呼吸系统X线诊断-英文.ppt

RadiodiagnosisintheRespiratorySystem 呼吸系统X线诊断 贵州省人民医院放射科唐雷 Section1Thelungs Thethoraciccage胸廓Thethoraciccageisinsymmetry 对称 ornot Theribsandtheotherbonesseen appeartobenormal orindestruction 骨质破坏 ormalformation 畸形 anddeformation 变形 Theintercostalspaces 肋间隙 aresymmetricalornot broadened ornarrowed Softtissuesseemnormalorabnormal 2 ThelungsLocation Iflesionsarelimitedbyboundariesofalobe 肺叶 orasegment 肺段 thelocationofthelesionisdefinedanddescribeddirectlywiththespecificlobeorsegment Ifthelesionhasamassiverangeandvaguemargin itcanbedescribedaccordingtotheupper middleorlowerregionsfromtoptobottom andinner middleorouterzonesfrominsidetooutsideofthelungfields Lungfields 肺野 andpulmonaryzones 肺带 Lunglobes 肺叶 andsegments 肺段 Lunglobes 肺叶 andsegments 肺段 Sizesofopacitiescanbedescribedaccordingtothenumberofintercostalspaces lobesandsegmengtsand ordirectmeasurements Ifalesionisround thediametercanindicateitssize 2 Sizesofopacities 3 Shapesofshadows miliaryshape粟粒状Spotsorpatches斑点状或斑片状Singlesmallnodule单发小结节状Multiplenodules多发结节状Mass团块状Fog likeshadow云雾状阴影Consolidation实变Calcification钙化Flocculentopacities絮状阴影Stripe likeopacities索条状影Cavityshadows空洞影Honeycombshadows蜂窝状影Reticularshadows网状阴影 Themarginsoflesionscanbemanifestedasfuzzy 模糊 clear 清晰 sharp 锐利 smooth 光整 irregular radiating 放射状 spiculation 毛刺状 andetc 5 Relationshipbetweenlessionsandthesurroundingtissues Pulmonaryatelectasis 肺不张 pullsadjacentmediastinumtotheaffectedside Lungcancercaninfiltrate 侵犯 thoracicvertebrae 胸椎 andadjacentribs 4 Margins 3 Thepulmonaryhilum 肺门 Hilarenlargement decrease nodules mass calcification reationshipwithmediastinum alterationofdensity anddisplacement 4 Themediastinum 纵隔 Observationshouldincludelocationofthetrachea 气管 widthofthemediastinum location size shape displacementoftheheartandgreatvessels 5 Thediaphragm 膈肌 Assessmentshouldinvolveshapeofsurface andsharpnessofthecostophrenicangles 肋膈角 Casesinthelungs Case1 正常胸片 Thethoraciccageremainssymmetrical Alltheseenbonesarenothingremarkable Thetrachealocatescentrallywithoutdeviation Thelungsareclear whilethelungmarkingsarenaturalandregular Bothpulmonaryhilashowneitherenlargementnordecrease Theheartandgreatvesselsappearnormalintheirposition sizeandshape Thediaphragmhasasmoothsurfacewithsharpcostophrenicangles Diagnosis Normalinthelungs heart anddiaphragm Case2 患儿2y 咳嗽1周 Thethoraciccageremainssymmetrical Alltheseenbonesarenothingremarkable Thetrachealocatescentrallywithoutdeviation Thelungsmarkingsbecomethickenedintheinnerandmiddlezonesofbilateralmiddleandlowerlungfields Somescatteredpatch likeinfiltrationsmixwiththethickenedlungmarkings Theirmarginsappearvague Bothpulmonaryhilashowblurred butnotinevidentenlargemen Thereisnothingremarkableintheheartandgreatvessels Thediaphragmhasasmoothsurfacewithsharpcostophrenicangles Diagnosis Bronchopneumonia 支气管肺炎 Case3 男 18y 咳嗽1周 发热2天 Thethoraciccageremainssymmetrical Alltheseenbonesarenothingremarkable Thetrachealocatescentrallywithoutdeviation Thereisalargepatchyhomogeneousopacityintherightmiddlelobewithaslightlyfuzzymargin Itcoverstherightpulmonaryhilum Therestofthelungsremainclear Theleftpulmonaryhilumhasnoenlargement Nosuspectedsignsarefoundintheheartandgreatvessels Thediaphragmhasasmoothsurfacewithsharpcostophrenicangles Diagnosis Pneumonia 肺炎 intherightmiddlelobe Re examinationissuggestedaftertreatment Case4 高热 咳嗽 脓痰10天 Thereisalargeround likeopacityintheposteriorsegmentoftheleftlowerlungwithafuzzymargin inthesizeof2 0cm 3 0cm Acavitycanbefoundwithanair fluidlevel 气液平面 intheshadow whichinvolvestheleftpulmonaryhilumandadjacentlung Nothingisspecialintheheart diaphragmandrightlung Diagnosis Apulmonaryabscessintheposteriorsegmentoftheleftlowerlung Case5 腮腺腺样囊性癌术后3年 复发2月 Thethoraciccageremainssymmetrical Alltheseenbonesarenothingremarkable Multiplenoduleswithclearmarginsaredis playeddiffuselyinbothlungsindifferentsizes Bothpulmonaryhilashowneitherenlargementnordecrease Theheartandgreatvesselsa