CURRICULUM VITAE

Dr. Abdul Salam Sp.P

Jakarta, 14 Agustus 1959
Pendidikan
- dokter, dari Fakultas Kedokteran Universitas Indonesia
Jakarta ( 1985 )
- dokter spesialis paru, dari Fakultas Kedokteran
Universitas Indonesia Jakarta (1997)
Pekerjaan/jabatan
- Puskesmas Pulau Enggano. Bengkulu Utara ( 1986 )
- Puskesmas Jalan Gedang, Kodya Bengkulu ( 1988 )
- RS Abdul Aziz, Singkawang(1998)
- Balai Pengobatan Penyakit Paru-Paru, Pontianak(1999)
- RS Dr Soedarso Pontianak(2000)
IMAGING PULMONARY INFECTION
 Pulmonary Imaging
Imaging techniques used to investigate
pulmonary pathology include:

Plain film
Computed Tomography
Magnetic Resonance Imaging
Ultrasound
Angiography
 Keys to reading
A good understanding of normal anatomy
A good search pattern
basic principles of chest radiography
 X-ray Absorption
When x-rays are produced and directed toward the patient,
they may act in three basic ways.

They may be Which means

unabsorbed they pass through the patient unchanged and strike the
x-ray film.

completely absorbed the energy of the x-ray is totally deposite within the
patient.

scattered they are deflected within the patient but may still strike the
x-ray film.
 Factors Contributing to X-ray Absorption

the energy of the x-ray beam and

the density of the tissue the beam strikes
Tissue Density
Differential X-ray Absorption
Normal Frontal Chest Radiograph
Normal Frontal Chest Radiograph
Normal Lateral Chest Radiograph
Silhouette SignConsolidation
Silhouette Sign
Chest Radiograph Interpretation: Basic Patterns
of Disease
Consolidation (or airspace filling)
Interstitial (including linear and reticular opacities, small well-
defined nodules,miliary patterns, and peribronchovascular
thickening)
Solitary nodule
Mass
Lymphadenopathy
Cyst/cavity
Pleural abnormalities
Right upper lobe pneumonia. Air bronchograms (arrows) are visible.
75-year-old man with alcoholism and Klebsiella pneumonia. Example of bulging fissure
sign. Posteroanterior (left) and lateral (right) radiographs show right upper lobe
consolidation causing inferior bulging of minor fissure (black arrows), posterior bulging
of major fissure (white arrow), and inferomedial displacement of bronchus
intermedius (asterisk).
pneumoniap
Left upper lobe airspace opacity in a 4-year-old child with tuberculosis. Note the
silhouette sign (absence of a distinct left heart border).
Bilateral diffuse small nodules (23 mm in diameter) consistent with a miliary pattern.
The patient was a 5-year-old girl with disseminated tuberculosis.
Bilateral upper lobe apicoposterior segment consolidation characteristic of post-
primary tuberculosis
Right hilar adenopathy (large arrows), right mid-lung airspace opacity, and blunting of
the right costophrenic angle (small arrow) consistent with a small pleural effusion. This
HIV-negative patient had culture-confirmed primary tuberculosis.
Extensive airspace consolidation (large arrows) in the right upper lobe with areas of
cavitation (small arrows).
Bilateral (right>left) upper lobe airspace consolidation. There is a large cavity in the
right upper lobe (arrows). Note the nodular airspace opacities in the left upper lobe
and right middle lobe that represent bronchogenic spread of tuberculosis from the
right upper lobe.
Right upper lobe airspace opacity adjacent to the trachea. In addition, there is elevation of the
minor fissure (arrows), indicating lung collapse and volume loss.. This patient with culture-
confirmed tuberculosis was determined by bronchoscopy to have bronchostenosis.
Left pleural effusion with air-fluid levels (arrows) consistent with a hydroneumothorax
caused by the bronchopleural fistula.
Bilateral diffuse opacities, primarily of the airspaces, with bilateral hilar adenopathy.
The patient had AFB smear-positive tuberculosis.
Large bilateral paratracheal adenopathy, causing widening of the mediastinum
(arrows) with right middle and lower lung zone airspace and linear opacities. the
patient was AFB smear-positive.
Miliary Pattern
TB millier
Right upper-lobe infiltrate and a cavity cavity with an air-fluid level in a patient with
active tuberculosis

Treatment of Tuberculosis - Guidelines by

36
WHO: 2010
Right paratracheal opacity behind the right clavicle (see arrows). This patient had
culture-confirmed tuberculosis
Right upper lobe airspace opacity with cavitation. Large cavity (small arrow). Right
hydropneumothorax with an air-fluid level (large arrow). This patient had smear-
positive pulmonary tuberculosis and a tuberculous empyema.
35-year-old man with Staphylococcus aureus pneumonia forming lung abscess.
A, Posteroanterior (left) and lateral (right) radiographs show right lower lobe cavity with air-fluid
level (arrows). Thick, irregular wall typical of lung abscess is evident.
B, Axial CT image shows parenchymal location of right lower lobe cavity with air-fluid level,
irregular internal contours, and associated bronchus (arrow) coursing to lesion.
TERIMA KASIH