胸部放射影像征象绪论.pptx

Signs in Thoracic Imaging;FIGURE 1. Air crescent sign(空气新月征或空气半月征). Frontal radiograph (A) of the chest shows cavitating lesion within the superior aspect of the right lower lobe (arrow). Follow-up enhanced CT of the chest (B) confirming the “air crescent sign” (arrow) in a patient with documented angioinvasive aspergillosis. ;FIGURE 2. Bulging fissure sign（胀裂征）. PA (A) and lateral (B) radiographs of the chest show dense consolidation of the right middle lobe secondary to Klebsiella pneumoniae. Although classically the bulging fissure sign is demonstrated with right upper lobe consolidation and bowing of the minor fissure posteroinferiorly, the consolidated segment in this case is causing upward bowing of the minor fissure (arrows). ;FIGURE 2. Bulging fissure sign（胀裂征）. Classically the bulging fissure sign is demonstrated with right upper lobe consolidation and bowing of the minor fissure posteroinferiorly.;FIGURE 3. Cervicothoracic sign（颈胸征）. Frontal radiograph of the chest with a coned view (A, B) demonstrates a mass projecting over the right superior mediastinum with indistinct borders along its superior margin. Follow-up enhanced CT of the chest (C, D) reveals a mass extending from the cervical region into the anterior mediastinum representing a multinodular goiter. Conversely, in the case of a posterior mediastinal mass, the supralateral margins project above the level of the clavicles and are clearly defined on the frontal radiograph (E, F) in this patient (different patient from A, B) with a biopsy-proven ganglioneuroma(神经节细胞瘤) (G, CT image). ;FIGURE 4. Comet tail sign(彗星尾征). Rounded atelectasis within the right lower lobe (A) and abutting(邻接) the posterior pleural surface in a patient with previous asbestos exposure. There is adjacent pleural thickening (B, white arrow), calcified pleural plaques, and signs of volume loss with downward retraction（回缩） of the major fissure. The swirling （旋转）of the bronchovascular bundle is thought to resemble a comets tail.