10. gambaran radiologi penyakit saluran napas (dr. sri asriyani, sp.rad)
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BASIC OF CHEST X RAY
Sri Asriyani
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RADIOLOGICAL METHODS OF
RESP. INVESTIGATION1. PLAIN FILM / CHEST X-RAYS2. CT SCAN3. M R I4. ULTRASONOGRAPHY (USG)5. NUCLEAR MEDICINE6. ARTERIOGRAPHY7. MCS ( = MASS CHEST SURVEY )8. TOMOGRAPHY9. FLUOROSCOPHY10. BRONCHOGRAPHY
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POSTERO-ANTERIOR ( PA ) ROUTINE
LEFT / RIGHT LATERAL (LL/RL)
RIGHT / LEFT ANTERIOR
OBLIQUES (RAO/LAO)
RIGHT / LEFT LATERAL DECUBITUS
(RLD/LLD)
TOP LORDOTIK
CHEST X-RAYS : VIEWS
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SYARAT-SYARAT FOTO THORAX PA bilamemungkinkan ;
•INSPIRASI CUKUP Diafragmakanan setinggi ics.9 -10 posterior•POSISI SIMETRIS Proyeksi tulang corp.vert. Th. terletak ditengah sendi sternoclav kanan dan kiri•KONDISI SINAR-X SESUAI jumlah sinar cukup film diluar cav.thorax cukup kehitaman
kualitas sinar cukup vert.Hanya terlihat s/ Th. 3 – 4.•FILM MELIPUTI SELURUH CAVUM THORAX Puncakcavum thorax & sinus phrenico-costalis kanan – kiri
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This is the simulated patient in PA (posterioranterior) position.
Note that the x-ray tube is 72 inches away.
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NORMAL CHEST
PARENCHYME : RADIOLUCENT
PLEURA : INVISIBLE
HILAR : LEFT > RIGHT
DIAPHRAGM : RIGHT > LEFT
SINUS PHRENICO COSTALIS <
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Chest X-Ray in Inspiration Condition
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This is a PA film on the left compared with a AP supine film on the right.
The AP shows magnification of the heart and widening of the
mediastinum. Whenever possible the patient should be imaged in
an upright PA position.
AP views are less useful and should be reserved for very ill
patients who cannot stand erect.
PA ( POSTERO-ANTERIOR )AP ( ANTERO-POSTERIOR )
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normal PA film that is underpenetrated
overpenetrated PA film
X-ray Penetration
Adequate penetration of the patient by radiation is also required for a good film.
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Centeredqual distance between medial end of clavicle and midline
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This is a normal PA film without any rotation.
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Magnification of clavicular head and spinous process alignment
demonstrating a straight film.
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Unequal distance between medialend of clavicles and oentral line
Not Centered
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NORMAL CHEST RADIOGRAPHY
EVALUATION :
SOFT TISSUE
LUNGS
HEART
SINUS
HILA
MEDIASTINUM
DIAFRAGMA & PLEURA
RIBS
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R
ID
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