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Introduction to Chest Introduction to Chest ImagingImaging
Ralph Regueiferos R.T.Department of RadiologyMt Sinai Medical Center
Introduction to Chest Introduction to Chest ImagingImaging
Does Radiation Frighten You Does Radiation Frighten You ??
Inverse Square LawInverse Square Law
Close to 50% of all cases require the Close to 50% of all cases require the use of a c-arm and almost 90% of all use of a c-arm and almost 90% of all
cases will have had or will require some cases will have had or will require some type of x-ray proceduretype of x-ray procedure
Anatomical Anatomical LandmarksLandmarks
Anatomical LandmarksAnatomical Landmarks
Inspiration vs. ExpirationInspiration vs. Expiration
Inspiration or ExpirationInspiration or Expiration
55y/o male for hernia repair. Based on this film is he 55y/o male for hernia repair. Based on this film is he cleared for surgerycleared for surgery
GOOD
Ralph and Paul are out of the O.R. They call you and Ralph and Paul are out of the O.R. They call you and ask them to check a post hickman port insertion for ask them to check a post hickman port insertion for
them. What will you tell them ?them. What will you tell them ?
Paul is lying on a beach in Hawaii and Ralph is busy in Paul is lying on a beach in Hawaii and Ralph is busy in another room and can’t get out to view a post CVP Line x-ray. another room and can’t get out to view a post CVP Line x-ray. Dr. Wittels asks you to view the x-ray and let him know what Dr. Wittels asks you to view the x-ray and let him know what
you see. What would your answer be ??you see. What would your answer be ??
Attempted CVP Line InsertionAttempted CVP Line Insertion
CT Scan confirming PneumothoraxCT Scan confirming Pneumothorax
Post Chest Tube Insertion
Post Chest Tube RemovalPost Chest Tube Removal
You Make The CallYou Make The Call
Confirm with CT ScanConfirm with CT Scan
You Make The CallYou Make The Call
Same PatientSame PatientWhat’s the Difference ?What’s the Difference ?
You Make The CallYou Make The Call
You Make The CallYou Make The Call
Thank You
Ralph Regueiferos R.T.