Chest X-Ray Signs

CAC DAU HIEU
X QUANG LONG NGC

BS.NGUYEN QUY KHOANG
BS.NGUYEN QUANG TRONG
KHOA CHAN OAN HNH ANH

BENH VIEN AN BNH -TP.HCM
October 31, 2014
DAN BAI
ai cng.
1.Dau hieu bong b (Silhouette sign).
2.Dau hieu co-ngc (Cervico-thoracic sign).
3.Dau hieu ngc-bung hay Dau hieu tang bang
(Thoraco-abdominal sign or Iceberg sign).
4.Dau hieu canh buom (Sail sign).
5,6.Dau hieu che lap ron phoi & Dau hieu hoi tu ron phoi
(Hilum overlay sign & Hilum convergence sign).
7.Dau hieu kh anh noi phe quan (Air bronchogram sign).
8.Dau hieu S-Golden (S-Goldens sign).
9.Dau hieu liem kh (Air crescent sign).
10.Dau hieu luftsichel (Luftsichel sign).
11.Dau hieu phang eo (Flat waist sign).
October 31, 2014
DAN BAI (tiep theo)

12.Dau hieu Westemark (Westemarks sign).
13.Bu Hampton (Hamptons hump).
14.Dau hieu Fleichner (Fleichners sign).
15.Dau hieu thanh ma tau (Scimitar sign).
16.Dau hieu hnh so 3 (Figure 3 sign).
17.Dau hieu khuyet sn (Rib notching sign).
18.Dau hieu con meo di tam men (Cat under the rug sign).
19.Dau hieu mc thuy-kh (Signe des niveaux).
20.Dau hieu goc sn hoanh sau (Deep sulcus sign).
21.Dau hieu vien kh quanh ong mach (Ring around the artery sign).
22.Dau hieu vom hoanh lien tuc (Continuous diaphragm sign).
23.Dau hieu vom hoanh oi (Double-diaphragm sign).
24.Dau hieu ng vao-ng ra (Inlet to outlet sign).
25.Dau hieu bang qua ng gia (Crossing midline sign).
26.Dau hieu bang qua thanh ngc (Crossing chest wall sign).
Ket luan.
October 31, 2014
DAN BAI
ai cng.
October 31, 2014
AI CNG
Cac dau hieu X quang chnh la trieu
chng hoc X quang giup ta a ra
nhng chan oan chnh xac.
Co dau hieu chung cho mot so benh
ly,nhng cung co nhng dau hieu ac
hieu cho mot benh ly.
Rieng ve long ngc,cho en nay a co
nhieu dau hieu c a ra va se c
tiep tuc bo sung theo thi gian.
October 31, 2014
DAN BAI
ai cng.
October 31, 2014
DAU HIEU BONG B

SILHOUETTE SIGN
Dau hieu nay c a ra vao nam 1935 bi

Dr.H.Kennon Dunham,sau o c phat trien bi
Benjamin Felson.
nh ngha: Mot bong m trong long ngc co am o
dch, tiep xuc ve mat giai phau vi b cua cac cau
truc co am o dch trong long ngc (tim,ong mach
chu,vom hoanh) se xoa b tiep xuc vi nhau.Ngc
lai,neu khong tiep xuc ve mat giai phau th b cua
cac cau truc o van hien ro tren phim cho du co
chong lap len nhau.
Khi co hien tng xoa b ta goi la Silhouette sign (+).
Khi khong xoa b ta goi la Silhouette sign (-).
October 31, 2014
DAU HIEU BONG B

SILHOUETTE SIGN
ay la dau hieu c
ban va quan trong
nhat trong X quang
long ngc qui c.
Trong mot so trng
hp,no giup chung ta
nh v c cac bong
m trong long ngc
ma khong can en
phim ngc nghieng.
October 31, 2014
DAU HIEU BONG B

SILHOUETTE SIGN
BONG (SILHOUETTE)
THUY HOAC PHAN THUY TIEP XUC
Vom hoanh (P).
Cac phan thuy ay - thuy di phoi (P).
B tim (P).
Phan thuy trong (medial) - thuy gia phoi

