Thoracic Imaging Radiology school Liu Lin Xiang lxliutsmc

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Thoracic Imaging Radiology school, Liu Lin Xiang, 刘林祥, lxliu@tsmc. edu. cn 1

Thoracic Imaging Radiology school, Liu Lin Xiang, 刘林祥, [email protected] edu. cn 1

Imaging Technique Ø Fluoroscopy, Plain radiograph Ø Tomography Ø Broncography, Angiography Ø Computed Tomography

Imaging Technique Ø Fluoroscopy, Plain radiograph Ø Tomography Ø Broncography, Angiography Ø Computed Tomography Ø Magnetic Resonance Imaging Ø Ultrasonography Ø Positron Emission Tomography 2

Fluoroscopy ¡ multiprojection ¡ mobility of diaphragm 3

Fluoroscopy ¡ multiprojection ¡ mobility of diaphragm 3

Plain radiograph ¡ Frontal view ¡ be taken with full inspiration and posteroanterior beam

Plain radiograph ¡ Frontal view ¡ be taken with full inspiration and posteroanterior beam direction 4

Plain radiograph ¡ lateral views in a standing ¡ High kilovoter radiograph 5

Plain radiograph ¡ lateral views in a standing ¡ High kilovoter radiograph 5

Broncography ¡ demonstration of bronchiectasis ¡ bronchial anomalies ¡ fistula with the pleural cavity

Broncography ¡ demonstration of bronchiectasis ¡ bronchial anomalies ¡ fistula with the pleural cavity 6

Bronchial angiography ¡ haemoptysis ¡ IVR 7

Bronchial angiography ¡ haemoptysis ¡ IVR 7

Pulmonary angiography Ø be used to demonstrate the pulmonary arteries and veins 8

Pulmonary angiography Ø be used to demonstrate the pulmonary arteries and veins 8

ØCT 9

ØCT 9

MRI 10

MRI 10

thoracic skeleton sternum clavical rib cervical rib bifurcation rib fusion of rib thoracic spine

thoracic skeleton sternum clavical rib cervical rib bifurcation rib fusion of rib thoracic spine scapula 11

Thoracic skeleton 12

Thoracic skeleton 12

bifid rib 13

bifid rib 13

Bifurcation of rib 14

Bifurcation of rib 14

Cervical rib 15

Cervical rib 15

Soft tissue stemocleido mastoid and pectoral muscles breast shadows nipple of the breast 16

Soft tissue stemocleido mastoid and pectoral muscles breast shadows nipple of the breast 16

Soft tissue stemocleidom astoid and pectoral muscles breast shadows nipple of the breast 17

Soft tissue stemocleidom astoid and pectoral muscles breast shadows nipple of the breast 17

Soft tissue stemocleido mastoid and pectoral muscles breast shadows nipple of the breast 18

Soft tissue stemocleido mastoid and pectoral muscles breast shadows nipple of the breast 18

Bone structure and soft tissue 19

Bone structure and soft tissue 19

Mediastium and division 20

Mediastium and division 20

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Normal thyma 22

Normal thyma 22

Normal mediestium ¡ Brachiocephalic ¡ ¡ truck Left common carotid artery Left subclavian artery

Normal mediestium ¡ Brachiocephalic ¡ ¡ truck Left common carotid artery Left subclavian artery Brachiocephalic vein Internal jugular vein 23

Normal mediestium 24

Normal mediestium 24

Normal mediestium 25

Normal mediestium 25

Normal mediestium 26

Normal mediestium 26

Normal mediestium 27

Normal mediestium 27

Normal mediestium 28

Normal mediestium 28

Normal mediestium 29

Normal mediestium 29

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Normal mediestium 31

Normal mediestium 31

Normal mediestium 32

Normal mediestium 32

Normal mediestium 33

Normal mediestium 33

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Diaphragm Ø level of right dome of diaphragm is higher than left Ø On

