Professional Documents
Culture Documents
2002
The Fundamentals of
Chest Roentgenology
Fundamental Observations
n
Silhouette sign
Air bronchograms
Opacified hemithorax
Cavities
Diseases
Pneumothorax
Silhouette Sign
l
Air Bronchogram
l
Blood
Gastric aspirate
Inflammatory exudate
Air Bronchogram
Metastases
Multiple AVMs
Rheumatoid nodules
Wegeners Granulomatosis
Cystic fibrosis
Bronchiectasis
Tuberculosis
Interstitial
This disease is
fluffy and indistinct
in its margins, it is
confluent and
tends to be
homogeneous. In
both upper lobes,
you can see air
bronchograms.
This is an alveolar
(airspace) disease,
in this case
pulmonary edema o
n a noncardiogenic basis.
Pulmonary edema
Pneumonia
Pulmonary edema
Pulmonary hemorrhage
Aspiration
Airspace Disease
Discrete
Inhomogeneous
No air bronchograms
Cancer1 or 2
Sarcoidosis
Cystic fibrosis
Asbestosis
Opacified Hemithorax
Three Causes
Atelectasis
Pleural effusion
Pneumonia
Atelectasis
Pleural Effusion
Pneumonia
Opacified hemithorax
No shift
Air bronchograms
Kerley B lines
Pleural effusions
Peribronchial cuffing
n
Not cardiomegaly
Not cephalization
Recognizing CHF
Short (1 -2 cm)
white lines at
the lung
bases,
perpendicular
to the pleural
surface
representing
distended
interlobular
septa
Kerley B Lines
Pleural Effusions
Fluid in the
minor fissure.
The fissures
may be seen
normally but
they should
be about as
thin as a line
drawn with a
sharpened
pencil.
Fluid in the
walls of the
bronchi make
them visible
and produce
numerous
doughnut
densities
throughout
the periphery
of the lung.
Peribronchial cuffing
Pneumothorax
None=simple pneumothorax
Air-fluid level
TB
Abscess
cavities
Thickness of
Wall
Inner Margin
A|F Level
Carcinoma
Thick
Nodular
+/-
TB
Thin
Smooth
No
Abscess
Thick
Smooth
Yes