(P)
MC len.
Phan thuy trc - thuy tren phoi (P).
Quai MC.
Phan thuy sau - thuy tren phoi (T).
B (T) tim.
Phan thuy di (inferior) - thuy li (lingula).
MC xuong.
Phan thuy nh & trong thuy di phoi (T).
Vom hoanh (T).
Cac phan thuy ay - thuy di phoi (T).
October 31, 2014
DAU HIEU BONG B

SILHOUETTE SIGN
SILHOUETTE SIGN (+)

October 31, 2014
SILHOUETTE SIGN (-)
D.Anthoine et al.LImagerie Thoracique.1996-1998.
10
SILHOUETTE SIGN (+)
October 31, 2014
SILHOUETTE SIGN (-)
11
DAU HIEU BONG B

SILHOUETTE SIGN
PHIM NGC NGHIENG:
1.Vom hoanh (T) khong con

thay phan tiep xuc bong
tim.
2.Vom hoanh (P) c thay
toan bo t sau ra trc.
October 31, 2014
12
DAU HIEU BONG B

SILHOUETTE SIGN
October 31, 2014
SILHOUETTE SIGN (+): THYMUS
13
DAU HIEU BONG B

SILHOUETTE SIGN
SILHOUETTE SIGN (+): TRAN DCH MANG PHOI (P)

October 31, 2014
14
DAU HIEU BONG B

SILHOUETTE SIGN
SILHOUETTE SIGN (+): XEP THUY GIA (P)

October 31, 2014
15
DAU HIEU BONG B

SILHOUETTE SIGN
SILHOUETTE SIGN (+): XEP THUY LI

October 31, 2014
A.J.Chandrasekhar,M.D.Chest X-ray Atlas.
16
DAU HIEU BONG B

SILHOUETTE SIGN
SILHOUETTE SIGN (+)

October 31, 2014
17
DAU HIEU BONG B

SILHOUETTE SIGN
SILHOUETTE SIGN (-)
October 31, 2014
18
DAU HIEU BONG B

SILHOUETTE SIGN
SILHOUETTE SIGN (-)

October 31, 2014
19
DAU HIEU BONG B

SILHOUETTE SIGN
SILHOUETTE SIGN (-): TRAN DCH MANG PHOI

KHU TRU PHA SAU
October 31, 2014
20
DAN BAI
ai cng.
October 31, 2014
21
DAU HIEU CO NGC
CERVICO-THORACIC SIGN
Bnh thng nh phoi cao len t trc ra sau.B tren
cua trung that trc ket thuc ngang mc xng on.
Do vay,b tren mot bong m trung that bien mat khi
gap xng on th co ngha la bong m nam mot
phan co,mot phan trung that trc.Luc nay ta goi
la Cervico-thoracic sign (+):benh ly thng gap la
Bu giap thong.
Ngc lai,mot bong m trung that thay ro pha tren
xng on th no phai nam trung that sau.Luc nay
ta goi la Cervico-thoracic sign (-):benh ly thng gap
la Neurinoma.
October 31, 2014
22
DAU HIEU CO NGC
B:CERVICO-THORACIC SIGN (+)

October 31, 2014
A:CERVICO-THORACIC SIGN (-)
23
DAU HIEU CO NGC
CERVICO-THORACIC SIGN (+):

BU GIAP THONG
October 31, 2014
24
DAU HIEU CO NGC
CERVICO-THORACIC SIGN (+):

BU GIAP THONG
October 31, 2014
25
DAU HIEU CO NGC
CERVICO-THORACIC SIGN (-): NEUROBLASTOMA

October 31, 2014
26
DAU HIEU CO NGC
CERVICO-THORACIC SIGN (-):

NEURINOMA
October 31, 2014
27
DAU HIEU CO NGC
CERVICO-THORACIC SIGN (-)

POSTERIOR MEDIASTINUM + CALCIFICATION NEUROBLASTOMA
October 31, 2014
28
DAN BAI
ai cng.
October 31, 2014
29
DAU HIEU NGC-BUNG
THORACO-ABDOMINAL SIGN (ICEBERG SIGN)

