10/16/2013 Charles Q. Li, MD UCSD Radiology PGY-2 UCSD SOM c/o 2012.
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Transcript of 10/16/2013 Charles Q. Li, MD UCSD Radiology PGY-2 UCSD SOM c/o 2012.
![Page 1: 10/16/2013 Charles Q. Li, MD UCSD Radiology PGY-2 UCSD SOM c/o 2012.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649db05503460f94a9eb60/html5/thumbnails/1.jpg)
Chest Radiography 10110/16/2013Charles Q. Li, MDUCSD Radiology PGY-2UCSD SOM c/o 2012
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Contents• Indications• Normal anatomy• How to read & pathology
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Indications• Dyspnea• Chest pain• Trauma• Cough• Fever• Follow-up: PTX, effusion
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Indications• NOT• Rule-out ANYTHING• Suspicion for lung mass• Lung cancer screening in asymptomatic patients• Metastatic workup• Interstitial lung disease evaluation• Supine imaging for PTX or effusion• Frontal view only for foreign body
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Normal anatomy• http://www.radiologymasterclass.co.uk/tutorials/tu
torials.html
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Normal anatomy
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Normal anatomy
http://drsvenkatesan.wordpress.com/2008/10/06/what-is-the-anatomical-relationship-between-pulmonary-artery-and-pulmonary-veins/
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Normal anatomy - airways
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Normal anatomy - airways
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Normal anatomy – pulmonary vasculature
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Normal anatomy – pulmonary vasculature
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Normal anatomy – lateral view
http://www.radiologyassistant.nl/en/p497b2a265d96d/chest-x-ray-basic-interpretation.html
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How to read• Quality assessment• Penetration• Rotation• Inspiration• Motion
• Tubes, Lines & Drains• Search pattern – “ATMLL”• Abdomen• Thorax• Mediastinum• Lung (individual)• Lungs (both)
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How to read – quality assessment
Well penetrated Over penetrated
http://www.med-ed.virginia.edu/courses/rad/cxr/technique6chest.html
Under penetrated
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How to read – quality assessment
Centered Rotated
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How to read – quality assessment
Well-expanded Poorly-expanded
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How to read – quality assessment
Still Moving
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Tubes, Lines & Drains
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Search pattern – “ATMLL”
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Thorax
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Mediastinum
http://www.learningradiology.com/
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Normal anatomy – pulmonary vasculature
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Normal anatomy – pulmonary vasculature
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Mediastinum
http://www.learningradiology.com/
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Lung
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Lung
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Lung
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Lung
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Lung
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Lung
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Lung
http://emedicine.medscape.com/article/355524-overview
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Lung
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Lung
http://www.med-ed.virginia.edu/courses/rad/cxr/pathology1Achest.html
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Lung
http://radiopaedia.org/articles/*******-atelectasis
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ATMLL
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Thanks!• Charles Q. Li• [email protected]
• Good learning resources:• radiopaedia.org• radiologyassistant.nl/en/• radiologymasterclass.co.uk