RADIOLOGICAL ANATOMY OF THE CHEST Dr. Ahmad Amer Al-Boukai Radiology Department KKUH - KSU

RADIOLOGICAL ANATOMY OF THE CHESTRADIOLOGICAL ANATOMY OF THE CHEST

Dr. Ahmad Amer Al-BoukaiDr. Ahmad Amer Al-Boukai

Radiology DepartmentRadiology Department

KKUH - KSUKKUH - KSU

Radiological Anatomy of the Chest

Modalities UtelizedModalities Utelized

Plain X-RayPlain X-Ray

Computed Tomography (CT)Computed Tomography (CT)

Magnatic Resonance Imaging (MRI)Magnatic Resonance Imaging (MRI)

UltrasoundUltrasound

Nuclear MedicineNuclear Medicine

Angiography Angiography

Radiological Anatomy of the Chest

Sagittal Axial Coronal

Lung Window

Mediastinal Window

Radiological Anatomy of the Chest

ANATOMY INTERPRETATIONANATOMY INTERPRETATION

Radiographic interpretation requires a firm knowledge of normal anatomy and the myriad variants that may simulate disease.

TECHNIQUETECHNIQUE

Radiological Anatomy of the Chest

ADEQUATE OVER UNDER

o ExposureExposure

o PositionPosition

o InspirationInspiration

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Inadequate inspiration Adequate inspiration

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

AP PA

Radiological Anatomy of the Chest

• LUNGS

• MEDIASTINUMMEDIASTINUM

• BONY CAGEBONY CAGE

• SOFT TISSUE COMPONENTSOFT TISSUE COMPONENT

UPPER

MIDDLE

LOWER

UPPER

LOWER

Radiological Anatomy of the Chest

Upper Lobe

Lower LobeMajor Fissure

Major Fissure

Minor Fissure

Upper Lobe

Middle Lobe

Lower Lobe

RL

RIGHT LUNGLEFT LUNG

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

FissuresFissures

Radiological Anatomy of the Chest

FissuresFissures

Radiological Anatomy of the Chest

LV

LA

Right Diaphragm

Left Diaphragm

Radiological Anatomy of the Chest

1- Clavicle

2- Spinous process

3- Trachea

4- Scapula

5- Aortic arch

6- Carina (bifurcation)

7- Pulmonary trunk

8- Lt. cardiac border (atria)

9- Lt. cardiac border (ventricle)

10- Vertebral body

11- Descending Aorta

12- Gastric fundus

13- Liver

14- Rt. Hemi-diaphragm

15- Rt. Main bronchus

16- Azygos vein

17- Scapula

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

Radiological Anatomy of the Chest

B BODY OF THORACIC VERTEBRAC SPINAL CORDCL CLAVICLESLL APEX OF LEFT LUNGRL APEX OF RIGHT LUNGS SPINOUS PROCESS OF THE VERTEBRAT TRACHEA

LEVEL 1LEVEL 1

Radiological Anatomy of the Chest

E ESOPHAGUSR RIB S SCAPULAT TRACHEA1Right Brachiocephalic vein2Brachiocephalic artery3Left common carotid artery4Left subclavian artery5Right Brachiocephalic vein

LEVEL 2LEVEL 2

Radiological Anatomy of the Chest

E ESOPHAGUSR RIB S SCAPULAT TRACHEA1Right Brachiocephalic vein2Brachiocephalic artery3Left common carotid artery4Left subclavian artery5Right Brachiocephalic vein

LEVEL 3LEVEL 3

Radiological Anatomy of the Chest

E ESOPHAGUST TRACHEA1Right Brachiocephalic vein2Left Brachiocephalic vein3Aortic arch

LEVEL 4LEVEL 4

Radiological Anatomy of the Chest

AA Aortic ArchT TRACHEA1Superior vena cava

LEVEL 5LEVEL 5

Radiological Anatomy of the Chest

AA Ascending AortaDA Descending Aorta1Superior vena cava2Azygous Arch

LEVEL 6LEVEL 6

Radiological Anatomy of the Chest

AA Ascending AortaDA Descending AortaLB Left main bronchusLP Left pulmonary arteryPA Pulmonary trunkRB Right main bronchusSVC Superior vena cava

LEVEL 7LEVEL 7

Radiological Anatomy of the Chest

CT OF PULMONARY VASCULTURECT OF PULMONARY VASCULTURE

12 3

4

56

7 8 9

10

11

12

13 14

15

16

17

11

9

10

10

1918

1417

HEART

CT OF PULMONARY VASCULTURECT OF PULMONARY VASCULTURE

14

15

16

17

10

1918

1417