INTERPRETASI THORAX FOTO

INTERPRETASI THORAX FOTOZULKARNAINI2005730080Gambaran Thorax Normal Posisi Posteroanterior & Lateral

Pada Foto thorax normal, hal-hal yang perlu diperhatikan adalah :PosisiSimetrisasiInspirasiKondisi

Gambaran Thorax Normal

Hal-Hal yang Harus diperhatikan :PosisiSimetrisasiInspirasiKondisi

FAKTOR POSISIINTERPRETASIPA (berdiri) AP (berbaring)

DASAR PENILAIAN :SCAPULA (DILUAR PARENKIM PARU)CLAVICULA (curam)UDARA FUNDUS GASTER(MEGENBLASE) PA AP

AP versus PAThe Effect of MagnificationIn a PA film, the heart is closer to the film and thus less magnified The standard chest x-ray is a PA film In an AP film, the heart is farther from the film and is more magnified Portable chest x-rays are almost always done APAP versus PAThe Effect of Magnification

AP portable film makes theheart look larger than it does On this PA film done on the same patient an hour later

FAKTOR SIMETRISASI Jarak ujung clavicula dengan processus spinosus (simetris/tidak)

CARA :JARAK YANG SAMA ANTARA PROCESSUS SPINOSUS KE SENDI STERNOKLAVIKULA KANAN DAN KIRIFAKTOR INSPIRASIDASAR PENILAIAN :PENAMPAKAN DIAFRAGMAPATOKAN :VT X / COSTA BELAKANG 10 /COSTA DEPAN 6

INTERPRETASI :CUKUPKURANGTERLALU DALAMInspiration About 10 posterior ribs visible is an excellent inspiration In many hospitalized patients 9 posterior ribs is an adequate inspirationAnterior vs. Posterior Ribs

Posterior ribs are those that are most apparent on the chest x-ray. They run more or less horizontally.Anterior ribs will be visible but are harder to see. They run more or less at a 45 degree angle downward toward the feet.How to tell the difference between the anterior and the posterior ribs

10Ten posterior ribs showing is an excellent inspirationPitfall Due to Poor InspirationPoor inspiration will crowd lung markings and make it appear as though the patient has airspace disease

About 8 posterior ribs are showing8

Same patientBetter inspiration and the disease at the lung bases has cleared

9-10 posterior ribs are showing9

About 8 posterior ribs are showing8KONDISI FOTO THORAXDINILAI DARI :KONDISI PULMO KESELURUHAN (LUSENSI PARENKIM PARU)VERTEBRA THORAKALIS TAMPAK I-IV (< VT II KURANG, > VT VI KERAS)PROCESSUS SPINOSUS TAMPAK 3 ATAU 4

INTERPRETASI :KERAS (TERLALU HITAM/LUSENS)CUKUPKURANG (TERLALU PUTIH/OPAQUE)

kondisi

You should be able to just see the thoracic spine through the heart.TERPOTONG ATAU TIDAKDASAR PENILAIAN:SUPERIOR:TAMPAK VERTEBRA CERVIKALIS VI/VIIINFERIOR:SINUS COSTOPHRENICUS DAN DIAFRAGMASAMPING KANAN DAN KIRI:AXILLA TAMPAK

IDENTITASIDENTITAS SISIMARKER (L ATAU R)

IDENTITAS REGISTRASINAMA, UMUR, NO. REGISTER,TANGGAL FOTO

LAYAK / TIDAK ?Hal-hal yang harus diperhatikan dalam Pembacaan Foto Polos ThoraxJaringan lunak, tulangCorakan bronkhovaskuler Parenkim paru Keadaan hilus Sinus costofrenikus Diafragma Cor : CTRSISTEMA TULANG DAN JARINGAN LUNAKLOKASI DAN GAMBARAN SISTEMA TULANG : COSTA,CLAVICULASCAPULALOKASI DAN GAMBARAN JARINGAN LUNAKMAMMAE,normal: sistem tulang intakKEDUA APEKS PARUPENILAIAN :TENTUKAN LOKASI APEKS PARUGAMBARAN APEKS

INTERPRETASIAPEKS TENANG/ BERSIHAPEKS TERDAPAT INFILTRAT ( UKURAN DAN BENTUK, DENSITAS)KEDUA APEKS PARUAPEKS TENANGTERDAPAT PENINGKATAN DENSITAS DI APEKS KANAN

CORAKAN BRONKHOVASKULERCARA PENILAIANBAGI PARU DARI TEPI MENJADI 3, LIHAT BAGIAN 1/3 LATERAL

NORMAL : CORAKAN BRONKHOVASKULER TIDAK MELEBIHI 2/3 MEDIAL (1/3 LATERAL TAMPAK BERSIH)

INTERPRETASI: NORMAL /MENINGKAT

CORAKAN BRONKHOVASKULERNORMALMENINGKAT

PARENKIM PARUGAMBARAN PARENKIM PARU

APABILA TERDAPAT INFILTRAT:TENTUKAN :LOKASI, UKURAN, JUMLAH, BENTUK

PARENKIM PARU

SINUS COSTOPHRENICUS INTERPRETASILANCIP ATAU TUMPULNORMAL : LANCIPBILA TUMPUL PASTIKAN ADA KELAINAN ATAU TERPOTONG

SINUS COSTOPHRENICUS

TERPOTONGEFUSI PLEURAWhen 200-300cc of fluid accumulate in pleural space, the usually acute costophrenic angle (sulcus), as seen on the right in this person, becomes blunted (as seen on the left in this person)

Normal R costophrenic angleBlunted L costophrenic angleDIAFRAGMANORMAL :Kanan lebih tinggi dari kiri (jantung menekan)Selisih