Chest X-RayRN RN

chest x-ray

Contents x-ray density() position of tubes and catheters x-ray

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x- X . x . x . , x .

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x 5 > > () > > , . .

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. . x- , . . . , .

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. . x .

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Silhouette sign . .

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**CT(computed tomogram) . CT

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density() * Density ? *WhiteInfiltration / hazzinessconsolidationGGO (ground glass opacity)CavityPneumonia, pulmonary edema, pleural effusion

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* density * Black lucent pneumothorax , emphysema

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Chest PA . . X PA(postero anterior view) . .

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Chest PA: position

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Chest APchest AP : AP(antero-posterior view) .

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Lateral view PA .

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Lateral view: position

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Decubitus view( )Decubitus . . . , .(Right lateral decubitus)

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: Normal anatomylungheartmediastinumdiaphragmbony thoraxsoft tissueupper abdomen lung soft tissue opacity liver lung

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: , , , , . x-ray .

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, , , 3 (lobe) , PA RML RLL lateral .

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RML RLL -> Lateral view

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, 2 .

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(visceral pleural) , (parietal pleural) . . , , . (Interstitium) (interlobular septum), , (pulmonary arteriole) (alveolar wall) . (bronchioles) (alveoli) .

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, , . .(diaphragm) , (hemidiaphragm) . .

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Position of Tubes and Catheters

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Endotracheal tube carina 3-5cm . clavicle 3cm .

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Central venous catheter tip SCV innominate vein . x-ray Rt bronchus , Aortic arch .

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Chest tubetip chest side hole .Pneumothorax -> chest tube , 2-3 rib tip Effusion -> tip Rib 8-9

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L tubeGE junction 10cm

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Swan Ganz catheter Mediastinal shadow 2cm

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x-ray

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: ConsolidationAir space disease ,(: )

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(Airspace consolidation), , Air-bronchogram

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(atelectasis): . : . - , : . - ,

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Major fissure chest PA , **Major fissure: fissure

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Atelectasis VS consolidationAtelectasisDensity BlackLung volume loss tracheal shiftingConsolidationDensity White replace

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, X, (cavitation) 3 cm : nodule3 cm : mass

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RLL mass 7Cm -> R/O Lung cancer

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Cavity , , upper lobe -> active pulmonary Tb

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-

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?? .

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reference. X 3..2006Hugue ouelltte, MD. . . 2004Benjamin Felson , Felson's Principles of Chest Roentgenology , W.B. Saunders Company , 2005

13756309 (75/M) Organizing pneumonia33688323 (70/M)LLL collapse, squamous cell ca26045959 64/MSquamous cell ca29657368 55/MActive pulmonary TB with cavity28774525 71/MEmphysema