Da tren dau hieu bong b ngi ta a ra dau hieu
nay e nh v mot bong m trung that sau.
Neu b di cua mot bong m trung that i xa dan
cot song roi bien mat trong am o dch cua o
bung,th bong m nay nam trong o bung (phan chm
cua tang bang) vi phan noi cua tang bang nam
trong long ngc.Ta goi la Iceberg sign (+).
Neu b di cua bong m van thay ro va hoi tu ve
pha cot song th bong m nay nam hoan toan trong
long ngc.Ta goi la Iceberg sign (-).
October 31, 2014
30
DAU HIEU NGC-BUNG
ICEBERG SIGN (+)

October 31, 2014
ICEBERG SIGN (-)

31
DAU HIEU NGC-BUNG
ICEBERG SIGN (+)

NEUROBLASTOMA
October 31, 2014
32
DAU HIEU NGC-BUNG
ICEBERG SIGN (+) :NEUROBLASTOMA

October 31, 2014
33
DAU HIEU NGC-BUNG

CHAN OAN PHAN BIET
ICEBERG SIGN (+) :

NEUROBLASTOMA
October 31, 2014
BONG M TAM GIAC SAU TIM:

XEP THUY DI PHOI (T)
34
DAU HIEU NGC-BUNG
ICEBERG SIGN (-) : NEUROBLASTOMA
October 31, 2014
35
DAU HIEU NGC-BUNG
ICEBERG SIGN (-): NEURINOMA

October 31, 2014
36
DAN BAI
ai cng.
October 31, 2014
37
DAU HIEU CANH BUOM

SAIL SIGN
Bong tuyen c bnh

thng (normal
thymus) tre di
3 tuoi oi khi b
chan oan lam la
khoi u trung that.
Hnh anh thay
c tren X quang
rat a dang,trong
o dau hieu canh
buom la ien hnh.
October 31, 2014
38
DAU HIEU CANH BUOM

SAIL SIGN
THYMIC SAIL SIGN

October 31, 2014
39
October 31, 2014
40
Cau truc hoi am luon luon ac,

ong dang
THYMIC SAIL SIGN

October 31, 2014
41
DAN BAI
ai cng.
October 31, 2014
42
DAU HIEU CHE LAP RON PHOI & DAU HIEU HOI TU RON PHOI
HILUM OVERLAY SIGN & HILUM CONVERGENCE SIGN
Dau hieu nay c a ra bi Benjamine Felson.

Khi oc phim ong ta nhan thay rang ron phoi hai ben
nam canh bong tim hoac ngay trong b cua bong tim
98% trng hp,ch co 2% trng hp ron phoi
nam chm trong b bong tim # 1cm.Moi quan he nay
van gi nguyen khi co Tran dch mang tim,Tim to
hoac Phnh MP.
Mot bong m trung that trc co the lam vi Tran
dch mang tim,Tim to hoac Phnh MP.
Ta noi Hilum convergence sign (+): Khi bong ron phoi nam
ngay b bong tim Tran dch mang tim,Tim to hoac Phnh
MP.
Ta noi Hilum overlay sign (+): Khi bong ron phoi sau >1cm
trong b bong tim Bong m trung that trc.
October 31, 2014
43
October 31, 2014
44
HILUM CONVERGENCE SIGN:

PHNH ONG MACH PHOI (T)
October 31, 2014
45
HILUM CONVERGENCE SIGN:

TANG AP ONG MACH PHOI / AO NGC
PHU TANG
October 31, 2014
46
HILUM OVERLAY SIGN:

TERATOMA
October 31, 2014
47
HILUM OVERLAY SIGN:

THYMOMA
October 31, 2014
48
HILUM OVERLAY SIGN:

TERATOMA
October 31, 2014
49
DAN BAI
ai cng.
October 31, 2014
50
DAU HIEU KH ANH NOI PHE QUAN

AIR BRONCHOGRAM SIGN
Bnh thng cac phe quan
trong phoi khong thay c
bi chung cha kh va bao
quanh bi cac phe nang
cung cha kh.
Khi nhu mo phoi b ong
ac,cac phe nang lap ay
dch,trong khi long phe quan
con thong thoang,luc nay ta
se thay ro long cac phe
quan tren phim: Air
bronchogram sign (+).
October 31, 2014
51

