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INTERPRETATION OF CHEST CT
SAKIRU ISA
Advantages
• Better resolution
• Minimal overlapping of structures
• Accessible
TYPES OF CT
• Standard CT
• High resolution CT
• CT angiography
• Low dose CT
CHEST ANATOMY
SYSTEMATIC APPROACH TO
INTERPRETATION
• Lung parenchyma
• Pleura
• Airways
• Mediastinum
• Vessels
• Heart
• Axillae
• Soft tissue
• bones
Views
• Cross sectional
• Frontal
• Sagittal
views
Frontal Sagittal
WINDOWS
• Bone window
• Lung window
• Soft tissue window
LUNG WINDOW SOFT TISSUE WINDOW
INDICATIONS
• Screening
• Interstitial lung diseases
• Vascular diseases
• Pulmonary mass/tumor
• Congenital abnormalities
• hemoptysis
CONTRAST CT
• Utilizes contrast media
• Routes of administration
• Adverse reactions
• Types of contrast media
Pulmonary embolism
• Filling defects
Interstitial lung disease
Honeycomb, Ground glass Traction bronchiectasis
PNEUMONIA
• Opacity
• Air bronchogram
COPD
Atelectasis
Bronchiectasis
• Tram lines
• Dilated non-tapering
airways
• Signet ring
• Tree in bud
“tree-in-bud” “Tram tracks”
nodules
• Size
• Attenuation
• Pattern of calcification
• Boarder
• morphology
Conclusion
References
• Harrison’s Principle of Internal Medicine-19e
• Uptodate.com
• Clinical radiology made simple

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Interpretation of chest CT