10/16/2013 Charles Q. Li, MD UCSD Radiology PGY-2 UCSD SOM c/o 2012.
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Transcript of 10/16/2013 Charles Q. Li, MD UCSD Radiology PGY-2 UCSD SOM c/o 2012.
Chest Radiography 10110/16/2013Charles Q. Li, MDUCSD Radiology PGY-2UCSD SOM c/o 2012
Contents• Indications• Normal anatomy• How to read & pathology
Indications• Dyspnea• Chest pain• Trauma• Cough• Fever• Follow-up: PTX, effusion
Indications• NOT• Rule-out ANYTHING• Suspicion for lung mass• Lung cancer screening in asymptomatic patients• Metastatic workup• Interstitial lung disease evaluation• Supine imaging for PTX or effusion• Frontal view only for foreign body
Normal anatomy• http://www.radiologymasterclass.co.uk/tutorials/tu
torials.html
Normal anatomy
Normal anatomy
http://drsvenkatesan.wordpress.com/2008/10/06/what-is-the-anatomical-relationship-between-pulmonary-artery-and-pulmonary-veins/
Normal anatomy - airways
Normal anatomy - airways
Normal anatomy – pulmonary vasculature
Normal anatomy – pulmonary vasculature
Normal anatomy – lateral view
http://www.radiologyassistant.nl/en/p497b2a265d96d/chest-x-ray-basic-interpretation.html
How to read• Quality assessment• Penetration• Rotation• Inspiration• Motion
• Tubes, Lines & Drains• Search pattern – “ATMLL”• Abdomen• Thorax• Mediastinum• Lung (individual)• Lungs (both)
How to read – quality assessment
Well penetrated Over penetrated
http://www.med-ed.virginia.edu/courses/rad/cxr/technique6chest.html
Under penetrated
How to read – quality assessment
Centered Rotated
How to read – quality assessment
Well-expanded Poorly-expanded
How to read – quality assessment
Still Moving
Tubes, Lines & Drains
Search pattern – “ATMLL”
Thorax
Mediastinum
http://www.learningradiology.com/
Normal anatomy – pulmonary vasculature
Normal anatomy – pulmonary vasculature
Mediastinum
http://www.learningradiology.com/
Lung
Lung
Lung
Lung
Lung
Lung
Lung
http://emedicine.medscape.com/article/355524-overview
Lung
Lung
http://www.med-ed.virginia.edu/courses/rad/cxr/pathology1Achest.html
Lung
http://radiopaedia.org/articles/*******-atelectasis
ATMLL
Thanks!• Charles Q. Li• [email protected]
• Good learning resources:• radiopaedia.org• radiologyassistant.nl/en/• radiologymasterclass.co.uk