RADIOLOGI RESPIRASI

Konvensional Canggih

1. Foto thorax PA/ AP 1. CT scan thorax

2. Foto thorax lateral 2. MRI thorax
3. Top Lordotic AP 3. PET
4. Lateral decubitus
4. Ultrasonography
(RLD)
FOTO THORAX
1. Identitas pasien (termasuk Hari dan tanggal
pemeriksaan)
2. Posisi /proyeksi
3. Inspirasi
4. Kualitas foto thorax
PROYEKSI
PROYEKSI LATERAL
TOP LORDOTIC
RLD
INSPIRASI
SIMETRIS
YANG HARUS DI EVALUASI PADA FOTO THORAX
KONVENSIONAL XRAY
THORAX ULTRASOUND
CT SCAN
PET SCAN
ANATOMY OF LUNG

PUTZ, PABST, ATLAS ANATOMY

JIHAD, PEDIATRIC RESPIRATORY 19
SYSTEM
PNEUMONIA

• An inflammation of the lung that can be caused

by a variety of organisms, most commonly
bacteria and viruses.
• Consolidation of lung produced by inflammatory
exudate, usually as a result of an infectious
agent.

HERRING, LEARNING RADIOLOGY 24

CLASSIFICATION OF PNEUMONIA
Based on :
Causative Bacterial pneumonia
organism Non Bacterial pneumonia
Viral pneumonia

Radiographic Alveolar pneumonia (air space /

patterns pneumococcal pneumonia)
Bronchopneumonia (segmental
pneumonia)
Interstitial pneumonia
HERRING, LEARNING RADIOLOGY 25
 PATTERNS OF APPEARANCE OF
PNEUMONIA
Pattern Characteristics
Lobar Homogenous consolidation
of affected lobe
Segmental Patchy airspace disease
(Lobular) involving several segments
Interstitial Reticular interstitial,
progresses to airspace
Round Spherically shaped
HERRING, LEARNING RADIOLOGY
Likely Causative Organism
Streptococcus pneumoniae,etc
Staphylococcus aureus, etc
Mycoplasma pneumoniae,
Pneumocystis pneumonia, viral , etc
Haemophilus influenzae, Coxiella
burnetti, ec
26
LOBAR PNEUMONIA

• Pneumococcal pneumonia
• Localized infection of terminal
airspace
• Spread via pores of Kohn
• Little / no involvement of the
airway often show air
bronchogram (+)

RONALD, COMPREHENSIVE RADIOGRAPHIC

PATHOLOGY, P 46 27
LOBULARIS PNEUMONIA
• Staphylococcal
bronchopenumonia
• Multifocal processes
• Commences in the terminal
and respiratory bronchioles
• Spreads segmentally to
adjacent alveoli
• Produces patchy
consolidation

HERRING, LEARNING RADIOLOGY 28

INTERSTITIAL PNEUMONIA
• Inflamation involves
predominantly the walls,
lining of the alveoli and the
interstitial tissue of the lung
• Produces reticular / linear
pattern
• Untreated honeycomb
lung

www.eradiology.bidmc.harvard.edu
29
ROUND PNEUMONIA
• Result from :
- Spreads centrifugally
through pores of Kohn
- Destroying the walls of
alveoli
• Represent incomplete
resolution of a lobar
pneumonia

www.eradiology.bidmc.harvard.edu
30
 PNEUMOTHORAX

• Pneumothorax is defined as the presence

of air in the pleural cavity

• The clinical results are dependent on the

degree of collapse of the lung on the
affected side

http://emedicine.medscape.com
CAUSES OF PNEUMOTHORAX

http://emedicine.medscape.com
 IMAGING FINDINGS
• Must see the visceral pleural white line
• Displacement of mediastinum and/or anterior junction line
• Deep sulcus sign
• On frontal view, larger lateral costodiaphragmatic recess
than on opposite side
• Diaphragm may be inverted on side with deep sulcus
• Total / subtotal lung collapse

www.learningradiology.com
PLAIN PHOTO

Tension Pneumothorax.
Radiograph of the chest
shows a large left-sided
pneumothorax (white arrows)
which is under tension as
manifest as displacement of
the heart to the right (black
arrow) and depression of the
left hemidiaphragm (yellow
arrow).
learningradiology.com
PLAIN PHOTO

Traumatic tension
pneumothorax .
Right sided rib fractures and
pneumothorax with mediastinal
shift to the left.

A-Z emergency radiology

EFUSI PLEURA
HYDROPNEUMOTHORAX

- Pneumothorax
+ efusi pleura
- Terdapat air
fluid level
ATELEKTASIS
TBC
PRIMARY TBC
• Clinical infection following firt exposure
• Inhalated tubercle bacilli  inflamatory focus (Ghon
focus)
• Spread of tubercle via lymphatics leads to a spesific ilar
lymphadenitis
• Ghon focus + regional lympadenitis  primary
complex heals with fibrosis dan may calcify.