Basic CXR
Basic anatomy
Lobe
Lung pattern
#Predominantly airspace opacities
นำ้ - เนื้อ - หนอง - เลือด
Distribution :
Localized /diffuse
single / multiple
unilateral /bilateral
Acute
Pneumonia / pulmonary edema / Hemorrhage
Chronic
Lymphoma , BAC. , Pulmonary alveolar proteionsis
# Predominantly interstitial opacities
Kelley's A , B line
Peribronchial / perivascular infiltration
Reticular opacities
Discrete tiny nodular opacities
Honeycombing
Diffuse interstitial opacities
linear
reticular
cystic
nodular
ground-glass
Pulmonary edema
Non-cardiogenic Pulmonary Edema
Etiology
Acute respiratory distress syndrome (ARDS) Such as
sepsis, pneumonia,
gastric aspiration,
blood transfusion,
pancreatitis,
multisystem trauma or trauma to the chest wall,
fractures with fat embolism, burns, or head injury
High altitude pulmonary edema (HAPE)
Neurogenic pulmonary edema
Opioid overdose
Salicylate toxicity
Pulmonary embolism
Reexpansion pulmonary edema
Reperfusion pulmonary edema
Transfusion-related acute lung injury (TRALI)
Cardiogenic Pulmonary Edema
Cardiogenic pulmonary edema (CPE) is defined as pulmonary edema due to increased capillary hydrostatic pressure secondary to elevated pulmonary venous pressure caused by left heart disease Etiology Disorders that increase pressure in the left side of the heart and pooling of blood can cause cardiogenic pulmonary edema
Etiology
Coronary artery disease with left ventricular failure (myocardial infarction)
Congestive heart failure: left ventricular volume overload
Cardiomyopathy
Valvular heart diseases on the left side of the heart (stenosis and regurgitation)
Cardiac arrhythmias
Right to left shunts