医学教学课件英文版：Radiodiagnosis in the respiratory system

2023/9/4281RadiodiagnosisintheRespiratorySystem2023/9/4282Questions1.Whatisthegeneralprincipleinwritingradiologicalreports?2.Whatisthebasicstructureofradiologicalreports?3.Whatisthedescriptiveorderinwritingradiologicalreports?4.Howtomasterprofessionaltermsinwritingradiologicalreports?5.Whyshouldthedoctorsignthenameontheradiologicalreports?2023/9/4283SignificanceandRequirementsThewritingofaradiodiagnosticreporthastobeapreciseworkbecauseitisnotonlyaconsultingsuggestionforcliniciansbutalsoamedicolegaldocument.Theradiologistsshouldchoosewordscarefullyandexactlyandtrytomakethereportinclarityofdescriptionandareasonableanalysis.2023/9/4284CommonexpressionvsMedicaltermsFeelsickFaintDizzinessBreakBleedingObstructionNauseaCollapseVertigoFractureHemorrageInfarct(infarction)2023/9/4285AimandRequirements

1.TomakefamiliarwithbasicanatomicaltermsintheChest.2.TomastersomeimportantpathologicaltermsintheLung.3.ToknowwellthedescriptivepatternsinbasicpathologicalchangesintheChest.4.Towriteareportaboutthechangesofthelungfields.2023/9/4286Fluoroscopy多方向、呼吸时肺野透光度变化，膈肌运动、心脏搏动2023/9/4287Plainradiograph清晰显示胸部结构，保存胸部后前位摄影2023/9/4288Plainradiograph胸部侧位摄影DRHighkilovoterradiograph：心脏及膈顶后方病变2023/9/4289胸部CT2023/9/428102023/9/42811Thethoraciccageremainssymmetrical.Alltheseenbonesarenothingremarkable.Thesofttissuesarecompletelyintactintherootoftheneckandthoracicwall.Thetrachealocatescentrallywithoutdeviation.Thelungsareclear,whilethelungmarkingsarenaturalandregular.Bothpulmonaryhilashowneitherenlargementnordecrease.Theheartandgreatvesselsappearnormalintheirposition,sizeandshape.Thediaphragmhasasmoothsurfacewithsharpcostophrenicangles.2023/9/42812胸膜伴随阴影影像解剖2023/9/42813叶间裂2023/9/42814

2023/9/42815叶间裂2023/9/42816副叶裂-奇叶2023/9/42817LungfieldsandPulmonaryzones2023/9/42818Basedontheanteriorendsofthe2ndand4thribs,alungisdemarcatedinto3sections,namedupper,middleandlowerlungfieldsrespectively.Fromthehilumtotheoutermarginofalung,thelungisseparatedinto3zonescalledinner,middleandouterzonesrespectively.2023/9/42819RightLung

①apicalsegmentofsuperiorlobe②posteriorsegmentofsuperiorlobe③anteriorsegmentofsuperiorlobe④lateralsegmentofmiddlelobe⑤medialsegmentofmiddlelobe⑥posteriorsegmentofinferiorlobe⑦anteriorbasalsegmentofinferiorlobe⑧medialandlateralbasalsegmentsofinferiorlobe⑨posteriorbasalsegmentofinferiorlobe2023/9/42820LeftLung①apicoposteriorsegmentofsuperiorlobe②anteriorsegmentofsuperiorlobe③superiorlingularsegmentofsuperiorlobe④inferiorlingularsegmentofsuperiorlobe⑤posteriorsegmentofinferiorlobe⑥anteromedialbasalsegmentofinferiorlobe⑦lateralbasalsegmentofinferiorlobe⑧posteriorbasalsegmentofinferiorlobe2023/9/42821①superiorlobeofrightlung②middlelobeofrightlung③inferiorlobeofrightlung④superiorlobeofleftlung⑤inferiorlobeofleftlung2023/9/428222023/9/42823Afog-likeshadowindicatesanirregularopacityinadimdensitywithafuzzymargin.Itrepresentsanearlyacuteexudativelesion,hemorrhageoredema.Sometimes,anairbronchogramcanbeseen.(Fig.2-10)2023/9/42824Consolidationinapulmonarysegment,apulmonarylobeorawholelunginahemithorax(Fig.2-11):Segmental,lobularorsidedpulmonaryconsolidationshowsauniformopacitywhichoftendelineatesapartofthemarginofthepulmonarysegmentorlobe.Itisoftenfoundinpneumonia,atelectasis,tuberculosis,pulmonarydysplasia,pulmonaryfibrosisandpleuralthickening.2023/9/428252023/9/42826Asofttissuemassisoftenlargerthan3.0cmindiameter.Ifthemarginrevealsthespiculation,incisural,lobulated,orumbilicationsign,itoftenindicatesaprimarymalignanttumor.Exceptforthose,someotherdiseasescanalsobeinvolvedsuchaspulmonaryabscess,metastasis,inflammatorypseudotumor,hamartoma,hematoma,liquid-containingcyst,pleuraltumor,granuloma,pulmonaryparasiteandetc.2023/9/42827Questions

1.HowtotaketheradiographiesofPAandLA?2.Whatarethenormalfindingsofthelung?3.Howtodemarcatethelungfieldsandpulmonaryzones?4.T