2-980223-施崇鴻-pleural effuison

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1 胸腔影像學概論 Chest imaging 【胸部X光片台北醫學大學 呼吸治療學系 02-2736-1661#35103517 [email protected] 施崇鴻

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chest X-ray films reading

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  • 1

    Chest imagingX

    02-2736-1661#35103517

    [email protected]

  • 2

    X

    sign

    sign

  • 3

    Jud W. Gurney ... et al. (2006). Diagnostic imaging. Salt Lake City, Utah: Amirsys.

    Jannette Collins, Eric J. Stern. (1999). Chest radiology : the essentials . Philadelphia : Lippincott Williams & Wilkins.

    Alfred P. Fishman; section editors, Jack A. Elias ... et al. (1998). Fishman's pulmonary diseases and disorders. New YorkMcGraw-Hill, Health Professions Division.

    2003X (2005)X

    Paul F. Jenkins

    Reference

  • 4

    Sternal Fracture

  • 5

    Consolidation:

  • 6

    Interstitial Change :

    Linear pattern Reticular-nodular pattern

  • 7

    Silhouette Sign

  • 8

    Silhouette Sign

    - Lingular Pneumonia

  • 9

    Silhouette Sign

    - Subtle Lingular Pneumonia

  • 10

    Silhouette Sign

    - Lt lower lobe Pneumonia

  • 11

    Silhouette Sign

    - Rt middle pneumonia

  • 12

    Silhouette Sign

    - Lingular Pneumonia

  • 13

    Posterior costophrenic sulcus

    300 c.c space in this sulcus

    Pleural effusion can not found in PA view

    Detected from lateral view

  • 14

    Posterior costophrenic sulcus

    (pleural effusion)

  • 15

    Deep Sulcus Sign

    Pneumothorax in supine position

    Air expands the costophrenic sulcus in

    involved site

  • 16

    Deep Sulcus Sign

    pneumothorax in lying down position

  • 17

    Meniscus sign

  • 18

    S90%

    Reverse S (golden S) sign

  • 19

    Reverse S (golden S) sign

  • 20

    Juxtaphrenic peak sign

    lose of upper lobe volume

    Tenting of involved hemidiaphragm

  • 21

    Juxtaphrenic peak sign

  • 22

    Thoracoabdominal Sign

  • 23

    X

    Cervicothoracic sign

  • 24

    Cervicothoracic sign

  • 25

    Cervicothoracic sign

  • 26

    Cervicothoracic sign

  • 27

    Cervicothoracic sign

  • 28

    Hilum overlay sign

    98%most medial bifurcation

    2%1cm1cm

    Hilum overlay sign

  • 29

    X1cm

    Hilum overlaying sign

  • 30

    Hilum overlaying sign

  • 31

    Hilum overlaying sign

  • 32

    Hilum convergence sign

  • 33

    Hilum convergence sign

  • 34

    Thoracic Aortic Aneurysm

  • 35

    Thoracic Aortic Aneurysm

  • 36

    Incomplete border sign

  • 37

  • 38

    5mm

    Anterior bronchus sign

  • 39

    Anterior bronchus sign

  • 40

    echinococcal cyst Rasmussens

    Air crescent sign

  • 41

    Air crescent sign

    (Pulmonary Mycetoma)

  • 42

    Air Fluid Level (Abscess )

    Staphylococci Pneumonia

  • 43

    Air Fluid Level (Abscess )

    Bronchopleural fistula

  • 44

    Summary

    sign