Gambaran radiologi ; Penumonia,

BP, Atelektasis & COPD

Oleh : Ahmad Muhajirin

Foto thorax normal
PA
Lateral
Pneumonia lobaris
CT Scan

Hasil CT dada ini menampilkan gambaran

hiperdens di lobus atas kiri sampai ke
perifer.
Tampak gambaran gabungan konsolidasi berdensitas tinggi pada satu segmen/lobus (lobus
kanan bawah PA maupun lateral)
BP
Tampak gambaran opak/hiperdens pada lobus tengah kanan, namun
tidak menjalar sampai perifer.
Pneumonia intertitial
Terjadi edema
dinding bronkioli
dan juga edema
jaringan
interstitial
prebronkial.
Radiologis berupa
bayangan udara
pada alveolus
masih terlihat,
diliputi oleh
perselubungan
yang tidak
merata.
Atelektasis

Complete atelectasis of the left lung. Mediastinal displacement,

opacification, and loss of volume are present in the left hemithorax.
Complete right lung atelectasis.
Atelectasis. Left upper lobe collapse showing opacity contiguous to the
aortic knob, a smaller left hemithorax, and a mediastinal shift.
Atelectasis. Right upper lobe collapse
demonstrating Golden sign of S.
Atelectasis. Right upper lobe collapse and consolidation.
Atelectasis. Right upper lobe collapse.
Atelectasis. Right upper lobe collapse.
Atelectasis. A lateral chest x-ray film confirms the diagnosis of right
middle lobe collapse. The minor fissure moves down, and the major
fissure moves up, leading to a wedge-shaped opacity.
COPD

Posteroanterior (PA) and lateral chest radiograph in a patient with

severe chronic obstructive pulmonary disease (COPD). Hyperinflation,
depressed diaphragm, increased retrosternal space, and hypovascularity
of lung parenchyma are demonstrated.
A lung with emphysema shows increased anteroposterior (AP) diameter,
increased retrosternal airspace, and flattened diaphragm on lateral chest
radiograph.
Severe bullous disease as seen on a computed tomography (CT) scan
in a patient with chronic obstructive pulmonary disease (COPD).
Pustaka
http://emedicine.medscape.com/article/29
6468-workup?src=refgatesrc1#c5
http://emedicine.medscape.com/article/29
7664-workup#c13
http://emedicine.medscape.com/article/29
7664-workup#c14
Terima kasih