1. הגישה הקלינית להדמיית הריאה ד"ר צבי פרידלנדר מכון הריאה מרכז רפואי הדסה ע"כ

2. טכניקות להדמיית הריאה X-ray film Fluoroscopy ((שיקוף CT (HRCT, CT-Angio) PET & PET-CT MRI Lung scan (V/P) – מיפוי ריאות U/S

3. צלום החזה התקין שם המצולם נכון... מיקום (סימטרי / א-סימטרי). חשיפה (חדור / לא-חדור). נשימה (ב-INS או EXP). PA לעומת AP.

4. לבחור את שיטת הדימות המתאימה ! Screening – X-ray Diaphragmatic paralysis - Fluoroscopy Parenchyma – CT (HRCT) Mediastinum - CT (window), - MRI Chest wall – MRI

5. לבחור את שיטת הדימות המתאימה ! Pleura – CT, U/S Tumor staging – PET-CT Split Function – Quantitative perfusion scan Pulmonary embolism CT-Angio Lung scan (מיפוי)

6. Basic patterns in Lung Diseases Air bronchogram Silhouette sign Pulmonary opacity Increased transradiancy (translucency) of the lung

7. Air bronchogram Silhouette sign Pulmonary opacity Increased transradiancy (translucency) of the lung Basic patterns in Lung Diseases

8. הסננה / בצקת ברקמה סמוכה לברונכים הניגוד מדגיש את דרכי האוויר. מאפיין לרב תהליך זיהומי. Air bronchogram

10. אותו חולה – ב-CT

13. Air bronchogram Silhouette sign Pulmonary opacity Increased transradiancy (translucency) of the lung Basic patterns in Lung Diseases

16. Air bronchogram Silhouette sign Pulmonary opacity Increased transradiancy (translucency) of the lung

17. Atelectasis Pulmonary mass (nodule) Ring shadows and cysts Line shadows Air-space filling (alveolar pattern) Widespread nodular, reticulonodular and honeycomb shadowing (interstitial pattern) Pulmonary opacity

24. Atelectasis Pulmonary mass (nodule) Ring shadows and cysts Line shadows Air-space filling (alveolar pattern) Widespread nodular, reticulonodular and honeycomb shadowing (interstitial pattern) Pulmonary opacity

30. Atelectasis Pulmonary mass (nodule) Ring shadows and cysts Line shadows Air-space filling (alveolar pattern) Widespread nodular, reticulonodular and honeycomb shadowing (interstitial pattern) Pulmonary opacity

31. Pneumatocele

33. Lung abscess Cavitating tumor

34. Lung abscess

35. Cavitating tumor

36. Cystic bronchiectases

37. Atelectasis Pulmonary mass (nodule) Ring shadows and cysts Line shadows Air-space filling (alveolar pattern) Widespread nodular, reticulonodular and honeycomb shadowing (interstitial pattern) Pulmonary opacity

38. Kerley lines מזוהים בצל"ח. טיפוסיים למצב של בצקת ריאות. אלו עכירויות (opacities), אינטרסטיציאליות, לינאריות, שנגרמות ע"י נוזל או תאים ב-Interstitium.

40. Kerley lines Kerley B – Short Parallel Peripheral right angles and in-contact with the pleura. Mostly at the bases. Represent interlobular septa – CHF and ILD

43. Atelectasis Pulmonary mass (nodule) Ring shadows and cysts Line shadows Air-space filling (alveolar pattern) Widespread nodular, reticulonodular and honeycomb shadowing (interstitial pattern) Pulmonary opacity

44. Alveolar pattern - causes Water- Edema Pus- Pneumonia Blood- Trauma, Vasculitis Cells- Bronchioloalveolar Carcinoma Protein- Alveolar proteinosis Fat- Lipoid Pneumonia

45. Pulmonary edema

47. Pneumonia

48. Acinar shadows (TB)

49. Atelectasis Pulmonary mass (nodule) Ring shadows and cysts Line shadows Air-space filling (alveolar pattern) Widespread nodular, reticulonodular and honeycomb shadowing (interstitial pattern) Pulmonary opacity

50. Viral pneumonia

51. Lymphangitis carcinomatosa (Colon Ca)

52. Reticulo-nodular (Interstitial)

54. Ground glass

56. Honey-combing Lung

57. Basic patterns in Lung Diseases Air bronchogram Silhouette sign Pulmonary opacity Increased transradiancy (translucency) of the lung

58. Lt. Pneumonectomy

59. Pneumothorax

61. Emphysema

62. Emhysema- HRCT NormalEmphysema

64. Miscellaneous

65. Pulmonary embolism

66. Pleural effusion

68. Huge Mediastinal Mass

69. Thymoma

71. SUPERIOR SULCUS TUMOR (PANCOAST)

72. PET - CT