RUL Consolidation Strep Pneumonia

October 31, 2014
52

Khi mot bong m co Air bronchogram sign (+) th ta
co the khang nh ton thng trong phoi.
Air bronchogram sign (+) giup loai tr mot ton
thng thanh ngc,mang phoi va trung that.
Air bronchogram sign (+) thng gap trong Viem
phoi,Phu phoi va oi khi trong Nhoi mau phoi.
Cac khoi u phoi thng co Air bronchogram sign (-),
ngoai tr alveolar cell carcinoma.
October 31, 2014
53

October 31, 2014
54

-AIR BRONCHOGRAM SIGN (+)

-SILHOUETTE SIGN (+) vi vom hoanh (T).
-SILHOUETTE SIGN (-) vi b tim (T).
VIEM THUY DI PHOI (T)
Dalia Megiddo,M.D et al. Chest X-ray interpretation. Academia Medica,Jerusalem,ISRAEL.
October 31, 2014
55

AIR BRONCHOGRAM SIGN (+):

PHU PHOI DO NGUYEN NHAN
THAN KINH
(CHAN THNG SO NAO)
October 31, 2014
56


VIEM PHOI
October 31, 2014
Joseph K.T.Lee. Lee computed body tomography with MRI correlation. 1998
57


PHU PHOI TON THNG
October 31, 2014
58

U PHE QUAN PHAN THUY 2 PHOI (P)

(BRONCHIOLOALVEOLAR CARCINOMA)
Alain
October 31, 2014
Blum.Scanographie volumique multicoupe.MASSON.
59

K TIEU PHE QUAN-PHE NANG LAN TOA

October 31, 2014
60
DAN BAI
ai cng.
October 31, 2014
61
DAU HIEU S-GOLDEN

S-GOLDENS SIGN
Mot khoi u nam canh

phe quan,khi phat
trien se chen ep phe
quan gay xep
phoi.B cua vung
phoi xep cung vi
khoi u tao thanh hnh
ch S.
Dau hieu nay ien
hnh thay khoi u
phe quan thuy tren
phoi (P).
October 31, 2014
62
DAU HIEU S-GOLDEN

S-GOLDENS SIGN
Nonsmall cell carcinoma of the bronchus

(S-Goldens sign)
October 31, 2014
Weissleder et al.Diagnostic Imaging Expert.1998
63
DAU HIEU S-GOLDEN

S-GOLDENS SIGN
Dalia Megiddo,M.D et al. Chest X-ray interpretation. Academia Medica,Jerusalem,ISRAEL.

October 31, 2014
64
DAU HIEU S-GOLDEN

S-GOLDENS SIGN
XEP THUY TREN PHOI (T) (cac au mui ten)

DO U PHE QUAN (mui ten)S-GOLDENS SIGN
October 31, 2014
Joseph K.T.Lee. Lee computed body tomography with MRI correlation. 1998
65
DAN BAI
ai cng.
October 31, 2014
66
DAU HIEU LIEM KH

AIR CRESCENT SIGN
Khi banh nam
(fungus ball) phat
trien trong mot cau
truc hang th do
banh nam lan tron
trong hang,cho nen
ta se thay 1 liem kh
v tr cao
Pulmonary
Aspergillosis
October 31, 2014
67
DAU HIEU LIEM KH

AIR CRESCENT SIGN
October 31, 2014
68
DAN BAI
ai cng.
October 31, 2014
69
DAU HIEU LUFTSICHEL

LUFTSICHEL SIGN
Dau hieu nay c cac
tac gia ngi c a
ra (luft:air.
sichel:crescent).
Khi thuy tren phoi (T)
b xep,no se b keo vao
trong va len tren.B
tren trong cua thuy
tren se tao vi trung
that mot liem kh vi
quai MC.
October 31, 2014
70
DAU HIEU LUFTSICHEL

LUFTSICHEL SIGN
October 31, 2014
71
DAN BAI
ai cng.
October 31, 2014
72
DAU HIEU PHANG EO

