May 2005

Curriculum vitae

Nama : Prof. Arif Faisal, Sp.Rad(K), DHSM

Status : Guru Besar FK-UGM
Jabatan :
1987-1994: Ka Bag. Radiologi FK-UGM
1994-2001: Wadir RSUP. Dr. Sardjito
2001-2009: Direktur Utama RSUP. Dr.
Soeradji Tirtonegoro, Klaten Jateng
2010-skrg: Direktur Utama RS Akademik
UGM
RADIOLOGIC METHODS of
EXAMINATION OF THE CHEST

1. Flouroscopy
2. X-RAY : PA LATERAL VIEWS
3. Special position views
4. Bronchography
5. Angiography
6. USG
7. CT
8. MRI
9. Nuclear Medicine
 ANTERIOR ANTERIOR

PULMO KANAN : 3 LOBUS (superior, medius, inferior)

PULMO KIRI : 2 LOBUS (superior, inferior)
BRONCHIAL BRANCHES
STANDART - VIEWS

PA VIEW LAT - VIEW

THE LOBES & SEGMENTS
NORMAL CHEST X-RAY

POSTEROANTERIOR VIEW LATERAL VIEW

RESPIRATORY TRACT

AIRWAY
UPPER
LOWER
AIRSPACE
INTERSTITIALE
RESPIRATORY DISEASES

CONGENITAL
TRAUMATIC
INFECTION
OBSTRUCTION
NEOPLASMA
etc
 BRONCHOPNEUMONIA

PA LATERAL
Relative homogenous opacity of inferior right lung, unsharp border,
Positive air bronchogram (air in the bronchi trees)
 PNEUMONIA

Infiltrate consolidation on right upper lobe, inferior

sharp border (minor fissure)
PNEUMONIA

Right middle lobe conslolidation, positive

silhouette sign (disappear right heart border)
Bronchopneumonia vs Lobar
pneumonia
Bronchopnumonia Lobar pneumonia
Scattered opacities Unifocal, single lobe
Less homogenous Homogenous opacity
Less consolidated Sharp border (fissure)
Commonly atelectasis Positive air
More than one lobe bronchogram
No volume reduced
CHRONIC BRONCHITIS
ACUTE BRONCHITIS
normal chest X-ray

CHRONIC
BRONCHITIS:

~ stripped /mottle
opacities,
~ bronchiectasis
~ emphysematous
lung
 EMPHYSEMA

Chronic obstructive pulmonary disease (COPD):

Abnormal permanent enlargement of air space, destruction of the wall.
Radiologic features:
-Hyperinflation (flat diafragm, large chest cage, increased retrosternal
space)
-Decreased peripheral vessels, large pulmonary arteries, local avascular
area.
TUBERCULOSIS

POST PRIMARY TB.

-Spreading infiltrates on
both lungs
-Slightly fibrosis
-No calcification,
-No fibrosis
-No pleural effusion
TUBERCULOSIS

POST PRIMER TB:

-Infiltrates
-Fibrosis
-Multiple calcifications
-Large cavity right upper lobe
PLEURAL EFFUSION
- Homogenous opacity right
lower hemithorax.
- Lateral border is higher
- Right sinus costophrenicus
and diafragm can not be seen.
- Right heart bordor
disappeared
MASSIVE PLEURAL EFFUSION

Homogenous opacity on the left hemithorax, without air

bronchogram.
Compressed mediastinum to contralateral side.
Left sinus and diafragm disappeared.
 PNEUMOTHORAX

Paru kanan hipoden, tanpa jaringan parenchym pulmo.

Paru kanan kolap kemedial.
BRONCHIECTASIS

Multiple annular
opacities on the lower
lobes honey comb
appearance.
ASTHMA

ATTACK REMISSION
Lung hyperinlation,
Flat diafragms and lower position.
LUNG NEOPLASM

PRIMARY LOCATION:
~ Lung
~ Pleural
~ Mediastinal
~ Airway
~ Chest wall
CLASSIFICATION OF PULMONARY
NEOPLASM
MALIGNANT TUMORS:
Bronchogenic ca
Lymphoma
Metastases
Sarcoma
BENIGN TUMORS:
Hamartoma
Papilloma
Hemangioma
Leiomyoma, etc.
LUNG TUMOR

SMALL BIGGER
LUNG TUMOR

ROUNDED AND
SHARP BORDER OF
HYPERDENSE
MASS
LUNG TUMOR

LARGE MASS UPPER RIGHT LUNG, ROUND

SHAPE, SHARP AND IRREGULAR BORDER
METASTASES

- Multiple rounded /ring

opacities on the both lungs.
- Variation of size
- Minimal effusion on left
side.
METASTASES
References

1. Daffner RH. Clinical Radiology. The

essentials. Lippincott Williams &
Wikins. 2nd ed. 1999.
2. Pettersson H. A global textbook of
radiology. The Nicer Institute. 1995.
3. Weissleder R, Wittenberg J,
Harisinghani MG, Chen JW. Primer of
diagnostic imaging. 5th ed. 2011.