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1、Medical Imaging: Respiratory System 胡冰 HU BingMedical Imaging Respiratory System胡冰 HU BingDepartment of Radiology The Third Affiliated Hospital of Sun Yat-Sen UniversityGuangzhou, Guangdong, 510630, ChinaMedical Imaging: Respiratory System 胡冰 HU BingRespiratory SystemRespiratory SystemExamination te
2、chnology Normal X-ray anatomy Basic X-ray changesBronchiectasis Pneumonia Lung abscess TuberculosisPrimary bronchogenic carcinoma Lung metastases Mediastinal tumorsP68-76Medical Imaging: Respiratory System 胡冰 HU Bingbronchography normal bronchitypes：cylindrical or tubularcysticvaricoseBronchiectasis
3、Tram-tracksignClusters of grapes signMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingTram-track sign Signet-ring signClusters of grapes signMedical Imaging: Respira
4、tory System 胡冰 HU BingpneumoniaLobar pneumoniabronchopneumoniaInterstitial pneumoniaMedical Imaging: Respiratory System 胡冰 HU BingLobar pneumoniap4 stages: congestion, red hepatisation, grey hepatisation, resolution pExudation and consolidationpLung markings increased in early stagepUniform opacityp
5、If the whole lobe is involved, well- defined marginspIf part involved, ill-defined marginspAir bronchogramMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingAir Air bronchogrambronchogram: air -filled bronchus wit
6、hin the consolidatory lung tissueMedical Imaging: Respiratory System 胡冰 HU BingBronchopneumonia Lobular pneumoniapMiddle, inferior fields; middle, inner bands pExudation and consolidationpIncreased lung markings in the area involvedpSmall, ill defined areas of opacity due to localized areas of conso
7、lidationMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingInterstitial pneumoniapInferior fields and near hilumpIncreased lung markings pReticular shadows, spot opaci
8、tiespDensity of hilum increasingpAcute emphysema due to obstruction of bronchioleMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingAbscess pComplication of a necrotiz
9、ing infectionpGas containing area within consolidationpAir-fluid levelpWall thickness progresses from thick to thinpSmooth inner wall Medical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory System 胡冰 HU BingMedical Imaging: Respiratory
10、 System 胡冰 HU Bingpulmonary pulmonary tuberculosistuberculosisprimary Idisseminated IIsecondary IIIpleurisy IVextra VPrimary syndromeAcute miliary tuberculosisChronic Infiltrative Chronic fibrous cavitary tuberculosisCaseous pneumonia and tuberculomaMedical Imaging: Respiratory System 胡冰 HU Bing1.1
11、Primary syndromePathology X-rayParenchyma opacityCloudy shadows Consolidation Lymphangitis Strip and liner shadows between the lesion and lymph-nodesLymphadenopathyEnlargement of lymph-nodes at hilum and mediastinumDumbbell shapeMedical Imaging: Respiratory System 胡冰 HU Bing Parenchyma opacityParenc
12、hyma opacity LymphangitisLymphangitis LymphadenopathyLymphadenopathy Cloudy shadows, consolidationCloudy shadows, consolidation Strip and liner shadowsStrip and liner shadows Enlargement of lymph-nodes at Enlargement of lymph-nodes at hilum and mediastinumhilum and mediastinumDumbbell shapePrimary s
13、yndromePrimary syndromeMedical Imaging: Respiratory System 胡冰 HU Bingpulmonary pulmonary tuberculosistuberculosisprimary Idisseminateddisseminated IIIIsecondary IIIpleurisy IVextra VPrimary syndromeAcute miliary tuberculosisChronic Infiltrative Chronic fibrous cavitary tuberculosisCaseous pneumonia
14、and tuberculomaMedical Imaging: Respiratory System 胡冰 HU BingAcute Acute miliarymiliary tuberculosis tuberculosis Homogenous Homogenous miliarymiliary nodules in size, density nodules in size, density and distribution and distribution Disseminated in both Disseminated in both lungslungsMedical Imagi
15、ng: Respiratory System 胡冰 HU Bing图片Chronic disseminated tuberculosisChronic disseminated tuberculosis HeterogenousHeterogenous nodules in size, nodules in size, density and density and distributiondistribution Mainly in superior Mainly in superior and middle lung fieldsand middle lung fieldsMedical Imaging: Respiratory System 胡冰 HU BingExudation, calcification, fibrosis, proliferationExudation, calcification, fibrosis, proliferationMedical Imaging: Respiratory System 胡冰 HU BingTuberculomapSmall rounded opacitypWell-defined edgepFrequently contains ca
