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TORACELE NORMALTORACELE NORMAL
PROF. TRAIAN MIHAESCUPROF. TRAIAN MIHAESCU
DR. CRISTINA MOLDOVEANUDR. CRISTINA MOLDOVEANU
DR. BOGDAN MOLDOVEANUDR. BOGDAN MOLDOVEANU
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DEPNEUMOLOGIE
IASI
in medicina radioloii !in" cei maiin medicina radioloii !in" cei maide#enden"i de a$ili"a"ile %i&'alede#enden"i de a$ili"a"ile %i&'ale
radiologul nu este un observatorradiologul nu este un observatorperfetperfet
le&i'nile !in" (rec%en" !ca#a"e din %ederele&i'nile !in" (rec%en" !ca#a"e din %edere
de radioloi e)#erimen"a"i * le&i'nile omi!ede radioloi e)#erimen"a"i * le&i'nile omi!e!in" ade!ea de!"'l de e%iden"e in imaine!in" ade!ea de!"'l de e%iden"e in imaine
F'nc"iile radiolo'l'iF'nc"iile radiolo'l'iI!agine" detetare" reunoastereI!agine" detetare" reunoastere
"interpretare #diagnostiare"interpretare #diagnostiare
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NEUMOLOGIE
IASI
de"ec"area !"r'c"'rilor in"r+o imainede"ec"area !"r'c"'rilor in"r+o imaine
rec'noa!"ere a ceea ce e!"e de"ec"a"rec'noa!"ere a ceea ce e!"e de"ec"a"
+ #en"r' (iecare !"r'c"'ra de"ec"a"a !e rec'noa!"e daca+ #en"r' (iecare !"r'c"'ra de"ec"a"a !e rec'noa!"e daca
e!"e normala ,anormalae!"e normala ,anormala Un radiolo !#eciali&a" in"r+o an'mi"a #a"oloie *careUn radiolo !#eciali&a" in"r+o an'mi"a #a"oloie *care
%ede imaini (amiliare e!"e ca#a$il !a de"ec"e&e re#ede%ede imaini (amiliare e!"e ca#a$il !a de"ec"e&e re#edeo anomalieo anomalie
Observatorul e$peri!entatObservatorul e$peri!entat
i!i (ocali&ea&a a"en"ia a#roa#e imedia" a!'#ra rei'niii!i (ocali&ea&a a"en"ia a#roa#e imedia" a!'#ra rei'niianormaleanormale
#are !a conec"e&e a!#ec"'l %i&'ali&a" c' o %edere#are !a conec"e&e a!#ec"'l %i&'ali&a" c' o %ederemen"ala a imainii normale !i com#ararea !coa"e lamen"ala a imainii normale !i com#ararea !coa"e la
i%eala anomaliai%eala anomalia e)#erien"a #ermi"e radiolo'l'i !a (ie mai #reci! !i maie)#erien"a #ermi"e radiolo'l'i !a (ie mai #reci! !i mai
ra#idra#id
daa i!aginea este nefa!iliara radiologul nu are niidaa i!aginea este nefa!iliara radiologul nu are nii
un avanta% fata de ne"radiolog in detetareaun avanta% fata de ne"radiolog in detetareaano!aliilorano!aliilor
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NEUMOLOGIE
IASI
Imaine dii"ala a 'nor nori
Radioloii !i ne+radioloii a' de"ec"a" le&i'nile c' aceea!i
ac'ra"e"e
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IASI
Vi&ionarea #rin in"ermedi'l #roce!'l'i deVi&ionarea #rin in"ermedi'l #roce!'l'i de
!canare %i&'ala e!"e 'neori de&a%an"a-oa!a!canare %i&'ala e!"e 'neori de&a%an"a-oa!a
mai ale! daca #roce!'l !e a!eamana m'l" c'mai ale! daca #roce!'l !e a!eamana m'l" c'
('ndal'l('ndal'l
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NEUMOLOGIE
IASI
Ce %ede"i in acea!"a imaine
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Imaini re%er!i$ileImaini re%er!i$ile
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IASI
"endin"a di(eri"ilor indi%i&i de a %edea"endin"a di(eri"ilor indi%i&i de a %edea
o$iec"ele in mod di(eri" e!"e c'no!c'"a daro$iec"ele in mod di(eri" e!"e c'no!c'"a dar
#'"in in"elea!a.#'"in in"elea!a.
