Einführung Sowohl das Ergebnis der Übersichtsaufnahme als auch die klinische Verdachtsdiagnose entscheiden über den Einsatz möglicher Zusatzuntersuchungen.

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Presentation transcript:

Einführung Sowohl das Ergebnis der Übersichtsaufnahme als auch die klinische Verdachtsdiagnose entscheiden über den Einsatz möglicher Zusatzuntersuchungen. Den grössten Stellenwert besitzt dabei mittlerweile die Computertomographie. Ferner sind dies je nach Fragestellung: Angiographie Sonographie Szintigraphie oder Magnetresonanztomografie.

Angiographie

Sonographie

Szintigraphie

Magnetresonanztomografie

CT – Frontalebene Rekonstruktion

pa-Strahlengang

G F D C A E B ? ?

?

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Mediastinum Module 1. Trachea 2. Esophagus 3. Trapezius muscle 4. Left Clavicle 4*. Right Clavicle 5. Subscapularis Muscle 6. Infraspinatus Muscle 7. Supraspinatus Muscle 8. Pectoralis Major Muscle 9. Pectoralis Minor Muscle 10. Serratus Anterior Muscle 11. Latissimus Dorsi Muscle 12. Erector Spinae Muscles 13. Left Subclavian Artery 13* Distal Subclavian Artery 13a. Right Subclavian Artery 14. Left Common Carotid Artery 14* Right Common Carotid Artery 15. Left Internal Jugular Vein 15* Right Internal Jugular Vein 16. Scapula 17. First Rib 17*. Second Rib 18. Manubrium of Sternum 18*. Body of Sternum 18+. Xiphoid Process of Sternum 19. Aortic Arch 19*. Ascending Aorta 19+. Descending Aorta 20. Azygous Vein 20*. Arch of the Azygous 21. Right Brachiocephalic Vein This vein is formed by the right internal jugular vein and the right subclavian vein. The junction is located behind the medial end of the right clavicle. It is a 21*. Left Brachiocephalic Vein 22. Superior Vena Cava 23. Thymus Gland 24. Teres Major Muscle 25. Teres Minor Muscle 26. Left Subclavian Vein/Axillary Vein 27. Brachiocephalic Artery 28. Inferior Vena Cava 29. Pulmonary Trunk. 30. Right Pulmonary Artery 30*. Left Pulmonary Artery 31. Thoracic Duct 32. Carina of Trachea 33. Right Ventricle 34. Right Atrium 35. Left Atrium 36. Left Ventricle 37. Right Pulmonary Vein 37*. Left Pulmonary Vein 38. Interventricular Septum 39. Coronary Sinus 40. Tricuspid valve

CT8

CT 8, with labels Axial :: CT - noncontrast || ACR Codes: 6.-1 Normal Anatomy, with labels CT - Level of the Right and Left Atria (Mediastinal Window) 1) Right Ventricle 2) Interventricular Septum 3) Right Atrium 4) Left Ventricle 5) Left Atrium 6) Right Pulmonary Vein 7) Descending Aorta 8) Level of Slice

CT 5

CT5 - Level of the Main Pulmonary Artery and Carina (Mediastinal Window) 1) Internal Thoracic Artery and Vein 2) Ascending Aorta 3) Pulmonary Trunk 4) Right Pulmonary Artery 5) Left Pulmonary Artery 6) Right and Left Main Bronchi At Level of Carina 7) Descending Aorta 8) Level of Slice

CT4

CT 4, with labels Axial :: CT - noncontrast || ACR Codes: 6.-1 Normal Anatomy, with labels CT - Level of the Azygous Arch (Mediastinal Window) 1) Superior Vena Cava 2) Aortic Arch (see note) 3) Azygous Arch 4) Trachea 5) Esophagus 6) Level of Slice There are calcium deposits (light flecks) in wall of Aorta.

CT3

CT 3, with labels Axial :: CT - noncontrast || ACR Codes: 6.-1 Normal Anatomy, with labels CT - Level of the Aortic Arch (Mediastinal Window) 1) Internal Thoracic Artery and Vein 2) Superior Vena Cava 3) Aortic Arch 4) Trachea 5) Esophagus 6) Level of Slice

CT2

CT 2, with labels Axial :: CT - noncontrast || ACR Codes: 6.-1 Normal Anatomy, with labels CT - Level of Superior Vena Cava and Left Brachiocephalic Vein (Mediastinal window) 1) Left Brachiocephalic Vein 2) Brachiocephalic Artery 3) Superior Vena Cava 4) Left Subclavian Artery 5) Trachea 6) Esophagus 7) Level of Slice Left Brachiocephalic Vein (#1) is filled with blood. Superior Vena Cava (#3) contains contrast media.

CT1

CT 1, with labels Axial :: CT - noncontrast || ACR Codes: 6.-1 Normal Anatomy, with labels CT - Level of the Sternoclavicular Joint (Mediastinal Window) 1) Right Clavicle 2) Sternum 3) Pectoralis Major Muscle 4) Pectoralis Minor Muscle 5) Axillary Vein 6) Rib 7) Subclavian Vein 8) Trachea 9) Left Brachiocephalic Vein 10) Left Common Carotid Artery 11) Left Subclavian Artery 12) Vertebral Body 13) Scapula 14) Level of Slice Axillary Vein (#5) and Subclavian Vein (#7) are whiter due to the presence of contrast media. Left Brachiocephalic Vein (#9) does not have contrast media.