normal and abnormal 胸腔 影像医学 放射诊断学 北京协和医院.ppt

Calcification Mass Lobulation Spiculation Air way sign Convergence of vascular structure Intrapulmonary air containing space Sundry Cavities Differential diagnosis Pleural abnormality Pleural effusion Pneumothorax, hydropneumothorax Thickening, adhesion and calcification Mass Thickening, adhesion and calcification Nodule and mass Mediastinum Differential diagnosis Intrapulmonary mass vs. Mediastinum mass CAMM Center; Angle; Margin; Movement Thank you ? Reference reading Primer of Diagnositic Imaging Ralph Weissleder, Jack Wittenberg, Mukesh G. Harisinghani Mosby Third edition 2003 CHESTnormal and abnormal HUA-DAN XUE 2008 09 X ray Normal chest plain radiograph Soft tissue breast and nipple Companion shadows Bone Ribs: Calcification of the cartilage Congenital rib abnormality：cervical rib, fused rib, bifid rib Clavicle Scapula Sterni：manubrium柄、corpus体 Thoracic vertebral bodies The ribs Including pulmonary artery, vein, lymphatics, mainly artery; Distribution: Radiating from the hilum, branches； lower part is rougher than upper part. Pulmonary markings Hilum (肺门) Superior mediastinum: above aortic arch Anterior mediastinum: thymus, lymph nodes;some including heart Posterior mediastinum: vertebral bodies, descending aorta, esophagus Mediastinum Normal chest plain film field (area) 肺野与带 Medial middle lateral area, from the hilum to the rib. Upper, middle, lower field, lower rim of the 2nd/4th anterior rib as the boundary Lobes 肺叶 Right lobe: upper, middle and lower lobe Fissures 叶间裂 : horizontal fissure, oblique fissure Left lobe: upper and lower lobe only (lingula) Fissure: oblique fissure Lobes Lobes Air way Trachea： 气管 Carina: 隆突900 Bronchi：支气管 Diaphragm Cardiophrenic angle Costophrenic angle Right higher than left Posterior lowere than anterior Be aware of … Vessles and hilum Bronchi Mediastinum (thymus, esophagus, lymph node) Pleura Chest wall Non-contrast contrast enhanced lung window CT We can