in ca&'l imainilor re%er!i$ile o #ar"e dinin ca&'l imainilor re%er!i$ile o #ar"e din
o$!er%a"ori %ad doar 'na din imainio$!er%a"ori %ad doar 'na din imaini
'nele #er!oane le %ad #e am$ele dar n''nele #er!oane le %ad #e am$ele dar n'
!im'l"an!im'l"an
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NEUMOLOGIE
IASI
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DEP
NEUMOLOGIE
IASI
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IASI
Il'&ii o#"iceIl'&ii o#"ice
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IASI
Pa"ra"e de aceea!i !"ral'cire a#ar di(eri"e #e 'n ('ndal
de den!i"a"e di(eri"a
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NEUMOLOGIE
IASI
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IASI
De!en d'#lica"De!en d'#lica"
o co#ie a de!en'l'i c' (emeia !i $ar$a"'lo co#ie a de!en'l'i c' (emeia !i $ar$a"'l
din ('ndal'l coridor'l'i a (o!" #la!a"a indin ('ndal'l coridor'l'i a (o!" #la!a"a in
(a"a(a"a
de!i !+a #a!"ra" acela!i 'n/i %i&'al ei #arde!i !+a #a!"ra" acela!i 'n/i %i&'al ei #ar
di(eri"i ca marimedi(eri"i ca marime
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NEUMOLOGIE
IASI
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IASI Concl'&iiConcl'&ii
In"er#re"area in(orma"iei %i&'ale in eneral !iIn"er#re"area in(orma"iei %i&'ale in eneral !i
a imainilor radioloice in #ar"ic'lar e!"e 'na imainilor radioloice in #ar"ic'lar e!"e 'n
#roce! com#le) care im#lica de"ec"area#roce! com#le) care im#lica de"ec"area
!"r'c"'rilor in imaine *rec'noa!"erea!"r'c"'rilor in imaine *rec'noa!"erea
carac"eri!"icilor anormale in ace!"e !"r'c"'ricarac"eri!"icilor anormale in ace!"e !"r'c"'ri
!i in"er#re"area ace!"ora #en"r' a o$"ine 'n!i in"er#re"area ace!"ora #en"r' a o$"ine 'n
diano!"ic #reci!diano!"ic #reci!
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IASI
Radiora(ia "oracica !"andard+Radiora(ia "oracica !"andard+
Inciden"a PA,AP *di!"an"a (ocar+(ilm 012 cmInciden"a PA,AP *di!"an"a (ocar+(ilm 012 cm
R(.#ro(il a#recia&a3R(.#ro(il a#recia&a3
!edi'l 'nei le&i'ni #'lmonare!edi'l 'nei le&i'ni #'lmonare #ro('n&imea ace!"eia#ro('n&imea ace!"eia
a-'"a la in"er#re"area 'nor imaini com#le)ea-'"a la in"er#re"area 'nor imaini com#le)e
media!"ino+#'lmonare*#le'ro+#'lmonaremedia!"ino+#'lmonare*#le'ro+#'lmonare e%al'area /il'rilor #'lmonaree%al'area /il'rilor #'lmonare
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IASI Al"e inciden"eAl"e inciden"e
radiora(ie in dec'$i" dor!al+radiora(ie in dec'$i" dor!al+la #acien"i c'la #acien"i c'!"are enerala al"era"a!"are enerala al"era"a
radiora(ie in dec'$i" la"eral c' ra&aradiora(ie in dec'$i" la"eral c' ra&a
ori&on"alaori&on"ala radiora(ie in!#ir,e)#ir+radiora(ie in!#ir,e)#ir+'"ila in diano!"ic'l'"ila in diano!"ic'l
#ne'mo"ora)'l'i #eri(eric*(enomene de air#ne'mo"ora)'l'i #eri(eric*(enomene de air
"ra##in #o!"!"eno"ic"ra##in #o!"!"eno"ic radiora(ie in /i#erlordo&aradiora(ie in /i#erlordo&a
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IASI Radiora(ia dii"ala direc"aRadiora(ia dii"ala direc"a
(olo!e!"e in loc'l (ilm'l'i cla!ic o #elic'la de(olo!e!"e in loc'l (ilm'l'i cla!ic o #elic'la de
!ilicon ce con"ine o re"ea de (o"odiode care !in"!ilicon ce con"ine o re"ea de (o"odiode care !in"
