chest
- 1. „ Selected Chapters from the Cross-Sectional Anatomy of the Human Body” Chest anatomy András Jakab MD, Levente István Lánczi MD
- 3. Bony structure of the chest Thoracic vertebrae (12) Ribs (12 pairs) (clinical relation: cervical rib!) Sternum Sternal angle (T4) Jugular notch Xyphoid process Scapula
- 5. Sternum
- 6. The whole chest – breathing
- 7. Muscles of the trunk – superficial back muscles Spinohumeral muscles Levator scapulae m. Trapezius m. Rhomboideus m. Latissimus dorsi m.
- 8. Muscles of the trunk – deep (axial) back muscles Splenius capitis & cervicis m Transversospinal muscles Semispinalis mm. (capitis, cervicis, thoracis) Multifidus m. Interspinales mm. Intertransversarii mm. Spinalis thoracis m. Longissimus thoracis m. Erector spinae m. Nuchal ligament Thoracolumbal fascia
- 9. Breathing muscles Breathing muscles Intercostal mm. Diaphragm Accesory breathing muscles Scaleni mm. Sternocleidomastoid mm. Levator costarum mm. Serratus posterior superior m. Thoracohumeral mm. Abdominal mm. Serratus posterior inferior m. Transversus thoracis m. belégzés kilégzés
- 10. Intercostal mm. External intercostal mm. Internal intercostal mm.
- 11. Pectoral mm. SA LD Tr Rh ESM Th7 DAo AAo PT PVL SVC PVR BrL BrR BS
- 12. ESM TVS LD AO PM QL
- 15. Brachiocephalic trunk Right common carotid a. Right vertebral a. Right subclavian a. Left common carotid a. Left subclavian a. Left vertebral a.
- 17. Heart Right auricle Right atrium Right venrticle Right pulmonal a. Aortic arch Brachiocephalic trunk Left common carotid a. Left subclavian a. Arterial lig. (Botallo) Left pulmonal a. Pulmonal trunk Left auricle Apex Left ventricle Conus arteriosus
- 18. Apex Left ventricle Left pulmonal a. Superior v. cava Azygos v. Brachiocephalic vv. right left Aortic arch Right pulmonal a. Left pulmonal veins Right pulmonal vv. Right atrium Left atrium Inferior v. cava Left venrticle Left auricle
- 19. Ascending aorta Left atrium Right auricle Interventricular septum muscular part Interventricular septum membranous part Aortic valve Atrioventricular valves left (mitral) right (tricuspidal) Papillary mm. Apex
- 20. Interventricular septum muscular part Left ventricle Right ventricle Posterior intervenrticular sulcus Anterior intervenrticular sulcus Papillary mm. chordae tendineae trabeculae carneae
- 22. Veins Subclavian v. Internal jugular v. Right brachiocephalic v. Left brachiocephalic v. Superior v. cava Right pulmonal vv. Left pulmonal vv. Right atrium Left atrium Inferior v. cava Hepatic vv.
- 24. Trachea, bronchi Cricoid cartilage – C7 Trachea T5: bifurcation of trachea Principal bronchi Right: wider, steeper Lobar bronchi Segmental bronchi Bronchioli
- 26. Anatomy of the lung Airflow Basis – Apex – Hilus Lobes Left side: 2; right side: 3 Pulmonary segments (20) Left: 5-5; right: 3-2-5 Pleura Diaphragm
- 27. Superior lobe Middle lobe Inferior lobe Oblique fissure Horizontal fissure
- 28. Lobar bronchi Pulmonal a. and v. Lymphatic nodes nerves Hilum of lung
- 29. Apical segment Posterior segment Anterior segment Lateral segment Medial segment Superior segment Posterior basal segment Lateral basal segment Anterior basal segment + Basal medial segment (cardial) Apical posterior segment Anterior segment Superior lingular segment Superior segment Lateral basal segment Posterior basal segment Anterior basal segment Inferior lingular segment
- 30. What can be seen on a PA radiograph of the chest? Thoracic cage bones Vertebrae Ribs Clavicle & scapule Heart Superior vena cava (1) Right atrium (2) Left ventricle (6) Left atrium (auricle) (5) Pulmonary trunk (4) ” Aortic button” (3) Airways Trachea Right & left primary bronchi Diaphragm & recesses
- 31. What can be looked for on the axial scans? Brachiocephalic tr. Left common carotid a. Left subclavian a. Right and left brachiocephalic vv. Apex of the lung Vertebrae, ribs, muscles
- 32. T3
- 33. What can be looked for on the axial scans? Aortic arch Superior vena cava Lung Vertebrae, ribs, muscles
- 34. T4
- 35. What can be looked for on the axial scans? Descending and ascending aorta Superior vena cava Vertebrae, ribs, muscles
- 36. T5
- 37. Azygos vein
- 39. T6
- 41. T7
- 43. T8
- 44. Important landmarks on axial scans Bones – vertebrae, ribs, articulatio costovertebralis Sternum Manubrium Angulus – T4; 2nd rib Body – T5-T10 Muscles: erector spinae, trapezius, intercostal, pectoral Trachea Oesophagus, thymus! Vessels – aortic arch, superior vena cava Pulmonary vessels, pleura Heart, pericardium Parenchyma of the lung; hilum of lung!
