Introduction to Chest Introduction to Chest ImagingImaging

Ralph Regueiferos R.T.Department of RadiologyMt Sinai Medical Center

Introduction to Chest Introduction to Chest ImagingImaging

Does Radiation Frighten You Does Radiation Frighten You ??

Inverse Square LawInverse Square Law

Close to 50% of all cases require the Close to 50% of all cases require the use of a c-arm and almost 90% of all use of a c-arm and almost 90% of all

cases will have had or will require some cases will have had or will require some type of x-ray proceduretype of x-ray procedure

Anatomical Anatomical LandmarksLandmarks

Anatomical LandmarksAnatomical Landmarks

Inspiration vs. ExpirationInspiration vs. Expiration

Inspiration or ExpirationInspiration or Expiration

55y/o male for hernia repair. Based on this film is he 55y/o male for hernia repair. Based on this film is he cleared for surgerycleared for surgery

GOOD

Ralph and Paul are out of the O.R. They call you and Ralph and Paul are out of the O.R. They call you and ask them to check a post hickman port insertion for ask them to check a post hickman port insertion for

them. What will you tell them ?them. What will you tell them ?

Paul is lying on a beach in Hawaii and Ralph is busy in Paul is lying on a beach in Hawaii and Ralph is busy in another room and can’t get out to view a post CVP Line x-ray. another room and can’t get out to view a post CVP Line x-ray. Dr. Wittels asks you to view the x-ray and let him know what Dr. Wittels asks you to view the x-ray and let him know what

you see. What would your answer be ??you see. What would your answer be ??

Attempted CVP Line InsertionAttempted CVP Line Insertion

CT Scan confirming PneumothoraxCT Scan confirming Pneumothorax

Post Chest Tube Insertion

Post Chest Tube RemovalPost Chest Tube Removal

You Make The CallYou Make The Call

Confirm with CT ScanConfirm with CT Scan

You Make The CallYou Make The Call

Same PatientSame PatientWhat’s the Difference ?What’s the Difference ?

You Make The CallYou Make The Call

You Make The CallYou Make The Call

Thank You

Ralph Regueiferos R.T.