aco#eri"e c' 'n ma"erial !cin"ila"or ce are rol'laco#eri"e c' 'n ma"erial !cin"ila"or ce are rol'l
de a a$!or$i R) !i a con%er"i eneria in (o"onide a a$!or$i R) !i a con%er"i eneria in (o"oni
%i&i$ili ce !in" a$!or$i"i de (o"odiode4(iecare%i&i$ili ce !in" a$!or$i"i de (o"odiode4(iecare
(o"odioda core!#'nde 'n'i #i)el din aria ma"ricei(o"odioda core!#'nde 'n'i #i)el din aria ma"ricei
!emnal'l elec"ric enera" e!"e #ro#or"ional c'!emnal'l elec"ric enera" e!"e #ro#or"ional c'eneria ra&ei inciden"e #e (o"oca"od !i e!"eeneria ra&ei inciden"e #e (o"oca"od !i e!"e
"ran!mi! !#re com#'"er #en"r' recon!"r'c"ia"ran!mi! !#re com#'"er #en"r' recon!"r'c"ia
imainiiimainii
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cali"a"e e)ce#"ionala a imainiicali"a"e e)ce#"ionala a imainii
iradiere (oar"e red'!a #en"r' #acien"iradiere (oar"e red'!a #en"r' #acien"
Rdd !e reali&e&a (oar"e ra#idRdd !e reali&e&a (oar"e ra#id
"im# de e)#'nere o#"im"im# de e)#'nere o#"im
reim elec"ric memora" de a#ara" c'reim elec"ric memora" de a#ara" c'#o!i$ili"a"e de rela- man'al in !i"'a"ii#o!i$ili"a"e de rela- man'al in !i"'a"ii
!#eciale!#eciale !o(" de #rel'crare imaine care #ermi"e!o(" de #rel'crare imaine care #ermi"e
modi(icarea con"ra!"'l'i*l'mino&i"a"ii*&oommodi(icarea con"ra!"'l'i*l'mino&i"a"ii*&oom
52265226 !"ocare imaine #e CD*re#rod'cere #e!"ocare imaine #e CD*re#rod'cere #e
(ilm*#rin"are "ermo !a' la!er(ilm*#rin"are "ermo !a' la!er
e)#or"'l imainii la di!"an"ae)#or"'l imainii la di!"an"a
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&adiografia toraia PA " riterii de&adiografia toraia PA " riterii dealitatealitate
!c/ele" "oracic nero"a"+ daca a#o(i&a !#inoa!a a %er"e$rei T7!c/ele" "oracic nero"a"+ daca a#o(i&a !#inoa!a a %er"e$rei T7e!"e la mi-loc'l di!"an"ei din"re cele do'a ar"ic'la"ii !"erno+e!"e la mi-loc'l di!"an"ei din"re cele do'a ar"ic'la"ii !"erno+cla%ic'lare.cla%ic'lare.
marinile in"erne ale omo#la"ilor cel m'l" "anen"e la #ere"elemarinile in"erne ale omo#la"ilor cel m'l" "anen"e la #ere"ele
"oracic."oracic. "orace radiora(ia" in in"reime+daca e!"e %i&i$il larinele !i"orace radiora(ia" in in"reime+daca e!"e %i&i$il larinele !i
cele do'a !in'!'ri co!"o(renice.cele do'a !in'!'ri co!"o(renice. rad'l in!#ir'l'i e!"e corec" daca dom'l dia(ram'l'i !erad'l in!#ir'l'i e!"e corec" daca dom'l dia(ram'l'i !e
#roiec"ea&a ca'dal de arc'l #o!"erior C8.#roiec"ea&a ca'dal de arc'l #o!"erior C8.
"im# de e)#'nere o#"im + con"'r clar + cord*/il'ri*dia(ram."im# de e)#'nere o#"im + con"'r clar + cord*/il'ri*dia(ram. de!en %a!c'lar care #oa"e (i rec'no!c'" #ina in #eri(eriade!en %a!c'lar care #oa"e (i rec'no!c'" #ina in #eri(eria
#lamin'l'i + e)cl'de !'#rae)#'nerea.#lamin'l'i + e)cl'de !'#rae)#'nerea. %er"e$re "oracale %i&i$ile #rin o#aci"a"ea cardiaca 9 e)cl'de%er"e$re "oracale %i&i$ile #rin o#aci"a"ea cardiaca 9 e)cl'de
!'$e)#'nerea.!'$e)#'nerea.
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IASI Radiora(ie "oracica PA,#ro(ilRadiora(ie "oracica PA,#ro(il
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Radiora(ie PA normalaRadiora(ie PA normalaMarginea dreapta
e!"e con!"i"'i"a de !'! in -o!3
Vena $ra/ioce(alica
VCS
$'"on'l %enei a&:o!
