Interpretasi

Foto Thorax
dr. Indriasari, SpRad
27 September 2014

Foto thorax chest x-ray (CXR)

Anatomy

Normal radiographic anatomy

Hemidiaphragma kiri
Gas bubble gaster
Fleksura lienalis
Hemidiaphragma kanan
Hepar

Struktur abdomen
yang tervisualisasi

Ribs
Spine

Struktur tulang thorax

Clavicle
Scapula
Chest
wall

Ribs
Struktur tulang thorax

Spine
Clavicle
Scapula
Chest wall

Ribs (costae)

Spine (vertebra thoracalis)

Scapula

Chest Wall

Trachea on CXR
Hilum

Normal
Mediastinal
Structures

Vessels
Superior Vena Cava

Ascending Aorta

Aortic Arch

Pulmonary Artery

Left Atrium
Right Atrium
Left Ventricle
Inferior
Vena Cava

Aortic Knob/Arch
Descending Aorta
Ascending Aorta

Left Atrium

Left Ventricle

Inferior Vena Cava

Right Ventricle

Lung Fields
Upper

Middle

Lower

Lung Structures

Retrosternal Clear Space

Retrocardiac Clear Space

Cardiophre
nic Sulci
(Recesses,
Angles
Lateral
Costophrenic
Sulci
(Recesses,
Angles)

Posterior Costophrenic Sulci

(Recesses, Angles)

Horizontal fissure

Right Oblique Fissure

Horizontal Fissure

Left Oblique Fissure

RUL

LUL
RML

RLL

LLL

Interpretasi CXR

Identification
Name and date
Technical data
Standing or recumbent
position

Good penetration
Full inspiration
Well centred (no rotation)

Technically adequate CXR

Foto thorax PA (posisi berdiri)

Posisi standart

Foto Thorax AP (posisi supine)

Dilakukan pada pasien dengan posisi

berbaring
Arah sinar dari depan ke belakang,
kaset pada punggung
Gambaran jantung lebih besar

Foto Thorax top lordotic

Allows for better

visualization of the
Apices of the lungs

Foto thorax top lordotic

Untuk melihat efusi pleura minimal

Penetrasi cukup

Vertebra thoracalis terlihat

samar dibelakang bayangan
jantung

Penetrasi Kurang,
- Hemidiafragma kiri tidak terlihat jelas
- Corakan pulmo terlihat lebih prominent

Penetrasi over

Inspirasi cukup

10

About 10 posterior
ribs visible is an
excellent
inspiration
In
many
hospitalized
patients 9 posterior
ribs is an adequate
inspiration

About 8 posterior ribs are

showing
Poor inspiration will crowd
lung markings and make it
appear as though the patient
has airspace disease

9-10 posterior ribs are

showing

Simetris (no ratation)

If the spinous process

of the vertebral body
is equidistant from the
medial ends of each
clavicle, there is no
rotation

Rotasi / asimetris

Severe rotation may

make the pulmonary
arteries
appear larger on the
side farther from the
film

Interpretasi Foto Thorax

A
Airway
Aorta

B
Breathing
Bone

D
Diaphragm
Deformity
C
Cardiac
Circulation

S
Soft tissue
Shoulder

Lung Marking & pleura

CTR (cardiothoracic Ratio)

Patologis
Pneumothorax

Pneumothorax

Hydropneumothorax

Efusi pleura

Efusi pleura

Pulmonary Oedema

Atelektasis

Atelektasis

Efusi pleura

There is a shift of the heart and

trachea away from the side of
opacification

Pneumonia

The left hemithorax is opaque

There is no shift of the

heart or trachea

The opacified hemithorax

contains air bronchograms

Nodule

Lung mass

Hilar adenopathy

quiz