- 47. Grat vessels demonstrated on IMAIOS
- 48. Trachea demonstrated on IMAIOS
- 49. Oespophgaus demonstrated on IMAIOS
- 50. Heart chambers on axial CT scans
- 52. ao ao
- 57. Cardiac MRI
- 59. Coronarography demonstrated on IMAIOS
- 60. Segments of the lung
- 61. Apical segment Posterior segment Anterior segment Lateral segment Medial segment Superior segment Posterior basal segment Lateral basal segment Anterior basal segment + Basal medial segment (cardial) Apical posterior segment Anterior segment Superior lingular segment Superior segment Lateral basal segment Posterior basal segment Anterior basal segment Inferior lingular segment
- 62. JOBB BAL
- 63. Apical segment Posterior segment Anterior segment Lateral segment Medial segment Superior segment Posterior basal segment Lateral basal segment Anterior basal segment + Basal medial segment (cardial) Apical posterior segment Anterior segment Superior lingular segment Superior segment Lateral basal segment Posterior basal segment Anterior basal segment Inferior lingular segment
- 64. JOBB BAL
- 65. Apical segment Posterior segment Anterior segment Lateral segment Medial segment Superior segment Posterior basal segment Lateral basal segment Anterior basal segment + Basal medial segment (cardial) Apical posterior segment Anterior segment Superior lingular segment Superior segment Lateral basal segment Posterior basal segment Anterior basal segment Inferior lingular segment
- 66. JOBB BAL
- 67. Apical segment Posterior segment Anterior segment Lateral segment Medial segment Superior segment Posterior basal segment Lateral basal segment Anterior basal segment + Basal medial segment (cardial) Apical posterior segment Anterior segment Superior lingular segment Superior segment Lateral basal segment Posterior basal segment Anterior basal segment Inferior lingular segment
- 68. JOBB BAL
- 72. Clinical case 74 year old male Cough, low grade fewer recently; smoker Chest X-ray, CT: rounded lesion on right side http://www.eurorad.org/case.php?id=8653 Diagnosis: rounded pneumonia Usual in children, SARS Not easy to differentiate on images: TUMOR! Biopsy, follow up can help
- 73. Esetbemutatás 81 year old male Dyspnoea, dysphagia, stridor Earlier: lung carcinoma surgery, coronary artery bypass CXR, CT: right lung consolidation, bulky oesophagus, gas pockets http://www.eurorad.org/case.php?id=8584 Dg: bronchooesophageal fistule Contrast swallow
- 75. Esetbemutatás Miliáris kórképek http://www.eurorad.org/case.php?id=8255 http://www.eurorad.org/case.php?id=4516 http://www.eurorad.org/case.php?id=2180
- 76. Esetbemutatás 39 éves férfi, motorbaleset http://www.eurorad.org/case.php?id=6939 Aorta ruptura
- 77. Esetbemutatás A. pulmonaris aneurysma http://www.eurorad.org/case.php?id=8208 V. subclavia thrombozis http://www.eurorad.org/case.php?id=8016 Aortadisszekció Marfan-syndromában http://www.eurorad.org/case.php?id=7919
- 78. Esetbemutatás TOS http://www.eurorad.org/case.php?id=8391 Sertésinfluenza (H1N1) http://www.eurorad.org/case.php?id=8257 PE http://www.eurorad.org/case.php?id=7735 Tűznyelő pneumoniája http://www.eurorad.org/case.php?id=7197 Pneumomediastium http://www.eurorad.org/case.php?id=5060
- 79. Mellkas és szív anatómiája – kiegészítések, források
- 80. www.ChestRadiology.net A web-based, interactive tutorial and reference database in anatomy for chest imaging www.ChestRadiology.Net
- 81. MENU Case & Chapter Reading Modes www.ChestRadiology.Net
- 82. MENU The user may read the tutorial in two modes: Title by title… The anatomy tutorial includes chapters about: Techniques Standard exams Projections Airways Lung parenchyma Heart and vessels Mediastinum Diaphragm Pleura Pitfalls Pathology Normal values
- 83. MENU … by reading page by page like a book (you can page back and forward), or…
- 84. MENU … or by reading the entire chapter at once
- 85. MENU
- 86. MENU
- 87. IMAIOS