循環(huán)系統(tǒng)影像學(xué)小課1

1、Normal X-ray imaging vSize shape position vCardiac apex vCardiophrenic angle v Right mediastinal border v left mediastinal border Normal HeartNormal Heart Normal Heart (PA) AA PA LV AA SVC RA T1 T2 T Normal HeartNormal Heart M , 16yr (PA view) LEFT MEDIASTINAL BORDER Aortic arch (small) pulmonary tr

2、unk Left ventricular border Normal HeartNormal Heart M , 16yr RIGHT MEDIASTINAL BORDER SVC / ascending aorta Right ventricle Normal HeartNormal Heart F, 56yr Lct view RV LA LV AA PA v Anterior border of heart v Posterior border of heart v Retrosternal space v Retrocardiac esophageal space Normal Hea

3、rtNormal Heart LA：no compression no displacement Normal HeartNormal Heart Barium-filled esophagus Normal HeartNormal Heart The Left Lateral Projection Normal Basic X-ray features in diseases of cardiovascular system 13/231 Basic X-ray features vHeart dislocation vHeart enlargement vAbnormal pulmonar

4、y blood flow vChanges of aorta vPericardial abnormal levoversion of heart M, 18y medical examination With asymptomatic Congenital variation F, 26, body check Dexiocardia Congenital variation F 51yr, diagnosed HBP 1yr Dexiocardia ( Mirror-image heart ) Congenital variation 17/231 Basic X-ray features

5、 vHeart dislocation vHeart enlargement vAbnormal pulmonary blood flow vChanges of aorta vPericardial abnormal Basic X-ray featuresBasic X-ray features F, 79 Repetat chest distress & dyspnea for 20 yrs, recurrent with dizziness， headache 3 days. X-ray (PA): Left ventricular enlargement Basic X-ray fe

6、aturesBasic X-ray features F, 79 chest distress & dyspnea for 20 years, recurrent with dizziness， headache 3+ days. X-ray (Lat): Left Ventricular Enlargement F, 78y Left ventricular enlargement Basic X-ray featuresBasic X-ray features F, 31 Repetat anhelation after action for 1+ yr, aggravated and w

7、ith edema of right lower extreme for 5+ months X-ray (PA): Left Atrial Enlargement Basic X-ray featuresBasic X-ray features F, 31 Repetat anhelation after action for 1+ yr, aggravated and with edema of right lower extreme for 5+ months X-ray (PA): Left Atrial Enlargement Basic X-ray featuresBasic X-

8、ray features F,34yF,34y, breathlessness after action X-ray (PA): Left Atrial Enlargement Basic X-ray featuresBasic X-ray features F, 58 X-ray: Left Atrial Enlargement X-ray: Right Atrial Enlargement M, 36y history of cardiac disease Basic X-ray featuresBasic X-ray features M, 43 Repetat abdominal di

9、stention, chest distress & Edema of lower extremity for 4+yrs Clinical Diagnosis: Rheumatic Heart Disease X-ray (PA): Right Ventricular & Left Atrial Enlargement Basic X-ray featuresBasic X-ray features M, 43 Repetat abdominal distention, chest distress & Edema of lower extremity for 4+yrs Clinical

10、Diagnosis: Rheumatic Heart Disease X-ray (Lat): Right Ventricular Enlargement Basic X-ray featuresBasic X-ray features F, 28 Patient with chronic renal failure (uremia stage), anhelation aggravated since last month。 X-ray (PA): General Enlargement of Heart Basic X-ray featuresBasic X-ray features F,

11、 28 Patient with chronic renal failure (uremia stage), anhelation aggravated since last month。 X-ray (Lat): General Enlargement of Heart 30/231 Basic X-ray features vHeart dislocation vHeart enlargement vAbnormal pulmonary blood flow vChanges of aorta vPericardial abnormal Basic X-ray featuresBasic

12、X-ray features F, 75yr Repetat chest distress & palpitation for over 2 yrs, aggravated 7 months X-ray :Pulmonary arterial hypertension Basic X-ray featuresBasic X-ray features M, 5yr Cardiac murmur discovered for over 1 yr X-ray : Increased Pulmonary Flow Basic X-ray featuresBasic X-ray features F,

13、31 Repetat anhelation after action for 1+ yr, aggravated and with edema of right lower extreme for 5+ months X-ray (PA): Pulmonary Venous Hypertension Basic X-ray featuresBasic X-ray features M, 55 7 yrs after MVR operation, fervescence and coughed bloody sputum for 1 week X-ray (PA): Pulmonary Alve

14、olar Edema M, 55 7 yrs after MVR operation, fervescence and coughed bloody sputum for 1 week X-ray (PA): Pulmonary Alveolar Edema Basic X-ray featuresBasic X-ray features M, 38yr Palpitation, chest distress for 5 yrs, without fever, cough or sputum Clinical Diagnosis: CHD, Acute Heart Failure X-ray

15、(PA): Pulmonary Edema Basic X-ray featuresBasic X-ray features Basic X-ray featuresBasic X-ray features F, 71 Type II DM for 3 yrs & HBP for over 10 yrs X-ray (PA): Pulmonary Interstitial Edema Basic X-ray featuresBasic X-ray features M, 22 Repetat chest distress after action for 16 yrs. X-ray (PA):

16、 Decreased Pulmonary Blood Flow 39/231 Basic X-ray features vHeart dislocation vHeart enlargement vAbnormal pulmonary blood flow vChanges of aorta vPericardial abnormal Basic X-ray featuresBasic X-ray features F, 84yr Calcification, Elongation & widening of Aorta Basic X-ray featuresBasic X-ray feat

17、ures M, 80yr Elongation of Aorta 42/231 Aortic aneurysm 43/231 44/231 Aortic AneurysmAortic Aneurysm CT diagnosis: Aortic Aneurysm 46/231 Aortic dissection 47/231 48/231 M,50yrs, backache 2 days Aortic dissectionAortic dissection Aortic dissection Normal HeartNormal Heart F, 56yr levoversion of hear

18、t M, 18y medical examination With asymptomatic Congenital variation Basic X-ray featuresBasic X-ray features F, 31 Repetat anhelation after action for 1+ yr, aggravated and with edema of right lower extreme for 5+ months X-ray (PA): Left Atrial Enlargement Basic X-ray featuresBasic X-ray features F, 31 Repetat anhelation after action for 1+ yr, aggravated and with edema of right lower extreme for 5+ months X-ray (PA): Left Atrial Enlargement Basic X-ray featuresBasic X-ray features M, 43 Repetat abdominal distention