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Lydia Kuntjoro

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ANATOMY

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SIGN AND PATTERN OF LUNG

DISEASE

HUMPTON HUMP

EMBOLUS

PULMONARY EMBOLI

AIR BRONCHOGRAM

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SIGN AND PATTERN OF LUNG

DISEASE

AIR BRONCHOGRAM

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INTERSTITIAL LUNG DISEASE

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LINIER NODULER

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histoplasmosis and

reticulonodular

Reticuler ,honeycomb/

bronchiectasis

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ALVEOLAR LUNG DISEASE

focal airspace opacity

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MEDIASTINAL MASS

lymphoma

thymoma

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MEDIASTINAL MASS.

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PULMONARY NODUL

Primary adenocarcinoma

Benign lymph node

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PULMONARY NODUL.

Cervical carcinoma

metastases

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Pulmonary laceration

pneumothorax (P)

Descending aortic laceration

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RIB FRACTURE

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PLEURA,CHEST WALL,

DIAPHRAGMA

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PLEURA

Subpleural squamous cell bronchogenic carcinoma

mass is contiguous with the pleural surface

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PLEURA.

Pleural & pericardiac effusion empyema

mesotheliomaPleural calcification due to old TB empyema

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CHEST WALL

consists of skin, subcutaneous tissues,

muscles, clavicles, scapulae, ribs,

sternum, and spine

Sternal metastasis Osteochondroma

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ATELECTASIS

Right upper lobe segmental atelectasis

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LUNG TUMOR

TNM STAGGING FOR BRONCHOGENIC CA

Liver

Adrenal

BoneBrain

COMMON EXTRATHORACIC SITESFOR METASTASES

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TYPE OF BRONCHOGENIC CA

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A: PA chest radiograph of a 48-year-old man shows an irregular massin the right upper lobe abutting the mediastinum.

B: CT shows the mass extending into the mediastinum.

The center of the mass is of low attenuation, secondary to tumor necrosis.

C: CT at a more inferior level shows tumor along the posterior wall

of the right upper lobe bronchus.

D: CT with lung windowing shows the spiculated massand a background of paraseptal and centrilobular emphysema.

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TNM STAGGING FOR

BRONCHOGENIC CA

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TNM STAGGING FOR

BRONCHOGENIC CA

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High Resolution CT (HRCT)

very thin (1-2 mm) axial sections of the

chest.

The sections are spaced 10-15 mm (

20-25 percent of the lung is sampled)

The images are viewed on suitable lung

windows (Level -500 to -750, width

1000 to 1500). volume imaging allowing contiguous

slices

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High Resolution CT (HRCT)

Indication : diffuse lung disease ,

investigate resoiratory symptom when

the chest x-rays are normal

Exp : idiopatic interstitial pneumonia,emphysema, idiopathic pulmonary

fibrosis, lymphangitis carcinomatosis,

sarcoidosis, Langerhans cellhistiocytosis, lymphangiomyomatosis,

sub-acute hypersensitivity pneumonitis

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High Resolution CT (HRCT)

HRCT is not suitable for focal diseases

such as lung cancer.

sensitivity of HRCT to detect interstitial

lung disease is approximately 94%

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HIGH RESOLUTION CT (HRCT)

FOR DIFFUSE LUNG DISEASE

MOST IMPORTANT :

BREATH HOLD

POOR GOOD

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FULL INSPIRATION

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EXPIRATION IMAGES ( SOME CASES)

EMPHYESEMA

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1mm OR SMALLER SLICE THICKNESS

Centrilobular emphysema Cystic lung disease

In lymphangioleiomyomatosis

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lymphangitic carcinomatosis

metastasis

patchy ground-glass opacity

In interstitial pneumonitis

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