Upload
rahmat-syahili
View
231
Download
0
Embed Size (px)
Citation preview
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 1/81
CHESTNormal CT ANATOMY
BYMAMDOUH MAHFOUZ MD
Cairo university
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 2/81
IndicationsIndications
Patient preparationPatient preparation Fasting 4Fasting 4--6 hours6 hours Patient positionPatient position SupineSupine
ScanogramScanogram FrontalFrontal
• To assess equivocal plain X-ray findings
• Staging of lung neoplasms
• Metastatic workup of extrathoracic malignancies
• Diagnosis of diffuse lung disease with HRCT
• Assessment of bronchiectasis
• Assessment of suspected post-traumatic vascular injury
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 3/81
IndicationsIndications
Patient preparationPatient preparation Fasting 4Fasting 4--6 hours6 hours
Patient positionPatient position
SupineSupine
ScanogramScanogram FrontalFrontal
No required preparation unless the patient is going to be sedated
or injected with contrast material
FASTING FOR 4FASTING FOR 4 -- 6 HOURS6 HOURS
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 4/81
Contrast injection50-100ml of water soluble contrast material [urographine, isovist,…] bolus injection
Not indicated when Evaluating diffuse lung disease.
Evaluating bronchiectasis
Screening for lung deposits
Some cases of trauma.
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 5/81
10mm sections from lung apex to the C/P angles
Mediastinal window, lung window, bone window?!
Reconstructed images
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 6/81
Scanning techniquesScanning techniquesStandard Examination
High resolution [HRCT]
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 7/81
Standard CT High Resolution CT,HRCTHRCT
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 8/81
Scanning techniquesScanning techniques
Spiral, Helical, volumetric CT
Multi-Detector, Multi-Slice CT
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 9/81
Normal pulmonary vascularity
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 10/81
Normal pulmonary vascularity
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 15/81
CT AngiographyCT Angiography
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 17/81
3DCTA Angiography demonstrates a filling defect of the right Iliac artery
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 18/81
Detailed examination of the Superior Mesenteric Artery and Celiac Artery.Scan time = 9.4 seconds. 1mm slice thickness
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 31/81
An App
An
Ap
P App
AnL
P
App
PL An
M
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 33/81
An
App
An Ap
P
App App
An
L
P
PL
An
M
SS IILL
MM
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 40/81
M 44Y with malignant liver
F 45Y with post irradiation
changes after radical mastectomy
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 41/81
35Y male with fever and expectoration
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 42/81
45Y male with chest pain and hemoptysis
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 43/81
43Y male with acute chest
pain and hemoptysis
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 46/81
سبح نك للهم و بحمدك نشهد ن ال له ال نت نستغفرك و نتوب ليك
Thank you
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 47/81
THANK
YOU
نتوب ليك
و
نستغفرك
ال له ال نت
نشهد ن
بحمدك
و
سبح نك للهم
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 52/81
Figures 7A, B & C Small branches arising from the left
pulmonary artery are seen on the CT scan. The relationship
of theazygos, aorta and esophagus isshown.
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 53/81
Figures 8A, B & CThe azygos arch is seen enter-ing
the superior vena cava.Note the small lymph nodes lying
within fat anterior to the trachea. This space is readily
accessible to the mediastino-scope.
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 54/81
Figures 9A, B & C The superior vena cava is lateral to the
aortic arch.
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 55/81
Figures 1OA, B & C Five vessels are seen cut in cross-
section.
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 59/81
•Cavitating neoplasm with pul. deposits
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 61/81
•Lat. normal
M 45Y PANCOAST’S TUMOR
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 62/81
M 45Y PANCOAST’S TUMOR
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 79/81
66 year ’ s old patient with multiple TB abscesses
8/12/2019 Normal CT Chest
http://slidepdf.com/reader/full/normal-ct-chest 80/81
63Y male with multiple hydatid cysts