'rec/i'!a drea#"a *AD
VCI
Marginea stinga
ar"era !'$cla%ic'lara
$'"on'l aor"ic
(erea!"ra aor"o+#'lmonara
in('ndi$'l #'lmonar !a' "r'nc/i'l
ar"erei #'lmonare
%en"ric'l !"in
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NEUMOLOGIE
IASI
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NEUMOLOGIE
IASI
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IASI &adiografia de profil #riterii de&adiografia de profil #riterii de
alitatealitate
#laminii !a (ie %i&'ali&a"i in in"reime#laminii !a (ie %i&'ali&a"i in in"reime
$ra"ele ridica"e #en"r' a n' !e #roiec"a la$ra"ele ridica"e #en"r' a n' !e #roiec"a lani%el'l "oracel'ini%el'l "oracel'i
R(. n' e!"e !'#rae)#'!a daca %a!eleR(. n' e!"e !'#rae)#'!a daca %a!ele
#'lmonare !in" %i&i$ile !i $ine di(eren"ia"e in#'lmonare !in" %i&i$ile !i $ine di(eren"ia"e in!#a"i'l re"rocardiac!#a"i'l re"rocardiac
R( n' e!"e !'$e)#'!a daca %a!ele mariR( n' e!"e !'$e)#'!a daca %a!ele mari#'lmonare !in" rec'no!c'"e #rin o#aci"a"ea#'lmonare !in" rec'no!c'"e #rin o#aci"a"ea
cardiacacardiaca
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Pro(il normalPro(il normal
C i di (i
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cim#'rile #'lmonare !ime"rice c' !"'di'lcim#'rile #'lmonare !ime"rice c' !"'di'l
!'cce!i%3a#e)'ri*!'$cla%ic'lar*rei'ni!'cce!i%3a#e)'ri*!'$cla%ic'lar*rei'ni
#ara/ilare*$a&ele #'lmonare#ara/ilare*$a&ele #'lmonare
modi(icari de #o&i"ie*de (orma*dimen!i'ni*!"r'c"'ramodi(icari de #o&i"ie*de (orma*dimen!i'ni*!"r'c"'ra
/il'l'i*ne"i"a"ea con"'r'l'i/il'l'i*ne"i"a"ea con"'r'l'i !in'!'rile co!"odia(rama"ice de!c/i!e !i a!c'"i"e!in'!'rile co!"odia(rama"ice de!c/i!e !i a!c'"i"e
!"'di'l %a!c'lari&a"iei #'lmonare !i re#ar"i"ia!"'di'l %a!c'lari&a"iei #'lmonare !i re#ar"i"ia
armonioa!a !i !ime"rica.armonioa!a !i !ime"rica.
locali&area !ci&'rilor 3mica !ci&'ra #e drea#"alocali&area !ci&'rilor 3mica !ci&'ra #e drea#"a
*"raiec" ori&on"al la mi-loc'l /emi"oracel'i*marea*"raiec" ori&on"al la mi-loc'l /emi"oracel'i*marea
!ci&'ra *o$lica de !'! in -o!*din in"erior in a(ara!ci&'ra *o$lica de !'! in -o!*din in"erior in a(ara
Ce 'rmarim #e o radiora(ie
"oracica
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(orma !i #o&i"ia celor do'a /emidia(rame(orma !i #o&i"ia celor do'a /emidia(rame
di(eren"a de ni%el ;2*1+
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De!en'l #'lmonarDe!en'l #'lmonar
Tip nor!alTip nor!alrami(ica"ii $ine con"'ra"e de cali$r' mi-loci' carerami(ica"ii $ine con"'ra"e de cali$r' mi-loci' caredimin'a #rore!i% !#re #eri(erie.dimin'a #rore!i% !#re #eri(erie.
Tip vasularTip vasular$oa$oa" carac"eri&a" #rin "r'nc/i'ri lari #rimare !i" carac"eri&a" #rin "r'nc/i'ri lari #rimare !i#rin"r+o re"ea !ec'ndara de a!#ec" normal.#rin"r+o re"ea !ec'ndara de a!#ec" normal.
TipTipgrailgrail"r'nc/i'rile %a!c'lare din /il !'$"iri !i rami(ica"ii"r'nc/i'rile %a!c'lare din /il !'$"iri !i rami(ica"ii!ec'ndare !arace*la #eri(erie de!en %a!c'lar !arac.!ec'ndare !arace*la #eri(erie de!en %a!c'lar !arac.
Tip vasular ortogradTip vasular ortograd %a!e #roiec"a"e or"orad c' a!#ec"%a!e #roiec"a"e or"orad c' a!#ec"de nod'li o#aci*#er(ec" ro"'nde $ine con"'ra"e*de dimen!i'nide nod'li o#aci*#er(ec" ro"'nde $ine con"'ra"e*de dimen!i'nidin ce in ce mai mici #e ma!'ra ce ne inde#ar"am de /il4indin ce in ce mai mici #e ma!'ra ce ne inde#ar"am de /il4in
%ecina"a"ea /il'l'i ace!"e imaini #o" a%ea%ecina"a"ea /il'l'i ace!"e imaini #o" a%ea 1+>mm1+>mmdiame"r'*cele din #eri(eriediame"r'*cele din #eri(erie0+
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a.De!en mai!"ral
$.De!en or"orad
c. De!en arci(orm
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#le'ra#le'rain mod normal n' are imaine radioloicain mod normal n' are imaine radioloicadeci" in ca&'rile cind e!"e %a&'"a or"orad !a'deci" in ca&'rile cind e!"e %a&'"a or"orad !a'e!"e con"ra!"a"a #e am$ele #ar"i de aere!"e con"ra!"a"a #e am$ele #ar"i de aer;#ne'mo"ora)=.;#ne'mo"ora)=.
la %ir('l #lamin'l'i #le'ra !e %ede !'$ (ormala %ir('l #lamin'l'i #le'ra !e %ede !'$ (orma'nei $en&i de
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Sci&'ra o$lica #leaca de la D7*direc"ie o$lica in -o!
