版权说明:本文档由用户提供并上传,收益归属内容提供方,若内容存在侵权,请进行举报或认领
文档简介
1、1,Radiodiagnosis in the Respiratory System,呼吸系统X线诊断,贵州省人民医院放射科 唐雷,2,Section 1 The lungs,The thoracic cage 胸廓 The thoracic cage is in symmetry(对称) or not. The ribs and the other bones seen, appear to be normal, or in destruction(骨质破坏), or malformation(畸形), and deformation(变形). The intercostal spaces
2、(肋间隙)are symmetrical or not, broadened, or narrowed. Soft tissues seem normal or abnormal.,3,2. The lungs Location : If lesions are limited by boundaries of a lobe(肺叶) or a segment(肺段), the location of the lesion is defined and described directly with the specific lobe or segment. If the lesion has
3、a massive range and vague margin, it can be described according to the upper, middle or lower regions from top to bottom, and inner, middle or outer zones from inside to outside of the lung fields.,4,Lung fields(肺野) and pulmonary zones(肺带),5,Lung lobes(肺叶) and segments(肺段),6,Lung lobes(肺叶) and segme
4、nts(肺段),7,Sizes of opacities can be described according to the number of intercostal spaces, lobes and segmengts and/ or direct measurements. If a lesion is round, the diameter can indicate its size.,(2) Sizes of opacities:,8,(3)Shapes of shadows:,miliary shape 粟粒状 Spots or patches 斑点状或斑片状 Single sm
5、all nodule 单发小结节状 Multiple nodules 多发结节状 Mass 团块状 Fog-like shadow 云雾状阴影 Consolidation 实变 Calcification 钙化 Flocculent opacities 絮状阴影 Stripe-like opacities 索条状影 Cavity shadows 空洞影 Honeycomb shadows 蜂窝状影 Reticular shadows 网状阴影,9,The margins of lesions can be manifested as fuzzy(模糊), clear(清晰), sharp(锐利
6、), smooth(光整), irregular, radiating(放射状), spiculation(毛刺状), and etc. (5)Relationship between lessions and the surrounding tissues: Pulmonary atelectasis(肺不张) pulls adjacent mediastinum to the affected side. Lung cancer can infiltrate(侵犯) thoracic vertebrae(胸椎) and adjacent ribs.,(4)Margins :,10,3. T
7、he pulmonary hilum (肺门): Hilar enlargement, decrease, nodules, mass, calcification, reationship with mediastinum, alteration of density, and displacement. 4. The mediastinum(纵隔): Observation should include location of the trachea(气管), width of the mediastinum; location, size, shape, displacement of
8、the heart and great vessels. 5. The diaphragm(膈肌): Assessment should involve shape of surface, and sharpness of the costophrenic angles(肋膈角).,11,Cases in the lungs,12,Case 1. 正常胸片,The thoracic cage remains symmetrical. All the seen bones are nothing remarkable. The trachea locates centrally without
9、deviation. The lungs are clear, while the lung markings are natural and regular. Both pulmonary hila show neither enlargement nor decrease. The heart and great vessels appear normal in their position, size and shape. The diaphragm has a smooth surface with sharp costophrenic angles. Diagnosis: Norma
10、l in the lungs, heart, and diaphragm.,13,Case 2. 患儿2y,咳嗽1周,The thoracic cage remains symmetrical. All the seen bones are nothing remarkable. The trachea locates centrally without deviation. The lungs markings become thickened in the inner and middle zones of bilateral middle and lower lung fields. S
11、ome scattered patch-like infiltrations mix with the thickened lung markings. Their margins appear vague. Both pulmonary hila show blurred, but not in evident enlargemen. There is nothing remarkable in the heart and great vessels. The diaphragm has a smooth surface with sharp costophrenic angles. Dia
12、gnosis: Bronchopneumonia.(支气管肺炎),14,Case 3. 男,18y,咳嗽1周、发热2天,The thoracic cage remains symmetrical. All the seen bones are nothing remarkable. The trachea locates centrally without deviation. There is a large patchy homogeneous opacity in the right middle lobe with a slightly fuzzy margin. It covers
13、the right pulmonary hilum. The rest of the lungs remain clear. The left pulmonary hilum has no enlargement. No suspected signs are found in the heart and great vessels. The diaphragm has a smooth surface with sharp costophrenic angles. Diagnosis: Pneumonia(肺炎) in the right middle lobe. Re-examinatio
14、n is suggested after treatment.,15,Case 4. 高热、咳嗽、脓痰10天,There is a large round-like opacity in the posterior segment of the left lower lung with a fuzzy margin, in the size of 2.0cm3.0cm. A cavity can be found with an air-fluid level (气液平面)in the shadow, which involves the left pulmonary hilum and ad
15、jacent lung. Nothing is special in the heart, diaphragm and right lung. Diagnosis: A pulmonary abscess in the posterior segment of the left lower lung .,16,Case 5. 腮腺腺样囊性癌术后3年,复发2月,The thoracic cage remains symmetrical. All the seen bones are nothing remarkable. Multiple nodules with clear margins are dis-played diffusely in both lungs in different sizes. Both pulmonary hila show neither enlargement nor decrease. The heart and great vessel
温馨提示
- 1. 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007和PDF阅读器。图纸软件为CAD,CAXA,PROE,UG,SolidWorks等.压缩文件请下载最新的WinRAR软件解压。
- 2. 本站的文档不包含任何第三方提供的附件图纸等,如果需要附件,请联系上传者。文件的所有权益归上传用户所有。
- 3. 本站RAR压缩包中若带图纸,网页内容里面会有图纸预览,若没有图纸预览就没有图纸。
- 4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
- 5. 人人文库网仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对用户上传分享的文档内容本身不做任何修改或编辑,并不能对任何下载内容负责。
- 6. 下载文件中如有侵权或不适当内容,请与我们联系,我们立即纠正。
- 7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。
最新文档
- 安徽省某购物中心建设项目可行性研究报告
- 2025年烘干桦木板材项目投资可行性研究分析报告
- 2025年高光泽纸项目投资可行性研究分析报告
- 农用超微电动载货汽车项目可行性研究报告
- 空气发生器项目可行性研究报告建议书备案
- 2025年中国舒逸按摩垫行业市场发展前景及发展趋势与投资战略研究报告
- 2025年度汽车零部件质量检测与改进合同范本
- 2025年度公园场地体育赛事举办租赁合同
- 2025年度星级酒店客房清洁与消毒服务合同
- 2025年度城市轨道交通工程合同风险防范与纠纷解决合同
- 包装品质彩盒外箱知识课件
- GB/T 9439-2023灰铸铁件
- 神经外科课件:神经外科急重症
- 颈复康腰痛宁产品知识课件
- 2024年低压电工证理论考试题库及答案
- 微电网市场调查研究报告
- 《民航服务沟通技巧》教案第14课民航服务人员上行沟通的技巧
- MT/T 538-1996煤钻杆
- 小学六年级语文阅读理解100篇(及答案)
- CB/T 467-1995法兰青铜闸阀
- 气功修炼十奥妙
评论
0/150
提交评论