北京协和医院：《放射诊断学》课程教学资源（PPT课件）呼吸系统诊断学实习（英文版）

CHEST normal and abnormal HUA-DAN XUE 200809

CHEST normal and abnormal HUA-DAN XUE 2008 09

Xray TOUSING FILTER COLLIMATOR AY EOOLLIMATED PATIENT X-RAY FILM

X ray

UNG LUNG Figure 2-10

Normal chest plain radiograph Soft tissue ■breast and nipple ■Companion shadows ■Bone Ribs:Calcification of the cartilage Congenital rib abnormality:cervical rib,fused rib,bifid rib Clavicle Scapula ■Sterni:manubrium柄、corpus体 Thoracic vertebral bodies

Normal chest plain radiograph ◼ Soft tissue ◼ breast and nipple ◼ Companion shadows ◼ Bone ◼ Ribs: Calcification of the cartilage ◼ Congenital rib abnormality：cervical rib, fused rib, bifid rib ◼ Clavicle ◼ Scapula ◼ Sterni：manubrium柄、corpus体 ◼ Thoracic vertebral bodies

The ribs

The ribs

Pulmonary markings Including pulmonary artery,vein,lymphatics,mainly artery: ■ Distribution:Radiating from the hilum,branches lower part is rougher than upper part

◼ Including pulmonary artery, vein, lymphatics, mainly artery; ◼ Distribution: Radiating from the hilum, branches； ◼ lower part is rougher than upper part. Pulmonary markings

Hlum(肺门)

Hilum (肺门)

Mediastinun Superior mediastinum:above aortic arch Anterior mediastinum:thymus,lymph nodes;some including heart Posterior mediastinum:vertebral bodies,descending aorta, esophagus

Superior mediastinum: above aortic arch Anterior mediastinum: thymus, lymph nodes;some including heart Posterior mediastinum: vertebral bodies, descending aorta, esophagus Mediastinum

Normal chest plain film ■field(area)肺野与带 Medial middle lateral area,from the hilum to the rib Upper,middle,lower field,lower rim of the 2nd/4th anterior rib as the boundary ■Lobes肺叶 Right lobe:upper,middle and lower lobe Fissures叶间裂：horizontal fissure,oblique fissure Left lobe:upper and lower lobe only (lingula) Fissure:oblique fissure

Normal chest plain film ◼ field (area) 肺野与带 ◼ Medial middle lateral area, from the hilum to the rib. ◼ Upper, middle, lower field, lower rim of the 2nd/4th anterior rib as the boundary ◼ Lobes 肺叶 ◼ Right lobe: upper, middle and lower lobe ◼ Fissures 叶间裂 : horizontal fissure, oblique fissure ◼ Left lobe: upper and lower lobe only (lingula) ◼ Fissure: oblique fissure