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Radiology-Imaging of The Chest X Ray
Radiology-Imaging of The Chest X Ray
Radiology-Imaging of The Chest X Ray
RADIOLOGY-IMAGING
THE CHEST X RAY
Lecture Radiology
by FAI
Introduction
How to interpretation
chest x ray ?
Remember
IPIC
I : Indentification
P :Position
I : Inspiration
C : Condition
Positioning
Posterior-anterior (PA)
Lateral
Anterior-posterior (AP)
Lateral Decubitus
Lateral Decubitus
Interpretation guide
Examination thorax PA
CTR <50%. Large and shape
normal heart.
Trachea in the middle. Both hila are not enlarge/
thickening.
Bronchovascular pattern are not increase.
There are no infiltrates or nodules in both of lung
Diaphragm smooth.
Costophrenic angle acute.
Both bone and soft tissue are good.
2
3
4
5
6
8
9
1. Heart
2. Trachea
3. Superior
mediastinum
4. Hilus
5. Lung
parenchym
6. Diaphragma
7. Costophenic
angle
8. Bone
9. Soft tissue
Imaging
Pulmonary opacity
area that preferentially
attenuates the x-ray
beam
Area that more opaque
than the surrounding
area
Consolidation
The lung is said to be consolidated when the
alveoli and small airways are filled with dense
material.
This dense material may consist of:
Pus (pneumonia)
Fluid (pulmonary edema)
Blood (pulmonary hemorrhage)
Cells (cancer)
Atelectasis
Almost always associated with a linear
increased density due to volume loss
Indirect indications of volume loss
include vascular crowding or
mediastinal shift toward the collapse
Possible observance of hilar elevation
with an upper lobe collapse, or a hilar
depression with a lower lobe collapse
CAVITY;
a gas-filled space, seen as a lucency or lowattenuation area, within pulmonary
consolidation, a mass, or a nodule
usually produced by the expulsion or drainage
of a necrotic part of the lesion via the bronchial
tree
EMPHYSEMA;
Permanently enlarged
airspaces distal to the terminal
bronchiole with destruction of
alveolar walls
Pneumothorax
Appears in the chest radiograph
as air without lung markings.
Questions ?