Radiologi Blok 16 (edit)

Basic of Radiology

Sony Sutrisno

Proyeksi •

Postero-anterior (PA)

•

Antero-posterior (AP)

•

Lateral dextra/ sinistra

•

Lateral decubitus dextra/ sinistra

•

Top lordotik

•

Oblique dextra/ sinistra

Postero Anterior (PA)

BNO Supine

LEFT LATERAL DECUBITUS

Istilah dalam Radiologi Konvensional Opaque • Cairan • Massa • Jaringan • Batu • Dan lain-lain

Istilah dalam Radiologi Konvensional Lusen • Udara • Lemak

Gradasi / Densitas Radiologi Konvensional Logam

Tulang Jaringan / organ Cairan Lemak Udara

Istilah dalam USG • Echo – Anechoic (hitam)  cairan

– Hipoechoic  organ – Hiperechoic putih  batu

• Posterior Acoustic Shadow • Posterior Enhancement

POSTERIOR ACOUSTIC SHADOW

POSTERIOR ENHANCEMENT

Istilah dalam CT- Scan • Potongan Axial / Sagital / Coronal • Isodens

• Hipodens • Hiperdens • Enhancement

SAGITAL

CORONAL

AXIAL

HIPODENS

HIPERDENS

KONTRAS • Oral, Intravena, Enema • Barium, Iodium

• Filling defect • Additional shadow • Double contrast

Additional Shadow VS Filling defect

Double Contrast

THORAX • Cor • Pulmones

• Diafragma/Sinus • Tulang dan soft tissue

BNO • Distribusi udara • Fecal material • Psoas line

• Properitoneal fat line • Kontur kedua ginjal • Tulang • Tak tampak batu opak di tractus urinarius/ biliaris

Tulang • Role of 2 • Alignment • Bone • Corpus/chondral • Discus/density • Soft Tissue

CT Scan kepala • Gyri, sulci, system ventrikel • Mid line shifting • Substansia grisea/ alba

• Lesi hypodens/hyperdens di fosa anterior/media/posterior • ICH , EDH, SDH , S.O.L. • Os calvaria • Sinus paranasal

Plain X-Ray

USG

CT-Scan

Hitam

Lusen

Hipoechoic

Hipodens

Putih

Opaque

Hiperechoic

Hiperdens

Abdomen

Abdomen • BNO • 3 posisi – Supine – Erect – Left Lateral Decubitus

• USG FAST

Normal

Peritonitis • Primer – Ascites

• Sekunder – Perforasi

• Preperitoneal fat line menghilang

Peritonitis

Pneumoperitoneum Radiografi abdomen 3 posisi • Crescent sign / Cupola sign • Riegler sign • Triangular sign • Ligamentun falciforme sign / Football sign

Pneumoperitoneum

Pneumoperitoneum

Pneumoperitoneum

Pneumoperitoneum

Ileus • Obstruktif – Small bowel obstruction – Large bowel obstruction

• Paralitik • Radiografi abdomen 3 posisi – Dilatasi usus – Multipel air fluid level

Supine vs Erect/LLD

Small Bowel Obstruction

Small Bowel Obstruction

Large Bowel Obstruction

Large Bowel Obstruction

Adynamic Ileus

Appendicogram

Ca Colon

USG FAST (Focused Assesstment with Sonography for Trauma)

• • • •

Perihepatic / Morrison’s Pouch Perisplenal Paracolica bilateral Perivesica / Douglas”s Pouch