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dr.abeer.chest (all lectures)

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Chest-Imaging techniques * Plain chest radiography: -Routine study (PA= frontal)± optional addition of Lat. View. -Both in erect position + full inspiration (ant. End of 6 th rib intersect dome of rt. Diaphragm. -Expiratory and supine film (hase base, ↑ cardiac shadow) -Though CXR is the most commonly x-ray examination performed, it’s the most difficult to interpret. -We have to follow problem oriented approach: (ask about the abnormality and clinical finding) How to read a CXR 1-Diaphragm -> upper surface should clearly visualized from one costophrenic angle to another except at Ht. and mediastinum. -> Rt. hemidiaphragm is 2.5 cm higher than Lt. 2-Heart -> position 1/3 to the Rt. -> size (C/T ratio < 50%. -> shape
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Spherical pulmonary shadows ( lung mass , lung nodule ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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The pleura : ,[object Object],[object Object],[object Object],[object Object]
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Pneumothorax : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Mediastinal Masses in CXR: ,[object Object],[object Object],[object Object],[object Object]
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Hilar Enlargement : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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dr.abeer.chest (all lectures)

  • 1. Chest-Imaging techniques * Plain chest radiography: -Routine study (PA= frontal)± optional addition of Lat. View. -Both in erect position + full inspiration (ant. End of 6 th rib intersect dome of rt. Diaphragm. -Expiratory and supine film (hase base, ↑ cardiac shadow) -Though CXR is the most commonly x-ray examination performed, it’s the most difficult to interpret. -We have to follow problem oriented approach: (ask about the abnormality and clinical finding) How to read a CXR 1-Diaphragm -> upper surface should clearly visualized from one costophrenic angle to another except at Ht. and mediastinum. -> Rt. hemidiaphragm is 2.5 cm higher than Lt. 2-Heart -> position 1/3 to the Rt. -> size (C/T ratio < 50%. -> shape
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