RADIOLOGI

RESPIRASI
DANIEL RUSLIM
Standard Radiographic
Positions - PA
Top lordotic
Apex lung mass
Exposure factor
Magnification
 PROJECTION
AP PA
SYMETRIC
INSPIRATION
 carina of trachea aortic arch (knob)

left main bronchus

right lateral
border of SVC

left lateral border

of descending aorta
azo-esophageal line
left ventricle
right atrium

left hemi-diaphragm

gastric
right hemi-diaphragm air bubble
 humeral head

cortical margin
of scapula

posterior pleural posterior margin of IVC

surface of left lung

posterior pleural right hemidiaphragm

surface of right lung

left hemidiaphragm

gastric air bubble

posterior costophrenic
sulcus
 Chest CT

T3-4  T5-6  T10 

T4-5  T7 
 INFILTRATE
• OPACITY
• LINEAR, RETICULAR, NODULAR
• INTERSITITIAL vs ALVEOLAR
• LOBAR vs SEGMENTAL
• AIR BRONCHOGRAM
INTERSTITIAL ALVEOLAR
Tumor
paru
SEGMENTAL
PULMONARY
TBkp
GHON FOCUS - RANKE COMPLEX
MILLIARY TB
 LUNG
EDEMA
C ANCER – BRONCHOGENIC CARCINOMA

A UTOIMMUNE – GRANULOMATOSIS

V ASCULAR – EMBOLUS

I NFECTION - ABCESS

T RAUMA – PNEUMATOCELES

Y OUTH – CPAM (CONGENITAL PULMONARY ADENOMATOID

MALFORMATION), BRONCHOGENIC CYST
 Cavities

Thickness of
 Wall Inner Margin A|F Level

Carcinoma Thick Nodular +/-

TB Thin Smooth No

Abscess Thick Smooth Yes

CAVITIES
FUNGUS BALL -
ASPERGILOMA
BRONCHITIS
 CALCIFICATION
• Post infection – granuloma
• Occupational disease – pneumoconioses
• Metastases calcification
• Hemosiderosis
• Alveolar microlithiasis
• Sarcoidosis
PNEUMOCONIOSIS
GRANULOMA
PLEURAL CALCIFICATION
Fibrosis &
kalsifikasi
ALVEOLAR MICROLITHIASIS - CHICKEN POX
 FIBROSIS
• Intersititial pattern
• Linier scar post infection
• Usual interstitial pneumonia
• Pulmonary fibrosis
 DIAPHRAGM
• Level
• Continuity
• Integrity
• Tumor
• Fluid
RLD
pneumothorax
RLD
MEDIASTINAL
Coin lesion