Sci&'ra ori&on"ala+mere #aralel c' C5*e!"e orien"a"a !#re !"ern
Sci&'rile #'lmonare
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IASI
O#aci"a"i liniare deO#aci"a"i liniare deca'&a #le'ralaca'&a #le'rala
!ci&'ra ori&on"ala !e!ci&'ra ori&on"ala !e
%ede ca o o#aci"a"e%ede ca o o#aci"a"eliniara (ina la ?26 dinliniara (ina la ?26 dinad'l"ii e)amina"iad'l"ii e)amina"i
#le'ra edema"ia"a#le'ra edema"ia"a
dea!'#ra !emen"'l'idea!'#ra !emen"'l'iFolerFoler
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35/71
SPITALU
LCLINIC
DEP
NEUMOLOGIE
IASI
Linii %er"icale care #orne!c
de la dia(ram *a' 'n "raiec"a!cenden" !i !#re in"erior
ca'&a"e de marinea #le'rei
in"erlo$are #ro$a$il in"re
!emen"ele in"ern lo$ medi'
!i !emen"'l $a&al an"erior
Linie %er"icala c' %ir('l la
/il #ro$a$il da"a de
marinea marii !ci&'ri
in"re !emen"'l $a&al
an"erior !i lin'la4
In"rao#era"or n' !+a
e%iden"ia" o !ci&'raacce!orie
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36/71
SPITALU
LCLINIC
DEP
NEUMOLOGIE
IASI
Linie %er"icala c' "raiec" a!cenden" care #orne!"e de la ni%el'l 'n'i cor"
dia(rama"ic+(rec%en" re!i" in"er#re"a"a ca o aderen"a
dia(rama"ica4in"rao#era"or a (o!" %or$a de #le'ra !i n' !+a' e%iden"ia"
aderen"e
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SPITALU
LCLINIC
DEP
NEUMOLOGIE
IASI Liniile !i $en&ile media!"inaleLiniile !i $en&ile media!"inale
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38/71
SPITALU
LCLINIC
DEP
NEUMOLOGIE
IASI
In"re (a"a la"erala a media!"in'l'i !i #lamin !in"In"re (a"a la"erala a media!"in'l'i !i #lamin !in"interfeteinterfete
Daca ra&a inciden"a e!"e #aralela c' o in"er(a"a careDaca ra&a inciden"a e!"e #aralela c' o in"er(a"a care
!e#ara !"r'c"'ri c' a$!or$"ia a#ei de !"r'c"'ri c'!e#ara !"r'c"'ri c' a$!or$"ia a#ei de !"r'c"'ri c'
a$!or$"ia aer'l'i a#ara$!or$"ia aer'l'i a#arlinii #le'ro+media!"inalelinii #le'ro+media!"inale
Daca in"er(a"a e!"e in"re #le'ra !i 'n oran ca%i"arDaca in"er(a"a e!"e in"re #le'ra !i 'n oran ca%i"ara#ara#ar$en&ile #le'ro+media!"inale$en&ile #le'ro+media!"inale
Iden"i(icarea ace!"or elemen"e con(irma a!#ec"'lIden"i(icarea ace!"or elemen"e con(irma a!#ec"'l
normal !i #ermi"e iden"i(icarea 'nor #roce!e #a"oloicenormal !i #ermi"e iden"i(icarea 'nor #roce!e #a"oloicec' locali&are media!"inalac' locali&are media!"inala
E%iden"ierea lor !e (ace #e radiora(iiE%iden"ierea lor !e (ace #e radiora(ii/i#er%ol"a"e*radiora(ii dii"ale *!ec"i'ni CT/i#er%ol"a"e*radiora(ii dii"ale *!ec"i'ni CT
Li#!a %i&'ali&arii #oa"e de#inde de 3Li#!a %i&'ali&arii #oa"e de#inde de 30.0. con(orma"ie ana"omica !'$iec"con(orma"ie ana"omica !'$iec"
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
0.0. linia de -onc"i'ne an"erioaralinia de -onc"i'ne an"erioara. $anda #arae!o(aiana drea#"a$anda #arae!o(aiana drea#"a
?.?. $anda #arae!o(aiana !"ina$anda #arae!o(aiana !"ina.. liniile #araar"e"riale+ $'"on aor"icliniile #araar"e"riale+ $'"on aor"ic a.!'$cla%ic'lara !"inaa.!'$cla%ic'lara !"ina aor"o+#'lmonaraaor"o+#'lmonara
#araaor"iaca#araaor"iaca'('(linii #ara!#inale dr !i !".linii #ara!#inale dr !i !".
