Download - PPT radiografii
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A Normal PA view
So, on to the lungs
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abcese pulmonare în faza de constituire
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- acelaşi caz prezentat anterior; imagine hidro-aerică localizată în lobul superior drept- aspect dupa vomica (săgeată)
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în interiorul ariei de condensare pulmonară se observă două imagini hidro-aerice suprapuse (aspect în gură de cuptor)
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ABCES PULMONARABCES PULMONAR
IN FAZA CRONICAIN FAZA CRONICA
““CHIRURGICAL”CHIRURGICAL”
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- supuratie difuza- radiologic transparenţe multiple care dau o cavitate anfractuoasă
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opacitate hilară stângă; opacitatea tumorii se suprapune pe opacitatea hilarăşi constituie o formaţiune unică
masă hilară dreaptă
Radiografii toracice - Cancerul masiv al hilului
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opacitate omogenă, intensă, contur net, ce ocupă regiunea vârfului pulmonar
Cancerul de vârfTumora se dezvoltă in zona apexului pulmonar şi are un caracter infiltrativ local(plex brahial,mediastin,corpi vertebrali,coaste)
Radiologic:- opacitate în zona apexului pulmonar- dezvoltarea implică invazie pleuro-parietală- distrugerea arcurilor costale posterioare C1, C2- distrugere de apofize transverse vertebrale D1-D2- infiltraţia plexului brahial cu durere în braţ şi paralizie membru superior- tulburări din partea simpaticului cervical (sdr. Claude-Bernard-Horner-enoftalmie unilaterala, ptoza palpebrala, mioza)
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- atelectazie parţială a lobului superior drept- diminuarea volumului pulmonar se face ca urmare a resorbţiei aerului alveolar,în evantai- retracţie în evantai de la periferia lobului, cu punct fix pe hil
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•Haziness in the right mid lung field. •Right heart margin slightly hazy with intact silhouette of right diaphragm •Middle lobe density in lateral •No significant loss of lung volume in lateral •Air bronchogram in lateral
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This, staph, in the lingula
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This is why antibiotics may not be sufficient:
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Metastatic renal cell CA
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Two different patients with very obvious, and asymptomatic lung cancers
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Large cell CA of lung
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squamous cell CA of lung
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