1. RADIOLOGICAL ASPECT OF RESPIRATORY DISEASES
May 2005

2. Curriculum vitae Nama : Prof. Arif Faisal, Sp.Rad(K), DHSM
Status : Guru Besar FK-UGM
Jabatan :
: Ka Bag. Radiologi FK-UGM
: Wadir RSUP. Dr. Sardjito
: Direktur Utama RSUP. Dr. Soeradji Tirtonegoro, Klaten – Jateng
2010-skrg: Direktur Utama RS Akademik UGM

3. RADIOLOGIC METHODS of EXAMINATION OF THE CHEST
Flouroscopy
X-RAY : PA – LATERAL VIEWS
Special position views
Bronchography
Angiography
USG CT
MRI
Nuclear Medicine

4. PULMO KANAN : 3 LOBUS (superior, medius, inferior)
ANTERIOR
ANTERIOR
PULMO KANAN : 3 LOBUS (superior, medius, inferior)
PULMO KIRI : 2 LOBUS (superior, inferior)

5. BRONCHIAL BRANCHES

6. STANDART - VIEWS
PA – VIEW LAT - VIEW

7. THE LOBES & SEGMENTS

8. NORMAL CHEST X-RAY
POSTEROANTERIOR VIEW LATERAL VIEW

9. RESPIRATORY TRACT
AIRWAY
UPPER
LOWER
AIRSPACE
INTERSTITIALE

10. RESPIRATORY DISEASES CONGENITAL TRAUMATIC INFECTION OBSTRUCTION
NEOPLASMA
etc

11. BRONCHOPNEUMONIA PA LATERAL
Relative homogenous opacity of inferior right lung, unsharp border,
Positive air bronchogram (air in the bronchi trees)

12. PNEUMONIA
Infiltrate consolidation on right upper lobe, inferior sharp border (minor fissure)

13. PNEUMONIA
Right middle lobe conslolidation, positive silhouette sign (disappear right heart border)

14. Bronchopneumonia vs Lobar pneumonia
Bronchopnumonia
Lobar pneumonia
Scattered opacities
Less homogenous
Less consolidated
Commonly atelectasis
More than one lobe
Unifocal, single lobe
Homogenous opacity
Sharp border (fissure)
Positive air bronchogram
No volume reduced

15. CHRONIC BRONCHITIS ACUTE BRONCHITIS  normal chest X-ray
~ stripped /mottle opacities,
~ bronchiectasis
~ emphysematous lung

16. EMPHYSEMA Chronic obstructive pulmonary disease (COPD):
Abnormal permanent enlargement of air space, destruction of the wall.
Radiologic features:
-Hyperinflation (flat diafragm, large chest cage, increased retrosternal space)
-Decreased peripheral vessels, large pulmonary arteries, local avascular area.

17. TUBERCULOSIS POST PRIMARY TB. -Spreading infiltrates on both lungs
Slightly fibrosis
No calcification,
No fibrosis
No pleural effusion

18. TUBERCULOSIS POST PRIMER TB: Infiltrates Fibrosis
Multiple calcifications
Large cavity right upper lobe

19. PLEURAL EFFUSION - Homogenous opacity right lower hemithorax.
- Lateral border is higher
- Right sinus costophrenicus and diafragm can not be seen.
- Right heart bordor disappeared

20. MASSIVE PLEURAL EFFUSION
Homogenous opacity on the left hemithorax, without air bronchogram.
Compressed mediastinum to contralateral side.
Left sinus and diafragm disappeared.

21. PNEUMOTHORAX Paru kanan hipoden, tanpa jaringan parenchym pulmo.
Paru kanan kolap kemedial.

22. BRONCHIECTASIS
Multiple annular opacities on the lower lobes  honey comb appearance.

23. Flat diafragms and lower position.
ASTHMA
ATTACK REMISSION
Lung hyperinlation,
Flat diafragms and lower position.

24. LUNG NEOPLASM PRIMARY LOCATION: ~ Lung ~ Pleural ~ Mediastinal
~ Airway
~ Chest wall

25. CLASSIFICATION OF PULMONARY NEOPLASM
MALIGNANT TUMORS:
Bronchogenic ca
Lymphoma
Metastases
Sarcoma
BENIGN TUMORS:
Hamartoma
Papilloma
Hemangioma
Leiomyoma, etc.

26. LUNG TUMOR
SMALL BIGGER

27. LUNG TUMOR
ROUNDED AND SHARP BORDER OF HYPERDENSE MASS

29. LUNG TUMOR
LARGE MASS UPPER RIGHT LUNG, ROUND SHAPE, SHARP AND IRREGULAR BORDER

30. METASTASES - Multiple rounded /ring opacities on the both lungs.
- Variation of size
- Minimal effusion on left side.

31. METASTASES

33. References
Daffner RH. Clinical Radiology. The essentials. Lippincott Williams & Wikins. 2nd ed
Pettersson H. A global textbook of radiology. The Nicer Institute
Weissleder R, Wittenberg J, Harisinghani MG, Chen JW. Primer of diagnostic imaging. 5th ed