YLL School of Medicine, NUS

Chest and Lungs

Dr Goh Poh Sun Associate Professor and Senior Consultant

Department of Diagnostic Radiology NUHS

YLL School of Medicine, NUS

Briefly looking ahead to clinical practice

•  www.learningchestradiology.blogspot.com

Diagnostic Radiology

YLL School of Medicine, NUS

Learning Resources •  http://www.radiologyeducation.com/

#AnatomyTextbooks •  http://rad.usuhs.edu/medpix/parent.php3?

mode=home_page#top

•  http://radiologymasterclass.co.uk/tutorials/chest/chest_home_anatomy/chest_anatomy_start.html

•  http://www.med.wayne.edu/diagradiology/

anatomy_modules/Mediastinum/Mediastinum.html •  http://fitsweb.uchc.edu/ctanatomy/chest/

index.html

•  Google search key words “Anatomy on Chest Radiograph and CT Chest”

YLL School of Medicine, NUS

Objectives – Phase I

•  Normal anatomy on Xrays and cross sectional imaging

•  Principles of Xrays, US, CT, MRI etc

Diagnostic Radiology

YLL School of Medicine, NUS

Assessment – Phase I

•  ability to identify normal structures on Xrays and cross sectional imaging

•  ability to recognise different imaging techniques

•  use illustrated MCQs to assess students

Diagnostic Radiology

YLL School of Medicine, NUS

Outline

•  Learning objectives –  Understand range of imaging investigations, their principles, what

anatomy they can show –  Ability to recognise anatomy shown on plain radiographs, cross

sectional imaging ( ultrasound, CT, MRI ) and selected more specialized investigations ( eg. Angiography ) ‏

•  Pretest review •  Outline of lecture •  Body of lecture •  Summary and review of learning objectives covered •  Post test

YLL School of Medicine, NUS

Pre-test

•  Please match the listed anatomical structures (by alphabet) to the numbered structures on the following imaging investigations

YLL School of Medicine, NUS

Q1. Match the anatomical structures to the indicated

alphabet

1. Aortic arch 2.Trachea

3.Right hemidiaphragm 4.Left clavicle

5. Anterior end of right 3rd rib

YLL School of Medicine, NUS

Q2. Match the anatomical structures to the indicated

alphabet

1. Aortic arch 2.Trachea

3.Left scapula 4. Sternum

5. Anterior end of right rib

YLL School of Medicine, NUS

Q3. Match the anatomical structures to the indicated

alphabet

1. Aortic arch 2.Trachea 3.Spleen 4. Liver

5. Right 3rd rib

YLL School of Medicine, NUS

YLL School of Medicine, NUS

Post-test

•  Please match the listed anatomical structures (by alphabet) to the numbered structures on the following imaging investigations

YLL School of Medicine, NUS

a.  Right clavicle b.  Anterior right 3rd rib

c.  Right atrium d.  Right hemidiaphragm

e.  Liver f.  Posterior right 3rd rib

g.  Trachea h.  Left clavicle i.  Aortic arch

j.  Main pulmonary artery k.  Left ventricle

l.  Left hemidiaphragm

YLL School of Medicine, NUS

a.Right scapula b.Trachea

c. Anterior right rib d. Superior vena cava

e.Sternum f. Aortic arch

g. Anterior left rib h. Left scapula

i.Left posterior rib j. Vertebral body

k. Right posterior rib

YLL School of Medicine, NUS

a.  Liver b.  Right 7th rib c.  Right 5th rib

d.  Right third rib e.  Trachea

f.  Right clavicle g.  Left clavicle h.  Aortic arch

i.  Main pulmonary artery j.  spleen

YLL School of Medicine, NUS

YLL School of Medicine, NUS

YLL School of Medicine, NUS

YLL School of Medicine, NUS

YLL School of Medicine, NUS

YLL School of Medicine, NUS

YLL School of Medicine, NUS

YLL School of Medicine, NUS

YLL School of Medicine, NUS

YLL School of Medicine, NUS

Learning Resources •  http://www.radiologyeducation.com/

#AnatomyTextbooks •  http://rad.usuhs.edu/medpix/parent.php3?

mode=home_page#top

•  http://radiologymasterclass.co.uk/tutorials/chest/chest_home_anatomy/chest_anatomy_start.html

•  http://www.med.wayne.edu/diagradiology/

anatomy_modules/Mediastinum/Mediastinum.html •  http://fitsweb.uchc.edu/ctanatomy/chest/

index.html

•  Google search key words “Anatomy on Chest Radiograph and CT Chest”

YLL School of Medicine, NUS

Thank You