)*)*.linia de -onc"i'ne #o!"erioara.linia de -onc"i'ne #o!"erioara
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40/71
SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
Linii !i $en&i in inciden"a de #ro(ilLinii !i $en&i in inciden"a de #ro(il
linia re"ro!"ernalalinia re"ro!"ernala
linia #ara"ra/ealalinia #ara"ra/eala
#o!"erioara#o!"erioara
$anda "ra/eo+$anda "ra/eo+e!o(aianae!o(aiana
linia #re!#inalalinia #re!#inala
linii !ec'ndare3linii !ec'ndare3
+in"er(a"a aor"icaca%a+in"er(a"a aor"icaca%a
+linia aor"ica #o!"erioara+linia aor"ica #o!"erioara
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI Semen"a"ia #'lmonaraSemen"a"ia #'lmonara
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42/71
SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
Artefate de natura e$tratoraia siArtefate de natura e$tratoraia si
toraiatoraia
m'!c/i #ec"orali in rei'nea a)ilaram'!c/i #ec"orali in rei'nea a)ilara re#li'ri c'"ana"e !i %e!"imen"arere#li'ri c'"ana"e !i %e!"imen"are
"'mori #iele *!in*#ere"e"'mori #iele *!in*#ere"e
o$iec"e %e!"imen"areo$iec"e %e!"imen"are
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43/71
SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
-
7/21/2019 Toracele normal 150121065014 Conversion Gate01
44/71
SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
Imaini cer%icale !i
!'#racla%ic'larea #rod'!e
de co&i de #ar
Imaini nod'lare
#'lmonare #rod'!e de
o$iec"e din im$racamin"e
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45/71
SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
&gf( reali+ata in inspir
dia(rame in #o&i"ie-oa!aarii #'lmmonare c'
"ran!#aren"a cre!c'"ade!en %a!c'lar clar
&gf e$eutata in e$pir
dia(rame e%iden"
a!cen!iona"e
dimin'area "ran!#aren"ei la
ni%el'l $a&elor #'lmonare
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
#acien" a!"enic#acien" a!"enic
marinea !ca#'leimarinea !ca#'lei 'm$ra'm$ra
!"ernocleidoma!"oidian'l'i!"ernocleidoma!"oidian'l'i
'm$ra !inilor'm$ra !inilor
o#aci"a"i da"e deo#aci"a"i da"e de
mameloane *com'ne lamameloane *com'ne la
(emei*oca&ional %i&i$ile la(emei*oca&ional %i&i$ile la
$ar$a"i$ar$a"i
dia(rame in #o&i"ie -oa!adia(rame in #o&i"ie -oa!a
Torace a!"enic
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
#acien"ii emacia"i#acien"ii emacia"i
#acien"i inal"i !i !la$i#acien"i inal"i !i !la$i
marinile omo#la"ilormarinile omo#la"ilor!'#ra#'!e #e radiora(ie!'#ra#'!e #e radiora(ie
#li'rile c'"ana"e ale#li'rile c'"ana"e ale
!#a"el'i da' o o#aci"a"e!#a"el'i da' o o#aci"a"e
di!"inc"a care #oa"e (idi!"inc"a care #oa"e (iin"er#re"a"a re!i"in"er#re"a"a re!i"
(al!a /i#er"ran!#aren"a(al!a /i#er"ran!#aren"a
#aracardiaca da"a de#aracardiaca da"a de
(a#"'l ca #lamin'l n' e!"e(a#"'l ca #lamin'l n' e!"e
aco#eri" de #li'ri c'"ana"eaco#eri" de #li'ri c'"ana"e
dia(rame in #o&i"ie -oa!adia(rame in #o&i"ie -oa!a
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
ma!"ec"omie
'nila"erala*cli#!'rime"alice4
(al!a cre!"ere a
den!i"a"ii ariei
#'lmonare dre#"e
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI Sci&'ra %enei a&:o!Sci&'ra %enei a&:o!
