Radiographic Chest Anatomy Revisited: Reapproaching Chest Film Interpretation through Multiplanar Computed Tomography
DISCLOSURES
A.S.
- Nothing to disclose.
J.K.
- Nothing to disclose.
PURPOSE/AIM
1. To improve understanding of radiographic anatomy by correlating chest films and MDCT images.
2. To discuss common and less frequently occurring structures forming interfaces and lines on the frontal and lateral films.
3. To review the frequency with which these structures are seen.
4. To demonstrate how interfaces help characterize pathology.
CONTENT ORGANIZATION
1. Introduction
2. Review of airway anatomy on frontal and lateral
radiographs with corresponding CTs
2.1 The hilar interfaces, including pulmonary
vasculature and airways
2.2 Mediastinal interfaces, spaces and other
structures
3. Frequency of radiographic landmarks and interfaces
4. Characterizing pathology using interfaces
4.1 Silhouette sign
4.2 Hilum overlay sign
4.3 Thoracoabdominal and cervicothoracic signs
SUMMARY
Knowledge of the structures, interfaces and signs on the frontal and lateral chest radiographs facilitates the interpretation of normal anatomy and the development of a differential diagnosis for radiographic abnormalities. Correlation of chest radiographic findings and MDCT reconstructions in multiple planes provides a powerful presentational tool for improving resident and medical student education in thoracic anatomy.