A.WEISS M.D D.E.S,Chirurgie Générale, Viscérale et Laparoscopique A.F.S/A.F.S.A/DU - FRANCE.

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Presentation transcript:

A.WEISS M.D D.E.S,Chirurgie Générale, Viscérale et Laparoscopique A.F.S/A.F.S.A/DU - FRANCE

Basics. Best exam results. Appreciate the role radiology plays. Instil an interest in radiology. 9/29/20092A.K.WEISS M.D

Densities Techniques Anatomy CXR Interpretation Common Pathologies Questions 9/29/20093A.K.WEISS M.D

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 9/29/20094A.K.WEISS M.D

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LOW HIGH 9/29/200910A.K.WEISS M.D

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RIGHT UPPER LOBE

RIGHT MIDDLE LOBE

RIGHT LOWER LOBE

LEFT LOWER LOBE

LEFT UPPER LOBE WITH LINGULA

LINGULA

LEFT UPPER LOBE – UPPER DIVISION

- RIGHT BORDER : EDGE OF ( R ) ATRIUM - LEFT BORDER : ( L ) VENTRICLE + ATRIUM - POSTERIOR BORDER : REFT VENTRICLE - ANTERIOR BORDER : RIGHT VENTRICLE

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1. Superior vena cava 2. Inferior vena cava 3. Right atrium (blue) 4. Right ventricle (blue) 5. Left ventricle (red) 6. Aorta 7. Pulmonary trunk 9/29/200926A.K.WEISS M.D

Made of : 1. Pulmonary Art.+Veins 2. The Bronchi Left Hilus higher (max 1-2,5 cm) Identical : size, shape, density

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POSTERIOR-ANTERIOR VIEWLATERAL VIEW 9/29/200935A.K.WEISS M.D

1. Rib 2. Sternum 3. Breast 4. Position of oblique fissure 5. Position of horizontal fissure 9/29/200936A.K.WEISS M.D

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Type Orientation Rotation Penetration Inspiration - expiration

Lungs Density Symmetry Lesions

SIZE

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

Width Contour AP window HILA Size Location

Apices Behind the heart CP angles Below the diaphragm Soft tissues ( breast, surgical emphysema) Ribs & clavicle Vertebrae

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Causes 1. Adenopathies (neoplasia, infection) 2. Primary Tumor 3. Vascular 4. Sarcoidosis

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