Radiographic anatomy

Radiographic anatomy- BASICS OF RADIOLOGY

1. RADIOGRAPHIC ANATOMY 1

2. RADIOGRAPHIC ANATOMY OF CHEST (THORAX) (PA CXR , LATERAL CXR , OBLIQUE CXR [ BARIUM SWALLOW ] , BRONCHOGRAM ) 2

3. Posteroanterior radiograph of the chest of a normal adult man. 3

4. 4

5. 5 Chest x rays Normal female Lateral (male)

6. X-ray of chest in full expiration (left) and full inspiration (right). 6

7. Right oblique radiograph of the chest of a normal adult man after a barium swallow 7

8. Left lateral radiograph of the chest of a normal adult man after a barium swallow . 8

9. Apical Lordotic CXR Allows for better visualization of the Apices of the lungs

10. Trachea on CXR Let’s look at the normal Mediastinal Structures Hilum

11. Vessels Aortic Arch Pulmonary Artery Left Atrium Left Ventricle Inferior Vena Cava Right Atrium Ascending Aorta Superior Vena Cava

12. Descending Aorta Aortic Knob/Arch Ascending Aorta Right Ventricle Inferior Vena Cava Left Ventricle Left Atrium

13. Posteroanterior bronchogram of the chest. 13

14. caudal vena cava vein trachea bronchus aorta artery

15. The cardiac silhouette The “Plus Sign” Left atrium Left ventricle Right ventricle “Bermuda Triangle” Right atrium Aorta Main Pulmonary Trunk Bermuda triangle Left atrium Left ventricle Right ventricle

16. A B Coronary angiograms. A. An area of extreme narrowing of the circumflex branch of the left coronary artery (white arrow). B. The same artery after percutaneous transluminal coronary angioplasty. Inflation of the luminal balloon has dramatically improved the area of stenosis (white arrow). 16

17. 17 Pneumothorax

18. HAEMOPTYSIS 18

19. Lung Tumor The arrow indicates a mass near the left lung hilum. This could impinge upon the left recurrent laryngeal nerve and the patient may present with hoarseness of the voice. 19

20. 20 A B

21. 21

22. RADIOGRAPHIC ANATOMY OF ABDOMEN (AP , CT SCAN , BARIUM ENEMA , CYSTOURETHROGRAM) 22

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24. 24 MESENTRY OF SMALL INTESTINE LINEA ALBA Lt . RECTUS ABDOMINIS 3 RD PART OF DUODENUM ASCENDING COLON IVC PSOAS MUSCLE COILS OF INTESTINE DESCENDING COLON ABDOMINAL PART OF AORTA BODY OF L3 CAUDA EQUINA

25. 25

26. Anteroposterior radiograph of the abdomen. 26

27. Anteroposterior radiograph of the stomach and the small intestine after ingestion of barium meal. 27 FUNDIC GAS

28. Anteroposterior radiograph of the duodenum after ingestion of barium meal. DUODENAL CAP 28 1 ST PART OF DUODENUM STOMACH

29. Anteroposterior radiograph of the small intestine after ingestion of barium meal. 29

30. Anteroposterior radiograph of the large intestine after a barium enema 30 T11 T12 L1 L2 L3 L5

31. Anteroposterior radiograph of the ureter and renal pelvis after intravenous injection of an iodine-containing compound, which is excreted by the kidney. Major and minor calyces are also shown. 31

32. Cystourethrogram after intravenous injection of contrast medium (28-year-old man). 32

33. RADIOGRAPHIC ANATOMY OF SUPEX (SHOULDER JOINT , ELBOW JOINT , WRIST JOINT , HAND SKELETON) 33

34. Anteroposterior radiograph of the shoulder region in the adult. 34 GREATER TUBEROSITY head of humerus acromion glenoid fossa coracoid process clavicle first rib medial border of scapula lateral border of scapula anatomic neck surgical neck

35. Normal Shoulder

36. Normal Shoulder

37. Anteroposterior radiograph of the elbow region in the adult. 37 humerus radial fossa lateral epicondyle capitulum head neck bicipital tuberosity radius ulna olecranon fossa medial epicondyle trochlea coronoid process

38. Lateral radiograph of the elbow region in the adult. 38 humerus lateral supracondylar ridge lateral epicondyle head of radius neck bicipital tuberosity olecranon process of ulna coronoid process

39. Posteroanterior radiograph of an adult wrist and hand. 39 distal phalanx of thumb sesamoid bone first metacarpal trapezium trapezoid scaphoid styloid process of radius lunate head of ulna styloid process of ulna pisiform triquetral capitate hook of hamate proximal phalanx of little finger

40. Posteroanterior radiograph of the wrist with the forearm pronated 40 Hook Of hamate Hamate Pisiform Triquetral Lunate Scaphoid Capitate Trapezoid Trapezium Radius Ulna

41. Lateral radiograph of an adult wrist and hand. 41 distal phalanx of thumb first metacarpal trapezium scaphoid pisiform lunate fifth metacarpal distal end of radius

42. Lateral radiograph of an adult wrist and hand with the fingers at different degrees of flexion. 42

43. RADIOGRAPHIC ANATOMY OF INFEX (HIP JOINT , KNEE JOINT , ANKLE JOINT , FOOT SKELETON) 43

44. AP Pelvis

45. AP Pelvis

46. Normal Knee

47. Normal Ankle

48. Normal Ankle

49. Normal Ankle

50. Boehler’s Angle

51. Normal Foot

52. Normal Foot

53. RADIOGRAPHIC ANATOMY OF HEAD & NECK (AP , LATERAL , WATER’S VIEW OF HEAD ; AP , LATERAL VIEW OF CERVICAL SPINES) 53

54. Posteroanterior radiograph of the skull. 54

55. Lateral radiograph of the skull. 55

56. Water’s view of skull( occipito-meatal view) 56

57. Anteroposterior radiograph of the cervical region of the vertebral column. 57 C 3 C4 C5 C6 C7 T1 T2 angle of mandible transverse process of fifth cervical vertebra transverse process of first thoracic vertebra clavicle lateral synovial joint between adjacent vertebral bodies spinous process of seventh cervical vertebra first rib

58. Lateral radiograph of the cervical region of the vertebral column. 58 occipital condyle anterior arch of atlas occipital bone posterior arch of atlas spine of axis postvertebral muscles odontoid process (DENS) body of axis mandible epiglottis hyoid thyroid cartilage calcification body of seventh cervical vertebra trachea

59. 59 RADIOGRAPHIC ANATOMY OF LUMBAR SPINE (AP , LATERAL)

60. AP Lumbar

61. Lateral Lumbar

62. ANY QUESTIONS???