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CHEST

Normal CT ANATOMY
BY
MAMDOUH MAHFOUZ MD
Cairo university
Indications Indications
Patient preparation Patient preparation Fasting 4 Fasting 4- -6 hours 6 hours
Patient position Patient position Supine Supine
Scanogram Scanogram Frontal Frontal
• To assess equivocal plain X-ray findings
• Staging of lung neoplasms
• Metastatic workup of extrathoracic malignancies
• Diagnosis of diffuse lung disease with HRCT
• Assessment of bronchiectasis
• Assessment of suspected post-traumatic vascular injury
Indications Indications
Patient preparation Patient preparation Fasting 4 Fasting 4- -6 hours 6 hours
Patient position Patient position Supine Supine
Scanogram Scanogram Frontal Frontal
No required preparation unless the patient is going to be sedated
or injected with contrast material
FASTING FOR 4 FASTING FOR 4 - - 6 HOURS 6 HOURS
Contrast injection
50-100ml of water soluble contrast material [urographine, isovist,…] bolus injection
Not indicated when
Evaluating diffuse lung disease.
Evaluating bronchiectasis
Screening for lung deposits
Some cases of trauma.
10mm sections from lung apex to the C/P angles
Mediastinal window, lung window, bone window?!
Reconstructed images
Scanning techniques
Scanning techniques
Standard Examination
High resolution [HRCT]
Standard CT High Resolution CT,HRCT HRCT
Scanning techniques
Scanning techniques
Spiral, Helical, volumetric CT
Multi-Detector, Multi-Slice CT
Normal pulmonary vascularity
Normal pulmonary vascularity
LAD
L
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M
A
CT Angiography CT Angiography
3DCTA Angiography demonstrates a filling defect of the right Iliac artery
Detailed examination of the Superior Mesenteric Artery and Celiac Artery.
Scan time = 9.4 seconds. 1mm slice thickness
F 35Y
Mediastinal anatomy
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1
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M 44Y with malignant liver
F 45Y with post irradiation
changes after radical mastectomy
35Y male with fever and expectoration
45Y male with chest pain and hemoptysis
43Y male with acute chest
pain and hemoptysis
ﻚﻴﻟا بﻮﺘﻧ و كﺮﻔﻐﺘﺴﻧ ﺖﻧا ﻻا ﻪﻟا ﻻ نا ﺪﻬﺸﻧ كﺪﻤﺤﺑ و ﻢﻬﻠﻟا ﻚﻧﺎﺤﺒﺳ
Thank
you
THANK
YOU
ﻚﻴﻟا بﻮﺘﻧ و كﺮﻔﻐﺘﺴﻧ ﺖﻧا ﻻا ﻪﻟا ﻻ نا ﺪﻬﺸﻧ كﺪﻤﺤﺑ و ﻢﻬﻠﻟا ﻚﻧﺎﺤﺒﺳ
Thank
you
Figures 7A, B & C Small branches arising from the left
pulmonary artery are seen on the CT scan. The relationship
of the
azygos, aorta and esophagus isshown.
Figures 8A, B & CTheazygosarch is seen enter-ing
the superior vena cava.Notethe small lymph nodes lying
within fat anterior to the trachea. This space is readily
accessible to the mediastino-scope.
Figures 9A, B & C The superior vena cava is lateral to the
aortic arch.
Figures 1OA, B & C Five vessels are seen cut in cross-
section.
• Cavitating neoplasm with pul. deposits
• Lat. normal
M 45Y PANCOAST’S TUMOR
66 year’s old patient with multipleTB abscesses
63Y male with multiple hydatid cysts
Emphysematous bulla Peumatocele