thorax - radiology

34
THORAX - RADIOLOGY THORAX - RADIOLOGY By- V.Janarthanan. V.Janarthanan.

Upload: dr-janarthanan-v

Post on 07-Apr-2015

321 views

Category:

Documents


12 download

TRANSCRIPT

Page 1: Thorax - Radiology

THORAX - RADIOLOGYTHORAX - RADIOLOGY

By-

V.Janarthanan.V.Janarthanan.

Page 2: Thorax - Radiology

 1. Right Lung

2. Heart 3. Right

(acute) margin of heart

4. Diaphragm

5. Trachea 6. Left

lung 7. Left

(obtuse) margin of heart

8. Apex of heart

Chest X-Ray

Page 3: Thorax - Radiology

Thorax - Chest Valves and Catheter

Page 4: Thorax - Radiology

Thorax- Chest lateral Diaphragm

Arrows: Left dome of the Diaphragm.

Page 5: Thorax - Radiology

Thorax- Collapsed lung Child

Arrows: Lung details disappeared. No air.

Page 6: Thorax - Radiology

Thorax- Chest Pneumothorax

Arrows: Lung markings disappeared.

Page 7: Thorax - Radiology

Thorax: Lung Cancer

Arrow: An unusual opacity in the left lung.

Page 10: Thorax - Radiology

Thorax- Chest CT

Page 11: Thorax - Radiology

Thorax-Chest CT

Page 12: Thorax - Radiology

Heart-3D Views

Page 13: Thorax - Radiology

Aortic Arch 3D

1.Aortic Arch 2.Descending Aorta 3.Left Subclavian 4.Brachiocephalic Trunk 5.Left Common Cartotid 6.Ascending Aorta 7.Pulmonary Trunk

8.Heart

Page 14: Thorax - Radiology

Thorax- Chest CT Heart

1.Right Atrium. 2.Left Atrium. 3.Right Ventricle. 4.Left Ventricle. 5.Descending Aorta. 6.Transverse Process of T7. 7.Right Bronchus. 8.Left Bronchus

Page 15: Thorax - Radiology

Heart CT

1.Ascending aorta 2.Right pulmonary artery 3.Pulmonary trunk 4.Descending aorta

Page 16: Thorax - Radiology

Heart CT

1.Right atrium 2.Right ventricle 3.Left ventricle 4.Left atrium 5.Descending aorta

Page 17: Thorax - Radiology

Thorax-Chest CT Great vessels

1.Superior vena cava 2.Ascending aorta 3.Descending aorta 4.Trachea 5.Right lung 6.Left lung 7.Sternum

Thorax-Chest CT Great vessels

Page 18: Thorax - Radiology

Lung CT

1.Right lung 2.Trachea 3.Left lung 4.Bifurcation 5.Right bronchus 6.Left bronchus

Page 19: Thorax - Radiology

Lungs in 3D

1.Right Lung 2.Right Main Bronchus 3.Trachea 4.Left Lung 5.Left Main Bronchus

Page 20: Thorax - Radiology

Lungs-3D Views

Page 21: Thorax - Radiology

Lungs-3D Views

Page 22: Thorax - Radiology

Lungs-3D Views

Page 23: Thorax - Radiology

Lungs-3D Views

Page 24: Thorax - Radiology

Lungs-3D Views

Page 25: Thorax - Radiology

Lungs-3D Views

Page 26: Thorax - Radiology

Lungs in 3D

1.Right Main Bronchus 2.Right Upper Lobe Bronchus 3.Right Lung 4.Right Lower Lobe Bronchus 5.Trachea 6.Left Lung 7.Left Main Bronchus

Page 27: Thorax - Radiology

Trachea Bifurcation

1.Cardiac Bronchus (normal variation) 2.Right Middle Lobe 3.Right Main Bronchus 4.Right Oblique Fissure 5.Right Lower Lobe 6.Lingular lobe of the left lung 7.Left Upper Lobe 8.Left Upper Lobe Bronchus 9.Left Main Bronchus 10.Left Oblique Fissure 11.Left Lower Lobe

Page 29: Thorax - Radiology

BRONCHOGRAPHY• bron·chog·ra·phy (brng-kgr-f) • n. • The radiographic examination of the tracheobronchial tree following the

injection of a radiopaque material.• bron·cho·gram (brngk-grm) n.• The American Heritage® Medical Dictionary Copyright © 2007, 2004 by

Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.

• bronchography• radiography of the lungs after instillation of an opaque medium in the

bronchi.• Saunders Comprehensive Veterinary Dictionary, 3 ed. © 2007 Elsevier, Inc.

All rights reserved•bronchography

• Radiography of the bronchial tree after injection of a contrast medium.

• (12 Dec 1998)

Page 30: Thorax - Radiology

What is bronchography?

A bronchography is a radiographic (x-ray) examination of the interior passageways of the lower respiratory tract. The structures of the lower respiratory tract, which include the larynx (voice box), trachea (windpipe), and bronchi (larger branching airways to the lungs), become visible on x-ray film after contrast dye is instilled through either a catheter or bronchoscope (narrow, flexible, lighted tube) into these areas. Contrast dye is a substance that causes a particular organ, tissue, or structure to be more visible on x-ray or other diagnostic images.The contrast dye is released as the catheter or bronchoscope is inserted through the nose or mouth and advanced down the throat into the trachea and

Page 31: Thorax - Radiology

TYPES:

Page 32: Thorax - Radiology

NORMAL BRONCHOGRAM

PA and latero-lateral bronchography: The right bronchial tree is filled with contrast material; no obstruction or filling defect can be detected.

Page 33: Thorax - Radiology

BRONCHOGRAPHY & DEATH

• W. H. McAlister1

• (1) • Mallinckrodt Institute of Radiology, Washington University School

of Medicine, St. Louis, Missouri, USA• Received: 16 November 1988  Accepted: 30 December 1988   • Abstract  A young woman died following bronchography. The

bilateral bronchogram done under general anesthesia without fluoroscopic control was associated with extensive small airway filling or “alveolarization” of the contrast medium. The oily Dionosil used had been heated in an autoclave. Experiments showed that the viscosity of oily Dionosil decreases with heating. The lowered viscosity could have contributed to the increased “alveolarization” of the contrast agent and death of the patient.

• http://www.springerlink.com/content/g741h376565t3023/

Page 34: Thorax - Radiology

COURTESY

• http://www.springerlink.com/content/g741h376565t3023/

• http://centegra.org/Content.asp?PageID=P07744 • http://www.szote.u-szeged.hu/radio/mellk1/

amelk2c.htm•  http://anatomy.med.umich.edu/radiology/xray/

xray_list.html#thorax • The University of Michigan