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Thorax Dr. Zsuzsanna Almási, Dr. Sándor Katz
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PA: the heart is closer to the film therefore less magnified.
- standard X-ray is PA!! AP: the heart is farther from the film therefore more magnified. - portable X-ray
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PA vs. AP
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Difference between PA and AP views
Spine and posterior ends of ribs Scapulae Clavicles Cardiac silhoutte clearly seen not overlaping the thorax more horizontal normal sized not visualized clearly they do overlap more oblique enlarged
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https://gmep.org/media/11009
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AK: aortic knob APW: aortopulmonary window BS: breast shadow C: carina CA: colic air CPA: costophrenic angle DA: descending aorta GA: gastric air LHB: left heart border LPA: left pulmonary artery RHD: right hemi diaphragm
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A: Left coronary artery
B: Circumflex ramus of left coronary artery C: Anterior interventricular artery D: Right coronary artery
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A: Right coronary artery
B:Left coronary artery C: Circumflex ramus D: Anterior interventricular artery
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2. Brachiocephalic trunk (innominate artery)
Aortic arch 2. Brachiocephalic trunk (innominate artery) 3. Left common carotid artery 4. Left subclavian artery 6. Left vertebral artery 7. Right subclavian artery 8. Right common carotid artery 5. Right vertebral artery
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Mediastinum Module 1. Trachea 2. Esophagus 3. Trapezius muscle 4. Left Clavicle 4*. Right Clavicle 5. Subscapularis Muscle 6. Infraspinatus Muscle 7. Supraspinatus Muscle 8. Pectoralis Major Muscle 9. Pectoralis Minor Muscle 10. Serratus Anterior Muscle 11. Latissimus Dorsi Muscle 12. Erector Spinae Muscles 13. Left Subclavian Artery 13* Distal Subclavian Artery 13a. Right Subclavian Artery 14. Left Common Carotid Artery 14* Right Common Carotid Artery 15. Left Internal Jugular Vein 15* Right Internal Jugular Vein 16. Scapula 17. First Rib 17*. Second Rib 18. Manubrium of Sternum 18*. Body of Sternum 18+. Xiphoid Process of Sternum 19. Aortic Arch 19*. Ascending Aorta 19+. Descending Aorta 20. Azygous Vein 20*. Arch of the Azygous 21. Right Brachiocephalic Vein This vein is formed by the right internal jugular vein and the right subclavian vein. The junction is located behind the medial end of the right clavicle. It is a 21*. Left Brachiocephalic Vein 22. Superior Vena Cava 23. Thymus Gland 24. Teres Major Muscle 25. Teres Minor Muscle 26. Left Subclavian Vein/Axillary Vein 27. Brachiocephalic Artery 28. Inferior Vena Cava 29. Pulmonary Trunk. 30. Right Pulmonary Artery 30*. Left Pulmonary Artery 31. Thoracic Duct 32. Carina of Trachea 33. Right Ventricle 34. Right Atrium 35. Left Atrium 36. Left Ventricle 37. Right Pulmonary Vein 37*. Left Pulmonary Vein 38. Interventricular Septum 39. Coronary Sinus 40. Tricuspid valve
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(dark: water, calcification;
T1- weighted (dark: water, calcification; bright: fat, necrosis) T2-weighted (dark: fat; bright: water)
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T1- weighted T2-weighted
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Lung scintigraphy The examination substance is a protein molecule which is labelled with Technetium 99m.
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Ultrasound
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IVUS
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Pneumonia
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Pneumothorax
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