Download Free Medical X RAY Interpretation PowerPoint Presentation

X RAY Interpretation PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : If deviated to one side : Pushed away by pleural effusion or tension pneumothorax Pulled towards collapse......

Tags : x-ray,heart and vessels,diaphragm

Published on : Apr 22, 2022 | Views : 3251 | Downloads : 26

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

X RAY interpretation Dr. aboubaker aldhib
Slide 2-

Before you interpret … check for the following : Name Date Orientation : Left, right Position : erect , supine , PA or AP Inspiration, expiration Rotation : central or tilted Distance from the medial end of each clavicle to the spinous process of the vertebra at the same level Exposure : You must barely see the thoracic vertebrae behind the heart Identify both costophrenic angles and lung apices
Slide 3-

Name Date Orientation Adequate inspiration 9 ribs posteriourly Exposure Adequate tissue penetration Adequate anatomical exposure Gastric air bubble Rotation
Slide 4-

ppt slide no 4 content not found
Slide 5-

ppt slide no 5 content not found
Slide 6-

Underpenetrated
Slide 7-

Under-penetrated
Slide 8-

Systematic Approach Trachea and mediastinum Heart and vessels Hila Diaphragm Lung fields Bones
Slide 9-

PA Film
Slide 10-

Trachea and Mediastinum Ensure trachea is visible If deviated to one side : Pushed away by pleural effusion or tension pneumothorax Pulled towards collapse The carina, (60 –100 degrees) Angle of the carina increases left atrial enlargement, lymph node enlargement and left upper lobe collapse (left main bronchus is pulled up) Check for a widened mediastinum : Mass lesions (eg tumour, lymph nodes, aneurysm)
Slide 11-

ppt slide no 11 content not found
Slide 12-

Heart and vessels Heart size and heart borders Check aorta : Widening, calcification Check SVC, IVC, azygos vein widening
Slide 13-

LV Pulmonary conus Aortic knuckle RA Rt and Lt Pulmonary arteires SVC IVC Heart and vessels Vascular pedicle
Slide 14-

Hila Note position and size bilaterally Check for enlarged lymph nodes Calcified nodes or nodules Mass lesions Pulmonary arteries (normally < 1.5cm )
Slide 15-

Diaphragm Right hemidiaphragm slightly higher than the left If right is much higher than the left : ? effusion, lobar collapse, diaphragmatic paralysis Haziness : consider lung infiltrate (eg pneumonia) or effusion Air under the diaphragm : perforated viscus
Slide 16-

ppt slide no 16 content not found
Slide 17-

Lung fields Parenchymal infiltrates : 1- Determine location : Loss of heart borders or of the contour of the diaphragm E.g. : Right middle lobe consolidation blurs the heart border The lingula blurs the left side border of the heart 2- Identify the pattern of infiltration : Interstitial pattern → reticular Alveolar → patchy or nodular pattern Patchy infiltrates may be homogenous or heterogenous
Slide 18-

Lung fields (cont’d) Check also for : Lobar collapse Lobar consolidation : Look for air bronchograms Pulmonary nodules Apices Effusions Kerley B lines Fissures : they become wide if there is fluid collection Costophrenic angle The pleura : Thickening, loculations, calcifications and pneumothorax
Slide 19-

ppt slide no 19 content not found
Slide 20-

ppt slide no 20 content not found
Slide 21-

ppt slide no 21 content not found
Slide 22-

The minor fissure which separates the right upper lobe from the right middle lobe.
Slide 23-

Bone Fractures, dislocation, subluxation, osteoblastic or osteolytic lesions in clavicles, ribs, thoracic Spine and humerus including osteoarthritic changes soft tissues for subcutaneous air, foreign bodies
Slide 24-

Lateral Film
Slide 25-

ppt slide no 25 content not found
Slide 26-

ppt slide no 26 content not found
Slide 27-

ppt slide no 27 content not found
Slide 28-

ppt slide no 28 content not found
Slide 29-

ppt slide no 29 content not found
Slide 30-

Left Lateral Right Lateral
Slide 31-

ppt slide no 31 content not found
Slide 32-

Self Assessment
Slide 33-

Right middle lobe infiltrates (or early consildation)
Slide 34-

ppt slide no 34 content not found
Slide 35-

Hilar mass ( ? Enlarged ymph node)
Slide 36-

Pneumothorax
Slide 37-

Left pleural effusion
Slide 38-

Emphysema
Slide 39-

Left pleural effusion
Slide 40-

Left upper lobe mass
Slide 41-

Air under diaphragm
Slide 42-

Right upper lobe collapse and consolidation . Lobar density . Air bronchogram . No loss of lung volume
Slide 43-

RUL infiltration with air bronchogram + atelectasis Right upper lobe collapse . Segmental or lobar density Compensatory hyperinflation of normal lung
Slide 44-

Right middle lobe consolidation
Slide 45-

LUL consolidation
Slide 46-

Left lower lobe consolidation
Slide 47-

pacemaker
Slide 48-

Tension pneumothorax Tension pneumothorax (Left)
Slide 49-

Pulmonary hypertension Prominent pulmonary conus Enlarged pulmonary artery Cardiomegaly
Slide 50-

Pleural effusion Enlarged pulmonary arteries Pleural effusion Prominent transverse fissure
Slide 51-

metastasis Multiple round lesions ? Metastases
Slide 52-

pneumothorax Small Pneumothorax
Slide 53-

Metastatic Ca colon
Slide 54-

Infected hydatid cyst Lung Abscess
Slide 55-

Figure 7: Right middle lobe pneumonia Right middle lobe pneumonia
Slide 56-

Kerley B lines
Slide 57-

Obvious ! Pulmonary edema
Slide 58-

Obvious ! Pulmonary edema
Slide 59-

Pulmonary fibrosis Obvious !
Slide 60-

Right upper lobe collapse
Slide 61-

- - - - - - - - Right upper lobe collapse
Slide 62-

Right middle lobe collapse
Slide 63-

Cavitary tumour with air-fluid level
Slide 64-

Cavitary lesion
Slide 65-

Pleural effusion Obvious !
Slide 66-

Pulmonary nodule
Slide 67-

Obvious ! Metastases
Slide 68-

Hilar lymph node
Slide 69-

Any suggestion???? Large Hiatus hernia
Slide 70-

Any suggestion???? Bilateral numerous small dots Miliary Tuberculosis
Slide 71-

Good Luck