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RADIOANATOMY
 
OF
 
LUNGS
 
 AND
 
HEART
 
O
BJECTIVES
!
To know the modalities used to study the heartand lungs
!
To identify the lungs and their lobes andsegments on Chest radiograph
!
To identify the trachea, carina and right and leftmain stem bronchi and their branches
!
To know the pulmonary vasculature
!
To know the chambers of the heart
!
To know the great vessels
I
MAGING
M
ODALITIES
!
Plain X-Ray
!
CT Scan
!
MRI
!
Ultrasound
!
Nuclear Medicine
C
HEST RADIOGRAPHS
-
 
 V
IEWS
R
EQUIRED
!
Most commonly done
1.
Posteroanterior view
2.
Lateral view
!
Others
1.
Lordotic view – to look at the apical segment
2.
Right anterior oblique view
3.
Left anterior oblique view
4.
 Anteroposterior view
5.
Decubitus view
R
 ADIOANATOMY OF LUNGS
P
OSTEROANTERIOR
 V
IEW
O
F
C
HEST
 
L
 ATERAL
 V
IEW
LUNGS
 
!
Two lungs situated in the thoracic cavity
1.
Right
2.
Left
!
Separated from each other by middlemediastinum containing the heart and greatvessels
!
Lobes
1.
3 lobes in the right separated by major and minorfissures
2.
2 lobes in the left separated by major fissure
O
BLIQUE
F
ISSURESIndicated by a linethat runs from thespinous process of T2 vertebra aroundthe thorax to thesixth costochondral junctionSimilar on both sides4. Right ObliqueFissure10. Left ObliqueFissure• Indicated by a linethat runs from thespinous process of T2vertebra around thethorax to the sixthcostochondral junction• Similar on bothsides
O
BLIQUE
F
ISSURES
T
RANSVERSE
F
ISSURERuns from theanterior borderof the lungalong the fourthcostal cartilageto the obliquefissure
 
F
ISSURESTransverse Fissure - Runsfrom the anterior border of the lung along the fourthcostal cartilage to theoblique fissureOblique Fissure - Indicated bya line that runs from thespinous process of T2 vertebraaround the thorax to the sixthcostochondral junction
 
O
BLIQUE
F
ISSURES
L
UNG
P
 ARENCHYMA 
L
OBES OF THE
L
UNGS
!
Right
1.
Upper
2.
Middle
3.
Lower
!
Left
1.
Upper
2.
LowerLingula is counterpart of the right middle lobe but isincorporated in the upper lobe
R
IGHT
U
PPER
L
OBE
R
IGHT
M
IDDLE
L
OBE
R
IGHT
L
OWER
L
OBE
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