Chest Imaging

Chest Imaging Methods of investigation. Radiology. Conventional radiography (Chest X-ray)

PA LL OBLIC

Fluoroscopy Conventional Tomography Computed Tomography (CT)

Chest Imaging Methods of investigation. Radiology. Contrast investigation

Bronhography Pulmonary angiography Air contrast studies (not used anymore)
Diagnostic pneumothorax Diagnostic pneumomediastinum

Bronhography

Pulmonary angiography

Chest Imaging Methods of investigation. Nuclear Medicine.

Pulmonary ventilation scintigraphy Pulmonary perfusion scintigraphy

Chest Imaging Methods of investigation. Ultrasonography. (pleural metastasis)

Chest Imaging Methods of investigation. MRI.

Chest Imaging Radiological anatomy

Bony structures Ribs Clavicles Vertebrae Sternum Scapulae Humerus

Chest Imaging Radiological anatomy

Soft tissues Mediastinum Trachea Diaphragm Heart Hilum Costo-phrenic angles Cardio-phrenic angles

Chest Imaging Radiological anatomy

Lung fields
Right Left

Chest Imaging Radiological anatomy

Lungs. Lobs On right
SL ML IL

On left
SL IL

Fissures Horizontal Oblique

Chest Imaging Radiological anatomy Right Lung

Superior lobe:
1 - apical; 2 - posterior; 3 - anterior

Middle lobe:
4 - lateral; 5 - medial

Inferior lobe:
6 - superior (apical); 7 - medial basal; 8 - anterior basal; 9 - lateral basal; 10 - posterior basal

Chest Imaging Radiological anatomy Left Lung

Superior lobe:
1 - apical; 2 - posterior; 3 anterior; 4, superior lingular; 5, inferior lingular

Inferior lobe:
6 - superior (apical); 8 - anterior basal; 9 - lateral basal; 10 - posterior basal

Chest Imaging Radiological anatomy Lungs

Segments

Chest Imaging Radiological anatomy Lungs

Segments

PATHOLOGY

Radiografia antero-posterioar i de profil Opacitate in lobul mediu i segmentele bazale.

CT n fereastr parinchimatoas. Opacitate alveolar.

CT n fereastr mediastinal. Opacitate alveolar. Absena mririi ganglionilor limfatici.

Cardiovascular Imaging

Cardiovascular Imaging Methods of investigation. Radiology. Conventional radiography (Chest X-ray)

PA LL OBLIC
RAOP LAOP

Fluoroscopy Computed Tomography (CT)

Cardiovascular Imaging Methods of investigation. Radiology. Contrast investigation

Ventriculography Angiography
Aortography Angiocoronarography Arteriography Flebography

Cardiovascular Imaging
Methods of investigation
Nuclear Medicine Nuclear angiocardiography Myocardial perfusion scintigraphy

Cardiovascular Imaging

Methods of investigation
Ultrasonography M-mode B-mode Doppler

Cardiovascular Imaging

Methods of investigation
MRI

Cardiovascular Imaging Radiological anatomy PA projection

Left side:
Convexities
I. Aortic Knob II. Main Pulmonary Artery III. Left Atrial Auricula IV. Left Ventricle

Right side:
Convexities
I. Ascending Aorta, Vena Cava Superior II. Right Atrium

Cardiovascular Imaging

Aortic Knob Ascending Aorta, Vena Cava Superior Main Pulmonary Artery Left Atrial Auricula

Right Atrium
Left Ventricle

Cardiovascular Imaging Radiological anatomy RAO projection

Posterior (retrocardiac)
Superior Vascular Structures Inferior Left Atrium

Anterior (retrosternal)
Superior Ascending Aorta Middle Pulmonary Trunk

Cardiovascular Imaging Radiological anatomy LAO projection

Posterior (retrocardiac)
Superior Pulmonary Artery Middle Left Atrium Inferior Left Ventricle

Anterior (retrosternal)
Superior Ascending Aorta Middle Right Atrium Inferior Right Ventricle

Cardiovascular Imaging Abnormal Radiological Findings Specific chamber enlargement

Left Atrium: prominence on the right side
RAO+Barium Esophagogram

Left Ventricle: prominence on the left side

PA, LAO

Right Atrium: prominence on the right side

PA

Right Ventricle: rotation to the left

LAO

Cardiovascular Imaging Abnormal Radiological Findings Mitral configuration

Cardiovascular Imaging
Abnormal Radiological Findings Aortal configuration

Cardiovascular Imaging Abnormal Radiological Findings Trapezoid configuration

Cardiovascular Imaging Assessment of pulmonary vascularity on the lung fields Pulmonary oligemia Pulmonary hyperemia Pulmonary venous post-capillary hypertension (stasis) Pulmonary edema Pulmonary pre-capillary arterial hypertension

Cardiovascular Imaging Abnormal Radiological Findings Congenital Heart Disease (CHD)

Dextrocardia (situs inversus) Acyanotic (left to right shunt)
Atrial septal defect Ventricular septal defect

Cyanotic (right to left shunt)

Ebsteins anomaly Tetralogy of Fallot Trilogy of Fallot

Coarctation of the aorta

Cardiovascular Imaging Abnormal Radiological Findings Congenital Heart Disease (CHD)

Ebsteins anomaly
Tricuspidian defect Small right ventricle Septal atrial defect

Cardiovascular Imaging Abnormal Radiological Findings Congenital Heart Disease (CHD)

Tetralogy of Fallot
Interventricular septal defect Infundibular pulmonary artery stenosis Right aortic arch (over-riding of the aorta) Right ventricular hypertrophy

Cardiovascular Imaging Abnormal Radiological Findings Congenital Heart Disease (CHD)

Trilogy of Fallot
Interatrial communication Pulmonary artery stenosis Right ventricular hypertrophy

Cardiovascular Imaging Abnormal Radiological Findings Congenital Heart Disease (CHD)

Coarctation of the aorta