FLAT WAIST SIGN
Khi thuy di (T) xep hoan toan,no se keo ron phoi (T) xuong di,
bong tim b xoay, lam cho mat b ngoai cua ron phoi (T) va quai MC.
October 31, 2014
73
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
74
DAU HIEU WESTEMARK

WESTEMARKS SIGN
Dau hieu nay co

c khi thuyen tac
ong mach phoi
lam giam ti mau
(oligemia) phan
phoi sau tac nghen.
October 31, 2014
75
DAU HIEU WESTEMARK

WESTEMARKS SIGN
October 31, 2014
76
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
77
BU HAMPTON
HAMPTONS HUMP
Khi xay ra Nhoi mau
phoi (pulmonary
infarction),th tren phim
ngc xuat hien bu
Hampton.
ien hnh bu
Hampton la bong m
ong nhat hnh chem
ngoai vi phoi co ay
nam tren la tang mang
phoi,nh tron hng
ve ron phoi.
October 31, 2014
78
BU HAMPTON
HAMPTONS HUMP
October 31, 2014
79
BU HAMPTON
HAMPTONS HUMP
October 31, 2014
80
BU HAMPTON
HAMPTONS HUMP
WESTEMARKS SIGN (+)

HAMPTONS HUMP (+)
PULMONARY EMBOLI
October 31, 2014
81
BU HAMPTON
HAMPTONS HUMP
October 31, 2014
WESTEMARKS SIGN (+)

HAMPTONS HUMP (+)
PULMONARY EMBOLI
82
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
83
DAU HIEU FLEISCHNER

FLEISCHNERS SIGN
Thng i kem theo

dau hieu Westemark la
dau hieu Fleischner
(Fleischner's sign):
Phnh MP goc (mui
ten) do tac nghen ha
lu.
October 31, 2014
84
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
85
DAU HIEU THANH MA TAU

SCIMITAR SIGN
Dau hieu nay thay trong benh ly S tr ve bat thng va khong hoan
toan cua tnh mach phoi (Partial anomalous pulmonary venous returnPAPVR).Cac TM phoi (P) thay v o ve nh (T),th hp lai thanh mot than
chung o ve TMCD tao nen hnh anh thanh gm Tho Nh Ky.
October 31, 2014
86
DAU HIEU THANH MA TAU

SCIMITAR SIGN
October 31, 2014
87
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
88
DAU HIEU HNH SO 3

FIGURE 3 SIGN (MOGUL SIGN)
V tr cua that eo MC thng sau ni xuat phat gM di on
(T).Qua cho that eo MC se phnh ra sau hep Tao thanh hnh so 3
ngay di quai MC (Figure 3 sign).
October 31, 2014
89
DAU HIEU HNH SO 3

FIGURE 3 SIGN (MOGUL SIGN)
AORTIC COARCTATION
October 31, 2014
90
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
91
DAU HIEU KHUYET SN

RIB NOTCHING SIGN
Trong benh ly that eo MC mau se thieu
hut sau cho that eo,do vay tuan hoan
bang he phat trien:
A:Mau se t MD qua gM vai

xuong (descending scapular artery),
tiep noi vi gM lien sn e tr ve
MC sau cho hep.
B:Mau se t MD qua gM vu trong

(internal mammary artery),tiep noi vi
gM lien sn e tr ve MC sau
cho hep.
Lu y rang dong mau trong gM lien

sn benh ly nay-khac vi bnh
thng-se chay ngc ve MC,va
khau knh se tang len nhieu so vi
bnh thng. gM lien sn ap manh
lam khuyet b di cung sn.
Aortic Stenosis: Spectrum of Diseases Depicted at Multisection CT. Carmen Sebasti, MD. (Radiographics. 2003;23:S79-S91.)
October 31, 2014
92
DAU HIEU KHUYET SN

RIB NOTCHING SIGN
Aortic Stenosis: Spectrum of Diseases Depicted at Multisection CT. Carmen Sebasti, MD. (Radiographics. 2003;23:S79-S91.)
October 31, 2014
93
DAU HIEU KHUYET SN

