What you don’t know

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What you don’t know What you don’t know you don’t see !!! you don’t see !!! (B.Felson) (B.Felson)

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Transcript of What you don’t know

Page 1: What you don’t know

What you don’t know What you don’t know you don’t see !!!you don’t see !!!

(B.Felson)(B.Felson)

Page 2: What you don’t know

Rg toracica PA+profil

Opacitate

Sistematizata (LMD)

Intensitate mare

Bronhograma aerica

Pneumonie bacteriana acuta perioada de stare

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Rg toracica PA + profil

• Opacitate• Sistematizata (LIS)• Intensitate medie,

neomogena• Alveolograma aerica

Pneumonie bacteriana acuta perioada de resorbtie

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Rg toracica PA

Imagine hidro-aerica

Rotunda

Marginea interna a peretelui neted

Nivel hidro-aeric orizontal

Abces pulmonar

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Tomografie plana

Imagine hidro-aerica

Perete 5-6 mm grosime

Suprafata interna neteda

Nivel hidro-aeric ondulat

Chist hidatic evacuat

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Rg toracica PA

Hipertransparenta hemitorace stang

Fara desen pulmonar

Plaman colabat la hil

Usoara deplasare a mediastinului controlateral

Pneumotorax stang

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Rg toracica PA

Opacitati micronodulare

Diseminate bilateral simetric relativ egal de la varfuri la baze

Adenopatii hilare drepre si paratraheale drepte

Miliara tbc - primoinfectie

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Rg toracica PA

Opacitati nodulare bine delimitate

Dimensiuni variabile

Diseminare bilaterala asimetrica

Metastaze hematogene

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Rg toracica PA

Opacitate ce ocupa 2/3 inferioare ale hemitoracelui drept

Intensitate mare, omogena

Limita superioara concava ascendenta spre peretele lateral

Opacitate concav-convexa, bine delimitata, limita superioara - D4

Pleurezie dreapta in cantitate medie + pleurezie in scizura oblica

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Rg toracica PA

Opacitate sistematizata (LSD)

Intensitate mare, omogena

Caracter retractil

Atelectazie lobara superioara dreapta

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Rg toracica PA

Opacitate nodulara localizata in hilul drept, 6-7 cm

imprecis delimitata

Prelungiri

Cancer bronho-pulmonar central dezvoltat exobronsic

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Rg toracica PA

Diseminare bilaterala asimetrica, predominant in campurile superioare

Opacitati imprecis delimitate cu tendinta la confluare + hipertransparente circumscrise cu perete subtire

Tuberculoza secundara – fibro-cazeoasa extensiva

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Rg toracica PA + profil

Opacitate nodulara mediastinala (anterior, etaj mijlociu)

Bine delimitata, omogena, 10 cm

Tumora germinala

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Rg torace PA

Largirea mediastinului superior si mijlociu

Bilateral, asimetric

Contur net, policiclic

Limfom

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Rg torace PA

Modificarea arcurilor cardiace:

-4 arcuri stangi prin dublarea arcului mijlociu, convex

-Dublu arc inferior drept

Apicalizarea circulatiei

Stenoza mitrala

Page 16: What you don’t know

Rg torace oblica

Calcificari arciforme la periferia opacitatii cardiace

Pericardita constrictiva

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Ex.baritat esofagian

Stenoza pe aprox. 3 cm, calibru 3-4 mm

1/3 inferioara esofag toracic

Caractere de benignitate (centrata in ax, contur neted, trecere lenta supraiacent)

Stenoza peptica

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Ex. baritat esofagian

Stenoza pe aproximativ 7 cm.

1/3 medie esofag toracic

Caractere de malignitate (excentrica, contur neregulat, semiton,

trecere brusca spre zona supraiacenta)

Cancer esofagian

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Ex. baritat eso-gastric

Pliuri gastrice la nivelul hiatusului esofagian, pozitia

intratoracica a cardiei

Hernie hiatala prin alunecare

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Clisma baritata

Imagini de aditie de 1-2 cm., haustratii pastrate

Colon transvers si descendent

Diverticuloza colica

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Ex. baritat gastric

Imagine de aditie rotund-ovalara de aproximativ 1

cm., bine delimitata, proemina din contur – nisa

1/3 medie curbura mica gastrica

Ulcer gastric

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Rg. toracica PA

Transparenta semilunara

subdiafragmatica dreapta

Pneumoperitoneu

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Clisma baritata

Stergerea haustratiilor, aspect granitat al

mucoasei

Mici imagini de aditie

Rect+sigmoid

Rectocolita ulcero-hemoragica

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Clisma baritata

Multiple imagini lacunare,

infracentrimetrice

Haustratii pastrate

Colon ascendent+flexura hepatica+1/2 colon

transvers

Polipoza colonica

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Ex. baritat eso-gastric

Stenoza gastrica intinsa fara peristaltism

Cancer gastric avansat

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Clisma baritata

Zona de stenoza de aproximativ 5 cm., contur

neregulat, trecere brusca a substantei de contrast supra- si subiacent –

aspect de “pantalon de golf” / “cotor de mar”

Jonctiunea recto-sigmoidiana

Cancer sigmoidian stenozant

Page 27: What you don’t know

Rg. abdominala simpla

Nivele hidroaerice cu axul mare orizontal

situate medioabdominal

Ocluzie intestinala

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Colangiografie pe tub T

Imagine lacunara la nivelul coledocului

distal

Calcul coledocian restant

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Colangiografie percutana

transhepatica

Stenoze ale canalului hepatic drept,

convergentei si hepatic comun

Colangiocarcinom de convergenta

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Urografie iv

Rinichi stang jos situat, cu secretie si excretie

prezente; ureter scurt

Ectopie renala pelvina

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Urografie iv

Rinichi cu ax divergent, bazinet

rotat anterior, calicii orientate postero-

intern; rinichi uniti la polul inferior prin

istm parenchimatos

Rinichi “in potcoava”

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Urografie iv

Rinichi mariti de volum, cu suprafata boselata, amprente arciforme asupra

caliciilor si bazinetului

Rinichi polichistic

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Rx. Renala standard

Opacitati cu aspect coraliform proiectate

pe aria renala bilateral

Calculi radio-opaci

Litiaza renala coraliforma bilaterala

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Urografie iv

Calicii neregulate, ectazii caliceale,

amputatii caliceale,dilatatii si stenoze ale bazinetului, caverne

confluate pe topografia caliceala

Tuberculoza renala stadiul III

Page 35: What you don’t know

Urografie iv

Rinichi stang marit de volum cu

distorsionarea, compresiunea

caliciilor si bazinetului

Cancer renal

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