Diaphragm Ø level of right dome of diaphragm is higher than left Ø On inspiration, upper part of right dome of diaphragm is near tip of sixth rib at front, and between 10 th and 11 th rib at back 35

plurae 36

plurae 36

plurae 37

plurae 37

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plurae 39

plurae 39

azygos lobe 40

azygos lobe 40

Trachea 10 cm in length,1. 5 -2. 5 cm in dimeter located midline of

Trachea 10 cm in length,1. 5 -2. 5 cm in dimeter located midline of the neck and upper thorax In front of the esophagus Extends from the lower border of the cricoid carlage at the level of sixth ceivicle vertebra to the level of the sternal angle at the lower border of the fourth thoracic vertebra 15 -30 C-shaped rings of hyaline cartilage and posteriorly tracheal musle 41

bronchial tree 42

bronchial tree 42

right bronchial tree left 43

right bronchial tree left 43

bronchial tree 44

bronchial tree 44

bronchial tree 45

bronchial tree 45

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Illustation of the lung 47

Illustation of the lung 47

lung 48

lung 48

lobe 49

lobe 49

Right middle lobe 50

Right middle lobe 50

Right lower lobe 51

Right lower lobe 51

Left upper lobe 52

Left upper lobe 52

Left lower lobe 53

Left lower lobe 53

Bronchopulmonary segments Rihgt lung ¡ superior lobe ¡ Apical S 1 ¡ Posterior S

Bronchopulmonary segments Rihgt lung ¡ superior lobe ¡ Apical S 1 ¡ Posterior S 2 ¡ Anterior S 3 ¡ Middle lobe ¡ Lateral S 4 ¡ Medial S 5 ¡ Inferior lobe ¡ Superior S 6 ¡ Medial basal S 7 ¡ Anterior basal S 8 ¡ Lateral basal S 9 ¡ Posterior basal S 10 ¡ S* Left lung ¡ superior Upper ¡ Apical+Posterior S 1+S 2 ¡ Anterior S 3 lingual ¡ Superior lingual S 4 ¡ Inferior lingual S 5 ¡ Inferior lobe ¡ Superior S 6 ¡ Anterior basal S 8 ¡ Lateral basal S 9 ¡ Posterior basal S 10 ¡ S* 54

Lung segments 55

Lung segments 55

Lung segments 56

Lung segments 56

Right middle lobe inflamation 57

Right middle lobe inflamation 57

Lung segments 58

Lung segments 58

Lung segments 59

Lung segments 59

Lung segments 60

Lung segments 60

Pulmonary artery 61

Pulmonary artery 61

Pulmonary artery 62

Pulmonary artery 62

Angiogram 63

Angiogram 63

Pulmonary vein 64

Pulmonary vein 64

Pulmonary vein 65

Pulmonary vein 65

Pulmonary vein 66

Pulmonary vein 66

Lymph system 67

Lymph system 67

Lymph node 1. Superior mediasternal 2. Paratracheal 3. Anterior tracheal 4. Superior trachobronchial 5.

Lymph node 1. Superior mediasternal 2. Paratracheal 3. Anterior tracheal 4. Superior trachobronchial 5. Inferior aotic 7. Inferior tracheobronchial 8. paraesopheal 9. Lung ligmental 10. peribronchial 68

Superior mediasternal lymph node 69

Superior mediasternal lymph node 69

Paratracheal lymph node 70

Paratracheal lymph node 70

Anterior mediasternal lymph node Anterior tracheal lymph node 71

Anterior mediasternal lymph node Anterior tracheal lymph node 71

Superior trachobronchial lymph node 72

Superior trachobronchial lymph node 72

Inferior aotic lymph node 73

Inferior aotic lymph node 73

Paraaotic lymph node 74

Paraaotic lymph node 74

Inferior tracheobronchial lymph node 75

Inferior tracheobronchial lymph node 75

Inferior tracheobronchial lymph node 76

Inferior tracheobronchial lymph node 76

Paraesopheal lymph node 77

Paraesopheal lymph node 77

Lung ligmental lymph node 78

Lung ligmental lymph node 78

Peribronchial lymph node 79

Peribronchial lymph node 79

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Lung hilar 81

Lung hilar 81

Plain film of chest 82

Plain film of chest 82

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Interlobar fissure on CT Thin, straight line 86

Interlobar fissure on CT Thin, straight line 86

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Plain film of chest 93

Plain film of chest 93

Plain film of chest 94

Plain film of chest 94

Plain film of chest 95

Plain film of chest 95

Plain film of chest 96

Plain film of chest 96

Indications of MRI Mediastinal diseases Large blood vessel disease: aortic aneurysm, aortic dissect Heart

Indications of MRI Mediastinal diseases Large blood vessel disease: aortic aneurysm, aortic dissect Heart disease: congenital, acquired Chest wall diseases A few lung diseases 97

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