RIB NOTCHING SIGN
AORTIC COARCTATION WITH THE RIB NOTCHING

October 31, 2014
94
DAU HIEU KHUYET SN

RIB NOTCHING SIGN
AORTIC COARCTATION / TURNERS SYNDROME (XO)

October 31, 2014
95
DAU HIEU KHUYET SN

RIB NOTCHING SIGN
NEUROFIBROMATOSIS:
Tre gai 15 tuoi,khuyet
xng b di mot so cung
sn do u cac day than
kinh lien sn.Lu y co
neurofibromas vung nh
phoi hai ben.
Nh vay,ngoai nguyen nhan
That eo MC,th
Neurofibromatosis cung la
mot nguyen nhan gay
khuyet xng b di
cung sn.
Pediatric Ribs: A Spectrum of Abnormalities. Ronald B. J. Glass, MD (Radiographics. 2002;22:87-104.)
October 31, 2014
96
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
97
DAU HIEU CON MEO DI TAM MEN

CAT UNDER THE RUG SIGN
Dau hieu nay giup chan oan mot bong m ngoai phoi (extrapulmonary).
PLASMACYTOMA RIB
October 31, 2014
98
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
99
DAU HIEU MC THUY-KH

SIGNE DES NIVEAUX
Dau hieu nay c pho bien
Phap bi Jose REMY.No
giup phan biet hnh anh mc
thuy-kh trong nhu mo phoi
hay mang phoi.
Neu A = A trong nhu
mo phoi.
Neu P # P mang phoi.
October 31, 2014
100
DAU HIEU MC THUY-KH

SIGNE DES NIVEAUX
A = A = 6cm
October 31, 2014
101
A = A
October 31, 2014
P # P
102
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
103
DAU HIEU GOC SN HOANH SAU

DEEP SULCUS SIGN
Dau hieu nay thay c tren
cac phim chup benh nhan
t the nam trong cac phong
cham soc ac biet (ICU).
Khi co tran kh mang phoi,kh
se tu tap goc sn hoanh
trc,tao ra dau hieu goc
sn hoanh sau.Viec nhan
biet dau hieu nay rat quan
trong v ta rat de bo sot hnh
anh tran kh mang phoi tren
phim ngc nam.
October 31, 2014
104

DEEP SULCUS SIGN
October 31, 2014
105

DEEP SULCUS SIGN
Co can thiet chup lai phim

long ngc hay khong ?
October 31, 2014
106
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
107
DAU HIEU VIEN KH QUANH ONG MACH

RING AROUND THE ARTERY SIGN
Dau hieu nay thay c chu yeu tren phim ngc nghieng giup chan oan
Tran kh trung that.
October 31, 2014
108
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
109
DAU HIEU VOM HOANH LIEN TUC

CONTINUOUS DIAPHRAGM SIGN
Bnh thng ta khong the

thay lien tuc vom hoanh t
(P) sang (T) do bong tim tao
nen dau hieu Silhouette sign
(+) vi vom hoanh.
Khi ta thay vom hoanh (P)
c noi lien tuc qua vom
hoanh (T) th co ngha la co
Tran kh mang tim do kh len
vao di bong tim.
October 31, 2014
110

October 31, 2014
111

October 31, 2014
112
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
113
DAU HIEU VOM HOANH OI

DOUBLE-DIAPHRAGM SIGN
oi khi Tran kh mang phoi khong tu tap ni cao ma lai khu tru di ay phoi
tao nen dau hieu vom hoanh oi.
October 31, 2014
SUBPULMONIC PNEUMOTHORAX
114
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
115
DAU HIEU NG VAO-NG RA

INLET TO OUTLET SIGN
Thc quan,MC va ong ngc la 3 cau truc chay
xuyen qua trung that t ng vao (inlet) ti ng ra
(outlet).
Gian cua 1 trong 3 cau truc nay co the se cho bong
m i t ng vao ti ng ra.
Ong ngc du co gian cung khong bao gi u ln e
co the thay.Do o:
Bong m t ng vao en ng ra ben (P)
trung that la do gian thc quan.
Bong m t ng vao en ng ra ben (T)
trung that la do phnh MC.
October 31, 2014
116

