Chest Radiology Plain Film and CT- Beyond the Basics - PowerPoint PPT Presentation

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Chest Radiology Plain Film and CT- Beyond the Basics

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  1. Chest RadiologyPlain Film and CT- Beyond the Basics John W. Renner, M.S., M.D. Clinical Professor of Radiology UCSD Medical Center Brendan Kidder, M.S. IV UCSD School of Medicine

  2. Chest RadiologyGoals • Review the basics of Chest Imaging • Examine the modalities of the Chest “Plain Film” and Computed Tomography • Review basic disease entities and their imaging evaluation • Allow Hospitalists to better understand “How to talk to a radiologist in a hospital setting if you must!”

  3. Chest RadiologyNormal Radiographic Anatomy • Normal frontal and lateral views • Cross-sectional anatomy • Symmetry and asymmetry • Interfaces, lines and junction stripes • Chest compartments • Densities

  4. Normal Chest

  5. Pre-Vascular Space

  6. Anterior Junction Line

  7. Right Paratracheal Stripe

  8. Carina

  9. Basal Segmental Anatomy

  10. Main Pulmonary Artery

  11. Aortic Valve

  12. Inferior Pulmonary Veins

  13. Left Coronary Artery

  14. Right Coronary Artery

  15. Secondary pulmonary lobule Webb, R : Radiology 2006

  16. Chest RadiologyPatterns of Disease • Honeycombing • Cystic lesions • Nodules • Ground-glass opacities • Mosaic pattern • Tree-in-bud • Interlobular septal thickening

  17. Honeycombing Chest X-Ray .com

  18. Centrilobular Emphysema Webb, R. Radiology 2006

  19. Centrilobular Emphysema

  20. Centrilobular Emphysema Webb, R. Radiology 2006

  21. Centrilobular Nodules Webb, R. Radiology 2006

  22. Sarcoidosis Chest X-Ray. com

  23. Sarcoidosis Webb, R. Radiology 2006

  24. Hypersensitivity Pneumonitis Webb, R. : Radiology 2006

  25. Ground-Glass Opacities Chest X-Ray. com

  26. Pulmonary Edema

  27. Bronchopneumonia

  28. Mosaic Perfusion Chest X-Ray. com

  29. Mosaic Perfusion

  30. Mosaic Perfusion

  31. Transplant Lung

  32. Transplant Lung

  33. Tree-in-Bud

  34. Tree-in-Bud Webb, R. : Radiology 2006

  35. Interlobular Septal Thickening Webb, R. Radiology 2006

  36. Interlobular Septal Thickening Webb, R. Radiology 2006

  37. Lymphangitic Carcinomatosis Webb, R. Radiology 2006

  38. Lymphangitic Carcinomatosis

  39. Bronchiectasis Chest X-Ray. com

  40. Air Trapping Chest X-Ray. com

  41. Head Cheese Sign Webb, R. : Radiology 2006

  42. Crazy Paving Pattern

  43. Idiopathic Pulmonary Hemosiderosis

  44. Idiopathic Pulmonary Hemosiderosis

  45. Idiopathic Pulmonary Hemosiderosis

  46. Aspergilomas

  47. Bronchogenic Cyst

  48. Interstitial Pulmonary Fibrosis

  49. Interstitial Pulmonary Fibrosis

  50. Interstitial Pulmonary Fibrosis