1 Thoracic Imaging Radiology school, Liu Lin Xiang, 刘林祥,

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Thoracic Imaging

Radiology school, Liu Lin Xiang, 刘林祥 , lxliu@tsmc.edu.cn

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Imaging Technique

Fluoroscopy, Plain radiograph Tomography Broncography, Angiography Computed Tomography Magnetic Resonance Imaging Ultrasonography Positron Emission Tomography

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Fluoroscopy multiprojection mobility of diaphragm

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Plain radiograph

Frontal view be taken with full

inspiration and posteroanterior beam direction

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Plain radiograph

lateral views in a standing

High kilovoter radiograph

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Broncography demonstration of

bronchiectasis bronchial anomalies fistula with the

pleural cavity

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Bronchial angiography haemoptysis IVR

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Pulmonary angiography

be used to demonstrate the pulmonary arteries and veins

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CT

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MRI

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thoracic skeleton

sternumclavicalrib

cervical ribbifurcation ribfusion of rib

thoracic spinescapula

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Thoracic skeleton

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bifid rib

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Bifurcation of rib

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Cervical rib

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Soft tissue

stemocleidomastoid and pectoral muscles breast shadows nipple of the breast

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Soft tissue

stemocleidomastoid and pectoral muscles breast shadows nipple of the breast

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Soft tissue

stemocleidomastoid and pectoral muscles breast shadows nipple of the breast

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Bone structure and soft tissue

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Mediastium and division

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Normal thyma

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Normal mediestium

Brachiocephalic truck

Left common carotid artery

Left subclavian artery

Brachiocephalic vein

Internal jugular vein

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Normal mediestium

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Normal mediestium

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Normal mediestium

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Normal mediestium

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Normal mediestium

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Normal mediestium

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Normal mediestium

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Normal mediestium

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Normal mediestium

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Diaphragm

level of right dome of diaphragm is higher than left

On inspiration, upper part of right dome of diaphragm is near tip of sixth rib at front, and between 10th and 11th rib at back

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plurae

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plurae

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plurae

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azygos lobe

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Trachea10cm in length ， 1.5-2.5cm in dimeterlocated midline of the neck and upper thoraxIn front of the esophagusExtends from the lower border of the cricoid carlage at the level of sixth ceivicle vertebra to the level of the sternal angle at the lower border of the fourth thoracic vertebra15-30 C-shaped rings of hyaline cartilage and posteriorly tracheal musle

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bronchial tree

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bronchial tree right left

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bronchial tree

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bronchial tree

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Illustation of the lung

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lung

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lobe

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Right middle lobe

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Right lower lobe

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Left upper lobe

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Left lower lobe

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Bronchopulmonary segments Rihgt lung

superior lobe Apical S1 Posterior S2 Anterior S3

Middle lobe Lateral S4 Medial S5

Inferior lobe Superior S6 Medial basal S7 Anterior basal S8 Lateral basal S9 Posterior basal S10 S*

Left lung superior

Upper Apical+Posterior S1+S2 Anterior S3

lingual Superior lingual S4 Inferior lingual S5

Inferior lobe Superior S6 Anterior basal S8 Lateral basal S9 Posterior basal S10 S*

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Lung segments

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Lung segments

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Right middle lobe inflamation

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Lung segments

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Lung segments

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Lung segments

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Pulm

onary artery

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Pulmonary artery

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Angiogram

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Pulm

onary vein

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Pulmonary vein

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Lymph system

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Lymph node1.Superior mediasternal2.Paratracheal3.Anterior tracheal4.Superior trachobronchial5.Inferior aotic7.Inferior tracheobronchial8.paraesopheal9.Lung ligmental10.peribronchial

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Superior mediasternal lymph node

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Paratracheal lymph node

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Anterior mediasternal lymph nodeAnterior tracheal lymph node

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Superior trachobronchial lymph node

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Inferior aotic lymph node

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Paraaotic lymph node

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Inferior tracheobronchial lymph node

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Inferior tracheobronchial lymph node

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Paraesopheal lymph node

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Lung ligmental lymph node

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Peribronchial lymph node

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Lung hilar

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Plain film of chest

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Interlobar fissure on CTThin, straight line

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Plain film of chest

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Plain film of chest

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Plain film of chest

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Plain film of chest

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Indications of MRI

Mediastinal diseasesLarge blood vessel disease: aortic aneurysm, aortic dissectHeart disease: congenital, acquiredChest wall diseasesA few lung diseases

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