October 31, 2014
ACHALASIA
117

ACHALASIA
October 31, 2014
118

October 31, 2014
PHNH ONG MACH CHU NGC
119
DAN BAI (tiep theo)

Ket luan.
October 31, 2014
120
DAU HIEU BANG QUA NG GIA

CROSSING MIDLINE SIGN
Mot bong m trung that
sau di,neu bang qua
ng gia th nhieu kha
nang bong m o co
nguon goc t ong tieu hoa
(hiatal hernia).
e xac nh ta can chup
phim long ngc co uong
can quang Baryte.
October 31, 2014
121

October 31, 2014
122

October 31, 2014
123

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124

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126
DAN BAI (tiep theo)

Ket luan.
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127
DAU HIEU BANG QUA THANH NGC

CROSSING CHEST WALL SIGN
CROSSING CHEST WALL SIGN:

BUI TOC
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BUI TOC
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BUI TOC
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BUI TOC
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DAN BAI (tiep theo)

Ket luan.
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KET LUAN
Viec hieu ro va nhan biet c cac dau
hieu X quang la nhng ieu c ban va
thiet yeu oi vi moi BS X quang.
Tuy vay co nhng dau hieu rat tinh vi va
khong de nhan biet.Ch co oc phim
nhieu mi giup chung ta khong bo sot
cac dau hieu nay.
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CAM N S CHU Y THEO DOI CUA QUY BAC S

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134

Chest X-Ray Signs

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Chest X-Ray Signs

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CAC DAU HIEU

X QUANG LONG NGC

KHOA CHAN OAN HNH ANH

DAN BAI (tiep theo)

DAU HIEU BONG B

Dau hieu nay c a ra vao nam 1935 bi

DAU HIEU BONG B

DAU HIEU BONG B

THUY HOAC PHAN THUY TIEP XUC

Vom hoanh (P).

Cac phan thuy ay - thuy di phoi (P).

Phan thuy trong (medial) - thuy gia phoi

Phan thuy trc - thuy tren phoi (P).

Phan thuy sau - thuy tren phoi (T).

Phan thuy di (inferior) - thuy li (lingula).

Phan thuy nh & trong thuy di phoi (T).

Vom hoanh (T).

Cac phan thuy ay - thuy di phoi (T).

October 31, 2014

DAU HIEU BONG B

SILHOUETTE SIGN (+)

SILHOUETTE SIGN (-)

D.Anthoine et al.LImagerie Thoracique.1996-1998.

SILHOUETTE SIGN (+)

October 31, 2014

SILHOUETTE SIGN (-)

DAU HIEU BONG B

PHIM NGC NGHIENG:

1.Vom hoanh (T) khong con

DAU HIEU BONG B

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SILHOUETTE SIGN (+): THYMUS

DAU HIEU BONG B

SILHOUETTE SIGN (+): TRAN DCH MANG PHOI (P)

DAU HIEU BONG B

SILHOUETTE SIGN (+): XEP THUY GIA (P)

DAU HIEU BONG B

SILHOUETTE SIGN (+): XEP THUY LI

A.J.Chandrasekhar,M.D.Chest X-ray Atlas.

DAU HIEU BONG B

SILHOUETTE SIGN (+)

D.Anthoine et al.LImagerie Thoracique.1996-1998.

DAU HIEU BONG B

SILHOUETTE SIGN (-)

October 31, 2014

D.Anthoine et al.LImagerie Thoracique.1996-1998.

DAU HIEU BONG B

SILHOUETTE SIGN (-)

D.Anthoine et al.LImagerie Thoracique.1996-1998.

DAU HIEU BONG B

SILHOUETTE SIGN (-): TRAN DCH MANG PHOI

DAU HIEU CO NGC

DAU HIEU CO NGC

B:CERVICO-THORACIC SIGN (+)

A:CERVICO-THORACIC SIGN (-)

D.Anthoine et al.LImagerie Thoracique.1996-1998.

DAU HIEU CO NGC

CERVICO-THORACIC SIGN (+):

DAU HIEU CO NGC

CERVICO-THORACIC SIGN (+):

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D.Anthoine et al.LImagerie Thoracique.1996-1998.

DAU HIEU CO NGC