-
7/21/2019 Toracele normal 150121065014 Conversion Gate01
50/71
SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
$'l$ ec"o#ic a&:o! calci(icare anlion
#ara"ra/eal dre#"
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
in 'nele ca&'ri *%ena a&:o! e!"e ec"o#ica *in loc !ain 'nele ca&'ri *%ena a&:o! e!"e ec"o#ica *in loc !a(ie !i"'a"a in media!"in*ea !e a!e!"e la o oarecare(ie !i"'a"a in media!"in*ea !e a!e!"e la o oarecare
di!"an"a !i a"'nci i!i (ace dr'm #rin %ir('l lo$'l'idi!"an"a !i a"'nci i!i (ace dr'm #rin %ir('l lo$'l'i!'#erior #en"r' a !e %ar!a in VCS4in ace!" "raiec" ea!'#erior #en"r' a !e %ar!a in VCS4in ace!" "raiec" eae!"e in!o"i"a de #le'ra4#oa"e a%ea 'n "raiec" o$lic !a'e!"e in!o"i"a de #le'ra4#oa"e a%ea 'n "raiec" o$lic !a'%er"ical%er"ical
&adiologi&adiologi $a&a *a#ical !'$ (orma 'n'i mic "ri'n/i c' %ir('l in -o!$a&a *a#ical !'$ (orma 'n'i mic "ri'n/i c' %ir('l in -o!
o o#aci"a"e liniara arci(orma da"a de #roiec"ia (oi"eloro o#aci"a"e liniara arci(orma da"a de #roiec"ia (oi"elor#le'rale#le'rale
#roiec"ia $'l$'l'i %enei a&:o!#roiec"ia $'l$'l'i %enei a&:o!
Daca e)i!"a delimi"ea&a 'n lo$ !'#ran'merar ri!$erDaca e)i!"a delimi"ea&a 'n lo$ !'#ran'merar ri!$erade!eori /i#o%en"ila" !a' a"elec"a"icade!eori /i#o%en"ila" !a' a"elec"a"ic
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
Radiora(ie incorec" #o&i"iona"a !a' !i"'!
in%er!'! "o"al
C " l i i iiC " l i i ii
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
Sc/ele" "oracic3cla%ic'le*omo#la"i coloanaSc/ele" "oracic3cla%ic'le*omo#la"i coloana**rila-rila-
co!"alco!"al*!"ern*!"ern
coa!"e cer%icalecoa!"e cer%icale li#!a !a' /i#o#la&ia #rimei coa!"eli#!a !a' /i#o#la&ia #rimei coa!"e
#'n"i o!oa!e ana!"omo"ice in"re do'a coa!"e#'n"i o!oa!e ana!"omo"ice in"re do'a coa!"e
coa!"e rami(ica"e*$i(ide *in $'"onieracoa!"e rami(ica"e*$i(ide *in $'"oniera
calci(icari normale in ar"ic'la"iile condro co!"alecalci(icari normale in ar"ic'la"iile condro co!"ale
Com#onen"e o!oa!e ale imainiiCom#onen"e o!oa!e ale imainii
"oracice"oracice
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
P'n"i co!"ale
-
7/21/2019 Toracele normal 150121065014 Conversion Gate01
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI Coa!"a cer%icalaCoa!"a cer%icala
C " $i(idC " $i(id
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SPITALULCLINIC
DEP
NEUMOLOGIE
IASI
Coa!"a $i(idaCoa!"a $i(ida
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SPITALULCLINIC
DEPNEUMOLOGIE
IASI
Coa!"a $i(idaCoa!"a $i(ida
Fal!a imaine ca%i"ara da"a de $i(idi"a"e co!"ala
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58/71
SPITALULCLINIC
DEPNEUMOLOGIE
IASI
calci(icari car"ila-e co!"ale ale #rimei coa!"e
a#ar in -'r de 72 ani
calci(icarile car"ila-elor celorlal"e coa!"e a#ar mai
"ir&i'
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SPITALULCLINIC
DEPNEUMOLOGIE
IASI Calci(icari co!"aleCalci(icari co!"ale
Mal(orma"ii coneni"ale ale #ere"el'i
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SPITALULCLINIC
DEPNEUMOLOGIE
IASI
Petus e$avatu!Petus e$avatu!
