notes by dr Claudio Italiano
The thorax has different anatomical structures, with different ability to retain X-rays, ribs, vertebrae, soft parts, pulmonary parenchyma, mediastinal organs with vessels, lymph nodes, heart etc. The fundamental thorax projections are the anterior-posterior, to visualize the pulmonary parenchyma and the two lateral ones, to visualize the retrosternal and retrocardial areas and to get a better idea of opacification that, otherwise, would appear to be ascribable to masses and, that, instead, side views reveal different types of affections: an example is the inflammatory infiltrate of the medium lobe, which takes the triangular shape.
What to read in a chest X-ray?
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Chest x-ray: n ° 2 nodular lesions; under the port-au-cat, a first nodular lesion and another underneath in the middle and apical field of the right polmome. The lesions were lung tumors, |
 It's documented extensive consolidation that massively affects the inferior pulmonary lobe of sn, the lingula and part of the superior lobar segments of sn with volume reduction atelectasico of the consolidated segments and ipsilateral traction of the mediastinal structures. |
- Massive opacities can be caused by inflammatory
processes, neoplasms and malformations; for example. the opacity of a lobar
pneumonia shows a homogeneous appearance and affects an entire lung lobe,
preserving the shape and the size of the lobe, unlike an atellectasic area in
which the lung collapses on itself and draw to itself the mediastinal structures
and adjacent ones. The margins, as mentioned above, of a lobar pneumonia of the
right middle lobe, are better observed in L-L (latero-lateral), with an almost
triangular or cuneiform opacity aspect (see pulmonary nodules: general
- The form of massive lobar opacity by classical streptococcus pneumoniae
pneumonia. It's characterized
by a dense and homogeneous opacity appearance; viral pneumonial
infiltrations, on the other hand, will be at blurred limits, as of homogeneous
and milky veils, expression of interstitial infiltration and not, as for frank
pneumonia, of endoalveolar serum-fibrinous exudate.
 Chest X-ray: pulmonary thickening of the suspected right lobe: in this case it was not a tumor but a bronchopneumonitis outbreak with pericardial effusion |
Other massive opacities are those related to hemorrhagic pulmonary infarction,
with a cuneiform aspect that extends towards the periphery of the pleura, from
emboli starting from venous districts of the pelvis, pelvis, especially in the
enticed subjects that have undergone bone fracture reduction interventions femur, or in the post-partuum and in the abdominal and pelvic surgery in general.
- The atelectatic lobes, for example for endobronchial carcinoma occluding the
lumen of the main bronchus, determine the atelectasis of an entire lung: it
derives the opaque image of an entire hemitorace with a displacement to the left
of the mediastinum.
- Massive opacities can be caused by inflammatory
processes, neoplasms and malformations; for example. the opacity of a lobar
pneumonia shows a homogeneous appearance and affects an entire lung lobe,
preserving the shape and the size of the lobe, unlike an atellectasic area in
which the lung collapses on itself and draw to itself the mediastinal structures
and adjacent ones. The margins, as mentioned above, of a lobar pneumonia of the
right middle lobe, are better observed in L-L (latero-lateral), with an almost
triangular or cuneiform opacity aspect (see pulmonary nodules: general
 Chest X-ray: candida pneumonia, cotonose appearance |
 Bronchiectasis and nodular appearance and interstitiopathies, in elderly subjects with tbc outcomes |
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Tuberculous lesions, multiple opacities, pleurisy into lobar fissure |
Link di gastroepato correlati al tema: Imaging e lesioni polmonari:
Radiografia standard del torace: altri esempi
(versamenti e brocopolmoniti)
Esempi di Radiografia standard del torace
toracentesi e lastre
Esempi di Radiografia standard del torace: tumori e versamenti
imponenti
Un caso di pneumotorace, le lastre
diagnostica e stadiazione del
tumore del polmone
noduli polmonari: generalità
noduli polmonari: diagnosi
di natura
polmonite tubercolare acuta e forme miliari
di tbc
Le polmoniti
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