胸部正常CT断层解剖图片课件.ppt

胸部正常CT断层解剖图片;目 录; 前 言 肺、纵隔内部组织结构之间、正常结构与病变之间的密度差异 CT满意显示胸部正常结构和病灶的大体解剖，定位、定量准确，为定性分析提供形态学基础;有关胸部CT检查技术的几个问题 1、CT值与窗宽、窗位：肺窗和纵膈窗，双 窗技术 2、层厚和层距：吸气末扫描，薄层/重叠扫 描；减小部分容积效应、肺血坠积现象 3、平扫和增强扫描：LN，病灶，血管 4、高分辨CT（High Resolution ,HRCT） 层厚 1～2mm，显示次级肺小叶结构； 显示间质性病变、支扩、孤立小病灶 ;;;;;;;;;胸部正常CT解剖; 一、 主要观察内容 1、纵膈：有无纵膈肿块、多余结构 LN有无肿大或/及增多 “三管”结构形态（气道结合肺窗） 2、较大范围的肺、胸膜（腔）病变的内部 结构 3、阅片顺序： 辨认每一层纵膈内的“三管”结构 自上而下、由近段向远段 完整观察某一结构;主要层面和结构;;;;;Can you find the right and left subclavian arteries? (click for answer);The right subclavian artery as it dumps into the brachiocephalic artery. (click to highlight);What are the 3 yellow air-filled (black) structures highlighted here? (click to highlight);This is contrast (white) being injected into the left subclavian vein.;;Incidental lipoma (‘fat tumor’) (notice it is the same density as fat in the chest wall) ;;;Can you find the left brachiocephalic vein as it dumps into the SVC?(click for answer);;Can you find the right pectoralis major and minor? (click for answer);What is the structure in blue? (click to highlight);;;Can you find the azygous arch ? (where the azygous vein comes across to dump into the SVC) (click for answer);;Notice the bifurcation of the trachea (corina) at this level (click to highlight);;What is the structure in red? (click to highlight);;;;Can you find the pulmonary trunk and right pulmonary artery? (click for answer);Where are the ascending (A) and descending (D) limbs of the thoracic aorta? (click to highlight);;We are at the level of the top of the left atrium. Notice The pulmonary veins dumping into it as they return from the lungs. (click to highlight);Can you find the left main coronary artery coming off the aorta? (click for answer);;;;Here is a good image of the left atrium dumping Into the left ventricle. Can you find it? (click to highlight);You can clearly see the left ventricular wall and s