IMAGISTICA TORACELUI (1)Imagistica toracelui (patologia infectioasa pneumonii bacteriene, virale, mycoplasme, ricketsii, micoze, parazitoze)Metode de investigarenRadiografia simplanTomografia plananMRFnRadioscopianUltrasonografianCTnIRMRadiografian+nRapida, usor de efectuatnBogata in datenRezolutie bunanIradiere minimanIncidente

n-nSumatie de planurinMai slaba evidentiere mediastinalanStructura opacitatilor nu poate fi diferentiata (solid vs lichid)

Radioscopian+nDisocierea planurilornTimp real (excursii diafragmatice, motilitate toracala)n-nIradianta nRezolutie scazutanDurata crescutaTomografia plananScoasa din uz de catre CTnDoar la spitale fara acces la CTnRezolutie proastanIradiere mare

Computer-Tomografia n+nRezolutie excelentanBuna disociere a planurilornDensitati absolute (solid, lichid, lipidic)nHRCTnContrast i.vn-nIradiere marenPret marenDurata (clasic vs spiral)

Patologie infectioasanPATTERN:nPneumonia franca lobaranBronhopneumonia (pneumonia lobulara)nPneumonia interstitialanForme mixte

Pneumonii bacterienenPneumonia pneumococicanBronho-pneumonianPneumonia de aspiratienPneumonia cu KlebsiellanPneumonia stafilococicanPneumonia streptococicanAlte forme mai rare

Elemente semiologicenBlocul de condensare pneumonica nUnicnRar multiplunLocalizare (segment, lob)nEfect fata de vecinatatenPneumonia abortata medicamentosnElemente atelectaticenAsocieri cu colectii pleurale

Bronho-pneumonia - semiologienBilateralanMultipe focare ALVEOLARE!nVirste de aparitienCauzenEvolutienConfluarenAbcedare

Abces pulmonarnPrimarnSecundar (pneumonie abcedata, CHP abcedat etc)

Pneumonii viralenAdenovirusuri, v gripale, v rubeolic, herpetic etc.nMycoplasma pneumoniaenChlamidiinRicketsii

ParazitozenPneumocistoza nToxoplasmozanHidatidoza

MicozenActinomicozanNocardiozanHistoplasmozanAspergiloza