Cord de#la!a" !#re !"inaCord de#la!a" !#re !"ina
Arie de cre!"ere a den!i"a"ii #'lmonare da"ori"a com#rimarii #lamin'l'iArie de cre!"ere a den!i"a"ii #'lmonare da"ori"a com#rimarii #lamin'l'i
de ca"re !"ern'l de(orma"de ca"re !"ern'l de(orma"
#
"oracic an"erior
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SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI
Pec"'! e)ca%a"'m a!ime"ric;"orace in #ilnie=
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62/71
SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI
Pec"'! e)ca%a"'m
-
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SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI
Pec"'! carina"'m;"orace in carena=
Com#'"er "omora(iaCom#'"er "omora(ia
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SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI
Com#'"er+"omora(iaCom#'"er+"omora(ia
CT e!"e cea mai #er(ec"a me"oda den!i"ome"ricaCT e!"e cea mai #er(ec"a me"oda den!i"ome"ricac'no!c'"ac'no!c'"a
me"oda imai!"ica care '"ili&ea&a #en"r' anali&ame"oda imai!"ica care '"ili&ea&a #en"r' anali&a!"r'c"'rilor ana"omice 'n (a!cicol colima" de ra&e )!"r'c"'rilor ana"omice 'n (a!cicol colima" de ra&e )
CT e!"e o me"oda imai!"ica care o#erea&a #rinCT e!"e o me"oda imai!"ica care o#erea&a #rindi(eren"ierea !"r'c"'rilor ana"omice in"re ele #edi(eren"ierea !"r'c"'rilor ana"omice in"re ele #e$a&a cri"eriilor de den!i"a"e$a&a cri"eriilor de den!i"a"e
#rinci#i'l de %i&'ali&are a !"r'c"'rilor in"erne#rinci#i'l de %i&'ali&are a !"r'c"'rilor in"erne#orne!"e de la (a#"'l ca (iecare oran are o#orne!"e de la (a#"'l ca (iecare oran are oden!i"a"e di(eri"a* !#eci(icaden!i"a"e di(eri"a* !#eci(ica
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SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI Indica"iiIndica"ii
Neopla+iiNeopla+ii
a#recierea e)"en!iei loco+reionale*media!"inalea#recierea e)"en!iei loco+reionale*media!"inale
a 'nei "'moria 'nei "'mori
a#recierea e)"en!iei la #ere"e+di!#ari"ia #lan'l'ia#recierea e)"en!iei la #ere"e+di!#ari"ia #lan'l'ira! !'$#le'ral4#re&en"a 'nei li&e co!"alera! !'$#le'ral4#re&en"a 'nei li&e co!"ale
cerce"area me"a!"a&elor #'lmonare+#ra decerce"area me"a!"a&elor #'lmonare+#ra de
re&ol'"ie de
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SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI
!"'di'l #le'rei !i #ere"el'i!"'di'l #le'rei !i #ere"el'i
$ilan"'l nod'l'l'i !oli"ar #'lmonar$ilan"'l nod'l'l'i !oli"ar #'lmonar
$ilan"'l "'morilor media!"inale$ilan"'l "'morilor media!"inale
#a"oloie $ron!ica#a"oloie $ron!ica
#ne'mo#a"ii in"er!"i"iale di('&e#ne'mo#a"ii in"er!"i"iale di('&e em(i&em #'lmonar+de#i!"are*c'an"i(icare !iem(i&em #'lmonar+de#i!"are*c'an"i(icare !i
cla!i(icarecla!i(icare
radio"era#ie oncoloicaradio"era#ie oncoloica mane%re in"er%en"ionale de diano!"ic !imane%re in"er%en"ionale de diano!"ic !i
"ra"amen""ra"amen"
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67/71
SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI
-
7/21/2019 Toracele normal 150121065014 Conversion Gate01
68/71
SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI
o! com#ac"
-
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SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI In"r+'n cor# radiora(ia" e)i!"a o di%er!i"a"e deIn"r+'n cor# radiora(ia" e)i!"a o di%er!i"a"e de
den!i"a"i in"re den!i"a"ea aer'l'i !i den!i"a"eaden!i"a"i in"re den!i"a"ea aer'l'i !i den!i"a"eacom#ac"ei o!oa!ecom#ac"ei o!oa!e
den!i"a"ea a#ei e!"e eala c' 24n'an"ele de riden!i"a"ea a#ei e!"e eala c' 24n'an"ele de ri!e in"ind de la ner';aer= la al$;o!=4n'an"ele !in"!e in"ind de la ner';aer= la al$;o!=4n'an"ele !in"eal di!"ri$'i"e de o #ar"e !i de al"a a 'nei %alorieal di!"ri$'i"e de o #ar"e !i de al"a a 'nei %alori
medii care e!"e den!i"a"ea a#eimedii care e!"e den!i"a"ea a#ei coe(icien"'l de a"en'are con%er"i" in UH o(era ocoe(icien"'l de a"en'are con%er"i" in UH o(era o
!cara de
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SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI
U"ili&area (ere!"relor de den!i"a"e are dre#" !co#
accen"'area con"ra!"'l'i %i&'al in"re !"r'c"'rile c'den!i"a"i a#ro#ia"e
-
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71/71
SPITAL
ULCLINIC
DEPNEUMOLOGIE
IASI
CT n' e!"e o me"oda de !creeninCT n' e!"e o me"oda de !creenin
e!"e o !'#rain%e!"ia"ie c' indica"iie!"e o !'#rain%e!"ia"ie c' indica"ii
#reci!e#reci!e
co!" ridica"co!" ridica"
e(icien"a cre!c'"ae(icien"a cre!c'"a
#ermi"e "e/nici de radioloie#ermi"e "e/nici de radioloiein"er%en"ionalain"er%en"ionala