm soùc ñaëc bieät (ICU).Khi coù traøn khí maøng phoåi,khíseõ tuï taäp ôû goùc söôøn hoaønhtröôùc,taïo ra daáu hieäu goùcsöôøn hoaønh saâu.Vieäc nhaän

bieát daáu hieäu naøy raát quantroïng vì ta raát deã boû soùt hìnhaûnh traøn khí maøng phoåi treânphim ngöïc naèm.

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DAÁU HIEÄU GOÙC SÖÔØN HOA

DEEP SULCUS SIGN

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106October 31, 2014

DEEP SULCUS SIGN

Coù caàn thieát chuïp laïi phimloàng ngöïc hay khoâng ?

DAØN BAØI (tieáp the

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107October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).

23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU VIEÀN KHÍ QUANH ÑOÄ

RING AROUND THE ARTERY SIGN

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108October 31, 2014

RING AROUND THE ARTERY SIGNDaáu hieäu naøy thaáy ñöôïc chuû yeáu treân phim ngöïc nghieâng gTraøn khí trung thaát.

DAØN BAØI (tieáp the

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109October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).

23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU VOØM HOAØNH

CONTINUOUS DIAPHRAGM SIG

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110October 31, 2014

CONTINUOUS DIAPHRAGM SIG

Bình thöôøng ta khoâng theåthaáy lieân tuïc voøm hoaønh töø(P) sang (T) do boùng tim taïoneân daáu hieäu Silhouette sign(+) vôùi voøm hoaønh.Khi ta thaáy voøm hoaønh (P)ñöôïc noái lieân tuïc qua voømhoaønh (T) thì coù nghóa laø coùTraøn khí maøng timdo khí lenvaøo döôùi boùng tim.

DAÁU HIEÄU VOØM HOAØNH

CONTINUOUS DIAPHRAGM SIG

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111October 31, 2014

CONTINUOUS DIAPHRAGM SIG

DAÁU HIEÄU VOØM HOAØNH

CONTINUOUS DIAPHRAGM SIG

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112October 31, 2014

CONTINUOUS DIAPHRAGM SIG

DAØN BAØI (tieáp the

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113October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).

23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU VOØM HOAØNH

DOUBLE

DIAPHRAGM SIGN

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114October 31, 2014

DOUBLE-DIAPHRAGM SIGNÑoâi khi Traøn khí maøng phoåi khoâng tuï taäp ôû nôi cao maø laïi khu trutaïo neân daáu hieäu voøm hoaønh ñoâi.

SUBPULMONIC PNEUMOTHORAX

DAØN BAØI (tieáp the

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115October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).

23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

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DAÁU HIEÄU ÑÖÔØNG VAØO

-

ÑÖÔØNG RA

INLET TO OUTLET SIGN

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ACHALASIA

DAÁU HIEÄU ÑÖÔØNG VAØO

-

ÑÖÔØNG RA

INLET TO OUTLET SIGN

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PHÌNH ÑOÄNG MAÏCH CHUÛ NGÖÏC

DAØN BAØI (tieáp the

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120October 31, 2014

DAØN BAØI (tieáp the12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).

23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU BAÊNG QUA ÑÖÔØ

CROSSING MIDLINE SIGN

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Moät boùng môø ôû trung thaátsau döôùi,neáu baêng quañöôøng giöõa thì nhieàu khaûnaêng boùng môø ñoù coùnguoàn goác töøoáng tieâu hoùa(hiatal hernia).Ñeå xaùc ñònh ta caàn chuïpphim loàng ngöïc coù uoángcaûn quang Baryte.

DAÁU HIEÄU BAÊNG QUA ÑÖÔØ

CROSSING MIDLINE SIGN

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DAÁU HIEÄU BAÊNG QUA ÑÖÔØ

CROSSING MIDLINE SIGN

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DAÁU HIEÄU BAÊNG QUA ÑÖÔØ

CROSSING MIDLINE SIGN

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CROSSING MIDLINE SIGN

DAØN BAØI (tieáp the

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Ø Ø ( p12.Daáu hieäu Westemark (Westemark’s sign ).

13.Böôùu Hampton (Hampton’s hump ).14.Daáu hieäu Fleichner (Fleichner’s sign ).15.Daáu hieäu thanh maõ taáu (Scimitar sign).16.Daáu hieäu hình soá 3 (Figure 3 sign).17.Daáu hieäu khuyeát söôøn (Rib notching sign).

18.Daáu hieäu con meøo döôùi taám meàn (Cat under the rug sign).19.Daáu hieäu möïc thuûy-khí (Signe des niveaux).20.Daáu hieäu goùc söôøn hoaønh saâu (Deep sulcus sign).21.Daáu hieäu vieàn khí quanh ñoäng maïch (Ring around the artery sign).22.Daáu hieäu voøm hoaønh lieân tuïc (Continuous diaphragm sign).

23.Daáu hieäu voøm hoaønh ñoâi (Double-diaphragm sign).24.Daáu hieäu ñöôøng vaøo-ñöôøng ra (Inlet to outlet sign).25.Daáu hieäu baêng qua ñöôøng giöõa (Crossing midline sign).26.Daáu hieäu baêng qua thaønh ngöïc (Crossing chest wall sign).Keát luaän.

DAÁU HIEÄU BAÊNG QUA THAØ

CROSSING CHEST WALL SIGN

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CROSSING CHEST WALL SIGN:BUÙI TOÙC

DAÁU HIEÄU BAÊNG QUA THAØ

CROSSING CHEST WALL SIGN

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CROSSING CHEST WALL SIGN:BUÙI TOÙC

DAÁU HIEÄU BAÊNG QUA THAØ

CROSSING CHEST WALL SIGN

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A.J.Chandrasekhar,M.D.Chest X-ray Atlas.

CROSSING CHEST WALL SIGN:BUÙI TOÙC

DAÁU HIEÄU BAÊNG QUA THAØ

CROSSING CHEST WALL SIGN

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CROSSING CHEST WALL SIGN:BUÙI TOÙC

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